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West 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 $28 · 10th–90th $25–$460%20%40%10th90th$28Professionalmedian $66 · 10th–90th $31–$4170%5%10%10th90th$66$10.0$20.0$50.0$100.0$200.0$500.0

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
$25.12 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $70.79 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $69.18 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $35.48 / $57.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $74.13 / $144.54
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
$60.26 / $89.13 / $363.08
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $79.43 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $81.28 / $162.18
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $53.70 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $120.23
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $28.84 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $39.81 / $75.86