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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616,797.15 / $669,588.00 / $669,588.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631,447.97 / $631,447.97 / $631,447.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631,447.97 / $631,447.97 / $631,447.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631,447.97 / $631,447.97 / $631,447.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613,914.42 / $613,914.42 / $800,757.95