APC 860

Iodine-131 diagnostic scan 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

I131 iodobenguate, dx

Payers reporting APC 860

Payer pricing summary

Low

$691

Average

$1.1k

Median

$991

High

$1.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	153	$963	$963	$10	1%	—	$948 – $1.0k
2	Humana fee schedule · outpatient · +3 other terms	148	$953	$993	$278	28%	—	$915 – $3.8k
3	Aetna fee schedule · outpatient · +3 other terms	135	$963	$964	$14	1%	—	$943 – $1.0k
4	WellCare fee schedule · outpatient · +2 other terms	127	$982	$990	$34	3%	—	$953 – $1.3k
5	Devoted fee schedule · outpatient · +2 other terms	122	$953	$953	$3	0%	—	$953 – $1.0k
6	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$991	$970	$27	3%	—	$953 – $1.0k
7	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	105	$972	$963	$11	1%	—	$934 – $991
8	Molina fee schedule · outpatient · +1 other terms	55	$1.4k	$1.4k	$541	39%	—	$972 – $2.5k
9	Superior Healthplan fee schedule · outpatient	40	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
10	Anthem fee schedule · outpatient · +2 other terms	24	$953	$963	$13	1%	—	$953 – $982
11	Oscar fee schedule · outpatient · +1 other terms	24	$934	$962	$33	3%	—	$934 – $1.0k
12	Amerihealth Caritas fee schedule · outpatient	17	$1.1k	$1.1k	$22	2%	—	$1.1k – $1.1k
13	Clover fee schedule · outpatient · +1 other terms	15	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
14	Kaiser fee schedule · outpatient	13	$972	$971	$5	1%	—	$953 – $972
15	Cigna fee schedule · outpatient · +2 other terms	9	$972	$991	$27	3%	—	$972 – $1.0k
16	Medicare facility · fee schedule · outpatient	8	$953	$953	—	—	—	$953 – $953
17	Optum fee schedule · outpatient · +2 other terms	8	$953	$1.5k	$692	46%	—	$953 – $2.4k
18	Medica facility · fee schedule · outpatient	5	$991	$995	$5	0%	—	$991 – $1.0k
19	Highmark case rate · outpatient · +1 other terms	3	$1.5k	$1.4k	$477	34%	—	$953 – $2.1k
20	Excellus case rate · outpatient	2	$1.9k	$1.9k	$245	13%	—	$1.6k – $2.1k
21	Ambetter fee schedule · outpatient	1	$691	$691	$71	10%	—	$619 – $762
22	Bcbs Nj facility · other · outpatient	1	$953	$953	—	—	—	$953 – $953
23	Magellan fee schedule · outpatient · +1 other terms	1	$953	$953	—	—	—	$953 – $953