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Kentucky 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 $66,069 · 10th–90th $63,096–$95,4990%50%10th90th$66,069Professionalmedian $54,954 · 10th–90th $54,954–$60,2560%50%90th$54,954$10.0K$20.0K$50.0K$100.0K$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 / $54,954.09 / $54,954.09
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
$63,095.73 / $66,069.34 / $107,151.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $89,125.09
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $57,543.99 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $85,113.80 / $85,113.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $56,234.13 / $234,422.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $54,954.09 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $57,543.99 / $60,255.96