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California 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 $55 · 10th–90th $30$2090%10%10th90th$55Professionalmedian $145 · 10th–90th $38$8710%5%10th90th$145$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $45.71 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $223.87 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $208.93 / $870.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $56.23 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $177.83
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $63.10 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $109.65 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $46.77 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $63.10 / $125.89
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $263.03
Blue Shield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $51.29 / $117.49
Blue Shield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $64.57 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $91.20 / $181.97
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $40.74 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $52.48 / $97.72
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $87.10 / $117.49
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $38.90 / $52.48
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $47.86 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $87.10 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $45.71 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $53.70 / $91.20
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $562.34 / $562.34
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $75.86
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $177.83
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.90 / $85.11
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $52.48 / $97.72
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $97.72 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $85.11 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $41.69 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $43.65 / $100.00