Diagnostic test for mucosal abnormalities

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

Diag tst detect mucos abnorm

Payers reporting HCPCS D0431

Payer pricing summary

Low

$19

Average

$125

Median

$57

High

$858

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +9 other terms	104	$65	$111	$69	62%	—	$0 – $619
2	Humana fee schedule · outpatient · +5 other terms	71	$143	$118	$65	55%	—	$21 – $194
3	Molina facility · case rate · outpatient · +5 other terms	29	$531	$454	$389	86%	—	$71 – $1.3k
4	UnitedHealthcare professional · fee schedule · outpatient · +11 other terms	20	$34	$47	$18	38%	—	$24 – $89
5	Anthem professional · fee schedule · outpatient · +6 other terms	16	$35	$43	$19	44%	—	$20 – $101
6	Caresource facility · case rate · outpatient · +1 other terms	15	$773	$830	$190	23%	—	$516 – $1.3k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	13	$94	$92	$25	27%	—	$46 – $162
8	Optum facility · case rate · outpatient · +1 other terms	13	$686	$677	$302	45%	—	$78 – $1.2k
9	Highmark fee schedule · outpatient · +1 other terms	11	$46	$47	$7	15%	—	$46 – $121
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$22	$22	$0	2%	—	$21 – $22
11	Aetna Better Health facility · case rate · outpatient	7	$98	$98	$1	1%	—	$94 – $98
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$90	$91	$3	3%	—	$90 – $98
13	Medicaid fee schedule · outpatient · +1 other terms	7	$44	$44	—	—	—	$44 – $44
14	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	5	$77	$73	$7	10%	—	$58 – $77
15	Kaiser fee schedule · outpatient · +1 other terms	4	$226	$221	$168	76%	—	$44 – $523
16	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$22	$22	—	—	—	$22 – $22
17	Medica fee schedule · outpatient · +3 other terms	3	$38	$38	—	—	—	$38 – $38
18	Wellmark facility · case rate · outpatient	3	$312	$274	$86	32%	—	$127 – $345
19	Bcbs Id professional · fee schedule · outpatient	1	$47	$47	—	—	—	$47 – $47
20	Bcbs Mn fee schedule · outpatient	1	$94	$94	—	—	—	$94 – $94
21	Bcbs Nv fee schedule · outpatient	1	$26	$26	—	—	—	$26 – $26
22	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$57	$57	—	—	—	$57 – $57
23	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$28	$28	$3	11%	—	$25 – $31
24	Bcbs Vt professional · fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30
25	Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$44	$44	—	—	—	$44 – $44

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