go back

Utah 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 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $123.03 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $213.80 / $218.78