Immunofluorescence lab test, unscheduled

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

BASEMENT MEMBRANE ZONE AB

Payers reporting CPT 88347

Payer pricing summary

Low

$43

Average

$889

Median

$189

High

$8.5k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	42	$92	$126	$156	124%	—	$21 – $804
2	Anthem facility · fee schedule · outpatient · +9 other terms	24	$51	$214	$709	331%	—	$19 – $3.3k
3	Aetna fee schedule · outpatient · +14 other terms	23	$259	$224	$79	35%	—	$34 – $360
4	UnitedHealthcare fee schedule · outpatient · +14 other terms	12	$179	$249	$229	92%	—	$25 – $829
5	Cigna fee schedule · both · +12 other terms	11	$105	$99	$21	21%	—	$56 – $145
6	Humana fee schedule · outpatient · +9 other terms	11	$77	$162	$151	93%	—	$53 – $516
7	MultiPlan fee schedule · inpatient · +8 other terms	10	$328	$393	$268	68%	—	$149 – $829
8	Phcs fee schedule · inpatient · +6 other terms	10	$274	$360	$266	74%	—	$124 – $829
9	Medica fee schedule · outpatient · +3 other terms	9	$196	$325	$271	84%	—	$54 – $812
10	First Health fee schedule · both · +5 other terms	5	$61	$61	$22	36%	—	$42 – $92
11	Ambetter per diem · inpatient · +3 other terms	4	$67	$101	$59	58%	—	$67 – $203
12	Tricare facility · fee schedule · outpatient · +2 other terms	3	$195	$194	$74	38%	—	$75 – $311
13	WellCare case rate · inpatient · +2 other terms	3	$67	$112	$65	58%	—	$67 – $203
14	Aetna Better Health fee schedule · inpatient · +1 other terms	2	$132	$132	—	—	—	$132 – $132
15	Caresource fee schedule · outpatient · +2 other terms	2	$121	$130	$86	66%	—	$47 – $249
16	Devoted case rate · inpatient · +1 other terms	2	$135	$135	$68	51%	—	$67 – $203
17	Kaiser fee schedule · both · +1 other terms	2	$157	$157	$40	26%	—	$117 – $197
18	Wellmark fee schedule · inpatient	2	$293	$293	$203	69%	—	$88 – $508
19	Beechstreet facility · percent of total billed charges · outpatientfrom % of charges	1	$197	$197	—	—	—	$197 – $197
20	Excellus facility · fee schedule · outpatient	1	$262	$262	—	—	—	$262 – $262
21	Healthpartners facility · fee schedule · outpatient	1	$305	$305	—	—	—	$305 – $305
22	Highmark facility · other · outpatient · +1 other terms	1	$61	$61	$16	26%	—	$42 – $86
23	Magellan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$182	$182	—	—	—	$182 – $182
24	Medicaid per diem · inpatient · +2 other terms	1	$68	$68	—	—	—	$68 – $68
25	Medical Mutual fee schedule · inpatient · +2 other terms	1	$192	$192	$5	3%	—	$187 – $198

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