go back

New Hampshire rates for HCPCS 90585

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $208.93 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $380.19 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $186.21 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $234.42 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $181.97 / $218.78