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Utah 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 $72,444 · 10th–90th $63,096$144,5440%20%40%10th90th$72,444Professionalmedian $54,954 · 10th–90th $54,954$63,0960%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$81,283.05
Typical High
$134,896.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$38,018.94
Median
$54,954.09
Typical High
$72,443.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$91,201.08
Median
$112,201.85
Typical High
$162,181.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$83,176.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$47,863.01
Median
$56,234.13
Typical High
$58,884.37
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36,307.81
Median
$56,234.13
Typical High
$64,565.42
United
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$57,543.99