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Kentucky 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
$468,359.00 / $489,304.61 / $831,818.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $587,165.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $577,010.15 / $577,010.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $489,304.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,304.60 / $660,561.30 / $782,887.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $538,235.06 / $753,529.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466,620.00 / $466,620.00 / $512,820.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,399.16 / $489,399.16 / $636,218.93