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Minnesota 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 $63,096 · 10th–90th $54,954–$123,0270%20%40%10th90th$63,096Professionalmedian $60,256 · 10th–90th $53,703–$63,0960%20%40%10th90th$60,256$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 / $64,565.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $63,095.73 / $67,608.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50,118.72 / $63,095.73 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $85,113.80 / $138,038.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $58,884.37 / $70,794.58
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $107,151.93 / $208,929.61
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $58,884.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $100,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $57,543.99 / $245,470.89
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
$52,480.75 / $54,954.09 / $69,183.10