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Cerliponase Alfa Injection

Wisconsin rates for HCPCS J0567 · Brineura

Injection, cerliponase alfa, 1 mg

Rates data updated July 2026.

How much does Brineura (cerliponase alfa) cost?

$120per mg

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $120 for each mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $145 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$120
At a hospital outpatient department
$145

The same drug, in the same amount, costs 20% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$117 to $120
FacilityA hospital or hospital-owned outpatient department$145$115 to $263

How much rates vary

Facilitymedian $145 · 10th to 90th $115 to $282Professionalmedian $120 · 10th to 90th $115 to $145
$200$500facility $145professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$147.91
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$141.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$602.56
Quartz
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$162.18

Where Wisconsin sits

The same service costs 1.7 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 29th of 51

$120

CO $200KY $115

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.