| 17-Hydroxypregnenolone (84143) |
— |
$387 |
— |
| Acetylcholinesterase Assay (82013) |
— |
$121 |
— |
| Acth (82024) |
— |
$664 |
— |
| Acute hepatitis panel (80074) |
— |
$1,440 |
— |
| Adenovirus antibody (86603) |
— |
$141 |
— |
| Agglutinins Febrile Each Antigen (86000) |
— |
$120 |
— |
| Albumin Fluid (82042) |
— |
$89 |
— |
| Albumin serum (82040) |
— |
$204 |
— |
| Aldolase (82085) |
— |
$167 |
— |
| Aldosterone urine (82088) |
— |
$700 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$150 |
— |
| Allergen spec ige qual multiallergen screen (86005) |
— |
$137 |
— |
| Allergen specific ige (86003) |
— |
$82 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$249 |
— |
| Alpha-Fetoprotein Serum (82105) |
— |
$288 |
— |
| Alt (sgpt) (84460) |
— |
$300 |
— |
| Amikacin trough (80150) |
— |
$259 |
— |
| Amines vaginal fluid qualitative (82120) |
— |
$65 |
— |
| Ammonia (82140) |
— |
$1,020 |
— |
| Amylase urine (82150) |
— |
$572 |
— |
| Ana Titer (86039) |
— |
$521 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$251 |
— |
| Angiotensin II (82163) |
— |
$150 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$300 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$365 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$300 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$322 |
— |
| Antibody helicobacter pylori (86677) |
— |
$684 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$408 |
— |
| Antibody HIV-2 (86702) |
— |
$690 |
— |
| Antibody htlv/HIV antibody confirmatory test (86689) |
— |
$465 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$259 |
— |
| Antibody Protozoa Nes (86753) |
— |
$45 |
— |
| Antibody rotavirus (86759) |
— |
$227 |
— |
| Antibody Titer (86886) |
— |
$89 |
— |
| Antibody Treponema Pallidum (86780) |
— |
$650 |
— |
| Antibody; influenza virus (86710) |
— |
$233 |
— |
| Antigen typing (86905) |
— |
$66 |
— |
| Antinuclear antibodies (86038) |
— |
$411 |
— |
| Antistreptolysin o titer (86060) |
— |
$186 |
— |
| Antithrombin iii activity (85300) |
— |
$204 |
— |
| Assay Blood Carbon Dioxide (82374) |
— |
$360 |
— |
| Assay Blood Catecholamines (82383) |
— |
$431 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$234 |
— |
| Assay of 5-hiaa (83497) |
— |
$80 |
— |
| Assay of blood/uric acid (84550) |
— |
$684 |
— |
| Assay of calcium in urine (82340) |
— |
$104 |
— |
| Assay of estrone (82679) |
— |
$429 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$810 |
— |
| Assay of lactic acid (83605) |
— |
$570 |
— |
| Assay of metanephrines (83835) |
— |
$780 |
— |
| Assay of proinsulin (84206) |
— |
$306 |
— |
| Assay of serotonin (84260) |
— |
$299 |
— |
| Assay of serum potassium (84132) |
— |
$300 |
— |
| Assay of urea nitrogen (84520) |
— |
$431 |
— |
| Assay of urine vma (84585) |
— |
$266 |
— |
| Assay of vasoactive intestinal peptide (84586) |
— |
$240 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$62 |
— |
| Assay spec xcp ur&breath ia (82077) |
— |
$780 |
— |
| Autol bld/component collj storage salvage (86891) |
— |
$225 |
— |
| Automated Leukocyte Count (85048) |
— |
$268 |
— |
| Bartonella antibody (86611) |
— |
$141 |
— |
| Beta hydroxybutyrate (82010) |
— |
$382 |
— |
| Beta-2 Microglobulin (82232) |
— |
$278 |
— |
| Bilirubin direct (82248) |
— |
$450 |
— |
| Bilirubin total (82247) |
— |
$366 |
— |
| Bilirubin total transcutaneous (88720) |
— |
$86 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$674 |
— |
| Bld Typing Serologic Rh Phnt (86906) |
— |
$194 |
— |
| Bleeding time test (85002) |
— |
$77 |
— |
| Blood Count Manual Cell Count Each (85032) |
— |
$227 |
— |
| Blood count reticulocyte automated (85045) |
— |
$1,512 |
— |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
— |
$269 |
