Lab & pathology prices at Alice Peck Day Memorial Hospital
Lebanon, NH · every code in this section with a posted price and a Medicare benchmark.
668 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $19.40 | $36 | 0.5× |
| 5 Nucleotidase (83915) | $56.06 | $104 | 5.0× |
| Abl1 gene (81170) | $320.70 | $595 | 1.1× |
| Acetaminophen level (80143) | $72.76 | $135 | 3.9× |
| Acetylcholine receptor binding antibody (86041) | $43.12 | $80 | 2.3× |
| Acetylcholine receptor blocking antibody (86042) | $49.05 | $91 | 2.7× |
| Acetylcholinesterase (82013) | $79.77 | $148 | 6.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $203.74 | $378 | 16.9× |
| Actin smooth muscle antibody each (86015) | $14.55 | $27 | 1.2× |
| Activated protein c resistance (85307) | $237.16 | $440 | 15.5× |
| Acylcarnitine Plasma (82017) | $50.13 | $93 | 3.0× |
| Adamts13 activity (85397) | $136.91 | $254 | 4.4× |
| Adrenocorticotropic hormone (82024) | $45.28 | $84 | 1.2× |
| Afp maternal serum (82105) | $53.63 | $99.50 | 3.2× |
| Albumin body fluid (82042) | $47.97 | $89 | 6.2× |
| Albumin serum (82040) | $32.34 | $60 | 6.5× |
| Aldolase (82085) | $31.80 | $59 | 3.3× |
| Aldosterone urine (82088) | $51.20 | $95 | 1.3× |
| Alkaline phosphatase isoenzymes (84080) | $32.34 | $60 | 2.2× |
| Allergen peanut (86003) | $4.85 | $9 | 0.9× |
| Allg Spec Ige Recomb Ea (86008) | $37.19 | $69 | 2.1× |
| Alpha-1-antitrypsin, total (82103) | $56.32 | $104.50 | 4.2× |
| Alpha-Fetoprotein; Amniotic (82106) | $52.28 | $97 | 3.1× |
| Alt (sgpt) (84460) | $28.56 | $53 | 5.4× |
| Amikacin trough (80150) | $28.56 | $53 | 1.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $90.28 | $167.50 | 3.9× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $140.68 | $261 | 8.3× |
| Amino Acids Quant 2-5 (82136) | $76.54 | $142 | 3.9× |
| Aminolevulinic acid (ala) (82135) | $11.32 | $21 | 0.7× |
| Amylase urine (82150) | $49.59 | $92 | 7.7× |
| Ana titer (86039) | $36.38 | $67.50 | 3.3× |
| Analysis nerve (88356) | $551.40 | $1,023 | 9.9× |
| Angiotensin i enzyme test (82164) | $43.93 | $81.50 | 3.0× |
| Antibody aspergillus (86606) | $44.20 | $82 | 2.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $74.38 | $138 | 4.8× |
| Antibody coxiella burnetii q fever (86638) | $43.66 | $81 | 3.6× |
| Antibody cytomegalovirus cmv (86644) | $65.76 | $122 | 4.6× |
| Antibody Encephalitis Eastern Equine (86652) | $26.14 | $48.50 | 2.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $52.82 | $98 | 4.3× |
| Antibody haemophilus influenza (86684) | $60.91 | $113 | 3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $27.49 | $51 | 1.9× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $65.22 | $121 | 4.8× |
| Antibody HIV-2 (86702) | $261.95 | $486 | 19.4× |
| Antibody identification (86870) | $192.96 | $358 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $61.98 | $115 | 4.1× |
| Antibody influenza virus (86710) | $30.18 | $56 | 2.2× |
| Antibody mumps (86735) | $59.29 | $110 | 4.5× |
| Antibody screen (86850) | $37.73 | $70 | 3.9× |
| Antibody treponema pallidum (86780) | $34.50 | $64 | 2.6× |
| Antibody; Coccidioides (86635) | $24.80 | $46 | 2.2× |
| Antigen typing (86905) | $49.04 | $91 | 12.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $245.24 | $455 | 47.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $21.02 | $39 | 1.7× |
| Antinuclear antibodies (86038) | $26.95 | $50 | 2.2× |
| Antistreptolysin o titer (86060) | $31.26 | $58 | 4.3× |
| Antithrombin iii activity (85300) | $51.74 | $96 | 4.4× |
| Apolipoprotein each (82172) | $55.78 | $103.50 | 2.6× |
| Aquaporin-4 antibody flow cytometry each (86053) | $199.97 | $371 | 5.3× |
| Arsenic Urine (82175) | $60.10 | $111.50 | 3.2× |
| Aspergillus ag eia (87305) | $66.56 | $123.50 | 5.6× |
| Assay Nephelometry Not Spec (83883) | $73.30 | $136 | 5.4× |
| Assay of 17-hydroxypregnenolone (84143) | $141.22 | $262 | 6.2× |
| Assay of 5-hiaa (83497) | $44.46 | $82.50 | 3.4× |
| Assay of ammonia (82140) | $80.85 | $150 | 5.5× |
| Assay of androstenedione (82157) | $43.12 | $80 | 1.5× |
| Assay of anti-mullerian hormone (82166) | $95.40 | $177 | 2.5× |
| Assay of biotinidase (82261) | $25.33 | $47 | 1.5× |
| Assay of c-peptide (84681) | $105.10 | $195 | 5.1× |
| Assay of ceruloplasmin (82390) | $46.89 | $87 | 4.4× |
| Assay of citrate (82507) | $47.43 | $88 | 1.7× |
| Assay of cyclosporine (80158) | $76.27 | $141.50 | 4.2× |
| Assay of erythropoietin (82668) | $35.57 | $66 | 1.9× |
| Assay of estrone (82679) | $12.40 | $23 | 0.5× |
| Assay of ethosuximide (80168) | $46.35 | $86 | 2.8× |
| Assay of ferritin (82728) | $120.74 | $224 | 8.9× |
| Assay of g6pd enzyme (82955) | $38.27 | $71 | 3.9× |
| Assay of gammaglobulin igm (82784) | $43.92 | $81.50 | 4.7× |
| Assay of gastrin (82941) | $36.11 | $67 | 2.0× |
| Assay of gentamicin (80170) | $71.15 | $132 | 4.3× |
| Assay of homocystine (83090) | $80.31 | $149 | 4.5× |
| Assay of lactic acid (83605) | $45.28 | $84 | 3.9× |
