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New York 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 $45 · 10th–90th $32$1050%10%10th90th$45Professionalmedian $98 · 10th–90th $33$6760%5%10th90th$98$10.0$50.0$200.0$1.0K$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
$32.36 / $44.67 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $223.87 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $177.83 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $44.67 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $72.44 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $34.67 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $38.02 / $93.33
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $46.77 / $93.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $37.15 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $50.12 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $64.57 / $162.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $95.50 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $45.71 / $70.79
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $50.12 / $75.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $66.07 / $134.90
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $40.74 / $66.07
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $37.15 / $67.61
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $117.49
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $60.26 / $79.43
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $91.20 / $147.91
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $45.71 / $72.44
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $45.71 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $87.10 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $41.69 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $45.71 / $114.82
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $34.67 / $97.72
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $83.18 / $177.83
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $42.66 / $83.18
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $41.69 / $104.71