| 5 Hiaa (83497) |
— |
$80 |
— |
| Acetaminophen level (80143) |
— |
$1,020 |
— |
| Acetylcholinesterase (82013) |
— |
$121 |
— |
| Acute hepatitis panel (80074) |
— |
$1,440 |
— |
| Adenovirus antibody (86603) |
— |
$141 |
— |
| Afb culture (87116) |
— |
$350 |
— |
| Agglutinins febrile (86000) |
— |
$120 |
— |
| Albumin Fluid (82042) |
— |
$89 |
— |
| Albumin serum (82040) |
— |
$204 |
— |
| Aldolase (82085) |
— |
$167 |
— |
| Aldosterone urine (82088) |
— |
$700 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$150 |
— |
| Allergen specific ige (86003) |
— |
$82 |
— |
| Allergen specific ige; qualitative, multiallergen screen (86005) |
— |
$137 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$249 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$288 |
— |
| Alt (sgpt) (84460) |
— |
$300 |
— |
| Amikacin trough (80150) |
— |
$259 |
— |
| Amines vaginal fluid qual (82120) |
— |
$65 |
— |
| Ammonia (82140) |
— |
$1,020 |
— |
| Amylase urine (82150) |
— |
$572 |
— |
| Ana Titer (86039) |
— |
$521 |
— |
| Angiotensin i enzyme test (82164) |
— |
$251 |
— |
| Angiotensin ll (protein) level (82163) |
— |
$150 |
— |
| Antibody Absorption (86978) |
— |
$312 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$347 |
— |
| Antibody Detection Nos If (87299) |
— |
$206 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$365 |
— |
| Antibody helicobacter pylori (86677) |
— |
$684 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$408 |
— |
| Antibody HIV-2 (86702) |
— |
$690 |
— |
| Antibody identification (86870) |
— |
$153 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$259 |
— |
| Antibody influenza virus (86710) |
— |
$233 |
— |
| Antibody mumps (86735) |
— |
$720 |
— |
| Antibody Protozoa Nes (86753) |
— |
$45 |
— |
| Antibody rubeola (86765) |
— |
$600 |
— |
| Antibody screen (86850) |
— |
$282 |
— |
| Antibody treponema pallidum (86780) |
— |
$650 |
— |
| Antibody; Coccidioides (86635) |
— |
$360 |
— |
| Antigen typing (86905) |
— |
$66 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$89 |
— |
| Antinuclear antibodies (86038) |
— |
$411 |
— |
| Antistreptolysin o titer (86060) |
— |
$186 |
— |
| Antithrombin iii activity (85300) |
— |
$204 |
— |
| Assay carboxyhb qual (82376) |
— |
$103 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$234 |
— |
| Assay of 17-hydroxypregnenolone (84143) |
— |
$387 |
— |
| Assay of acth (82024) |
— |
$664 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$780 |
— |
| Assay of blood chloride (82435) |
— |
$335 |
— |
| Assay of c-peptide (84681) |
— |
$358 |
— |
| Assay of calcitonin (82308) |
— |
$460 |
— |
| Assay of ceruloplasmin (82390) |
— |
$185 |
— |
| Assay of cyclosporine (80158) |
— |
$310 |
— |
| Assay of erythropoietin (82668) |
— |
$780 |
— |
| Assay of ferritin (82728) |
— |
$660 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$810 |
— |
| Assay of gastrin (82941) |
— |
$303 |
— |
| Assay of gentamicin (80170) |
— |
$495 |
— |
| Assay of metanephrines (83835) |
— |
$780 |
— |
| Assay of parathormone (83970) |
— |
$709 |
— |
| Assay of phenobarbital (80184) |
— |
$197 |
— |
| Assay of prealbumin (84134) |
— |
$171 |
— |
| Assay of proinsulin (84206) |
— |
$306 |
— |
| Assay of selenium (84255) |
— |
$439 |
— |
| Assay of serotonin (84260) |
— |
$299 |
— |
| Assay of somatomedin (84305) |
— |
$365 |
— |
| Assay of tacrolimus (80197) |
— |
$521 |
— |
| Assay of urine vma (84585) |
— |
$266 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$62 |
— |
| Ast (sgot) (84450) |
— |
$356 |
— |
| 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 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$269 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$674 |
— |
| Bleeding time (85002) |
— |
$77 |
— |
| Blood count reticulocyte automated (85045) |
— |
$1,512 |
— |
| Blood gases (82803) |
— |
$649 |
— |
| Blood gases w/02 saturation (82805) |
— |
$426 |
— |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
— |
$150 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$273 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$1,512 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$193 |
