Brachytherapy radioactive seed source (Iridium-192)

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

Hdr I192 Tx Source

Payers reporting HCPCS C1717

Payer pricing summary

Low

$336

Average

$1.7k

Median

$691

High

$20.2k

Payer rate distribution

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#
1	Medicare other · both · +10 other terms	34	$357	$381	$105	28%	395–431	$342 – $887
2	Wellmark case rate · outpatient · +9 other terms	12	$349	$394	$105	27%	194	$349 – $641
3	UnitedHealthcare fee schedule · outpatient · +27 other terms	299	$357	$499	$520	104%	2–20	$1 – $10.1k
4	Humana fee schedule · outpatient · +18 other terms	224	$349	$390	$211	54%	2–20	$1 – $2.2k
5	Aetna fee schedule · outpatient · +27 other terms	287	$357	$525	$430	82%	1–10	$1 – $3.8k
6	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	213	$828	$1.0k	$665	64%	1–10	$0 – $3.1k
7	Molina fee schedule · outpatient · +20 other terms	104	$377	$506	$341	67%	1–10	$1 – $2.8k
8	Optum fee schedule · outpatient · +13 other terms	36	$350	$464	$603	130%	1–10	$170 – $4.5k
9	Bcbs In other · both	5	$1.5k	$1.4k	$144	10%	1–10	$1.2k – $1.6k
10	Cigna fee schedule · outpatient · +26 other terms	132	$350	$510	$485	95%	—	$1 – $5.3k
11	WellCare fee schedule · outpatient · +14 other terms	122	$357	$438	$180	41%	—	$73 – $1.1k
12	Anthem fee schedule · outpatient · +22 other terms	74	$350	$716	$652	91%	—	$72 – $2.7k
13	Ambetter facility · fee schedule · outpatient · +12 other terms	65	$661	$688	$138	20%	—	$342 – $887
14	Kaiser fee schedule · outpatient · +17 other terms	63	$430	$585	$405	69%	—	$286 – $2.6k
15	Devoted fee schedule · outpatient · +9 other terms	51	$350	$349	$15	4%	—	$325 – $383
16	Caresource fee schedule · outpatient · +17 other terms	45	$415	$436	$130	30%	—	$1 – $1.0k
17	MultiPlan fee schedule · outpatient · +14 other terms	45	$584	$836	$984	118%	—	$342 – $7.6k
18	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$1.4k	$1.4k	$608	44%	—	$322 – $2.5k
19	Clover fee schedule · outpatient · +5 other terms	29	$374	$370	$18	5%	—	$338 – $403
20	Highmark facility · fee schedule · outpatient · +12 other terms	28	$656	$628	$361	57%	—	$165 – $1.6k
21	Tricare other · both · +11 other terms	28	$342	$343	$10	3%	—	$325 – $367
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$444	$443	$88	20%	—	$334 – $581
23	Oscar facility · fee schedule · outpatient · +15 other terms	25	$472	$498	$88	18%	—	$342 – $661
24	Regence facility · fee schedule · outpatient · +12 other terms	21	$372	$476	$283	59%	—	$291 – $1.3k
25	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	21	$369	$362	$9	2%	—	$352 – $370

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