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Sipuleucel-T (Provenge) Autologous Cell Infusion

New Mexico 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 $64,565 · 10th–90th $53,703$218,7760%20%40%10th90th$64,565Professionalmedian $56,234 · 10th–90th $54,954$64,5650%50%10th90th$56,234$100.0$500.0$2.0K$10.0K$50.0K$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
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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$190,546.07
Typical High
$301,995.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47,863.01
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$112,201.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$44,668.36
Median
$58,884.37
Typical High
$97,723.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$54,954.09
Typical High
$89,125.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$93,325.43
United
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$57,543.99