Itraconazole drug level 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

HC DRUG ASSAY ITRACONAZOLE

Payers reporting CPT 80189

Payer pricing summary

Low

$14

Average

$71

Median

$57

High

$288

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +31 other terms	722	$27	$30	$19	65%	3–30	$1 – $293
2	Anthem fee schedule · outpatient · +22 other terms	187	$30	$48	$47	97%	3–30	$11 – $203
3	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	442	$37	$55	$44	81%	2–20	$1 – $438
4	Optum fee schedule · outpatient · +17 other terms	60	$27	$34	$14	40%	2–20	$27 – $78
5	Humana fee schedule · outpatient · +25 other terms	480	$27	$35	$27	77%	1–10	$1 – $283
6	Molina fee schedule · outpatient · +27 other terms	257	$30	$32	$14	44%	1–10	$1 – $113
7	Aetna fee schedule · outpatient · +27 other terms	632	$28	$84	$450	534%	—	$0 – $8.4k
8	Cigna fee schedule · outpatient · +22 other terms	376	$51	$66	$46	70%	—	$5 – $273
9	WellCare fee schedule · outpatient · +18 other terms	269	$28	$29	$6	20%	—	$21 – $108
10	Devoted fee schedule · outpatient · +12 other terms	189	$27	$27	$1	3%	—	$27 – $31
11	Oscar fee schedule · outpatient · +16 other terms	160	$52	$58	$19	33%	—	$27 – $83
12	Cigna Healthspring fee schedule · outpatient · +7 other terms	130	$28	$27	$2	6%	—	$16 – $38
13	Kaiser fee schedule · outpatient · +19 other terms	106	$27	$32	$17	53%	—	$5 – $101
14	Ambetter facility · fee schedule · outpatient · +16 other terms	105	$49	$50	$12	23%	—	$15 – $69
15	Aetna Better Health fee schedule · outpatient · +17 other terms	97	$25	$25	$6	24%	—	$9 – $92
16	Caresource fee schedule · outpatient · +15 other terms	80	$27	$31	$17	55%	—	$1 – $216
17	Tricare facility · fee schedule · outpatient · +13 other terms	60	$27	$34	$53	153%	—	$23 – $474
18	Medicaid facility · fee schedule · outpatient · +12 other terms	52	$24	$26	$5	20%	—	$15 – $64
19	Superior Healthplan fee schedule · outpatient · +7 other terms	52	$28	$78	$56	72%	—	$23 – $152
20	MultiPlan fee schedule · outpatient · +15 other terms	50	$85	$122	$102	84%	—	$27 – $350
21	First Health fee schedule · outpatient · +14 other terms	48	$27	$31	$17	55%	—	$23 – $138
22	Medica facility · fee schedule · outpatient · +15 other terms	48	$27	$30	$12	40%	—	$9 – $98
23	Highmark facility · fee schedule · outpatient · +13 other terms	46	$38	$41	$23	56%	—	$17 – $123
24	Amerihealth Caritas fee schedule · outpatient · +10 other terms	45	$27	$29	$7	25%	—	$18 – $41
25	Clover fee schedule · outpatient · +6 other terms	41	$28	$28	$1	2%	—	$27 – $28

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