Technetium-99m macroaggregated albumin 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

KIT FOR PREPARATION OF TC 99M-ALBUMIN 2.5 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS A9540

Payer pricing summary

Low

$29

Average

$553

Median

$413

High

$3.9k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	267	$74	$120	$182	151%	29–191	$1 – $4.3k
2	UnitedHealthcare fee schedule · outpatient · +26 other terms	478	$50	$111	$627	567%	6–60	$1 – $21.9k
3	Anthem fee schedule · outpatient · +22 other terms	115	$45	$110	$150	137%	6–60	$10 – $1.8k
4	Healthpartners facility · other · outpatient · +10 other terms	4	$308	$308	—	—	4–40	$308 – $308
5	Kaiser fee schedule · both · +15 other terms	47	$43	$48	$55	114%	2–20	$18 – $636
6	Molina fee schedule · outpatient · +20 other terms	31	$42	$114	$258	226%	1–10	$1 – $1.7k
7	Bcbs Al facility · other · outpatient · +1 other terms	5	$1.4k	$2.4k	$2.5k	101%	1–10	$16 – $6.7k
8	Cigna fee schedule · outpatient · +21 other terms	264	$58	$225	$719	319%	—	$12 – $5.2k
9	Aetna fee schedule · outpatient · +26 other terms	133	$98	$235	$275	117%	—	$1 – $2.1k
10	Humana fee schedule · outpatient · +21 other terms	100	$171	$206	$224	109%	—	$1 – $994
11	MultiPlan fee schedule · outpatient · +13 other terms	83	$440	$452	$301	67%	—	$32 – $1.0k
12	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +4 other terms	61	$217	$363	$384	106%	—	$12 – $2.7k
13	Medica fee schedule · outpatient · +17 other terms	33	$97	$150	$179	120%	—	$18 – $905
14	First Health fee schedule · inpatient · +14 other terms	31	$448	$418	$247	59%	—	$36 – $818
15	Highmark facility · fee schedule · outpatient · +15 other terms	24	$92	$121	$90	74%	—	$31 – $429
16	Medicaid fee schedule · outpatient · +8 other terms	22	$214	$505	$934	185%	—	$1 – $4.4k
17	Caresource fee schedule · outpatient · +12 other terms	21	$134	$190	$160	84%	—	$1 – $447
18	Phcs fee schedule · outpatient · +9 other terms	21	$618	$703	$178	25%	—	$416 – $1.0k
19	Tricare facility · fee schedule · outpatient · +13 other terms	21	$442	$498	$350	70%	—	$53 – $1.1k
20	Excellus facility · fee schedule · both · +7 other terms	17	$72	$62	$36	57%	—	$25 – $137
21	Premera facility · fee schedule · both · +7 other terms	17	$76	$72	$38	52%	—	$25 – $144
22	Regence facility · fee schedule · both · +13 other terms	17	$76	$71	$38	53%	—	$25 – $164
23	Carefirst facility · fee schedule · both · +6 other terms	16	$74	$70	$36	51%	—	$25 – $137
24	Wellmark facility · fee schedule · both · +13 other terms	16	$74	$70	$36	51%	—	$25 – $137
25	Bcbs Tx fee schedule · outpatient · +4 other terms	15	$102	$121	$34	28%	—	$51 – $171

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