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Montana 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

Facilitymedian $524,807 · 10th–90th $478,630–$891,2510%50%10th90th$524,807Professionalmedian $489,779 · 10th–90th $489,779–$616,5950%50%90th$489,779$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $588,843.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $588,843.66
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478,630.09 / $478,630.09 / $870,963.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478,630.09 / $478,630.09 / $870,963.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $562,341.33 / $1,047,128.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $588,843.66 / $691,830.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363,078.05 / $467,735.14 / $489,778.82