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Arizona rates for HCPCS Q2056

Ciltacabtagene autoleucel, up to 100 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
$933,254.30 / $1,096,478.20 / $2,041,737.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $2,238,721.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.57 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.58 / $3.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602,559.59 / $741,310.24 / $851,138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549,540.87 / $549,540.87 / $912,010.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $588,843.66