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Michigan rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $162.97 / $402.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $162.97 / $188.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.78 / $397.73 / $752.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.87 / $172.87 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.06 / $203.81 / $203.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.88 / $162.97 / $244.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $162.97 / $195.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $195.58 / $218.36