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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
$537,031.80 / $891,250.94 / $1,258,925.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $602,559.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512,861.38 / $537,031.80 / $645,654.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $537,031.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251,188.64 / $501,187.23 / $537,031.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $5,011.87 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501,187.23 / $537,031.80 / $891,250.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,630.09 / $537,031.80 / $537,031.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $537,031.80