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Louisiana 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 / $55,825.05 / $56,930.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $66,326.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,024.06 / $23,494.90 / $62,718.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62,718.81 / $62,718.81 / $63,973.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49,745.09 / $55,272.32 / $66,479.89