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North Carolina 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
$53,630.37 / $93,407.00 / $261,958.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,630.37 / $55,272.32 / $58,035.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,542.71 / $91,571.95 / $114,003.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41,827.19 / $59,112.73 / $73,929.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,000.00 / $55,272.32 / $55,272.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $77,820.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,200.00 / $53,630.37 / $85,602.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37,200.00 / $69,869.34 / $80,528.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,894.40 / $90,889.53 / $105,846.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $66,147.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,522.62 / $79,873.97 / $276,361.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245,198.88 / $245,198.88 / $245,198.88