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Unlisted Radiation Physics Or Treatment-Device Service

Wisconsin 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 $676 · 10th–90th $363$7760%20%10th90th$676Professionalmedian $513 · 10th–90th $50$5130%50%10th$513$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$363.08
Median
$724.44
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$354.81
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28