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Virginia 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 / $513,769.84 / $1,067,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $513,769.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,304.61 / $489,304.61 / $677,637.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614,800.00 / $699,600.00 / $1,055,760.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489,720.00 / $489,720.00 / $586,740.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415,908.92 / $489,304.61 / $554,400.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356,160.00 / $513,769.84 / $822,031.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530,339.00 / $791,014.00 / $1,078,656.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,859,716.81 / $1,859,716.81 / $1,859,716.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89,304.61 / $89,304.61 / $89,304.61