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Arizona 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
$162.18 / $162.18 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $446.68 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $316.23 / $758.58
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $199.53 / $251.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $218.78