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Arizona 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 $645,654 · 10th–90th $1–$1,698,2440%20%10th90th$645,654Professionalmedian $537,032 · 10th–90th $537,032–$676,0830%50%90th$537,032$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$851,138.04 / $977,237.22 / $1,862,087.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $660,693.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $3.31 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.91 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $562,341.33 / $870,963.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $537,031.80 / $912,010.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954,992.59 / $954,992.59 / $954,992.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $537,031.80 / $776,247.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $501,187.23 / $575,439.94