go back

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

Facilitymedian $1,023,293 · 10th–90th $0$1,445,4400%20%40%10th90th$1,023,293Professionalmedian $562,341 · 10th–90th $562,341$1,862,0870%50%90th$562,341$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$776,247.12 / $1,202,264.43 / $1,905,460.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $1,862,087.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457,088.19 / $562,341.33 / $630,957.34
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $549,540.87 / $776,247.12
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $707,945.78 / $1,513,561.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $616,595.00 / $977,237.22
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $794,328.23 / $1,548,816.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $562,341.33 / $602,559.59
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446,683.59 / $616,595.00 / $954,992.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $724,435.96 / $1,071,519.31