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New Mexico 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 $47 · 10th–90th $42$590%20%10th90th$47Professionalmedian $74 · 10th–90th $32$8130%5%10th90th$74$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
$41.69 / $46.77 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $100.00 / $707.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $38.02 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $45.71 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $102.33 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $46.77 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $53.70 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $38.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $102.33 / $123.03
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $46.77 / $61.66
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $53.70 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $91.20 / $131.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $40.74 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $50.12 / $67.61