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Georgia 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 $112,202 · 10th–90th $56,234–$281,8380%20%10th90th$112,202Professionalmedian $54,954 · 10th–90th $54,954–$63,0960%50%90th$54,954$1.0$10.0$100.0$1.0K$10.0K$100.0K

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 / $54,954.09 / $54,954.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $64,565.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $204,173.79 / $309,029.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $102,329.30 / $151,356.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $66,069.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $125,892.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $60,255.96 / $117,489.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $112,201.85 / $158,489.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $69,183.10