| 17-Hydroxypregnenolone (84143) |
— |
$170.75 |
— |
| 5 Nucleotidase (83915) |
— |
$86.50 |
— |
| Acth (82024) |
— |
$286.75 |
— |
| Acute hepatitis panel (80074) |
— |
$452 |
— |
| Adenovirus antibody (86603) |
— |
$117.75 |
— |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
— |
$279.25 |
— |
| Albumin Fluid (82042) |
— |
$91.75 |
— |
| Albumin serum (82040) |
— |
$44.75 |
— |
| Aldolase (82085) |
— |
$107.75 |
— |
| Aldosterone urine (82088) |
— |
$308.50 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$117 |
— |
| Allergen spec ige qual multiallergen screen (86005) |
— |
$150 |
— |
| Allergen specific ige (86003) |
— |
$45.25 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$159.75 |
— |
| Alpha-1-antitrypsin total (82103) |
— |
$126.50 |
— |
| Alpha-Fetoprotein Serum (82105) |
— |
$170.75 |
— |
| Alt (sgpt) (84460) |
— |
$83.75 |
— |
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines |
— |
$285–$516.75 |
— |
| Amino Acids Multiple Qualitative Each Specimen (82128) |
— |
$161.25 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$202 |
— |
| Ammonia (82140) |
— |
$172.75 |
— |
| Amylase urine (82150) |
— |
$89 |
— |
| Androstenedione (82157) |
— |
$208 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$151 |
— |
| Antibody Bacterium Not Elsewhere Specified (86609) |
— |
$80.75 |
— |
| Antibody Cytomegalovirus Cmv Igm (86645) |
— |
$166.50 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$124.50 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$132.75 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$164.50 |
— |
| Antibody Fungus Not Elsewhere Specified (86671) |
— |
$117.75 |
— |
Antibody helicobacter pylori (86677)
range across 4 matching MRF lines |
— |
$151–$454 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$127.50 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$125.50 |
— |
| Antibody HIV-1&HIV-2 single result (86703) |
— |
$151.50 |
— |
| Antibody HIV-2 (86702) |
— |
$100.50 |
— |
| Antibody Hla Class I High Definition Panel Qual (86832) |
— |
$809.38 |
— |
| Antibody hla class ii semiquantitative panel (86835) |
— |
$807.40 |
— |
| Antibody htlv/HIV antibody confirmatory test (86689) |
— |
$199.75 |
— |
| Antibody Titer (86886) |
— |
$380.80 |
— |
| Antibody Treponema Pallidum (86780) |
— |
$102 |
— |
| Antibody; influenza virus (86710) |
— |
$135.25 |
— |
| Antigen typing (86905) |
— |
$127 |
— |
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 4 matching MRF lines |
— |
$126.50–$172.91 |
— |
| Antinuclear antibodies (86038) |
— |
$131.75 |
— |
| Antistreptolysin o titer (86060) |
— |
$95.75 |
— |
| Antithrombin iii activity (85300) |
— |
$232 |
— |
| Antithrombin iii antigen (85301) |
— |
$204.50 |
— |
| Apolipoprotein a1 (82172) |
— |
$123.25 |
— |
| Arsenic (82175) |
— |
$138 |
— |
| Assay activated protein c (85307) |
— |
$229 |
— |
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines |
— |
$33–$46.50 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$126 |
— |
| Assay of 5-hiaa (83497) |
— |
$121.25 |
— |
| Assay of blood/uric acid (84550) |
— |
$60.50 |
— |
| Assay of calcium in urine (82340) |
— |
$79.25 |
— |
| Assay of cpk in blood (82552) |
— |
$89 |
— |
| Assay of estrone (82679) |
— |
$158.25 |
— |
| Assay of g6pd enzyme (82955) |
— |
$111 |
— |
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines |
— |
$52.75–$102.50 |
— |
| Assay of lactic acid (83605) |
— |
$155.50 |
— |
| Assay of metanephrines (83835) |
— |
$228.50 |
— |
