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Minnesota 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 $115 · 10th–90th $33$2400%20%10th90th$115Professionalmedian $115 · 10th–90th $45$6460%5%10th90th$115$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
$33.11 / $33.11 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $199.53 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $218.78 / $891.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $39.81 / $218.78
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.44 / $28.18 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $165.96 / $239.88
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $117.49
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $89.13 / $123.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $63.10 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $67.61 / $109.65
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $117.49 / $229.09
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $162.18
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $77.62
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $52.48 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $154.88 / $467.74
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $91.20 / $218.78
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $64.57 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $138.04 / $229.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $69.18 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $74.13 / $117.49