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Pennsylvania rates for HCPCS 77525

Proton Tx Delivery Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,529.30 / $7,961.52 / $12,582.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,554.17 / $2,556.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.02 / $8,459.92 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.55 / $1,123.40 / $1,841.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.71 / $3,097.68 / $6,507.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.31 / $2,700.51 / $5,597.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.98 / $1,536.30 / $1,717.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,884.03 / $4,088.63 / $12,775.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,529.30 / $7,961.52 / $12,954.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.08 / $2,554.17 / $2,556.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.10 / $2,559.16 / $2,770.25
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.20 / $2,762.23 / $5,752.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.31 / $2,700.51 / $5,597.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.08 / $1,058.51 / $1,058.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.08 / $1,058.51 / $1,199.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.44 / $3,332.93 / $4,334.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.14 / $1,225.52 / $1,937.07