Dendreon

PROVENGE - Cost

Last Updated: April 1st, 2024

HCPCS:

Q2043

HCPCS Code Descriptor:

Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion

Medicare Payment Limit:

The PROVENGE Medicare Payment Limit is $55453.567

Average Sale Price:

PROVENGE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The PROVENGE Medicare Co-insurance percentage is 20%. PROVENGE's Medicare Co-insurance amount is $11090.71 per HCPCS unit.

APC Code:

The Provenge APC Code is: 9273

APC Payment Limit:

The APC Payment Limit for PROVENGE is available. Login to view.

Provenge Cost Information:

PROVENGE, manufactured by Dendreon, became effective on July 1, 2011 and is associated with HCPCS Q2043. Historical pricing indicates steady increases of a few percentage points every year between 2017 through 2020. Towards the middle of 2020, AWP and WAC leveled out and have experienced no changes through 2024.

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Provenge’s wholesale acquisition cost (WAC) information was last updated on:
April 1, 2020
Provenge’s average wholesale price (AWP) information was last updated on:
April 1, 2020

Provenge Cost Graph: