go back

California 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

Facilitymedian $1,071,519 · 10th–90th $0–$1,513,5610%20%40%10th90th$1,071,519Professionalmedian $588,844 · 10th–90th $588,844–$1,949,8450%50%90th$588,844$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
$676,082.98 / $1,230,268.77 / $1,995,262.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $1,949,844.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $588,843.66 / $660,693.45
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $562,341.33 / $776,247.12
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $741,310.24 / $1,513,561.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $645,654.23 / $1,023,292.99
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $831,763.77 / $1,621,810.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $588,843.66 / $645,654.23
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467,735.14 / $645,654.23 / $1,000,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $758,577.58 / $1,122,018.45