go back

Connecticut rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,634.99 / $3,634.99 / $4,059.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.67 / $3,634.99 / $3,634.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.00 / $673.00 / $796.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.59 / $689.95 / $856.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.82 / $3,626.76 / $6,205.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.57 / $1,138.43 / $1,192.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.66 / $1,092.32 / $1,836.15