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Minnesota 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 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $302.00 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $512.86 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $213.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $489.78 / $575.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $181.97 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $181.97 / $245.47