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Maryland 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 $39 · 10th–90th $28$400%20%40%10th90th$39Professionalmedian $123 · 10th–90th $33$8320%5%10th90th$123$20.0$100.0$500.0$2.0K$10.0K

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
$28.18 / $38.90 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $288.40 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $162.18 / $758.58
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $44.67 / $151.36
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $67.61 / $81.28
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $35.48 / $39.81
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $39.81 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $81.28 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $34.67 / $87.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $45.71 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $81.28 / $134.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $37.15 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $42.66 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $31.62 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $42.66 / $69.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $81.28 / $104.71
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $38.90 / $50.12
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $42.66 / $54.95