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Massachusetts rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $162.97 / $162.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $190.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.59 / $408.10 / $662.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $179.28 / $218.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.88 / $207.96 / $443.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.27 / $203.81 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $257.51 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.53 / $162.97 / $338.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.86 / $299.86 / $662.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $218.36 / $244.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $218.36 / $228.18