RC 302

Infectious agent antigen detection test by immunoassay

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 Ref Aquaporin-4 Antibody (Nmo-Igg), Elisa (Q)

Payers reporting RC 302

Payer pricing summary

Low

$24

Average

$126

Median

$77

High

$875

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +28 other terms	190	$33	$1.1k	$3.6k	315%	15,487–37,744	$0 – $75.3k
2	UnitedHealthcare fee schedule · outpatient · +36 other terms	550	$45	$326	$893	274%	8,725–36,490	$0 – $32.5k
3	Caresource fee schedule · outpatient · +19 other terms	57	$35	$55	$127	230%	7,095–10,956	$1 – $2.2k
4	Bcbs Al facility · other · outpatient · +4 other terms	6	$17	$20	$16	79%	3,997–8,407	$2 – $81
5	Cigna fee schedule · outpatient · +32 other terms	294	$58	$430	$2.1k	492%	3,382–11,113	$0 – $63.6k
6	Bcbs Mn facility · other · outpatient · +11 other terms	9	$78	$66	$44	67%	2,119–6,025	$6 – $396
7	Humana fee schedule · outpatient · +30 other terms	325	$27	$486	$3.0k	624%	1,912–5,746	$1 – $129.8k
8	Molina fee schedule · outpatient · +28 other terms	161	$23	$27	$66	245%	1,432–4,294	$0 – $6.9k
9	Kaiser fee schedule · outpatient · +23 other terms	89	$23	$39	$253	651%	698–2,246	$0 – $19.5k
10	Florida Blue fee schedule · outpatient · +5 other terms	1	$104	$104	$68	65%	293–1,382	$18 – $713
11	Blue Cross Blue Shield facility · fee schedule · outpatient · +29 other terms	290	$41	$72	$288	399%	291–588	$0 – $18.8k
12	Aetna Better Health fee schedule · outpatient · +20 other terms	61	$17	$31	$87	278%	272–641	$1 – $2.1k
13	Aetna facility · fee schedule · outpatient · +32 other terms	386	$29	$53	$422	791%	255–696	$0 – $30.7k
14	First Health fee schedule · outpatient · +17 other terms	38	$43	$52	$116	226%	207–1,206	$1 – $6.6k
15	Bcbs Sc fee schedule · both · +1 other terms	1	$36	$36	$38	106%	91–388	$4 – $275
16	Medicaid facility · fee schedule · outpatient · +16 other terms	70	$18	$20	$38	192%	16–52	$1 – $907
17	WellCare fee schedule · outpatient · +25 other terms	157	$30	$46	$113	245%	4–40	$1 – $2.6k
18	Cigna Healthspring fee schedule · outpatient · +9 other terms	19	$35	$31	$52	172%	3–30	$4 – $378
19	Bcbs Mt fee schedule · inpatient · +3 other terms	1	$138	$138	—	—	1–10	$138 – $138
20	Devoted facility · fee schedule · outpatient · +17 other terms	137	$21	$20	$43	208%	—	$0 – $792
21	Tricare facility · fee schedule · outpatient · +18 other terms	116	$18	$21	$86	406%	—	$0 – $8.8k
22	Ambetter facility · fee schedule · outpatient · +21 other terms	89	$37	$42	$132	312%	—	$0 – $5.3k
23	Highmark facility · fee schedule · outpatient · +17 other terms	86	$47	$56	$106	191%	—	$3 – $5.3k
24	Medicare facility · fee schedule · outpatient · +19 other terms	77	$21	$32	$102	325%	—	$0 – $8.3k
25	MultiPlan fee schedule · outpatient · +19 other terms	73	$74	$141	$313	222%	—	$0 – $7.4k

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