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Pennsylvania 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 $1,096,478 · 10th–90th $537,032–$1,621,8100%20%40%10th90th$1,096,478Professionalmedian $537,032 · 10th–90th $537,032–$660,6930%50%90th$537,032$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$562,341.33 / $1,148,153.62 / $1,621,810.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $645,654.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $575,439.94 / $724,435.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $549,540.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $537,031.80 / $645,654.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446,683.59 / $676,082.98 / $933,254.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $537,031.80 / $537,031.80
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $691,830.97 / $1,071,519.31
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $1,096,478.20 / $1,412,537.54
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $588,843.66
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $537,031.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398,107.17 / $537,031.80 / $724,435.96