go back

Idaho rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.17 / $2,554.17 / $2,554.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.73 / $3,655.37 / $4,380.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.42 / $2,016.83 / $2,299.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.91 / $1,413.91 / $3,045.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $832.03 / $2,120.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.55 / $3,452.07 / $4,865.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.67 / $2,329.82 / $2,449.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.75 / $1,392.88 / $2,195.76