go back

Minnesota 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 / $557,317.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $601,903.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526,587.59 / $1,033,382.20 / $1,988,348.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422,649.94 / $498,407.95 / $528,312.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922,514.60 / $1,587,509.11 / $1,932,693.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,595.50 / $584,798.68 / $670,956.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795,724.93 / $1,448,705.81 / $1,818,192.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528,312.38 / $528,312.38 / $718,504.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541,260.44 / $541,260.44 / $1,337,563.03