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Idaho 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
$541,260.00 / $541,260.00 / $622,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541,260.00 / $613,049.73 / $696,647.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613,049.73 / $738,446.27 / $996,205.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $613,049.72 / $696,647.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527,622.43 / $527,622.43 / $527,622.43