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Kentucky 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
$162.18 / $162.18 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $204.17 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $186.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $263.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $169.82 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $691.83 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $218.78