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BCG Placed Into the Bladder for Cancer

Montana 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 $178 · 10th–90th $155$46,7740%20%10th90th$178Professionalmedian $162 · 10th–90th $155$3980%50%10th90th$162$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$46,773.51
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$446.68
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$194.98