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Wisconsin rates for HCPCS Q2054

Lisocabtagene maraleucel, up to 110 million autologous anti-CD19 CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $575,440 · 10th–90th $478,630$1,698,2440%20%40%10th90th$575,440Professionalmedian $562,341 · 10th–90th $562,341$676,0830%50%90th$562,341$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
$575,439.94 / $851,138.04 / $1,698,243.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $616,595.00
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
$562,341.33 / $562,341.33 / $707,945.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645,654.23 / $1,174,897.55 / $1,737,800.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524,807.46 / $676,082.98 / $1,047,128.55
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $812,830.52
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $562,341.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $549,540.87 / $1,122,018.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977,237.22 / $977,237.22 / $977,237.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $60.26 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457,088.19 / $501,187.23 / $549,540.87
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416,869.38 / $549,540.87 / $691,830.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $870,963.59
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $562,341.33 / $977,237.22
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954,992.59 / $977,237.22 / $977,237.22
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758,577.58 / $758,577.58 / $933,254.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512,861.38 / $512,861.38 / $1,202,264.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346,736.85 / $512,861.38 / $575,439.94