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Colorado 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
$489,778.82 / $1,023,292.99 / $2,089,296.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,778.82 / $489,778.82 / $562,341.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,778.82 / $489,778.82 / $489,778.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467,735.14 / $467,735.14 / $588,843.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,778.82 / $691,830.97 / $776,247.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446,683.59 / $489,778.82 / $489,778.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,778.82 / $489,778.82 / $549,540.87