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Indiana rates for HCPCS 90586

Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $162.97 / $358.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $162.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.00 / $325.95 / $488.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $185.00 / $262.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $162.97 / $244.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $203.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.92 / $203.81 / $523.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $184.17 / $218.36