Diagnostic gallium-68 PSMA-11 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

GALLIUM GA 68 GOZETOTIDE 0.5-5 MCI/ML IV SOLN

Payers reporting HCPCS A9593

Payer pricing summary

Low

$281

Average

$1.0k

Median

$790

High

$4.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	513	$835	$874	$441	50%	—	$0 – $3.3k
2	Aetna fee schedule · outpatient · +12 other terms	325	$550	$978	$860	88%	—	$300 – $8.1k
3	Cigna fee schedule · outpatient · +12 other terms	254	$1.1k	$2.0k	$1.7k	84%	—	$369 – $6.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	247	$625	$767	$881	115%	—	$1 – $5.1k
5	Humana fee schedule · outpatient · +13 other terms	204	$540	$605	$337	56%	—	$485 – $3.6k
6	WellCare fee schedule · outpatient · +6 other terms	113	$550	$616	$200	32%	—	$502 – $1.3k
7	Molina fee schedule · outpatient · +7 other terms	98	$583	$692	$255	37%	—	$0 – $1.2k
8	Anthem fee schedule · outpatient · +9 other terms	86	$826	$1.1k	$759	69%	—	$508 – $4.1k
9	Devoted fee schedule · outpatient · +4 other terms	64	$542	$545	$27	5%	—	$501 – $593
10	Ambetter facility · fee schedule · outpatient · +5 other terms	50	$968	$1.0k	$236	23%	—	$535 – $1.4k
11	Kaiser fee schedule · outpatient · +2 other terms	50	$539	$1.1k	$1.0k	93%	—	$440 – $5.8k
12	Optum fee schedule · outpatient · +5 other terms	33	$539	$715	$317	44%	—	$489 – $1.6k
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$285	$290	$122	42%	—	$104 – $551
14	Caresource fee schedule · outpatient · +4 other terms	27	$825	$706	$149	21%	—	$546 – $1.1k
15	Clover fee schedule · outpatient · +2 other terms	24	$585	$570	$34	6%	—	$521 – $630
16	Oscar facility · fee schedule · outpatient · +6 other terms	24	$825	$822	$135	16%	—	$613 – $1.0k
17	Medica facility · fee schedule · outpatient · +6 other terms	21	$556	$586	$239	41%	—	$302 – $1.6k
18	Regence facility · fee schedule · outpatient · +1 other terms	21	$572	$750	$438	58%	—	$455 – $1.8k
19	Medicare fee schedule · outpatient · +4 other terms	19	$539	$547	$35	6%	—	$539 – $713
20	Highmark fee schedule · outpatient · +4 other terms	16	$776	$783	$188	24%	—	$292 – $1.4k
21	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$550	$728	$382	52%	—	$299 – $2.2k
22	MultiPlan fee schedule · outpatient · +5 other terms	15	$1.5k	$1.5k	$175	12%	—	$535 – $1.5k
23	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$545	$838	$644	77%	—	$375 – $3.0k
24	Wellmark fee schedule · both · +2 other terms	13	$887	$888	$7	1%	—	$887 – $933
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$769	$672	$115	17%	—	$535 – $769

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