Myelin basic protein test, spinal fluid

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 MYELIN BASIC PROTEINCSF

Payers reporting CPT 83873

Payer pricing summary

Low

$10

Average

$75

Median

$49

High

$689

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	549	$26	$43	$42	97%	4–40	$1 – $388
2	Cigna fee schedule · outpatient · +26 other terms	543	$38	$48	$48	100%	4–40	$5 – $417
3	Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$40	$40	$0	1%	4–40	$40 – $41
4	UnitedHealthcare fee schedule · outpatient · +31 other terms	832	$17	$21	$19	92%	2–20	$1 – $319
5	Aetna fee schedule · outpatient · +31 other terms	768	$22	$70	$350	499%	2–20	$0 – $8.4k
6	Anthem fee schedule · outpatient · +25 other terms	234	$20	$30	$32	104%	2–20	$3 – $289
7	Humana fee schedule · outpatient · +25 other terms	553	$17	$43	$54	127%	—	$1 – $251
8	WellCare fee schedule · outpatient · +20 other terms	311	$18	$19	$7	35%	—	$11 – $101
9	Molina fee schedule · outpatient · +27 other terms	304	$19	$20	$11	54%	—	$1 – $196
10	Devoted fee schedule · outpatient · +15 other terms	185	$17	$17	$0	2%	—	$17 – $19
11	Oscar fee schedule · outpatient · +17 other terms	166	$33	$37	$12	34%	—	$17 – $53
12	Cigna Healthspring fee schedule · outpatient · +8 other terms	148	$17	$17	$1	8%	—	$10 – $29
13	Kaiser fee schedule · outpatient · +18 other terms	125	$17	$21	$13	65%	—	$3 – $143
14	Ambetter facility · fee schedule · outpatient · +19 other terms	119	$31	$32	$7	22%	—	$17 – $44
15	MultiPlan fee schedule · outpatient · +18 other terms	115	$84	$95	$87	92%	—	$6 – $298
16	Aetna Better Health fee schedule · outpatient · +18 other terms	112	$17	$17	$7	39%	—	$8 – $58
17	Caresource fee schedule · outpatient · +16 other terms	104	$19	$26	$20	79%	—	$1 – $110
18	Tricare facility · fee schedule · outpatient · +17 other terms	104	$17	$18	$12	67%	—	$8 – $152
19	First Health fee schedule · outpatient · +15 other terms	74	$18	$35	$46	131%	—	$10 – $188
20	Optum fee schedule · outpatient · +18 other terms	72	$17	$43	$54	124%	—	$6 – $239
21	Highmark facility · fee schedule · outpatient · +16 other terms	68	$28	$58	$54	94%	—	$11 – $223
22	Medicare fee schedule · both · +13 other terms	62	$17	$17	$1	7%	—	$17 – $23
23	Superior Healthplan fee schedule · outpatient · +6 other terms	60	$18	$91	$108	119%	—	$14 – $364
24	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	53	$18	$20	$5	27%	—	$6 – $56
25	Medicaid facility · fee schedule · outpatient · +14 other terms	52	$15	$17	$5	27%	—	$6 – $48

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