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.
Original text from hospital filings
FLOTUFOLASTAT F 18 GALLIUM 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION
Low
$265
Average
$3.5k
Median
$2.0k
High
$20.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 12.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 544 | $1.1k | $1.1k | $579 | 53% | 1–10 | $295 – $5.5k |
| 2 | Bcbs Wy percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $28 | 1% | 1–10 | $2.0k – $2.1k |
| 3 | Aetna fee schedule · outpatient · +20 other terms | 345 | $671 | $1.2k | $905 | 75% | — | $366 – $6.4k |
| 4 | Cigna fee schedule · outpatient · +19 other terms | 262 | $934 | $1.7k | $1.3k | 76% | — | $449 – $5.5k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 259 | $1.2k | $1.5k | $916 | 62% | — | $1 – $5.5k |
| 6 | Humana fee schedule · outpatient · +18 other terms | 218 | $671 | $809 | $564 | 70% | — | $590 – $5.3k |
| 7 | WellCare fee schedule · outpatient · +10 other terms | 127 | $685 | $748 | $219 | 29% | — | $612 – $1.5k |
| 8 | Anthem fee schedule · outpatient · +18 other terms | 102 | $747 | $1.1k | $780 | 73% | — | $619 – $5.3k |
| 9 | Molina fee schedule · outpatient · +13 other terms | 98 | $732 | $915 | $494 | 54% | — | $546 – $5.6k |
| 10 | Devoted fee schedule · outpatient · +9 other terms | 64 | $671 | $667 | $32 | 5% | — | $611 – $722 |
| 11 | Kaiser fee schedule · outpatient · +9 other terms | 63 | $839 | $1.1k | $768 | 68% | — | $633 – $4.8k |
| 12 | Ambetter facility · fee schedule · outpatient · +14 other terms | 57 | $1.2k | $1.3k | $284 | 23% | — | $652 – $1.7k |
| 13 | Caresource fee schedule · outpatient · +9 other terms | 45 | $778 | $1.0k | $926 | 91% | — | $678 – $5.5k |
| 14 | Optum fee schedule · outpatient · +13 other terms | 33 | $658 | $863 | $377 | 44% | — | $596 – $1.9k |
| 15 | Bcbs Tx fee schedule · outpatient | 31 | $2.3k | $2.1k | $929 | 44% | — | $612 – $4.0k |
| 16 | Oscar facility · fee schedule · outpatient · +12 other terms | 30 | $1.0k | $1.0k | $166 | 17% | — | $749 – $1.2k |
| 17 | Clover fee schedule · outpatient · +2 other terms | 29 | $712 | $693 | $39 | 6% | — | $635 – $767 |
| 18 | Medicare fee schedule · outpatient · +7 other terms | 27 | $658 | $696 | $13 | 2% | — | $658 – $701 |
| 19 | MultiPlan fee schedule · outpatient · +11 other terms | 25 | $1.1k | $1.7k | $1.1k | 67% | — | $671 – $4.3k |
| 20 | Regence facility · fee schedule · outpatient · +7 other terms | 20 | $698 | $760 | $214 | 28% | — | $571 – $1.4k |
| 21 | Highmark fee schedule · outpatient · +13 other terms | 16 | $839 | $871 | $318 | 36% | — | $366 – $1.8k |
| 22 | Tricare facility · fee schedule · outpatient · +10 other terms | 16 | $671 | $3.8k | $7.1k | 183% | — | $638 – $27.5k |
| 23 | Medica fee schedule · both · +13 other terms | 15 | $705 | $706 | $51 | 7% | — | $615 – $757 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +4 other terms | 15 | $671 | $889 | $466 | 52% | — | $365 – $2.7k |
| 25 | Bcbs Mn fee schedule · outpatient · +7 other terms | 13 | $684 | $759 | $374 | 49% | — | $286 – $2.3k |
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