| Assay of lipoprotein(a) (83695) | $26.42 | $49 | 1.8× |
| Assay of manganese (83785) | $43.66 | $81 | 1.6× |
| Assay of metanephrines (83835) | $40.16 | $74.50 | 2.4× |
| Assay of osteocalcin (83937) | $41.50 | $77 | 1.4× |
| Assay of phenobarbital (80184) | $42.58 | $79 | 2.8× |
| Assay of prealbumin (84134) | $69.53 | $129 | 4.8× |
| Assay of proinsulin (84206) | $43.12 | $80 | 1.6× |
| Assay of prolactin (84146) | $71.15 | $132 | 3.7× |
| Assay of pyruvate (84210) | $44.74 | $83 | 3.1× |
| Assay of serotonin (84260) | $49.59 | $92 | 1.6× |
| Assay of sialic acid (84275) | $249.02 | $462 | 18.5× |
| Assay of tacrolimus (80197) | $77.62 | $144 | 5.7× |
| Assay of topiramate (80201) | $42.58 | $79 | 3.6× |
| Assay of urine vma (84585) | $39.08 | $72.50 | 2.5× |
| Assay of vitamin k (84597) | $90.01 | $167 | 6.6× |
| Ast (sgot) (84450) | $24.25 | $45 | 4.7× |
| Atomic Absorption (82190) | $41.50 | $77 | 2.6× |
| B cells total count (86355) | $104.84 | $194.50 | 2.8× |
| B-hexosaminidase ea assay (83080) | $56.06 | $104 | 3.3× |
| Bartonella antibody (86611) | $32.34 | $60 | 3.2× |
| Bcr/abl1 gene major bp (81206) | $644.10 | $1,195 | 3.9× |
| Bcr/abl1 gene minor bp (81207) | $412.33 | $765 | 2.8× |
| Beta 2 glycoprotein 1 igm (86146) | $56.59 | $105 | 2.2× |
| Beta hydroxybutyrate (82010) | $50.13 | $93 | 6.1× |
| Beta lactamase (87185) | $32.88 | $61 | 6.9× |
| Beta-2 microglobulin (82232) | $86.24 | $160 | 5.3× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $618.23 | $1,147 | 4.8× |
| Bile acids, total (82239) | $56.06 | $104 | 3.3× |
| Bilirubin direct (82248) | $19.94 | $37 | 4.0× |
| Bilirubin total (82247) | $25.87 | $48 | 5.2× |
| Bilirubin total transcutaneous (88720) | $33.69 | $62.50 | 6.7× |
| Bl Smear W/Diff Wbc Count (85007) | $79.23 | $147 | 20.9× |
| Blastomyces antibody (86612) | $38.81 | $72 | 3.0× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $36.65 | $68 | 6.6× |
| Blood gas (82803) | $168.98 | $313.50 | 6.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $52.28 | $97 | 3.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $74.12 | $137.50 | 11.7× |
| Blood typing abo (86900) | $13.47 | $25 | 4.5× |
| Blood typing serologic rh (d) (86901) | $12.40 | $23 | 4.1× |
| Body fluid cell count (89051) | $31.80 | $59 | 5.7× |
| Body fluid cell count (89050) | $112.11 | $208 | 23.8× |
| Bordetella antibody (86615) | $153.61 | $285 | 11.6× |
| Borrelia miyamotoi amp prb (87478) | $40.42 | $75 | 1.2× |
| Braf gene (81210) | $139.60 | $259 | 0.8× |
| Breath Alcohol Test (82075) | $35.03 | $65 | 1.2× |
| Brucella antibody (86622) | $43.92 | $81.50 | 4.9× |
| C diff amplified probe (87493) | $128.28 | $238 | 3.4× |
| C-reactive protein (86140) | $57.67 | $107 | 11.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $70.61 | $131 | 5.5× |
| C1q binding assay (86332) | $143.64 | $266.50 | 5.9× |
| Ca 125 (86304) | $106.18 | $197 | 5.1× |
| Ca 19-9 (86301) | $99.71 | $185 | 4.8× |
| Ca 27 29 (86300) | $28.57 | $53 | 1.4× |
| Cadmium level (82300) | $32.34 | $60 | 1.4× |
| Calcitonin (82308) | $41.50 | $77 | 1.5× |
| Calcium ionized (82330) | $57.67 | $107 | 4.2× |
| Calcium total (82310) | $24.25 | $45 | 4.7× |
| Calcium urine (82340) | $40.96 | $76 | 6.8× |
| Calculus spectroscopy (82365) | $38.27 | $71 | 3.0× |
| Calprotectin, fecal (83993) | $94.06 | $174.50 | 4.8× |
| Calr gene com variants (81219) | $455.18 | $844.50 | 3.7× |
| Carb deficient transferrin (82373) | $51.74 | $96 | 2.9× |
| Carbamazepine total (80156) | $49.58 | $92 | 3.4× |
| Carbon dioxide (82374) | $22.10 | $41 | 4.5× |
| Carboxyhemoglobin (82375) | $24.25 | $45 | 2.0× |
| Carcinoembryonic antigen (82378) | $86.24 | $160 | 4.5× |
| Cardiolipin ab igg (86147) | $44.74 | $83 | 1.8× |
| Carnitine (82379) | $43.66 | $81 | 2.6× |
| Carotene (82380) | $36.65 | $68 | 4.0× |
| Catecholamines fraction plasma (82384) | $51.48 | $95.50 | 2.0× |
| Cell Cryopreserve/Storage (88240) | $51.20 | $95 | 3.9× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $90.55 | $168 | 0.7× |
| Cftr gene com variants (81220) | $1,471.47 | $2,730 | 2.6× |
| Chemiluminescent assay (82397) | $113.46 | $210.50 | 8.0× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $447.37 | $830 | 1.7× |
| Chlamydia antibody (86631) | $32.88 | $61 | 2.8× |
| Chlamydia Igm Antibody (86632) | $33.42 | $62 | 2.6× |
| Chloride blood (82435) | $16.17 | $30 | 3.5× |
| Chloride urine (82436) | $26.41 | $49 | 4.6× |
| Cholesterol HDL (83718) | $42.04 | $78 | 5.1× |
| Cholesterol total (82465) | $24.25 | $45 | 5.6× |
| Cholinesterase rbc (82482) | $55.52 | $103 | 5.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $53.36 | $99 | 2.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $159 | $295 | 4.8× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $558.40 | $1,036 | 4.4× |
| Chromium urine (82495) | $39.89 | $74 | 2.0× |
| Chromogranin a (86316) | $46.36 | $86 | 2.2× |