— |
| Blood typing abo (86900) |
— |
$1,020 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$1,020 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$194 |
— |
| Body fluid cell count (89051) |
— |
$497 |
— |
| 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-reactive protein (86140) |
— |
$504 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$230 |
— |
| Ca 125 (86304) |
— |
$358 |
— |
| Ca 19-9 (86301) |
— |
$358 |
— |
| Ca 27 29 (86300) |
— |
$358 |
— |
| Cadmium level (82300) |
— |
$398 |
— |
| Calcium ionized (82330) |
— |
$504 |
— |
| Calcium total (82310) |
— |
$504 |
— |
| Calcium urine (82340) |
— |
$104 |
— |
| Calculus Quantitative Chemical (82360) |
— |
$221 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$327 |
— |
| Carbon dioxide (82374) |
— |
$360 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$212 |
— |
| Carcinoembryonic antigen (82378) |
— |
$326 |
— |
| Cardiolipin ab igg (86147) |
— |
$135 |
— |
| Catecholamines organic nitrogen blood level (82383) |
— |
$431 |
— |
| Catecholamines Total Urine (82382) |
— |
$296 |
— |
| Cell marker study (88182) |
— |
$1,368 |
— |
| Cell saver (86891) |
— |
$225 |
— |
| Chlamydia antibody (86631) |
— |
$194 |
— |
| Chloride urine (82436) |
— |
$86 |
— |
| Cholesterol total (82465) |
— |
$540 |
— |
| Cholinesterase rbc (82482) |
— |
$132 |
— |
| Cholinesterase serum (82480) |
— |
$135 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$2,142 |
— |
| Chromium urine (82495) |
— |
$349 |
— |
| Chromogranin a (86316) |
— |
$358 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$2,142 |
— |
| Chromosome karyotype study (88280) |
— |
$431 |
— |
| Chylmd trach assay w/optic (87810) |
— |
$206 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$756 |
— |
| Citrate (82507) |
— |
$478 |
— |
| Ckmb (82553) |
— |
$780 |
— |
| Clot factor viii vw antigen (85246) |
— |
$141 |
— |
| Clotting time (85345) |
— |
$74 |
— |
| Coagulation time activated (85347) |
— |
$73 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$248 |
— |
| Collagen cross links (82523) |
— |
$322 |
— |
| Compatibility test antiglob (86922) |
— |
$222 |
— |
| Complement c3 (86160) |
— |
$206 |
— |
| Complement total ch50 (86162) |
— |
$323 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$206 |
— |
| Comprehensive review of data (88325) |
— |
$2,637 |
— |
| Concentration Infectious Agent (87015) |
— |
$344 |
— |
| Coombs direct (86880) |
— |
$219 |
— |
| Copper urine (82525) |
— |
$213 |
— |
| Cortisol free (82530) |
— |
$287 |
— |
| Cortisol total (82533) |
— |
$408 |
— |
| Creatine kinase total (82550) |
— |
$468 |
— |
| Creatinine blood (82565) |
— |
$468 |
— |
| Creatinine clearance (82575) |
— |
$162 |
— |
| Creatinine other source (82570) |
— |
$136 |
— |
| Crossmatch immediate spin (86920) |
— |
$190 |
— |
| Cryoglobulin (82595) |
— |
$111 |
— |
| Cryptococcus antibody (86641) |
— |
$141 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$516 |
— |
| Culture Aerobic Identify (87077) |
— |
$684 |
— |
| Culture aerobic quant other (87071) |
— |
$1,020 |
— |
| Culture anaerobic (87075) |
— |
$684 |
— |
| Culture blood (87040) |
— |
$463 |
— |
| Culture chlamydia (87110) |
— |
$385 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$1,020 |
— |
| Culture fungus blood (87103) |
— |
$215 |
— |
| Culture fungus id yeast (87106) |
— |
$1,020 |
— |
| Culture fungus other (87102) |
— |
$569 |
— |
| Culture genital (87070) |
— |
$612 |
— |
| Culture screen only (87081) |
— |
$684 |
— |
| Culture stool (87045) |
— |
$953 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$89 |
— |
| Culture urine (87086) |
— |
$465 |
— |
| Culture urine id ea isolate (87088) |
— |
$344 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$850 |
— |
| Cystatin c (82610) |
— |
$234 |
— |
| Cytogenetics DNA probe (88271) |
— |
$368 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$956 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$989 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$1,882 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$182 |
