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Tennessee 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 / $649,513.00 / $1,179,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $654,925.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701,837.44 / $960,235.50 / $995,514.08