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Louisiana rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,041.74 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,511.89 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,905.46 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,318.26