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Maryland 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
$55,946.00 / $55,946.00 / $55,946.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $60,799.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,945.97 / $55,945.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,000.00 / $50,000.00 / $66,147.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $65,179.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,981.47 / $55,272.32 / $70,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $61,529.70 / $66,879.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,536.50 / $55,536.50 / $75,527.06