Molecular genetic test analyzing several gene regions

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 MOPATH PROC LEVEL 5 (IMNP)

Payers reporting CPT 81404

Payer pricing summary

Low

$188

Average

$575

Median

$493

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +32 other terms	760	$276	$303	$181	60%	48–372	$1 – $4k
2	Caresource fee schedule · outpatient · +14 other terms	84	$279	$281	$44	16%	10–100	$1 – $990
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	478	$395	$695	$677	97%	1–10	$0 – $7.3k
4	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$631	$631	—	—	1–10	$631 – $631
5	Aetna fee schedule · outpatient · +27 other terms	718	$314	$429	$407	95%	—	$0 – $8.4k
6	Humana fee schedule · outpatient · +23 other terms	506	$278	$470	$668	142%	—	$1 – $7.0k
7	Cigna fee schedule · outpatient · +24 other terms	497	$513	$371	$250	67%	—	$4 – $3.3k
8	WellCare fee schedule · outpatient · +16 other terms	301	$283	$274	$60	22%	—	$11 – $859
9	Molina fee schedule · outpatient · +28 other terms	271	$306	$347	$158	45%	—	$1 – $1.2k
10	Anthem fee schedule · outpatient · +21 other terms	215	$311	$367	$355	97%	—	$11 – $2.1k
11	Devoted fee schedule · outpatient · +13 other terms	190	$275	$277	$7	3%	—	$269 – $318
12	Oscar fee schedule · outpatient · +17 other terms	165	$532	$582	$196	34%	—	$269 – $841
13	Cigna Healthspring fee schedule · outpatient · +8 other terms	129	$286	$281	$25	9%	—	$165 – $469
14	Kaiser fee schedule · outpatient · +18 other terms	122	$280	$283	$198	70%	—	$4 – $1.3k
15	Ambetter fee schedule · outpatient · +16 other terms	105	$453	$389	$137	35%	—	$179 – $806
16	MultiPlan fee schedule · outpatient · +16 other terms	75	$613	$893	$882	99%	—	$6 – $7.0k
17	Aetna Better Health fee schedule · outpatient · +19 other terms	73	$249	$261	$22	8%	—	$116 – $291
18	Optum fee schedule · outpatient · +17 other terms	69	$275	$368	$307	83%	—	$3 – $2.8k
19	First Health fee schedule · outpatient · +15 other terms	59	$305	$657	$631	96%	—	$5 – $4.5k
20	Superior Healthplan fee schedule · outpatient · +6 other terms	57	$289	$391	$284	73%	—	$113 – $4.3k
21	Tricare fee schedule · outpatient · +15 other terms	53	$275	$569	$764	134%	—	$180 – $2.8k
22	Medicare fee schedule · both · +11 other terms	52	$275	$275	—	—	—	$275 – $275
23	Clover fee schedule · outpatient · +8 other terms	49	$283	$282	$5	2%	—	$275 – $289
24	Highmark facility · fee schedule · outpatient · +15 other terms	46	$541	$1.0k	$623	62%	—	$248 – $2.4k
25	Medicaid facility · fee schedule · outpatient · +11 other terms	45	$271	$275	$55	20%	—	$147 – $352

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