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See a sample rate comparisonCPT 77399 Fee Schedule
CPT 77399 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
Unlisted Px Med Radj Physics, Unlisted Procedure Medical Radiation Physics Dosimetry And Treatment Devices And Special Services
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 77399 |
| Medicaid Fee Schedule | View Medicaid rates for 77399 |
National average reimbursement for CPT 77399 by major payers:
$1,449.06
BCBS / Anthem
$54.44
UnitedHealthcare
$360.00
Aetna
$2,015.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 77399.
CPT 77399
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Midlands, Prisma Health Baptist Hospital
Prisma Health-Midlands
$798.09Published rateCentral Iowa Hospital Corporation, Unitypoint Health - Des Moines Iowa Methodist Medical Center
Central Iowa Hospital Corporation
$297.79Published rateMosaic Medical Center
Mosaic Medical Center - Maryville
$98.68Published rateKeck Medical Center Of Usc, Keck Hospital Of Usc
Keck Medical Center Of Usc
$83.00Published rateSt. Joseph Hospital Of Orange, Providence St. Joseph Hospital
St Joseph Hospital Of Orange
$83.00Published rate
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See a sample payer proposalCPT 77399 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77399. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77299-CPT | High | Unlisted Proc Therape Radiology Clinical Treatmn Plan, Unlisted Procedure Therapeutic Radiology Clinical Treatment Planning |
| 77300-CPT | Low | Radiation Therapy Dose Plan, Basic Radiation Dosimetry Calculation Central Axis Depth Dose Calculation Tdf Nsd Gap Calculation Off Axis Factor Tissue Inhomogeneity Factors Calculation Of Non Ionizing Radiation Surface And Depth Dose As Required During Course Of Treatment Only When Prescribed By The Treating Physician |
| 77301-CPT | High | Radiation Treatment Plan, An Intensity-Modulated Radiation Therapy (Imrt) Plan Constructs A Precise 3-D Map Of A Tumor. Radiation Doses Are Targeted To The Mapped Area And Vary By The Tumor Thickness. |
| 77399-CPT | High | Unlisted Px Med Radj Physics, Unlisted Procedure Medical Radiation Physics Dosimetry And Treatment Devices And Special Services |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77399. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77399 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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