Diagnostic gallium-68 PSMA-11 radiopharmaceutical, per 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 18.5 MBq to 185 MBq/mL Soln 1 Each VIAL

Payers reporting HCPCS A9594

Payer pricing summary

Low

$190

Average

$959

Median

$567

High

$6.6k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	510	$600	$615	$322	52%	—	$309 – $3.1k
2	Aetna fee schedule · outpatient · +15 other terms	323	$369	$815	$889	109%	—	$331 – $7.9k
3	Cigna fee schedule · outpatient · +13 other terms	254	$1.0k	$1.9k	$1.7k	88%	—	$256 – $6.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	245	$503	$673	$851	126%	—	$1 – $5.1k
5	Humana fee schedule · outpatient · +12 other terms	204	$372	$434	$351	81%	—	$331 – $3.5k
6	WellCare fee schedule · outpatient · +4 other terms	113	$372	$421	$141	34%	—	$339 – $872
7	Molina fee schedule · outpatient · +6 other terms	96	$406	$480	$149	31%	—	$273 – $785
8	Anthem fee schedule · outpatient · +12 other terms	85	$574	$955	$679	71%	—	$354 – $3.6k
9	Devoted fee schedule · outpatient · +2 other terms	64	$372	$368	$23	6%	—	$331 – $412
10	Ambetter facility · fee schedule · outpatient · +3 other terms	50	$647	$702	$173	25%	—	$372 – $949
11	Kaiser fee schedule · outpatient · +5 other terms	50	$372	$892	$1.1k	119%	—	$291 – $5.6k
12	Optum fee schedule · outpatient · +7 other terms	32	$356	$456	$186	41%	—	$323 – $1.0k
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$285	$269	$88	33%	—	$104 – $440
14	Caresource fee schedule · outpatient · +4 other terms	27	$545	$468	$97	21%	—	$364 – $709
15	Clover fee schedule · outpatient · +2 other terms	24	$407	$391	$31	8%	—	$344 – $438
16	Oscar facility · fee schedule · outpatient · +7 other terms	24	$545	$549	$86	16%	—	$427 – $672
17	Regence facility · fee schedule · outpatient · +1 other terms	21	$378	$580	$491	85%	—	$316 – $1.8k
18	Medicare fee schedule · outpatient · +2 other terms	19	$356	$371	$70	19%	—	$356 – $698
19	Highmark fee schedule · outpatient · +4 other terms	16	$679	$685	$176	26%	—	$203 – $998
20	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$364	$482	$252	52%	—	$198 – $1.4k
21	MultiPlan fee schedule · outpatient · +6 other terms	15	$1.5k	$1.4k	$199	14%	—	$372 – $1.5k
22	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$379	$733	$674	92%	—	$367 – $2.9k
23	Wellmark fee schedule · both · +4 other terms	13	$868	$869	$7	1%	—	$868 – $914
24	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$685	$554	$154	28%	—	$372 – $685
25	Bcbs Nj fee schedule · outpatient	12	$915	$1.0k	$379	37%	—	$407 – $1.8k

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