APC 9056

Gallium-68 radioactive tracer for PET imaging

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 ga-68

Payers reporting APC 9056

Payer pricing summary

Low

$27

Average

$60

Median

$52

High

$130

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	173	$50	$50	$1	2%	—	$49 – $54
2	Humana fee schedule · outpatient · +4 other terms	160	$50	$52	$14	27%	—	$48 – $199
3	Aetna fee schedule · outpatient · +4 other terms	155	$50	$52	$7	13%	—	$49 – $89
4	WellCare fee schedule · outpatient · +2 other terms	130	$51	$52	$2	3%	—	$50 – $66
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	125	$51	$50	$1	1%	—	$49 – $52
6	Devoted fee schedule · outpatient · +1 other terms	122	$50	$50	$0	0%	—	$50 – $52
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$52	$51	$1	3%	—	$50 – $54
8	Molina fee schedule · outpatient · +3 other terms	68	$73	$71	$27	38%	—	$51 – $130
9	Superior Healthplan fee schedule · outpatient	40	$52	$52	—	—	—	$52 – $52
10	Anthem fee schedule · outpatient · +3 other terms	31	$51	$50	$1	2%	—	$50 – $52
11	Oscar fee schedule · outpatient · +2 other terms	27	$49	$54	$12	23%	—	$49 – $89
12	Amerihealth Caritas fee schedule · outpatient	17	$60	$59	$1	2%	—	$57 – $60
13	Cigna fee schedule · outpatient · +2 other terms	15	$51	$52	$1	2%	—	$51 – $54
14	Clover fee schedule · outpatient · +2 other terms	15	$52	$52	—	—	—	$52 – $52
15	Kaiser fee schedule · outpatient · +2 other terms	15	$51	$51	$1	1%	—	$50 – $52
16	Medicare facility · fee schedule · outpatient · +1 other terms	13	$50	$50	—	—	—	$50 – $50
17	Ambetter case rate · outpatient · +3 other terms	12	$92	$103	$12	12%	—	$92 – $117
18	Optum fee schedule · outpatient · +3 other terms	8	$50	$75	$35	47%	—	$50 – $124
19	Highmark case rate · outpatient · +2 other terms	5	$50	$67	$24	35%	—	$50 – $109
20	Medica facility · fee schedule · outpatient	5	$52	$52	$0	0%	—	$52 – $52
21	Tricare facility · fee schedule · outpatient	5	$51	$51	—	—	—	$51 – $51
22	Excellus case rate · outpatient	4	$68	$69	$25	37%	—	$50 – $111
23	Sanford Health Plan case rate · outpatient	3	$74	$75	$8	10%	—	$62 – $85
24	Bcbs Nj facility · other · outpatient	2	$50	$50	—	—	—	$50 – $50
25	Aetna Better Health facility · case rate · outpatient	1	$39	$39	$13	32%	—	$27 – $52

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