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Wyoming 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
$533,077.00 / $533,077.00 / $533,077.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533,230.17 / $533,230.17 / $586,553.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513,651.60 / $604,296.00 / $604,296.00