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Vermont 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
Professional
Modifier
Low / Median / High Price
$537,031.80 / $537,031.80 / $616,595.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537,031.80 / $575,439.94 / $645,654.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575,439.94 / $575,439.94 / $575,439.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32,359.37 / $32,359.37 / $602,559.59