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Montana 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 $51$630%20%40%90th$51Professionalmedian $129 · 10th–90th $36$7590%5%10%10th90th$129$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $275.42 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $151.36 / $691.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $43.65 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $104.71
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $91.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $41.69 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $50.12 / $104.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $114.82 / $295.12
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $102.33 / $134.90
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $45.71 / $64.57
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $47.86 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $114.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $41.69 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $47.86 / $60.26