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Kentucky 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
$497,777.00 / $533,230.17 / $906,491.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $639,876.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $628,809.16 / $628,809.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $533,230.17 / $533,230.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533,230.19 / $719,860.80 / $853,168.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $586,553.18 / $821,174.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $558,973.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502,840.72 / $533,076.48 / $653,692.93