APC 771

Indium-111 pentetate 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

In111 pentetate

Payers reporting APC 771

Payer pricing summary

Low

$737

Average

$865

Median

$775

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	173	$753	$752	$10	1%	—	$715 – $783
2	Humana fee schedule · outpatient · +3 other terms	160	$746	$775	$213	28%	—	$715 – $3.0k
3	Aetna fee schedule · outpatient · +3 other terms	155	$753	$767	$86	11%	—	$715 – $1.3k
4	WellCare fee schedule · outpatient · +2 other terms	130	$768	$775	$27	3%	—	$715 – $984
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$746	$748	$15	2%	—	$715 – $775
6	Devoted fee schedule · outpatient · +2 other terms	122	$746	$746	$2	0%	—	$746 – $783
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$775	$759	$21	3%	—	$746 – $805
8	Molina fee schedule · outpatient · +3 other terms	68	$1.1k	$1.1k	$412	39%	—	$715 – $2.0k
9	Superior Healthplan fee schedule · outpatient	40	$783	$783	—	—	—	$783 – $783
10	Anthem fee schedule · outpatient · +3 other terms	31	$746	$745	$17	2%	—	$715 – $768
11	Oscar fee schedule · outpatient · +3 other terms	27	$731	$808	$159	20%	—	$731 – $1.3k
12	Medicare facility · fee schedule · outpatient · +1 other terms	19	$746	$746	—	—	—	$746 – $746
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$895	$887	$17	2%	—	$850 – $895
14	Cigna fee schedule · outpatient · +2 other terms	16	$761	$821	$256	31%	—	$715 – $1.8k
15	Clover fee schedule · outpatient · +3 other terms	15	$783	$783	—	—	—	$783 – $783
16	Kaiser fee schedule · outpatient · +2 other terms	15	$761	$756	$11	1%	—	$730 – $761
17	Ambetter case rate · outpatient · +2 other terms	12	$1.3k	$1.4k	$175	12%	—	$1.3k – $1.6k
18	Optum fee schedule · outpatient · +3 other terms	8	$746	$1.1k	$530	48%	—	$715 – $1.9k
19	Medica facility · fee schedule · outpatient	5	$775	$778	$4	0%	—	$775 – $783
20	Highmark case rate · outpatient · +2 other terms	3	$1.1k	$1.1k	$373	34%	—	$746 – $1.6k
21	Magellan facility · fee schedule · outpatient · +1 other terms	3	$783	$783	—	—	—	$783 – $783
22	Bcbs Nj facility · other · outpatient	2	$746	$746	—	—	—	$746 – $746
23	Excellus case rate · outpatient	2	$1.5k	$1.5k	$192	13%	—	$1.3k – $1.7k
24	Bcbs Al facility · fee schedule · outpatient	1	$746	$746	—	—	—	$746 – $746
25	Caresource facility · fee schedule · outpatient	1	$746	$746	—	—	—	$746 – $746

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