| Assay of serotonin (84260) |
— |
$216.50 |
— |
Assay of serum potassium (84132)
range across 2 matching MRF lines |
— |
$33–$52.75 |
— |
Assay of urea nitrogen (84520)
range across 2 matching MRF lines |
— |
$33–$46.50 |
— |
| Assay of urine vma (84585) |
— |
$159.75 |
— |
| Assay of vitamin b-1 (84425) |
— |
$164 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$59 |
— |
| Autol bld/component collj storage salvage (86891) |
— |
$1,673.23 |
— |
| B cells total count (86355) |
— |
$129.50 |
— |
| Bartonella antibody (86611) |
— |
$80.75 |
— |
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines |
— |
$163.96–$1,284.50 |
— |
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines |
— |
$144.84–$252.75 |
— |
| Beta 2 glycoprotein i antibody each (86146) |
— |
$160.25 |
— |
| Beta hydroxybutyrate (82010) |
— |
$101 |
— |
| Beta-2 Microglobulin (82232) |
— |
$129 |
— |
| Bile acids total (82239) |
— |
$112.50 |
— |
| Bilirubin direct (82248) |
— |
$54.25 |
— |
| Bilirubin total (82247) |
— |
$72 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$380.80 |
— |
Bld Typing Serologic Rh Phnt (86906)
range across 2 matching MRF lines |
— |
$145.25–$172.75 |
— |
| Blood Count Red Blood Cell Automated (85041) |
— |
$27.75 |
— |
| Blood count reticulocyte automated (85045) |
— |
$67.75 |
— |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
— |
$58.25 |
— |
| Blood count spun microhematocrit (85013) |
— |
$38.50 |
— |
| Blood gas (82803) |
— |
$337.50 |
— |
| Blood gases w/02 saturation (82805) |
— |
$386.50 |
— |
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 5 matching MRF lines |
— |
$137.50–$337.66 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
— |
$115 |
— |
Blood typing serologic abo (86900)
range across 8 matching MRF lines |
— |
$70.25–$287.90 |
— |
| Body fluid cell count (89050) |
— |
$105.75 |
— |
| Bone marrow smear interpretation (85097) |
— |
$1,673.23 |
— |
| Bordetella antibody (86615) |
— |
$87.50 |
— |
| Braf gene analysis (81210) |
— |
$182.50 |
— |
| C diff amplified probe (87493) |
— |
$365.25 |
— |
| C-Peptide (84681) |
— |
$160.25 |
— |
| C-reactive protein (86140) |
— |
$112.50 |
— |
| Ca 19-9 (86301) |
— |
$160.75 |
— |
| Cadmium (82300) |
— |
$182 |
— |
| Caffeine (80155) |
— |
$155.50 |
— |
| Calcitonin (82308) |
— |
$216 |
— |
| Calcium ionized (82330) |
— |
$139 |
— |
| Calcium total (82310) |
— |
$62 |
— |
| Calculus assay quant (82360) |
— |
$157.75 |
— |
| Calprotectin Fecal (83993) |
— |
$291.75 |
— |
| Cancer Antigen 125 (86304) |
— |
$184.75 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$178.50 |
— |
| Carbamazepine total (80156) |
— |
$189 |
— |
| Carcinoembryonic antigen (82378) |
— |
$192 |
— |
| Cardiolipin ab iga (86147) |
— |
$160.25 |
— |
| Carnitine Quantitative Each Specimen (82379) |
— |
$207 |
— |
| Carotene (82380) |
— |
$78 |
— |
| Catecholamines fractionated (82384) |
— |
$226.75 |
— |
| Ccp antibody (86200) |
— |
$128 |
— |
| Cell count csf (89051) |
— |
$133.75 |
— |
| Cellular Function Assay Stimul&Detect Biomarke (86352) |
— |
$347 |
— |
| Ceruloplasmin (82390) |
— |
$116 |
— |
| Cftr gene com variants (81220) |
— |
$1,391.50 |
— |
| Chemiluminescent assay (82397) |
— |
$168 |
— |
| Chlamydia antibody (86631) |
— |
$89 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$74 |
— |
Chloride Serum (82435)
range across 2 matching MRF lines |
— |
$33–$42.25 |
— |
| Chloride urine (82436) |
— |
$70.25 |
— |
| Cholesterol total (82465) |
— |
$68.25 |
— |
