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Custom Radiation Shielding Device, Moderate Complexity

Iowa rates for HCPCS 77333

This service designs and builds a custom device, such as a shaped block, shield, or wedge, used to help focus a radiation beam on the treatment area while protecting nearby healthy tissue during radiation therapy. This version covers devices of moderate complexity, more involved to design and construct than the simplest custom devices but less involved than the most complex ones. These devices are made individually for each patient based on their treatment plan.

Rates data updated October 2026.

How much does Custom Radiation Shielding Device, Moderate Complexity cost?

$191

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $209 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$126 to $295
FacilityA hospital or hospital-owned outpatient department$209$178 to $316

How much rates vary

Facilitymedian $209 · 10th to 90th $145 to $372Professionalmedian $186 · 10th to 90th $83 to $372
$50$100$200$500$1Kfacility $209professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$75.86
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.02
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$24.55
Median
$141.25
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$275.42
Median
$323.59
Typical High
$416.87
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$95.50
Typical High
$117.49
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$229.09
Typical High
$295.12
Hally Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$165.96
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$61.66
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$70.79
Median
$112.20
Typical High
$169.82
Medica
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$208.93
Typical High
$371.54
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$104.71
Median
$194.98
Typical High
$891.25
Medica
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$58.88
Typical High
$416.87
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$33.88
Median
$104.71
Typical High
$645.65
Midlands
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$302.00
Typical High
$380.19
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$81.28
Median
$87.10
Typical High
$107.15
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$194.98
Median
$213.80
Typical High
$269.15
Midlands
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$257.04
Median
$323.59
Typical High
$416.87
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$40.74
Median
$109.65
Typical High
$251.19
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$338.84
Typical High
$426.58
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$93.33
Median
$144.54
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$42.66
Median
$52.48
Typical High
$77.62
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$30.20
Median
$89.13
Typical High
$147.91
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$269.15
Median
$269.15
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
26 · Professional part
Typical Low
$75.86
Median
$75.86
Typical High
$87.10
Wellmark
Setting
Professional
Modifier
TC · Technical part
Typical Low
$190.55
Median
$190.55
Typical High
$218.78

Where Iowa sits

The same service costs 6.9 times more in Alaska than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 13th of 51

$191

AK $525MI $75.86

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.