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Arizona rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $512.86 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,388.44 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $2,691.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $1,621.81