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Arizona rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.07 / $1,832.07 / $2,034.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.64 / $648.04 / $1,026.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,885.59 / $3,290.05 / $4,064.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.65 / $1,452.65 / $1,452.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.10 / $1,045.15 / $2,673.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.25 / $1,204.03 / $8,640.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.02 / $1,296.43 / $2,551.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.58 / $1,137.32 / $1,636.87