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West 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
$55,825.05 / $55,825.05 / $55,825.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.31 / $55,272.32 / $55,825.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,272.32 / $60,799.55 / $82,908.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $128,151.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $66,147.00 / $66,147.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $57,358.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $61,352.28 / $77,820.00