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Washington, DC 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
$489,304.61 / $1,527,930.00 / $1,860,940.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $494,197.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614,800.00 / $699,600.00 / $1,454,320.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,720.00 / $489,720.00 / $586,740.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415,908.92 / $443,520.00 / $498,960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89,304.61 / $89,304.61 / $89,304.61