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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

Facilitymedian $58,884 · 10th–90th $54,954–$144,5440%20%40%10th90th$58,884Professionalmedian $54,954 · 10th–90th $54,954–$69,1830%50%90th$54,954$1.0$10.0$100.0$1.0K$10.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $93,325.43 / $144,543.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $67,608.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $58,884.37 / $74,131.02
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $93,325.43 / $208,929.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $58,884.37
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $75,857.76
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $56,234.13 / $56,234.13
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41,686.94 / $60,255.96 / $97,723.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $144,543.98 / $144,543.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $60,255.96 / $117,489.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $63,095.73 / $64,565.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63,095.73 / $63,095.73 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $54,954.09 / $66,069.34