Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for Q2042. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
15
Median % of Medicare
--
Rate range
$6,116.93 - $614,180.81
Q2042 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $611,693.17 | -- | -- | 2026 |
| California | $87,740.12 | -- | -- | 2026 |
| Connecticut | $566,531.30 | -- | -- | 2026 |
| District of Columbia | $566,531.30 | -- | Required | 2026 |
| Idaho | $489,483.04 | -- | Required | 2026 |
| Kansas | $611,693.17 | -- | -- | 2026 |
| Michigan | $611,693.17 | -- | -- | 2026 |
| Mississippi | $566,531.30 | -- | -- | 2026 |
| Montana | $566,531.30 | -- | -- | 2026 |
| New Hampshire | $523,151.79 | -- | Required | 2026 |
| Oklahoma | $614,180.81 | -- | -- | 2026 |
| Rhode Island | $534,719.03 | -- | -- | 2026 |
| South Carolina | $6,116.93 | -- | -- | 2026 |
| Texas | $578,324.58* | -- | -- | 2026 |
| Virginia | $611,693.17 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related state-specific services codes
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 12 codes from Q2009 to Q2058 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for Q2042?
15 state Medicaid programs publish a fee-for-service rate for Q2042 (tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose), ranging from $6,116.93 in South Carolina to $614,180.81 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for Q2042?
Oklahoma publishes the highest Medicaid rate for Q2042 at $614,180.81. South Carolina publishes the lowest at $6,116.93.
Does Q2042 require prior authorization under Medicaid?
3 of the 15 publishing states flag Q2042 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".