| Chromosome analysis 20-25 cells (88264) | $303.18 | $562.50 | 2.1× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) | $146.61 | $272 | 0.8× |
| Chromosome Banding Study (88283) | $20.48 | $38 | 0.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $22.64 | $42 | 0.6× |
| Clot Factor VIII Multimetric (85247) | $70.61 | $131 | 3.1× |
| Clot factor viii vw antigen (85246) | $92.17 | $171 | 4.0× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $86.24 | $160 | 4.8× |
| Clot factor xiii fibrin stab (85290) | $101.87 | $189 | 6.2× |
| Clotting Inhibitors Protein S Free (85306) | $63.34 | $117.50 | 4.1× |
| Clozapine level (80159) | $39.89 | $74 | 2.0× |
| Cmv ab igm (86645) | $80.31 | $149 | 4.8× |
| Cmv PCR (87496) | $66.30 | $123 | 1.9× |
| Cns DNA amp probe type 12-25 (87483) | $198.89 | $369 | 0.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $120.74 | $224 | 5.0× |
| Collagen cross links (82523) | $28.02 | $52 | 1.5× |
| Comparative anal str markers patient&comp spec (81265) | $675.37 | $1,253 | 2.9× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $275.97 | $512 | 0.9× |
| Compatibility test antiglob (86922) | $139.06 | $258 | 0.8× |
| Complement c3 (86160) | $52.28 | $97 | 4.4× |
| Complement total (ch50) (86162) | $44.20 | $82 | 2.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $56.86 | $105.50 | 4.7× |
| Concentration Infectious Agent (87015) | $42.85 | $79.50 | 6.4× |
| Coombs direct (86880) | $51.20 | $95 | 9.5× |
| Copper urine (82525) | $46.35 | $86 | 3.7× |
| Cortisol free (82530) | $38.27 | $71 | 2.3× |
| Cortisol total (82533) | $38 | $70.50 | 2.3× |
| Creatine kinase total (82550) | $28.57 | $53 | 4.4× |
| Creatinine blood (82565) | $24.25 | $45 | 4.7× |
| Creatinine clearance (82575) | $6.47 | $12 | 0.7× |
| Creatinine other source (82570) | $45.82 | $85 | 8.8× |
| Crossmatch immediate spin (86920) | $39.89 | $74 | 0.2× |
| Cryofibrinogen (82585) | $4.31 | $8 | 0.3× |
| Cryoglobulin (82595) | $36.65 | $68 | 5.7× |
| Crystals body fluid (89060) | $106.99 | $198.50 | 14.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $65.76 | $122 | 8.1× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $23.72 | $44 | 0.1× |
| Culture Aerobic Identify (87077) | $40.96 | $76 | 5.1× |
| Culture aerobic quant other (87071) | $191.34 | $355 | 19.3× |
| Culture afb (87116) | $142.30 | $264 | 13.2× |
| Culture anaerobic (87075) | $220.99 | $410 | 23.3× |
| Culture blood (87040) | $92.71 | $172 | 9.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $86.24 | $160 | 11.2× |
| Culture fungus blood (87103) | $33.42 | $62 | 1.6× |
| Culture fungus id yeast (87106) | $59.29 | $110 | 5.7× |
| Culture fungus other (87102) | $97.56 | $181 | 11.6× |
| Culture genital (87070) | $80.31 | $149 | 9.3× |
| Culture screen only (87081) | $56.60 | $111 | 8.5× |
| Culture stool (87045) | $49.05 | $91 | 5.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $32.34 | $60 | 6.2× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $107.80 | $200 | 3.1× |
| Culture urine (87086) | $60.91 | $113 | 7.5× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $104.57 | $194 | 0.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $59.83 | $111 | 4.2× |
| Cyclic Citrullinated Peptide (86200) | $98.10 | $182 | 7.6× |
| Cyp2c19 gene com variants (81225) | $379.99 | $705 | 1.3× |
| Cystatin c (82610) | $47.97 | $89 | 2.6× |
| Cysticercosis Antibody (86682) | $63.60 | $118 | 4.9× |
| Cytogenetics 100-300 (88275) | $55.52 | $103 | 1.1× |
| Cytogenetics DNA probe (88271) | $235.54 | $437 | 11.0× |
| Cytogenom const microarray copy number&snp var (81229) | $656.50 | $1,218 | 0.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $281.36 | $522 | 6.6× |
| Cytopath cell enhance tech (88112) | $129.36 | $240 | 2.3× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) | $77.62 | $144 | 3.4× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $128.28 | $238 | 4.8× |
| Cytp concentration smears & interpretation (88108) | $61.72 | $114.50 | 1.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $284.05 | $527 | 5.1× |
| Cytp fna eval dx 1st each site (88172) | $57.67 | $107 | 0.3× |
| Deoxycortisol (82634) | $42.04 | $78 | 1.4× |
| Deoxyribonuclease antibody (86215) | $33.42 | $62 | 2.5× |
| Desoxycorticosterone (82633) | $52.01 | $96.50 | 1.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $23.18 | $43 | 1.4× |
| Detect agnt mult DNA ampli (87801) | $247.67 | $459.50 | 3.5× |
| Dgp antibody each ig class (86258) | $21.02 | $39 | 1.7× |
| Dhea (82626) | $48.51 | $90 | 1.9× |
| Dhea-sulfate (82627) | $71.15 | $132 | 3.2× |
| Digoxin (80162) | $64.14 | $119 | 4.8× |
| Dihydrotestosterone (82642) | $41.50 | $77 | 1.4× |
| Dilantin (80185) | $84.08 | $156 | 6.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $23.44 | $43.50 | 1.7× |
| Drug assay adalimumab (80145) | $242.01 | $449 | 6.3× |
| Drug Assay Amiodarone (80151) | $19.94 | $37 | 1.1× |
| Drug assay felbamate (80167) | $36.65 | $68 | 2.0× |
| Drug assay flecainide (80181) | $39.35 | $73 | 2.1× |
