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Kansas 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
$685,026.45 / $685,026.45 / $685,026.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $499,090.70 / $685,026.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403,588.50 / $467,159.15 / $474,810.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463,155.00 / $463,155.00 / $463,155.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,720.00 / $489,720.00 / $586,740.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458,428.80 / $595,957.43 / $795,958.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996,400.00 / $996,400.00 / $996,400.00