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Idaho 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
$55,946.00 / $55,946.00 / $55,946.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,825.05 / $69,090.41
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 / $55,272.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,700.46 / $69,090.41 / $88,435.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $69,090.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,871.39 / $57,017.10 / $111,183.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,512.78 / $82,246.78 / $138,781.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66,326.78 / $66,326.78 / $69,090.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $58,588.66