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.
Original text from hospital filings
Allerg Sp Ige; Quan or Semiquan 493
LAFAYETTE, IN
See all hospitals reporting CPT 86003 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $30 is 228% above the median hospital's median price ($9), higher than 83% of the 2,575 hospitals reporting CPT 86003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette fee schedule · both | $4.12 | $4.12 | $4.12 – $4.12 |
| 2 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette fee schedule · both | $4.67 | $4.67 | $4.67 – $4.67 |
| 3 | Bcbs Il anthem blue access ppo with copps - lafayette fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 4 | Bcbs In anthem blue access ppo with copps - lafayette fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 5 | Bcbs In anthem blue access ppo-cid fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 6 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 7 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 8 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 9 | Medicaid in mcd-wir-lafayette fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 10 | Medicare medicare-wir-lafayette fee schedule · both | $5.22 | $5.22 | $5.22 – $5.22 |
| 11 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $6.26 | $6.26 | $6.26 – $6.26 |
| 12 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $8.70 | $8.70 | $8.70 – $8.70 |
| 13 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $26.97 | $26.97 | $26.97 – $26.97 |
| 14 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $29.95 | $29.95 | $29.95 – $29.95 |
| 15 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $32.98 | $32.98 | $32.98 – $32.98 |
| 16 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $41.83 | $41.83 | $41.83 – $41.83 |
| 17 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $42.59 | $42.59 | $42.59 – $42.59 |
| 18 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $44.70 | $44.70 | $44.70 – $44.70 |
| 19 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $49.60 | $49.60 | $49.60 – $49.60 |
Last updated: Jan 1, 2026
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