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Maine 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
$1,348,962.88 / $1,479,108.39 / $1,479,108.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $616,595.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $588,843.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $776,247.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $588,843.66 / $707,945.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348,962.88 / $1,348,962.88 / $1,479,108.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588,843.66 / $616,595.00 / $912,010.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87,096.36 / $87,096.36 / $87,096.36