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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
$156.16 / $188.95 / $365.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.74 / $543.55 / $894.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.92 / $151.16 / $1,036.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.92 / $203.81 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $197.25 / $248.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.46 / $195.89 / $212.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.17 / $195.58 / $218.36