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Massachusetts 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 / $269.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $407.38 / $537.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $257.04 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $275.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $407.38 / $537.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $213.80 / $245.47