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Oklahoma 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
$541,260.00 / $601,903.37 / $811,891.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601,903.37 / $601,903.37 / $601,903.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,655.70 / $37,389.26 / $59,097.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541,260.44 / $557,317.93 / $960,235.50