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Massachusetts 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 $56,234 · 10th–90th $54,954–$125,8930%50%10th90th$56,234Professionalmedian $56,234 · 10th–90th $54,954–$74,1310%50%10th90th$56,234$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 / $54,954.09 / $54,954.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $74,131.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $154,881.66 / $281,838.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $56,234.13 / $239,883.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $102,329.30 / $245,470.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $67,608.30 / $87,096.36
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $97,723.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $57,543.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $154,881.66 / $281,838.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $56,234.13 / $239,883.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $57,543.99 / $123,026.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $56,234.13 / $60,255.96