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Iowa 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
$786,520.00 / $980,004.00 / $1,670,390.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $499,090.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462,000.00 / $466,620.00 / $577,500.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415,908.92 / $489,304.61 / $885,641.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449,440.00 / $492,836.58 / $759,553.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492,836.58 / $996,400.00 / $996,400.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492,836.58 / $514,206.00 / $732,077.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492,836.58 / $514,206.00 / $732,077.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $873,408.73 / $873,668.61