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Arizona rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,538.50 / $3,538.50 / $3,538.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.75 / $2,378.19 / $2,616.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.65 / $249.32 / $394.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.44 / $78.40 / $156.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,088.81 / $3,694.42 / $4,303.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.07 / $1,215.43 / $3,108.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $1,256.84 / $7,344.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $1,239.33 / $2,212.33