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Cerliponase Alfa Injection

Wisconsin rates for HCPCS J0567 · Brineura

Injection, cerliponase alfa, 1 mg

Rates data updated October 2026.

How much does Brineura (cerliponase alfa) cost?

$120per mg

Typical negotiated rate. In Wisconsin, October 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 $191 from a hospital or other facility.

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
$191

The same drug, in the same amount, costs 58% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$120 to $145
FacilityA hospital or hospital-owned outpatient department$191$138 to $282

How much rates vary

Facilitymedian $191 · 10th to 90th $115 to $372Professionalmedian $120 · 10th to 90th $115 to $162
$200facility $191professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$436.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$57.54
Typical High
$218.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$22.91
Typical High
$87.10
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$17.38
Typical High
$64.57
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.48
Median
$11.48
Typical High
$43.65
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$239.88
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$190.55
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$125.89
Typical High
$144.54
DeanCare
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$141.25
Typical High
$141.25
Medica
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$138.04
Typical High
$138.04
Medica
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$162.18
Prevea360
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$141.25
Typical High
$141.25
Quartz
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$371.54
Typical High
$371.54
Quartz
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$162.18

Where Wisconsin sits

The same service costs 1.7 times more in Arizona than in Hawaii. 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· 36th of 51

$120

AZ $195HI $112

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.