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Illinois rates for HCPCS 77520

Proton Tx Delivery Simple W/O Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.19 / $12,008.90 / $12,008.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.77 / $1,956.69 / $1,956.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.97 / $6,656.32 / $17,405.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.34 / $875.17 / $1,013.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.09 / $1,870.89 / $7,442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.65 / $1,283.65 / $1,283.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.21 / $1,169.01 / $4,983.47
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.17 / $922.25 / $1,013.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.57 / $887.57 / $1,156.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $939.90 / $1,440.74