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Massachusetts rates for HCPCS 77525

Proton Tx Delivery Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.35 / $2,556.33 / $2,556.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,321.98 / $2,637.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.90 / $2,831.57 / $3,905.90
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.05 / $1,349.92 / $4,246.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.14 / $2,081.52 / $3,646.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,876.03 / $3,652.50 / $4,832.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.35 / $1,748.91 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.03 / $1,583.04 / $2,362.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.46 / $2,672.86 / $3,701.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,539.25 / $2,539.25 / $9,522.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.94 / $1,459.13 / $11,427.00
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.04 / $1,817.69 / $2,564.44
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
$998.94 / $1,349.92 / $2,752.92