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Updated July 1st, 2026

TECELRA Q Code: Q2057

Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose

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Q4 2026 Medicare Payment Limit for Q2057, effective October 1, 2026: $813,967.375 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$813,967.375
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$813,967.375
/ HCPCS billing unit · APC 2067
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose
HCPCS Added Date April 1, 2025
Manufacturer Us Worldmeds
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Injection, Suspension

About TECELRA

Tecelra is a medication aligned to the HCPCS Q Code: Q2057 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route and manufactured by Us Worldmeds.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
83205-0001-02 Tecelra USWM CT, LLC 1 Tecelra Intravenous In jection 10000000… Login for More
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TECELRA Pricing & Reimbursement

Q2057 Private Payer Reimbursement
$770,620.00 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

TECELRA CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

TECELRA Medically Unlikely Edits (MUE)

The most billing units of Q2057 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per therapeutic dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

TECELRA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Unresectable or metastatic synovial sarcoma

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Frequently Asked Questions

Is there a manufacturer-published TECELRA billing and coding guide?
Billing and coding information for TECELRA can be found through Adaptimmune. Visit Here →
What are the available TECELRA patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for TECELRA.
Where can I find TECELRA prescribing information?
TECELRA prescribing information can be found at the link below. Visit Here →
Where can I find TECELRA side effect information?
Side effect information for TECELRA can be found at the following source.
Does billing TECELRA require JZ/JW wastage modifiers?
CMS does not include TECELRA (Q2057) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q2057. For more information, visit the link below.

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