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Hawaii 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
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $58,035.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $66,643.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81,083.28 / $81,083.28 / $81,083.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $66,326.78 / $77,381.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,400.73 / $82,908.48
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,908.87 / $55,015.23 / $71,642.09