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Iowa 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 / $1,122,018.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $602,559.59 / $954,992.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $524,807.46 / $660,693.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $562,341.33 / $1,000,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524,807.46 / $537,031.80 / $812,830.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $562,341.33 / $794,328.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $691,830.97 / $691,830.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $549,540.87 / $630,957.34