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Michigan rates for HCPCS 77522

Proton treatment delivery; simple, with compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.11 / $5,921.00 / $7,048.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.46 / $1,569.32 / $2,790.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.79 / $985.04 / $1,329.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.92 / $807.68 / $1,145.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.28 / $572.28 / $2,534.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.28 / $572.28 / $840.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.07 / $830.00 / $1,016.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.22 / $892.62 / $1,306.91