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Wyoming 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 $32 · 10th–90th $32$320%50%100%$32Professionalmedian $107 · 10th–90th $48$2690%10%10th90th$107$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $112.20 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.88 / $33.88 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $257.04 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $125.89 / $125.89
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $52.48 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $54.95 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $95.50 / $208.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $56.23 / $95.50
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $58.88 / $112.20