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Texas 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 $64,565 · 10th–90th $54,954$204,1740%20%40%10th90th$64,565Professionalmedian $54,954 · 10th–90th $54,954$63,0960%50%90th$54,954$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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 / $134,896.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $144,543.98 / $269,153.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63,095.73 / $63,095.73 / $63,095.73
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $54,954.09 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $131,825.67 / $380,189.40
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $95,499.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $63,095.73
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38,904.51 / $56,234.13 / $64,565.42
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57,543.99 / $66,069.34 / $117,489.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $54,954.09 / $97,723.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $61,659.50
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
$52,480.75 / $57,543.99 / $63,095.73
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50,118.72 / $54,954.09 / $60,255.96