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Ohio rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,025.95 / $4,580.00 / $9,391.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.11 / $2,034.51 / $2,034.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.80 / $106.31 / $222.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.31 / $840.31 / $840.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.74 / $4,328.24 / $5,067.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.56 / $1,587.71 / $2,560.15
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.74 / $4,328.24 / $5,067.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.95 / $1,044.40 / $1,724.27