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Utah 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 $616,595 · 10th–90th $616,595–$616,5950%50%100%$616,595Professionalmedian $537,032 · 10th–90th $537,032–$645,6540%50%90th$537,032$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$616,595.00 / $616,595.00 / $616,595.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $645,654.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $645,654.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407,380.28 / $489,778.82 / $549,540.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $537,031.80 / $645,654.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $501,187.23 / $602,559.59