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North Dakota 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
$55,272.30 / $55,272.32 / $55,272.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $56,930.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,092.90 / $72,616.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,062.44 / $58,183.81 / $99,490.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,945.97 / $63,218.95 / $245,198.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $66,824.33