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Indiana 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 $44 · 10th–90th $35$540%20%10th90th$44Professionalmedian $95 · 10th–90th $33$6610%5%10th90th$95$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
$34.67 / $43.65 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $120.23 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $154.88 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $34.67 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $53.70 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $38.02 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $85.11 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $40.74 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $43.65 / $87.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $97.72 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $43.65 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $52.48 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $151.36
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $37.15 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $41.69 / $81.28