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Texas 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 $870,964 · 10th–90th $436,516–$1,513,5610%10%10th90th$870,964Professionalmedian $562,341 · 10th–90th $562,341–$912,0110%50%90th$562,341$5.0K$20.0K$100.0K$500.0K$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 / $891,250.94 / $1,348,962.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $912,010.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416,869.38 / $954,992.59 / $1,778,279.41
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $794,328.23 / $1,071,519.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $912,010.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $524,807.46 / $537,031.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $794,328.23 / $812,830.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $870,963.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $562,341.33 / $588,843.66