— |
| Blood gas (82803) |
— |
$649 |
— |
| Blood gases w/02 saturation (82805) |
— |
$426 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$273 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$1,512 |
— |
| Blood typing serologic abo (86900) |
— |
$1,020 |
— |
| Body fluid cell count (89050) |
— |
$1,038 |
— |
| Bone marrow smear interpretation (85097) |
— |
$1,079 |
— |
| Breath Alcohol Test (82075) |
— |
$600 |
— |
| C diff amplified probe (87493) |
— |
$1,020 |
— |
| C-Peptide (84681) |
— |
$358 |
— |
| C-reactive protein (86140) |
— |
$504 |
— |
| Ca 19-9 (86301) |
— |
$358 |
— |
| Cadmium (82300) |
— |
$398 |
— |
| Calcitonin (82308) |
— |
$460 |
— |
| Calcium ionized (82330) |
— |
$504 |
— |
| Calcium total (82310) |
— |
$504 |
— |
| Calculus assay quant (82360) |
— |
$221 |
— |
| Cancer Antigen 125 (86304) |
— |
$358 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$358 |
— |
| Carbamazepine total (80156) |
— |
$327 |
— |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) |
— |
$103 |
— |
| Carboxyhemoglobin (82375) |
— |
$212 |
— |
| Carcinoembryonic antigen (82378) |
— |
$326 |
— |
| Cardiolipin ab iga (86147) |
— |
$135 |
— |
| Catecholamines total urine (82382) |
— |
$296 |
— |
| Ccp antibody (86200) |
— |
$850 |
— |
| Cell count csf (89051) |
— |
$497 |
— |
| Cell marker study (88182) |
— |
$1,368 |
— |
| Ceruloplasmin (82390) |
— |
$185 |
— |
| Chlamydia antibody (86631) |
— |
$194 |
— |
| Chloride Serum (82435) |
— |
$335 |
— |
| Chloride urine (82436) |
— |
$86 |
— |
| Cholesterol total (82465) |
— |
$540 |
— |
| Cholinesterase rbc (82482) |
— |
$132 |
— |
| Cholinesterase Serum (82480) |
— |
$135 |
— |
| Chorionic gonadotropin test (84702) |
— |
$1,176 |
— |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
— |
$431 |
— |
| Chromium serum (82495) |
— |
$349 |
— |
| Chromogranin a (86316) |
— |
$358 |
— |
| Chromosome Analysis 15-20 (88262) |
— |
$2,142 |
— |
| Chromosome Analysis 20-25 (88264) |
— |
$2,142 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$756 |
— |
| Citric acid urine (82507) |
— |
$478 |
— |
| Ckmb (82553) |
— |
$780 |
— |
| Clostridium Difficile (87324) |
— |
$463 |
— |
| Clot Factor VIII Multimetric (85247) |
— |
$141 |
— |
| Clotting factor viii related antigen (85244) |
— |
$351 |
— |
| Coagulation time activated (85347) |
— |
$73 |
— |
| Coagulation time; Lee and White Facility (85345) |
— |
$74 |
— |
| Coccidioides antibody (86635) |
— |
$360 |
— |
| Collagen crosslinks (82523) |
— |
$322 |
— |
| Column Chromotography Quant (82542) |
— |
$248 |
— |
| Compatibility test antiglob (86922) |
— |
$222 |
— |
| Complement Antigen Each Component (86160) |
— |
$206 |
— |
| Complement Total (Ch50) (86162) |
— |
$323 |
— |
| Complement/Function Activity (86161) |
— |
$206 |
— |
| Consltj Compre Review Reprt Referred Matrl (88325) |
— |
$2,637 |
— |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
— |
$1,169 |
— |
| Coombs direct (86880) |
— |
$219 |
— |
| Copper urine (82525) |
— |
$213 |
— |
| Cortisol free (82530) |
— |
$287 |
— |
| Cortisol saliva (82533) |
— |
$408 |
— |
| Creatine kinase total (82550) |
— |
$468 |
— |
| Creatinine blood (82565) |
— |
$468 |
— |
| Creatinine clearance (82575) |
— |
$162 |
— |
| Creatinine Urine (82570) |
— |
$136 |
— |
| Crossmatch electronic (86923) |
— |
$216 |
— |
| Crossmatch immediate spin (86920) |
— |
$190 |
— |
| Crp High Sensitivity (86141) |
— |
$230 |
— |
| Cryoglobulin (82595) |
— |
$111 |
— |
| Cryptococcus ab (86641) |
— |
$141 |
— |
| Cryptococcus ag titer (87899) |
— |
$780 |
— |
| Cryptosporidium ag eia (87328) |
— |
$206 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$684 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$516 |
— |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
