go back

Minnesota rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $229.00 / $10,510.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,633.48 / $7,633.48 / $7,633.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.47 / $2,892.08 / $5,736.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.18 / $985.23 / $985.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,974.27 / $2,799.76 / $6,735.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.33 / $1,529.46 / $2,528.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.54 / $2,559.65 / $5,303.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.30 / $1,204.30 / $2,212.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.69 / $1,419.84 / $3,075.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.88 / $1,703.10 / $4,792.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.45 / $1,396.42 / $2,646.62