Everolimus drug 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 EVEROLIMUS ASSAY

Payers reporting CPT 80169

Payer pricing summary

Low

Average

$335

Median

$58

High

$6.2k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	509	$20	$41	$51	123%	38–65	$0 – $320
2	UnitedHealthcare fee schedule · outpatient · +34 other terms	813	$14	$18	$23	128%	31–67	$1 – $350
3	Cigna fee schedule · outpatient · +22 other terms	508	$27	$39	$205	527%	15	$5 – $5.9k
4	Anthem fee schedule · outpatient · +23 other terms	224	$17	$25	$25	98%	2–20	$7 – $317
5	Caresource fee schedule · outpatient · +14 other terms	100	$15	$23	$27	118%	2–20	$1 – $152
6	Optum fee schedule · outpatient · +18 other terms	68	$14	$17	$7	40%	2–20	$13 – $39
7	Aetna fee schedule · outpatient · +29 other terms	732	$16	$62	$356	575%	1–10	$0 – $8.4k
8	Humana fee schedule · outpatient · +25 other terms	541	$14	$32	$53	166%	1–10	$1 – $1.1k
9	Bcbs Al facility · other · outpatient · +4 other terms	5	$15	$15	$1	9%	1–10	$14 – $18
10	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$32	$32	—	—	1–10	$32 – $32
11	WellCare fee schedule · outpatient · +15 other terms	322	$14	$16	$10	61%	—	$8 – $150
12	Molina fee schedule · outpatient · +28 other terms	306	$15	$17	$11	65%	—	$1 – $215
13	Devoted fee schedule · outpatient · +13 other terms	194	$14	$14	$0	3%	—	$13 – $16
14	Oscar fee schedule · outpatient · +17 other terms	167	$27	$29	$10	34%	—	$11 – $42
15	Cigna Healthspring fee schedule · outpatient · +7 other terms	134	$14	$14	$1	7%	—	$8 – $23
16	Kaiser fee schedule · outpatient · +18 other terms	122	$14	$16	$9	54%	—	$4 – $72
17	Ambetter fee schedule · outpatient · +16 other terms	118	$23	$23	$24	108%	—	$6 – $236
18	Aetna Better Health fee schedule · outpatient · +18 other terms	108	$13	$14	$7	47%	—	$7 – $51
19	Tricare facility · fee schedule · outpatient · +15 other terms	94	$13	$20	$67	337%	—	$11 – $739
20	MultiPlan fee schedule · outpatient · +16 other terms	90	$55	$96	$105	109%	—	$14 – $343
21	Highmark facility · fee schedule · outpatient · +15 other terms	76	$23	$24	$14	58%	—	$9 – $70
22	First Health fee schedule · outpatient · +16 other terms	61	$14	$17	$12	68%	—	$12 – $70
23	Medicaid facility · fee schedule · outpatient · +12 other terms	61	$12	$13	$2	13%	—	$7 – $19
24	Amerihealth Caritas fee schedule · outpatient · +11 other terms	57	$14	$15	$4	29%	—	$2 – $26
25	Superior Healthplan fee schedule · outpatient · +6 other terms	52	$14	$66	$58	88%	—	$12 – $147

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