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Massachusetts 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
$55,272.32 / $55,272.32 / $57,483.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,505.53 / $134,367.01 / $276,361.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $245,198.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,251.93 / $67,874.41 / $131,879.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,536.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $56,647.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $55,272.32 / $84,058.82
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $82,273.50 / $96,792.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,522.62 / $276,361.59 / $276,361.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $245,198.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,035.94 / $71,594.39