Varicella zoster virus antigen 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

S/O IF VARICLLA-ZOSTR AG

Payers reporting CPT 87290

Payer pricing summary

Low

Average

$60

Median

$36

High

$490

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +21 other terms	495	$27	$34	$26	77%	3–30	$1 – $222
2	UnitedHealthcare fee schedule · outpatient · +28 other terms	748	$13	$16	$18	110%	2–20	$1 – $313
3	Aetna fee schedule · outpatient · +25 other terms	696	$15	$57	$379	665%	2–20	$0 – $8.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	495	$19	$30	$27	90%	2–20	$1 – $251
5	Anthem fee schedule · outpatient · +19 other terms	195	$19	$27	$25	95%	2–20	$3 – $284
6	Molina fee schedule · outpatient · +25 other terms	287	$15	$16	$11	68%	1–10	$1 – $193
7	Kaiser fee schedule · outpatient · +15 other terms	115	$14	$17	$11	66%	1–10	$1 – $94
8	Optum fee schedule · outpatient · +15 other terms	62	$14	$24	$18	74%	1–10	$13 – $83
9	Premera fee schedule · outpatient · +4 other terms	18	$16	$18	$12	68%	1–10	$13 – $97
10	Humana fee schedule · outpatient · +23 other terms	516	$14	$28	$33	119%	—	$1 – $256
11	WellCare fee schedule · outpatient · +14 other terms	291	$14	$14	$3	19%	—	$6 – $42
12	Devoted fee schedule · outpatient · +10 other terms	195	$13	$14	$0	3%	—	$13 – $16
13	Oscar fee schedule · outpatient · +13 other terms	163	$26	$29	$10	34%	—	$8 – $41
14	Cigna Healthspring fee schedule · outpatient · +7 other terms	136	$14	$14	$1	8%	—	$8 – $22
15	Ambetter facility · fee schedule · outpatient · +13 other terms	108	$24	$25	$6	23%	—	$13 – $34
16	Aetna Better Health fee schedule · outpatient · +17 other terms	86	$12	$12	$1	8%	—	$7 – $14
17	MultiPlan fee schedule · outpatient · +16 other terms	75	$48	$81	$94	116%	—	$5 – $626
18	Caresource fee schedule · outpatient · +11 other terms	66	$14	$15	$3	23%	—	$1 – $27
19	First Health fee schedule · outpatient · +13 other terms	63	$13	$24	$25	103%	—	$8 – $138
20	Superior Healthplan fee schedule · outpatient · +7 other terms	59	$14	$46	$35	76%	—	$11 – $115
21	Highmark facility · fee schedule · outpatient · +14 other terms	54	$23	$36	$34	96%	—	$9 – $152
22	Tricare facility · fee schedule · outpatient · +13 other terms	50	$13	$14	$7	49%	—	$10 – $61
23	Amerihealth Caritas fee schedule · outpatient · +11 other terms	48	$17	$16	$4	26%	—	$2 – $23
24	Clover fee schedule · outpatient · +6 other terms	43	$14	$14	$0	2%	—	$13 – $14
25	Medica fee schedule · outpatient · +13 other terms	37	$26	$52	$72	138%	—	$8 – $253

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