Technetium-99m bicisate 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

KIT FOR PREPARATION OF TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS A9557

Payer pricing summary

Low

$403

Average

$2.9k

Median

$2.0k

High

$18.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	616	$1.2k	$1.4k	$1.0k	73%	—	$1 – $5.8k
2	Aetna fee schedule · outpatient · +27 other terms	393	$776	$4.3k	$5.1k	119%	—	$1 – $40.1k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	301	$1.1k	$2.2k	$3.6k	160%	—	$1 – $23.8k
4	Cigna fee schedule · outpatient · +21 other terms	298	$4.3k	$7.8k	$7.9k	101%	—	$7 – $32.0k
5	Humana fee schedule · outpatient · +20 other terms	296	$767	$1.5k	$2.1k	139%	—	$1 – $14.2k
6	Anthem fee schedule · outpatient · +23 other terms	130	$1.0k	$2.5k	$2.9k	113%	—	$7 – $17.3k
7	WellCare fee schedule · outpatient · +15 other terms	126	$769	$837	$259	31%	—	$642 – $1.6k
8	Molina fee schedule · outpatient · +21 other terms	116	$783	$895	$415	46%	—	$1 – $2.0k
9	Kaiser fee schedule · outpatient · +18 other terms	71	$760	$995	$925	93%	—	$2 – $7.9k
10	MultiPlan fee schedule · outpatient · +15 other terms	66	$3.0k	$3.1k	$1.9k	62%	—	$8 – $6.3k
11	Devoted fee schedule · outpatient · +10 other terms	63	$740	$740	$40	5%	—	$684 – $830
12	Ambetter facility · fee schedule · outpatient · +15 other terms	55	$1.4k	$1.3k	$294	22%	—	$684 – $1.7k
13	Oscar facility · fee schedule · outpatient · +14 other terms	44	$1.1k	$1.1k	$175	16%	—	$784 – $1.4k
14	Optum fee schedule · outpatient · +20 other terms	43	$760	$1.5k	$1.1k	77%	—	$613 – $4.6k
15	Caresource fee schedule · outpatient · +13 other terms	38	$932	$1.1k	$624	55%	—	$1 – $2.8k
16	Highmark facility · fee schedule · outpatient · +16 other terms	37	$1.3k	$1.6k	$1.2k	74%	—	$402 – $6.7k
17	Medicare fee schedule · outpatient · +9 other terms	33	$760	$695	$29	4%	—	$684 – $847
18	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$1.5k	$1.4k	$529	38%	—	$597 – $2.5k
19	First Health fee schedule · outpatient · +11 other terms	31	$1.5k	$1.9k	$1.3k	71%	—	$7 – $4.9k
20	Wellmark facility · fee schedule · both · +10 other terms	29	$887	$1.1k	$615	58%	—	$424 – $4.2k
21	Clover fee schedule · outpatient · +5 other terms	28	$763	$755	$26	3%	—	$697 – $805
22	Excellus facility · fee schedule · both · +9 other terms	28	$890	$1.0k	$660	65%	—	$380 – $4.2k
23	Carefirst facility · fee schedule · both · +7 other terms	27	$892	$1.1k	$657	59%	—	$424 – $4.2k
24	Premera facility · fee schedule · both · +7 other terms	27	$892	$1.1k	$657	59%	—	$424 – $4.2k
25	Regence facility · fee schedule · both · +14 other terms	27	$892	$1.1k	$663	60%	—	$424 – $4.2k

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