Antigen test for infectious agents by immunoassay

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 IAAD IA ROTAVIRUS

Payers reporting CPT 87425

Payer pricing summary

Low

Average

$298

Median

$51

High

$5.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +34 other terms	822	$12	$16	$23	142%	3–30	$1 – $465
2	Aetna fee schedule · outpatient · +29 other terms	756	$15	$57	$349	615%	2–20	$0 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	544	$19	$34	$40	116%	2–20	$1 – $488
4	Cigna fee schedule · outpatient · +25 other terms	508	$26	$33	$34	103%	2–20	$5 – $462
5	Anthem fee schedule · outpatient · +25 other terms	229	$16	$29	$35	123%	2–20	$2 – $398
6	Cigna Healthspring fee schedule · outpatient · +8 other terms	143	$12	$12	$1	8%	2–20	$7 – $19
7	Healthpartners fee schedule · outpatient · +11 other terms	26	$36	$34	$7	20%	2–20	$12 – $41
8	Bcbs Al facility · other · outpatient · +4 other terms	4	$10	$11	$1	10%	2–20	$10 – $12
9	Sanford Health Plan fee schedule · outpatient · +13 other terms	23	$33	$44	$35	80%	1–10	$12 – $140
10	Humana fee schedule · outpatient · +26 other terms	563	$12	$29	$39	136%	—	$1 – $398
11	WellCare fee schedule · outpatient · +19 other terms	313	$12	$14	$7	52%	—	$9 – $102
12	Molina fee schedule · outpatient · +29 other terms	312	$13	$15	$10	67%	—	$1 – $193
13	Devoted fee schedule · outpatient · +15 other terms	194	$12	$12	$0	2%	—	$12 – $14
14	Oscar fee schedule · outpatient · +18 other terms	168	$23	$25	$9	34%	—	$12 – $37
15	Ambetter facility · fee schedule · outpatient · +20 other terms	133	$21	$22	$5	23%	—	$6 – $31
16	Kaiser fee schedule · outpatient · +19 other terms	122	$12	$24	$39	166%	—	$5 – $430
17	Tricare facility · fee schedule · outpatient · +16 other terms	112	$12	$15	$17	114%	—	$5 – $134
18	Aetna Better Health fee schedule · outpatient · +17 other terms	109	$11	$11	$1	9%	—	$6 – $14
19	MultiPlan fee schedule · outpatient · +19 other terms	106	$102	$107	$104	97%	—	$0 – $496
20	Caresource fee schedule · outpatient · +16 other terms	102	$13	$20	$20	100%	—	$1 – $104
21	Highmark facility · fee schedule · outpatient · +18 other terms	75	$22	$33	$33	102%	—	$8 – $160
22	Optum fee schedule · outpatient · +20 other terms	74	$12	$15	$7	44%	—	$10 – $36
23	First Health fee schedule · outpatient · +17 other terms	63	$24	$47	$78	166%	—	$8 – $426
24	Superior Healthplan fee schedule · outpatient · +6 other terms	59	$13	$77	$76	99%	—	$10 – $254
25	Medicare facility · fee schedule · outpatient · +14 other terms	56	$12	$12	$4	29%	—	$3 – $39

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