APC 09383
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
Copper cu 64 dotatate dia
Low
$579
Average
$626
Median
$599
High
$922
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 1.1× 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 | $576 | $578 | $23 | 4% | — | $446 – $618 |
| 2 | Caresource fee schedule · outpatient | 20 | $594 | $599 | $8 | 1% | — | $594 – $612 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $594 | $594 | — | — | — | $594 – $594 |
| 4 | Aetna facility · fee schedule · outpatient · +1 other terms | 6 | $565 | $580 | $22 | 4% | — | $565 – $612 |
| 5 | Clover fee schedule · outpatient | 5 | $594 | $594 | — | — | — | $594 – $594 |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $612 | $612 | — | — | — | $612 – $612 |
| 7 | Medicare fee schedule · outpatient · +1 other terms | 5 | $594 | $594 | — | — | — | $594 – $594 |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 5 | $594 | $594 | — | — | — | $594 – $594 |
| 9 | WellCare fee schedule · outpatient | 5 | $612 | $612 | — | — | — | $612 – $612 |
| 10 | Carefirst facility · fee schedule · outpatient | 3 | $594 | $594 | — | — | — | $594 – $594 |
| 11 | Medica facility · fee schedule · outpatient | 3 | $618 | $618 | — | — | — | $618 – $618 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $594 | $594 | — | — | — | $594 – $594 |
| 13 | Amerihealth Caritas facility · fee schedule · outpatient | 1 | $606 | $606 | — | — | — | $606 – $606 |
| 14 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $573 | $573 | $40 | 7% | — | $536 – $628 |
← Hospitals reporting APC 09383 · Snapshot 20261111T120946Z-9134e7f7