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Hawaii rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $2,041.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,288.25 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $1,621.81