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North Carolina rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.52 / $1,733.52 / $1,733.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.52 / $1,832.07 / $1,832.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.72 / $1,439.59 / $2,287.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.63 / $1,386.63 / $3,133.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,352.99 / $4,352.99 / $4,354.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.75 / $1,262.08 / $1,935.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.08 / $1,262.08 / $1,262.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.12 / $1,014.12 / $1,588.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.87 / $1,210.09 / $2,283.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.31 / $5,100.31 / $5,100.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,792.85 / $8,640.00 / $8,640.00