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See a sample rate comparisonCPT 77423 Fee Schedule
CPT 77423 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
High-Energy Radiation Therapy, Radiation Therapy Using High-Energy Neutrons Is Directed At The Affected Site. Neutrons Damage Cells That Do Not Have Any Oxygen In Them. Blocks Or Wedges May Be Used To Hold Tissues Perfectly Still During Treatment.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 76 - Repeat procedure by same physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77423 |
| Medicaid Fee Schedule | $70.575 median of the 8 states in the free preview · View Medicaid rates for 77423 |
National average reimbursement for CPT 77423 by major payers:
$253.07
BCBS / Anthem
$149.96
UnitedHealthcare
$165.67
Aetna
$152.22
Cigna
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CPT 77423
5 of 25 sample ratesHigher to lower in this preview
Jorge Chavez
Northern Arizona Healthcare Corporation
$369.60Published rateJeremy Payne
Northern Arizona Healthcare Corporation
$369.60Published ratePaul Wheeler
Radiology Associates Of North Texas, PA
$245.41Published rateAysha Agarwal
Northern Arizona Healthcare Corporation
$119.55Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$63.11Published rate
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See a sample payer proposalCPT 77423 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77423. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77423-CPT | Moderate | High-Energy Radiation Therapy, Radiation Therapy Using High-Energy Neutrons Is Directed At The Affected Site. Neutrons Damage Cells That Do Not Have Any Oxygen In Them. Blocks Or Wedges May Be Used To Hold Tissues Perfectly Still During Treatment. |
| 77424-CPT | High | Intraoperat Radiati Treatmn Dlvery X-Ray Sngle Treatmn S, Intraoperative Radiation Treatment Delivery X-Ray Single Treatment S |
| 77425-CPT | High | Intraoperative Radiation Treatment Delivery Electrons Single Treatment Session (Reinstated 1/1/2012 Previous Description: Weekly Radiation Therapy;Intermediate) |
| 77427-CPT | Moderate | Physician Services Radiation, Physician Review And Management Of All Aspects Of Radiation Therapy From Dose Calculation And Delivery To Care Supervision. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77423. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77423 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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