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Connecticut 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
$724,435.96 / $912,010.84 / $1,479,108.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $645,654.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $537,031.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512,861.38 / $537,031.80 / $645,654.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $524,807.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,359.37 / $501,187.23 / $562,341.33