Prostaglandin level 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

HB Ref 2,3-Dinor-11beta-Prostaglandin F2 Alpha, Urine (Mayo)

Payers reporting CPT 84150

Payer pricing summary

Low

$21

Average

$142

Median

$107

High

$391

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	457	$60	$100	$82	82%	11	$1 – $564
2	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$96	$96	—	—	11	$96 – $96
3	UnitedHealthcare fee schedule · outpatient · +32 other terms	734	$42	$49	$50	103%	2–20	$1 – $1.1k
4	Aetna fee schedule · outpatient · +27 other terms	691	$47	$120	$360	301%	—	$0 – $8.4k
5	Humana fee schedule · outpatient · +24 other terms	492	$43	$82	$95	116%	—	$1 – $473
6	Cigna fee schedule · outpatient · +21 other terms	477	$82	$96	$81	84%	—	$5 – $857
7	WellCare fee schedule · outpatient · +15 other terms	310	$43	$46	$22	48%	—	$24 – $457
8	Molina fee schedule · outpatient · +25 other terms	280	$46	$50	$27	55%	—	$1 – $335
9	Anthem fee schedule · outpatient · +22 other terms	195	$47	$78	$77	99%	—	$8 – $444
10	Devoted fee schedule · outpatient · +14 other terms	195	$42	$42	$1	3%	—	$41 – $48
11	Oscar fee schedule · outpatient · +17 other terms	160	$81	$90	$30	33%	—	$41 – $128
12	Cigna Healthspring fee schedule · outpatient · +8 other terms	134	$43	$42	$3	7%	—	$35 – $70
13	Ambetter fee schedule · outpatient · +16 other terms	110	$68	$64	$23	36%	—	$27 – $208
14	Kaiser fee schedule · outpatient · +18 other terms	95	$43	$56	$36	64%	—	$5 – $276
15	Aetna Better Health fee schedule · outpatient · +18 other terms	91	$38	$38	$3	7%	—	$22 – $44
16	Caresource fee schedule · outpatient · +14 other terms	88	$43	$59	$48	81%	—	$1 – $342
17	Highmark facility · fee schedule · outpatient · +12 other terms	58	$56	$77	$59	76%	—	$12 – $238
18	Tricare facility · fee schedule · outpatient · +14 other terms	58	$41	$52	$53	104%	—	$34 – $418
19	MultiPlan fee schedule · outpatient · +16 other terms	52	$216	$215	$224	104%	—	$42 – $1.1k
20	Optum fee schedule · outpatient · +19 other terms	52	$42	$54	$22	41%	—	$41 – $120
21	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	48	$15	$26	$15	57%	—	$11 – $62
22	Superior Healthplan fee schedule · outpatient · +5 other terms	48	$44	$45	$11	24%	—	$35 – $131
23	Clover fee schedule · outpatient · +7 other terms	44	$43	$43	$1	2%	—	$42 – $44
24	Medicare fee schedule · both · +11 other terms	43	$42	$42	—	—	—	$42 – $42
25	First Health fee schedule · outpatient · +15 other terms	42	$42	$90	$129	142%	—	$35 – $702

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