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New York 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 / $56,377.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $58,035.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,217.86 / $44,217.86 / $55,272.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,062.44 / $55,272.32 / $78,616.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,421.58 / $52,421.58 / $55,042.66
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,421.58 / $52,421.58 / $52,421.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $54,491.27 / $66,147.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $65,886.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $52,665.14 / $117,323.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,665.14 / $52,665.14 / $67,786.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $56,315.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $56,315.20 / $56,315.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $54,491.27 / $66,147.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $69,869.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $57,899.45 / $74,476.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,315.20 / $56,315.20 / $56,315.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $56,315.20 / $56,315.20