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Wyoming rates for HCPCS 90586

Bacillus Calmette-Guerin Vaccine Intravesical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.16 / $156.16 / $156.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $156.16 / $162.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.61 / $218.36 / $218.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.75 / $153.75 / $153.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.81 / $203.81 / $203.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.28 / $195.58 / $218.36