APC 774

Technetium-99m bicisate brain imaging scan

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 bicisate

Payers reporting APC 774

Payer pricing summary

Low

$751

Average

$930

Median

$806

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	173	$783	$777	$24	3%	—	$684 – $814
2	Humana fee schedule · outpatient · +3 other terms	160	$776	$803	$223	28%	—	$684 – $3.1k
3	Aetna fee schedule · outpatient · +3 other terms	155	$783	$788	$77	10%	—	$684 – $1.2k
4	WellCare fee schedule · outpatient · +2 other terms	130	$799	$805	$30	4%	—	$684 – $1.0k
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$776	$769	$36	5%	—	$684 – $807
6	Devoted fee schedule · outpatient · +1 other terms	122	$776	$776	$2	0%	—	$776 – $814
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$807	$790	$22	3%	—	$776 – $838
8	Molina fee schedule · outpatient · +2 other terms	68	$1.1k	$1.1k	$434	39%	—	$684 – $2.0k
9	Superior Healthplan fee schedule · outpatient	40	$814	$814	—	—	—	$814 – $814
10	Anthem fee schedule · outpatient · +3 other terms	31	$776	$763	$41	5%	—	$684 – $799
11	Oscar fee schedule · outpatient · +2 other terms	27	$760	$829	$133	16%	—	$760 – $1.2k
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$931	$922	$18	2%	—	$884 – $931
13	Medicare facility · fee schedule · outpatient · +1 other terms	16	$776	$776	—	—	—	$776 – $776
14	Cigna fee schedule · outpatient · +2 other terms	15	$791	$761	$59	8%	—	$684 – $838
15	Clover fee schedule · outpatient · +3 other terms	15	$814	$814	—	—	—	$814 – $814
16	Kaiser fee schedule · outpatient · +2 other terms	15	$791	$778	$31	4%	—	$697 – $791
17	Ambetter case rate · outpatient · +2 other terms	12	$1.2k	$1.4k	$167	12%	—	$1.2k – $1.6k
18	Optum fee schedule · outpatient · +3 other terms	8	$776	$1.2k	$556	48%	—	$684 – $1.9k
19	Medica facility · fee schedule · outpatient	5	$807	$810	$4	0%	—	$807 – $814
20	Highmark facility · other · outpatient · +2 other terms	4	$1.2k	$1.2k	$387	33%	—	$791 – $1.6k
21	Bcbs Nj facility · other · outpatient	3	$776	$776	—	—	—	$776 – $776
22	Excellus case rate · outpatient	2	$1.5k	$1.5k	$199	13%	—	$1.3k – $1.7k
23	Magellan facility · fee schedule · outpatient · +1 other terms	2	$814	$814	—	—	—	$814 – $814
24	Sanford Health Plan case rate · outpatient	1	$1.0k	$1.0k	$84	8%	—	$954 – $1.1k