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Iowa 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 $68 · 10th–90th $31$950%10%20%10th90th$68Professionalmedian $135 · 10th–90th $34$9770%5%10th90th$135$20.0$100.0$500.0$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
$30.90 / $56.23 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $213.80 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $165.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $57.54 / $724.44
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $162.18 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $77.62 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $83.18 / $102.33
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $112.20 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $52.48 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $50.12 / $114.82
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $169.82 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $125.89 / $389.05
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $42.66 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $46.77 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $295.12
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $75.86 / $112.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $74.13 / $186.21
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $177.83
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $87.10
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $81.28 / $89.13
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $85.11 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $41.69 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $46.77 / $75.86
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $147.91
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $61.66 / $72.44
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $63.10 / $74.13