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Oklahoma rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.05 / $960.00 / $2,616.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.00 / $795.00 / $1,556.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,101.48 / $3,314.64 / $5,274.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.85 / $832.85 / $832.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.18 / $1,077.18 / $1,077.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.91 / $1,104.39 / $4,915.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $1,041.15 / $7,344.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.30 / $2,689.23 / $3,189.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $920.72 / $1,312.48