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Ohio 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 $0–$1,348,9630%20%10th90th$616,595Professionalmedian $537,032 · 10th–90th $1–$645,6540%50%10th90th$537,032$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$537,031.80 / $1,047,128.55 / $1,479,108.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $645,654.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.15 / $660,693.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $537,031.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $724,435.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $645,654.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $588,843.66 / $776,247.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $588,843.66 / $1,000,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $1,071,519.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426,579.52 / $501,187.23 / $645,654.23