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See a sample rate comparisonCPT 77520 Fee Schedule
CPT 77520 is classified under Radiology Procedures, in the Radiation Oncology Treatment subgroup.
Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office |
| Common Modifiers | Q1 - Routine clinical service provided in a clinical research study XE - Separate encounter |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77520 |
| Medicaid Fee Schedule | $687.615 median of the 8 states in the free preview · View Medicaid rates for 77520 |
National average reimbursement for CPT 77520 by major payers:
$939.82
BCBS / Anthem
$817.99
UnitedHealthcare
$1,828.58
Aetna
$1,340.87
Cigna
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CPT 77520
5 of 25 sample ratesHigher to lower in this preview
Gregory Schaiberger
Radiology Associates Of North Texas, PA
$2,150.52Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$1,137.56Published rateMegan Rayman
Northern Arizona Healthcare Corporation
$140.00Published rateDana Garner
Northern Arizona Healthcare Corporation
$140.00Published rateRestorative Health Rehabilitation Inc
$55.00Published rate
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See a sample payer proposalCPT 77520 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77520. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 77520-CPT | Moderate | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
| 77522-CPT | High | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
| 77523-CPT | High | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
| 77525-CPT | High | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77520 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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