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Massachusetts rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,819.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $3,630.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,467.37 / $6,918.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,995.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $2,691.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,691.53 / $3,630.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,754.23 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $2,630.27