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Arkansas rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.42 / $714.42 / $1,071.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.42 / $714.42 / $714.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.93 / $1,196.93 / $1,302.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.08 / $1,737.90 / $1,931.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,084.44 / $2,529.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.02 / $2,551.02 / $2,551.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.58 / $1,115.78 / $1,599.12