go back

Louisiana rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.76 / $4,306.76 / $4,306.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.01 / $2,616.01 / $2,870.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.83 / $2,168.86 / $3,018.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.08 / $1,352.34 / $1,724.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.21 / $2,890.82 / $4,250.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.83 / $2,031.22 / $3,561.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.77 / $878.43 / $1,497.58