| Cholinesterase rbc (82482) |
— |
$74 |
— |
| Cholinesterase Serum (82480) |
— |
$102 |
— |
| Chorionic gonadotropin test (84702) |
— |
$191.50 |
— |
| Chrmsm Analysis Addl High Resolution Study (88289) |
— |
$348 |
— |
| Chromosome Analysis 15-20 (88262) |
— |
$926.25 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$176 |
— |
| Citric acid urine (82507) |
— |
$170.75 |
— |
| Ckmb (82553) |
— |
$191 |
— |
| Clostridium Difficile (87324) |
— |
$179.50 |
— |
| Clotting factor xii hageman (85280) |
— |
$243.50 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$1,041.95 |
— |
| Coccidioides antibody (86635) |
— |
$111.50 |
— |
| Cold agglutinin titer (86157) |
— |
$93.25 |
— |
| Column Chromotography Quant (82542) |
— |
$220 |
— |
| Compatibility Each Unit Incubation (86921) |
— |
$380.80 |
— |
| Compatibility test antiglob (86922) |
— |
$188.25 |
— |
Complement Antigen Each Component (86160)
range across 3 matching MRF lines |
— |
$72.50–$145.75 |
— |
Complement Total (Ch50) (86162)
range across 2 matching MRF lines |
— |
$148.75–$179.50 |
— |
| Complement/Function Activity (86161) |
— |
$134.25 |
— |
| Consltj&Reprt Material Requiring Prepj Slides (88323) |
— |
$126.88 |
— |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
— |
$116.50 |
— |
| Coombs direct (86880) |
— |
$107.25 |
— |
| Copper urine (82525) |
— |
$118.25 |
— |
| Cortisol free (82530) |
— |
$146.25 |
— |
| Cortisol saliva (82533) |
— |
$179.50 |
— |
Creatine kinase total (82550)
range across 2 matching MRF lines |
— |
$81.25–$111 |
— |
Creatinine blood (82565)
range across 2 matching MRF lines |
— |
$33–$53.25 |
— |
| Creatinine clearance (82575) |
— |
$146.75 |
— |
Creatinine Urine (82570)
range across 4 matching MRF lines |
— |
$63–$81.25 |
— |
| Crossmatch immediate spin (86920) |
— |
$380.80 |
— |
| Crp High Sensitivity (86141) |
— |
$112.50 |
— |
| Cryoglobulin (82595) |
— |
$78 |
— |
| Cryptococcus ag titer (87899) |
— |
$96.25 |
— |
| Cryptosporidium ag eia (87328) |
— |
$115.50 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$86 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$111 |
— |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
— |
$111 |
— |
| Culture afb (87116) |
— |
$189 |
— |
| Culture Anaerobic (87075) |
— |
$213.75 |
— |
| Culture blood (87040) |
— |
$204.50 |
— |
| Culture chlamydia (87110) |
— |
$53.75 |
— |
| Culture csf (87070) |
— |
$177 |
— |
| Culture screen only (87081) |
— |
$107.75 |
— |
| Culture stool (87045) |
— |
$159.75 |
— |
Culture typing if ea antiserum (87140)
range across 2 matching MRF lines |
— |
$16.25–$86 |
— |
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines |
— |
$56.25–$65.75 |
— |
| Culture urine (87086) |
— |
$132.75 |
— |
| Cyclosporine (80158) |
— |
$271.50 |
— |
| Cytogenetics 100-300 (88275) |
— |
$29 |
— |
| Cytomegalovirus igg (86644) |
— |
$131.25 |
— |
| Cytopath Cell Enhance Tech (88112) |
— |
$126.88 |
— |
| Cytopath Fl Nongyn Filter (88106) |
— |
$174.25 |
— |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) |
— |
$60 |
— |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) |
— |
$60 |
— |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) |
— |
$153.50 |
— |
| Cytp Concentration Smears & Interpretation (88108) |
— |
$239.25 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$309.50 |
— |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) |
— |
$380.80 |
— |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
— |
$197.75 |
