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Wisconsin 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 $57,544 · 10th–90th $54,954$125,8930%50%10th90th$57,544Professionalmedian $54,954 · 10th–90th $54,954$69,1830%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $56,234.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104,712.85 / $120,226.44 / $125,892.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $83,176.38 / $151,356.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $66,069.34 / $100,000.00
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $54,954.09 / $60,255.96
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61,659.50 / $69,183.10 / $138,038.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $81,283.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $61,659.50 / $245,470.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $14,125.38 / $54,954.09
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $58,884.37
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44,668.36 / $58,884.37 / $97,723.72
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $87,096.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $85,113.80 / $275,422.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54,954.09 / $66,069.34 / $245,470.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47,863.01 / $70,794.58 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $57,543.99 / $134,896.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52,480.75 / $57,543.99 / $63,095.73