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New Hampshire 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 $89,125 · 10th–90th $54,954–$223,8720%10%10th90th$89,125Professionalmedian $56,234 · 10th–90th $54,954–$60,2560%50%10th90th$56,234$20.0K$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 / $64,565.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $63,095.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $147,910.84 / $245,470.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $112,201.85 / $151,356.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $93,325.43 / $93,325.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50,118.72 / $56,234.13 / $57,543.99
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $63,095.73 / $69,183.10