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Virginia 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 / $58,035.94 / $58,035.94
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
$55,272.32 / $114,413.70 / $180,740.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $74,087.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,945.97 / $55,945.97
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,981.47 / $55,272.32 / $70,038.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,200.00 / $56,930.49 / $90,635.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,873.00 / $74,974.00 / $94,467.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $65,276.86