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New Hampshire 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 $0 · 10th–90th $0–$977,2370%20%10th90th$0Professionalmedian $489,779 · 10th–90th $489,779–$562,3410%50%90th$489,779$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $588,843.66 / $977,237.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $575,439.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $489,778.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $660,693.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812,830.52 / $812,830.52 / $812,830.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89,125.09 / $89,125.09 / $489,778.82
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416,869.38 / $467,735.14 / $512,861.38