Cyclosporine drug level blood test

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 CYCLOSPORINE BLOOD

Payers reporting CPT 80158

Payer pricing summary

Low

$11

Average

$266

Median

$64

High

$4.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	859	$18	$23	$28	118%	123–195	$1 – $601
2	Aetna fee schedule · outpatient · +34 other terms	784	$21	$68	$336	495%	65–119	$0 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	586	$28	$47	$48	103%	50–59	$1 – $626
4	Anthem fee schedule · outpatient · +26 other terms	242	$20	$34	$46	133%	21–57	$3 – $760
5	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$41	$41	—	—	19	$41 – $41
6	Humana fee schedule · outpatient · +28 other terms	574	$18	$43	$60	140%	16–52	$1 – $610
7	Cigna fee schedule · outpatient · +27 other terms	545	$39	$52	$172	332%	12	$5 – $5.1k
8	First Health fee schedule · outpatient · +17 other terms	74	$18	$39	$59	153%	12	$10 – $267
9	Molina fee schedule · outpatient · +31 other terms	323	$20	$22	$12	57%	11	$1 – $215
10	Optum fee schedule · outpatient · +20 other terms	74	$18	$52	$76	146%	3–30	$18 – $339
11	Superior Healthplan fee schedule · outpatient · +6 other terms	66	$19	$102	$105	103%	3–30	$15 – $374
12	Cigna Healthspring fee schedule · outpatient · +8 other terms	152	$18	$18	$2	10%	1–10	$11 – $31
13	Kaiser fee schedule · outpatient · +19 other terms	129	$18	$21	$14	68%	1–10	$3 – $146
14	Caresource fee schedule · outpatient · +15 other terms	113	$18	$25	$20	82%	1–10	$1 – $113
15	WellCare fee schedule · outpatient · +19 other terms	324	$19	$20	$8	39%	—	$8 – $105
16	Devoted fee schedule · outpatient · +15 other terms	188	$18	$18	$0	2%	—	$18 – $19
17	Oscar fee schedule · outpatient · +17 other terms	168	$35	$38	$13	34%	—	$11 – $55
18	Ambetter facility · fee schedule · outpatient · +18 other terms	134	$32	$32	$7	23%	—	$10 – $46
19	Aetna Better Health fee schedule · outpatient · +18 other terms	122	$16	$18	$8	42%	—	$9 – $61
20	MultiPlan fee schedule · outpatient · +20 other terms	122	$150	$128	$135	106%	—	$12 – $613
21	Tricare facility · fee schedule · outpatient · +17 other terms	120	$18	$19	$15	78%	—	$8 – $194
22	Highmark facility · fee schedule · outpatient · +17 other terms	79	$30	$47	$39	84%	—	$12 – $178
23	Medicare facility · fee schedule · outpatient · +12 other terms	74	$18	$20	$13	68%	—	$13 – $128
24	Medicaid facility · fee schedule · outpatient · +15 other terms	65	$18	$19	$4	23%	—	$6 – $42
25	Medica facility · fee schedule · outpatient · +16 other terms	61	$18	$20	$9	45%	—	$6 – $103

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