High-activity palladium-103 radioactive seed for brachytherapy

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 Sup Brachytx Non-Str Ha P-103

Payers reporting HCPCS C2635

Payer pricing summary

Low

$32

Average

$172

Median

$120

High

$632

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	247	$105	$160	$398	248%	—	$58 – $4.6k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	246	$82	$135	$169	125%	—	$13 – $2.0k
3	Humana fee schedule · outpatient · +8 other terms	194	$76	$89	$41	46%	—	$26 – $370
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	177	$156	$198	$118	59%	—	$0 – $545
5	Cigna fee schedule · outpatient · +5 other terms	109	$105	$126	$90	71%	—	$66 – $541
6	WellCare fee schedule · outpatient · +3 other terms	105	$77	$131	$187	142%	—	$65 – $1.1k
7	Molina fee schedule · outpatient · +7 other terms	90	$113	$224	$393	175%	—	$28 – $2.8k
8	Anthem fee schedule · outpatient · +6 other terms	66	$105	$285	$464	163%	—	$26 – $2.4k
9	Kaiser fee schedule · outpatient · +6 other terms	58	$108	$150	$83	55%	—	$69 – $399
10	Devoted fee schedule · outpatient · +2 other terms	54	$76	$88	$15	17%	—	$69 – $114
11	Ambetter facility · fee schedule · outpatient · +3 other terms	41	$167	$159	$28	17%	—	$69 – $192
12	Bcbs Tx fee schedule · outpatient · +1 other terms	32	$238	$241	$104	43%	—	$65 – $441
13	Clover fee schedule · outpatient · +2 other terms	29	$78	$88	$15	17%	—	$71 – $110
14	Optum fee schedule · outpatient · +2 other terms	29	$105	$127	$49	39%	—	$69 – $208
15	Medicare fee schedule · outpatient · +2 other terms	24	$105	$103	$10	10%	—	$49 – $105
16	Caresource facility · case rate · outpatient · +7 other terms	23	$269	$217	$121	56%	—	$26 – $485
17	Regence facility · fee schedule · outpatient · +1 other terms	21	$111	$112	$33	30%	—	$59 – $201
18	Tricare fee schedule · outpatient · +2 other terms	17	$101	$90	$18	20%	—	$59 – $107
19	Highmark fee schedule · outpatient · +2 other terms	16	$99	$119	$226	190%	—	$31 – $2.8k
20	Oscar facility · fee schedule · outpatient · +3 other terms	16	$141	$127	$31	24%	—	$69 – $160
21	MultiPlan fee schedule · outpatient · +4 other terms	15	$100	$98	$6	6%	—	$69 – $100
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	14	$107	$108	$15	14%	—	$69 – $152
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$640	$461	$435	94%	—	$59 – $1.0k
24	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$53	$60	$8	14%	—	$53 – $69
25	Bcbs Nj fee schedule · outpatient	12	$78	$164	$110	67%	—	$76 – $335

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