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Missouri rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,467.37 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,230.27 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $977.24 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,513.56