APC 766

Technetium-99m exametazime imaging agent

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

Tc99m exametazime

Payers reporting APC 766

Payer pricing summary

Low

$872

Average

$1.2k

Median

$1.0k

High

$3.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	139	$937	$925	$35	4%	—	$802 – $974
2	Humana fee schedule · outpatient · +3 other terms	137	$928	$970	$307	32%	—	$802 – $3.7k
3	Aetna fee schedule · outpatient · +3 other terms	125	$936	$941	$100	11%	—	$802 – $1.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	101	$946	$914	$55	6%	—	$802 – $965
5	WellCare fee schedule · outpatient · +2 other terms	98	$956	$960	$48	5%	—	$802 – $1.2k
6	Devoted fee schedule · outpatient · +2 other terms	95	$928	$928	$3	0%	—	$928 – $974
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	91	$965	$954	$28	3%	—	$928 – $993
8	Molina fee schedule · outpatient · +3 other terms	45	$1.4k	$1.3k	$585	44%	—	$802 – $2.4k
9	Anthem fee schedule · outpatient · +3 other terms	30	$928	$908	$56	6%	—	$802 – $956
10	Superior Healthplan fee schedule · outpatient	25	$974	$974	—	—	—	$974 – $974
11	Oscar fee schedule · outpatient · +2 other terms	21	$974	$1.0k	$163	16%	—	$909 – $1.4k
12	Optum facility · per diem · outpatient · +3 other terms	17	$928	$928	—	—	—	$928 – $928
13	Cigna fee schedule · outpatient · +2 other terms	16	$946	$974	$281	29%	—	$802 – $2.0k
14	Kaiser fee schedule · outpatient · +2 other terms	15	$946	$929	$42	5%	—	$818 – $946
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	14	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
16	Ambetter case rate · outpatient · +2 other terms	12	$1.4k	$5.8k	$5.1k	89%	—	$1.4k – $11.8k
17	Clover case rate · outpatient · +3 other terms	12	$834	$2.9k	$2.5k	84%	—	$834 – $5.8k
18	Medicare facility · fee schedule · outpatient · +1 other terms	10	$928	$928	—	—	—	$928 – $928
19	Medica facility · fee schedule · outpatient	5	$965	$969	$5	0%	—	$965 – $974
20	Highmark case rate · outpatient · +2 other terms	3	$1.4k	$1.4k	$465	34%	—	$928 – $2.0k
21	Bcbs Nj facility · other · outpatient	2	$928	$928	—	—	—	$928 – $928
22	Caresource facility · fee schedule · outpatient	2	$928	$928	—	—	—	$928 – $928
23	Excellus case rate · outpatient	2	$1.8k	$1.8k	$238	13%	—	$1.6k – $2.1k
24	Magellan facility · fee schedule · outpatient · +1 other terms	2	$974	$974	—	—	—	$974 – $974
25	Bcbs Al facility · fee schedule · outpatient	1	$928	$928	—	—	—	$928 – $928

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