— |
$1,020 |
— |
| Culture aerobic quant other (87071) |
— |
$1,020 |
— |
| Culture afb (87116) |
— |
$350 |
— |
| Culture Anaerobic (87075) |
— |
$684 |
— |
| Culture blood (87040) |
— |
$463 |
— |
| Culture chlamydia (87110) |
— |
$385 |
— |
| Culture csf (87070) |
— |
$612 |
— |
| Culture fungus (87102) |
— |
$569 |
— |
| Culture fungus blood (87103) |
— |
$215 |
— |
| Culture screen only (87081) |
— |
$684 |
— |
| Culture stool (87045) |
— |
$953 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$89 |
— |
| Culture urine (87086) |
— |
$465 |
— |
| Cyclosporine (80158) |
— |
$310 |
— |
| Cystatin C (82610) |
— |
$234 |
— |
| Cytogenetics 100-300 (88275) |
— |
$690 |
— |
| Cytomegalovirus igg (86644) |
— |
$347 |
— |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) |
— |
$348 |
— |
| Cytp Concentration Smears & Interpretation (88108) |
— |
$989 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$1,882 |
— |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
— |
$956 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$182 |
— |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) |
— |
$182 |
— |
| Deoxycortisol (82634) |
— |
$356 |
— |
| Detect Agent Nos Dna Amp (87798) |
— |
$567 |
— |
| Detect Agent Nos Dna Quant (87799) |
— |
$720 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$1,133 |
— |
| Dhea (82626) |
— |
$434 |
— |
| Digoxin (80162) |
— |
$780 |
— |
| Dipropylacetic Acid Free (80165) |
— |
$1,140 |
— |
| Dna Antibody Native/Double Stranded (86225) |
— |
$236 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$208 |
— |
| Drug assay acetaminophen (80143) |
— |
$1,020 |
— |
| Drug Assay Lacosamide (80235) |
— |
$271 |
— |
| Drug Screen Quant Zonisamide (80203) |
— |
$277 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$77 |
— |
| Drug Screen Quantitative Procainamide Metabolite (80192) |
— |
$288 |
— |
| Drug Test Prsmv Chem Anlyzr (80307) |
— |
$756 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$493 |
— |
| Drug Test Prsmv Instrmnt (80306) |
— |
$249 |
— |
| Electrolyte panel (80051) |
— |
$540 |
— |
| Electron Microscopy (88348) |
— |
$9,086 |
— |
| Enterovirus Antibody (86658) |
— |
$141 |
— |
| Eosinophil Smear (89190) |
— |
$82 |
— |
| Erythropoietin (82668) |
— |
$780 |
— |
| Estradiol serum (82670) |
— |
$480 |
— |
| Estriol (82677) |
— |
$416 |
— |
| Exam Synovial Fluid Crystals (89060) |
— |
$780 |
— |
| Factor ii activity (85210) |
— |
$223 |
— |
| Factor vii assay (85230) |
— |
$308 |
— |
| Fecal Fat Qualitative (82705) |
— |
$87 |
— |
| Ferritin (82728) |
— |
$660 |
— |
| Fetal Fibronectin (82731) |
— |
$1,107 |
— |
| Fetal screen rosette (85461) |
— |
$114 |
— |
| Fibrin degradation products (85362) |
— |
$118 |
— |
| Fibrin Degradation Quant (85379) |
— |
$1,050 |
— |
| Fibrin dgradj products d-dimer qual/semiquan (85378) |
— |
$224 |
— |
| Fibrinogen activity (85384) |
— |
$228 |
— |
| Fluorescent antibody screen (86255) |
— |
$446 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$239 |
— |
| Folic acid rbc (82747) |
— |
$358 |
— |
| Folic Acid Serum (82746) |
— |
$253 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$319 |
— |
| Forensic Cytopathology (88125) |
— |
$281 |
— |
| Fresh Frozen Plasma Thawing Each Unit (86927) |
— |
$225 |
— |
| Frozen Section (88331) |
— |
$1,252 |
— |
| Fungi Identification Yeast (87106) |
— |
$1,020 |
— |
| Gammaglobulin ige (82785) |
— |
$283 |
— |
| Gardner vag DNA dir probe (87510) |
— |
$1,751 |
— |
| Gardner Vag Dna Quant (87512) |
— |
$347 |
— |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
— |
$150 |
— |
| Gases blood ph only (82800) |
— |
$193 |
— |
| Gastrin (82941) |
— |
$303 |
— |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) |
