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Kansas rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,769.00 / $2,769.00 / $2,769.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.51 / $2,034.51 / $2,034.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.90 / $1,406.37 / $2,425.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.96 / $821.96 / $821.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.31 / $2,833.96 / $4,114.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.00 / $1,092.00 / $2,300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.65 / $1,173.26 / $3,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.80 / $1,210.09 / $8,640.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.57 / $613.66 / $2,551.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.98 / $1,064.89 / $1,430.92