APC 1442
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
Non-HEU TC-99M add-on/dose
Low
$5
Average
$37
Median
$11
High
$465
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 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 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 22 | $10 | $10 | $1 | 10% | — | $10 – $15 |
| 2 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 22 | $10 | $16 | $28 | 172% | — | $10 – $145 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 20 | $10 | $12 | $3 | 26% | — | $10 – $18 |
| 4 | Humana case rate · outpatient · +3 other terms | 14 | $10 | $11 | $0 | 4% | — | $10 – $11 |
| 5 | Molina fee schedule · outpatient · +2 other terms | 14 | $10 | $11 | $2 | 14% | — | $10 – $15 |
| 6 | Ambetter case rate · outpatient · +2 other terms | 12 | $18 | $20 | $2 | 12% | — | $18 – $23 |
| 7 | Clover case rate · outpatient | 12 | $10 | $11 | $0 | 4% | — | $10 – $11 |
| 8 | WellCare case rate · outpatient · +2 other terms | 12 | $11 | $11 | $1 | 5% | — | $11 – $12 |
| 9 | Medicare case rate · outpatient | 8 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 7 | $10 | $10 | $0 | 1% | — | $10 – $10 |
| 11 | Cigna fee schedule · outpatient · +1 other terms | 6 | $10 | $10 | $0 | 1% | — | $10 – $10 |
| 12 | Tricare facility · fee schedule · outpatient | 5 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Oscar fee schedule · outpatient | 3 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 14 | Sanford Health Plan case rate · outpatient | 3 | $14 | $15 | $1 | 10% | — | $12 – $17 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Aetna Better Health facility · case rate · outpatient | 1 | $8 | $8 | $2 | 32% | — | $5 – $10 |
| 17 | Medicaid facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | Optum fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Hospitals reporting APC 1442 · Snapshot 20261111T120946Z-9134e7f7