Aquaporin-4 antibody test by flow cytometry

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 Aquaporin-4 Antibody Flow Cytometry Each

Payers reporting CPT 86053

Payer pricing summary

Low

$10

Average

$152

Median

$119

High

$550

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +20 other terms	358	$58	$111	$186	167%	2–20	$6 – $1.9k
2	UnitedHealthcare fee schedule · outpatient · +32 other terms	710	$28	$40	$124	310%	1–10	$1 – $2.2k
3	Aetna fee schedule · outpatient · +24 other terms	624	$38	$210	$611	291%	—	$0 – $8.4k
4	Humana fee schedule · outpatient · +23 other terms	454	$38	$67	$224	333%	—	$1 – $2.6k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	425	$38	$93	$248	268%	—	$0 – $2.3k
6	WellCare fee schedule · outpatient · +14 other terms	295	$39	$53	$78	146%	—	$5 – $863
7	Molina fee schedule · outpatient · +24 other terms	251	$41	$43	$21	48%	—	$1 – $172
8	Devoted fee schedule · outpatient · +12 other terms	190	$38	$38	$1	3%	—	$37 – $44
9	Anthem fee schedule · outpatient · +21 other terms	171	$42	$45	$49	110%	—	$5 – $283
10	Oscar fee schedule · outpatient · +17 other terms	163	$73	$81	$28	34%	—	$7 – $115
11	Cigna Healthspring fee schedule · outpatient · +7 other terms	128	$39	$38	$2	6%	—	$32 – $63
12	Aetna Better Health fee schedule · outpatient · +18 other terms	100	$12	$19	$12	63%	—	$8 – $40
13	Ambetter facility · fee schedule · outpatient · +14 other terms	100	$68	$73	$15	20%	—	$20 – $96
14	Kaiser fee schedule · outpatient · +16 other terms	87	$38	$55	$40	73%	—	$8 – $358
15	Caresource fee schedule · outpatient · +14 other terms	77	$38	$137	$270	197%	—	$1 – $1.3k
16	Highmark facility · fee schedule · outpatient · +14 other terms	59	$42	$37	$28	75%	—	$5 – $172
17	Optum fee schedule · outpatient · +17 other terms	56	$38	$54	$75	139%	—	$8 – $705
18	Amerihealth Caritas fee schedule · outpatient · +10 other terms	52	$23	$24	$18	74%	—	$8 – $57
19	Tricare fee schedule · outpatient · +14 other terms	51	$38	$37	$3	8%	—	$30 – $43
20	Medica facility · fee schedule · outpatient · +16 other terms	47	$38	$54	$73	136%	—	$12 – $588
21	Superior Healthplan fee schedule · outpatient · +4 other terms	46	$40	$40	$6	16%	—	$32 – $118
22	Clover fee schedule · outpatient · +8 other terms	44	$38	$39	$1	2%	—	$38 – $40
23	First Health fee schedule · outpatient · +14 other terms	40	$38	$68	$139	203%	—	$21 – $1.1k
24	Medicaid facility · fee schedule · outpatient · +12 other terms	36	$34	$33	$8	23%	—	$10 – $52
25	Medicare facility · fee schedule · outpatient · +10 other terms	36	$37	$37	$1	2%	—	$33 – $38

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