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Utah rates for HCPCS 77525

Proton Tx Delivery Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.98 / $2,321.98 / $9,640.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,321.98 / $2,554.17
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
$1,772.69 / $1,969.66 / $2,085.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.64 / $1,442.05 / $1,903.51