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California 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 $724,436 · 10th–90th $0–$1,318,2570%20%10th90th$724,436Professionalmedian $537,032 · 10th–90th $537,032–$1,258,9250%50%90th$537,032$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$724,435.96 / $1,148,153.62 / $1,819,700.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $1,258,925.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407,380.28 / $537,031.80 / $602,559.59
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $512,861.38 / $691,830.97
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $645,654.23 / $1,174,897.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $537,031.80 / $645,654.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89,125.09 / $537,031.80 / $724,435.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $562,341.33 / $933,254.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995,262.31 / $1,995,262.31 / $1,995,262.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $537,031.80 / $933,254.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $616,595.00 / $776,247.12
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426,579.52 / $588,843.66 / $912,010.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $537,031.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $501,187.23 / $741,310.24