go back

New Hampshire 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 / $1,373.77 / $1,956.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.86 / $352.86 / $352.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.53 / $3,437.18 / $4,274.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.70 / $1,851.90 / $3,395.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $954.69 / $3,497.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.85 / $731.82 / $1,155.06