| Drug Assay Infliximab (80230) | $140.14 | $260 | 3.6× |
| Drug assay itraconazole (80189) | $35.03 | $65 | 1.3× |
| Drug Assay Lacosamide (80235) | $107.26 | $199 | 4.0× |
| Drug assay methotrexate (80204) | $49.05 | $91 | 1.3× |
| Drug assay posaconazole (80187) | $78.15 | $145 | 2.9× |
| Drug assay vedolizumab (80280) | $138.52 | $257 | 3.6× |
| Drug assay voriconazole (80285) | $64.68 | $120 | 2.4× |
| Drug quant nes (80299) | $70.88 | $131.50 | 3.8× |
| Drug screen quant zonisamide (80203) | $53.36 | $99 | 4.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $34.50 | $64 | 2.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $37.73 | $70 | 2.8× |
| Drug Scrn Quan Levetiracetam (80177) | $38.81 | $72 | 2.9× |
| Drug test prsmv chem anlyzr (80307) | $79.50 | $147.50 | 1.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $33.42 | $62 | 2.7× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $163.86 | $304 | 9.6× |
| E test (87181) | $30.72 | $57 | 6.5× |
| Ebv viral capsid (86665) | $59.83 | $111 | 3.3× |
| Egfr Gene Analysis Common Variants (81235) | $455.45 | $845 | 1.4× |
| Ehrlichia antibody (86666) | $60.64 | $112.50 | 6.0× |
| Elastase pancreatic fecal quantitative (82653) | $54.98 | $102 | 2.4× |
| Electrolyte panel (80051) | $45.81 | $85 | 6.5× |
| Electron microscopy diagnostic (88348) | $687.76 | $1,276 | 0.8× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $51.20 | $95 | 0.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $87.86 | $163 | 7.3× |
| Entamoeba histolytica antigen (87337) | $120.74 | $224 | 10.1× |
| Enterovirus Pcr (87498) | $428.50 | $795 | 12.2× |
| Enzyme cell activity (82657) | $92.17 | $171 | 4.2× |
| Eosinophil count (85048) | $17.25 | $32 | 6.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $59.83 | $111 | 3.9× |
| Estradiol (82670) | $36.38 | $67.50 | 1.3× |
| Estriol serum (82677) | $38.54 | $71.50 | 1.6× |
| Estrogens fractionated (82671) | $22.10 | $41 | 0.7× |
| Ethylene glycol (82693) | $84.35 | $156.50 | 5.7× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $296.45 | $550 | 3.0× |
| Everolimus (80169) | $91.63 | $170 | 6.7× |
| Exome sequence analysis (81415) | $823.05 | $1,527 | 0.2× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$496.42 | $921 | 0.0× |
| F2 gene analysis 20210g >a variant (81240) | $107.80 | $200 | 1.6× |
| F5 gene analysis, leiden variant (81241) | $281.90 | $523 | 3.8× |
| Factor ii activity (85210) | $205.36 | $381 | 15.8× |
| Factor inhibitor test (85335) | $242.55 | $450 | 18.8× |
| Factor ix activity (85250) | $92.71 | $172 | 4.9× |
| Factor v activity (85220) | $205.36 | $381 | 11.6× |
| Factor vii assay (85230) | $205.36 | $381 | 11.5× |
| Factor viii ahg (85240) | $174.10 | $323 | 9.7× |
| Fatty acids free (82725) | $47.97 | $89 | 2.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $150.92 | $280 | 8.8× |
| Fecal fat qual (82705) | $22.64 | $42 | 4.4× |
| Fecal fat quant (82710) | $42.58 | $79 | 2.5× |
| Fetal bleed screen (85461) | $47.43 | $88 | 5.1× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $62.52 | $116 | 0.4× |
| Fetal fibronectin (82731) | $480.25 | $891 | 7.5× |
| Fibrin Degradation Quant (85379) | $100.25 | $186 | 9.8× |
| Fibrinogen activity (85384) | $46.89 | $87 | 4.8× |
| Flow cytometry first marker (88184) | $94.86 | $176 | 0.2× |
| Fluorescent Antibody Screen (86255) | $66.30 | $123 | 5.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $84.08 | $156 | 7.0× |
| Fmr1 gene detection (81243) | $247.94 | $460 | 4.3× |
| Folate serum (82746) | $70.61 | $131 | 4.8× |
| Follicle Stimulating Hormone (83001) | $68.18 | $126.50 | 3.7× |
| Frozen Section (88331) | $190.27 | $353 | 1.0× |
| Fructosamine (82985) | $42.58 | $79 | 2.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $51.20 | $95 | 5.0× |
| G6pd Screen (82960) | $65.76 | $122 | 10.9× |
| Gabapentin (80171) | $38.27 | $71 | 1.8× |
| Galactose (82760) | $25.33 | $47 | 2.3× |
| Galactose transferase test (82776) | $23.72 | $44 | 2.0× |
| Gammaglobulin ige (82785) | $71.69 | $133 | 4.4× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $163.32 | $303 | 2.1× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,892.43 | $3,511 | 2.5× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,929.08 | $3,579 | 0.7× |
| Genetic Tstg Severe Inh Cond (81443) | $1,315.16 | $2,440 | 0.5× |
| Ggt (82977) | $30.72 | $57 | 4.3× |
| Giardia antigen eia stool (87329) | $68.45 | $127 | 5.7× |
| Glucagon (82943) | $56.06 | $104 | 3.9× |
| Glucose (82947) | $26.68 | $49.50 | 6.8× |
| Glucose Blood Test (82962) | $27.49 | $51 | 8.4× |
| Glucose body fluid (82945) | $60.64 | $112.50 | 15.4× |
| Glucose post dose (82950) | $75.46 | $140 | 15.9× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $30.72 | $57 | 7.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $177.87 | $330 | 13.8× |
| Glucosidase beta (82963) | $331.48 | $615 | 15.4× |
| Growth hormone (83003) | $60.91 | $113 | 3.7× |
| H pylri clrthmcn rst amp prb (87513) | $447.37 | $830 | 12.7× |
