Drug test for serotonergic antidepressants, 3-5 drugs

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

80333 ANTIDEPRESSANTS LEVELS

Payers reporting CPT 80333

Payer pricing summary

Low

Average

$309

Median

$73

High

$11.3k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	171	$13	$15	$14	95%	13	$1 – $145
2	Aetna fee schedule · outpatient · +19 other terms	182	$0	$76	$654	860%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +14 other terms	112	$37	$256	$1.1k	448%	—	$0 – $7.0k
4	Molina fee schedule · outpatient · +12 other terms	90	$14	$15	$8	56%	—	$1 – $124
5	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	86	$13	$45	$75	167%	—	$1 – $424
6	Aetna Better Health fee schedule · outpatient · +7 other terms	66	$14	$13	$4	29%	—	$0 – $25
7	Anthem facility · fee schedule · outpatient · +16 other terms	47	$10	$23	$85	364%	—	$0 – $797
8	WellCare fee schedule · both · +9 other terms	18	$108	$66	$50	76%	—	$7 – $114
9	Highmark fee schedule · outpatient · +12 other terms	17	$14	$16	$8	49%	—	$14 – $45
10	Caresource facility · case rate · outpatient · +5 other terms	15	$28	$30	$7	23%	—	$19 – $47
11	Cigna Healthspring fee schedule · outpatient · +1 other terms	15	$13	$13	—	—	—	$13 – $13
12	Medcost percent of total billed charges · bothfrom % of charges	15	$4	$6	$8	139%	—	$3 – $40
13	Medicaid facility · fee schedule · outpatient · +7 other terms	15	$27	$30	$10	32%	—	$27 – $66
14	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$74	$74	$6	8%	—	$68 – $80
15	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	14	$13	$13	$3	23%	—	$13 – $24
16	Bcbs Tx fee schedule · outpatient	13	$15	$15	$0	1%	—	$15 – $16
17	First Health fee schedule · outpatient · +9 other terms	13	$13	$12	$2	14%	—	$0 – $13
18	Optum facility · case rate · outpatient · +5 other terms	13	$25	$25	$10	39%	—	$7 – $42
19	Wellmark fee schedule · both · +8 other terms	13	$24	$24	—	—	—	$24 – $24
20	Ambetter fee schedule · both · +6 other terms	12	$23	$58	$97	166%	—	$0 – $295
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$83	$56	$42	75%	—	$10 – $104
22	Cigna professional · fee schedule · both · +15 other terms	11	$17	$14	$6	39%	—	$5 – $17
23	Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	8	$11	$12	$2	16%	—	$11 – $21
24	Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges	8	$18	$19	$11	56%	—	$7 – $50
25	Amerihealth Caritas fee schedule · outpatient · +7 other terms	7	$42	$34	$14	43%	—	$4 – $42

Page 1 of 3 · 58 payers