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Idaho 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
$553,379.00 / $553,379.00 / $636,386.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553,379.00 / $622,455.84 / $707,336.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622,455.84 / $749,776.35 / $1,011,490.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565,868.94 / $622,455.85 / $707,336.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00