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Iowa 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
$786,348.00 / $1,024,920.00 / $1,670,020.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $543,894.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503,580.00 / $508,615.80 / $629,475.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453,245.64 / $533,230.17 / $965,146.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $458,328.69 / $696,479.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492,728.95 / $957,600.00 / $957,600.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492,728.95 / $559,730.30 / $734,275.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492,728.95 / $559,730.30 / $734,275.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532,192.24 / $949,963.15 / $951,815.86