APC 769

Indium-111 ibritumomab diagnostic drug

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

In111 ibritumomab, dx

Payers reporting APC 769

Payer pricing summary

Low

$798

Average

$963

Median

$845

High

$1.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	21	$798	$800	$5	1%	—	$798 – $814
2	Aetna fee schedule · outpatient · +1 other terms	20	$822	$945	$247	26%	—	$798 – $1.4k
3	UnitedHealthcare fee schedule · outpatient · +1 other terms	20	$822	$816	$14	2%	—	$798 – $838
4	Humana case rate · outpatient · +1 other terms	14	$830	$848	$31	4%	—	$798 – $898
5	Molina fee schedule · outpatient · +1 other terms	13	$814	$897	$131	15%	—	$798 – $1.2k
6	Ambetter case rate · outpatient · +1 other terms	12	$1.4k	$1.6k	$195	12%	—	$1.4k – $1.8k
7	Clover case rate · outpatient	12	$830	$858	$34	4%	—	$830 – $898
8	WellCare case rate · outpatient · +1 other terms	12	$854	$891	$43	5%	—	$854 – $942
9	Medicare case rate · outpatient	8	$798	$798	—	—	—	$798 – $798
10	Anthem fee schedule · outpatient · +1 other terms	7	$798	$800	$6	1%	—	$798 – $814
11	Cigna fee schedule · outpatient · +1 other terms	6	$798	$809	$15	2%	—	$798 – $830
12	Oscar fee schedule · outpatient	3	$1.4k	$1.4k	$0	0%	—	$1.4k – $1.4k
13	Kaiser fee schedule · outpatient · +1 other terms	2	$814	$814	—	—	—	$814 – $814
14	Optum fee schedule · outpatient	1	$798	$798	—	—	—	$798 – $798
15	Sanford Health Plan case rate · outpatient	1	$1.2k	$1.2k	$98	8%	—	$1.1k – $1.3k