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Hawaii 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 $38 · 10th–90th $34$450%10%20%10th90th$38Professionalmedian $78 · 10th–90th $29$2750%5%10th90th$78$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
$33.88 / $38.02 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $85.11 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $81.28 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $44.67 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $87.10 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $34.67 / $67.61
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $51.29 / $74.13
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $114.82
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $42.66 / $44.67
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $70.79 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $87.10 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $40.74 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $46.77 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $100.00 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $52.48 / $257.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $60.26 / $85.11
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $107.15 / $173.78
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $48.98 / $77.62
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$45.71 / $57.54 / $100.00