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Virginia 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
$180.20 / $180.20 / $441.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.20 / $180.20 / $198.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.28 / $173.28 / $173.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.16 / $203.81 / $203.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.52 / $154.71 / $218.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $212.00 / $253.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.00 / $232.00 / $232.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.02 / $201.40 / $267.87
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.02 / $201.40 / $267.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.36 / $229.28