— |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) |
— |
$125.50 |
— |
| Cytp smrs any oth src extnd std > 5 slides (88162) |
— |
$247 |
— |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) |
— |
$165 |
— |
| Cytp Urine 3-5 Probes Cmptr (88121) |
— |
$743.63 |
— |
| Deoxycortisol (82634) |
— |
$219 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$87.50 |
— |
Detect Agent Nos Dna Amp (87798)
range across 12 matching MRF lines |
— |
$20–$392 |
— |
| Detect Agent Nos Dna Quant (87799) |
— |
$459.25 |
— |
| Dhea (82626) |
— |
$177.50 |
— |
| Dhea-S (82627) |
— |
$184.75 |
— |
| Digoxin (80162) |
— |
$157.75 |
— |
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines |
— |
$94.25–$151 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$20.50 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$54.75 |
— |
| Drug Assay Amiodarone (80151) |
— |
$47.25 |
— |
| Drug Assay Everolimus (80169) |
— |
$224.50 |
— |
| Drug assay felbamate (80167) |
— |
$26.50 |
— |
| Drug Screen Quant Clozapine (80159) |
— |
$225 |
— |
| Drug Screen Quant Zonisamide (80203) |
— |
$159.75 |
— |
| Drug Screen Quantitative Gabapentin (80171) |
— |
$155.50 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$155.50 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$155.50 |
— |
| Drug Screen Quantitative Oxcarbazepine (80183) |
— |
$155.50 |
— |
| Drug Screen Quantitative Procainamide Metabolite (80192) |
— |
$42.75 |
— |
| Drug Test Prsmv Chem Anlyzr (80307) |
— |
$124.28 |
— |
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines |
— |
$10–$169 |
— |
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines |
— |
$12–$15 |
— |
| Electrolyte panel (80051) |
— |
$116 |
— |
| Enterovirus Antibody (86658) |
— |
$82.75 |
— |
| Eosinophil Smear (89190) |
— |
$72.50 |
— |
| Erythropoietin (82668) |
— |
$174.25 |
— |
| Estradiol serum (82670) |
— |
$200.75 |
— |
| Estriol (82677) |
— |
$138.50 |
— |
| Estrogen total (82672) |
— |
$190 |
— |
| Ethosuximide (80168) |
— |
$119.75 |
— |
| Ethylene Glycol (82693) |
— |
$161.75 |
— |
| Exam Synovial Fluid Crystals (89060) |
— |
$102.50 |
— |
| F2 Gene (81240) |
— |
$374 |
— |
| Factor ii activity (85210) |
— |
$210.25 |
— |
| Factor ix activity (85250) |
— |
$233 |
— |
| Factor v activity (85220) |
— |
$269.50 |
— |
| Factor v leiden mutation (81241) |
— |
$460.75 |
— |
| Factor viii assay (85240) |
— |
$256.50 |
— |
| Factor X (85260) |
— |
$224.75 |
— |
| Factor xi activity (85270) |
— |
$245 |
— |
| Factor xiii screen (85291) |
— |
$121.25 |
— |
| Fat/Lipids Feces Quantitative (82710) |
— |
$167.50 |
— |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) |
— |
$122.75 |
— |
| Fecal Fat Qualitative (82705) |
— |
$80.25 |
— |
| Ferritin (82728) |
— |
$144.25 |
— |
| Fetal Fibronectin (82731) |
— |
$518 |
— |
| Fetal screen rosette (85461) |
— |
$117.75 |
— |
| Fibrin degradation products (85362) |
— |
$173.25 |
— |
| Fibrin Degradation Quant (85379) |
— |
$177.50 |
— |
| Fibrin dgradj products d-dimer qual/semiquan (85378) |
— |
$160.75 |
— |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) |
— |
$64.50 |
— |
| Fibrinogen activity (85384) |
— |
$153 |
— |
Flow cytometry first marker (88184)
range across 2 matching MRF lines |
— |
$86.50–$599.25 |
— |
| Fluorescent antibody screen (86255) |
— |
$157.75 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$106.75 |
— |
| Fmr1 gene detection (81243) |
— |
$956.50 |
— |
Folic acid rbc (82747)
range across 2 matching MRF lines |
— |
$112.50–$119.75 |
— |
