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Indiana rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.15 / $1,571.07 / $2,034.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.52 / $1,625.60 / $3,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.80 / $842.28 / $1,137.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.62 / $994.45 / $1,160.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.66 / $880.82 / $1,243.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.11 / $916.80 / $9,323.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.52 / $1,476.39 / $1,476.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.00 / $830.00 / $830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.19 / $798.53 / $1,178.26