go back

Michigan 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
$575,439.94 / $1,122,018.45 / $1,778,279.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $575,439.94 / $707,945.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $1,096,478.20 / $2,344,228.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512,861.38 / $549,540.87 / $549,540.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602,559.59 / $1,513,561.25 / $1,778,279.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $575,439.94 / $758,577.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524,807.46 / $562,341.33 / $562,341.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $588,843.66 / $616,595.00