3D imaging reconstruction with radiologist interpretation

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

CT 3d Reconstruction

Payers reporting CPT 76377

Payer pricing summary

Low

Average

$462

Median

$340

High

$2.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	343	$106	$229	$393	171%	84–147	$1 – $7.2k
2	Cigna fee schedule · outpatient · +36 other terms	188	$488	$609	$1.3k	207%	21–75	$36 – $11.1k
3	Anthem fee schedule · outpatient · +32 other terms	151	$186	$254	$491	193%	20–47	$30 – $4.2k
4	Medica fee schedule · outpatient · +24 other terms	40	$245	$316	$332	105%	12–120	$19 – $1.5k
5	Superior Healthplan facility · other · outpatient · +5 other terms	5	$140	$266	$340	128%	8–80	$39 – $936
6	Aetna fee schedule · outpatient · +37 other terms	430	$235	$394	$500	127%	5–50	$1 – $8.4k
7	UnitedHealthcare fee schedule · outpatient · +40 other terms	291	$132	$729	$1.5k	199%	3–30	$1 – $13.9k
8	Humana fee schedule · outpatient · +35 other terms	195	$125	$285	$377	132%	3–30	$1 – $2.8k
9	First Health fee schedule · outpatient · +22 other terms	40	$1.0k	$1.7k	$1.5k	90%	3–30	$45 – $5.9k
10	Florida Blue fee schedule · outpatient · +3 other terms	1	$625	$625	$155	25%	3–30	$484 – $918
11	Medicare professional · fee schedule · outpatient · +15 other terms	22	$55	$56	$20	36%	1–10	$34 – $82
12	MultiPlan fee schedule · outpatient · +24 other terms	101	$987	$1.3k	$1.3k	98%	—	$41 – $6.9k
13	Kaiser fee schedule · outpatient · +27 other terms	59	$113	$928	$1.2k	131%	—	$36 – $5.1k
14	Molina professional · fee schedule · outpatient · +28 other terms	52	$37	$41	$15	37%	—	$8 – $107
15	WellCare fee schedule · outpatient · +21 other terms	39	$125	$128	$88	69%	—	$40 – $581
16	Caresource fee schedule · outpatient · +19 other terms	38	$119	$132	$69	52%	—	$1 – $462
17	Regence professional · fee schedule · outpatient · +17 other terms	38	$45	$71	$36	51%	—	$35 – $188
18	Medicaid fee schedule · outpatient · +15 other terms	31	$693	$799	$827	104%	—	$1 – $2.9k
19	Highmark facility · fee schedule · outpatient · +20 other terms	28	$238	$684	$524	77%	—	$28 – $2.0k
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	26	$1.7k	$1.7k	$141	8%	—	$1.5k – $1.8k
21	Tricare facility · fee schedule · outpatient · +18 other terms	26	$845	$1.6k	$6.1k	383%	—	$36 – $50k
22	Optum professional · fee schedule · outpatient · +17 other terms	25	$55	$52	$20	39%	—	$26 – $89
23	Phcs fee schedule · outpatient · +17 other terms	24	$746	$862	$236	27%	—	$563 – $1.4k
24	Devoted professional · fee schedule · outpatient · +14 other terms	23	$54	$48	$16	33%	—	$35 – $82
25	Ambetter fee schedule · outpatient · +19 other terms	22	$227	$269	$226	84%	—	$25 – $906

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