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Kansas 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 $54 · 10th–90th $36–$1020%20%10th90th$54Professionalmedian $62 · 10th–90th $31–$1950%5%10%10th90th$62$20.0$50.0$100.0$200.0$500.0

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
$36.31 / $53.70 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $53.70 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $36.31 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $35.48 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $93.33 / $138.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $44.67 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $50.12 / $75.86
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $93.33 / $467.74
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $41.69 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $56.23 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $91.20 / $112.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $37.15 / $53.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $48.98 / $61.66