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Custom Radiation Shielding Device, Moderate Complexity

Indiana 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 July 2026.

Facilitymedian $51 · 10th–90th $48$650%50%10th90th$51Professionalmedian $81 · 10th–90th $34$1450%5%10%10th90th$81$10.0$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$47.86
Median
$51.29
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$128.82
Typical High
$173.78
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$32.36
Median
$40.74
Typical High
$50.12
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$12.59
Median
$91.20
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$45.71
Median
$74.13
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$19.95
Median
$33.88
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$234.42
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$38.90
Median
$54.95
Typical High
$89.13
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$26.92
Median
$100.00
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$223.87
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$36.31
Median
$46.77
Typical High
$81.28
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$18.20
Median
$75.86
Typical High
$147.91