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New Hampshire rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.62 / $3,215.34 / $3,215.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.59 / $922.59 / $922.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.03 / $7,909.24 / $8,621.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.21 / $2,290.73 / $3,961.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.64 / $1,163.29 / $4,261.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.13 / $891.76 / $1,407.49