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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
$54,954.09 / $54,954.09 / $54,954.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $75,857.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $63,095.73 / $67,608.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50,118.72 / $63,095.73 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,794.58 / $85,113.80 / $138,038.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $58,884.37 / $70,794.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $107,151.93 / $208,929.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $66,069.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $100,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,234.13 / $57,543.99 / $100,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $54,954.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $66,069.34