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New York 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

Facilitymedian $724,436 · 10th–90th $562,341–$1,318,2570%20%10th90th$724,436Professionalmedian $562,341 · 10th–90th $562,341–$812,8310%50%90th$562,341$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $741,310.24 / $1,318,256.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $954,992.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $691,830.97
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $691,830.97 / $1,905,460.72
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $562,341.33 / $1,023,292.99
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $588,843.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $562,341.33
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $1,148,153.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $870,963.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $537,031.80 / $1,230,268.77
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $616,595.00
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $676,082.98