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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.93 / $703,639.00 / $1,098,760.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $654,925.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457,255.00 / $557,317.93 / $557,317.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $557,317.93 / $1,182,986.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525,771.64 / $557,317.93 / $962,162.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528,291.30 / $557,317.93 / $557,317.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528,291.30 / $557,317.93 / $557,317.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528,312.43 / $668,766.24 / $702,800.94
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528,291.30 / $528,291.30 / $528,291.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528,291.30 / $528,291.30 / $557,317.93