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Kentucky 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
$55,272.32 / $55,272.32 / $55,272.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $55,825.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,572.44 / $65,179.63 / $110,544.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $74,617.63 / $88,435.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $60,799.55 / $85,119.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $66,147.00 / $66,147.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $76,645.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,945.97 / $57,017.10 / $74,122.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $61,529.70