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Vermont rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $226.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.50 / $184.50 / $184.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $198.27 / $249.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $198.27 / $249.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.83 / $218.36 / $335.91