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Maine 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 $67,608 · 10th–90th $54,954–$177,8280%20%40%10th90th$67,608Professionalmedian $56,234 · 10th–90th $54,954–$60,2560%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
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
$54,954.09 / $66,069.34 / $177,827.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $79,432.82 / $162,181.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $57,543.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51,286.14 / $54,954.09 / $69,183.10