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Michigan rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,023.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,513.56 / $2,511.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,023.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,023.29 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,318.26