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Arkansas rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.05 / $826.05 / $1,239.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.05 / $826.05 / $2,616.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.98 / $1,556.98 / $1,556.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.93 / $1,196.93 / $1,302.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.24 / $1,996.20 / $2,218.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,418.60 / $2,615.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.53 / $1,790.53 / $1,790.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.00 / $2,011.91 / $3,804.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $947.10 / $1,756.87