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Illinois 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 $85,114 · 10th–90th $54,954–$213,7960%20%10th90th$85,114Professionalmedian $54,954 · 10th–90th $54,954–$67,6080%50%90th$54,954$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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 / $81,283.05 / $109,647.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $64,565.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81,283.05 / $239,883.29 / $707,945.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66,069.34 / $79,432.82 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $112,201.85 / $141,253.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $70,794.58
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $61,659.50 / $81,283.05
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72,443.60 / $72,443.60 / $72,443.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $75,857.76 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $93,325.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $63,095.73