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Sipuleucel-T (Provenge) Autologous Cell Infusion

New Jersey 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 $56,234 · 10th–90th $2,884$147,9110%10%10th90th$56,234Professionalmedian $56,234 · 10th–90th $52,481$61,6600%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
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$66,069.34
Typical High
$83,176.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$58,884.37
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$13,803.84
Typical High
$154,881.66
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
United
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$69,183.10
Typical High
$120,226.44
United
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$54,954.09
Typical High
$60,255.96