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Nevada 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 $58,884 · 10th–90th $54,954–$177,8280%20%10th90th$58,884Professionalmedian $54,954 · 10th–90th $54,954–$66,0690%50%90th$54,954$10.0K$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 / $54,954.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $58,884.37 / $177,827.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $85,113.80 / $141,253.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $66,069.34
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47,863.01 / $56,234.13 / $58,884.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $74,131.02