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Tennessee 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 / $153,595.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $58,035.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,536.50 / $58,584.93 / $67,029.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,536.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,522.62 / $79,873.97 / $285,085.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245,198.88 / $245,198.88 / $245,198.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,508.70 / $55,272.32 / $65,221.34