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BCG Placed Into the Bladder for Cancer

Indiana rates for HCPCS 90586

A dose of BCG, a live weakened bacterium, supplied for putting directly into the bladder through a catheter as a treatment for early bladder cancer. It works by provoking the immune system to attack abnormal cells in the bladder lining, and is usually given as a course of weekly treatments followed by top-up doses. The charge covers the product itself; putting it into the bladder is billed separately.

Facilitymedian $282 · 10th–90th $162$4170%20%10th90th$282Professionalmedian $162 · 10th–90th $162$2690%50%90th$162$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$331.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$218.78