Urine test for porphobilinogen

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

PORPHOBILINOGEN UA RL

Payers reporting CPT 84106

Payer pricing summary

Low

Average

$30

Median

$12

High

$403

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	680	$6	$7	$7	112%	—	$1 – $146
2	Aetna fee schedule · outpatient · +20 other terms	637	$6	$42	$410	985%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +20 other terms	471	$6	$12	$13	113%	—	$1 – $84
4	Cigna fee schedule · outpatient · +18 other terms	441	$11	$15	$12	79%	—	$3 – $96
5	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	430	$8	$13	$12	92%	—	$1 – $109
6	WellCare fee schedule · outpatient · +11 other terms	280	$6	$6	$2	27%	—	$4 – $33
7	Molina fee schedule · outpatient · +19 other terms	256	$6	$7	$3	46%	—	$1 – $34
8	Devoted fee schedule · outpatient · +10 other terms	197	$6	$6	$0	3%	—	$6 – $7
9	Oscar fee schedule · outpatient · +10 other terms	168	$11	$12	$4	34%	—	$5 – $18
10	Anthem fee schedule · outpatient · +16 other terms	163	$7	$12	$11	89%	—	$2 – $50
11	Cigna Healthspring fee schedule · outpatient · +4 other terms	133	$6	$6	$0	6%	—	$5 – $9
12	Ambetter fee schedule · outpatient · +10 other terms	103	$9	$8	$3	32%	—	$4 – $16
13	Kaiser fee schedule · outpatient · +11 other terms	82	$6	$8	$4	50%	—	$3 – $22
14	Aetna Better Health fee schedule · outpatient · +12 other terms	76	$5	$5	$0	7%	—	$4 – $6
15	Caresource fee schedule · outpatient · +11 other terms	75	$6	$7	$6	82%	—	$1 – $66
16	Superior Healthplan fee schedule · outpatient · +4 other terms	53	$6	$29	$28	96%	—	$5 – $76
17	Optum fee schedule · outpatient · +10 other terms	49	$6	$8	$3	43%	—	$6 – $17
18	Clover fee schedule · outpatient · +6 other terms	47	$6	$6	$0	2%	—	$6 – $6
19	First Health fee schedule · outpatient · +12 other terms	34	$6	$7	$11	143%	—	$5 – $90
20	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$21	$22	$11	48%	—	$6 – $50
21	Tricare fee schedule · outpatient · +9 other terms	33	$6	$6	$0	4%	—	$5 – $6
22	MultiPlan fee schedule · outpatient · +13 other terms	32	$50	$40	$44	111%	—	$6 – $116
23	Healthcare Highways fee schedule · outpatient · +3 other terms	29	$14	$13	$2	15%	—	$7 – $14
24	Medica facility · fee schedule · outpatient · +10 other terms	28	$6	$6	$2	28%	—	$2 – $15
25	Amerihealth Caritas fee schedule · outpatient · +7 other terms	27	$7	$7	$2	34%	—	$1 – $16

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