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Texas 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 $954,993 · 10th–90th $467,735–$1,819,7010%10%10th90th$954,993Professionalmedian $588,844 · 10th–90th $588,844–$954,9930%50%90th$588,844$5.0K$20.0K$100.0K$500.0K$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
$588,843.66 / $891,250.94 / $1,412,537.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $954,992.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467,735.14 / $1,071,519.31 / $2,089,296.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $831,763.77 / $1,122,018.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $954,992.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $549,540.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $831,763.77 / $870,963.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549,540.87 / $588,843.66 / $912,010.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $616,595.00 / $645,654.23