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Wisconsin rates for HCPCS Q2053

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

Facilitymedian $501,187 · 10th–90th $416,869$1,479,1080%50%10th90th$501,187Professionalmedian $489,779 · 10th–90th $489,779$588,8440%50%90th$489,779$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
$501,187.23 / $1,122,018.45 / $1,479,108.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $537,031.80
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
$489,778.82 / $489,778.82 / $616,595.00
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
$457,088.19 / $794,328.23 / $912,010.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $707,945.78
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
$467,735.14 / $489,778.82 / $977,237.22
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 / $64.57 / $5,011.87
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
$489,778.82 / $489,778.82 / $758,577.58
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $977,237.22
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891,250.94 / $1,000,000.00 / $1,000,000.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660,693.45 / $660,693.45 / $812,830.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $1,148,153.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363,078.05 / $489,778.82 / $549,540.87