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New Mexico 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 $616,595 · 10th–90th $501,187–$1,548,8170%20%40%10th90th$616,595Professionalmedian $537,032 · 10th–90th $537,032–$616,5950%50%90th$537,032$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$575,439.94 / $831,763.77 / $1,862,087.14
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
$56,234.13 / $69,183.10 / $81,283.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $501,187.23 / $501,187.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $537,031.80 / $870,963.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602,559.59 / $616,595.00 / $776,247.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $537,031.80 / $831,763.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $501,187.23 / $537,031.80