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Connecticut 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
$57,483.22 / $87,386.30 / $157,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $58,183.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $87,650.85 / $161,406.23
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
$55,272.32 / $55,272.32 / $55,272.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,665.14 / $57,358.07 / $69,142.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,508.70 / $55,272.32 / $60,799.55