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Washington, DC 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
$533,230.17 / $1,663,200.00 / $2,025,690.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $538,562.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669,102.38 / $761,392.37 / $1,582,773.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,794.80 / $533,794.80 / $639,546.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453,245.64 / $483,436.80 / $543,866.40