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Colorado 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 / $55,272.32 / $55,946.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $59,694.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,799.55 / $97,047.14 / $176,871.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $52,143.70 / $78,555.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,800.36 / $58,588.66 / $93,741.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60,246.83 / $60,799.56 / $82,908.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $58,588.66