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Texas rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.00 / $4,536.00 / $5,162.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,554.17 / $2,554.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.33 / $1,178.33 / $3,830.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.77 / $3,615.60 / $6,246.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.88 / $899.15 / $1,057.82
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.72 / $1,176.24 / $2,117.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.61 / $3,693.01 / $6,544.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.27 / $957.64 / $1,481.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.82 / $9,522.00 / $9,522.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,427.00 / $11,427.00 / $11,427.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.66 / $1,217.84 / $2,211.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.24 / $1,097.24 / $5,745.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.32 / $2,139.46 / $2,407.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.21 / $1,700.46 / $5,461.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.27 / $958.95 / $1,481.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.96 / $2,016.92 / $2,660.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.91 / $1,395.97 / $1,908.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.20 / $1,056.76 / $1,590.75