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South Carolina 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
$354,813.39 / $562,341.33 / $2,238,721.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $616,595.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $588,843.66 / $660,693.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512,861.38 / $537,031.80 / $645,654.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $562,341.33 / $954,992.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501,187.23 / $537,031.80 / $1,148,153.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467,735.14 / $537,031.80 / $549,540.87