Mitochondrial genome large deletion genetic 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 MITO GENOME LG DELELTIONS

Payers reporting CPT 81465

Payer pricing summary

Low

$477

Average

$1.3k

Median

$1.0k

High

$3.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	645	$939	$983	$519	53%	—	$1 – $8.4k
2	Aetna fee schedule · outpatient · +20 other terms	614	$1.0k	$2.0k	$1.9k	92%	—	$0 – $20.1k
3	Humana fee schedule · outpatient · +22 other terms	433	$936	$2.3k	$2.6k	115%	—	$1 – $10.1k
4	Cigna fee schedule · outpatient · +21 other terms	405	$1.6k	$1.9k	$1.4k	73%	—	$1 – $9.4k
5	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	388	$1.3k	$2.1k	$3.6k	169%	—	$1 – $48.3k
6	WellCare fee schedule · outpatient · +12 other terms	266	$964	$1.0k	$183	18%	—	$255 – $1.9k
7	Molina fee schedule · outpatient · +19 other terms	217	$1.4k	$1.3k	$602	47%	—	$1 – $2.8k
8	Devoted fee schedule · outpatient · +9 other terms	192	$936	$947	$29	3%	—	$917 – $1.1k
9	Anthem fee schedule · outpatient · +16 other terms	170	$1.3k	$1.9k	$1.7k	87%	—	$255 – $8.5k
10	Oscar fee schedule · outpatient · +15 other terms	160	$1.8k	$2.0k	$670	33%	—	$917 – $2.9k
11	Cigna Healthspring fee schedule · outpatient · +6 other terms	124	$973	$955	$27	3%	—	$936 – $1.0k
12	Ambetter fee schedule · outpatient · +11 other terms	86	$1.7k	$1.5k	$475	31%	—	$608 – $2.7k
13	Kaiser fee schedule · outpatient · +13 other terms	80	$955	$1.2k	$671	56%	—	$1 – $3.5k
14	Optum fee schedule · outpatient · +15 other terms	46	$936	$1.3k	$664	52%	—	$415 – $3.7k
15	Caresource fee schedule · outpatient · +11 other terms	44	$955	$973	$201	21%	—	$1 – $1.8k
16	Superior Healthplan fee schedule · outpatient · +3 other terms	42	$983	$985	$37	4%	—	$936 – $1.5k
17	Clover fee schedule · outpatient · +6 other terms	41	$955	$960	$21	2%	—	$936 – $983
18	Bcbs Tx fee schedule · outpatient · +2 other terms	32	$3.6k	$3.8k	$1.6k	42%	—	$936 – $8.1k
19	Healthcare Highways fee schedule · outpatient · +2 other terms	29	$2.2k	$2.1k	$317	15%	—	$1.2k – $2.3k
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$1.3k	$1.4k	$332	24%	—	$889 – $2.0k
21	Amerihealth Caritas fee schedule · outpatient · +7 other terms	26	$1.2k	$1.1k	$200	18%	—	$618 – $1.4k
22	Regence facility · fee schedule · outpatient · +7 other terms	26	$992	$1.2k	$504	44%	—	$796 – $2.8k
23	First Health fee schedule · outpatient · +12 other terms	23	$936	$1.5k	$721	49%	—	$617 – $3.3k
24	Highmark fee schedule · outpatient · +8 other terms	22	$1.1k	$1.0k	$479	47%	—	$439 – $3.5k
25	Medica facility · fee schedule · outpatient · +12 other terms	20	$936	$933	$275	29%	—	$318 – $2.4k

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