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West 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
$378,882.00 / $378,882.00 / $562,891.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $562,891.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.90 / $835,976.90 / $835,976.90