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Texas 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
$462,218.46 / $734,276.00 / $979,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $586,553.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354,350.00 / $868,157.50 / $1,661,901.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508,615.80 / $508,615.80 / $508,615.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $532,192.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $533,794.80 / $639,546.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668,873.06 / $910,095.33 / $996,193.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957,600.00 / $974,415.94 / $974,415.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $533,230.17 / $910,170.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $879,829.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532,192.24 / $586,553.18 / $746,522.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $539,210.22 / $1,141,752.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $587,347.15 / $622,176.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,517.20 / $533,230.19 / $746,522.30