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Virginia rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,837.99 / $4,523.76 / $9,047.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.75 / $2,495.77 / $2,616.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.78 / $897.49 / $1,265.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.58 / $1,229.58 / $4,290.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.51 / $3,744.00 / $5,855.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.39 / $5,062.39 / $5,063.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.98 / $1,489.98 / $1,526.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.17 / $1,334.58 / $1,685.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $1,776.00 / $2,538.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.98 / $1,399.89 / $4,454.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.30 / $1,501.10 / $4,454.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.79 / $2,488.96 / $5,948.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.16 / $1,044.34 / $1,756.87