Hydroxychloroquine 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

MEASUREMENT OF HYDROXYCHLOROQUINE

Payers reporting CPT 80220

Payer pricing summary

Low

Average

$75

Median

$51

High

$347

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	683	$19	$22	$24	108%	1–10	$1 – $290
2	Molina fee schedule · outpatient · +22 other terms	257	$20	$22	$9	42%	1–10	$1 – $56
3	Aetna fee schedule · outpatient · +22 other terms	592	$19	$69	$477	694%	—	$0 – $8.4k
4	Humana fee schedule · outpatient · +21 other terms	450	$19	$23	$16	68%	—	$1 – $211
5	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	414	$25	$39	$35	90%	—	$0 – $378
6	Cigna fee schedule · outpatient · +21 other terms	336	$30	$43	$30	70%	—	$8 – $188
7	WellCare fee schedule · outpatient · +14 other terms	279	$19	$20	$12	59%	—	$8 – $263
8	Devoted fee schedule · outpatient · +11 other terms	193	$19	$19	$1	3%	—	$18 – $22
9	Anthem fee schedule · outpatient · +19 other terms	171	$21	$37	$34	93%	—	$7 – $256
10	Oscar fee schedule · outpatient · +16 other terms	163	$36	$40	$14	34%	—	$11 – $57
11	Cigna Healthspring fee schedule · outpatient · +7 other terms	131	$19	$19	$2	10%	—	$16 – $32
12	Ambetter fee schedule · outpatient · +13 other terms	100	$31	$28	$8	29%	—	$12 – $50
13	Aetna Better Health fee schedule · outpatient · +16 other terms	93	$17	$17	$1	8%	—	$13 – $20
14	Kaiser fee schedule · outpatient · +17 other terms	82	$19	$38	$38	101%	—	$15 – $184
15	Caresource fee schedule · outpatient · +13 other terms	62	$19	$20	$4	21%	—	$1 – $36
16	Optum fee schedule · outpatient · +15 other terms	58	$19	$24	$10	41%	—	$18 – $54
17	Superior Healthplan fee schedule · outpatient · +4 other terms	47	$20	$23	$36	154%	—	$16 – $459
18	Amerihealth Caritas fee schedule · outpatient · +11 other terms	43	$19	$20	$5	23%	—	$12 – $28
19	Clover fee schedule · outpatient · +6 other terms	41	$19	$19	$0	2%	—	$19 – $20
20	Highmark facility · fee schedule · outpatient · +11 other terms	37	$30	$28	$17	58%	—	$8 – $85
21	Medicare fee schedule · both · +7 other terms	37	$19	$19	—	—	—	$19 – $19
22	First Health fee schedule · outpatient · +15 other terms	36	$19	$44	$62	140%	—	$16 – $249
23	Bcbs Tx fee schedule · outpatient · +1 other terms	29	$71	$73	$35	49%	—	$19 – $160
24	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$26	$27	$7	25%	—	$18 – $41
25	Tricare fee schedule · both · +11 other terms	27	$17	$18	$2	10%	—	$16 – $22

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