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New Jersey 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 / $55,272.32 / $55,272.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $58,035.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $63,199.06 / $81,787.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $57,358.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,665.14 / $52,665.14 / $69,142.55
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,243.00 / $57,017.10 / $121,234.92
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50,906.53 / $54,327.62 / $54,327.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,712.98 / $51,712.98 / $63,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,312.30 / $66,326.78