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Maine rates for HCPCS 77525

Proton treatment delivery; complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,321.98 / $2,554.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.83 / $1,002.83 / $1,039.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.80 / $1,712.13 / $3,212.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.98 / $2,321.98 / $2,554.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.42 / $1,615.74 / $2,239.23