# CPT 77412: Radiation treatment delivery, three or more treatment areas, complex

Medicare CPT 77412 pays $443.56 in a non-facility setting and $443.56 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $380.22 in Arkansas to $523.36 in California, a 38% spread.

Web page: https://www.med-reveal.com/rates/77412-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $443.56 |
| National facility | $443.56 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $523.36 | $523.36 |
| District of Columbia | $522.37 | $522.37 |
| Washington | $504.84 | $504.84 |
| Hawaii | $503.03 | $503.03 |
| New Jersey | $499.35 | $499.35 |
| Massachusetts | $497.69 | $497.69 |
| New York | $495.41 | $495.41 |
| Connecticut | $478.03 | $478.03 |
| Colorado | $471.29 | $471.29 |
| Alaska | $471.19 | $471.19 |
| Oregon | $466.52 | $466.52 |
| Maryland | $462.50 | $462.50 |
| New Hampshire | $461.36 | $461.36 |
| Rhode Island | $457.87 | $457.87 |
| Minnesota | $454.71 | $454.71 |
| Puerto Rico | $448.38 | $448.38 |
| Virgin Islands | $448.38 | $448.38 |
| Florida | $447.25 | $447.25 |
| Nevada | $443.61 | $443.61 |
| Montana | $443.56 | $443.56 |
| Wyoming | $442.96 | $442.96 |
| North Dakota | $442.18 | $442.18 |
| South Dakota | $442.01 | $442.01 |
| Delaware | $438.03 | $438.03 |
| Vermont | $438.00 | $438.00 |
| Texas | $436.56 | $436.56 |
| Virginia | $435.38 | $435.38 |
| Pennsylvania | $434.68 | $434.68 |
| Illinois | $430.80 | $430.80 |
| Arizona | $429.55 | $429.55 |
| Georgia | $423.73 | $423.73 |
| Wisconsin | $423.41 | $423.41 |
| Maine | $423.06 | $423.06 |
| Michigan | $417.60 | $417.60 |
| Utah | $416.85 | $416.85 |
| North Carolina | $413.16 | $413.16 |
| Indiana | $410.15 | $410.15 |
| South Carolina | $409.68 | $409.68 |
| Nebraska | $408.14 | $408.14 |
| New Mexico | $407.41 | $407.41 |
| Missouri | $407.20 | $407.20 |
| Idaho | $407.03 | $407.03 |
| Louisiana | $405.29 | $405.29 |
| Ohio | $405.20 | $405.20 |
| Iowa | $404.65 | $404.65 |
| Tennessee | $402.33 | $402.33 |
| Kansas | $400.05 | $400.05 |
| Oklahoma | $395.83 | $395.83 |
| Kentucky | $394.39 | $394.39 |
| Alabama | $387.40 | $387.40 |
| West Virginia | $386.77 | $386.77 |
| Mississippi | $381.62 | $381.62 |
| Arkansas | $380.22 | $380.22 |

## Related codes

- 76932: Ultrasound guidance for endomyocardial biopsy — https://www.med-reveal.com/rates/76932-cpt-fee-schedule
- 76936: Ultrasound guidance for vascular access compression repair — https://www.med-reveal.com/rates/76936-cpt-fee-schedule
- 76940: Ultrasound guidance for tissue ablation — https://www.med-reveal.com/rates/76940-cpt-fee-schedule
- 76941: Ultrasound guidance for intrauterine fetal transfusion or procedure — https://www.med-reveal.com/rates/76941-cpt-fee-schedule
- 76942: Ultrasound guidance for needle placement — https://www.med-reveal.com/rates/76942-cpt-fee-schedule
- 76965: Ultrasound guidance for interstitial radioelement application — https://www.med-reveal.com/rates/76965-cpt-fee-schedule
- 76975: Ultrasound guidance for gastrointestinal endoscopic procedure — https://www.med-reveal.com/rates/76975-cpt-fee-schedule
- 77001: Fluoroscopic guidance for central venous access device placement — https://www.med-reveal.com/rates/77001-cpt-fee-schedule

Commercial negotiated rates for 77412 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules