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New York 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 / $651,328.00 / $1,077,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $513,769.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449,440.00 / $489,304.61 / $489,304.61
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399,000.00 / $399,000.00 / $438,900.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399,000.00 / $399,000.00 / $399,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466,620.00 / $489,720.00 / $586,740.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $466,224.20 / $1,038,618.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461,608.12 / $466,224.20 / $798,582.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461,981.52 / $489,304.61 / $489,304.61
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461,981.52 / $461,981.52 / $489,304.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462,000.88 / $462,000.88 / $462,000.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488,051.51 / $518,763.11 / $586,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89,304.61 / $89,304.61 / $89,304.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461,981.52 / $461,981.52 / $461,981.52
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461,981.52 / $461,981.52 / $489,304.61