Seizure medication drug test, 1 to 3 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

HC ANTIEPILEPTICS NOS 1-3

Payers reporting CPT 80339

Payer pricing summary

Low

$16

Average

$511

Median

$126

High

$8.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +29 other terms	270	$18	$32	$61	194%	2–20	$1 – $796
2	Medicaid fee schedule · outpatient · +8 other terms	17	$204	$189	$78	41%	1–10	$17 – $332
3	Aetna fee schedule · outpatient · +25 other terms	228	$0	$78	$598	765%	—	$0 – $8.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	163	$35	$60	$83	138%	—	$1 – $783
5	Humana fee schedule · outpatient · +18 other terms	160	$48	$59	$54	92%	—	$0 – $796
6	Cigna fee schedule · outpatient · +20 other terms	119	$59	$75	$60	80%	—	$1 – $412
7	Molina fee schedule · outpatient · +21 other terms	100	$5	$12	$30	239%	—	$3 – $313
8	Anthem fee schedule · outpatient · +21 other terms	79	$45	$50	$97	194%	—	$0 – $631
9	Aetna Better Health fee schedule · outpatient · +13 other terms	72	$5	$6	$8	130%	—	$0 – $71
10	Kaiser fee schedule · both · +12 other terms	51	$50	$44	$30	69%	—	$18 – $212
11	MultiPlan fee schedule · outpatient · +16 other terms	42	$145	$135	$133	98%	—	$11 – $493
12	Medica fee schedule · outpatient · +14 other terms	36	$56	$71	$61	87%	—	$24 – $463
13	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	27	$61	$78	$27	35%	—	$29 – $118
14	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$223	$198	$125	63%	—	$18 – $481
15	WellCare fee schedule · outpatient · +12 other terms	26	$44	$55	$46	84%	—	$3 – $149
16	Wellmark facility · fee schedule · both · +12 other terms	26	$113	$147	$94	64%	—	$15 – $525
17	Bcbs La fee schedule · outpatient · +2 other terms	25	$17	$19	$10	50%	—	$12 – $69
18	Superior Healthplan facility · fee schedule · outpatient · +6 other terms	25	$4	$4	$1	15%	—	$4 – $9
19	Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms	21	$303	$333	$123	37%	—	$104 – $617
20	Cigna Healthspring fee schedule · outpatient · +3 other terms	21	$4	$6	$2	31%	—	$4 – $9
21	Caresource fee schedule · both · +12 other terms	19	$111	$123	$60	49%	—	$0 – $296
22	Ambetter fee schedule · both · +10 other terms	17	$17	$65	$82	127%	—	$17 – $296
23	First Health fee schedule · outpatient · +13 other terms	17	$4	$7	$20	278%	—	$0 – $116
24	Highmark fee schedule · outpatient · +14 other terms	17	$14	$15	$4	25%	—	$14 – $30
25	Bcbs Az facility · fee schedule · outpatient · +1 other terms	16	$66	$66	$15	23%	—	$25 – $88

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