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Indiana 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 $64,565–$131,8260%20%10th90th$85,114Professionalmedian $54,954 · 10th–90th $54,954–$63,0960%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
$54,954.09 / $131,825.67 / $131,825.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $85,113.80 / $123,026.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $85,113.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $66,069.34 / $100,000.00
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
$79,432.82 / $154,881.66 / $154,881.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $114,815.36 / $114,815.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $63,095.73