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Maine 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 $35 · 10th–90th $35$350%50%100%$35Professionalmedian $52 · 10th–90th $28$1290%5%10%10th90th$52$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $70.79 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $33.88 / $83.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $36.31 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $93.33 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $45.71 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $47.86 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $44.67 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $61.66 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $85.11 / $190.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $48.98 / $93.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $52.48 / $100.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $165.96
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $38.02 / $77.62
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $40.74 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $97.72 / $190.55
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $46.77 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $52.48 / $87.10