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South Carolina rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $162.97 / $772.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.72 / $162.97 / $196.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.81 / $166.14 / $203.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.09 / $179.28 / $379.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $187.43 / $218.36