Lab test to identify organism by DNA probe

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

IDENTIFICATION OF ORGANISMS BY GENETIC ANALYSIS; DIRECT PROBE TECHNIQUE

Payers reporting CPT 87149

Payer pricing summary

Low

$11

Average

$79

Median

$60

High

$287

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +28 other terms	734	$26	$77	$333	435%	78–672	$0 – $8.4k
2	Cigna fee schedule · outpatient · +25 other terms	518	$41	$51	$40	78%	40–292	$5 – $422
3	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	530	$33	$52	$51	98%	25–250	$1 – $453
4	Anthem fee schedule · outpatient · +22 other terms	222	$28	$39	$42	109%	25–250	$4 – $439
5	Kaiser fee schedule · outpatient · +19 other terms	125	$20	$28	$29	102%	21–102	$1 – $293
6	UnitedHealthcare fee schedule · outpatient · +30 other terms	808	$20	$25	$27	107%	20–200	$1 – $840
7	Humana fee schedule · outpatient · +26 other terms	552	$20	$44	$55	125%	12	$1 – $840
8	First Health fee schedule · outpatient · +16 other terms	70	$40	$46	$53	116%	12	$11 – $373
9	Molina fee schedule · outpatient · +27 other terms	293	$22	$23	$12	51%	5–50	$1 – $193
10	Wellmark case rate · outpatient · +14 other terms	13	$20	$70	$121	173%	2–20	$20 – $378
11	Cigna Healthspring fee schedule · outpatient · +7 other terms	139	$21	$20	$2	8%	1–10	$17 – $33
12	Optum fee schedule · outpatient · +18 other terms	77	$20	$30	$23	75%	1–10	$13 – $125
13	WellCare fee schedule · outpatient · +18 other terms	318	$21	$24	$15	66%	—	$17 – $216
14	Devoted fee schedule · outpatient · +13 other terms	188	$20	$20	$1	3%	—	$20 – $23
15	Oscar fee schedule · outpatient · +17 other terms	165	$39	$42	$14	34%	—	$20 – $61
16	Ambetter fee schedule · outpatient · +17 other terms	119	$33	$30	$14	48%	—	$13 – $134
17	MultiPlan fee schedule · outpatient · +19 other terms	113	$119	$117	$107	92%	—	$13 – $530
18	Aetna Better Health fee schedule · outpatient · +17 other terms	105	$19	$19	$2	9%	—	$7 – $21
19	Caresource fee schedule · outpatient · +14 other terms	105	$22	$30	$25	82%	—	$1 – $128
20	Tricare facility · fee schedule · outpatient · +17 other terms	76	$19	$21	$16	77%	—	$9 – $209
21	Highmark facility · fee schedule · outpatient · +17 other terms	63	$35	$69	$65	94%	—	$13 – $271
22	Amerihealth Caritas fee schedule · outpatient · +12 other terms	59	$23	$23	$6	28%	—	$3 – $36
23	Superior Healthplan fee schedule · outpatient · +5 other terms	59	$21	$76	$71	93%	—	$17 – $367
24	Clover fee schedule · outpatient · +9 other terms	49	$21	$21	$0	2%	—	$20 – $21
25	Medicare fee schedule · both · +12 other terms	46	$20	$20	$1	4%	—	$20 – $27

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