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Kentucky rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.67 / $1,796.67 / $1,796.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.15 / $1,796.67 / $2,034.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $87.34 / $154.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.21 / $1,109.30 / $1,279.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.67 / $1,097.81 / $1,585.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.63 / $1,386.63 / $1,386.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,352.99 / $4,352.99 / $4,354.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.00 / $830.00 / $830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.36 / $1,006.80 / $1,445.54