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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
$77,381.25 / $77,820.00 / $94,714.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $56,377.77 / $77,820.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,792.99 / $64,821.73 / $68,233.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57,848.13 / $57,848.13 / $57,848.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $55,272.32 / $69,983.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,945.97 / $77,820.00 / $85,373.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,945.97 / $62,279.61 / $245,198.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $65,774.06