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South Carolina rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,388.44 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,202.26 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,128.61 / $8,128.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,025.60 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $933.25 / $1,479.11