APC 9052

Fluciclovine F-18 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

Fluciclovine f-18

Payers reporting APC 9052

Payer pricing summary

Low

$140

Average

$354

Median

$328

High

$743

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	173	$326	$322	$14	4%	—	$268 – $338
2	Humana fee schedule · outpatient · +4 other terms	160	$322	$333	$93	28%	—	$268 – $1.3k
3	Aetna fee schedule · outpatient · +4 other terms	155	$325	$325	$30	9%	—	$268 – $470
4	WellCare fee schedule · outpatient · +2 other terms	130	$332	$334	$13	4%	—	$268 – $425
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$322	$317	$20	6%	—	$268 – $335
6	Devoted fee schedule · outpatient · +1 other terms	122	$322	$322	$1	0%	—	$322 – $338
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$335	$328	$9	3%	—	$322 – $348
8	Molina fee schedule · outpatient · +4 other terms	68	$475	$456	$182	40%	—	$268 – $844
9	Superior Healthplan fee schedule · outpatient	40	$338	$338	—	—	—	$338 – $338
10	Anthem fee schedule · outpatient · +2 other terms	31	$322	$314	$23	7%	—	$268 – $332
11	Oscar fee schedule · outpatient · +3 other terms	27	$316	$341	$47	14%	—	$316 – $470
12	Amerihealth Caritas fee schedule · outpatient	17	$387	$383	$7	2%	—	$367 – $387
13	Cigna fee schedule · outpatient · +2 other terms	15	$329	$310	$32	10%	—	$268 – $348
14	Clover fee schedule · outpatient · +2 other terms	15	$338	$338	—	—	—	$338 – $338
15	Kaiser fee schedule · outpatient · +2 other terms	15	$329	$321	$18	6%	—	$274 – $329
16	Ambetter case rate · outpatient · +3 other terms	12	$483	$539	$66	12%	—	$483 – $616
17	Medicare case rate · outpatient · +1 other terms	8	$268	$268	—	—	—	$268 – $268
18	Optum fee schedule · outpatient · +1 other terms	8	$322	$477	$233	49%	—	$268 – $806
19	Highmark case rate · outpatient · +2 other terms	5	$322	$436	$154	35%	—	$322 – $707
20	Tricare facility · fee schedule · outpatient	5	$268	$268	—	—	—	$268 – $268
21	Excellus case rate · outpatient	4	$440	$450	$164	37%	—	$322 – $723
22	Sanford Health Plan case rate · outpatient	3	$389	$392	$40	10%	—	$325 – $448
23	Bcbs Nj facility · other · outpatient	2	$322	$322	—	—	—	$322 – $322
24	Aetna Better Health facility · case rate · outpatient	1	$207	$207	$67	32%	—	$140 – $274
25	Caresource facility · fee schedule · outpatient	1	$322	$322	—	—	—	$322 – $322

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