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Ohio 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 $40 · 10th–90th $30$1070%20%10th90th$40Professionalmedian $71 · 10th–90th $32$3800%10%10th90th$71$0.5$2.0$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
$30.20 / $39.81 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $97.72 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $104.71 / $489.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $46.77 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $53.70 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $33.11 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $91.20 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $41.69 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $47.86 / $77.62
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $91.20 / $128.82
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $45.71 / $64.57
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $44.67 / $63.10
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $42.66 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $42.66 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $48.98 / $83.18
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $87.10 / $144.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $42.66 / $74.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $44.67 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $138.04
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $41.69 / $63.10
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $75.86 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $35.48 / $63.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $38.02 / $60.26