— |
$3,002 |
— |
| Genet Virus Isolate Hsv (87255) |
— |
$498 |
— |
| Gentamicin (80170) |
— |
$495 |
— |
| Ggt (82977) |
— |
$600 |
— |
| Glucose 2 hr pp (82950) |
— |
$82 |
— |
| Glucose Blood Test (82962) |
— |
$283 |
— |
| Glucose body fluid (82945) |
— |
$474 |
— |
| Glucose Serum (82947) |
— |
$276 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$221 |
— |
| Glycated Protein (82985) |
— |
$260 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$1,020 |
— |
| Growth hormone (83003) |
— |
$287 |
— |
| Gtt-added samples (82952) |
— |
$67 |
— |
| H Pylori (C-13) Breath (83013) |
— |
$684 |
— |
| Haptoglobin (83010) |
— |
$216 |
— |
| Hdl Cholesterol (83718) |
— |
$420 |
— |
| Heavy metal qualitative any analytes (83015) |
— |
$324 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$756 |
— |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) |
— |
$1,157 |
— |
| Hematocrit (85014) |
— |
$151 |
— |
| Hemoglobin (85018) |
— |
$151 |
— |
| Hemoglobin a1c (83036) |
— |
$330 |
— |
| Hemoglobin Chromotography (83021) |
— |
$310 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$252 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$51 |
— |
| Hemoglobin-Oxygen Affinity (82820) |
— |
$172 |
— |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) |
— |
$167 |
— |
| Hep a ab igm (86709) |
— |
$208 |
— |
| Hepatitis a antibody total (86708) |
— |
$213 |
— |
| Hepatitis b core ab igm (86705) |
— |
$190 |
— |
| Hepatitis b core ab total (86704) |
— |
$181 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$299 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$211 |
— |
| Hepatitis C Antibody (86803) |
— |
$245 |
— |
| Hepatitis c antibody confirmatory test (86804) |
— |
$266 |
— |
| Hepatitis C Genotype (87902) |
— |
$3,149 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$603 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$584 |
— |
| Herpes simplex type 2 (86696) |
— |
$480 |
— |
| Heterophile Antibody Screen (86308) |
— |
$524 |
— |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) |
— |
$133 |
— |
| Hiv Antigen W/Hiv Antibodies (87806) |
— |
$1,260 |
— |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
— |
$720 |
— |
| Hiv-1 Antibody (86701) |
— |
$503 |
— |
| HIV-1 p24 antigen (87390) |
— |
$303 |
— |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
— |
$1,462 |
— |
| Hla-b27 (86812) |
— |
$444 |
— |
| Homogenization Tissue (87176) |
— |
$101 |
— |
| Hsv Dna Amp Probe (87529) |
— |
$1,020 |
— |
| Human Epididymis Protein 4 (86305) |
— |
$850 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$467 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$360 |
— |
| Iaad Ia Escherichia Coli 0157 (87335) |
— |
$206 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$570 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$360 |
— |
| Iaad ia shiga-like toxin (87427) |
— |
$660 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$348 |
— |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) |
— |
$209 |
— |
| Iaadi not otherwise specified each organism (87299) |
— |
$206 |
— |
| Iaadiadoo trichomonas vaginalis (87808) |
— |
$206 |
— |
| Iadna Candida Species Amplified Probe Tq (87481) |
— |
$206 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$480 |
— |
| Iadna Multiple Organisms Direct Probe Tq (87800) |
— |
$480 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$360 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$408 |
— |
| Iadna Nos Direct Probe Tq Each Organism (87797) |
— |
$345 |
— |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) |
— |
$850 |
— |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) |
— |
$1,663 |
— |
| Immunoassay analyte qual/semiqual single step (83518) |
— |
$146 |
