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Wisconsin rates for HCPCS Q2056

Ciltacabtagene autoleucel, up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Facilitymedian $891,251 · 10th–90th $0–$1,778,2790%20%10th90th$891,251Professionalmedian $588,844 · 10th–90th $588,844–$794,3280%50%90th$588,844$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
$602,559.59 / $891,250.94 / $1,778,279.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $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
$588,843.66 / $588,843.66 / $741,310.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691,830.97 / $1,258,925.41 / $1,862,087.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549,540.87 / $741,310.24 / $1,096,478.20
DeanCare
Facility/Professional
Facility
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
$501,187.23 / $549,540.87 / $724,435.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $5,011.87
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524,807.46 / $537,031.80 / $537,031.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $912,010.84
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562,341.33 / $1,000,000.00 / $1,000,000.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794,328.23 / $794,328.23 / $977,237.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549,540.87 / $549,540.87 / $1,288,249.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588,843.66 / $588,843.66 / $588,843.66