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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

Facilitymedian $588,844 · 10th–90th $2–$1,258,9250%20%40%10th90th$588,844Professionalmedian $537,032 · 10th–90th $537,032–$616,5950%50%90th$537,032$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$3,467,368.50 / $3,467,368.50 / $3,467,368.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $588,843.66
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457,088.19 / $562,341.33 / $1,318,256.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $588,843.66 / $1,318,256.74
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812,830.52 / $851,138.04 / $1,318,256.74
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602,559.59 / $724,435.96 / $724,435.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $549,540.87 / $1,000,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $616,595.00 / $676,082.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $537,031.80 / $851,138.04