APC 775

Radioactive tracer for technetium-99m arcitumomab

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

Technetium tc99m arcitumomab

Payers reporting APC 775

Payer pricing summary

Low

$810

Average

$977

Median

$858

High

$1.6k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	21	$810	$811	$5	1%	—	$810 – $826
2	Aetna fee schedule · outpatient · +1 other terms	20	$834	$959	$251	26%	—	$810 – $1.4k
3	UnitedHealthcare fee schedule · outpatient · +1 other terms	20	$834	$828	$15	2%	—	$810 – $850
4	Humana case rate · outpatient · +1 other terms	14	$842	$860	$32	4%	—	$810 – $911
5	Molina fee schedule · outpatient · +1 other terms	13	$826	$910	$132	15%	—	$810 – $1.2k
6	Ambetter case rate · outpatient · +1 other terms	12	$1.5k	$1.6k	$198	12%	—	$1.5k – $1.9k
7	Clover case rate · outpatient	12	$842	$871	$34	4%	—	$842 – $911
8	WellCare case rate · outpatient · +1 other terms	12	$866	$903	$44	5%	—	$866 – $955
9	Medicare case rate · outpatient	8	$810	$810	—	—	—	$810 – $810
10	Anthem fee schedule · outpatient · +1 other terms	7	$810	$812	$6	1%	—	$810 – $826
11	Cigna fee schedule · outpatient · +1 other terms	6	$810	$820	$15	2%	—	$810 – $842
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	$826	$826	—	—	—	$826 – $826
14	Optum fee schedule · outpatient	1	$810	$810	—	—	—	$810 – $810
15	Sanford Health Plan case rate · outpatient	1	$1.2k	$1.2k	$100	8%	—	$1.1k – $1.3k