APC 00770

Indium-111 oxyquinoline radioactive imaging agent

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

In111 oxyquinoline

Payers reporting APC 00770

Payer pricing summary

Low

$809

Average

$1.0k

Median

$852

High

$2.4k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$807	$808	$32	4%	—	$624 – $865
2	Caresource fee schedule · outpatient	20	$831	$838	$11	1%	—	$831 – $856
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	11	$831	$831	—	—	—	$831 – $831
4	Medicare facility · fee schedule · outpatient · +1 other terms	6	$831	$831	—	—	—	$831 – $831
5	Aetna fee schedule · outpatient · +2 other terms	5	$848	$845	$4	0%	—	$840 – $848
6	Clover fee schedule · outpatient	5	$831	$831	—	—	—	$831 – $831
7	Kaiser fee schedule · outpatient · +2 other terms	5	$856	$856	—	—	—	$856 – $856
8	UnitedHealthcare fee schedule · outpatient · +1 other terms	5	$831	$831	—	—	—	$831 – $831
9	WellCare fee schedule · outpatient · +1 other terms	5	$856	$856	—	—	—	$856 – $856
10	Medica facility · fee schedule · outpatient	3	$865	$865	—	—	—	$865 – $865
11	Bcbs Ca facility · fee schedule · outpatient	2	$2.6k	$2.4k	$1.1k	46%	—	$831 – $3.2k
12	MultiPlan facility · other · outpatient · +1 other terms	2	$233	$233	—	—	—	$233 – $233
13	Aetna Better Health facility · fee schedule · outpatient	1	$873	$873	—	—	—	$873 – $873
14	Ambetter facility · fee schedule · outpatient	1	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
15	Amerihealth Caritas facility · fee schedule · outpatient	1	$1.3k	$1.3k	$478	37%	—	$831 – $1.8k
16	Cigna facility · fee schedule · outpatient	1	$831	$831	—	—	—	$831 – $831
17	Molina facility · fee schedule · outpatient	1	$935	$935	$104	11%	—	$831 – $1.0k