Fluorodopa F-18 diagnostic imaging agent

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

FLUORODOPA F-18 DIAG PER MCI

Payers reporting HCPCS A9602

Payer pricing summary

Low

$447

Average

$853

Median

$838

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	524	$924	$1.1k	$627	59%	—	$194 – $3.6k
2	Aetna fee schedule · outpatient · +9 other terms	334	$856	$963	$529	55%	—	$453 – $5.2k
3	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	261	$950	$1.3k	$769	61%	—	$1 – $6.2k
4	Cigna fee schedule · outpatient · +9 other terms	256	$873	$1.4k	$1.0k	73%	—	$344 – $4.4k
5	Humana fee schedule · outpatient · +8 other terms	211	$838	$771	$315	41%	—	$452 – $2.4k
6	WellCare fee schedule · outpatient · +3 other terms	114	$860	$787	$214	27%	—	$468 – $1.2k
7	Molina fee schedule · outpatient · +5 other terms	99	$880	$976	$445	46%	—	$468 – $1.8k
8	Anthem fee schedule · outpatient · +8 other terms	90	$838	$996	$954	96%	—	$400 – $6.4k
9	Devoted fee schedule · outpatient · +2 other terms	64	$838	$766	$140	18%	—	$506 – $915
10	Kaiser fee schedule · outpatient · +2 other terms	55	$1.1k	$1.3k	$645	50%	—	$684 – $3.3k
11	Ambetter facility · fee schedule · outpatient · +3 other terms	51	$1.2k	$1.3k	$358	27%	—	$499 – $2.1k
12	Optum fee schedule · outpatient · +3 other terms	33	$838	$1.1k	$491	44%	—	$760 – $2.5k
13	Bcbs Tx fee schedule · outpatient	31	$1.9k	$1.8k	$786	45%	—	$468 – $3.4k
14	Caresource fee schedule · outpatient · +4 other terms	27	$1.3k	$1.1k	$228	21%	—	$856 – $1.7k
15	Oscar facility · fee schedule · outpatient · +3 other terms	25	$1.1k	$1.2k	$319	27%	—	$572 – $1.6k
16	Clover fee schedule · outpatient · +2 other terms	24	$699	$734	$167	23%	—	$545 – $976
17	Regence facility · fee schedule · outpatient · +3 other terms	21	$890	$860	$183	21%	—	$447 – $1.3k
18	Medicare fee schedule · outpatient · +1 other terms	18	$838	$838	—	—	—	$838 – $838
19	Highmark fee schedule · outpatient · +5 other terms	16	$688	$675	$251	37%	—	$272 – $1.9k
20	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$856	$1.1k	$593	52%	—	$466 – $3.4k
21	MultiPlan fee schedule · outpatient · +2 other terms	15	$752	$743	$46	6%	—	$499 – $752
22	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$894	$729	$336	46%	—	$208 – $1.7k
23	Wellmark fee schedule · both · +2 other terms	13	$499	$502	$16	3%	—	$499 – $599
24	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$493	$652	$188	29%	—	$493 – $874
25	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$507	$687	$518	75%	—	$497 – $2.4k

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