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Oklahoma 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 / $559,730.00 / $799,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $538,562.47 / $645,023.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,717.85 / $37,409.98 / $59,097.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.38 / $910,095.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957,600.00 / $957,600.00 / $957,600.00