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Maine 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

Facilitymedian $1,318,257 · 10th–90th $1,230,269–$1,318,2570%50%10th$1,318,257Professionalmedian $537,032 · 10th–90th $537,032–$630,9570%50%90th$537,032$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230,268.77 / $1,318,256.74 / $1,318,256.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $724,435.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416,869.38 / $537,031.80 / $537,031.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $645,654.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $537,031.80
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $562,341.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $776,247.12