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Sipuleucel-T (Provenge) Autologous Cell Infusion

Virginia 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

Rates data updated July 2026.

Facilitymedian $64,565 · 10th–90th $54,954$141,2540%20%10th90th$64,565Professionalmedian $56,234 · 10th–90th $56,234$69,1830%50%90th$56,234$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
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$58,884.37
Typical High
$58,884.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$107,151.93
Typical High
$190,546.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$93,325.43
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$107,151.93
Typical High
$141,253.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47,863.01
Median
$56,234.13
Typical High
$70,794.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$57,543.99
Typical High
$93,325.43
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$74,131.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$74,131.02
Typical High
$83,176.38
Sentara
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$74,131.02
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$120,226.44
United
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$57,543.99
Typical High
$64,565.42