| Folic Acid Serum (82746) |
— |
$140.50 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$169 |
— |
| Forensic Cytopathology (88125) |
— |
$126.88 |
— |
| Frozen Section (88331) |
— |
$599.25 |
— |
| Gammaglobulin ige (82785) |
— |
$130.75 |
— |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
— |
$152.50 |
— |
| Gastrin (82941) |
— |
$139 |
— |
| Genet Virus Isolate Hsv (87255) |
— |
$356.75 |
— |
| Gentamicin (80170) |
— |
$210.75 |
— |
| Ggt (82977) |
— |
$95.75 |
— |
| Giardia antigen (87329) |
— |
$105.25 |
— |
| Glucagon (82943) |
— |
$115 |
— |
| Glucose 2 hr pp (82950) |
— |
$55.75 |
— |
| Glucose Blood Test (82962) |
— |
$57.75 |
— |
| Glucose body fluid (82945) |
— |
$91 |
— |
Glucose Serum (82947)
range across 3 matching MRF lines |
— |
$33–$63 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$153 |
— |
| Glycated Protein (82985) |
— |
$93.25 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$109.75 |
— |
| Growth hormone (83003) |
— |
$155 |
— |
Gtt-added samples (82952)
range across 6 matching MRF lines |
— |
$23–$57.75 |
— |
| H Pylori (C-13) Breath (83013) |
— |
$321.50 |
— |
| Haptoglobin (83010) |
— |
$134.25 |
— |
| Hdl Cholesterol (83718) |
— |
$74.50 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$172.75 |
— |
| Helminth Antibody (86682) |
— |
$164 |
— |
| Hematocrit (85014) |
— |
$48 |
— |
| Hemoglobin a1c (83036) |
— |
$115.50 |
— |
| Hemoglobin Chromotography (83021) |
— |
$120.25 |
— |
| Hep a ab igm (86709) |
— |
$132.25 |
— |
| Hepatitis a antibody total (86708) |
— |
$129.50 |
— |
| Hepatitis b core ab igm (86705) |
— |
$144.75 |
— |
| Hepatitis b core ab total (86704) |
— |
$128.50 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$122.75 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$122.75 |
— |
| Hepatitis Be Antibody (86707) |
— |
$105.25 |
— |
| Hepatitis Be Antigen (87350) |
— |
$114 |
— |
| Hepatitis C Antibody (86803) |
— |
$350 |
— |
| Hepatitis c antibody confirmatory test (86804) |
— |
$239.25 |
— |
| Hepatitis C Genotype (87902) |
— |
$1,979.25 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$418.25 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$460.75 |
— |
| Herpes simplex type 2 (86696) |
— |
$140 |
— |
| Heterophile Antibody Screen (86308) |
— |
$104 |
— |
| Hfe Gene (81256) |
— |
$514 |
— |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) |
— |
$202 |
— |
| Histamine urine (83088) |
— |
$194 |
— |
| Histoplasma antibody (86698) |
— |
$91 |
— |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
— |
$159.75 |
— |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
— |
$441 |
— |
| Hla class i semiquant panel (86834) |
— |
$893.90 |
— |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
— |
$216.50 |
— |
| Homocysteine (83090) |
— |
$202 |
— |
| Homovanillic acid urine (83150) |
— |
$166.50 |
— |
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines |
— |
$330.75–$465 |
— |
| Human Epididymis Protein 4 (86305) |
— |
$375 |
— |
| Hydroxycorticosteroids 17 (83491) |
— |
$160.75 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$219 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$150 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$50 |
— |
| Iaad ia shiga-like toxin (87427) |
— |
$95.75 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$25 |
— |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) |
— |
$140 |
— |
| Iaadi Varicella Zoster Virus (87290) |
— |
$92.75 |
— |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) |
