Iodine-131 iobenguane, 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

iobenguane I-131 337.5 mCi/22.5 mL Soln 1 Each VIAL

Payers reporting HCPCS A9590

Payer pricing summary

Low

Average

$13.7k

Median

$535

High

$181.1k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +12 other terms	182	$612	$998	$714	71%	—	$297 – $2.8k
2	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	180	$733	$882	$468	53%	—	$1 – $2.1k
3	Aetna fee schedule · outpatient · +13 other terms	111	$638	$714	$464	65%	—	$290 – $3.3k
4	UnitedHealthcare facility · fee schedule · outpatient · +14 other terms	83	$730	$743	$324	44%	—	$272 – $3.1k
5	Anthem fee schedule · outpatient · +12 other terms	50	$396	$562	$263	47%	—	$203 – $1.5k
6	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$1.3k	$1.2k	$395	33%	—	$484 – $2.0k
7	Humana facility · fee schedule · outpatient · +12 other terms	19	$323	$992	$459	46%	—	$311 – $1.5k
8	Caresource facility · case rate · outpatient · +5 other terms	18	$126	$198	$141	71%	—	$80 – $501
9	Molina facility · case rate · outpatient · +7 other terms	18	$124	$194	$99	51%	—	$82 – $334
10	MultiPlan fee schedule · outpatient · +6 other terms	14	$572	$572	—	—	—	$572 – $572
11	Wellmark fee schedule · both · +2 other terms	13	$320	$322	$10	3%	—	$320 – $384
12	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$309	$361	$215	59%	—	$156 – $1.3k
13	Bcbs Nj fee schedule · outpatient · +2 other terms	12	$319	$319	—	—	—	$319 – $319
14	Highmark fee schedule · outpatient · +5 other terms	12	$359	$360	$7	2%	—	$327 – $420
15	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$317	$338	$29	8%	—	$317 – $376
16	Optum facility · case rate · outpatient · +5 other terms	11	$111	$121	$27	22%	—	$100 – $180
17	Medica fee schedule · outpatient · +8 other terms	10	$741	$747	$186	25%	—	$449 – $957
18	Kaiser fee schedule · outpatient · +6 other terms	9	$1.5k	$1.5k	$494	34%	—	$686 – $2.6k
19	WellCare facility · fee schedule · outpatient · +4 other terms	9	$475	$475	—	—	—	$475 – $475
20	Premera fee schedule · outpatient · +1 other terms	8	$512	$512	—	—	—	$512 – $512
21	Regence fee schedule · outpatient · +1 other terms	8	$832	$726	$202	28%	—	$306 – $978
22	Bcbs La fee schedule · outpatient · +1 other terms	6	$326	$328	$6	2%	—	$326 – $346
23	Excellus facility · fee schedule · outpatient	5	$532	$596	$360	60%	—	$340 – $1.5k
24	First Health facility · fee schedule · outpatient · +6 other terms	4	$961	$961	—	—	—	$961 – $961
25	Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms	3	$316	$317	$6	2%	—	$311 – $324

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