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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
$846,044.00 / $1,190,770.00 / $1,796,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $557,317.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528,312.38 / $528,312.38 / $660,390.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $557,317.93 / $1,008,745.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530,134.49 / $541,260.44 / $686,806.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530,134.49 / $568,323.47 / $792,468.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530,134.49 / $568,323.47 / $792,468.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530,134.49 / $554,728.05 / $792,468.64