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Michigan 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 $38$490%20%40%10th90th$39Professionalmedian $102 · 10th–90th $35$6610%5%10th90th$102$20.0$50.0$100.0$200.0$500.0$1.0K$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
$38.02 / $38.90 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $125.89 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $186.21 / $676.08
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $37.15 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $72.44 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $32.36 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $100.00 / $107.15
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $69.18 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $40.74 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $38.90 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $39.81 / $70.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $245.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $50.12 / $426.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $38.90 / $81.28
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $93.33 / $141.25
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $50.12 / $66.07
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $38.90 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $38.02 / $57.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $41.69 / $66.07