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Sipuleucel-T (Provenge) Autologous Cell Infusion

Pennsylvania 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 $56,234 · 10th–90th $56,234$117,4900%50%90th$56,234Professionalmedian $56,234 · 10th–90th $54,954$61,6600%50%10th90th$56,234$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$95,499.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$61,659.50
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$61,659.50
Typical High
$75,857.76
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$93,325.43
Typical High
$208,929.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$58,884.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$56,234.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$41,686.94
Median
$60,255.96
Typical High
$97,723.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$95,499.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$64,565.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$45,708.82
Median
$60,255.96
Typical High
$117,489.76
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$63,095.73
Typical High
$117,489.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
United
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$54,954.09
Typical High
$66,069.34