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Alabama 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
Facility
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $537,031.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,659.50 / $74,131.02 / $100,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $645,654.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501,187.23 / $537,031.80 / $537,031.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416,869.38 / $501,187.23 / $602,559.59