Nitric oxide breath 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

HB=NITRIC OXIDE GAS DETERM

Payers reporting CPT 95012

Payer pricing summary

Low

$26

Average

$111

Median

$94

High

$487

Payer rate distribution

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#
1	Medicare other · both · +17 other terms	33	$36	$42	$20	46%	143–188	$14 – $160
2	Regence professional · fee schedule · outpatient · +17 other terms	26	$18	$182	$393	216%	2–20	$18 – $1.6k
3	Medica fee schedule · outpatient · +24 other terms	20	$42	$56	$26	47%	1–10	$14 – $179
4	Phcs fee schedule · both · +14 other terms	10	$49	$37	$15	41%	1–10	$23 – $63
5	Bcbs In other · both	4	$155	$148	$15	10%	1–10	$130 – $168
6	Aetna fee schedule · outpatient · +30 other terms	351	$40	$137	$707	518%	—	$3 – $8.4k
7	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	325	$71	$89	$57	64%	—	$1 – $353
8	UnitedHealthcare fee schedule · outpatient · +37 other terms	305	$40	$68	$103	152%	—	$1 – $1.4k
9	Humana fee schedule · outpatient · +30 other terms	263	$40	$106	$577	545%	—	$12 – $8.3k
10	Cigna fee schedule · outpatient · +28 other terms	152	$39	$51	$34	67%	—	$16 – $193
11	Molina fee schedule · outpatient · +29 other terms	114	$41	$48	$25	53%	—	$12 – $210
12	WellCare fee schedule · outpatient · +21 other terms	103	$39	$45	$16	35%	—	$13 – $92
13	Anthem fee schedule · outpatient · +26 other terms	94	$66	$59	$62	105%	—	$13 – $328
14	Kaiser fee schedule · outpatient · +22 other terms	68	$54	$64	$46	72%	—	$16 – $267
15	Ambetter facility · fee schedule · outpatient · +19 other terms	66	$66	$172	$846	493%	—	$26 – $7.0k
16	Devoted fee schedule · outpatient · +17 other terms	55	$39	$36	$8	21%	—	$19 – $44
17	Optum fee schedule · outpatient · +23 other terms	39	$36	$43	$27	63%	—	$19 – $138
18	MultiPlan fee schedule · outpatient · +20 other terms	34	$64	$72	$44	60%	—	$22 – $279
19	Highmark facility · fee schedule · outpatient · +19 other terms	33	$66	$67	$49	73%	—	$12 – $209
20	Oscar fee schedule · outpatient · +19 other terms	33	$47	$45	$32	71%	—	$1 – $107
21	Caresource facility · fee schedule · outpatient · +18 other terms	32	$61	$382	$1.5k	384%	—	$36 – $7.9k
22	Clover fee schedule · outpatient · +13 other terms	26	$43	$41	$4	9%	—	$34 – $46
23	Tricare fee schedule · outpatient · +17 other terms	26	$32	$31	$6	19%	—	$17 – $44
24	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$47	$47	$9	20%	—	$36 – $62
25	Bcbs Tx fee schedule · outpatient · +3 other terms	21	$123	$127	$51	40%	—	$37 – $225

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