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Washington 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 $537,032 · 10th–90th $426,580–$1,096,4780%50%10th90th$537,032Professionalmedian $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
$588,843.66 / $1,071,519.31 / $1,288,249.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $660,693.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512,861.38 / $537,031.80 / $645,654.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $676,082.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $537,031.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $70.79 / $79.43
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416,869.38 / $562,341.33 / $1,513,561.25
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
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
$501,187.23 / $501,187.23 / $602,559.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $537,031.80 / $691,830.97