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Oklahoma rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.65 / $168.65 / $176.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.65 / $176.02 / $176.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.21 / $148.21 / $148.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.83 / $203.81 / $203.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $178.64 / $241.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.08 / $192.62 / $212.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.83 / $192.32 / $218.36