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South Carolina 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 $35 · 10th–90th $27–$510%20%10th90th$35Professionalmedian $63 · 10th–90th $30–$3310%5%10th90th$63$20.0$50.0$100.0$200.0$500.0$1.0K

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
$26.92 / $35.48 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $70.79 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $83.18 / $416.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $35.48 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $26.30 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $162.18
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $45.71 / $69.18
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $34.67 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $93.33 / $144.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $42.66 / $63.10
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $48.98 / $75.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $37.15 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $38.02 / $67.61