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Virginia 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 $50 · 10th–90th $29$1260%10%20%10th90th$50Professionalmedian $62 · 10th–90th $29$3240%5%10th90th$62$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
$28.84 / $50.12 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $75.86 / $223.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $67.61 / $630.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $40.74 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $97.72 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $47.86 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $48.98 / $70.79
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $302.00
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $35.48 / $53.70
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $39.81 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $93.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $42.66 / $74.13
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $51.29 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $95.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $42.66 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $45.71 / $50.12
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $128.82 / $141.25
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $47.86 / $61.66
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $77.62 / $2,041.74
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $42.66 / $77.62
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$35.48 / $48.98 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $91.20 / $144.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $39.81 / $61.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $50.12 / $79.43