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Missouri 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 $64,565 · 10th–90th $54,954–$144,5440%20%10th90th$64,565Professionalmedian $56,234 · 10th–90th $54,954–$70,7950%20%40%10th90th$56,234$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 / $56,234.13 / $81,283.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $64,565.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $60,255.96 / $194,984.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $70,794.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61,659.50 / $61,659.50 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $125,892.54 / $144,543.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $58,884.37
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $67,608.30 / $134,896.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $58,884.37 / $245,470.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $69,183.10 / $75,857.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51,286.14 / $57,543.99 / $64,565.42