APC 4002

Stereotactic X-ray guidance

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

Stereoscopic x-ray guidance

Payers reporting APC 4002

Payer pricing summary

Low

$28

Average

$55

Median

$52

High

$92

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$51	$51	$1	2%	—	$50 – $54
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$54	$54	$1	2%	—	$53 – $55
3	Aetna fee schedule · outpatient · +2 other terms	20	$54	$62	$16	26%	—	$53 – $92
4	Molina fee schedule · outpatient · +2 other terms	14	$54	$59	$8	14%	—	$53 – $79
5	Humana fee schedule · outpatient · +2 other terms	13	$53	$53	$1	1%	—	$53 – $54
6	Medicare case rate · outpatient	8	$48	$49	$1	2%	—	$48 – $51
7	Ambetter case rate · outpatient · +2 other terms	7	$86	$87	$1	1%	—	$86 – $89
8	Anthem fee schedule · outpatient · +1 other terms	7	$53	$53	$0	1%	—	$53 – $54
9	Clover case rate · outpatient	7	$50	$50	$0	1%	—	$50 – $51
10	Tricare case rate · outpatient	7	$46	$46	—	—	—	$46 – $46
11	WellCare case rate · outpatient · +1 other terms	7	$51	$52	$0	1%	—	$51 – $53
12	Cigna fee schedule · outpatient	6	$53	$53	$1	2%	—	$53 – $55
13	Oscar fee schedule · outpatient	3	$92	$92	$0	0%	—	$92 – $92
14	Sanford Health Plan case rate · outpatient	3	$76	$77	$8	10%	—	$64 – $88
15	Kaiser fee schedule · outpatient · +1 other terms	2	$54	$54	—	—	—	$54 – $54
16	Aetna Better Health facility · case rate · outpatient	1	$41	$41	$13	32%	—	$28 – $54
17	Medicaid facility · case rate · outpatient	1	$28	$28	—	—	—	$28 – $28
18	Optum fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50