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New Hampshire 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 / $181.97 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $346.74 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $186.21 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $275.42 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $162.18 / $218.78