Gabapentin 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 GABAPENTIN NON-BLOOD

Payers reporting CPT 80355

Payer pricing summary

Low

Average

$561

Median

$61

High

$8.0k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	231	$15	$54	$144	268%	13	$1 – $759
2	Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$34	$34	$0	1%	4–40	$33 – $34
3	Aetna fee schedule · outpatient · +22 other terms	215	$0	$95	$629	661%	—	$0 – $8.4k
4	Humana fee schedule · outpatient · +16 other terms	137	$52	$58	$37	64%	—	$0 – $399
5	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	134	$29	$81	$127	158%	—	$1 – $759
6	Cigna fee schedule · outpatient · +19 other terms	112	$52	$136	$168	124%	—	$1 – $759
7	Molina fee schedule · outpatient · +21 other terms	78	$8	$10	$9	86%	—	$3 – $86
8	Aetna Better Health fee schedule · outpatient · +11 other terms	66	$8	$9	$3	34%	—	$0 – $19
9	Anthem fee schedule · outpatient · +19 other terms	63	$34	$89	$202	227%	—	$0 – $759
10	Kaiser fee schedule · both · +11 other terms	45	$50	$43	$28	65%	—	$18 – $134
11	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	38	$13	$10	$15	149%	—	$3 – $100
12	WellCare fee schedule · both · +11 other terms	30	$108	$92	$57	62%	—	$7 – $157
13	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$48	$30	$36	120%	—	$1 – $121
14	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	24	$8	$8	$1	16%	—	$8 – $15
15	Medica fee schedule · outpatient · +13 other terms	23	$53	$92	$120	130%	—	$7 – $572
16	MultiPlan fee schedule · outpatient · +15 other terms	23	$39	$109	$145	132%	—	$10 – $578
17	Bcbs La fee schedule · outpatient · +3 other terms	19	$24	$25	$8	34%	—	$17 – $64
18	Highmark facility · fee schedule · both · +13 other terms	19	$120	$156	$84	54%	—	$84 – $525
19	Excellus facility · fee schedule · both · +7 other terms	18	$117	$125	$85	68%	—	$15 – $525
20	First Health fee schedule · outpatient · +14 other terms	18	$8	$7	$3	44%	—	$0 – $13
21	Regence facility · fee schedule · both · +11 other terms	18	$117	$155	$84	54%	—	$38 – $525
22	Premera facility · fee schedule · both · +7 other terms	17	$120	$154	$85	55%	—	$33 – $525
23	Wellmark facility · fee schedule · both · +9 other terms	17	$120	$153	$75	49%	—	$84 – $525
24	Bcbs Az facility · fee schedule · outpatient · +1 other terms	16	$57	$57	$13	23%	—	$21 – $75
25	Carefirst facility · fee schedule · both · +6 other terms	16	$129	$160	$88	55%	—	$84 – $525

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