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Connecticut 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 $145 · 10th–90th $49$2040%20%10th90th$145Professionalmedian $214 · 10th–90th $37$8320%5%10th90th$214$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$48.98 / $144.54 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $229.09 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $269.15 / $831.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $44.67 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $102.33 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $51.29 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $56.23 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $158.49
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $48.98 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $67.61 / $91.20
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $91.20 / $102.33
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $35.48 / $44.67
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $45.71 / $50.12
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $173.78 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $43.65 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $45.71 / $81.28