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Utah 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
$645,654.23 / $645,654.23 / $645,654.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $645,654.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $575,439.94 / $575,439.94
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501,187.23 / $562,341.33 / $676,082.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $562,341.33