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Oregon rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.07 / $1,571.07 / $1,571.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.52 / $3,621.52 / $3,621.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,920.31 / $2,195.42 / $2,577.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.15 / $1,700.66 / $2,189.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.60 / $991.60 / $991.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.66 / $858.29 / $936.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.15 / $1,667.59 / $2,507.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.25 / $1,916.00 / $2,721.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,423.94 / $4,284.59 / $5,323.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.27 / $2,281.81 / $2,490.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.00 / $830.00 / $830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.56 / $1,210.09 / $2,905.92