Lutetium-177 vipivotide tetraxetan radiopharmaceutical therapy, 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

HC Radiopharm Tx Agent, Noc

Payers reporting HCPCS A9607

Payer pricing summary

Low

$136

Average

$20.4k

Median

$8.5k

High

$127.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +21 other terms	236	$256	$1.8k	$8.4k	466%	373	$1 – $51.9k
2	UnitedHealthcare fee schedule · outpatient · +23 other terms	571	$418	$994	$7.1k	711%	1–10	$1 – $171.2k
3	Aetna fee schedule · outpatient · +23 other terms	370	$264	$2.9k	$12.9k	438%	—	$1 – $130.6k
4	Cigna fee schedule · outpatient · +21 other terms	290	$364	$2.9k	$11.8k	401%	—	$100 – $127.4k
5	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	283	$404	$1.8k	$10.4k	587%	—	$1 – $100.7k
6	WellCare fee schedule · outpatient · +15 other terms	131	$261	$281	$76	27%	—	$226 – $565
7	Anthem fee schedule · outpatient · +21 other terms	114	$287	$3.0k	$15.3k	514%	—	$223 – $100.7k
8	Molina fee schedule · outpatient · +20 other terms	107	$278	$2.4k	$8.4k	347%	—	$1 – $53.4k
9	Devoted fee schedule · outpatient · +8 other terms	68	$256	$882	$5.6k	638%	—	$233 – $51.2k
10	Kaiser fee schedule · outpatient · +15 other terms	62	$325	$515	$453	88%	—	$208 – $2.2k
11	Caresource fee schedule · outpatient · +12 other terms	58	$282	$672	$3.5k	516%	—	$1 – $40.2k
12	Ambetter facility · fee schedule · outpatient · +13 other terms	55	$467	$477	$102	21%	—	$241 – $619
13	Optum fee schedule · outpatient · +14 other terms	39	$251	$423	$259	61%	—	$227 – $1.1k
14	Highmark facility · fee schedule · outpatient · +11 other terms	35	$378	$412	$236	57%	—	$79 – $1.2k
15	Oscar facility · fee schedule · outpatient · +15 other terms	34	$389	$390	$53	14%	—	$290 – $473
16	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$812	$753	$329	44%	—	$226 – $1.4k
17	Clover fee schedule · outpatient · +5 other terms	29	$264	$263	$12	5%	—	$242 – $286
18	MultiPlan fee schedule · outpatient · +10 other terms	28	$387	$661	$422	64%	—	$253 – $1.6k
19	Medicare fee schedule · outpatient · +8 other terms	27	$251	$269	$6	2%	—	$251 – $271
20	Regence facility · fee schedule · outpatient · +12 other terms	21	$270	$300	$90	30%	—	$217 – $547
21	Medical Mutual facility · fee schedule · outpatient · +3 other terms	18	$368	$521	$270	52%	—	$141 – $1.1k
22	Tricare facility · fee schedule · outpatient · +10 other terms	17	$259	$406	$247	61%	—	$241 – $1.2k
23	Aetna Better Health fee schedule · outpatient · +10 other terms	16	$256	$248	$17	7%	—	$225 – $267
24	Medica facility · fee schedule · outpatient · +14 other terms	16	$256	$240	$64	27%	—	$92 – $430
25	Wellmark fee schedule · outpatient · +9 other terms	15	$244	$244	—	—	—	$244 – $244

Page 1 of 3 · 60 payers