go back

Indiana 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
$0.02 / $1,336,940.00 / $3,391,460.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $538,235.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $489,304.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $733,956.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,304.60 / $489,304.60 / $733,956.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $611,630.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466,620.00 / $489,720.00 / $586,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89,304.61 / $89,304.61 / $89,304.61