| Haloperidol (haldol) (80173) | $57.13 | $106 | 3.6× |
| Haptoglobin (83010) | $68.99 | $128 | 5.5× |
| Hba1/hba2 full gene sequence (81259) | $327.17 | $607 | 0.5× |
| Hba1/hba2 gene dup/del vrnts (81269) | $355.74 | $660 | 1.8× |
| Hbb Full Gene Sequence (81364) | $327.17 | $607 | 1.0× |
| Hcg qualitative (84703) | $46.35 | $86 | 6.2× |
| Hcg quant (84702) | $46.35 | $86 | 3.1× |
| Heavy metal quant each (83018) | $45.81 | $85 | 2.1× |
| Hematocrit (85014) | $17.25 | $32 | 7.3× |
| Hemoglobin (85018) | $17.79 | $33 | 7.5× |
| Hemoglobin a1c (83036) | $38.54 | $71.50 | 4.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $113.19 | $210 | 6.3× |
| Hemoglobin electrophoresis (83020) | $68.99 | $128 | 5.4× |
| Hemoglobin plasma (83051) | $46.89 | $87 | 6.4× |
| Hemoglobin stability screen (83068) | $43.66 | $81 | 4.6× |
| Hemosiderin urine (83070) | $45.81 | $85 | 9.6× |
| Heparin assay (85520) | $102.41 | $190 | 7.8× |
| Hepatitis a antibody total (86708) | $57.13 | $106 | 4.6× |
| Hepatitis a igm (86709) | $46.35 | $86 | 4.1× |
| Hepatitis b core ab igm (86705) | $59.29 | $110 | 5.0× |
| Hepatitis b core antibody total (86704) | $60.64 | $112.50 | 5.0× |
| Hepatitis B Surface Ab (86706) | $60.37 | $112 | 5.6× |
| Hepatitis B Surface Antigen (87340) | $63.06 | $117 | 6.1× |
| Hepatitis be antibody (86707) | $34.50 | $64 | 3.0× |
| Hepatitis Be Antigen (87350) | $34.50 | $64 | 3.0× |
| Hepatitis c antibody (86803) | $74.38 | $138 | 5.2× |
| Hepatitis C Genotype (87902) | $125.05 | $232 | 0.5× |
| Hepatitis delta ab (86692) | $135.29 | $251 | 7.9× |
| Herpes simplex type i (86695) | $72.76 | $135 | 5.5× |
| Herpes simplex type ii (86696) | $74.38 | $138 | 3.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $48.51 | $90 | 9.4× |
| Hexa gene analysis common variants (81255) | $211.29 | $392 | 4.1× |
| Hfe gene (81256) | $301.84 | $560 | 4.6× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) | $71.69 | $133 | 5.4× |
| Histamine plasma (83088) | $139.33 | $258.50 | 4.7× |
| Histoplasma antibody (86698) | $22.64 | $42 | 1.6× |
| Histoplasma antigen urine (87385) | $210.21 | $390 | 15.9× |
| HIV confirmation (86689) | $220.99 | $410 | 11.4× |
| HIV-1 antibody (86701) | $176.25 | $327 | 19.8× |
| HIV-1 genotype (87901) | $318.55 | $591 | 1.2× |
| Hla class i typing high resolution one allele or allele group (81381) | $308.85 | $573 | 1.8× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $112.65 | $209 | 0.9× |
| Hla i typing 1 locus hr (81380) | $144.99 | $269 | 0.8× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $651.65 | $1,209 | 1.9× |
| Hla ii typing 1 locus lr (81376) | $83.28 | $154.50 | 0.7× |
| Hla ii typing ag equiv lr (81375) | $161.16 | $299 | 0.7× |
| Hla-b27 (86812) | $335.80 | $623 | 13.0× |
| Homogenization tissue (87176) | $22.91 | $42.50 | 3.9× |
| Homovanillic acid urine (83150) | $55.24 | $102.50 | 2.5× |
| Hsv Dna Quant (87530) | $230.69 | $428 | 5.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $94.32 | $175 | 2.7× |
| Hydroxychloroquine (80220) | $159.54 | $296 | 8.6× |
| Hydroxyprogesterone 17-d (83498) | $40.96 | $76 | 1.5× |
| Iaad ia clostridium difficile toxin (87324) | $64.14 | $119 | 5.4× |
| Iaad ia cryptosporidium (87328) | $58.21 | $108 | 4.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $3.23 | $6 | 0.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $47.70 | $88.50 | 2.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $162.24 | $301 | 11.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $5.39 | $10 | 0.2× |
| Iaad ia shiga-like toxin (87427) | $29.11 | $54 | 2.4× |
| Iaad Ia Streptococcus Group A (87430) | $60.91 | $113 | 3.6× |
| Iaadiadoo not otherwise specified (87899) | $132.06 | $245 | 8.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $40.42 | $75 | 1.2× |
| Iadna babesia microti amplified probe technique (87469) | $40.42 | $75 | 1.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $79.77 | $148 | 2.3× |
| Iadna candida species amplified probe tq (87481) | $23.72 | $44 | 0.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $336.34 | $624 | 9.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $40.42 | $75 | 1.2× |
| Iadna hepatitis b virus amplified probe tq (87516) | $217.76 | $404 | 6.2× |
| Iadna hepatitis b virus quantification (87517) | $304 | $564 | 7.1× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $141.49 | $262.50 | 4.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $499.11 | $926 | 11.7× |
| Iadna herpes virus-6 quantification (87533) | $276.51 | $513 | 6.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $133.67 | $248 | 3.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $477.01 | $885 | 5.6× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $197.27 | $366 | 2.8× |
| Iadna human papillomavirus high-risk types (87624) | $147.14 | $273 | 4.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $336.34 | $624 | 9.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $77.08 | $143 | 2.2× |