— |
| Cytp slides cerv/vag mnl scrn physician supv (88164) |
— |
$182 |
— |
| D-Dimer (85379) |
— |
$1,050 |
— |
| D-Dimer (85378) |
— |
$224 |
— |
| Deoxycortisol (82634) |
— |
$356 |
— |
| Detect agent nos DNA dir (87797) |
— |
$345 |
— |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
— |
$480 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$575 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$1,133 |
— |
| Dhea (82626) |
— |
$434 |
— |
| Digoxin (80162) |
— |
$780 |
— |
| Dilantin (80185) |
— |
$243 |
— |
| Dipropylacetic acid free (80165) |
— |
$1,140 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$208 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$236 |
— |
| Drug Assay Lacosamide (80235) |
— |
$271 |
— |
| Drug screen quant zonisamide (80203) |
— |
$277 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$77 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$756 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$493 |
— |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
— |
$249 |
— |
| Ebv viral capsid (86665) |
— |
$322 |
— |
| Electrolyte panel (80051) |
— |
$540 |
— |
| Electron microscopy diagnostic (88348) |
— |
$9,086 |
— |
| Electronic crossmatch (86923) |
— |
$216 |
— |
| Endomysial antibody iga (86255) |
— |
$446 |
— |
| Enterovirus antibody (86658) |
— |
$141 |
— |
| Eosinophil count (85048) |
— |
$268 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$300 |
— |
| Estradiol (82670) |
— |
$480 |
— |
| Estriol (82677) |
— |
$416 |
— |
| Estrogen receptor analysis (84233) |
— |
$1,107 |
— |
| Estrone (82679) |
— |
$429 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$780 |
— |
| Factor ii activity (85210) |
— |
$223 |
— |
| Factor vii assay (85230) |
— |
$308 |
— |
| Factor viii related antigen (85244) |
— |
$351 |
— |
| Factor viii vw multimetric (85247) |
— |
$141 |
— |
| Fecal fat qual (82705) |
— |
$87 |
— |
| Fetal bleed screen (85461) |
— |
$114 |
— |
| Fetal fibronectin (82731) |
— |
$1,107 |
— |
| Fibrin degradation products (85362) |
— |
$118 |
— |
| Fibrinogen activity (85384) |
— |
$228 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$239 |
— |
| Folate serum (82746) |
— |
$253 |
— |
| Folic acid rbc (82747) |
— |
$358 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$319 |
— |
| Forensic (investigation) examination of specimen (88125) |
— |
$281 |
— |
| Fresh frozen plasma thawing each unit (86927) |
— |
$225 |
— |
| Frozen Section (88331) |
— |
$1,252 |
— |
| Fructosamine (82985) |
— |
$260 |
— |
| Gammaglobulin ige (82785) |
— |
$283 |
— |
| Gardner vag DNA dir probe (87510) |
— |
$1,751 |
— |
| Gardner Vag Dna Quant (87512) |
— |
$347 |
— |
| Gastric Occult Blood (82271) |
— |
$349 |
— |
| Ggt (82977) |
— |
$600 |
— |
| Glucose (82947) |
— |
$276 |
— |
| Glucose Blood Test (82962) |
— |
$283 |
— |
| Glucose body fluid (82945) |
— |
$474 |
— |
| Glucose post dose (82950) |
— |
$82 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$67 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$221 |
— |
| Glycosylated hb home device (83037) |
— |
$167 |
— |
| Growth hormone (83003) |
— |
$287 |
— |
| Haptoglobin (83010) |
— |
$216 |
— |
| Hcg qualitative (84703) |
— |
$1,020 |
— |
| Hcg quant (84702) |
— |
$1,176 |
— |
| Hdl Cholesterol (83718) |
— |
$420 |
— |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
— |
$324 |
— |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Other Outpatient (83009) |
— |
$1,157 |
— |
| Hematocrit (85014) |
— |
$151 |
— |
| Hemoglobin (85018) |
— |
$151 |
— |
| Hemoglobin a1c (83036) |
— |
$330 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$310 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$252 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$133 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$51 |
— |
| Hemoglobin-oxygen affinity (82820) |
— |
$172 |
— |
| Hepatitis a antibody total (86708) |
— |
$213 |
— |
| Hepatitis a igm (86709) |
— |
$208 |
— |
