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Massachusetts 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
$557,317.93 / $557,317.93 / $1,114,640.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $579,610.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444,670.00 / $741,338.00 / $1,817,971.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $613,049.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $65,018.00 / $813,243.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $1,157,437.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741,338.00 / $741,338.00 / $995,514.08