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Pennsylvania 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 $1,288,250 · 10th–90th $588,844–$1,778,2790%10%10th90th$1,288,250Professionalmedian $588,844 · 10th–90th $588,844–$891,2510%50%90th$588,844$100.0K$200.0K$500.0K$1.0M$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
$616,595.00 / $1,288,249.55 / $1,778,279.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $891,250.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $630,957.34 / $794,328.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $602,559.59
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891,250.94 / $1,023,292.99 / $1,023,292.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724,435.96 / $831,763.77 / $1,122,018.45
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630,957.34 / $1,148,153.62 / $1,548,816.62
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $645,654.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89,125.09 / $89,125.09 / $616,595.00