go back

Arkansas rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.47 / $171.74 / $327.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $249.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.42 / $169.42 / $169.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.88 / $169.42 / $169.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $203.81 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.83 / $174.01 / $218.36