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Wyoming 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
$55,946.00 / $55,946.00 / $55,946.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,825.05 / $60,799.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,122.50 / $64,850.00 / $64,850.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,143.70 / $52,143.70 / $52,143.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $67,786.81 / $78,215.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,272.32 / $55,272.32 / $55,272.32