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North Dakota rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $162.97 / $162.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $188.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.29 / $177.43 / $179.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $161.54 / $203.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.71 / $156.16 / $265.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.29 / $179.56 / $212.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $179.28 / $184.17