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Georgia 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 / $489,304.61 / $1,037,330.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $513,769.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $499,090.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,304.60 / $489,304.60 / $959,037.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $489,304.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488,051.51 / $488,051.51 / $732,077.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,450.20 / $675,441.28 / $905,482.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89,304.61 / $89,304.61 / $89,304.61