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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
$55,272.31 / $55,272.32 / $172,361.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $64,547.66 / $107,579.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $107,579.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $64,547.66 / $107,579.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $107,579.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $58,588.66 / $66,147.00