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Missouri rates for HCPCS 77423

High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.29 / $92.12 / $426.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.29 / $71.29 / $71.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $86.61 / $152.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.13 / $382.40 / $1,997.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.49 / $126.26 / $304.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.84 / $179.21 / $720.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $144.51 / $1,240.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.43 / $115.07 / $262.95