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