Selenium blood 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 Selenium, RBC (Arup)

Payers reporting CPT 84255

Payer pricing summary

Low

$15

Average

$76

Median

$65

High

$206

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +35 other terms	856	$26	$31	$30	97%	65–146	$1 – $719
2	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	568	$40	$64	$73	114%	28–73	$1 – $1.8k
3	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$59	$59	—	—	23	$59 – $59
4	Optum fee schedule · outpatient · +20 other terms	72	$26	$34	$16	48%	17	$19 – $80
5	Anthem fee schedule · outpatient · +24 other terms	234	$28	$45	$48	105%	12–120	$4 – $326
6	Aetna fee schedule · outpatient · +32 other terms	772	$29	$82	$338	412%	10–100	$0 – $8.4k
7	Humana fee schedule · outpatient · +27 other terms	567	$26	$58	$76	132%	5–50	$1 – $719
8	Caresource fee schedule · outpatient · +16 other terms	111	$28	$36	$27	74%	3–30	$1 – $159
9	Cigna fee schedule · outpatient · +25 other terms	541	$52	$63	$52	83%	2–20	$5 – $425
10	Molina fee schedule · outpatient · +30 other terms	312	$28	$30	$15	51%	2–20	$1 – $221
11	Ambetter fee schedule · outpatient · +20 other terms	119	$41	$38	$16	41%	2–20	$17 – $127
12	Bcbs Al facility · other · outpatient · +4 other terms	4	$17	$18	$2	11%	1–10	$16 – $21
13	WellCare fee schedule · outpatient · +20 other terms	321	$26	$29	$11	37%	—	$21 – $156
14	Devoted fee schedule · outpatient · +15 other terms	187	$26	$26	$1	2%	—	$25 – $30
15	Oscar fee schedule · outpatient · +18 other terms	165	$49	$54	$18	34%	—	$25 – $78
16	Cigna Healthspring fee schedule · outpatient · +8 other terms	151	$26	$26	$3	10%	—	$15 – $44
17	Kaiser fee schedule · outpatient · +20 other terms	128	$26	$25	$18	69%	—	$3 – $133
18	Aetna Better Health fee schedule · outpatient · +18 other terms	116	$23	$23	$3	14%	—	$9 – $27
19	MultiPlan fee schedule · outpatient · +20 other terms	111	$56	$95	$92	97%	—	$10 – $358
20	Tricare facility · fee schedule · outpatient · +15 other terms	106	$25	$27	$13	47%	—	$11 – $119
21	First Health fee schedule · outpatient · +17 other terms	73	$26	$36	$42	116%	—	$8 – $246
22	Highmark facility · fee schedule · outpatient · +18 other terms	67	$47	$88	$85	96%	—	$17 – $354
23	Superior Healthplan fee schedule · outpatient · +6 other terms	64	$27	$68	$50	73%	—	$21 – $151
24	Medicaid facility · fee schedule · outpatient · +16 other terms	57	$26	$26	$6	21%	—	$6 – $36
25	Amerihealth Caritas fee schedule · outpatient · +12 other terms	55	$26	$28	$6	23%	—	$4 – $38

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