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New Hampshire rates for HCPCS 90585

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

Facilitymedian $331 · 10th–90th $186–$5890%20%10th90th$331Professionalmedian $186 · 10th–90th $174–$2630%50%10th90th$186$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $208.93 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $186.21 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $457.09 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $181.97 / $218.78