Iodine-125 seed brachytherapy source

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 Prostate Nonstrand I-125

Payers reporting HCPCS C2639

Payer pricing summary

Low

$35

Average

$157

Median

$118

High

$833

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	307	$37	$101	$155	154%	—	$1 – $1.2k
2	Aetna fee schedule · outpatient · +23 other terms	298	$37	$70	$105	151%	—	$1 – $981
3	Humana fee schedule · outpatient · +20 other terms	233	$36	$56	$109	193%	—	$1 – $907
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	205	$91	$119	$87	73%	—	$0 – $563
5	Cigna fee schedule · outpatient · +21 other terms	144	$38	$86	$113	132%	—	$11 – $952
6	Molina fee schedule · outpatient · +21 other terms	121	$38	$125	$304	243%	—	$1 – $2.8k
7	WellCare fee schedule · outpatient · +14 other terms	115	$36	$65	$159	245%	—	$9 – $1.1k
8	Anthem fee schedule · outpatient · +19 other terms	82	$36	$114	$291	255%	—	$18 – $2.4k
9	Kaiser fee schedule · outpatient · +19 other terms	78	$54	$65	$40	63%	—	$29 – $278
10	Devoted facility · fee schedule · outpatient · +8 other terms	55	$37	$36	$3	7%	—	$33 – $41
11	MultiPlan fee schedule · outpatient · +12 other terms	52	$72	$191	$307	160%	—	$24 – $1.3k
12	Ambetter facility · fee schedule · outpatient · +12 other terms	50	$66	$69	$15	22%	—	$35 – $91
13	Optum fee schedule · outpatient · +13 other terms	50	$35	$42	$19	46%	—	$33 – $132
14	Caresource fee schedule · outpatient · +12 other terms	35	$57	$211	$233	111%	—	$1 – $524
15	Bcbs Tx fee schedule · outpatient · +2 other terms	32	$150	$151	$68	45%	—	$33 – $279
16	Clover fee schedule · outpatient · +3 other terms	29	$38	$38	$2	4%	—	$35 – $41
17	Oscar facility · fee schedule · outpatient · +13 other terms	27	$48	$52	$9	17%	—	$35 – $62
18	Medicare fee schedule · outpatient · +8 other terms	26	$36	$36	$1	3%	—	$34 – $40
19	Tricare facility · fee schedule · outpatient · +10 other terms	26	$35	$36	$2	5%	—	$33 – $43
20	Amerihealth Caritas other · outpatient · +9 other terms	25	$16	$24	$18	76%	—	$8 – $96
21	Bcbs La fee schedule · outpatient · +2 other terms	25	$134	$132	$49	38%	—	$32 – $213
22	Regence facility · fee schedule · outpatient · +9 other terms	21	$38	$49	$30	61%	—	$30 – $140
23	Aetna Better Health other · outpatient · +10 other terms	19	$13	$20	$19	95%	—	$8 – $96
24	Wellmark facility · other · both · +11 other terms	19	$103	$99	$43	43%	—	$32 – $149
25	Highmark fee schedule · outpatient · +10 other terms	17	$47	$71	$214	302%	—	$16 – $2.8k

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