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Montana 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 $549,541 · 10th–90th $537,032–$1,548,8170%50%10th90th$549,541Professionalmedian $588,844 · 10th–90th $588,844–$1,621,8100%50%90th$588,844$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $2,238,721.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630,957.34 / $630,957.34 / $630,957.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630,957.34 / $630,957.34 / $630,957.34
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $1,548,816.62
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $1,548,816.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630,957.34 / $630,957.34 / $630,957.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $630,957.34 / $831,763.77