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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
$1,528.59 / $1,528.59 / $1,528.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.07 / $1,571.07 / $1,571.07
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
$652.13 / $817.04 / $1,375.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.14 / $3,480.59 / $4,114.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.00 / $1,216.33 / $2,300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.65 / $1,425.30 / $4,226.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.73 / $1,078.58 / $8,640.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.57 / $830.00 / $2,551.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.83 / $994.00 / $1,836.18