Table 2.
CPT1 codes and prices, fractionation options, and costs.
| CPT Code, Description | Price per Unit ∗ | Number of Units |
|---|---|---|
| 77301, IMRT2 treatment planning | $2033.26 | 1 |
|
| ||
| 77263, treatment planning complex | $170.64 | 1 |
|
| ||
| 77338, MLCc design for IMRT | $527.39 | 1 |
|
| ||
| 77300, Basic Dose Calculation | $68.76 | 2 |
|
| ||
| G6015, IMRT treatment delivery∗∗ | $358.00 | By number of fractions |
|
| ||
| 77336, physics consult hour∗∗ | $82.80 | 45 fx4 – 9; 39 fx – 8; 28 fx – 6; 20 fx – 4 |
|
| ||
| 77014, cone beam CT∗∗ | $122.40 | By number of fractions |
|
| ||
| 77427, weekly treatment management∗∗ | $191.16 | 45 fx4 – 9; 39 fx – 8; 28 fx – 6; 20 fx – 4 |
|
| ||
| Fractionation Scheme | Cost per Patient | |
|
| ||
| 45 fractions | $26,782 | |
|
| ||
| 39 fractions | $23,625 | |
|
| ||
| 28 fractions | $17,793 | |
|
| ||
| 20 fractions | $13,402 | |
1CPT: current procedural terminology.
2Intensity modulated radiotherapy.
3MLC: multileaf collimator.
4Fx: fractions.
∗The total price per code includes the professional component and technical charge when applicable.
∗∗Number of units varies by treatment duration.