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Nebraska 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 / $55,946.00 / $55,946.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $60,799.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,711.85 / $59,964.94 / $61,081.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,396.68 / $67,785.97 / $68,612.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $66,615.34 / $87,806.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,426.66 / $81,399.72 / $109,094.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,945.97 / $59,302.73 / $83,918.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,141.44 / $68,420.52 / $108,332.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47,427.38 / $68,420.52 / $87,806.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63,652.81 / $78,685.39 / $112,755.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,508.70 / $55,272.32 / $65,774.06