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Kentucky 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 / $562,341.33 / $1,122,018.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $616,595.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $660,693.45 / $660,693.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $891,250.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $588,843.66 / $776,247.12