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New Hampshire rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,380.38 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,762.47 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $2,630.27
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96