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South Carolina rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,818.38 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $4,365.16 / $6,760.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $870.96 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,025.60 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,698.24