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Michigan 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 $1,000,000 · 10th–90th $512,861–$1,698,2440%20%10th90th$1,000,000Professionalmedian $537,032 · 10th–90th $537,032–$616,5950%50%90th$537,032$1.0$20.0$500.0$10.0K$200.0K$5.0M

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
$512,861.38 / $1,071,519.31 / $1,698,243.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $1,047,128.55 / $2,137,962.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741,310.24 / $741,310.24 / $741,310.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $562,341.33 / $870,963.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $954,992.59 / $1,698,243.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $549,540.87 / $724,435.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $537,031.80 / $537,031.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $537,031.80 / $645,654.23