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Kentucky rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $162.97 / $501.00
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
$192.32 / $204.34 / $204.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.28 / $173.28 / $173.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $179.28 / $260.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $179.28 / $259.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.20 / $190.27 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $203.81 / $506.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $192.32 / $218.36