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Nebraska 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 $56,234 · 10th–90th $51,286–$97,7240%20%10th90th$56,234Professionalmedian $54,954 · 10th–90th $54,954–$91,2010%50%90th$54,954$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 / $91,201.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $57,543.99 / $61,659.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63,095.73 / $64,565.42 / $66,069.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $58,884.37 / $72,443.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $69,183.10 / $109,647.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $61,659.50 / $245,470.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63,095.73 / $67,608.30 / $83,176.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $63,095.73 / $141,253.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $56,234.13 / $114,815.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $67,608.30