APC 9053

Fluorodopa F-18 diagnostic imaging drug, per dose

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

Fluorodopa f-18 diag per

Payers reporting APC 9053

Payer pricing summary

Low

$457

Average

$906

Median

$871

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$864	$835	$98	12%	—	$447 – $898
2	Humana fee schedule · outpatient · +3 other terms	161	$856	$873	$258	29%	—	$447 – $3.4k
3	Aetna fee schedule · outpatient · +3 other terms	155	$863	$830	$109	13%	—	$447 – $941
4	WellCare fee schedule · outpatient · +2 other terms	131	$881	$884	$54	6%	—	$499 – $1.1k
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$873	$856	$57	7%	—	$447 – $890
6	Devoted fee schedule · outpatient	122	$856	$856	$3	0%	—	$856 – $898
7	Cigna Healthspring fee schedule · outpatient	110	$890	$871	$24	3%	—	$856 – $924
8	Molina fee schedule · outpatient · +2 other terms	69	$1.3k	$1.2k	$509	43%	—	$499 – $2.2k
9	Superior Healthplan fee schedule · outpatient	40	$898	$898	—	—	—	$898 – $898
10	Anthem fee schedule · outpatient · +1 other terms	31	$856	$787	$149	19%	—	$499 – $881
11	Oscar fee schedule · outpatient	27	$838	$864	$28	3%	—	$838 – $898
12	Amerihealth Caritas fee schedule · outpatient	17	$1.0k	$1.0k	$20	2%	—	$975 – $1.0k
13	Cigna fee schedule · outpatient · +1 other terms	15	$873	$736	$189	26%	—	$499 – $924
14	Clover fee schedule · outpatient · +1 other terms	15	$898	$898	—	—	—	$898 – $898
15	Kaiser fee schedule · outpatient · +1 other terms	15	$873	$826	$120	15%	—	$509 – $873
16	Ambetter case rate · outpatient · +2 other terms	12	$1.6k	$1.4k	$211	15%	—	$1.1k – $1.6k
17	Medicare case rate · outpatient	8	$874	$874	—	—	—	$874 – $874
18	Optum fee schedule · outpatient	8	$860	$1.3k	$604	47%	—	$856 – $2.1k
19	Highmark case rate · outpatient	5	$856	$1.2k	$410	35%	—	$856 – $1.9k
20	Tricare facility · fee schedule · outpatient	5	$874	$874	—	—	—	$874 – $874
21	Excellus case rate · outpatient	4	$1.2k	$1.2k	$437	37%	—	$856 – $1.9k
22	Sanford Health Plan case rate · outpatient	3	$722	$727	$74	10%	—	$604 – $832
23	Aetna Better Health facility · case rate · outpatient	1	$674	$674	$217	32%	—	$457 – $891
24	Magellan fee schedule · outpatient	1	$856	$856	—	—	—	$856 – $856
25	Medicaid facility · case rate · outpatient	1	$457	$457	—	—	—	$457 – $457