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Virginia rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.07 / $2,034.51 / $2,034.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.32 / $762.12 / $1,074.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.84 / $1,070.84 / $3,279.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.78 / $3,175.42 / $4,888.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,352.99 / $4,352.99 / $4,354.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.50 / $1,281.25 / $1,312.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.21 / $1,144.68 / $1,436.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $1,529.00 / $2,181.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.91 / $1,258.08 / $3,843.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.91 / $1,295.32 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.85 / $830.00 / $1,113.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.01 / $1,105.51 / $1,688.63