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Washington rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $312.32 / $355.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $196.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.80 / $339.26 / $659.68
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.58 / $190.80 / $218.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $190.27 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.59 / $169.13 / $324.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.86 / $339.26 / $518.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.12 / $172.58 / $214.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.80 / $190.80 / $190.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.80 / $190.80 / $190.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $184.17 / $218.36