APC 1064

Radioactive iodine capsule treatment

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

I131 iodide cap, rx

Payers reporting APC 1064

Payer pricing summary

Low

$12

Average

$136

Median

$25

High

$3.4k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$33	$34	$12	37%	2–20	$24 – $54
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$24	$24	$0	1%	—	$23 – $25
3	Humana fee schedule · outpatient · +5 other terms	161	$24	$25	$7	27%	—	$23 – $96
4	Aetna fee schedule · outpatient · +5 other terms	155	$24	$25	$3	11%	—	$23 – $40
5	WellCare fee schedule · outpatient · +2 other terms	131	$25	$25	$1	4%	—	$23 – $32
6	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$24	$24	$1	3%	—	$21 – $32
7	Devoted fee schedule · outpatient · +2 other terms	122	$24	$24	$0	0%	—	$24 – $25
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$25	$25	$1	3%	—	$24 – $26
9	Molina fee schedule · outpatient · +4 other terms	69	$35	$34	$13	39%	—	$23 – $63
10	Superior Healthplan fee schedule · outpatient	40	$25	$25	—	—	—	$25 – $25
11	Anthem fee schedule · outpatient · +3 other terms	31	$24	$24	$1	2%	—	$23 – $25
12	Oscar fee schedule · outpatient · +3 other terms	27	$24	$26	$5	19%	—	$24 – $40
13	Medicare facility · fee schedule · outpatient · +2 other terms	20	$24	$24	—	—	—	$24 – $24
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$29	$29	$1	2%	—	$27 – $29
15	Cigna fee schedule · outpatient · +2 other terms	17	$25	$27	$8	30%	—	$23 – $58
16	Clover fee schedule · outpatient · +3 other terms	15	$25	$25	—	—	—	$25 – $25
17	Kaiser fee schedule · outpatient · +2 other terms	15	$25	$24	$0	1%	—	$24 – $25
18	Ambetter facility · fee schedule · outpatient · +3 other terms	13	$34	$31	$8	26%	—	$24 – $58
19	Optum facility · per diem · outpatient · +3 other terms	12	$24	$24	—	—	—	$24 – $24
20	Highmark case rate · outpatient · +2 other terms	5	$24	$33	$12	35%	—	$24 – $53
21	Medica facility · fee schedule · outpatient	5	$25	$25	$0	0%	—	$25 – $25
22	Tricare facility · fee schedule · outpatient	5	$23	$23	—	—	—	$23 – $23
23	Magellan facility · fee schedule · outpatient · +1 other terms	3	$25	$25	—	—	—	$25 – $25
24	Sanford Health Plan case rate · outpatient	3	$34	$34	$3	10%	—	$28 – $39
25	Bcbs Nj facility · other · outpatient	2	$24	$24	—	—	—	$24 – $24

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