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Nevada 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
$533,077.00 / $581,220.89 / $1,228,030.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $618,547.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.87 / $0.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $533,230.17 / $533,230.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,794.80 / $533,794.80 / $639,546.60
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501,565.68 / $578,504.43 / $604,296.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540,936.93 / $540,936.93 / $540,936.93
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $533,230.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660,765.54 / $660,765.54 / $660,765.54