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Iowa 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 $54,954 · 10th–90th $54,954$77,6250%50%90th$54,954Professionalmedian $56,234 · 10th–90th $54,954$81,2830%50%10th90th$56,234$200.0$1.0K$5.0K$20.0K$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 / $77,624.71 / $81,283.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $77,624.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $56,234.13 / $69,183.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $54,954.09 / $81,283.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $58,884.37 / $95,499.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $61,659.50 / $245,470.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $67,608.30 / $77,624.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39,810.72 / $85,113.80 / $128,824.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58,884.37 / $97,723.72 / $120,226.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $77,624.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $56,234.13 / $64,565.42
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $54,954.09
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42,657.95 / $54,954.09 / $54,954.09