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Minnesota 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 / $59,694.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,403.41 / $61,331.66 / $138,077.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50,082.02 / $62,602.52 / $62,602.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,592.64 / $85,349.33 / $179,981.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58,092.90 / $63,902.19 / $73,777.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,916.00 / $85,920.14 / $195,872.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58,092.90 / $58,092.90 / $59,790.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,005.19 / $55,945.97 / $99,490.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,945.97 / $59,302.73 / $99,731.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $66,824.33