Neuromyelitis optica antibody 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

AQUAPORIN-4 ANTB CBA EACH

Payers reporting CPT 86052

Payer pricing summary

Low

Average

$390

Median

$124

High

$5.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	716	$12	$32	$113	356%	23	$1 – $2.2k
2	Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$183	$183	$2	1%	4–40	$182 – $186
3	Wellmark case rate · outpatient · +11 other terms	13	$12	$334	$817	245%	2–20	$12 – $2.4k
4	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$122	$122	—	—	1–10	$122 – $122
5	Aetna fee schedule · outpatient · +24 other terms	636	$13	$181	$596	330%	—	$0 – $8.4k
6	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	467	$17	$68	$214	313%	—	$1 – $2.3k
7	Humana fee schedule · outpatient · +22 other terms	431	$12	$53	$251	471%	—	$1 – $2.6k
8	Cigna fee schedule · outpatient · +20 other terms	357	$22	$62	$171	278%	—	$5 – $1.9k
9	WellCare fee schedule · outpatient · +18 other terms	286	$12	$33	$89	271%	—	$5 – $871
10	Molina fee schedule · outpatient · +25 other terms	249	$13	$15	$11	70%	—	$1 – $195
11	Anthem fee schedule · outpatient · +20 other terms	190	$13	$29	$34	115%	—	$5 – $288
12	Devoted fee schedule · outpatient · +12 other terms	185	$12	$12	$0	2%	—	$12 – $14
13	Oscar fee schedule · outpatient · +16 other terms	164	$23	$26	$9	34%	—	$7 – $37
14	Cigna Healthspring fee schedule · outpatient · +7 other terms	128	$13	$12	$1	6%	—	$10 – $20
15	Ambetter facility · fee schedule · outpatient · +15 other terms	115	$21	$22	$4	20%	—	$12 – $31
16	Kaiser fee schedule · outpatient · +18 other terms	108	$13	$35	$33	93%	—	$10 – $158
17	Aetna Better Health fee schedule · outpatient · +16 other terms	99	$11	$16	$25	160%	—	$6 – $174
18	Tricare facility · fee schedule · outpatient · +14 other terms	85	$12	$24	$56	234%	—	$10 – $362
19	Caresource fee schedule · outpatient · +12 other terms	81	$12	$93	$251	271%	—	$1 – $1.3k
20	Highmark facility · fee schedule · outpatient · +13 other terms	71	$15	$16	$8	54%	—	$4 – $55
21	MultiPlan fee schedule · outpatient · +16 other terms	68	$115	$279	$515	185%	—	$6 – $2.9k
22	First Health fee schedule · outpatient · +14 other terms	64	$28	$70	$84	119%	—	$10 – $513
23	Superior Healthplan fee schedule · outpatient · +6 other terms	55	$13	$34	$111	324%	—	$10 – $1.3k
24	Optum fee schedule · outpatient · +14 other terms	54	$12	$22	$32	145%	—	$12 – $188
25	Medicare fee schedule · both · +11 other terms	51	$12	$12	$1	4%	—	$12 – $16

Page 1 of 3 · 67 payers