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Wisconsin rates for HCPCS Q2042

Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $602,560 · 10th–90th $3$1,698,2440%20%40%10th90th$602,560Professionalmedian $575,440 · 10th–90th $562,341$660,6930%50%10th90th$575,440$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
$588,843.66 / $1,288,249.55 / $1,698,243.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $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
$616,595.00 / $616,595.00 / $776,247.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602,559.59 / $1,096,478.20 / $1,621,810.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $912,010.84 / $1,047,128.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $851,138.04
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $616,595.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $501,187.23 / $724,435.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000,000.00 / $1,000,000.00 / $1,000,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501,187.23 / $537,031.80 / $588,843.66
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457,088.19 / $588,843.66 / $724,435.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616,595.00 / $616,595.00 / $954,992.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588,843.66 / $1,000,000.00 / $1,000,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933,254.30 / $1,000,000.00 / $1,000,000.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831,763.77 / $831,763.77 / $1,023,292.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575,439.94 / $575,439.94 / $1,348,962.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $602,559.59 / $645,654.23