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Utah rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,495.77 / $2,495.77 / $2,495.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,495.77 / $2,495.77 / $2,616.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.94 / $1,637.30 / $5,183.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,139.94 / $2,730.27 / $3,919.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.15 / $1,782.39 / $1,915.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.60 / $1,291.81 / $1,705.19