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Idaho rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.73 / $3,655.37 / $4,380.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.86 / $1,569.28 / $1,788.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.51 / $1,090.51 / $2,348.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $641.72 / $1,635.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.55 / $3,452.07 / $4,865.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.82 / $1,904.99 / $1,905.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.87 / $1,071.14 / $1,732.08