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Louisiana 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 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $177.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $218.78