Helicobacter pylori resistance test by DNA analysis

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

Iadna H Pylori Clarithromycin Resist Amp Prb Tq

Payers reporting CPT 87513

Payer pricing summary

Low

$33

Average

$193

Median

$84

High

$1.6k

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +9 other terms	52	$35	$38	$9	23%	6–60	$1 – $68
2	UnitedHealthcare fee schedule · outpatient · +23 other terms	556	$35	$37	$20	52%	—	$1 – $316
3	Aetna fee schedule · outpatient · +21 other terms	525	$36	$98	$550	559%	—	$0 – $8.4k
4	Humana fee schedule · outpatient · +20 other terms	370	$35	$37	$10	27%	—	$1 – $140
5	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	359	$44	$77	$127	165%	—	$1 – $1.8k
6	WellCare fee schedule · outpatient · +10 other terms	257	$36	$37	$6	15%	—	$27 – $70
7	Molina fee schedule · outpatient · +16 other terms	209	$39	$43	$19	44%	—	$1 – $125
8	Devoted fee schedule · outpatient · +8 other terms	185	$35	$35	$1	3%	—	$34 – $41
9	Cigna fee schedule · outpatient · +18 other terms	172	$36	$47	$21	45%	—	$18 – $129
10	Oscar fee schedule · outpatient · +13 other terms	159	$68	$76	$25	33%	—	$34 – $107
11	Cigna Healthspring fee schedule · outpatient · +6 other terms	124	$36	$35	$2	4%	—	$31 – $38
12	Anthem fee schedule · outpatient · +14 other terms	105	$65	$98	$67	68%	—	$17 – $263
13	Ambetter facility · fee schedule · outpatient · +12 other terms	86	$63	$67	$14	21%	—	$35 – $89
14	Kaiser fee schedule · outpatient · +12 other terms	83	$36	$47	$23	48%	—	$28 – $131
15	Clover fee schedule · outpatient · +6 other terms	46	$36	$36	$1	2%	—	$35 – $37
16	Superior Healthplan fee schedule · outpatient · +2 other terms	42	$37	$37	$1	4%	—	$35 – $56
17	Optum fee schedule · outpatient · +13 other terms	33	$35	$52	$22	43%	—	$34 – $101
18	First Health fee schedule · outpatient · +10 other terms	32	$35	$37	$21	57%	—	$29 – $179
19	Aetna Better Health fee schedule · outpatient · +11 other terms	31	$32	$33	$2	6%	—	$32 – $37
20	Highmark facility · fee schedule · outpatient · +7 other terms	31	$39	$45	$21	47%	—	$12 – $99
21	Medica facility · fee schedule · outpatient · +13 other terms	29	$35	$55	$119	216%	—	$12 – $725
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$49	$51	$12	24%	—	$33 – $75
23	Amerihealth Caritas fee schedule · outpatient · +8 other terms	26	$42	$42	$7	16%	—	$29 – $53
24	Bcbs Tx fee schedule · outpatient	25	$118	$125	$52	42%	—	$35 – $214
25	Regence facility · fee schedule · outpatient · +5 other terms	25	$36	$37	$2	5%	—	$30 – $40

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