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California 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$131,8260%20%10th90th$64,565Professionalmedian $54,954 · 10th–90th $54,954$107,1520%50%90th$54,954$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
$29,512.09 / $54,954.09 / $239,883.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $141,253.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $64,565.42 / $134,896.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $56,234.13 / $87,096.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $66,069.34 / $100,000.00
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $66,069.34 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $91,201.08 / $128,824.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $66,069.34
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $74,131.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48,977.88 / $57,543.99 / $104,712.85
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281,838.29 / $281,838.29 / $281,838.29
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239,883.29 / $239,883.29 / $239,883.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $54,954.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $54,954.09 / $97,723.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $69,183.10
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112,201.85 / $112,201.85 / $112,201.85
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44,668.36 / $61,659.50 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $54,954.09 / $60,255.96