| Hepatitis b core ab igm (86705) |
— |
$190 |
— |
| Hepatitis b core antibody total (86704) |
— |
$181 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$299 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$211 |
— |
| Hepatitis c ab confirm (86804) |
— |
$266 |
— |
| Hepatitis c antibody (86803) |
— |
$245 |
— |
| Hepatitis C Genotype (87902) |
— |
$3,149 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$603 |
— |
| Herpes culture (87252) |
— |
$448 |
— |
| Herpes simplex type 2 (86696) |
— |
$480 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$524 |
— |
| HIV confirmation (86689) |
— |
$465 |
— |
| HIV-1 antibody (86701) |
— |
$503 |
— |
| Hla-b27 (86812) |
— |
$444 |
— |
| Homogenization tissue (87176) |
— |
$101 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$684 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$1,020 |
— |
| Human epididymis protein 4 (86305) |
— |
$850 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$467 |
— |
| Ia infectious agt antibody qual/semiq 1step meth (86318) |
— |
$223 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$360 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$463 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$206 |
— |
| Iaad ia HIV-1 (87390) |
— |
$303 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$720 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$756 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$570 |
— |
| Iaad ia rotavirus (87425) |
— |
$1,140 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$360 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$660 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$348 |
— |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
— |
$1,260 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$780 |
— |
| Iaadiadoo trichomonas vaginalis (87808) |
— |
$206 |
— |
| Iadna candida species amplified probe tq (87481) |
— |
$206 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$480 |
— |
| Iadna DNA/RNA zika virus amplified probe tq (87662) |
— |
$136 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$584 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$1,462 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$360 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$408 |
— |
| Iadna neisseria gonorrhoeae quantification (87592) |
— |
$756 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$567 |
— |
| Iadna nos quantification each organism (87799) |
— |
$720 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$505 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$3,002 |
— |
| Immunoassay analyte qual/semiqual single step (83518) |
— |
$146 |
— |
| Immunoassay nonantibody (83516) |
— |
$198 |
— |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) |
— |
$206 |
— |
| Immunoassay tumor antigen qual/semiquantitative (86294) |
— |
$337 |
— |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
— |
$228 |
— |
| Immunoelectrophoresis serum (86320) |
— |
$231 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$247 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$1,370 |
— |
| Immunohistochemistry (88342) |
— |
$1,446 |
— |
| India ink prep (87210) |
— |
$1,020 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Other… (87809) |
— |
$206 |
— |
| Infectious agent enzymatic activity to detect organism (87905) |
— |
$210 |
— |
| Influenza a/b ag eia (87400) |
— |
$259 |
— |
| Inhibin b (83520) |
— |
$226 |
— |
| Insitu hybridization manual (88368) |
— |
$2,909 |
— |
| Insulin total (83525) |
— |
$342 |
— |
| Intraop cyto path consult 1 (88333) |
— |
$1,319 |
— |
| Intrinsic factor antibody (86340) |
— |
$259 |
— |
| Iron (83540) |
— |
$1,020 |
— |
| Iron binding capacity (83550) |
— |
$300 |
— |
| Iron stain peripheral blood (85536) |
— |
$111 |
— |
| Irradiation of blood product (86945) |
— |
$225 |
— |
| Koh Prep (87220) |
— |
$1,020 |
— |
| Lactic acid (83605) |
— |
$570 |
— |
| Ldh (83615) |
— |
$600 |
— |
| Ldh isoenzymes (83625) |
— |
$220 |
— |
| LDL cholesterol direct (83721) |
— |
$164 |
— |
| Lead (83655) |
