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North Dakota rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,935.00 / $1,935.00 / $1,935.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.19 / $2,378.19 / $2,616.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.12 / $1,786.40 / $2,458.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.01 / $1,612.50 / $2,643.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.78 / $1,980.61 / $7,344.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,474.66 / $2,474.66 / $2,474.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.78 / $1,285.15 / $2,193.61