APC 9430

Piflufolastat F-18 diagnostic imaging agent, 1 millicurie

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

Piflu f-18, dia 1 millicurie

Payers reporting APC 9430

Payer pricing summary

Low

$174

Average

$412

Median

$366

High

$842

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$473	$483	$177	37%	36–45	$346 – $778
2	Highmark case rate · outpatient · +2 other terms	5	$346	$468	$166	35%	1–10	$346 – $760
3	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$350	$350	$15	4%	—	$332 – $580
4	Humana fee schedule · outpatient · +4 other terms	161	$346	$361	$100	28%	—	$332 – $1.4k
5	Aetna fee schedule · outpatient · +4 other terms	155	$350	$357	$43	12%	—	$332 – $582
6	WellCare fee schedule · outpatient · +2 other terms	131	$357	$360	$13	4%	—	$332 – $457
7	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$346	$353	$52	15%	—	$332 – $923
8	Devoted fee schedule · outpatient · +2 other terms	122	$346	$347	$1	0%	—	$346 – $364
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$360	$353	$10	3%	—	$346 – $374
10	Molina fee schedule · outpatient · +4 other terms	69	$510	$495	$191	39%	—	$332 – $908
11	Superior Healthplan fee schedule · outpatient	40	$364	$364	—	—	—	$364 – $364
12	Anthem fee schedule · outpatient · +2 other terms	31	$346	$346	$8	2%	—	$332 – $357
13	Oscar fee schedule · outpatient · +3 other terms	27	$340	$375	$74	20%	—	$340 – $582
14	Amerihealth Caritas fee schedule · outpatient	17	$416	$412	$8	2%	—	$395 – $416
15	Cigna fee schedule · outpatient · +3 other terms	15	$353	$351	$14	4%	—	$332 – $374
16	Clover fee schedule · outpatient · +2 other terms	15	$364	$364	—	—	—	$364 – $364
17	Kaiser fee schedule · outpatient · +2 other terms	15	$353	$351	$5	1%	—	$339 – $353
18	Medicare facility · fee schedule · outpatient · +1 other terms	13	$346	$346	—	—	—	$346 – $346
19	Ambetter case rate · outpatient · +3 other terms	12	$598	$937	$401	43%	—	$598 – $1.4k
20	Optum fee schedule · outpatient · +3 other terms	8	$346	$518	$246	48%	—	$332 – $866
21	Medica facility · fee schedule · outpatient	5	$360	$362	$2	0%	—	$360 – $364
22	Tricare facility · fee schedule · outpatient	5	$332	$332	—	—	—	$332 – $332
23	Sanford Health Plan case rate · outpatient	3	$482	$485	$49	10%	—	$403 – $555
24	Bcbs Nj facility · other · outpatient	2	$346	$346	—	—	—	$346 – $346
25	Aetna Better Health facility · case rate · outpatient	1	$256	$256	$83	32%	—	$174 – $339

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