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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

Facilitymedian $61,660 · 10th–90th $54,954–$141,2540%20%10th90th$61,660Professionalmedian $56,234 · 10th–90th $54,954–$74,1310%20%40%10th90th$56,234$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 / $54,954.09 / $57,543.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $60,255.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $112,201.85 / $190,546.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $93,325.43
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $107,151.93 / $141,253.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47,863.01 / $56,234.13 / $70,794.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39,810.72 / $39,810.72 / $39,810.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $57,543.99 / $93,325.43
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $74,131.02
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $74,131.02 / $83,176.38
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $74,131.02 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $57,543.99 / $123,026.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $57,543.99 / $64,565.42