Technetium-99m pertechnetate diagnostic 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

SODIUM PERTECHNETATE TC-99M INTRAVENOUS SOLUTION

Payers reporting HCPCS A9512

Payer pricing summary

Low

Average

$2.1k

Median

$93

High

$23.3k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	233	$10	$16	$30	190%	4–40	$0 – $518
2	Anthem fee schedule · outpatient · +18 other terms	106	$3	$24	$157	643%	2–20	$1 – $1.8k
3	Bcbs Al facility · other · outpatient	5	$56	$77	$61	79%	1–10	$15 – $174
4	UnitedHealthcare fee schedule · outpatient · +29 other terms	462	$20	$37	$136	366%	—	$0 – $2.3k
5	Cigna fee schedule · outpatient · +19 other terms	252	$3	$23	$73	316%	—	$1 – $584
6	Aetna fee schedule · outpatient · +24 other terms	130	$6	$68	$145	214%	—	$1 – $1.1k
7	Humana fee schedule · outpatient · +20 other terms	97	$28	$53	$116	219%	—	$1 – $1.1k
8	MultiPlan fee schedule · outpatient · +15 other terms	77	$55	$85	$107	127%	—	$2 – $503
9	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	50	$30	$58	$66	113%	—	$2 – $250
10	Kaiser fee schedule · both · +15 other terms	43	$17	$16	$4	26%	—	$2 – $23
11	First Health fee schedule · inpatient · +15 other terms	31	$17	$99	$126	127%	—	$3 – $436
12	Medica fee schedule · outpatient · +14 other terms	29	$4	$10	$33	335%	—	$1 – $348
13	Bcbs Tx fee schedule · outpatient · +4 other terms	24	$18	$17	$5	28%	—	$6 – $27
14	Highmark facility · fee schedule · outpatient · +15 other terms	22	$2	$10	$52	509%	—	$1 – $392
15	Medicaid fee schedule · outpatient · +8 other terms	20	$16	$89	$118	133%	—	$1 – $355
16	Phcs fee schedule · outpatient · +12 other terms	20	$12	$51	$71	138%	—	$2 – $286
17	Tricare facility · fee schedule · outpatient · +10 other terms	20	$67	$122	$170	139%	—	$1 – $780
18	Molina facility · case rate · outpatient · +18 other terms	18	$114	$108	$52	48%	—	$8 – $199
19	Caresource facility · case rate · outpatient · +13 other terms	15	$120	$128	$29	23%	—	$80 – $203
20	Ambetter other · outpatient · +13 other terms	14	$22	$149	$201	135%	—	$17 – $466
21	Amerihealth Caritas other · outpatient · +8 other terms	13	$55	$303	$220	72%	—	$0 – $471
22	Bcbs Az facility · fee schedule · outpatient · +1 other terms	13	$10	$10	$2	22%	—	$4 – $13
23	Wellmark fee schedule · both · +12 other terms	13	$1	$1	$0	9%	—	$1 – $2
24	Bcbs Mn fee schedule · outpatient · +10 other terms	12	$1	$1	$1	45%	—	$0 – $2
25	Bcbs Nj fee schedule · outpatient · +5 other terms	12	$2	$2	—	—	—	$2 – $2

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