— |
$208 |
— |
| Legionella antibody (86713) |
— |
$263 |
— |
| Legionella antigen urine (87449) |
— |
$206 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$684 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$388 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$3,728 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$5,634 |
— |
| Lh (83002) |
— |
$319 |
— |
| Lidocaine level (80176) |
— |
$252 |
— |
| Lipase (83690) |
— |
$556 |
— |
| Lithium (80178) |
— |
$114 |
— |
| Lyme disease antibody (86618) |
— |
$293 |
— |
| Lyme disease antibody confirm (86617) |
— |
$300 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$1,596 |
— |
| Magnesium (83735) |
— |
$600 |
— |
| Malaria smear (87207) |
— |
$252 |
— |
| Manual cell count each (85032) |
— |
$227 |
— |
| Manual reticulocyte count (85044) |
— |
$149 |
— |
| Mcg interphase insitu 25 (88274) |
— |
$598 |
— |
| Metabolic Panel Ionized Ca (80047) |
— |
$1,554 |
— |
| Methotrexate (80299) |
— |
$1,020 |
— |
| Methylmalonic acid serum (83921) |
— |
$283 |
— |
| Microalbumin urine (82043) |
— |
$96 |
— |
| Microbe susceptible diffuse (87181) |
— |
$82 |
— |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Other Outpatient (83861) |
— |
$284 |
— |
| Microsomal antibodies (86376) |
— |
$850 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$690 |
— |
| Mrsa amp probe (87641) |
— |
$1,440 |
— |
| Mucin synovial fluid ropes test (83872) |
— |
$101 |
— |
| Mycoplasma antibody (86738) |
— |
$228 |
— |
| Mycoplasma culture (87109) |
— |
$179 |
— |
| Mycoplasma genitalium PCR (87563) |
— |
$756 |
— |
| Myelin basic protein csf (83873) |
— |
$296 |
— |
| Myoglobin urine (83874) |
— |
$780 |
— |
| N.gonorrhoeae, DNA, dir prob (87590) |
— |
$345 |
— |
| Nasal smear for eosinophils (89190) |
— |
$82 |
— |
| Natriuretic peptide (83880) |
— |
$1,056 |
— |
| 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 stool (82272) |
— |
$1,512 |
— |
| Oligoclonal bands (83916) |
— |
$346 |
— |
| Orthopoxvirus Amp Prb Each (87593) |
— |
$850 |
— |
| Osmolality serum (83930) |
— |
$159 |
— |
| Osmolality urine (83935) |
— |
$170 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$1,140 |
— |
| Oxalate urine (83945) |
— |
$221 |
— |
| Pancreatic polypeptide (83519) |
— |
$232 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$198 |
— |
| Path Consult During Surgery (88329) |
— |
$721 |
— |
| Pathology lab procedure (89240) |
— |
$246 |
— |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) |
— |
$480 |
— |
| Pertussis dfa (87265) |
— |
$209 |
— |
| Phenylalanine (84030) |
— |
$95 |
— |
| Phosphatase acid prostatic (84066) |
— |
$166 |
— |
| Phosphatase alkaline (84075) |
— |
$306 |
— |
| Phosphorus blood (84100) |
— |
$292 |
— |
| Phosphorus urine (84105) |
— |
$89 |
— |
| Pinworm exam (87172) |
— |
$73 |
— |
| Platelet aggregation (85576) |
— |
$252 |
— |
| Platelet count (85049) |
— |
$1,020 |
— |
| Platelet neutralization (85597) |
— |
$249 |
— |
| Porphobilinogen urine quant (84110) |
— |
$145 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$253 |
— |
| Potassium (84132) |
— |
$300 |
— |
| Potassium urine (84133) |
— |
$74 |
— |
| Primidone (80188) |
— |
$285 |
— |
| Procainamide napa (80192) |
— |
$288 |
— |
| 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 serum (84165) |
— |
$252 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$252 |
— |
| Protein S Functional (85306) |
— |
$237 |
— |
| Protein s total (85305) |
— |
$199 |
— |
| Protein test for diagnosis and monitoring of bladder cancer (86386) |
— |
$274 |
— |
| Protein Total Serum (84155) |
— |
$347 |
— |
| Protein urine (84156) |
— |
$63 |
— |
| PSA free (84154) |
— |
$316 |
— |
| Quinidine (80194) |
— |
$251 |
— |
| Rbc antibody elution (86860) |
— |
$412 |
— |
| Reagent strip/blood glucose (82948) |
— |
$684 |
— |
| Ref consult prep elsewhere (88321) |
— |
$1,169 |
— |
| Renin activity plasma (84244) |
— |
$378 |
— |
| Resp virus 3-5 targets (87631) |
— |
$1,663 |
— |
| Respiratory viral panel PCR (87633) |
— |
$8,576 |
— |
| Respiratory Virus (86756) |
