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Alaska 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,630.37 / $55,272.32 / $102,806.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,945.97 / $102,806.52 / $144,048.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $124,362.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,828.67 / $108,948.00 / $171,204.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77,820.00 / $93,384.00 / $93,384.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $102,806.52 / $147,013.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $66,018.28 / $93,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $82,908.48 / $82,908.48