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Oklahoma 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
$59,694.11 / $59,694.11 / $59,694.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,825.05 / $66,326.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,717.85 / $37,409.98 / $59,097.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $52,143.70 / $55,272.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,374.20 / $60,421.65 / $88,435.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,148.67 / $57,017.10 / $70,380.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $63,563.17