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Wisconsin rates for HCPCS C9076

Lisocabtagene maraleucel, up to 110 million autologous anti-CD19 CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $416,869 · 10th–90th $416,869–$426,5800%50%100%90th$416,869Professionalmedian $71 · 10th–90th $50–$645,6540%20%10th90th$71$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416,869.38 / $416,869.38 / $416,869.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645,654.23 / $645,654.23 / $645,654.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416,869.38 / $416,869.38 / $426,579.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645,654.23 / $645,654.23 / $645,654.23