Fluoroscopy guidance for spine injection

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 FLUOROGUIDE FOR SPINE INJECT

Payers reporting CPT 77003

Payer pricing summary

Low

Average

$416

Median

$355

High

$1.4k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	360	$196	$219	$289	132%	17–62	$0 – $6.1k
2	Aetna fee schedule · outpatient · +37 other terms	447	$191	$401	$549	137%	4–40	$1 – $13.9k
3	Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$582	$582	$6	1%	4–40	$579 – $592
4	UnitedHealthcare fee schedule · outpatient · +37 other terms	301	$137	$351	$548	156%	—	$1 – $6.8k
5	Humana fee schedule · outpatient · +32 other terms	213	$175	$294	$325	111%	—	$1 – $1.5k
6	Anthem fee schedule · outpatient · +28 other terms	157	$187	$175	$212	121%	—	$20 – $1.9k
7	Cigna fee schedule · outpatient · +31 other terms	140	$161	$702	$1.7k	245%	—	$23 – $11.1k
8	MultiPlan fee schedule · outpatient · +24 other terms	107	$853	$851	$720	85%	—	$41 – $5.7k
9	Molina fee schedule · outpatient · +34 other terms	103	$95	$136	$167	122%	—	$1 – $1.1k
10	Kaiser fee schedule · outpatient · +25 other terms	60	$104	$329	$444	135%	—	$29 – $1.9k
11	Highmark facility · fee schedule · outpatient · +20 other terms	49	$60	$250	$386	154%	—	$21 – $2.0k
12	WellCare fee schedule · outpatient · +23 other terms	47	$108	$145	$98	67%	—	$23 – $504
13	Medica fee schedule · outpatient · +22 other terms	46	$263	$279	$149	53%	—	$23 – $871
14	Caresource fee schedule · outpatient · +20 other terms	45	$162	$186	$98	53%	—	$1 – $512
15	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	44	$60	$98	$103	105%	—	$28 – $442
16	First Health fee schedule · outpatient · +19 other terms	39	$777	$958	$598	62%	—	$35 – $2.5k
17	Medicaid facility · fee schedule · outpatient · +17 other terms	38	$65	$101	$66	65%	—	$28 – $274
18	Aetna Better Health fee schedule · outpatient · +17 other terms	31	$92	$104	$59	56%	—	$30 – $254
19	Ambetter fee schedule · both · +21 other terms	30	$98	$115	$89	77%	—	$26 – $679
20	Tricare facility · fee schedule · outpatient · +19 other terms	30	$578	$5.7k	$14.9k	264%	—	$15 – $50k
21	Regence professional · fee schedule · outpatient · +19 other terms	29	$51	$102	$90	88%	—	$24 – $334
22	Optum fee schedule · outpatient · +19 other terms	28	$88	$502	$595	118%	—	$31 – $1.9k
23	Phcs fee schedule · outpatient · +17 other terms	28	$782	$830	$230	28%	—	$491 – $1.6k
24	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$685	$536	$165	31%	—	$133 – $741
25	Devoted fee schedule · outpatient · +15 other terms	22	$100	$94	$17	18%	—	$30 – $104

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