go back

Nebraska rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,090.30 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,548.82 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,548.82 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $1,778.28