go back

North Carolina 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 $53,703–$112,2020%20%40%10th90th$64,565Professionalmedian $57,544 · 10th–90th $41,687–$66,0690%50%10th90th$57,544$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$53,703.18 / $104,712.85 / $263,026.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $54,954.09 / $66,069.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $107,151.93 / $120,226.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41,686.94 / $57,543.99 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $91,201.08 / $131,825.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $77,624.71
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $57,543.99 / $91,201.08
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $89,125.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $93,325.43 / $104,712.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $63,095.73
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281,838.29 / $281,838.29 / $281,838.29
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239,883.29 / $239,883.29 / $239,883.29