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Alaska rates for HCPCS Q2053

Brexucabtagene autoleucel, up to 200 million autologous anti-CD19 CAR positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415,908.92 / $538,235.06 / $910,106.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494,197.65 / $910,106.57 / $1,301,452.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $530,849.34 / $1,223,261.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736,681.52 / $776,160.00 / $1,219,680.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554,400.00 / $665,280.00 / $665,280.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,304.61 / $910,106.57 / $1,829,520.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530,849.34 / $561,800.00 / $665,280.00