| Iadna nos amplified probe tq each organism (87798) | $85.97 | $167 | 2.4× |
| Iadna nos quantification each organism (87799) | $223.68 | $421.50 | 5.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $77.35 | $143.50 | 2.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,123.28 | $2,084 | 2.7× |
| Igg subclasses (82787) | $44.74 | $83 | 5.6× |
| Igh gene rearrange amp meth (81261) | $919.53 | $1,706 | 4.6× |
| Igvh somatic hypermutation (81263) | $944.06 | $1,751.50 | 3.2× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $275.43 | $511 | 0.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $114.81 | $213 | 7.7× |
| Immunoassay nonantibody (83516) | $54.98 | $102 | 4.8× |
| Immunodiffusion Ouchterlony (86331) | $57.94 | $107.50 | 4.8× |
| Immunofixation (86334) | $128.82 | $239 | 5.8× |
| Immunofixation urine (86335) | $95.68 | $177.50 | 3.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $56.06 | $104 | 0.3× |
| Immunoglobulin light chains free each (83521) | $113.73 | $211 | 6.6× |
| Immunohistochemistry (88342) | $68.99 | $128 | 0.4× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) | $30.18 | $56 | 2.5× |
| Influenza DNA amp probe (87502) | $117.50 | $218 | 1.2× |
| Inhibin a (86336) | $38.54 | $71.50 | 2.5× |
| Inhibin b (83520) | $77.08 | $143 | 4.5× |
| Insitu hybridization manual (88368) | $198.89 | $369 | 0.5× |
| Insulin antibodies (86337) | $39.35 | $73 | 1.8× |
| Insulin total (83525) | $60.91 | $113 | 5.3× |
| Interleukin 6 (83529) | $121 | $224.50 | 7.0× |
| Intrinsic factor antibody (86340) | $37.73 | $70 | 2.5× |
| Iron (83540) | $47.97 | $89 | 7.4× |
| Iron binding capacity (83550) | $51.74 | $96 | 5.9× |
| Islet cell antibody (86341) | $85.16 | $158 | 3.6× |
| Jak2 gene analysis (81270) | $267.34 | $496 | 2.9× |
| Jak2 targeted sequence analysis (81279) | $623.89 | $1,157.50 | 3.4× |
| Kit gene analys d816 variant (81273) | $935.70 | $1,736 | 7.5× |
| Kras gene analysis (81275) | $387 | $718 | 2.0× |
| Lactoferrin fecal qual (83630) | $86.24 | $160 | 4.4× |
| Ldh body fluid (83615) | $24.25 | $45 | 4.0× |
| LDL cholesterol direct (83721) | $42.04 | $78 | 4.0× |
| Lead (83655) | $28.03 | $52 | 2.3× |
| Legionella antigen urine (87449) | $93.78 | $174 | 7.8× |
| Leptospira antibody (86720) | $79.77 | $148 | 4.9× |
| Leukocyte Histamine Release (86343) | $66.84 | $124 | 5.4× |
| Level ii surg pathology grossµscopic exam (88302) | $104.03 | $193 | 2.6× |
| Level v surg pathology grossµscopic exam (88307) | $578.89 | $1,074 | 1.5× |
| Level vi surg pathology grossµscopic exam (88309) | $361.67 | $671 | 0.4× |
| Lh (83002) | $72.50 | $134.50 | 3.9× |
| Lipase (83690) | $73.84 | $137 | 10.7× |
| Listeria ab (86609) | $43.66 | $81 | 3.4× |
| Lithium (80178) | $51.74 | $96 | 7.8× |
| Lyme disease antibody (86618) | $78.42 | $145.50 | 4.6× |
| Lymphocyte transformation (86353) | $210.21 | $390 | 4.3× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $534.69 | $992 | 2.9× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $222.34 | $412.50 | 1.2× |
| Macroscopic exam arthropod (87168) | $51.20 | $95 | 12.0× |
| Macroscopic exam parasite (87169) | $119.12 | $221 | 27.6× |
| Magnesium (83735) | $53.90 | $100 | 8.0× |
| Malaria smear (87207) | $56.60 | $105 | 9.4× |
| Mass spectrometry qual/quan (83789) | $144.45 | $268 | 6.0× |
| Mercury urine (83825) | $30.18 | $56 | 1.9× |
| Methemoglobin (83050) | $53.90 | $100 | 6.6× |
| Methylmalonic acid serum (83921) | $90.55 | $168 | 4.3× |
| Mgmt methylation analysis (81287) | $538.46 | $999 | 4.3× |
| Microalbumin urine (82043) | $52.82 | $98 | 9.1× |
| Microsomal antibodies (86376) | $38.81 | $72 | 2.7× |
| Mitochondrial antibody each (86381) | $23.18 | $43 | 0.9× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $187.03 | $347 | 1.0× |
| Mog-igg1 antibody flow cytometry each (86363) | $201.59 | $374 | 5.3× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $124.51 | $231 | 2.9× |
| Molecular pathology procedure level 2 (81401) | $329.87 | $612 | 2.4× |
| Mononuclear cell antigen (86356) | $33.96 | $63 | 1.3× |
| Mopath procedure level 5 (81404) | $522.29 | $969 | 1.9× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $496.96 | $922 | 2.7× |
| Mrsa PCR (87641) | $161.16 | $299 | 4.6× |
| Mtb PCR (87556) | $180.84 | $335.50 | 4.3× |
| Mthfr Gene Analysis Common Variants (81291) | $246.06 | $456.50 | 3.8× |
| Mucopolysaccharides acid quantitative (83864) | $62.52 | $116 | 2.2× |
| Muramidase (85549) | $37.19 | $69 | 2.0× |
| Muscle-specific kinase (musk) antibody (86366) | $366.52 | $680 | 19.9× |
| Mycobacteric identification (87118) | $91.63 | $170 | 6.3× |
| Mycophenolic acid (80180) | $59.83 | $111 | 3.3× |
| Mycoplasma antibody (86738) | $43.12 | $80 | 3.3× |
| Mycoplasma genitalium PCR (87563) | $105.64 | $196 | 3.0× |
| Myelin basic protein csf (83873) | $43.66 | $81 | 2.5× |
| Myoglobin urine (83874) | $29.11 | $54 | 2.3× |
| Natriuretic peptide (83880) | $112.11 | $208 | 2.9× |
