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
$11
Average
$40
Median
$31
High
$110
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 9.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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13 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Lankenau Medical Center Wynnewood, PA facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Paoli Hospital Paoli, PA facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Riddle Memorial Hospital Media, PA facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Samaritan Hospital Troy, NY facility · fee schedule · both | 3 | $128 | $110 | $35 | 32% | — | $28 – $128 |
| 9 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 10 | St Peters Hospital Albany, NY facility · fee schedule · both | 3 | $128 | $110 | $35 | 32% | — | $28 – $128 |
| 11 | The Bryn Mawr Hospital Bryn Mawr, PA facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 12 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Webster Memorial Hospital Inc Cowen, WV professional · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting CPT 0472U · Snapshot 20261113T090226Z-3ce6c0b8