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California 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
Facility
Modifier
Low / Median / High Price
$557,317.93 / $1,082,520.00 / $1,253,970.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $654,925.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462,121.22 / $557,317.93 / $557,317.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.90 / $99.00 / $633,974.93
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567,833.37 / $567,833.37 / $1,241,452.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501,586.14 / $613,049.72 / $1,214,953.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701,837.44 / $960,235.50 / $995,514.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,891.11 / $796,964.64 / $1,553,579.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $557,317.93
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445,854.35 / $613,049.73 / $947,440.49