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Illinois 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 $31$1070%10%20%10th90th$55Professionalmedian $126 · 10th–90th $35$7760%5%10th90th$126$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 / $54.95 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $154.88 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $190.55 / $758.58
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $39.81 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $69.18 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $33.88 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $79.43 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $134.90
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $43.65 / $66.07
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $48.98 / $74.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $123.03 / $363.08
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $52.48 / $331.13
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $56.23 / $331.13
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $89.13
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $40.74 / $43.65
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $40.74 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $89.13 / $128.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $41.69 / $79.43
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $47.86 / $72.44