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Oregon 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 $100,000 · 10th–90th $100,000–$933,2540%50%90th$100,000Professionalmedian $489,779 · 10th–90th $489,779–$630,9570%50%90th$489,779$0.1$1.0$20.0$500.0$10.0K$200.0K$5.0M

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 / $977,237.22 / $1,174,897.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $616,595.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467,735.14 / $489,778.82 / $588,843.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $489,778.82 / $1,023,292.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $537,031.80 / $977,237.22
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $512,861.38 / $758,577.58
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $537,031.80 / $891,250.94
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $616,595.00 / $660,693.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $1,000,000.00 / $1,174,897.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363,078.05 / $489,778.82 / $588,843.66