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Alaska rates for HCPCS 90586

Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $244.47 / $365.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.59 / $349.59 / $349.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $524.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.34 / $285.39 / $448.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.74 / $349.59 / $646.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.81 / $176.81 / $203.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $218.36