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Arkansas 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
Facility
Modifier
Low / Median / High Price
$66,326.78 / $66,326.78 / $71,467.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $56,930.49 / $66,326.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,000.00 / $53,301.49 / $55,272.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $59,965.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,614.15 / $55,272.32 / $70,178.08