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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.93 / $845,300.00 / $1,056,620.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $562,891.11 / $574,037.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417,822.00 / $1,006,951.02 / $1,959,585.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701,837.44 / $960,235.50 / $995,514.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.93 / $796,964.64 / $820,873.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $557,317.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.93 / $796,964.64 / $1,036,611.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $604,637.39