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Sipuleucel-T (Provenge) Autologous Cell Infusion

Montana 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

Rates data updated July 2026.

Facilitymedian $60,256 · 10th–90th $44,668$104,7130%20%40%10th90th$60,256Professionalmedian $56,234 · 10th–90th $54,954$72,4440%50%10th90th$56,234$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$141,253.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$64,565.42
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$58,884.37
Typical High
$123,026.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$58,884.37
Typical High
$123,026.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$60,255.96
Typical High
$102,329.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$61,659.50
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$54,954.09
Typical High
$58,884.37