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North Carolina rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.72 / $171.78 / $238.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $161.88 / $188.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.94 / $293.89 / $452.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.05 / $148.05 / $167.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $218.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.72 / $193.95 / $233.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.10 / $169.10 / $169.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $192.32 / $218.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.86 / $299.86 / $662.03