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Oregon 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
$55,946.00 / $55,946.00 / $55,946.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $69,090.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $94,307.26 / $114,034.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $65,179.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88,679.04 / $122,786.37 / $146,473.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,640.00 / $55,945.97 / $116,855.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,868.69 / $71,854.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $63,335.06 / $99,999.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,374.20 / $60,799.56 / $104,547.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $66,841.09 / $72,188.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,114.75 / $85,695.84 / $185,231.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $63,563.17