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Maine rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.07 / $1,832.07 / $1,832.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.43 / $783.43 / $811.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.85 / $1,332.02 / $2,499.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.07 / $1,832.07 / $1,832.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.01 / $1,238.58 / $1,772.14