APC 9254

Flotufolastat F-18 PET imaging scan

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

Flotufolastat f18 diag 1 mci

Payers reporting APC 9254

Payer pricing summary

Low

$351

Average

$752

Median

$708

High

$1.1k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$916	$936	$343	37%	63–72	$671 – $1.5k
2	Highmark case rate · outpatient · +1 other terms	5	$671	$671	—	—	1–10	$671 – $671
3	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$678	$681	$19	3%	—	$633 – $742
4	Humana fee schedule · outpatient · +3 other terms	161	$671	$709	$191	27%	—	$633 – $2.7k
5	Aetna fee schedule · outpatient · +4 other terms	155	$678	$698	$80	11%	—	$633 – $1.1k
6	WellCare fee schedule · outpatient · +2 other terms	131	$691	$708	$37	5%	—	$652 – $886
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$685	$685	$30	4%	—	$652 – $978
8	Devoted fee schedule · outpatient	122	$671	$675	$15	2%	—	$671 – $728
9	Cigna Healthspring fee schedule · outpatient	110	$698	$699	$27	4%	—	$671 – $786
10	Molina fee schedule · outpatient · +3 other terms	69	$988	$968	$365	38%	—	$652 – $1.8k
11	Superior Healthplan fee schedule · outpatient	40	$705	$708	$12	2%	—	$705 – $764
12	Anthem fee schedule · outpatient · +1 other terms	31	$671	$674	$16	2%	—	$652 – $728
13	Oscar fee schedule · outpatient · +1 other terms	27	$658	$729	$147	20%	—	$658 – $1.1k
14	Amerihealth Caritas fee schedule · outpatient	17	$805	$810	$9	1%	—	$805 – $829
15	Cigna fee schedule · outpatient · +2 other terms	15	$685	$683	$25	4%	—	$652 – $725
16	Clover fee schedule · outpatient · +1 other terms	15	$705	$709	$15	2%	—	$705 – $764
17	Kaiser fee schedule · outpatient · +1 other terms	15	$685	$681	$7	1%	—	$665 – $685
18	Ambetter case rate · outpatient · +3 other terms	12	$1.2k	$1.3k	$142	11%	—	$1.2k – $1.5k
19	Medicare case rate · outpatient · +1 other terms	8	$671	$671	—	—	—	$671 – $671
20	Optum fee schedule · outpatient · +2 other terms	8	$699	$1.0k	$494	48%	—	$671 – $1.8k
21	Tricare facility · fee schedule · outpatient	5	$671	$671	—	—	—	$671 – $671
22	Sanford Health Plan case rate · outpatient	3	$973	$979	$99	10%	—	$813 – $1.1k
23	Aetna Better Health facility · case rate · outpatient	1	$518	$518	$167	32%	—	$351 – $685
24	First Health facility · fee schedule · outpatient	1	$671	$671	—	—	—	$671 – $671
25	Magellan fee schedule · outpatient	1	$671	$671	—	—	—	$671 – $671

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