Gallium-68 dotatate diagnostic imaging agent, 0.1 millicurie

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 THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN

Payers reporting HCPCS A9587

Payer pricing summary

Low

$26

Average

$1.9k

Median

$900

High

$11.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	594	$82	$121	$328	270%	6–60	$1 – $3.7k
2	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	282	$100	$240	$692	288%	3–30	$1 – $8.1k
3	Optum fee schedule · outpatient · +17 other terms	41	$50	$96	$78	81%	2–20	$44 – $331
4	Molina fee schedule · outpatient · +17 other terms	103	$56	$68	$28	41%	1–10	$1 – $213
5	Aetna fee schedule · outpatient · +25 other terms	383	$51	$150	$331	221%	—	$1 – $3.3k
6	Cigna fee schedule · outpatient · +25 other terms	301	$81	$170	$282	166%	—	$44 – $4.0k
7	Humana fee schedule · outpatient · +19 other terms	275	$52	$134	$191	143%	—	$1 – $736
8	WellCare fee schedule · outpatient · +12 other terms	130	$51	$55	$17	30%	—	$38 – $120
9	Anthem fee schedule · outpatient · +21 other terms	124	$75	$141	$260	185%	—	$43 – $2.8k
10	Ambetter facility · fee schedule · outpatient · +14 other terms	70	$89	$97	$22	22%	—	$51 – $130
11	Devoted fee schedule · outpatient · +10 other terms	64	$51	$50	$3	6%	—	$45 – $57
12	Kaiser fee schedule · outpatient · +16 other terms	64	$62	$339	$674	199%	—	$40 – $2.9k
13	Caresource fee schedule · outpatient · +15 other terms	42	$74	$68	$24	36%	—	$1 – $193
14	Medicare fee schedule · outpatient · +8 other terms	33	$49	$51	$1	2%	—	$47 – $54
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$244	$227	$105	46%	—	$48 – $440
16	Highmark facility · fee schedule · outpatient · +15 other terms	31	$82	$104	$67	65%	—	$38 – $394
17	MultiPlan fee schedule · outpatient · +12 other terms	30	$301	$1.0k	$1.2k	122%	—	$51 – $3.6k
18	Clover fee schedule · outpatient · +4 other terms	29	$56	$53	$4	8%	—	$47 – $60
19	Oscar facility · fee schedule · outpatient · +15 other terms	29	$74	$73	$14	19%	—	$51 – $92
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$63	$63	$12	20%	—	$47 – $82
21	Wellmark facility · fee schedule · both · +9 other terms	24	$3.2k	$2.4k	$2.1k	85%	—	$50 – $6.1k
22	Excellus facility · fee schedule · both · +10 other terms	23	$3.2k	$2.9k	$1.9k	65%	—	$50 – $6.1k
23	Medica facility · fee schedule · outpatient · +13 other terms	23	$52	$54	$19	35%	—	$22 – $110
24	Carefirst facility · fee schedule · both · +6 other terms	22	$3.2k	$2.8k	$2.0k	72%	—	$50 – $6.1k
25	First Health fee schedule · outpatient · +12 other terms	22	$261	$1.2k	$1.3k	107%	—	$51 – $3.5k

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