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New Mexico rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,816.00 / $6,816.00 / $6,816.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.89 / $898.89 / $898.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.31 / $808.31 / $808.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.39 / $1,476.39 / $1,476.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $1,101.68 / $1,652.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.31 / $808.31 / $893.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.78 / $1,210.09 / $1,740.61