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Vermont 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
Professional
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $63,095.73 / $63,095.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $66,069.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60,255.96 / $60,255.96 / $60,255.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,286.14 / $57,543.99 / $66,069.34