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Pennsylvania rates for HCPCS 77399

Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services

Facilitymedian $324 · 10th–90th $302–$4680%20%40%10th90th$324Professionalmedian $57,544 · 10th–90th $513–$64,5650%20%40%10th90th$57,544$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $323.59 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,905.46 / $2,511.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $316.23 / $575.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $15,135.61 / $24,547.09
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,905.46 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $398.11 / $457.09