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Montana 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
Professional
Modifier
Low / Median / High Price
$607,476.55 / $654,925.00 / $654,925.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604,637.39 / $604,637.39 / $788,657.46