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North Carolina 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
$415,908.92 / $415,908.92 / $568,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415,908.92 / $489,304.61 / $587,165.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545,160.00 / $954,030.00 / $954,030.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517,440.00 / $517,440.00 / $646,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,720.00 / $489,720.00 / $586,740.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356,160.00 / $415,908.92 / $616,523.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356,160.00 / $584,873.61 / $707,675.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782,887.37 / $804,843.64 / $937,018.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650,867.43 / $969,564.37 / $969,564.37
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996,400.00 / $996,400.00 / $996,400.00