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Missouri rates for HCPCS 77520

Proton treatment delivery; simple, without compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.67 / $1,287.67 / $1,287.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.77 / $1,373.77 / $1,373.77
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
$130.29 / $705.57 / $1,111.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.35 / $2,097.61 / $3,844.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.00 / $1,184.05 / $1,700.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.03 / $1,402.44 / $4,214.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.47 / $885.78 / $5,609.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.29 / $830.00 / $1,156.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.47 / $854.20 / $1,527.41