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Alaska rates for HCPCS Q2055

Idecabtagene vicleucel, up to 510 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036,611.36 / $1,036,611.36 / $1,036,611.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482,354.24 / $1,482,354.24 / $1,482,354.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $1,794,563.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797,452.72 / $887,564.89 / $1,394,744.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759,931.36 / $1,196,179.08 / $1,973,695.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604,637.39 / $604,637.39 / $604,637.39