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Oregon 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 $100,000 · 10th–90th $100,000–$1,071,5190%50%90th$100,000Professionalmedian $537,032 · 10th–90th $537,032–$660,6930%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
$537,031.80 / $1,071,519.31 / $2,187,761.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $660,693.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $537,031.80 / $645,654.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $537,031.80 / $1,122,018.45
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $562,341.33 / $1,071,519.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $562,341.33 / $831,763.77
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $549,540.87 / $954,992.59
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $616,595.00 / $660,693.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $1,096,478.20 / $1,288,249.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $512,861.38 / $602,559.59