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Oklahoma 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
$489,720.00 / $514,206.00 / $734,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $494,197.65 / $592,561.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,717.85 / $37,409.98 / $59,097.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489,304.61 / $709,491.68 / $962,880.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996,400.00 / $996,400.00 / $996,400.00