go back

Wyoming rates for HCPCS Q2054

Lisocabtagene maraleucel, up to 110 million autologous anti-CD19 CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541,636.00 / $541,636.00 / $541,636.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,538.18 / $562,538.18 / $618,792.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541,977.41 / $637,620.48 / $637,620.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032,884.58 / $1,032,884.58 / $1,136,173.04