go back

Illinois 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
$50,173.90 / $81,711.00 / $196,835.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $57,483.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,977.48 / $241,224.85 / $993,882.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65,684.75 / $70,069.50 / $80,352.21
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 / $70,394.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,981.47 / $61,075.91 / $82,150.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71,854.02 / $71,854.02 / $71,854.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57,017.10 / $79,823.94 / $85,525.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,453.22 / $65,221.34