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Minnesota rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $162.97 / $312.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $365.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.61 / $187.42 / $359.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.93 / $156.16 / $156.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.01 / $485.30 / $590.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.54 / $183.24 / $203.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.25 / $442.87 / $555.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $159.94 / $223.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.60 / $180.20 / $263.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.29 / $179.56 / $216.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $179.28 / $218.36