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New Jersey rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,495.77 / $4,331.00 / $9,491.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.75 / $2,378.19 / $2,495.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.21 / $3,804.24 / $5,353.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.00 / $3,100.00 / $3,100.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.90 / $1,521.41 / $1,521.41
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.53 / $3,101.02 / $6,298.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.90 / $1,486.68 / $1,945.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.36 / $4,448.67 / $5,364.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.30 / $1,030.89 / $1,987.99