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Idaho rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $954.99 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,162.28 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,630.78 / $4,365.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,238.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,096.48 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,630.78 / $4,897.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,737.80 / $1,905.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,698.24