APC 9067

Lutetium-177 dotatate radiopharmaceutical

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

Lutetium lu 177 dotatat ther

Payers reporting APC 9067

Payer pricing summary

Low

$166

Average

$372

Median

$337

High

$631

Payer rate distribution

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Filter by billing class

#
1	Excellus case rate · outpatient	4	$433	$442	$162	37%	2–20	$317 – $712
2	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$324	$325	$11	3%	—	$290 – $357
3	Humana fee schedule · outpatient · +4 other terms	161	$321	$338	$92	27%	—	$290 – $1.3k
4	Aetna fee schedule · outpatient · +4 other terms	155	$324	$331	$35	11%	—	$290 – $518
5	WellCare fee schedule · outpatient · +2 other terms	131	$330	$339	$19	6%	—	$296 – $423
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$327	$327	$14	4%	—	$296 – $443
7	Devoted fee schedule · outpatient · +1 other terms	122	$321	$323	$8	2%	—	$320 – $350
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$334	$334	$14	4%	—	$320 – $378
9	Molina fee schedule · outpatient · +3 other terms	69	$472	$461	$176	38%	—	$296 – $840
10	Superior Healthplan fee schedule · outpatient	40	$337	$338	$7	2%	—	$336 – $368
11	Anthem fee schedule · outpatient · +1 other terms	31	$321	$319	$13	4%	—	$296 – $350
12	Oscar fee schedule · outpatient · +2 other terms	27	$314	$345	$62	18%	—	$314 – $518
13	Amerihealth Caritas fee schedule · outpatient	17	$385	$387	$5	1%	—	$385 – $399
14	Cigna fee schedule · outpatient · +2 other terms	16	$327	$324	$23	7%	—	$296 – $379
15	Clover fee schedule · outpatient · +2 other terms	15	$336	$338	$8	2%	—	$336 – $368
16	Kaiser fee schedule · outpatient · +2 other terms	15	$327	$324	$8	3%	—	$302 – $327
17	Ambetter case rate · outpatient · +2 other terms	12	$571	$616	$54	9%	—	$571 – $680
18	Medicare case rate · outpatient · +2 other terms	8	$317	$317	—	—	—	$317 – $317
19	Optum fee schedule · outpatient · +1 other terms	8	$335	$492	$237	48%	—	$317 – $876
20	Highmark case rate · outpatient · +1 other terms	5	$317	$429	$152	35%	—	$317 – $695
21	Tricare facility · fee schedule · outpatient	5	$317	$317	—	—	—	$317 – $317
22	Sanford Health Plan case rate · outpatient	3	$453	$456	$46	10%	—	$379 – $522
23	Aetna Better Health facility · case rate · outpatient	1	$245	$245	$79	32%	—	$166 – $323
24	Bcbs Nj facility · other · outpatient	1	$321	$321	—	—	—	$321 – $321
25	Magellan fee schedule · outpatient	1	$321	$321	—	—	—	$321 – $321

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