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Ohio 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 $645,654 · 10th–90th $0–$1,548,8170%20%10th90th$645,654Professionalmedian $562,341 · 10th–90th $562,341–$912,0110%50%90th$562,341$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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 / $1,202,264.43 / $1,548,816.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $676,082.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $776,247.12 / $1,380,384.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758,577.58 / $758,577.58 / $758,577.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $691,830.97 / $1,000,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $1,122,018.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $524,807.46 / $812,830.52