Tetanus 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

HC TETANUS ANTIBODY-RL

Payers reporting CPT 86774

Payer pricing summary

Low

Average

$54

Median

$44

High

$309

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +28 other terms	728	$15	$17	$18	104%	17	$1 – $317
2	Anthem fee schedule · outpatient · +20 other terms	177	$20	$29	$29	101%	4–40	$3 – $288
3	Molina fee schedule · outpatient · +25 other terms	271	$16	$18	$11	60%	1–10	$1 – $195
4	Aetna fee schedule · outpatient · +29 other terms	681	$17	$67	$378	562%	—	$0 – $8.4k
5	Humana fee schedule · outpatient · +23 other terms	486	$15	$35	$46	131%	—	$1 – $375
6	Cigna fee schedule · outpatient · +22 other terms	475	$29	$38	$35	91%	—	$5 – $242
7	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	447	$22	$40	$41	103%	—	$1 – $334
8	WellCare fee schedule · outpatient · +19 other terms	315	$15	$17	$9	52%	—	$12 – $129
9	Devoted fee schedule · outpatient · +13 other terms	194	$15	$15	$0	3%	—	$15 – $17
10	Oscar fee schedule · outpatient · +17 other terms	165	$29	$32	$11	33%	—	$15 – $45
11	Cigna Healthspring fee schedule · outpatient · +6 other terms	140	$15	$15	$1	8%	—	$9 – $25
12	Ambetter fee schedule · outpatient · +18 other terms	122	$24	$23	$9	40%	—	$10 – $74
13	Aetna Better Health fee schedule · outpatient · +13 other terms	104	$13	$13	$1	8%	—	$8 – $16
14	Caresource fee schedule · outpatient · +14 other terms	93	$16	$27	$30	111%	—	$1 – $174
15	Kaiser fee schedule · outpatient · +16 other terms	83	$15	$19	$10	52%	—	$5 – $55
16	Tricare facility · fee schedule · outpatient · +16 other terms	76	$15	$18	$26	146%	—	$12 – $262
17	Highmark facility · fee schedule · outpatient · +15 other terms	75	$26	$39	$33	85%	—	$10 – $147
18	Optum fee schedule · outpatient · +16 other terms	64	$15	$19	$8	44%	—	$15 – $44
19	Amerihealth Caritas fee schedule · outpatient · +11 other terms	57	$14	$15	$5	32%	—	$2 – $32
20	Superior Healthplan fee schedule · outpatient · +5 other terms	56	$16	$58	$51	89%	—	$12 – $211
21	Clover fee schedule · outpatient · +8 other terms	49	$15	$15	$0	2%	—	$15 – $16
22	Medicaid fee schedule · both · +11 other terms	47	$13	$16	$12	71%	—	$6 – $98
23	First Health fee schedule · outpatient · +15 other terms	41	$15	$22	$25	110%	—	$12 – $133
24	Medicare fee schedule · both · +11 other terms	41	$15	$15	$1	4%	—	$15 – $20
25	Medica facility · fee schedule · outpatient · +10 other terms	40	$15	$15	$6	36%	—	$5 – $44

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