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Missouri 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
$156.16 / $203.01 / $222.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.65 / $277.07 / $428.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.28 / $203.86 / $203.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $197.90 / $662.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $195.89 / $212.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $192.32 / $218.36