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Illinois 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
$533,077.00 / $933,153.00 / $1,505,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $554,559.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683,895.50 / $2,019,795.00 / $4,429,375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $533,794.80 / $639,546.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426,584.14 / $533,230.17 / $799,845.26
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693,199.22 / $693,199.22 / $693,199.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $739,175.90