go back

North Carolina rates for HCPCS 77300

Basic Radiation Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.98 / $33.89 / $51.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.40 / $72.68 / $864.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.73 / $91.61 / $641.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.78 / $30.79 / $59.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.06 / $52.06 / $85.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.71 / $43.25 / $56.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.01 / $62.81 / $82.08
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.39 / $84.37 / $104.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.07 / $37.07 / $37.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.39 / $111.41 / $177.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.47 / $48.88 / $87.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.72 / $61.22 / $90.29
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.82 / $60.00 / $96.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $43.00 / $84.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.82 / $44.82 / $44.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.23 / $51.95 / $138.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $93.44 / $174.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.38 / $46.26 / $88.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.81 / $55.57 / $89.25
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.59 / $85.90 / $170.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.11 / $468.11 / $560.92
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$378.10 / $378.10 / $378.10
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$378.10 / $378.10 / $378.10