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New Hampshire rates for HCPCS 77525

Proton Tx Delivery Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,321.98 / $2,556.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.83 / $1,002.83 / $1,002.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,889.03 / $7,909.24 / $8,621.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.91 / $2,532.73 / $4,729.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.61 / $1,296.45 / $4,537.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.15 / $996.18 / $1,572.30