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New Jersey 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
$533,230.17 / $533,230.17 / $1,460,630.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $559,891.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $39,999.60 / $870,271.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $502,840.73 / $1,076,058.48
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $533,076.48 / $533,076.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395,380.00 / $395,380.00 / $395,380.00