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Louisiana rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $162.97 / $162.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $188.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.66 / $172.66 / $258.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.66 / $172.66 / $176.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $184.17 / $218.36