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Nationwide rates for HCPCS Q2043

Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion

Facilitymedian $64,565 · 10th–90th $54,954–$144,5440%20%40%10th90th$64,565Professionalmedian $54,954 · 10th–90th $53,703–$66,0690%50%10th90th$54,954$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$54,954.09 / $63,095.73 / $144,543.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $64,565.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $75,857.76 / $162,181.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $56,234.13 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $85,113.80 / $154,881.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $57,543.99 / $93,325.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $54,954.09 / $64,565.42

See more rates by state

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