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Ohio rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,568.57 / $3,975.62 / $8,472.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.75 / $2,378.19 / $2,616.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.48 / $1,093.48 / $1,093.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,155.00 / $5,155.00 / $5,155.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.70 / $127.51 / $272.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.41 / $1,506.78 / $13,975.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.21 / $1,054.21 / $1,629.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.74 / $4,328.24 / $5,067.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.87 / $1,884.11 / $3,038.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.74 / $4,349.93 / $7,080.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.75 / $913.57 / $1,159.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,560.48 / $2,560.48 / $2,989.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.74 / $1,098.56 / $2,110.13