Insertion of drug-delivery implant

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC INSERT NONBIODEGRADE DRUG IMPLANT

Payers reporting CPT 11981

Payer pricing summary

Low

$91

Average

$1.2k

Median

$311

High

$17.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +40 other terms	539	$146	$899	$2.0k	226%	54–72	$1 – $21.3k
2	Premera professional · fee schedule · both · +17 other terms	18	$55	$49	$35	73%	21–30	$5 – $140
3	UnitedHealthcare fee schedule · outpatient · +40 other terms	591	$141	$583	$1.4k	243%	6–60	$1 – $22.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	419	$205	$497	$1.2k	232%	3–30	$0 – $14.4k
5	Humana fee schedule · outpatient · +32 other terms	395	$131	$299	$977	326%	2–20	$1 – $16.3k
6	Cigna case rate · outpatient · +36 other terms	286	$1.8k	$4.5k	$7.1k	159%	2–20	$0 – $40.7k
7	Ucare professional · fee schedule · outpatient · +20 other terms	29	$37	$48	$44	91%	2–20	$5 – $336
8	Carefirst professional · fee schedule · both · +16 other terms	19	$42	$40	$36	90%	2–20	$3 – $210
9	Molina fee schedule · outpatient · +33 other terms	247	$106	$112	$121	108%	1–10	$1 – $1.2k
10	Anthem fee schedule · outpatient · +33 other terms	126	$213	$271	$589	217%	1–10	$28 – $6.3k
11	Bcbs Id fee schedule · outpatient · +7 other terms	5	$266	$237	$73	31%	1–10	$150 – $327
12	WellCare fee schedule · outpatient · +26 other terms	180	$140	$212	$503	237%	—	$23 – $4.3k
13	Oscar case rate · outpatient · +23 other terms	129	$2.5k	$2.6k	$762	29%	—	$202 – $7.5k
14	Kaiser fee schedule · outpatient · +24 other terms	106	$190	$298	$567	190%	—	$1 – $4.3k
15	Aetna Better Health fee schedule · outpatient · +23 other terms	78	$59	$70	$48	69%	—	$49 – $453
16	Ambetter facility · fee schedule · outpatient · +22 other terms	74	$231	$717	$1.9k	272%	—	$60 – $9.6k
17	Optum fee schedule · outpatient · +26 other terms	73	$121	$131	$81	62%	—	$56 – $491
18	Devoted fee schedule · outpatient · +21 other terms	69	$131	$125	$34	27%	—	$54 – $319
19	MultiPlan fee schedule · outpatient · +23 other terms	55	$205	$197	$39	20%	—	$41 – $436
20	Highmark facility · fee schedule · outpatient · +21 other terms	51	$198	$253	$272	107%	—	$49 – $1.5k
21	Caresource fee schedule · outpatient · +23 other terms	48	$133	$208	$547	263%	—	$1 – $4.3k
22	First Health fee schedule · outpatient · +21 other terms	46	$139	$766	$2.0k	260%	—	$46 – $7.2k
23	Healthcare Highways case rate · outpatient · +4 other terms	42	$5.8k	$6.6k	$5.1k	78%	—	$2.1k – $14.6k
24	Regence professional · fee schedule · outpatient · +19 other terms	41	$79	$121	$84	69%	—	$8 – $358
25	Tricare fee schedule · outpatient · +22 other terms	41	$121	$595	$1.5k	247%	—	$53 – $5.0k

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