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South Carolina 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
$58,035.94 / $58,035.94 / $58,035.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,630.37 / $55,272.32 / $58,035.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,529.12 / $52,396.12 / $89,941.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,035.94 / $75,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,000.00 / $52,143.70 / $55,272.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $58,673.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,200.00 / $53,981.46 / $93,154.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37,200.00 / $37,200.00 / $91,737.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,298.39 / $57,044.00 / $133,267.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,981.47 / $58,588.66 / $60,799.55