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Hawaii 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
$489,304.61 / $489,304.61 / $528,448.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,720.00 / $489,720.00 / $586,740.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712,555.20 / $712,555.20 / $712,555.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $587,165.53 / $685,026.45