Mitochondrial antibody 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

REF ANTI-MITOCHON ANTI

Payers reporting CPT 86381

Payer pricing summary

Low

$13

Average

$63

Median

$51

High

$183

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	808	$25	$29	$37	130%	186–222	$1 – $1.8k
2	Molina fee schedule · outpatient · +29 other terms	277	$28	$30	$13	43%	2–20	$1 – $76
3	Ambetter fee schedule · outpatient · +20 other terms	116	$42	$37	$12	32%	2–20	$2 – $69
4	Aetna fee schedule · outpatient · +28 other terms	675	$26	$85	$416	490%	1–10	$0 – $8.4k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	527	$34	$52	$49	94%	1–10	$1 – $411
6	Humana fee schedule · outpatient · +26 other terms	494	$26	$35	$38	108%	1–10	$1 – $341
7	Cigna fee schedule · outpatient · +25 other terms	380	$41	$65	$162	251%	1–10	$1 – $5.1k
8	Healthpartners fee schedule · outpatient · +12 other terms	28	$77	$70	$15	22%	1–10	$26 – $86
9	Bcbs Al facility · other · outpatient · +4 other terms	3	$15	$16	$2	10%	1–10	$14 – $18
10	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$42	$42	$16	39%	1–10	$25 – $58
11	WellCare fee schedule · outpatient · +18 other terms	311	$26	$28	$10	37%	—	$1 – $156
12	Anthem fee schedule · outpatient · +25 other terms	205	$27	$48	$44	91%	—	$2 – $249
13	Devoted fee schedule · outpatient · +15 other terms	183	$25	$26	$1	2%	—	$25 – $29
14	Oscar fee schedule · outpatient · +18 other terms	168	$49	$54	$18	34%	—	$15 – $78
15	Cigna Healthspring fee schedule · outpatient · +7 other terms	138	$26	$26	$3	10%	—	$15 – $43
16	Kaiser fee schedule · outpatient · +19 other terms	119	$25	$25	$19	74%	—	$1 – $95
17	Aetna Better Health fee schedule · outpatient · +17 other terms	117	$23	$23	$3	14%	—	$8 – $29
18	Caresource fee schedule · outpatient · +16 other terms	101	$26	$37	$33	89%	—	$1 – $170
19	Tricare facility · fee schedule · outpatient · +17 other terms	101	$25	$23	$4	18%	—	$9 – $42
20	MultiPlan fee schedule · outpatient · +18 other terms	98	$54	$136	$643	473%	—	$1 – $7.4k
21	First Health fee schedule · outpatient · +17 other terms	67	$25	$79	$577	730%	—	$7 – $6.6k
22	Optum facility · fee schedule · outpatient · +20 other terms	61	$25	$26	$2	6%	—	$20 – $31
23	Highmark facility · fee schedule · outpatient · +17 other terms	57	$30	$31	$16	53%	—	$9 – $116
24	Superior Healthplan fee schedule · outpatient · +5 other terms	57	$27	$34	$9	27%	—	$21 – $80
25	Amerihealth Caritas fee schedule · outpatient · +13 other terms	56	$26	$25	$6	25%	—	$13 – $38

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