Ethosuximide blood level 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 ASSAY OF ETHOSUXIMIDE

Payers reporting CPT 80168

Payer pricing summary

Low

Average

$335

Median

$48

High

$6.7k

Payer rate distribution

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#
1	Molina fee schedule · outpatient · +30 other terms	317	$18	$20	$12	60%	2–20	$1 – $215
2	Caresource fee schedule · outpatient · +14 other terms	104	$18	$25	$21	82%	2–20	$1 – $104
3	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	546	$25	$41	$41	99%	1–10	$1 – $369
4	Anthem fee schedule · outpatient · +23 other terms	221	$18	$30	$30	102%	1–10	$3 – $317
5	UnitedHealthcare fee schedule · outpatient · +34 other terms	835	$16	$20	$19	96%	—	$1 – $350
6	Aetna fee schedule · outpatient · +33 other terms	765	$19	$64	$352	550%	—	$0 – $8.4k
7	Humana fee schedule · outpatient · +27 other terms	573	$17	$39	$49	126%	—	$1 – $228
8	Cigna fee schedule · outpatient · +24 other terms	530	$35	$49	$203	419%	—	$1 – $5.9k
9	WellCare fee schedule · outpatient · +19 other terms	325	$17	$18	$7	37%	—	$8 – $95
10	Devoted fee schedule · outpatient · +14 other terms	197	$16	$17	$0	3%	—	$16 – $19
11	Oscar fee schedule · outpatient · +17 other terms	168	$32	$35	$12	34%	—	$11 – $50
12	Cigna Healthspring fee schedule · outpatient · +8 other terms	148	$16	$17	$2	10%	—	$10 – $28
13	Ambetter fee schedule · outpatient · +17 other terms	124	$26	$25	$11	44%	—	$11 – $87
14	Kaiser fee schedule · outpatient · +18 other terms	120	$16	$19	$14	71%	—	$3 – $139
15	Aetna Better Health fee schedule · outpatient · +18 other terms	115	$16	$16	$6	36%	—	$9 – $56
16	MultiPlan fee schedule · outpatient · +19 other terms	110	$91	$86	$76	87%	—	$12 – $234
17	Tricare facility · fee schedule · outpatient · +14 other terms	94	$16	$20	$44	218%	—	$7 – $481
18	Optum fee schedule · outpatient · +19 other terms	79	$16	$32	$32	100%	—	$16 – $153
19	First Health fee schedule · outpatient · +17 other terms	70	$16	$29	$35	122%	—	$10 – $227
20	Highmark facility · fee schedule · outpatient · +15 other terms	68	$25	$37	$31	86%	—	$11 – $153
21	Superior Healthplan fee schedule · outpatient · +6 other terms	66	$17	$70	$66	95%	—	$14 – $194
22	Amerihealth Caritas fee schedule · outpatient · +11 other terms	63	$17	$18	$4	25%	—	$2 – $30
23	Medicaid facility · fee schedule · outpatient · +12 other terms	57	$16	$17	$4	21%	—	$6 – $23
24	Medicare fee schedule · both · +12 other terms	56	$16	$16	$1	4%	—	$16 – $22
25	Clover fee schedule · outpatient · +9 other terms	48	$17	$17	$0	2%	—	$16 – $17

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