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Missouri 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 / $616,595.00 / $2,041,737.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $575,439.94 / $891,250.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $645,654.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $537,031.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,778.82 / $707,945.78 / $1,380,384.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $645,654.23 / $707,945.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $524,807.46 / $602,559.59