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.
Original text from hospital filings
KIT FOR PREPARATION TC-99M-SUCCIMER 1 MG INTRAVENOUS SOLUTION
Low
$122
Average
$1.7k
Median
$1.1k
High
$23.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 5.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Nj percent of total billed charges · outpatientfrom % of charges | 2 | $453 | $453 | $145 | 32% | 1–10 | $308 – $597 |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 480 | $1.1k | $1.1k | $565 | 51% | — | $1 – $4.2k |
| 3 | Cigna fee schedule · outpatient · +22 other terms | 268 | $917 | $1.5k | $1.2k | 79% | — | $44 – $5.2k |
| 4 | Aetna fee schedule · outpatient · +26 other terms | 242 | $660 | $1.2k | $842 | 72% | — | $1 – $6.2k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 222 | $988 | $1.3k | $879 | 66% | — | $1 – $4.1k |
| 6 | Humana fee schedule · outpatient · +22 other terms | 174 | $672 | $1.9k | $2.3k | 118% | — | $1 – $7.0k |
| 7 | Molina facility · fee schedule · outpatient · +20 other terms | 75 | $672 | $623 | $261 | 42% | — | $23 – $1.6k |
| 8 | Anthem facility · fee schedule · outpatient · +24 other terms | 55 | $660 | $956 | $475 | 50% | — | $58 – $1.9k |
| 9 | WellCare fee schedule · outpatient · +15 other terms | 52 | $673 | $638 | $131 | 21% | — | $276 – $887 |
| 10 | Kaiser fee schedule · outpatient · +18 other terms | 49 | $825 | $1.1k | $939 | 84% | — | $35 – $5.2k |
| 11 | Ambetter fee schedule · outpatient · +13 other terms | 44 | $1.2k | $1.2k | $419 | 35% | — | $115 – $2.1k |
| 12 | MultiPlan fee schedule · outpatient · +13 other terms | 40 | $603 | $728 | $486 | 67% | — | $130 – $1.7k |
| 13 | Optum fee schedule · outpatient · +14 other terms | 38 | $647 | $686 | $357 | 52% | — | $237 – $1.9k |
| 14 | Devoted fee schedule · outpatient · +10 other terms | 33 | $647 | $648 | $31 | 5% | — | $601 – $706 |
| 15 | Caresource facility · fee schedule · outpatient · +11 other terms | 32 | $998 | $765 | $448 | 59% | — | $91 – $1.3k |
| 16 | Wellmark facility · fee schedule · both · +12 other terms | 31 | $660 | $703 | $426 | 61% | — | $193 – $2.5k |
| 17 | Excellus facility · fee schedule · both · +9 other terms | 30 | $660 | $699 | $432 | 62% | — | $193 – $2.5k |
| 18 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms | 30 | $794 | $902 | $351 | 39% | — | $362 – $2.2k |
| 19 | Carefirst facility · fee schedule · both · +5 other terms | 29 | $660 | $708 | $460 | 65% | — | $193 – $2.5k |
| 20 | Highmark facility · fee schedule · both · +15 other terms | 29 | $660 | $708 | $460 | 65% | — | $193 – $2.5k |
| 21 | Premera facility · fee schedule · both · +3 other terms | 29 | $660 | $708 | $460 | 65% | — | $193 – $2.5k |
| 22 | Regence facility · fee schedule · both · +13 other terms | 29 | $660 | $715 | $461 | 65% | — | $193 – $2.5k |
| 23 | Bcbs Tx fee schedule · outpatient · +3 other terms | 26 | $2.6k | $2.4k | $825 | 35% | — | $961 – $4.1k |
| 24 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $834 | $832 | $166 | 20% | — | $627 – $1.1k |
| 25 | Medicare fee schedule · outpatient · +8 other terms | 24 | $647 | $650 | $18 | 3% | — | $629 – $721 |
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