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North Dakota 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 / $974,269.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $654,925.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528,312.38 / $528,312.38 / $660,390.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835,976.90 / $835,976.90 / $835,976.90