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New Hampshire rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.67 / $1,832.07 / $1,832.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.43 / $783.43 / $783.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.03 / $7,909.24 / $8,621.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.66 / $1,969.75 / $3,406.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.63 / $980.41 / $3,591.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.29 / $688.92 / $876.81