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Connecticut 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 $95,499 · 10th–90th $61,660–$154,8820%20%40%10th90th$95,499Professionalmedian $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
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $151,356.12 / $154,881.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $63,095.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $87,096.36 / $131,825.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $79,432.82 / $107,151.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $58,884.37 / $69,183.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $54,954.09 / $69,183.10