APC 00771

Indium-111 pentetate 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-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

In111 pentetate

Payers reporting APC 00771

Payer pricing summary

Low

$727

Average

$904

Median

$759

High

$2.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +1 other terms	86	$723	$725	$28	4%	—	$559 – $775
2	Caresource fee schedule · outpatient	20	$746	$751	$10	1%	—	$746 – $768
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	11	$746	$746	—	—	—	$746 – $746
4	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	11	$746	$764	$48	6%	—	$746 – $932
5	Medicare facility · fee schedule · outpatient · +1 other terms	9	$746	$746	—	—	—	$746 – $746
6	Aetna facility · fee schedule · outpatient · +2 other terms	6	$708	$728	$28	4%	—	$708 – $768
7	Clover fee schedule · outpatient	5	$746	$746	—	—	—	$746 – $746
8	Kaiser fee schedule · outpatient · +2 other terms	5	$768	$768	—	—	—	$768 – $768
9	WellCare fee schedule · outpatient · +1 other terms	5	$768	$768	—	—	—	$768 – $768
10	Carefirst facility · fee schedule · outpatient	3	$746	$746	—	—	—	$746 – $746
11	Medica facility · fee schedule · outpatient	3	$775	$775	—	—	—	$775 – $775
12	Tricare facility · fee schedule · outpatient	3	$746	$746	—	—	—	$746 – $746
13	Ambetter facility · fee schedule · outpatient	2	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
14	Amerihealth Caritas facility · fee schedule · outpatient	2	$1.2k	$1.2k	$429	37%	—	$746 – $1.6k
15	Bcbs Ca facility · fee schedule · outpatient	2	$2.3k	$2.1k	$988	46%	—	$746 – $2.8k
16	Cigna facility · fee schedule · outpatient	2	$746	$746	—	—	—	$746 – $746
17	MultiPlan facility · other · outpatient · +1 other terms	2	$781	$781	—	—	—	$781 – $781
18	Aetna Better Health facility · fee schedule · outpatient	1	$783	$783	—	—	—	$783 – $783
19	Molina facility · fee schedule · outpatient	1	$839	$839	$93	11%	—	$746 – $932