go back

North Dakota 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 $33 · 10th–90th $33$580%50%90th$33Professionalmedian $129 · 10th–90th $37$6460%5%10%10th90th$129$20.0$50.0$100.0$200.0$500.0$1.0K

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 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $338.84 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $190.55 / $616.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $36.31 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $138.04 / $169.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $67.61 / $83.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $70.79 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $128.82 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $60.26 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $66.07 / $89.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $128.82 / $467.74
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $66.07 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $64.57 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $120.23 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $61.66 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $64.57 / $97.72