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Nebraska 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 / $1,054,170.00 / $1,231,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $811,332.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453,475.67 / $574,402.52 / $604,634.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630,611.71 / $662,989.87 / $683,494.70
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
$541,260.44 / $541,260.44 / $960,235.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $557,317.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526,228.26 / $554,728.05 / $792,468.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530,134.49 / $564,158.43 / $792,468.64