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South Carolina 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
$588,843.66 / $776,247.12 / $2,344,228.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,630.09 / $562,341.33 / $676,082.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $588,843.66 / $691,830.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588,843.66 / $707,945.78 / $1,513,561.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524,807.46 / $562,341.33 / $1,202,264.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371,535.23 / $524,807.46 / $691,830.97