Lab test for Mycobacterium avium complex 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

M.AVIUM-INTRA DNA AMP PROB

Payers reporting CPT 87561

Payer pricing summary

Low

$15

Average

$103

Median

$80

High

$373

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	671	$35	$37	$20	55%	—	$1 – $346
2	Aetna fee schedule · outpatient · +22 other terms	631	$38	$100	$396	394%	—	$0 – $8.4k
3	Humana fee schedule · outpatient · +21 other terms	457	$36	$77	$97	126%	—	$1 – $469
4	Cigna fee schedule · outpatient · +21 other terms	443	$67	$85	$71	84%	—	$5 – $433
5	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	425	$50	$83	$79	95%	—	$1 – $792
6	WellCare fee schedule · outpatient · +12 other terms	282	$36	$37	$6	17%	—	$26 – $110
7	Molina fee schedule · outpatient · +18 other terms	248	$39	$41	$18	44%	—	$1 – $152
8	Devoted fee schedule · outpatient · +11 other terms	190	$35	$35	$1	3%	—	$34 – $41
9	Anthem fee schedule · outpatient · +18 other terms	173	$42	$70	$65	94%	—	$17 – $409
10	Oscar fee schedule · outpatient · +10 other terms	168	$68	$75	$25	34%	—	$34 – $107
11	Cigna Healthspring fee schedule · outpatient · +6 other terms	127	$36	$36	$3	7%	—	$29 – $59
12	Ambetter fee schedule · outpatient · +14 other terms	103	$58	$55	$16	29%	—	$23 – $95
13	Kaiser fee schedule · outpatient · +11 other terms	84	$36	$45	$23	51%	—	$5 – $131
14	Aetna Better Health fee schedule · outpatient · +16 other terms	80	$32	$32	$2	5%	—	$31 – $37
15	Caresource fee schedule · outpatient · +11 other terms	63	$35	$38	$9	24%	—	$1 – $70
16	Clover fee schedule · outpatient · +5 other terms	47	$36	$36	$1	2%	—	$35 – $37
17	Superior Healthplan fee schedule · outpatient · +4 other terms	47	$37	$42	$20	47%	—	$29 – $124
18	Highmark facility · fee schedule · outpatient · +10 other terms	43	$63	$118	$109	93%	—	$23 – $460
19	Optum fee schedule · outpatient · +14 other terms	43	$35	$56	$44	80%	—	$34 – $315
20	Tricare fee schedule · outpatient · +10 other terms	38	$35	$35	$2	4%	—	$28 – $38
21	First Health fee schedule · outpatient · +12 other terms	35	$35	$48	$67	140%	—	$29 – $469
22	Amerihealth Caritas fee schedule · outpatient · +11 other terms	34	$38	$39	$10	26%	—	$5 – $53
23	Bcbs Tx fee schedule · outpatient · +3 other terms	29	$134	$139	$66	48%	—	$35 – $302
24	Healthcare Highways fee schedule · outpatient · +2 other terms	29	$82	$90	$18	19%	—	$50 – $105
25	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$49	$51	$12	24%	—	$33 – $75

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