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Oregon 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
$562,341.33 / $1,122,018.45 / $1,348,962.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $691,830.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $676,082.98 / $1,122,018.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $616,595.00 / $724,435.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549,540.87 / $660,693.45 / $1,548,816.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $602,559.59 / $660,693.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $1,348,962.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524,807.46 / $524,807.46 / $524,807.46