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Massachusetts rates for HCPCS 77520

Proton Tx Delivery Simple W/O Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.45 / $1,956.69 / $1,956.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.77 / $1,956.69 / $1,956.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $2,182.38 / $3,101.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.15 / $1,040.41 / $4,779.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.52 / $1,002.89 / $1,756.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.58 / $3,289.60 / $6,874.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.45 / $1,347.93 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.43 / $1,220.18 / $1,820.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.33 / $2,072.78 / $2,840.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,085.64 / $5,085.64 / $5,085.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $1,095.24 / $5,609.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $888.58 / $1,964.69