APC gene duplication and deletion testing

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 APC GENE DUP/DELET VARIANTS

Payers reporting CPT 81203

Payer pricing summary

Low

$105

Average

$408

Median

$300

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	671	$200	$218	$145	66%	—	$33 – $2.6k
2	Aetna fee schedule · outpatient · +18 other terms	620	$220	$454	$536	118%	—	$0 – $8.4k
3	Cigna fee schedule · outpatient · +16 other terms	443	$374	$399	$295	74%	—	$5 – $2.0k
4	Humana fee schedule · outpatient · +17 other terms	438	$202	$486	$794	163%	—	$172 – $7.0k
5	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	402	$221	$358	$300	84%	—	$0 – $3.6k
6	WellCare fee schedule · outpatient · +12 other terms	264	$206	$211	$34	16%	—	$87 – $398
7	Molina fee schedule · outpatient · +17 other terms	234	$222	$237	$105	44%	—	$1 – $923
8	Devoted fee schedule · outpatient · +7 other terms	193	$200	$202	$6	3%	—	$196 – $231
9	Anthem fee schedule · outpatient · +14 other terms	174	$287	$371	$338	91%	—	$80 – $1.9k
10	Oscar fee schedule · outpatient · +10 other terms	160	$387	$431	$143	33%	—	$196 – $612
11	Cigna Healthspring fee schedule · outpatient · +5 other terms	127	$208	$204	$17	8%	—	$176 – $341
12	Ambetter fee schedule · outpatient · +11 other terms	97	$330	$301	$92	31%	—	$88 – $540
13	Kaiser fee schedule · outpatient · +14 other terms	88	$204	$249	$133	53%	—	$5 – $748
14	Aetna Better Health fee schedule · outpatient · +8 other terms	69	$181	$182	$16	9%	—	$105 – $212
15	Caresource fee schedule · outpatient · +7 other terms	46	$203	$205	$36	17%	—	$110 – $390
16	Superior Healthplan fee schedule · outpatient · +4 other terms	46	$210	$213	$23	11%	—	$168 – $341
17	Optum fee schedule · outpatient · +12 other terms	43	$200	$266	$115	43%	—	$196 – $574
18	Clover fee schedule · outpatient · +5 other terms	41	$204	$205	$4	2%	—	$200 – $210
19	Highmark facility · fee schedule · outpatient · +6 other terms	41	$381	$589	$426	72%	—	$196 – $1.8k
20	First Health fee schedule · outpatient · +10 other terms	36	$200	$220	$105	48%	—	$168 – $578
21	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$721	$766	$371	48%	—	$200 – $1.7k
22	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	29	$466	$517	$361	70%	—	$113 – $1.7k
23	Healthcare Highways fee schedule · outpatient · +3 other terms	29	$467	$454	$68	15%	—	$257 – $486
24	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$280	$295	$75	25%	—	$190 – $428
25	Regence facility · fee schedule · outpatient · +8 other terms	27	$212	$248	$107	43%	—	$170 – $600

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