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Unlisted Radiation Physics Or Treatment-Device Service

Ohio 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 July 2026.

Facilitymedian $575 · 10th–90th $100$9330%20%10th90th$575Professionalmedian $0 · 10th–90th $0$500%50%90th$0$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Global
Typical Low
$831.76
Median
$891.25
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$1,000.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$537.03
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$323.59