APC 01064
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.
Original text from hospital filings
I131 iodide cap, rx
Low
$24
Average
$42
Median
$24
High
$306
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 1.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 86 | $23 | $24 | $1 | 4% | — | $18 – $25 |
| 2 | Caresource fee schedule · outpatient | 20 | $24 | $24 | $0 | 1% | — | $24 – $25 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 11 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 10 | $24 | $25 | $2 | 7% | — | $24 – $30 |
| 5 | Medicare facility · fee schedule · outpatient · +1 other terms | 8 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Aetna facility · fee schedule · outpatient · +2 other terms | 6 | $23 | $24 | $1 | 4% | — | $23 – $25 |
| 7 | Clover fee schedule · outpatient | 5 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Carefirst facility · fee schedule · outpatient | 3 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Medica facility · fee schedule · outpatient | 3 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $24 | $24 | — | — | — | $24 – $24 |
| 13 | Ambetter facility · fee schedule · outpatient | 2 | $45 | $45 | — | — | — | $45 – $45 |
| 14 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $38 | $38 | $14 | 37% | — | $24 – $52 |
| 15 | Bcbs Ca facility · fee schedule · outpatient | 2 | $75 | $69 | $32 | 46% | — | $24 – $92 |
| 16 | Cigna facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 17 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $152 | $152 | — | — | — | $152 – $152 |
| 18 | Anthem facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 19 | Bcbs Mi facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | Medical Mutual facility · other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 21 | Molina facility · fee schedule · outpatient | 1 | $25 | $25 | $1 | 2% | — | $24 – $25 |
← Hospitals reporting APC 01064 · Snapshot 20261111T120946Z-9134e7f7