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Idaho 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 $60,256 · 10th–90th $50,119–$97,7240%20%40%10th90th$60,256Professionalmedian $54,954 · 10th–90th $54,954–$67,6080%50%90th$54,954$50.0$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 / $54,954.09 / $54,954.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $67,608.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $69,183.10 / $138,038.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61,659.50 / $64,565.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $79,432.82 / $144,543.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $63,095.73
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $60,255.96 / $89,125.09
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $58,884.37 / $72,443.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $40,738.03 / $47,863.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $83,176.38 / $138,038.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $67,608.30 / $67,608.30
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47,863.01 / $56,234.13 / $58,884.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96