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Kansas 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 / $187.39 / $204.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $176.02 / $204.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.82 / $183.32 / $199.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.81 / $168.81 / $168.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $203.81 / $203.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.59 / $165.17 / $208.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.34 / $192.62 / $212.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.06 / $192.32 / $218.36