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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

Facilitymedian $48,978 · 10th–90th $2,188–$154,8820%10%10th90th$48,978Professionalmedian $54,954 · 10th–90th $52,481–$64,5650%50%10th90th$54,954$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
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 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $66,069.34 / $83,176.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $69,183.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $14,791.08 / $154,881.66
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $54,954.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $69,183.10 / $123,026.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $54,954.09 / $61,659.50