go back

Washington, DC 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 / $55,272.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $55,825.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,945.97 / $55,945.97
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 / $70,394.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,981.47 / $55,272.32 / $70,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $61,529.70 / $81,361.96