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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.93 / $585,183.82 / $1,221,030.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $585,183.82 / $585,183.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $557,317.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688,687.80 / $783,679.22 / $1,182,643.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473,720.24 / $633,974.93 / $668,781.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891,234.97 / $891,234.97 / $891,234.97