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Montana rates for HCPCS 90585

Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $204.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $186.21 / $186.21
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $186.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $446.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $218.78