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Arizona 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

Facilitymedian $977,237 · 10th–90th $3–$1,412,5380%20%10th90th$977,237Professionalmedian $562,341 · 10th–90th $562,341–$954,9930%50%90th$562,341$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602,559.59 / $1,000,000.00 / $1,949,844.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $954,992.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $3.55 / $6.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.58 / $5.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $707,945.78 / $812,830.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $812,830.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $524,807.46 / $524,807.46