— |
$345 |
— |
| Reticulocyte Count (85046) |
— |
$1,020 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$110 |
— |
| Rheumatoid factor quant (86431) |
— |
$307 |
— |
| Rickettsia antibody (86757) |
— |
$1,020 |
— |
| Rotavirus (86759) |
— |
$227 |
— |
| Rpr Titer (86593) |
— |
$756 |
— |
| Rsv (87807) |
— |
$2,896 |
— |
| Rubella antibody (86762) |
— |
$480 |
— |
| Russell viper venom time diluted (85613) |
— |
$124 |
— |
| Salicylate (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 |
— |
| Sed rate automated (85652) |
— |
$168 |
— |
| Sedimentation rate (85651) |
— |
$684 |
— |
| Sensitivity mic (87186) |
— |
$149 |
— |
| Serotonin Release Assay (86022) |
— |
$168 |
— |
| Sev aqt respir synd coronavirus 2 antibody quan (86413) |
— |
$200 |
— |
| Sickle cell screen (85660) |
— |
$95 |
— |
| Smear acid fast (87206) |
— |
$92 |
— |
| Smear complex stain (87209) |
— |
$1,140 |
— |
| Smear gram stain (87205) |
— |
$420 |
— |
| Sodium (84295) |
— |
$240 |
— |
| Sodium urine (84300) |
— |
$346 |
— |
| Soluble transferrin receptor (84238) |
— |
$628 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$848 |
— |
| Special stains group 1 (88312) |
— |
$1,224 |
— |
| Specific gravity body fluid (84315) |
— |
$43 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$221 |
— |
| Staph aureus amplified 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 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$183 |
— |
| Surgical pathology level IV (88305) |
— |
$879 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$780 |
— |
| 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 |
— |
| Tb intradermal test (86580) |
— |
$102 |
— |
| Test for acetone/ketones (82009) |
— |
$196 |
— |
| Testosterone free (84402) |
— |
$438 |
— |
| Testosterone total (84403) |
— |
$444 |
— |
| Theophylline (80198) |
— |
$459 |
— |
| Thin prep pap (88142) |
— |
$348 |
— |
| Thrombin time plasma (85670) |
— |
$1,020 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$111 |
— |
| Thyroglobulin (84432) |
— |
$276 |
— |
| Thyroglobulin Ab (86800) |
— |
$850 |
— |
| Tissue culture bone marrow (88237) |
— |
$2,170 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$2,002 |
— |
| Tobramycin peak (80200) |
— |
$277 |
— |
| Toxin or antitoxin assay (87230) |
— |
$1,140 |
— |
| Toxoplasma antibody igg (86777) |
— |
$247 |
— |
| Transferrin (84466) |
— |
$360 |
— |
| Trichomonas vagin dir probe (87660) |
— |
$780 |
— |
| Triglycerides (84478) |
— |
$858 |
— |
| Troponin (84484) |
— |
$1,055 |
— |
| Troponin i qualitative (84512) |
— |
$408 |
— |
| Unlisted Surgical Pathology Procedure (88399) |
— |
$159 |
— |
| Unlisted transfusion medicine procedure (86999) |
— |
$225 |
— |
| Urea nitrogen (84520) |
— |
$431 |
— |
| Urea nitrogen urine (84540) |
— |
$82 |
— |
| Uric acid blood (84550) |
— |
$684 |
— |
| Uric acid other source (84560) |
— |
$540 |
— |
| Urinalysis 2/3 glass test (81020) |
— |
$63 |
— |
| Urinalysis microscopic only (81015) |
— |
$124 |
— |
| Urinalysis qual/semiquant except immunoassays (81005) |
— |
$37 |
— |
| Urinalysis w/microscopic (81001) |
— |
$690 |
— |
| Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) |
— |
$350 |
— |
| Urine microalbumin (protein) analysis (82044) |
— |
$79 |
— |
| Urine pregnancy test (81025) |
— |
$684 |
— |
| Urine volume measurement (81050) |
— |
$52 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$545 |
— |
| Valproic acid level (80164) |
— |
$960 |
— |
| Vancomycin trough (80202) |
— |
$1,765 |
— |
| Varicella-zoster antibody (86787) |
— |
$300 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$240 |
— |
| Vasopressin (84588) |
— |
$75 |
— |
| Vdrl csf (86592) |
— |
$384 |
— |
| Virus antibody nos (86790) |
— |
$171 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$498 |
— |
| Vitamin b-12 (82607) |
— |
$281 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$1,020 |
— |
| Von willebrand factor activity (85245) |
— |
$141 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$148 |
— |
| West nile virus ab, igm (86788) |
— |
$319 |
— |