Serum pretreatment to remove inhibitors, per 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

RBC SERUM PRETX INCUBJ/INHIB

Payers reporting CPT 86977

Payer pricing summary

Low

$44

Average

$196

Median

$176

High

$625

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +31 other terms	729	$149	$164	$158	96%	—	$1 – $5.0k
2	Aetna fee schedule · outpatient · +24 other terms	583	$165	$231	$454	196%	—	$0 – $8.4k
3	Cigna fee schedule · outpatient · +23 other terms	492	$103	$114	$105	92%	—	$0 – $881
4	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	420	$183	$252	$205	81%	—	$1 – $1.3k
5	Humana fee schedule · outpatient · +23 other terms	403	$168	$161	$136	85%	—	$1 – $1.0k
6	Anthem fee schedule · outpatient · +26 other terms	176	$145	$233	$286	123%	—	$1 – $1.2k
7	Molina fee schedule · outpatient · +23 other terms	171	$171	$153	$104	68%	—	$1 – $395
8	WellCare fee schedule · outpatient · +16 other terms	159	$173	$187	$74	40%	—	$48 – $499
9	MultiPlan fee schedule · outpatient · +17 other terms	95	$200	$265	$272	103%	—	$38 – $1.1k
10	Kaiser fee schedule · outpatient · +17 other terms	93	$172	$199	$193	97%	—	$5 – $1.2k
11	Devoted facility · fee schedule · outpatient · +14 other terms	71	$181	$235	$519	220%	—	$80 – $4.9k
12	Ambetter facility · fee schedule · outpatient · +15 other terms	70	$303	$400	$800	200%	—	$77 – $7.1k
13	Caresource fee schedule · outpatient · +16 other terms	59	$170	$165	$129	79%	—	$1 – $508
14	Oscar facility · fee schedule · outpatient · +13 other terms	54	$249	$223	$93	42%	—	$45 – $320
15	Optum fee schedule · outpatient · +18 other terms	49	$166	$204	$108	53%	—	$36 – $629
16	Tricare fee schedule · outpatient · +15 other terms	48	$155	$145	$54	37%	—	$38 – $218
17	First Health fee schedule · outpatient · +13 other terms	37	$158	$153	$60	39%	—	$76 – $347
18	Highmark facility · fee schedule · outpatient · +16 other terms	31	$81	$83	$75	90%	—	$11 – $377
19	Aetna Better Health fee schedule · outpatient · +18 other terms	30	$9	$56	$67	119%	—	$8 – $161
20	Clover fee schedule · outpatient · +8 other terms	29	$187	$180	$25	14%	—	$63 – $205
21	Medicare facility · fee schedule · outpatient · +12 other terms	28	$176	$306	$767	251%	—	$68 – $4.8k
22	Phcs fee schedule · outpatient · +11 other terms	28	$248	$562	$394	70%	—	$131 – $1.2k
23	Medica facility · fee schedule · outpatient · +19 other terms	26	$111	$98	$78	79%	—	$8 – $241
24	Amerihealth Caritas fee schedule · outpatient · +10 other terms	25	$8	$27	$50	186%	—	$3 – $194
25	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$216	$216	$43	20%	—	$163 – $283

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