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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
$162.97 / $188.95 / $365.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.58 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.18 / $179.18 / $415.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.18 / $203.81 / $203.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.18 / $179.18 / $415.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.81 / $176.81 / $230.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.17 / $184.17 / $195.58