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Tennessee 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 / $489,304.61 / $587,664.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $513,769.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488,051.51 / $512,820.00 / $586,740.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,720.00 / $542,080.00 / $625,856.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650,867.43 / $650,993.25 / $969,564.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996,400.00 / $996,400.00 / $996,400.00