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Michigan rates for HCPCS 77525

Proton Tx Delivery Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.92 / $2,009.92 / $2,200.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.73 / $2,321.98 / $2,554.17
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
$897.83 / $1,038.16 / $1,447.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.84 / $702.84 / $2,200.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.84 / $702.84 / $2,321.98
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
$918.50 / $1,122.41 / $1,515.25