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Alaska 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 $60,256 · 10th–90th $51,286–$112,2020%20%40%10th90th$60,256Professionalmedian $54,954 · 10th–90th $54,954–$64,5650%50%90th$54,954$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $56,234.13 / $112,201.85
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $67,608.30 / $141,253.75
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $109,647.82 / $169,824.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77,624.71 / $93,325.43 / $93,325.43
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $56,234.13 / $102,329.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $69,183.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51,286.14 / $57,543.99 / $81,283.05