| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513,769.84 | $513,769.84 | $587,165.53 | |
Aetna
| Professional | $489,304.61 | $494,197.65 | $587,165.53 | |
Molina
| Professional | $650,900.90 | $650,900.90 | $650,900.90 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513,769.84 | $513,769.84 | $587,165.53 | |
Aetna
| Professional | $489,304.61 | $494,197.65 | $587,165.53 | |
Molina
| Professional | $650,900.90 | $650,900.90 | $650,900.90 |