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Georgia 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
$45,904.30 / $55,272.32 / $55,272.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $60,799.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $88,435.71 / $202,849.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $56,377.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $108,333.80
CareSource
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 / $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
$55,536.50 / $55,536.50 / $117,490.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,404.11 / $87,046.57 / $117,689.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $73,572.99