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Montana rates for HCPCS 90585

Bacillus Calmette-Guerin Vacc For Tb Live Perq

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.20 / $198.21 / $198.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.78 / $168.78 / $451.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.78 / $203.81 / $203.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.78 / $168.78 / $451.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $168.78 / $203.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.63 / $205.63 / $218.36