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Nebraska 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
$489,304.61 / $940,492.00 / $1,081,560.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $685,026.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451,219.58 / $530,846.56 / $530,846.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570,079.01 / $600,083.17 / $600,592.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462,000.00 / $489,720.00 / $586,740.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449,440.00 / $741,576.00 / $853,936.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513,869.11 / $996,400.00 / $996,400.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512,454.09 / $514,206.00 / $732,077.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492,836.58 / $514,206.00 / $732,077.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572,486.39 / $572,656.74 / $998,478.41