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Louisiana 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 $51 · 10th–90th $35$580%20%10th90th$51Professionalmedian $69 · 10th–90th $30$5890%5%10th90th$69$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
$35.48 / $51.29 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $100.00 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $93.33 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $36.31 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $37.15 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $109.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $50.12 / $56.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $47.86 / $53.70
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $131.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $37.15 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $36.31 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $33.88 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $36.31 / $56.23