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
Carbonic anhydrase VI (CA VI), parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG, IgM, and IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative, blood, reported as predictive evidence of early Sjögren's syndrome
Low
$0
Average
$152
Median
$48
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
49 payers; the 90th percentile is 19.1× 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 | Aetna fee schedule · outpatient · +9 other terms | 376 | $28 | $30 | $9 | 29% | — | $15 – $100 |
| 2 | UnitedHealthcare fee schedule · outpatient · +10 other terms | 331 | $28 | $50 | $375 | 751% | — | $1 – $6.7k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 298 | $29 | $39 | $21 | 54% | — | $0 – $203 |
| 4 | Humana fee schedule · outpatient · +6 other terms | 257 | $28 | $29 | $7 | 25% | — | $27 – $112 |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 176 | $29 | $29 | $1 | 4% | — | $28 – $37 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 162 | $28 | $28 | $1 | 2% | — | $27 – $31 |
| 7 | Oscar fee schedule · outpatient · +1 other terms | 158 | $54 | $60 | $20 | 33% | — | $27 – $85 |
| 8 | Molina fee schedule · outpatient · +6 other terms | 134 | $41 | $40 | $16 | 39% | — | $17 – $84 |
| 9 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 112 | $29 | $28 | $1 | 3% | — | $28 – $30 |
| 10 | Cigna fee schedule · outpatient · +8 other terms | 95 | $29 | $34 | $15 | 44% | — | $27 – $84 |
| 11 | Kaiser fee schedule · outpatient · +3 other terms | 61 | $28 | $40 | $20 | 50% | — | $22 – $104 |
| 12 | Anthem fee schedule · outpatient · +8 other terms | 60 | $89 | $93 | $57 | 61% | — | $5 – $209 |
| 13 | Ambetter fee schedule · outpatient · +2 other terms | 53 | $46 | $46 | $11 | 23% | — | $18 – $75 |
| 14 | Superior Healthplan fee schedule · outpatient | 41 | $29 | $29 | $1 | 4% | — | $29 – $45 |
| 15 | Optum fee schedule · outpatient · +3 other terms | 40 | $28 | $39 | $17 | 43% | — | $27 – $80 |
| 16 | Bcbs Tx fee schedule · outpatient | 30 | $77 | $79 | $23 | 28% | — | $28 – $149 |
| 17 | Caresource facility · fee schedule · outpatient · +3 other terms | 27 | $42 | $41 | $12 | 28% | — | $28 – $56 |
| 18 | Clover fee schedule · outpatient · +1 other terms | 22 | $29 | $29 | $0 | 1% | — | $28 – $29 |
| 19 | Regence facility · fee schedule · outpatient · +4 other terms | 21 | $29 | $29 | $1 | 2% | — | $28 – $32 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 19 | $33 | $33 | $3 | 8% | — | $28 – $39 |
| 21 | Medicare fee schedule · outpatient · +1 other terms | 18 | $27 | $27 | — | — | — | $27 – $27 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 17 | $28 | $31 | $10 | 31% | — | $15 – $54 |
| 23 | MultiPlan percent of total billed charges · bothfrom % of charges · +5 other terms | 17 | $221 | $208 | $36 | 17% | — | $114 – $234 |
| 24 | Phcs percent of total billed charges · bothfrom % of charges · +3 other terms | 17 | $182 | $173 | $29 | 17% | — | $114 – $213 |
| 25 | First Health fee schedule · outpatient · +8 other terms | 14 | $28 | $32 | $9 | 29% | — | $28 – $54 |
← Hospitals reporting CPT 0472U · Snapshot 20261113T090226Z-3ce6c0b8