— |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
— |
$232 |
— |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) |
— |
$337 |
— |
| Immunoassay infectious agent (86318) |
— |
$223 |
— |
| Immunoassay nonantibody (83516) |
— |
$198 |
— |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
— |
$228 |
— |
| Immunoelectrophoresis Serum (86320) |
— |
$231 |
— |
| Immunofixation electrophoresis (86334) |
— |
$247 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$1,370 |
— |
| Immunohistochemistry (88342) |
— |
$1,446 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) |
— |
$480 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) |
— |
$206 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) |
— |
$206 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) |
— |
$756 |
— |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) |
— |
$210 |
— |
| Influenza a/b ag eia (87400) |
— |
$259 |
— |
| Influenza assay w/optic (87804) |
— |
$575 |
— |
| Inhibin b (83520) |
— |
$226 |
— |
| Insitu hybridization manual (88368) |
— |
$2,909 |
— |
| Insulin total (83525) |
— |
$342 |
— |
| Intrinsic factor antibody (86340) |
— |
$259 |
— |
| Iron (83540) |
— |
$1,020 |
— |
| Iron Binding Capacity (83550) |
— |
$300 |
— |
| Iron stain peripheral blood (85536) |
— |
$111 |
— |
| Irradiation Blood Product Each Unit (86945) |
— |
$225 |
— |
| Koh Prep (87220) |
— |
$1,020 |
— |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$600 |
— |
| Ldh Isoenzymes (83625) |
— |
$220 |
— |
| LDL direct (83721) |
— |
$164 |
— |
| Lead (83655) |
— |
$208 |
— |
| Legionella antibody (86713) |
— |
$263 |
— |
| Legionella antigen urine (87449) |
— |
$206 |
— |
| Leukocyte Assessment Fecal (89055) |
— |
$684 |
— |
| Level I Surg Pathology Gross Examination Only (88300) |
— |
$183 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$388 |
— |
| Level V Surg Pathology Gross&Microscopic Exam (88307) |
— |
$3,728 |
— |
| Lidocaine (80176) |
— |
$252 |
— |
| Lipase (83690) |
— |
$556 |
— |
| Lithium (80178) |
— |
$114 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$319 |
— |
| Lyme disease antibody (86618) |
— |
$293 |
— |
| M. Genitalium Amp Probe (87563) |
— |
$756 |
— |
| Magnesium Urine (83735) |
— |
$600 |
— |
| Metabolic panel ionized ca (80047) |
— |
$1,554 |
— |
| Methylmalonic acid serum (83921) |
— |
$283 |
— |
| Microalbumin, quantitative (82043) |
— |
$96 |
— |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) |
— |
$284 |
— |
| Microsomal Antibodies Each (86376) |
— |
$850 |
— |
| Molecular Cytogenetics Dna Probe Each (88271) |
— |
$368 |
— |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
— |
$598 |
— |
| Mrsa Pcr (87641) |
— |
$1,440 |
— |
| Mucin Clot Body Fluid (83872) |
— |
$101 |
— |
| Mumps antibody (86735) |
— |
$720 |
— |
| Mycoplasma antibody (86738) |
— |
$228 |
— |
| Mycoplasma culture (87109) |
— |
$179 |
— |
| Myelin basic protein csf (83873) |
— |
$296 |
— |
| Myoglobin urine (83874) |
— |
$780 |
— |
| Natriuretic peptide (83880) |
— |
$1,056 |
— |
| Neisseria Dir Na Probe (87590) |
— |
$345 |
— |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) |
— |
$614 |
— |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
— |
$200 |
— |
| Nuclear antigen antibody (86235) |
— |
$684 |
— |
| Occult blood feces (82272) |
— |
$1,512 |
— |
| Occult Blood Other Sources (82271) |
— |
$349 |
— |
| Oligoclonal bands (83916) |
— |
$346 |
— |
| Osmolality serum (83930) |
— |
$159 |
— |
| Osmolality Urine (83935) |
— |
$170 |
— |
| Ova and parasites smears (87177) |
— |
$1,140 |
— |
| Oxalate urine (83945) |
— |
$221 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$198 |
— |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
— |
$1,319 |
— |
| Pathology Consultation During Surgery (88329) |
