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Georgia 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
$562,341.33 / $630,957.34 / $1,202,264.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $630,957.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $616,595.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524,807.46 / $1,023,292.99 / $1,445,439.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $630,957.34 / $676,082.98