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Arizona 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 $93,325 · 10th–90th $56,234–$239,8830%10%20%10th90th$93,325Professionalmedian $54,954 · 10th–90th $54,954–$69,1830%50%90th$54,954$50.0K$100.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $95,499.26 / $100,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $74,131.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $194,984.46 / $363,078.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44,668.36 / $58,884.37 / $93,325.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $93,325.43 / $112,201.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $61,659.50 / $95,499.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $245,470.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $57,543.99 / $81,283.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96