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New York 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 / $703,661.00 / $1,172,770.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $559,891.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449,440.00 / $533,230.17 / $533,230.17
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399,000.00 / $399,000.00 / $438,900.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399,000.00 / $399,000.00 / $399,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508,615.80 / $533,794.80 / $639,546.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $503,047.33 / $1,131,856.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $528,199.69 / $950,759.45
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503,559.86 / $533,230.17 / $533,230.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503,559.86 / $503,559.86 / $533,230.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503,580.00 / $503,580.00 / $503,580.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,517.15 / $533,794.80 / $639,546.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,230.17 / $33,230.17 / $33,230.17
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503,559.86 / $503,559.86 / $503,559.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503,559.86 / $503,559.86 / $533,230.17