APC 9410

Gallium-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, uc

Payers reporting APC 9410

Payer pricing summary

Low

$195

Average

$439

Median

$398

High

$996

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$367	$370	$27	7%	—	$362 – $789
2	Humana fee schedule · outpatient · +3 other terms	161	$364	$380	$106	28%	—	$349 – $1.5k
3	Aetna fee schedule · outpatient · +3 other terms	155	$367	$379	$56	15%	—	$360 – $789
4	WellCare fee schedule · outpatient · +2 other terms	131	$374	$378	$13	3%	—	$364 – $480
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$371	$368	$5	1%	—	$356 – $380
6	Devoted fee schedule · outpatient	122	$364	$364	$1	0%	—	$364 – $382
7	Cigna Healthspring fee schedule · outpatient	110	$378	$370	$10	3%	—	$364 – $393
8	Molina fee schedule · outpatient · +2 other terms	69	$535	$522	$199	38%	—	$371 – $952
9	Superior Healthplan fee schedule · outpatient	40	$382	$382	—	—	—	$382 – $382
10	Anthem fee schedule · outpatient · +3 other terms	31	$371	$368	$5	1%	—	$364 – $380
11	Oscar fee schedule · outpatient	27	$356	$398	$90	23%	—	$356 – $651
12	Amerihealth Caritas fee schedule · outpatient	17	$436	$432	$8	2%	—	$414 – $436
13	Cigna fee schedule · outpatient · +1 other terms	16	$372	$414	$142	34%	—	$371 – $964
14	Clover fee schedule · outpatient · +1 other terms	15	$382	$382	—	—	—	$382 – $382
15	Kaiser fee schedule · outpatient · +1 other terms	15	$371	$371	$4	1%	—	$364 – $380
16	Ambetter case rate · outpatient · +2 other terms	12	$670	$1.2k	$652	53%	—	$670 – $2.0k
17	Medicare case rate · outpatient · +1 other terms	8	$372	$372	—	—	—	$372 – $372
18	Optum fee schedule · outpatient · +1 other terms	8	$366	$546	$256	47%	—	$364 – $909
19	Highmark case rate · outpatient	5	$364	$491	$174	35%	—	$364 – $797
20	Tricare facility · fee schedule · outpatient	5	$372	$372	—	—	—	$372 – $372
21	Excellus case rate · outpatient	4	$496	$507	$186	37%	—	$364 – $816
22	Sanford Health Plan case rate · outpatient	3	$539	$543	$55	10%	—	$451 – $621
23	Aetna Better Health facility · case rate · outpatient	1	$287	$287	$92	32%	—	$195 – $380
24	Magellan fee schedule · outpatient	1	$364	$364	—	—	—	$364 – $364
25	Medicaid facility · case rate · outpatient	1	$195	$195	—	—	—	$195 – $195