| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424,000.00 | $613,038.00 | $639,876.21 | |
Aetna
| Professional | $533,230.17 | $549,227.07 | $639,876.21 | |
Cigna
| Professional | $533,794.80 | $533,794.80 | $639,546.60 |
Axicabtagene ciloleucel, up to 200 million autologous anti-CD19 CAR positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424,000.00 | $613,038.00 | $639,876.21 | |
Aetna
| Professional | $533,230.17 | $549,227.07 | $639,876.21 | |
Cigna
| Professional | $533,794.80 | $533,794.80 | $639,546.60 |