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Tennessee 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 $87,096 · 10th–90th $54,954–$281,8380%10%20%10th90th$87,096Professionalmedian $54,954 · 10th–90th $54,954–$60,2560%50%90th$54,954$50.0K$100.0K$200.0K$500.0K$1.0M$2.0M

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 / $154,881.66 / $154,881.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $58,884.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $79,432.82 / $87,096.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281,838.29 / $281,838.29 / $281,838.29
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239,883.29 / $239,883.29 / $239,883.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $60,255.96 / $123,026.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $66,069.34