Surface radiation source placement

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

APPLY SURF LDR RADIONUCLIDE

Payers reporting CPT 77789

Payer pricing summary

Low

$63

Average

$348

Median

$196

High

$1.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +27 other terms	485	$134	$292	$474	162%	—	$1 – $8.4k
2	UnitedHealthcare fee schedule · outpatient · +32 other terms	345	$110	$256	$1.1k	417%	—	$1 – $17.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	335	$175	$212	$150	71%	—	$1 – $879
4	Humana fee schedule · outpatient · +25 other terms	307	$112	$211	$229	109%	—	$1 – $1.8k
5	Cigna fee schedule · outpatient · +22 other terms	300	$181	$271	$827	306%	—	$52 – $15.6k
6	WellCare fee schedule · outpatient · +16 other terms	143	$109	$116	$41	35%	—	$61 – $257
7	Molina fee schedule · outpatient · +24 other terms	136	$121	$141	$103	73%	—	$1 – $1.1k
8	Anthem fee schedule · outpatient · +22 other terms	125	$283	$225	$218	97%	—	$2 – $1.6k
9	Ambetter facility · fee schedule · outpatient · +13 other terms	89	$182	$191	$442	231%	—	$102 – $7.1k
10	Kaiser fee schedule · outpatient · +16 other terms	69	$145	$197	$151	76%	—	$63 – $963
11	Devoted fee schedule · outpatient · +11 other terms	59	$110	$103	$14	13%	—	$73 – $121
12	Oscar facility · fee schedule · outpatient · +18 other terms	45	$152	$159	$23	14%	—	$126 – $209
13	Optum fee schedule · outpatient · +19 other terms	43	$99	$419	$1.5k	347%	—	$73 – $7.7k
14	Caresource fee schedule · outpatient · +12 other terms	40	$87	$90	$34	38%	—	$1 – $174
15	MultiPlan fee schedule · outpatient · +17 other terms	39	$192	$213	$184	86%	—	$82 – $802
16	Tricare fee schedule · outpatient · +14 other terms	35	$107	$107	$11	10%	—	$93 – $131
17	Clover fee schedule · outpatient · +6 other terms	33	$120	$113	$10	9%	—	$92 – $129
18	Bcbs Tx fee schedule · outpatient · +5 other terms	32	$272	$279	$113	40%	—	$103 – $502
19	Highmark facility · fee schedule · outpatient · +10 other terms	31	$121	$132	$66	50%	—	$73 – $499
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$130	$129	$26	20%	—	$97 – $169
21	Medicare fee schedule · outpatient · +12 other terms	24	$73	$77	$15	20%	—	$63 – $119
22	Medica facility · fee schedule · outpatient · +15 other terms	23	$110	$113	$59	52%	—	$46 – $472
23	Regence facility · fee schedule · outpatient · +11 other terms	21	$109	$175	$129	74%	—	$101 – $485
24	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	21	$108	$106	$2	2%	—	$103 – $108
25	Aetna Better Health fee schedule · outpatient · +18 other terms	19	$103	$101	$22	22%	—	$71 – $156

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