— |
$721 |
— |
| Ph urine (81003) |
— |
$545 |
— |
| Phenobarbital Level (80184) |
— |
$197 |
— |
| Phenylalanine (84030) |
— |
$95 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$243 |
— |
| Phosphatase acid prostatic (84066) |
— |
$166 |
— |
| Phosphatase alkaline (84075) |
— |
$306 |
— |
| Phosphorus Serum (84100) |
— |
$292 |
— |
| Phosphorus urine (84105) |
— |
$89 |
— |
| Pinworm exam (87172) |
— |
$73 |
— |
| Platelet Aggregation (85576) |
— |
$252 |
— |
| Platelet Antibodies (86022) |
— |
$168 |
— |
| Platelet count automated (85049) |
— |
$1,020 |
— |
| Platelet neutralization (85597) |
— |
$249 |
— |
| Porphobilinogen, urine; quantitative (84110) |
— |
$145 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$253 |
— |
| Potassium Urine (84133) |
— |
$74 |
— |
| Prealbumin (84134) |
— |
$171 |
— |
| Primidone (80188) |
— |
$285 |
— |
| Procalcitonin (Pct) (84145) |
— |
$1,020 |
— |
| Progesterone (84144) |
— |
$359 |
— |
| Prolactin (84146) |
— |
$754 |
— |
| Protein body fluid (84157) |
— |
$524 |
— |
| Protein C Activity (85303) |
— |
$238 |
— |
| Protein c antigen (85302) |
— |
$207 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$252 |
— |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$252 |
— |
| Protein S Free (85306) |
— |
$237 |
— |
| Protein s total (85305) |
— |
$199 |
— |
| Protein test for diagnosis and monitoring of bladder cancer (86386) |
— |
$274 |
— |
| Protein total serum (84155) |
— |
$347 |
— |
| Protein Total Urine (84156) |
— |
$63 |
— |
| PSA free (84154) |
— |
$316 |
— |
| Pth Intact (83970) |
— |
$709 |
— |
| Quantitative assay drug (80299) |
— |
$1,020 |
— |
| Quinidine (80194) |
— |
$251 |
— |
| Rbc antibody elution (86860) |
— |
$412 |
— |
| Rbc antibody identification (86870) |
— |
$153 |
— |
| Rbc antibody screen (86850) |
— |
$282 |
— |
| Rbc pretreatment serum (86978) |
— |
$312 |
— |
| Reagent Strip/Blood Glucose (82948) |
— |
$684 |
— |
| Receptor assay estrogen (84233) |
— |
$1,107 |
— |
| Renin activity plasma (84244) |
— |
$378 |
— |
| Resp virus 12-25 targets (87633) |
— |
$8,576 |
— |
| Reticulocyte Count (85046) |
— |
$1,020 |
— |
| Reticulocyte Count Manual (85044) |
— |
$149 |
— |
| Rh (86901) |
— |
$1,020 |
— |
| Rheumatoid Factor Qualitative (86430) |
— |
$110 |
— |
| Rheumatoid factor quant (86431) |
— |
$307 |
— |
| Rickettsia antibody (86757) |
— |
$1,020 |
— |
| Ristocetin cofactor (85245) |
— |
$141 |
— |
| Rotavirus ag eia (87425) |
— |
$1,140 |
— |
| Rpr qualitative (86592) |
— |
$384 |
— |
| Rsv ab (86756) |
— |
$345 |
— |
| Rsv Assay W/Optic (87807) |
— |
$2,896 |
— |
| Rubella Antibody (86762) |
— |
$480 |
— |
| Rubeola antibody (86765) |
— |
$600 |
— |
| Russell Viper Venom Time Diluted (85613) |
— |
$124 |
— |
| Salicylate Level (80179) |
— |
$1,020 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$600 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$1,020 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$500 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$600 |
— |
| Sedimentation rate (85651) |
— |
$684 |
— |
| Sedimentation Rate, Automated (85652) |
— |
$168 |
— |
| Selenium (84255) |
— |
$439 |
— |
| Sensitivity mic (87186) |
— |
$149 |
— |
| Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) |
— |
$200 |
— |
| Sickling of rbc reduction (85660) |
— |
$95 |
— |
| Skin test tuberculosis intradermal (86580) |
— |
$102 |
— |
| Smear acid fast (87206) |
— |
$92 |
— |
| Smear complex stain (87209) |
— |
$1,140 |
— |
| Smear gram stain (87205) |
— |
$420 |
— |
| Smear Special Stain (87207) |
— |
$252 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$1,020 |
— |
| Sodium Serum (84295) |
— |
$240 |
— |
| Sodium Urine (84300) |
— |
$346 |
— |
| Soluble Transferrin Receptor (84238) |
