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Pennsylvania 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 $71 · 10th–90th $31$1260%10%10th90th$71Professionalmedian $138 · 10th–90th $34$7410%5%10%10th90th$138$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$30.90 / $70.79 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $239.88 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $190.55 / $707.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $43.65 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $33.11 / $63.10
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $72.44 / $91.20
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $34.67 / $43.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $85.11 / $141.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $40.74 / $72.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $41.69 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $85.11 / $128.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $38.02 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $45.71 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $112.20
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $53.70
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $43.65 / $58.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $89.13 / $158.49
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $39.81 / $64.57
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $44.67 / $79.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $107.15
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $37.15 / $51.29
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $87.10
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $34.67 / $43.65
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.84 / $47.86 / $104.71
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $147.91
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $39.81 / $70.79
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $44.67 / $79.43
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $141.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $54.95 / $177.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $31.62 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $37.15 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $41.69 / $63.10