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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565,868.94 / $1,460,920.00 / $1,682,270.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565,868.94 / $571,527.63 / $669,588.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521,827.26 / $613,914.42 / $767,393.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587,222.49 / $587,222.49 / $587,222.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640,606.35 / $640,606.35 / $1,114,449.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460,920.00 / $1,682,270.00 / $1,682,270.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565,868.94 / $571,527.63 / $1,682,270.00