— |
$628 |
— |
| Somatomedin (84305) |
— |
$365 |
— |
| Special Stains Group 1 (88312) |
— |
$1,224 |
— |
| Special Stains Group 2 (88313) |
— |
$848 |
— |
| Specific gravity body fluid (84315) |
— |
$43 |
— |
| Specimen infect agnt concntj (87015) |
— |
$344 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$221 |
— |
| Staph a DNA amp probe (87640) |
— |
$1,200 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$1,140 |
— |
| Strep a assay w/optic (87880) |
— |
$1,038 |
— |
| Strep a DNA amp probe (87651) |
— |
$480 |
— |
| Strep b DNA amp probe (87653) |
— |
$480 |
— |
| Surg path level iii (88304) |
— |
$558 |
— |
| Surgical pathology level IV (88305) |
— |
$879 |
— |
| Surgical pathology level vi (88309) |
— |
$5,634 |
— |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) |
— |
$82 |
— |
| Susceptibility Study Antimicrobial Disk Method (87184) |
— |
$780 |
— |
| Syphilis Test Non-Trep Quant (86593) |
— |
$756 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$807 |
— |
| T3 Free (84481) |
— |
$570 |
— |
| T3 reverse (84482) |
— |
$275 |
— |
| T3 Total (84480) |
— |
$684 |
— |
| T3 Uptake (84479) |
— |
$402 |
— |
| T4 Free (84439) |
— |
$538 |
— |
| T4 total (84436) |
— |
$438 |
— |
| Tacrolimus (80197) |
— |
$521 |
— |
| Test for acetone/ketones (82009) |
— |
$196 |
— |
| Testosterone total (84403) |
— |
$444 |
— |
| Testosterone, Free (84402) |
— |
$438 |
— |
| Theophylline (80198) |
— |
$459 |
— |
| Thrombin Time (85670) |
— |
$1,020 |
— |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
— |
$111 |
— |
| Thyroglobulin (84432) |
— |
$276 |
— |
| Thyroglobulin Antibody (86800) |
— |
$850 |
— |
| Tissue culture bone marrow (88237) |
— |
$2,170 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$2,002 |
— |
| Tobramycin peak (80200) |
— |
$277 |
— |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
— |
$1,140 |
— |
| Toxoplasma antibody (86777) |
— |
$247 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$356 |
— |
| Transferrin (84466) |
— |
$360 |
— |
| Trichomonas vagin dir probe (87660) |
— |
$780 |
— |
| Trichomonas Vaginalis Amplif (87661) |
— |
$505 |
— |
| Triglycerides (84478) |
— |
$858 |
— |
| Troponin Quant (84484) |
— |
$1,055 |
— |
| Troponin, qualitative (84512) |
— |
$408 |
— |
| Tumor Immunohistochem/Manual (88360) |
— |
$1,596 |
— |
| Unlisted miscellaneous pathology test (89240) |
— |
$246 |
— |
| Unlisted Surgical Pathology Procedure (88399) |
— |
$159 |
— |
| Unlisted Transfusion Medicine Procedure (86999) |
— |
$225 |
— |
| Urea nitrogen urine (84540) |
— |
$82 |
— |
| Uric acid other source (84560) |
— |
$540 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$124 |
— |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) |
— |
$37 |
— |
| Urinalysis Volume Measure (81050) |
— |
$52 |
— |
| Urinalysis; 2 or 3 glass test Facility (81020) |
— |
$63 |
— |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) |
— |
$350 |
— |
| Urine Albumin Semiquantitative (82044) |
— |
$79 |
— |
| Urine Bacteria Culture (87088) |
— |
$344 |
— |
| Urine Pregnancy Test (81025) |
— |
$684 |
— |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) |
— |
$690 |
— |
| Valproic acid (80164) |
— |
$960 |
— |
| Vancomycin (80202) |
— |
$1,765 |
— |
| Varicella-zoster antibody (86787) |
— |
$300 |
— |
| Vasopressin (84588) |
— |
$75 |
— |
| Viral Culture (87252) |
— |
$448 |
— |
| Virus antibody nos (86790) |
— |
$171 |
— |
| Vitamin b-12 (82607) |
— |
$281 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$1,020 |
— |
| Von willebrand factor ag (85246) |
— |
$141 |
— |
| Wbc Alkaline Phosphatase Count (85540) |
— |
$148 |
— |
| West nile virus ab igm (86788) |
— |
$319 |
— |
| Zika Virus Dna/Rna Amp Probe (87662) |
— |
$136 |
— |