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Unlisted Radiation Physics Or Treatment-Device Service

Utah 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 $316 · 10th–90th $170$6170%10%10th90th$316Professionalmedian $5,012 · 10th–90th $60$5,0120%50%10th$5,012$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$501.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62