Radioactive antibody infusion therapy

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

79403

Payers reporting CPT 79403

Payer pricing summary

Low

$71

Average

$691

Median

$441

High

$4.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +32 other terms	601	$383	$554	$2.6k	461%	—	$1 – $61.8k
2	Aetna fee schedule · outpatient · +28 other terms	530	$253	$434	$502	116%	—	$1 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	371	$265	$392	$384	98%	—	$1 – $3.2k
4	Cigna fee schedule · outpatient · +21 other terms	350	$369	$511	$356	70%	—	$70 – $2.0k
5	Humana fee schedule · outpatient · +27 other terms	332	$244	$331	$303	92%	—	$1 – $2.4k
6	WellCare fee schedule · outpatient · +17 other terms	160	$232	$250	$91	36%	—	$31 – $653
7	Anthem fee schedule · outpatient · +19 other terms	138	$404	$343	$265	77%	—	$6 – $2.3k
8	Molina fee schedule · outpatient · +23 other terms	136	$241	$283	$213	75%	—	$1 – $1.3k
9	Ambetter fee schedule · outpatient · +16 other terms	86	$404	$333	$166	50%	—	$84 – $784
10	Devoted fee schedule · outpatient · +9 other terms	70	$231	$218	$49	23%	—	$82 – $261
11	Kaiser fee schedule · outpatient · +17 other terms	68	$364	$558	$566	101%	—	$70 – $3.3k
12	Caresource fee schedule · outpatient · +10 other terms	63	$218	$238	$153	64%	—	$1 – $1.1k
13	Oscar facility · fee schedule · outpatient · +16 other terms	54	$341	$321	$81	25%	—	$189 – $438
14	MultiPlan fee schedule · outpatient · +17 other terms	47	$845	$697	$760	109%	—	$110 – $5.2k
15	Optum fee schedule · outpatient · +15 other terms	43	$227	$509	$491	97%	—	$82 – $1.9k
16	Tricare fee schedule · outpatient · +13 other terms	41	$237	$243	$25	10%	—	$208 – $299
17	Highmark facility · fee schedule · outpatient · +10 other terms	35	$360	$383	$247	64%	—	$69 – $1.3k
18	Bcbs Tx fee schedule · outpatient · +5 other terms	32	$313	$314	$98	31%	—	$135 – $612
19	Clover fee schedule · outpatient · +7 other terms	32	$245	$243	$15	6%	—	$211 – $281
20	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	25	$239	$257	$73	29%	—	$214 – $523
21	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$296	$295	$59	20%	—	$223 – $387
22	First Health fee schedule · outpatient · +14 other terms	24	$244	$758	$926	122%	—	$152 – $4.4k
23	Medicare fee schedule · outpatient · +13 other terms	24	$82	$111	$65	58%	—	$70 – $243
24	Regence facility · fee schedule · outpatient · +7 other terms	21	$246	$378	$258	68%	—	$208 – $990
25	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	21	$246	$242	$6	2%	—	$234 – $247

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