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Vermont 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 $63,096 · 10th–90th $63,096$63,0960%50%100%$63,096Professionalmedian $54,954 · 10th–90th $54,954$57,5440%50%90th$54,954$50.0K$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
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$63,095.73
United
Setting
Professional
Modifier
Global
Typical Low
$51,286.14
Median
$57,543.99
Typical High
$72,443.60