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South Carolina 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 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $162.18 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $263.03
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $213.80 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $218.78