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Kansas 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
$63,095.73 / $77,624.71 / $93,325.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $74,131.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,069.34 / $70,794.58 / $70,794.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $54,954.09 / $54,954.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $54,954.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $74,131.02 / $91,201.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,234.13 / $58,884.37 / $245,470.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $60,255.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $57,543.99 / $63,095.73