Gallium-68 DOTATOC 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

Gallium ga-68 dotatoc

Payers reporting HCPCS C9067

Payer pricing summary

Low

Average

$275

Median

High

$5.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	509	$6	$6	$3	53%	—	$1 – $33
2	Aetna fee schedule · outpatient · +8 other terms	333	$4	$8	$9	106%	—	$2 – $79
3	Cigna fee schedule · outpatient · +8 other terms	256	$10	$19	$17	87%	—	$3 – $66
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	248	$9	$38	$263	684%	—	$1 – $3.1k
5	Humana fee schedule · outpatient · +6 other terms	201	$4	$4	$1	20%	—	$3 – $10
6	WellCare fee schedule · outpatient · +3 other terms	114	$4	$4	$2	36%	—	$3 – $9
7	Molina fee schedule · outpatient · +4 other terms	97	$4	$5	$2	31%	—	$3 – $10
8	Anthem fee schedule · outpatient · +6 other terms	87	$6	$9	$7	69%	—	$3 – $36
9	Devoted fee schedule · outpatient · +3 other terms	64	$4	$4	$0	10%	—	$3 – $4
10	Kaiser fee schedule · outpatient · +2 other terms	54	$5	$9	$12	131%	—	$3 – $68
11	Ambetter facility · fee schedule · outpatient · +3 other terms	50	$7	$7	$2	28%	—	$4 – $10
12	Optum fee schedule · outpatient · +2 other terms	33	$4	$5	$2	44%	—	$3 – $10
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$32	$30	$15	49%	—	$4 – $59
14	Caresource fee schedule · outpatient · +4 other terms	27	$5	$5	$1	20%	—	$4 – $7
15	Clover fee schedule · outpatient · +2 other terms	24	$4	$4	$0	11%	—	$3 – $5
16	Oscar facility · fee schedule · outpatient · +5 other terms	24	$5	$6	$1	15%	—	$5 – $7
17	Regence facility · fee schedule · outpatient · +1 other terms	21	$4	$6	$6	93%	—	$3 – $22
18	Medicare fee schedule · outpatient · +1 other terms	19	$4	$4	$1	24%	—	$4 – $8
19	Highmark fee schedule · outpatient · +4 other terms	16	$7	$7	$2	32%	—	$2 – $11
20	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$4	$5	$3	52%	—	$2 – $14
21	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$2.3k	$1.6k	$1.7k	108%	—	$1 – $3.8k
22	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$7	$6	$2	28%	—	$4 – $7
23	Bcbs Nj fee schedule · outpatient	12	$11	$12	$5	39%	—	$4 – $20
24	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$4	$4	—	—	—	$4 – $4
25	Wellmark case rate · outpatient · +2 other terms	12	$4	$4	$0	0%	—	$4 – $4

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