Alpha-1 antitrypsin phenotype 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

Alpha-1-antitrypsin (protein) blood test, phenotype

Payers reporting CPT 82104

Payer pricing summary

Low

Average

$275

Median

$50

High

$5.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	843	$15	$18	$21	115%	58–220	$1 – $319
2	Anthem fee schedule · outpatient · +25 other terms	233	$16	$27	$28	106%	18–180	$3 – $289
3	Aetna fee schedule · outpatient · +30 other terms	756	$17	$57	$335	590%	7–70	$0 – $8.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	572	$22	$39	$41	106%	6–60	$1 – $326
5	Caresource fee schedule · outpatient · +15 other terms	111	$17	$20	$18	89%	6–60	$1 – $142
6	Humana fee schedule · outpatient · +27 other terms	558	$15	$35	$47	134%	4–40	$1 – $277
7	Cigna fee schedule · outpatient · +26 other terms	529	$31	$36	$36	98%	3–30	$1 – $252
8	Molina fee schedule · outpatient · +29 other terms	313	$16	$18	$23	125%	2–20	$1 – $626
9	WellCare fee schedule · outpatient · +20 other terms	312	$15	$16	$7	40%	1–10	$8 – $76
10	Kaiser fee schedule · outpatient · +19 other terms	128	$15	$16	$9	60%	1–10	$2 – $87
11	Optum fee schedule · outpatient · +19 other terms	70	$14	$47	$70	149%	1–10	$9 – $297
12	Healthpartners fee schedule · outpatient · +11 other terms	28	$44	$40	$9	23%	1–10	$15 – $49
13	Bcbs Al facility · other · outpatient · +4 other terms	4	$17	$18	$2	11%	1–10	$16 – $21
14	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$33	$33	—	—	1–10	$33 – $33
15	Devoted fee schedule · outpatient · +16 other terms	186	$14	$15	$0	2%	—	$14 – $16
16	Oscar fee schedule · outpatient · +17 other terms	167	$28	$31	$10	34%	—	$14 – $44
17	Cigna Healthspring fee schedule · outpatient · +8 other terms	144	$15	$15	$2	11%	—	$9 – $25
18	Ambetter facility · fee schedule · outpatient · +19 other terms	129	$25	$26	$6	23%	—	$14 – $37
19	Aetna Better Health fee schedule · outpatient · +18 other terms	122	$14	$15	$7	48%	—	$8 – $58
20	MultiPlan fee schedule · outpatient · +18 other terms	113	$85	$90	$100	111%	—	$8 – $366
21	Tricare facility · fee schedule · outpatient · +18 other terms	111	$14	$16	$15	91%	—	$6 – $134
22	Highmark facility · fee schedule · outpatient · +17 other terms	78	$25	$36	$30	84%	—	$10 – $142
23	First Health fee schedule · outpatient · +16 other terms	73	$14	$31	$54	172%	—	$7 – $234
24	Medicaid facility · fee schedule · outpatient · +13 other terms	63	$14	$15	$4	25%	—	$6 – $38
25	Superior Healthplan fee schedule · outpatient · +6 other terms	63	$15	$85	$87	102%	—	$12 – $306

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