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Tennessee rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,089.00 / $4,089.00 / $4,089.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.69 / $919.69 / $2,554.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.49 / $1,330.62 / $2,266.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,242.55 / $2,808.99 / $4,440.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,539.25 / $9,522.00 / $9,522.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,427.00 / $11,427.00 / $11,427.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.34 / $1,278.65 / $2,592.25