go back

Missouri rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.53 / $2,637.00 / $4,888.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.21 / $2,321.98 / $2,554.17
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
$823.81 / $1,032.27 / $1,830.00
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
$1,379.00 / $1,537.21 / $1,561.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.96 / $1,831.92 / $9,522.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.01 / $1,269.00 / $11,427.00
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
$925.08 / $1,153.64 / $1,981.69