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Nebraska 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
$162.18 / $162.18 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $186.21 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $181.97 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $186.21 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $186.21 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $181.97 / $218.78