TB drug susceptibility test, per drug

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

MYCOBACTERIA SENSITIVITY RL

Payers reporting CPT 87190

Payer pricing summary

Low

Average

$39

Median

$21

High

$311

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	743	$7	$11	$27	247%	—	$1 – $784
2	Aetna fee schedule · outpatient · +23 other terms	689	$8	$54	$360	670%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +21 other terms	516	$7	$20	$37	188%	—	$1 – $784
4	Cigna fee schedule · outpatient · +20 other terms	483	$15	$30	$85	283%	—	$3 – $912
5	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	475	$10	$22	$33	152%	—	$0 – $455
6	WellCare fee schedule · outpatient · +17 other terms	313	$8	$10	$10	98%	—	$5 – $112
7	Molina fee schedule · outpatient · +24 other terms	279	$8	$11	$22	197%	—	$1 – $233
8	Devoted fee schedule · outpatient · +11 other terms	197	$7	$7	$0	3%	—	$7 – $8
9	Anthem fee schedule · outpatient · +19 other terms	185	$10	$16	$26	160%	—	$3 – $496
10	Oscar fee schedule · outpatient · +14 other terms	169	$14	$16	$5	34%	—	$7 – $22
11	Cigna Healthspring fee schedule · outpatient · +6 other terms	135	$8	$7	$1	9%	—	$6 – $12
12	Kaiser fee schedule · outpatient · +15 other terms	111	$7	$16	$44	271%	—	$4 – $536
13	Ambetter fee schedule · outpatient · +18 other terms	103	$12	$14	$25	181%	—	$5 – $224
14	Aetna Better Health fee schedule · outpatient · +16 other terms	86	$7	$7	$2	33%	—	$5 – $24
15	Caresource fee schedule · outpatient · +12 other terms	85	$7	$21	$30	140%	—	$1 – $114
16	MultiPlan fee schedule · outpatient · +13 other terms	76	$65	$83	$93	113%	—	$7 – $617
17	Tricare facility · fee schedule · outpatient · +13 other terms	70	$7	$7	$4	56%	—	$6 – $55
18	Optum fee schedule · outpatient · +14 other terms	64	$7	$17	$18	107%	—	$5 – $78
19	First Health fee schedule · outpatient · +14 other terms	63	$15	$25	$57	223%	—	$6 – $473
20	Superior Healthplan fee schedule · outpatient · +6 other terms	60	$8	$23	$23	102%	—	$6 – $274
21	Highmark facility · fee schedule · outpatient · +12 other terms	59	$12	$15	$13	82%	—	$5 – $74
22	Amerihealth Caritas fee schedule · outpatient · +10 other terms	53	$9	$8	$2	24%	—	$1 – $11
23	Clover fee schedule · outpatient · +6 other terms	48	$8	$7	$0	2%	—	$7 – $8
24	Bcbs Tx fee schedule · outpatient · +3 other terms	32	$26	$28	$14	49%	—	$7 – $63
25	Healthcare Highways fee schedule · outpatient · +5 other terms	29	$17	$17	$3	15%	—	$9 – $18

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