APC 876

Gallium Gozellix radioactive tracer, 1 millicurie

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

Gallium gozellix 1 millic

Payers reporting APC 876

Payer pricing summary

Low

$1.2k

Average

$1.3k

Median

$1.2k

High

$2.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	153	$1.2k	$1.2k	$12	1%	—	$1.2k – $1.2k
2	Humana fee schedule · outpatient · +2 other terms	148	$1.2k	$1.2k	$342	28%	—	$1.1k – $4.7k
3	Aetna fee schedule · outpatient · +3 other terms	135	$1.2k	$1.2k	$17	1%	—	$1.2k – $1.3k
4	WellCare fee schedule · outpatient · +2 other terms	127	$1.2k	$1.2k	$42	3%	—	$1.2k – $1.5k
5	Devoted fee schedule · outpatient	122	$1.2k	$1.2k	$4	0%	—	$1.2k – $1.2k
6	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	121	$1.2k	$1.2k	$14	1%	—	$1.1k – $1.2k
7	Cigna Healthspring fee schedule · outpatient	110	$1.2k	$1.2k	$33	3%	—	$1.2k – $1.3k
8	Molina fee schedule · outpatient · +3 other terms	55	$1.7k	$1.7k	$665	39%	—	$1.2k – $3.1k
9	Superior Healthplan fee schedule · outpatient	40	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
10	Anthem fee schedule · outpatient · +1 other terms	24	$1.2k	$1.2k	$16	1%	—	$1.2k – $1.2k
11	Oscar fee schedule · outpatient · +1 other terms	24	$1.1k	$1.2k	$40	3%	—	$1.1k – $1.2k
12	Amerihealth Caritas fee schedule · outpatient	17	$1.4k	$1.4k	$27	2%	—	$1.3k – $1.4k
13	Clover fee schedule · outpatient · +2 other terms	15	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	Kaiser fee schedule · outpatient	13	$1.2k	$1.2k	$6	1%	—	$1.2k – $1.2k
15	Cigna fee schedule · outpatient · +2 other terms	9	$1.2k	$1.2k	$33	3%	—	$1.2k – $1.3k
16	Medicare case rate · outpatient · +1 other terms	8	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Optum fee schedule · outpatient · +2 other terms	8	$1.2k	$1.8k	$828	47%	—	$1.2k – $2.9k
18	Ambetter case rate · outpatient · +2 other terms	7	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
19	Highmark case rate · outpatient · +1 other terms	3	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	Caresource facility · fee schedule · outpatient	2	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
21	Excellus case rate · outpatient	2	$2.1k	$2.1k	$268	13%	—	$1.8k – $2.3k
22	Magellan fee schedule · outpatient	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
23	Medical Mutual facility · fee schedule · outpatient	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k