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Massachusetts rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.20 / $2,306.62 / $2,306.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.62 / $2,495.77 / $3,215.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.32 / $2,793.46 / $3,778.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $1,267.82 / $5,573.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.12 / $2,162.96 / $3,646.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.73 / $3,652.50 / $4,832.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.20 / $1,642.56 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.40 / $1,486.80 / $2,218.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.97 / $2,421.29 / $3,312.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.94 / $5,931.94 / $5,931.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.64 / $1,267.82 / $7,344.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.53 / $3,239.23 / $4,820.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.64 / $1,218.72 / $2,621.34