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Wisconsin rates for HCPCS Q2041

Axicabtagene ciloleucel, up to 200 million autologous anti-CD19 CAR positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $549,541 · 10th–90th $1$1,584,8930%20%40%10th90th$549,541Professionalmedian $537,032 · 10th–90th $537,032$645,6540%50%90th$537,032$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549,540.87 / $794,328.23 / $1,584,893.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $588,843.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $676,082.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602,559.59 / $1,122,018.45 / $1,621,810.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $870,963.59 / $977,237.22
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $776,247.12
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $537,031.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $467,735.14 / $676,082.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954,992.59 / $954,992.59 / $954,992.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457,088.19 / $478,630.09 / $512,861.38
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389,045.14 / $512,861.38 / $660,693.45
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $831,763.77
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537,031.80 / $537,031.80 / $1,000,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891,250.94 / $1,995,262.31 / $1,995,262.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724,435.96 / $724,435.96 / $891,250.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $501,187.23 / $1,174,897.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501,187.23 / $524,807.46 / $602,559.59