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Radiation Delivered Through Custom-Made Filters

Wisconsin rates for HCPCS 0073T

A session of radiation treatment in which the beam is shaped by solid filters made individually for the patient, so the dose is concentrated on the target and reduced in the healthy tissue around it. The filters are milled or cast in advance from the treatment plan, and beams are aimed at the target from several directions. It covers one treatment session.

Rates data updated July 2026.

How much does Radiation Delivered Through Custom-Made Filters cost?

$550

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $479 to $1,023.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,175 · 10th to 90th $457 to $1,738Professionalmedian $479 · 10th to 90th $427 to $550
$100$200$500$1K$2Kfacility $1,175professional $479

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$549.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$707.95
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48

Where Wisconsin sits

The same service costs 4.9 times more in Massachusetts than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 17th of 28

$550

MA $1,950SC $398

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.