Copper Cu-64 dotatate diagnostic imaging agent, 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

COPPER CU 64 DOTATATE 1 MCI/ML IV SOLN

Payers reporting HCPCS A9592

Payer pricing summary

Low

$311

Average

$3.0k

Median

$2.1k

High

$16.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	557	$981	$1.0k	$545	54%	1–10	$315 – $5.0k
2	Humana fee schedule · outpatient · +18 other terms	227	$601	$860	$848	99%	1–10	$40 – $5.2k
3	Bcbs Mt fee schedule · outpatient	1	$595	$595	—	—	1–10	$595 – $595
4	Aetna fee schedule · outpatient · +23 other terms	352	$603	$1.5k	$1.5k	99%	—	$42 – $10.5k
5	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	283	$1.3k	$2.0k	$1.4k	71%	—	$1 – $6.3k
6	Cigna fee schedule · outpatient · +19 other terms	282	$1.4k	$2.5k	$2.0k	81%	—	$100 – $8.4k
7	WellCare fee schedule · outpatient · +13 other terms	129	$602	$681	$235	35%	—	$554 – $2.0k
8	Anthem fee schedule · outpatient · +19 other terms	107	$1.1k	$1.3k	$783	62%	—	$565 – $4.6k
9	Molina fee schedule · outpatient · +17 other terms	100	$679	$814	$287	35%	—	$446 – $2.1k
10	Devoted fee schedule · outpatient · +8 other terms	63	$595	$597	$33	5%	—	$541 – $659
11	Kaiser fee schedule · outpatient · +15 other terms	63	$743	$1.3k	$1.2k	90%	—	$475 – $7.2k
12	Ambetter facility · fee schedule · outpatient · +12 other terms	56	$1.1k	$1.1k	$261	23%	—	$595 – $1.5k
13	Caresource fee schedule · outpatient · +12 other terms	41	$891	$986	$632	64%	—	$445 – $2.7k
14	Optum fee schedule · outpatient · +16 other terms	40	$588	$892	$498	56%	—	$528 – $2.3k
15	Bcbs Tx fee schedule · outpatient · +2 other terms	28	$3.6k	$3.2k	$1.4k	44%	—	$559 – $5.9k
16	Clover fee schedule · outpatient · +5 other terms	28	$650	$628	$41	6%	—	$563 – $701
17	Medicare fee schedule · outpatient · +7 other terms	28	$582	$595	$20	3%	—	$582 – $919
18	MultiPlan fee schedule · outpatient · +13 other terms	27	$2.1k	$2.9k	$1.6k	56%	—	$42 – $6.0k
19	Oscar facility · fee schedule · outpatient · +14 other terms	27	$891	$903	$138	15%	—	$682 – $1.1k
20	Highmark facility · fee schedule · outpatient · +12 other terms	24	$952	$1.1k	$662	59%	—	$345 – $3.6k
21	Medica fee schedule · outpatient · +14 other terms	21	$1.8k	$2.0k	$768	38%	—	$618 – $2.9k
22	Regence facility · fee schedule · outpatient · +13 other terms	21	$618	$851	$570	67%	—	$506 – $2.4k
23	Tricare fee schedule · outpatient · +11 other terms	16	$565	$1.5k	$1.4k	94%	—	$528 – $3.5k
24	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$594	$787	$412	52%	—	$324 – $2.4k
25	Bcbs Mn fee schedule · outpatient · +9 other terms	13	$805	$757	$325	43%	—	$1 – $1.1k

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