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Michigan rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.92 / $2,120.15 / $2,120.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,378.19 / $2,616.01 / $2,616.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.48 / $1,405.08 / $2,463.66
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
$843.32 / $892.46 / $1,359.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.14 / $660.14 / $2,534.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.14 / $660.14 / $1,775.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.79 / $2,131.36 / $3,590.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.95 / $899.94 / $1,285.15