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Mississippi rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.97 / $629.97 / $629.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.60 / $1,005.60 / $1,005.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.70 / $888.90 / $1,864.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.00 / $1,016.00 / $1,016.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $50.00 / $80.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.10 / $909.54 / $1,866.88