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Maine rates for HCPCS 77523

Proton Tx Delivery Intermediate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.01 / $3,215.34 / $3,215.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.59 / $922.59 / $947.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.41 / $1,549.03 / $2,906.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.19 / $2,870.13 / $3,215.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.04 / $1,437.62 / $2,102.98