go back

South Carolina rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.15 / $816.15 / $816.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.15 / $816.15 / $2,378.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,853.46 / $3,838.27 / $7,247.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.67 / $1,200.00 / $1,809.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,477.78 / $4,529.79 / $6,413.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.15 / $1,435.90 / $2,153.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.39 / $1,055.39 / $1,055.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.45 / $6,208.11 / $8,182.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $973.23 / $1,719.00