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California 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
$55,272.32 / $55,825.05 / $172,361.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $145,460.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,351.65 / $88,286.48 / $197,908.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,945.97 / $104,618.96
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.20 / $100.00 / $77,820.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,630.55 / $56,315.20 / $106,998.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $52,143.70 / $55,272.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $67,894.64
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,536.50 / $57,017.10 / $74,974.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49,745.09 / $66,326.78 / $107,781.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,522.62 / $270,834.37 / $285,085.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245,198.88 / $245,198.88 / $245,198.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $113,849.82 / $113,849.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,696.84 / $55,272.32 / $90,508.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $70,394.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112,754.92 / $112,754.92 / $112,754.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,217.86 / $55,272.32 / $82,908.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $61,905.00