go back

Oregon 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 $56,234 · 10th–90th $54,954–$100,0000%50%10th90th$56,234Professionalmedian $54,954 · 10th–90th $54,954–$69,1830%50%90th$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 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $93,325.43 / $120,226.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $63,095.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $104,712.85 / $158,489.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $57,543.99 / $97,723.72
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $60,255.96 / $87,096.36
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $54,954.09 / $97,723.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $57,543.99 / $72,443.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $89,125.09 / $186,208.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $114,815.36 / $134,896.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96