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Unlisted Radiation Physics Or Treatment-Device Service

Missouri rates for HCPCS 77399

Covers a radiation-physics service — such as a dose calculation, a custom shielding or positioning device, or another special measurement supporting radiation treatment — that has no standard named entry of its own. A written description of the work is submitted so it can be reviewed and priced individually. The radiation treatment itself is charged separately.

Rates data updated October 2026.

How much does Unlisted Radiation Physics Or Treatment-Device Service cost?

$427

Typical facility fee. In Missouri, October 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $275 to $490.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $437 · 10th to 90th $251 to $851Professionalmedian $112 · 10th to 90th $95 to $112
$100$200$500$1Kfacility $437professional $112

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

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$95.50
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$457.09
Typical High
$630.96
Medica
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$416.87
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$446.68
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
26 · Professional part
Typical Low
$309.03
Median
$309.03
Typical High
$309.03

Where Missouri sits

The same service costs 141.3 times more in Minnesota than in Alaska. 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.

Missouri· 17th of 47

$427

MN $8,511AK $60.26

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.