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Alaska rates for HCPCS Q2041

Axicabtagene ciloleucel, up to 200 million autologous anti-CD19 CAR positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453,245.65 / $586,553.18 / $991,808.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $991,808.12 / $1,418,285.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $578,504.43 / $1,333,075.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738,893.81 / $846,014.40 / $1,329,451.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604,296.00 / $725,155.20 / $725,155.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533,230.17 / $991,808.12 / $1,829,520.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561,677.31 / $587,347.15 / $665,280.00