go back

Alaska rates for HCPCS 77300

Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician

Facilitymedian $102 · 10th–90th $102$1020%50%100%$102Professionalmedian $95 · 10th–90th $32$6170%5%10th90th$95$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $85.11 / $389.05
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $169.82 / $851.14
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $36.31 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $208.93
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $89.13 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $190.55 / $371.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $97.72 / $616.60
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $85.11 / $138.04
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $575.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $131.83 / $281.84
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $134.90 / $295.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $134.90 / $208.93
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $44.67 / $114.82
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $45.71 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $251.19 / $2,137.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $138.04 / $1,148.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $114.82 / $1,000.00