go back

West Virginia 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
$156.16 / $162.97 / $185.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $196.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.97 / $244.47 / $244.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $180.20 / $203.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $506.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $218.36 / $218.36