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North Dakota rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.11 / $1,685.11 / $1,685.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.15 / $848.15 / $848.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.30 / $1,505.37 / $2,071.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.31 / $1,381.46 / $2,733.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.62 / $1,793.02 / $8,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.62 / $1,585.38 / $1,848.24