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North Carolina 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
$478,630.09 / $537,031.80 / $660,693.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,630.09 / $562,341.33 / $645,654.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071,519.31 / $1,148,153.62 / $1,148,153.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $588,843.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478,630.09 / $562,341.33 / $660,693.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $870,963.59 / $977,237.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $562,341.33 / $1,023,292.99
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000,000.00 / $1,000,000.00 / $1,000,000.00