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Hawaii 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
$196.09 / $196.09 / $196.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.93 / $218.93 / $218.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.27 / $195.57 / $228.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.94 / $218.36 / $244.47
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.73 / $143.21 / $156.96