go back

South Carolina rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,388.44 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,318.26 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,495.41 / $8,128.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $2,137.96
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
$954.99 / $1,202.26 / $1,949.84