| Neutralization Test Viral (86382) | $107.53 | $199.50 | 6.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $98.10 | $182 | 0.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $151.46 | $281 | 2.1× |
| Nk cells total count (86357) | $50.66 | $94 | 1.3× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $320.70 | $595 | 1.3× |
| Nras gene variants exon 2&3 (81311) | $139.60 | $259 | 0.5× |
| Nuclear antigen antibody (86235) | $40.42 | $75 | 2.3× |
| Occult blood gastric (82271) | $28.57 | $53 | 5.4× |
| Occult blood stool (82272) | $51.74 | $96 | 12.2× |
| Oligoclonal bands (83916) | $38.81 | $72 | 1.4× |
| Organic Acids Qualitative Each Specimen (83919) | $46.89 | $87 | 2.9× |
| Orthopoxvirus Amp Prb Each (87593) | $54.98 | $102 | 1.1× |
| Osmolality serum (83930) | $35.03 | $65 | 5.3× |
| Osmolality urine (83935) | $29.11 | $54 | 4.3× |
| Oxalate urine (83945) | $37.19 | $69 | 2.6× |
| Pancreatic polypeptide (83519) | $73.84 | $137 | 4.0× |
| Parvovirus antibody (86747) | $31.80 | $59 | 2.1× |
| Ph body fluid (83986) | $32.34 | $60 | 9.0× |
| Ph urine (81003) | $33.42 | $62 | 14.9× |
| Phenytoin free (80186) | $13.47 | $25 | 1.0× |
| Phosphatase alkaline (84075) | $15.36 | $28.50 | 3.0× |
| Phosphorus blood (84100) | $49.04 | $91 | 10.3× |
| Phosphorus urine (84105) | $26.95 | $50 | 4.7× |
| Pinworm exam (87172) | $37.73 | $70 | 8.8× |
| Platelet aggregation (85576) | $111.57 | $207 | 4.5× |
| Platelet count automated (85049) | $22.10 | $41 | 4.9× |
| Pml/raralpha com breakpoints (81315) | $486.72 | $903 | 2.3× |
| Pneumcysts jirovecii amp prb (87594) | $118.04 | $219 | 3.4× |
| Porphobilinogen urine quant (84110) | $11.86 | $22 | 1.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $29.10 | $54 | 2.0× |
| Potassium (84132) | $21.02 | $39 | 4.4× |
| Potassium urine (84133) | $26.41 | $49 | 5.6× |
| Pregnancy associated plasma protein-a (84163) | $33.42 | $62 | 2.2× |
| Primidone (80188) | $34.50 | $64 | 2.1× |
| Progesterone (84144) | $64.14 | $119 | 3.1× |
| Prostaglandin Ea (84150) | $50.67 | $94 | 1.2× |
| Protein body fluid (84157) | $80.31 | $149 | 20.1× |
| Protein c activity (85303) | $155.77 | $289 | 11.3× |
| Protein electrophoresis serum (84165) | $39.89 | $74 | 3.7× |
| Protein Electrophoresis Urine (84166) | $65.76 | $122 | 3.7× |
| Protein s total (85305) | $37.19 | $69 | 3.2× |
| Protein total serum (84155) | $24.25 | $45 | 6.6× |
| Protein urine (84156) | $85.16 | $158 | 23.2× |
| Protein Western Blot (84182) | $114.27 | $212 | 3.9× |
| Protein westrn blot i&r blood/other fluid (84181) | $123.97 | $230 | 7.3× |
| PSA free (84154) | $54.70 | $101.50 | 3.0× |
| Pth intact (83970) | $102.68 | $190.50 | 2.5× |
| Quinidine (80194) | $38.27 | $71 | 2.6× |
| Rbc antibody elution (86860) | $158.47 | $294 | 0.9× |
| Renin activity plasma (84244) | $42.04 | $78 | 1.9× |
| Resp virus 12-25 targets (87633) | $602.06 | $1,117 | 1.4× |
| Resp virus 3-5 targets (87631) | $117.50 | $218 | 0.8× |
| Reticulated platelet assay (85055) | $8.08 | $15 | 0.2× |
| Rheumatoid factor quant (86431) | $50.13 | $93 | 8.8× |
| Rickettsia antibody (86757) | $38.27 | $71 | 2.0× |
| Ristocetin cofactor (85245) | $174.10 | $323 | 7.6× |
| Rotavirus ag eia (87425) | $68.99 | $128 | 5.8× |
| Rpr Titer (86593) | $47.16 | $87.50 | 10.7× |
| Rubella antibody (86762) | $66.30 | $123 | 4.6× |
| Rubeola Antibody Igg (86765) | $40.42 | $75 | 3.1× |
| Rufinamide (80210) | $59.29 | $110 | 2.2× |
| Russell viper venom time diluted (85613) | $47.43 | $88 | 5.0× |
| Rx metab gen seq alys pnl 6 (81418) | $163.86 | $304 | 0.2× |
| Salicylate Level (80179) | $72.76 | $135 | 3.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $238 | $246 | 4.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $85.32 | $124.50 | 2.0× |
| Sarscov2 & inf a&b amp prb (87636) | $239 | $239 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $182.18 | $338 | 1.3× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $140.68 | $261 | 21.2× |
| Sedimentation rate auto (85652) | $34.50 | $64 | 12.8× |
| Selenium (84255) | $40.96 | $76 | 1.6× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $49.05 | $91 | 4.1× |
| Sensitivity kb (87184) | $52.82 | $98 | 7.1× |
| Sensitivity mic (87186) | $119.12 | $221 | 13.8× |
| Serotonin Release Assay (86022) | $209.94 | $389.50 | 11.4× |
| Serpina1 gene (81332) | $182.18 | $338 | 4.2× |
| Sex hormone binding globulin (84270) | $37.46 | $69.50 | 1.7× |
| Sickling of rbc reduction (85660) | $43.39 | $80.50 | 7.9× |
| Sirolimus (rapamycin) (80195) | $74.11 | $137.50 | 5.4× |
| Smear acid fast (87206) | $60.10 | $111.50 | 11.2× |
| Smear complex stain (87209) | $73.84 | $137 | 4.1× |
| Smear gram stain (87205) | $65.76 | $122 | 15.4× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) | $133.67 | $248 | 1.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $8.08 | $15 | 1.4× |
| So neo gsap DNA mcrstl ins (81457) | $2,602.29 | $4,828 | 2.9× |
| So neo gsap DNA/DNA&RNA (81459) | $725.49 | $1,346 | 0.2× |
