go back

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
$537,031.80 / $933,254.30 / $1,380,384.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $707,945.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676,082.98 / $1,905,460.72 / $4,466,835.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512,861.38 / $537,031.80 / $645,654.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416,869.38 / $537,031.80 / $794,328.23
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
$691,830.97 / $691,830.97 / $691,830.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $724,435.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $831,763.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478,630.09 / $501,187.23 / $562,341.33