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Missouri rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.48 / $1,568.97 / $4,399.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.19 / $2,378.19 / $2,616.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.98 / $1,556.98 / $1,556.98
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
$180.91 / $859.71 / $1,353.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.45 / $4,014.63 / $5,028.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.00 / $1,443.41 / $2,300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.86 / $1,632.88 / $4,915.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.61 / $1,064.48 / $7,344.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.53 / $1,790.53 / $1,790.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,033.84 / $4,262.71 / $8,225.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.61 / $951.94 / $1,790.79