— |
$371.50 |
— |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) |
— |
$320.50 |
— |
| Iadna Cytomegalovirus Quantification (87497) |
— |
$417.75 |
— |
| Iadna Hepatitis B Virus Quantification (87517) |
— |
$363.50 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$170.75 |
— |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) |
— |
$193.50 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$171.75 |
— |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) |
— |
$473.25 |
— |
| Igg subclasses (82787) |
— |
$90 |
— |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) |
— |
$743.63 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$139 |
— |
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines |
— |
$261.25–$719.25 |
— |
| Immunoassay infectious agent (86318) |
— |
$139 |
— |
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines |
— |
$25.75–$118.25 |
— |
| Immunoassay nonantibody (83516) |
— |
$126.50 |
— |
| Immunofixation electrophoresis (86334) |
— |
$173.25 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$743.63 |
— |
Immunohistochemistry (88342)
range across 2 matching MRF lines |
— |
$88–$257 |
— |
| In situ hybridization 1st probe stain (88365) |
— |
$380.80 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) |
— |
$198.75 |
— |
Influenza a/b ag eia (87400)
range across 2 matching MRF lines |
— |
$50–$116 |
— |
| Inhibin A (86336) |
— |
$130.75 |
— |
Inhibin b (83520)
range across 11 matching MRF lines |
— |
$173–$173.25 |
— |
| Insulin antibodies (86337) |
— |
$158.25 |
— |
| Insulin total (83525) |
— |
$105.25 |
— |
| Iron (83540) |
— |
$78 |
— |
| Iron Binding Capacity (83550) |
— |
$91 |
— |
Islet cell antibody (86341)
range across 2 matching MRF lines |
— |
$155–$218 |
— |
| Kras Gene Analysis Additional Variant(S) (81276) |
— |
$201 |
— |
| Kras Gene Variants Exon 2 (81275) |
— |
$201 |
— |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$66.75 |
— |
| Lactoferrin Fecal Quantitative (83631) |
— |
$201.25 |
— |
| Lamellar Body Count (83664) |
— |
$53.25 |
— |
| Ldh Isoenzymes (83625) |
— |
$114 |
— |
| LDL direct (83721) |
— |
$80.25 |
— |
| Lead (83655) |
— |
$95.75 |
— |
| Legionella antibody (86713) |
— |
$127.50 |
— |
| Legionella antigen urine (87449) |
— |
$179.50 |
— |
| Legionella pneumophila dfa (87278) |
— |
$86 |
— |
| Leukocyte Assessment Fecal (89055) |
— |
$78 |
— |
| Level I Surg Pathology Gross Examination Only (88300) |
— |
$117.75 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$157.75 |
— |
| Level V Surg Pathology Gross&Microscopic Exam (88307) |
— |
$861.75 |
— |
| Lipase (83690) |
— |
$121.75 |
— |
| Lipoprotein Bld Quan Part (83704) |
— |
$147.25 |
— |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) |
— |
$124 |
— |
| Lithium (80178) |
— |
$106.75 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$168.50 |
— |
| Lyme disease antibody (86618) |
— |
$152 |
— |
| M. Genitalium Amp Probe (87563) |
— |
$20 |
— |
| M/phmtrc alys ishquant/semiq (88374) |
— |
$462.50 |
— |
| Macroscopic Exam Parasite (87169) |
— |
$164.50 |
— |
| Magnesium Urine (83735) |
— |
$92.75 |
— |
| Mercury urine (83825) |
— |
$129 |
— |
| Metabolic panel ionized ca (80047) |
— |
$257 |
— |
| Methylmalonic acid serum (83921) |
— |
$175.25 |
— |
| Microalbumin, quantitative (82043) |
— |
$89 |
— |
| Microsomal Antibodies Each (86376) |
— |
$126.50 |
— |
| Mlh1 Gene (81288) |
— |
$192.32 |
— |
| Molecular Cytogenetics Dna Probe Each (88271) |
— |
$22.50 |
