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Idaho rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $188.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $203.81
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
$162.97 / $172.76 / $233.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $179.28 / $203.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.20 / $233.20 / $238.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.17 / $195.58 / $228.17