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Montana rates for HCPCS 90586

Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $204.17 / $204.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $154.88 / $446.68
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $154.88 / $446.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $416.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $177.83 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $194.98