APC 770

Indium-111 oxyquinoline radioactive 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

In111 oxyquinoline

Payers reporting APC 770

Payer pricing summary

Low

$809

Average

$985

Median

$866

High

$1.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$840	$834	$39	5%	—	$272 – $873
2	Humana fee schedule · outpatient · +3 other terms	160	$831	$863	$238	28%	—	$773 – $3.3k
3	Aetna fee schedule · outpatient · +3 other terms	155	$840	$851	$90	11%	—	$773 – $1.4k
4	WellCare fee schedule · outpatient · +2 other terms	130	$856	$863	$31	4%	—	$773 – $1.1k
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$831	$831	$25	3%	—	$773 – $865
6	Devoted fee schedule · outpatient · +2 other terms	122	$831	$832	$3	0%	—	$831 – $873
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$865	$847	$24	3%	—	$831 – $898
8	Molina fee schedule · outpatient · +2 other terms	68	$1.2k	$1.2k	$462	39%	—	$773 – $2.2k
9	Superior Healthplan fee schedule · outpatient	40	$873	$873	—	—	—	$873 – $873
10	Anthem fee schedule · outpatient · +3 other terms	31	$831	$826	$29	3%	—	$773 – $856
11	Oscar fee schedule · outpatient · +2 other terms	27	$815	$896	$163	18%	—	$815 – $1.4k
12	Amerihealth Caritas fee schedule · outpatient	17	$998	$989	$19	2%	—	$948 – $998
13	Cigna fee schedule · outpatient · +2 other terms	16	$848	$902	$274	30%	—	$773 – $1.9k
14	Clover fee schedule · outpatient · +3 other terms	15	$873	$873	—	—	—	$873 – $873
15	Kaiser fee schedule · outpatient · +2 other terms	15	$848	$840	$20	2%	—	$788 – $848
16	Medicare facility · fee schedule · outpatient · +1 other terms	13	$831	$831	—	—	—	$831 – $831
17	Ambetter case rate · outpatient · +2 other terms	12	$1.4k	$1.6k	$189	12%	—	$1.4k – $1.8k
18	Optum fee schedule · outpatient · +3 other terms	8	$831	$1.2k	$593	48%	—	$773 – $2.1k
19	Medica facility · fee schedule · outpatient	5	$865	$868	$4	0%	—	$865 – $873
20	Highmark case rate · outpatient · +1 other terms	3	$1.3k	$1.2k	$416	34%	—	$831 – $1.8k
21	Excellus case rate · outpatient	2	$1.7k	$1.7k	$214	13%	—	$1.4k – $1.9k
22	Magellan facility · fee schedule · outpatient · +1 other terms	2	$873	$873	—	—	—	$873 – $873
23	Bcbs Al facility · fee schedule · outpatient	1	$831	$831	—	—	—	$831 – $831
24	Bcbs Nj facility · other · outpatient	1	$831	$831	—	—	—	$831 – $831
25	First Health facility · fee schedule · outpatient	1	$831	$831	—	—	—	$831 – $831

Page 1 of 2 · 26 payers