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Illinois rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.19 / $11,896.90 / $11,896.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.50 / $1,571.07 / $3,634.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.09 / $6,835.36 / $17,873.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.30 / $898.70 / $1,040.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.79 / $2,047.78 / $7,463.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.12 / $761.12 / $1,318.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.97 / $1,224.46 / $7,022.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.70 / $947.10 / $1,040.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.85 / $850.85 / $2,551.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.14 / $1,084.08 / $1,700.82