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Indiana rates for HCPCS 77520

Proton Tx Delivery Simple W/O Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.77 / $1,956.69 / $1,956.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.16 / $951.57 / $3,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $141.16 / $200.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.11 / $991.60 / $1,156.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.66 / $991.96 / $1,239.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.20 / $900.53 / $9,303.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.52 / $1,477.62 / $1,477.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.00 / $830.00 / $830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.25 / $661.31 / $1,177.50