APC 9409

Gallium Ga-68 PSMA-11 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

Gallium ga-68 psma-11 ucs

Payers reporting APC 9409

Payer pricing summary

Low

$280

Average

$630

Median

$581

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$556	$556	$17	3%	—	$535 – $806
2	Humana fee schedule · outpatient · +3 other terms	161	$550	$573	$158	28%	—	$528 – $2.2k
3	Aetna fee schedule · outpatient · +3 other terms	155	$556	$568	$67	12%	—	$535 – $936
4	WellCare fee schedule · outpatient · +2 other terms	131	$567	$571	$20	3%	—	$535 – $726
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$550	$553	$9	2%	—	$535 – $572
6	Devoted fee schedule · outpatient	122	$550	$550	$2	0%	—	$550 – $578
7	Cigna Healthspring fee schedule · outpatient	110	$572	$560	$16	3%	—	$550 – $594
8	Molina fee schedule · outpatient · +2 other terms	69	$810	$786	$303	39%	—	$535 – $1.4k
9	Superior Healthplan fee schedule · outpatient	40	$578	$578	—	—	—	$578 – $578
10	Anthem fee schedule · outpatient · +1 other terms	31	$550	$552	$11	2%	—	$535 – $567
11	Oscar fee schedule · outpatient	27	$539	$597	$121	20%	—	$539 – $936
12	Amerihealth Caritas fee schedule · outpatient	17	$660	$654	$13	2%	—	$627 – $660
13	Cigna fee schedule · outpatient · +1 other terms	16	$561	$587	$105	18%	—	$535 – $985
14	Clover fee schedule · outpatient · +1 other terms	15	$578	$578	—	—	—	$578 – $578
15	Kaiser fee schedule · outpatient · +1 other terms	15	$561	$559	$6	1%	—	$546 – $561
16	Ambetter case rate · outpatient · +2 other terms	12	$963	$1.4k	$529	38%	—	$963 – $2.0k
17	Medicare case rate · outpatient · +2 other terms	8	$535	$535	—	—	—	$535 – $535
18	Optum fee schedule · outpatient	8	$550	$824	$390	47%	—	$535 – $1.4k
19	Highmark case rate · outpatient	5	$550	$744	$263	35%	—	$550 – $1.2k
20	Medica facility · fee schedule · outpatient	5	$572	$574	$3	0%	—	$572 – $578
21	Tricare facility · fee schedule · outpatient	5	$535	$535	—	—	—	$535 – $535
22	Excellus case rate · outpatient	4	$751	$767	$281	37%	—	$550 – $1.2k
23	Sanford Health Plan case rate · outpatient	3	$775	$780	$79	10%	—	$648 – $893
24	Aetna Better Health facility · case rate · outpatient	1	$413	$413	$133	32%	—	$280 – $546
25	Magellan fee schedule · outpatient	1	$550	$550	—	—	—	$550 – $550

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