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Utah rates for HCPCS 77520

Proton Tx Delivery Simple W/O Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.77 / $1,373.77 / $1,373.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.77 / $1,373.77 / $1,373.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.24 / $742.55 / $2,350.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.56 / $1,133.73 / $1,789.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.62 / $1,528.47 / $1,636.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.04 / $1,116.30 / $1,521.65