| Sodium (84295) | $21.02 | $39 | 4.4× |
| Sodium urine (84300) | $36.65 | $68 | 7.2× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) | $1,860.09 | $3,451 | 0.6× |
| Soluble transferrin receptor (84238) | $61.45 | $114 | 1.7× |
| Somatomedin (84305) | $27.49 | $51 | 1.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $123.43 | $229 | 0.9× |
| Special stains group 1 (88312) | $250.10 | $464 | 4.5× |
| Spectrophotometry (84311) | $56.06 | $104 | 6.9× |
| Stem cells total count (86367) | $271.66 | $504 | 3.5× |
| Stool Culture, Addl Pathogens (87046) | $51.74 | $96 | 5.5× |
| Strep a assay w/optic (87880) | $42.85 | $79.50 | 2.6× |
| Strep a DNA amp probe (87651) | $29.11 | $54 | 0.8× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $47.43 | $88 | 0.5× |
| Sugars mono di&oligos mlt qualitative each spe (84377) | $296.99 | $551 | 54.0× |
| Sugars Single Qualitative, Each Specimen (84376) | $52.28 | $97 | 9.5× |
| Sulfate urine (84392) | $64.14 | $119 | 11.7× |
| Surg path level 1 (88300) | $70.07 | $130 | 2.3× |
| Surg path level iii (88304) | $130.98 | $243 | 2.4× |
| Surgical pathology level IV (88305) | $169.25 | $314 | 3.0× |
| T Cell Absolute Count (86361) | $174.64 | $324 | 6.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $107 | $198.50 | 2.3× |
| T cells total count (86359) | $133.67 | $248 | 3.5× |
| T3 free (84481) | $85.16 | $158 | 5.0× |
| T3 reverse (84482) | $42.04 | $78 | 2.7× |
| T3 total (84480) | $100.25 | $186 | 7.1× |
| T3 uptake (84479) | $33.96 | $63 | 5.2× |
| T4 free (84439) | $68.99 | $128 | 7.6× |
| T4 total (84436) | $42.04 | $78 | 6.1× |
| Tb intradermal test (86580) | $13.47 | $25 | 0.4× |
| Tb test, cell immun measure (86480) | $240.39 | $446 | 3.9× |
| Testosterone free (84402) | $35.04 | $65 | 1.4× |
| Testosterone total (84403) | $45.81 | $85 | 1.8× |
| Theophylline (80198) | $60.91 | $113 | 4.3× |
| Thin prep pap (88142) | $87.59 | $162.50 | 4.3× |
| Thiopurine methyltransferase (84433) | $123.97 | $230 | 5.6× |
| Thrombin time plasma (85670) | $44.20 | $82 | 7.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $36.12 | $67 | 5.6× |
| Thyroglobulin (84432) | $83.54 | $155 | 5.2× |
| Thyroglobulin antibody (86800) | $36.65 | $68 | 2.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $66.84 | $124 | 1.3× |
| Thyroxine binding globulin (84442) | $43.12 | $80 | 2.9× |
| Tiagabine (80199) | $77.62 | $144 | 2.9× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) | $785.59 | $1,457.50 | 5.2× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $530.91 | $985 | 3.8× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $8.62 | $16 | 2.0× |
| Tissue culture bone marrow (88237) | $341.19 | $633 | 2.4× |
| Tissue culture lymphocyte (88230) | $161.97 | $300.50 | 1.4× |
| Tissue culture solid tumor (88239) | $196.20 | $364 | 1.3× |
| Tissue transglutaminase ab iga (86364) | $40.70 | $75.50 | 3.5× |
| Tobramycin peak (80200) | $97.02 | $180 | 6.0× |
| Toxoplasma ab igm (86778) | $66.30 | $123 | 4.6× |
| Toxoplasma antibody igg (86777) | $66.30 | $123 | 4.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $389.70 | $723 | 1.2× |
| Tpmt gene com variants (81335) | $250.10 | $464 | 1.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $325.02 | $603 | 1.6× |
| Trg gene rearrangement analysis (81342) | $325.02 | $603 | 1.6× |
| Triglycerides (84478) | $28.57 | $53 | 5.0× |
| Troponin (84484) | $160.08 | $297 | 12.8× |
| Ugt1a1 gene analysis common variants (81350) | $579.96 | $1,076 | 2.5× |
| Urea nitrogen (84520) | $14.01 | $26 | 3.5× |
| Urea nitrogen urine (84540) | $40.96 | $76 | 7.4× |
| Uric acid blood (84550) | $28.57 | $53 | 6.3× |
| Uric acid other source (84560) | $45.81 | $85 | 9.0× |
| Urinalysis auto w/scope (81001) | $21.56 | $40 | 6.8× |
| Urine pregnancy test (81025) | $43.66 | $81 | 5.1× |
| Urine volume measurement (81050) | $13.47 | $25 | 3.7× |
| Valproic acid (80164) | $59.29 | $110 | 4.4× |
| Vancomycin trough (80202) | $60.37 | $112 | 4.5× |
| Varicella-zoster antibody (86787) | $58.75 | $109 | 4.6× |
| Vasoactive intestinal peptide (vip) (84586) | $67.10 | $124.50 | 1.9× |
| Vdrl csf (86592) | $27.49 | $51 | 6.4× |
| Very long chain fatty acids (82726) | $58.21 | $108 | 2.9× |
| Virus antibody nos (86790) | $64.14 | $119 | 5.0× |
| Viscosity serum (85810) | $57.13 | $106 | 4.9× |
| Vitamin A (84590) | $37.73 | $70 | 3.2× |
| Vitamin b-12 (82607) | $80.31 | $149 | 5.3× |
| Vitamin b1 (thiamine) (84425) | $41.50 | $77 | 2.0× |
| Vitamin b2 (84252) | $52.82 | $98 | 2.6× |
| Vitamin b6 (84207) | $102.14 | $189.50 | 3.6× |
| Vitamin c (82180) | $43.66 | $81 | 4.4× |
| Vitamin D 25-Hydroxy (82306) | $114.81 | $213 | 3.9× |
| Vitamin e serum (84446) | $37.73 | $70 | 2.7× |
| Voltage-gated calcium channel antibody each (86596) | $69.53 | $129 | 5.8× |
| West nile virus antibody (86789) | $16.71 | $31 | 1.2× |
| West nile virus igm (86788) | $19.40 | $36 | 1.2× |
| Zinc (84630) | $34.50 | $64 | 3.0× |