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Virginia 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 $562,341 · 10th–90th $0–$1,412,5380%20%10th90th$562,341Professionalmedian $562,341 · 10th–90th $562,341–$616,5950%50%90th$562,341$0.0$0.5$10.0$200.0$5.0K$100.0K$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 / $1,174,897.55 / $1,548,816.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $933,254.30
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741,310.24 / $851,138.04 / $1,258,925.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $562,341.33 / $676,082.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891,250.94 / $891,250.94 / $891,250.94
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $645,654.23 / $831,763.77
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $645,654.23 / $831,763.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $575,439.94 / $1,122,018.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $575,439.94 / $691,830.97