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Massachusetts rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.36 / $1,796.67 / $1,796.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.67 / $1,832.07 / $3,634.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $2,567.12 / $3,632.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.12 / $1,109.58 / $4,792.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.72 / $1,655.81 / $3,427.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.58 / $3,518.42 / $6,874.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.36 / $1,384.28 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.58 / $1,253.04 / $1,870.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.59 / $2,145.02 / $2,964.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,100.31 / $5,100.31 / $5,100.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.23 / $1,326.27 / $8,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.87 / $1,068.46 / $2,017.86