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See a sample rate comparisonCPT 77523 Fee Schedule
CPT 77523 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | Q1 - Routine clinical service provided in a clinical research study PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 77523 |
| Medicaid Fee Schedule | $797.395 median of the 8 states in the free preview · View Medicaid rates for 77523 |
National average reimbursement for CPT 77523 by major payers:
$1,144.91
BCBS / Anthem
$940.95
UnitedHealthcare
$2,371.78
Aetna
$1,655.22
Cigna
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CPT 77523
5 of 25 sample ratesHigher to lower in this preview
Charles Seal
Town Center Orthopaedic Associates, P.C.
$1,313.26Published rateJustin Hemmer
Town Center Orthopaedic Associates, P.C.
$1,233.18Published rateKimberly Sargent
Northern Arizona Healthcare Corporation
$160.38Published rateMark Liwanag
Northern Arizona Healthcare Corporation
$160.38Published rateDa Pediatric Rehabilitation
$35.00Published rate
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See a sample payer proposalCPT 77523 vs. Other Radiation Oncology Treatment Codes
The table lists codes related to 77523. 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 77523. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77523 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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