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Nebraska 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 $93 · 10th–90th $68$2750%20%10th90th$93Professionalmedian $155 · 10th–90th $40$1,8200%5%10th90th$155$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $93.33 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $213.80 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $208.93 / $977.24
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $67.61 / $1,174.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $57.54 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $120.23 / $125.89
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $60.26 / $63.10
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$56.23 / $61.66 / $85.11
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $199.53
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $77.62 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$54.95 / $77.62 / $102.33
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $169.82 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $120.23 / $467.74
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $61.66 / $380.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$37.15 / $50.12 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $144.54 / $229.09
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $70.79 / $112.20
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $74.13 / $114.82
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $162.18
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $74.13 / $81.28
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $75.86 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $123.03 / $162.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $63.10 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $61.66 / $79.43