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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

Facilitymedian $63,096 · 10th–90th $53,703–$218,7760%20%40%10th90th$63,096Professionalmedian $54,954 · 10th–90th $54,954–$64,5650%50%90th$54,954$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
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 / $60,255.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $186,208.71 / $295,120.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47,863.01 / $64,565.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $112,201.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $58,884.37 / $83,176.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $54,954.09 / $89,125.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $57,543.99 / $93,325.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $57,543.99 / $57,543.99