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Tennessee rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.42 / $714.42 / $714.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.94 / $963.08 / $1,640.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.92 / $2,550.07 / $4,031.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,226.55 / $5,100.31 / $5,100.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,792.85 / $8,640.00 / $8,640.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,551.02 / $2,551.02 / $2,551.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.36 / $1,064.89 / $2,197.98