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Minnesota 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 / $537,031.80 / $537,031.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $616,595.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,778.82 / $501,187.23 / $676,082.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407,380.28 / $501,187.23 / $501,187.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794,328.23 / $1,548,816.62 / $1,862,087.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512,861.38 / $588,843.66 / $645,654.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202,264.43 / $1,479,108.39 / $1,737,800.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501,187.23 / $501,187.23 / $588,843.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.38 / $851,138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954,992.59 / $954,992.59 / $954,992.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $537,031.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,359.37 / $537,031.80 / $575,439.94