— |
| Mumps antibody (86735) |
— |
$140.50 |
— |
| Mycophenolic Acid (80180) |
— |
$220 |
— |
| Mycoplasma antibody (86738) |
— |
$143 |
— |
| Mycoplasma culture (87109) |
— |
$179.50 |
— |
| Myelin basic protein csf (83873) |
— |
$170.25 |
— |
| Myoglobin urine (83874) |
— |
$181.50 |
— |
Natriuretic peptide (83880)
range across 3 matching MRF lines |
— |
$9–$375 |
— |
| Neisseria Dir Na Probe (87590) |
— |
$132.25 |
— |
| Niacin (84591) |
— |
$127 |
— |
| Nickel level (83885) |
— |
$119.75 |
— |
| Nras gene variants exon 2&3 (81311) |
— |
$295.79 |
— |
Nuclear antigen antibody (86235)
range across 6 matching MRF lines |
— |
$96.75–$130 |
— |
| Occult blood feces (82272) |
— |
$46.50 |
— |
| Oligoclonal bands (83916) |
— |
$193 |
— |
| Organic Acids Qualitative Each Specimen (83919) |
— |
$219 |
— |
| Osmolality serum (83930) |
— |
$108.75 |
— |
| Osmolality Urine (83935) |
— |
$106.75 |
— |
| Ova and parasites smears (87177) |
— |
$132.75 |
— |
| Oxalate urine (83945) |
— |
$107.75 |
— |
| Parvovirus antibody (86747) |
— |
$118.25 |
— |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
— |
$1,673.23 |
— |
| Pathology Consultation During Surgery (88329) |
— |
$257 |
— |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) |
— |
$637.63 |
— |
| Ph urine (81003) |
— |
$54.75 |
— |
| Phenobarbital Level (80184) |
— |
$168.50 |
— |
Phenylalanine (84030)
range across 3 matching MRF lines |
— |
$44.25–$359.50 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$176 |
— |
| Phosphatase acid prostatic (84066) |
— |
$124.50 |
— |
Phosphatase alkaline (84075)
range across 2 matching MRF lines |
— |
$48.50–$150 |
— |
| Phosphorus Serum (84100) |
— |
$60.50 |
— |
| Phosphorus urine (84105) |
— |
$59.50 |
— |
| Pinworm exam (87172) |
— |
$56.75 |
— |
Platelet Antibodies (86022)
range across 2 matching MRF lines |
— |
$215–$1,240.75 |
— |
| Porphobilinogen, urine; quantitative (84110) |
— |
$96.25 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$160.25 |
— |
| Potassium Urine (84133) |
— |
$75.50 |
— |
| Prealbumin (84134) |
— |
$129.50 |
— |
| Pregnenolone (84140) |
— |
$124.50 |
— |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) |
— |
$166.50 |
— |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) |
— |
$86.43 |
— |
| Primidone (80188) |
— |
$131.25 |
— |
| Procalcitonin (Pct) (84145) |
— |
$286 |
— |
| Progesterone (84144) |
— |
$169.75 |
— |
| Prolactin (84146) |
— |
$199.25 |
— |
| Protein body fluid (84157) |
— |
$90 |
— |
| Protein C Activity (85303) |
— |
$276.75 |
— |
| Protein c antigen (85302) |
— |
$228 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$138 |
— |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$121.75 |
— |
| Protein S Free (85306) |
— |
$271.50 |
— |
| Protein s total (85305) |
— |
$258 |
— |
| Protein total serum (84155) |
— |
$57.75 |
— |
Protein Total Urine (84156)
range across 3 matching MRF lines |
— |
$71.25–$121.75 |
— |
| PSA free (84154) |
— |
$151 |
— |
| Pth Intact (83970) |
— |
$309 |
— |
| Quantiferon tb gold plus (86480) |
— |
$482.25 |
— |
| Quantitative assay drug (80299) |
— |
$31.48 |
— |
| Quantitative Screen Metals (83018) |
— |
$171.75 |
— |
| Rbc antibody elution (86860) |
— |
$218 |
— |
| Rbc antibody identification (86870) |
— |
$299 |
— |
| Rbc antibody screen (86850) |
— |
$128 |
— |
| Rbc pretreatment serum (86978) |
— |
$197.75 |
— |
| Rbc pretx incubatj w/enzymes (86971) |
— |
$743.63 |
— |
| Rbc serum pretx incubj drugs (86975) |
— |
$692.95 |
— |
