77523 Medicaid Rate by State

Proton radiation delivery, intermediate

31 state Medicaid programs publish a fee-for-service rate for 77523 (proton radiation delivery, intermediate), ranging from $41.12 in Louisiana to $2,790.45 in Alabama.

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This page shows one representative rate per state for 77523. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

31

Median % of Medicare

--

Rate range

$41.12 - $2,790.45

77523 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$2,790.45----2026
Arkansas$1,061.50----2026
Arizona$1,067.83----2020
Colorado$105.18--Required2026
Connecticut$774.96----2026
Georgia$431.69----2026
Iowa$82.07----2024
Idaho$832.23--Not required2025
Illinois$1,351.50----2024
Indiana$865.50----2024
Kansas$649.15----2024
Kentucky$671.38----2026
Louisiana$41.12----2026
Michigan$667.77----2026
Minnesota$873.27----2026
Missouri$590.63--Varies2022
Mississippi$866.28----2026
Montana$336.43----2026
North Carolina$847.24----2025
New Jersey$545.12--Not required2026
New Mexico$1,144.64----2025
Ohio$826.76----2019
Oklahoma$661.25----2026
Rhode Island$1,235.28----2026
South Carolina$903.80----2026
Texas$894.53*----2024
Utah$358.26*--Not required2026
Washington$654.05----2026
Wisconsin$850.00----2008
West Virginia$772.64----2026
Wyoming$1,135.68----2020

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related lab & imaging codes

Frequently asked questions

How much does Medicaid pay for 77523?

31 state Medicaid programs publish a fee-for-service rate for 77523 (proton radiation delivery, intermediate), ranging from $41.12 in Louisiana to $2,790.45 in Alabama. The full table on this page lists every publishing state's current rate.

Which state pays the most for 77523?

Alabama publishes the highest Medicaid rate for 77523 at $2,790.45. Louisiana publishes the lowest at $41.12.

Does 77523 require prior authorization under Medicaid?

1 of the 31 publishing states flag 77523 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".