go back

Arizona 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
Facility
Modifier
Low / Median / High Price
$523,556.00 / $978,609.00 / $1,467,910.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $587,165.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $2.99 / $5.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.80 / $0.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466,620.00 / $512,820.00 / $700,937.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485,395.20 / $584,207.42 / $959,037.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996,400.00 / $996,400.00 / $996,400.00