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Kansas 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
$780,245.11 / $780,245.11 / $780,245.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $568,464.29 / $780,245.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451,069.50 / $473,622.98 / $497,553.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529,633.21 / $529,633.21 / $529,633.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493,122.73 / $565,640.78 / $735,689.80