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South Dakota 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 $54,954 · 10th–90th $54,954–$79,4330%50%90th$54,954Professionalmedian $54,954 · 10th–90th $54,954–$69,1830%50%90th$54,954$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 / $77,624.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $56,234.13 / $69,183.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $64,565.42 / $112,201.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $61,659.50 / $245,470.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67,608.30 / $69,183.10 / $72,443.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57,543.99 / $57,543.99 / $57,543.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58,884.37 / $58,884.37 / $64,565.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $66,069.34
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $54,954.09
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $54,954.09