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
Tc99m fanolesomab
Low
$48
Average
$5.5k
Median
$4.9k
High
$15.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 8.0× 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 | Humana fee schedule · outpatient · +13 other terms | 68 | $2.9k | $5.8k | $3.8k | 66% | — | $1 – $10.2k |
| 2 | Aetna fee schedule · outpatient · +16 other terms | 54 | $702 | $643 | $300 | 47% | — | $1 – $1.5k |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +15 other terms | 37 | $1.3k | $1.1k | $991 | 91% | — | $0 – $6.6k |
| 4 | Oscar percent of total billed charges · outpatientfrom % of charges · +3 other terms | 29 | $2.3k | $2.5k | $1.1k | 45% | — | $703 – $5.3k |
| 5 | Molina facility · case rate · outpatient · +10 other terms | 18 | $124 | $390 | $586 | 150% | — | $82 – $1.7k |
| 6 | Anthem facility · case rate · outpatient · +13 other terms | 15 | $117 | $128 | $30 | 23% | — | $80 – $199 |
| 7 | Caresource facility · case rate · outpatient · +8 other terms | 15 | $120 | $128 | $29 | 23% | — | $80 – $203 |
| 8 | UnitedHealthcare facility · case rate · outpatient · +10 other terms | 15 | $120 | $130 | $30 | 23% | — | $82 – $203 |
| 9 | Highmark fee schedule · outpatient · +7 other terms | 13 | $1.2k | $1.2k | $159 | 13% | — | $256 – $1.3k |
| 10 | Medcost facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 13 | $11.8k | $10.2k | $4.2k | 42% | — | $5.0k – $15.8k |
| 11 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $76 | $49 | $42 | 86% | — | $0 – $95 |
| 12 | Optum facility · case rate · outpatient · +3 other terms | 11 | $111 | $121 | $27 | 22% | — | $100 – $180 |
| 13 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 9 | $3.8k | $4.2k | $1.9k | 45% | — | $1.8k – $7.4k |
| 14 | MultiPlan fee schedule · inpatient · +8 other terms | 9 | $3.2k | $3.0k | $374 | 13% | — | $2.4k – $3.2k |
| 15 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 9 | $922 | $983 | $396 | 40% | — | $520 – $1.5k |
| 16 | Carefirst facility · fee schedule · both · +4 other terms | 8 | $1.7k | $1.7k | $293 | 17% | — | $1.3k – $2.3k |
| 17 | Excellus facility · fee schedule · both · +3 other terms | 8 | $1.7k | $1.7k | $293 | 17% | — | $1.3k – $2.3k |
| 18 | Premera facility · fee schedule · both · +2 other terms | 8 | $1.7k | $1.7k | $293 | 17% | — | $1.3k – $2.3k |
| 19 | Regence facility · fee schedule · both · +2 other terms | 8 | $1.7k | $1.7k | $293 | 17% | — | $1.3k – $2.3k |
| 20 | Wellmark facility · fee schedule · both · +2 other terms | 8 | $1.7k | $1.7k | $293 | 17% | — | $1.3k – $2.3k |
| 21 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $213 | $213 | — | — | — | $213 – $213 |
| 22 | Kaiser facility · fee schedule · both · +7 other terms | 7 | $1.7k | $1.7k | $287 | 17% | — | $1.3k – $2.3k |
| 23 | Magellan facility · percent of total billed charges · bothfrom % of charges · +2 other terms | 7 | $17.7k | $14.5k | $6.3k | 44% | — | $5.3k – $24.8k |
| 24 | Ambetter percent of total billed charges · outpatientfrom % of charges · +3 other terms | 6 | $1.8k | $2.0k | $1.8k | 90% | — | $20 – $5.1k |
| 25 | Phcs fee schedule · inpatient · +7 other terms | 6 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
← Hospitals reporting HCPCS A9566 · Snapshot 20261112T124536Z-e251e855