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Missouri rates for HCPCS 90586

Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use

Facilitymedian $214 · 10th–90th $162–$3240%20%40%10th90th$214Professionalmedian $166 · 10th–90th $162–$2290%50%10th90th$166$100.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $323.59 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $302.00 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $660.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $190.55 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $208.93 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $186.21 / $218.78