go back

Idaho 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 $74 · 10th–90th $74$930%50%90th$74Professionalmedian $71 · 10th–90th $34$3630%10%10th90th$71$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
$74.13 / $74.13 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $123.03 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $74.13 / $407.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $43.65 / $77.62
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $154.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $61.66 / $66.07
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $61.66 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $125.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $46.77 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $47.86 / $67.61
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $117.49 / $199.53
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $64.57 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $60.26 / $83.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $131.83 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $66.07 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$58.88 / $67.61 / $69.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $251.19
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $31.62 / $69.18
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $32.36 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $141.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $39.81 / $66.07
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $46.77 / $74.13