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See a sample rate comparisonCPT 77425 Fee Schedule
CPT 77425 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
Intraoperative Radiation Treatment Delivery Electrons Single Treatment Session (Reinstated 1/1/2012 Previous Description: Weekly Radiation Therapy;Intermediate)
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 77425 |
| Medicaid Fee Schedule | $143.18 median of the 3 states in the free preview · View Medicaid rates for 77425 |
National average reimbursement for CPT 77425 by major payers:
$10,824.17
BCBS / Anthem
$180.41
UnitedHealthcare
$275.52
Aetna
$3,849.14
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 77425.
CPT 77425
5 of 25 sample ratesHigher to lower in this preview
Peacehealth, St. Joseph Medical Center
Peacehealth St Joseph Medical Center
$44,562.66Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$11,573.59Published rateMercy Health, Harness Health Pharmacy
Mercy Health
$5,736.54Published rateSt. Joseph Health Northern California, LLC, Queen Of The Valley Hospital
St Joseph Health Northern California LLC
$825.00Published rateSanta Barbara Cottage Hospital
$825.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77425 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77425. 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 77425. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77425 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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