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Florida 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 / $986,476.00 / $1,215,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $586,553.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $508,615.80 / $639,546.60
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $533,230.17
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251,790.00 / $503,580.00 / $533,230.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $749,232.70 / $900,084.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476,406.40 / $476,406.40 / $476,406.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,076.50 / $533,076.50 / $533,230.19