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South Carolina 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 $36,308–$93,3250%20%10th90th$58,884Professionalmedian $54,954 · 10th–90th $54,954–$60,2560%50%90th$54,954$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $77,624.71 / $77,624.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $48,977.88 / $97,723.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $60,255.96 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $79,432.82 / $141,253.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $58,884.37
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $58,884.37 / $93,325.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $128,824.96 / $131,825.67
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
$47,863.01 / $57,543.99 / $60,255.96