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
TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT (WBC)
Low
$383
Average
$2.6k
Median
$2.1k
High
$9.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 4.4× 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 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 284 | $2.1k | $3.2k | $2.4k | 77% | 9–90 | $1 – $13.5k |
| 2 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 609 | $1.5k | $1.7k | $891 | 52% | — | $1 – $6.5k |
| 3 | Aetna fee schedule · outpatient · +25 other terms | 393 | $1.0k | $2.4k | $2.2k | 90% | — | $17 – $18.8k |
| 4 | Cigna fee schedule · outpatient · +22 other terms | 313 | $2.3k | $3.9k | $3.5k | 90% | — | $2 – $15.0k |
| 5 | Humana fee schedule · outpatient · +21 other terms | 278 | $1.1k | $2.9k | $4.4k | 153% | — | $17 – $17.0k |
| 6 | WellCare fee schedule · outpatient · +15 other terms | 125 | $1.0k | $1.1k | $378 | 34% | — | $871 – $2.4k |
| 7 | Anthem fee schedule · outpatient · +23 other terms | 124 | $1.9k | $1.9k | $1.6k | 81% | — | $17 – $9.0k |
| 8 | Molina fee schedule · outpatient · +20 other terms | 105 | $1.1k | $1.3k | $436 | 34% | — | $17 – $2.3k |
| 9 | Devoted fee schedule · outpatient · +13 other terms | 60 | $981 | $969 | $86 | 9% | — | $850 – $1.2k |
| 10 | Ambetter facility · fee schedule · outpatient · +15 other terms | 59 | $1.6k | $1.8k | $546 | 30% | — | $934 – $2.7k |
| 11 | Kaiser fee schedule · outpatient · +17 other terms | 59 | $1.1k | $2.0k | $1.6k | 81% | — | $747 – $8.2k |
| 12 | Oscar facility · fee schedule · outpatient · +14 other terms | 46 | $1.6k | $1.5k | $211 | 14% | — | $1.2k – $1.7k |
| 13 | Optum fee schedule · outpatient · +15 other terms | 44 | $945 | $1.7k | $1.7k | 95% | — | $540 – $7.5k |
| 14 | Highmark facility · fee schedule · outpatient · +17 other terms | 40 | $1.8k | $1.8k | $907 | 51% | — | $832 – $4.7k |
| 15 | Caresource fee schedule · outpatient · +14 other terms | 38 | $1.1k | $1.1k | $425 | 38% | — | $17 – $2.1k |
| 16 | MultiPlan fee schedule · outpatient · +13 other terms | 34 | $4.0k | $4.9k | $2.2k | 46% | — | $907 – $9.6k |
| 17 | Wellmark facility · fee schedule · both · +11 other terms | 34 | $1.4k | $1.5k | $866 | 58% | — | $934 – $6.1k |
| 18 | Excellus facility · fee schedule · both · +9 other terms | 33 | $1.4k | $1.6k | $853 | 53% | — | $934 – $6.1k |
| 19 | Medicare fee schedule · outpatient · +12 other terms | 33 | $915 | $1.0k | $53 | 5% | — | $891 – $1.0k |
| 20 | Carefirst facility · fee schedule · both · +7 other terms | 32 | $1.4k | $1.6k | $901 | 57% | — | $934 – $6.1k |
| 21 | Premera facility · fee schedule · both · +7 other terms | 32 | $1.4k | $1.6k | $901 | 57% | — | $934 – $6.1k |
| 22 | Regence facility · fee schedule · both · +13 other terms | 32 | $1.4k | $1.6k | $908 | 57% | — | $934 – $6.1k |
| 23 | Clover fee schedule · outpatient · +7 other terms | 27 | $1.1k | $1.1k | $110 | 10% | — | $884 – $1.2k |
| 24 | Medica facility · fee schedule · outpatient · +17 other terms | 25 | $1.0k | $1.3k | $646 | 52% | — | $664 – $3.1k |
| 25 | Bcbs Tx fee schedule · outpatient · +4 other terms | 24 | $6.0k | $5.3k | $2.4k | 46% | — | $977 – $9.9k |
← Hospitals reporting HCPCS A9569 · Snapshot 20261111T120946Z-9134e7f7