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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
$156.16 / $156.16 / $292.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $162.97 / $365.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.83 / $184.51 / $480.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.94 / $176.78 / $184.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $199.92 / $203.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.92 / $186.56 / $662.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.24 / $179.56 / $212.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.76 / $186.98 / $201.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.61 / $184.27 / $360.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $179.28 / $218.36