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Illinois rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $891.25 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,905.46 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,318.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $8,709.64
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
$891.25 / $954.99 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,071.52 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $1,348.96