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Missouri 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 / $70,468.45 / $81,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,946.00 / $66,326.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $74,617.63 / $198,538.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $70,195.85
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 / $70,394.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,945.97 / $69,978.67 / $134,628.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,148.67 / $59,302.73 / $245,198.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,614.15 / $55,272.32 / $65,774.06