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Colorado 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
$482,129.75 / $876,236.00 / $1,066,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $618,547.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $533,230.17 / $533,230.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508,615.80 / $508,615.80 / $558,973.80
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $565,223.98 / $898,706.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581,220.89 / $586,553.18 / $762,519.14