| Renin activity plasma (84244) |
— |
$177.50 |
— |
| Reticulocyte separation (86972) |
— |
$380.80 |
— |
Rh (86901)
range across 8 matching MRF lines |
— |
$64.50–$86.43 |
— |
| Rheumatoid Factor Qualitative (86430) |
— |
$83.75 |
— |
Rheumatoid factor quant (86431)
range across 4 matching MRF lines |
— |
$72.50–$91 |
— |
| Ristocetin cofactor (85245) |
— |
$243.50 |
— |
| Rotavirus ag eia (87425) |
— |
$153.50 |
— |
| Rpr qualitative (86592) |
— |
$74 |
— |
| Rubella Antibody (86762) |
— |
$98.50 |
— |
| Rubeola antibody (86765) |
— |
$110.25 |
— |
| Russell Viper Venom Time Diluted (85613) |
— |
$148.75 |
— |
| Russell Viper Venon Time Undiluted (85612) |
— |
$96.25 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$100 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$61.50 |
— |
| Sedimentation rate (85651) |
— |
$69.25 |
— |
| Selenium (84255) |
— |
$148.25 |
— |
| Semen Anal Sperm Detection (89321) |
— |
$78 |
— |
| Semen analysis complete (89320) |
— |
$160.25 |
— |
| Sensitivity mic (87186) |
— |
$125.50 |
— |
| Sex Hormone Binding Globulin (84270) |
— |
$180 |
— |
| Sickling of rbc reduction (85660) |
— |
$101.50 |
— |
| Sirolimus (80195) |
— |
$216.50 |
— |
| Smear acid fast (87206) |
— |
$91 |
— |
| Smear complex stain (87209) |
— |
$188.25 |
— |
| Smear gram stain (87205) |
— |
$77 |
— |
| Smear Special Stain (87207) |
— |
$106.75 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$75.50 |
— |
Sodium Serum (84295)
range across 2 matching MRF lines |
— |
$33–$46 |
— |
| Sodium Urine (84300) |
— |
$81.25 |
— |
| Soluble Transferrin Receptor (84238) |
— |
$241.50 |
— |
| Somatomedin (84305) |
— |
$158.75 |
— |
Special Stains Group 1 (88312)
range across 4 matching MRF lines |
— |
$107–$274.25 |
— |
Special Stains Group 2 (88313)
range across 4 matching MRF lines |
— |
$78.50–$217 |
— |
| Specimen infect agnt concntj (87015) |
— |
$69.75 |
— |
| Spectrophotometry (84311) |
— |
$112 |
— |
| Sperm Antibodies (89325) |
— |
$561.25 |
— |
| Splitting Blood/Blood Products Each Unit (86985) |
— |
$380.80 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$380.80 |
— |
Stool cultr aerobic bact ea (87046)
range across 4 matching MRF lines |
— |
$18.50–$99.50 |
— |
| Strep a DNA amp probe (87651) |
— |
$223.25 |
— |
| Strep b DNA amp probe (87653) |
— |
$194.50 |
— |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) |
— |
$98 |
— |
| Surg path level iii (88304) |
— |
$205.50 |
— |
Surgical pathology level IV (88305)
range across 2 matching MRF lines |
— |
$40.27–$272 |
— |
| Surgical pathology level vi (88309) |
— |
$1,673.23 |
— |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) |
— |
$69.75 |
— |
| Susceptibility Study Antimicrobial Disk Method (87184) |
— |
$89 |
— |
| T cells absolute cd4 count (86361) |
— |
$176 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$297.50 |
— |
| T cells total count (86359) |
— |
$166 |
— |
| T3 Free (84481) |
— |
$179 |
— |
| T3 reverse (84482) |
— |
$125.50 |
— |
| T3 Total (84480) |
— |
$156 |
— |
T3 Uptake (84479)
range across 2 matching MRF lines |
— |
$86–$112 |
— |
| T4 Free (84439) |
— |
$135.25 |
— |
| T4 total (84436) |
— |
$111 |
— |
| Tacrolimus (80197) |
— |
$27.45 |
— |
| Test for acetone/ketones (82009) |
— |
$75.50 |
— |
| Testosterone Bioavailable (84410) |
— |
$185.25 |
— |
Testosterone total (84403)
range across 2 matching MRF lines |
— |
$198.75–$206.25 |
— |
| Testosterone, Free (84402) |
— |
$208 |
— |
| Tetanus antibody (86774) |
— |
$117.75 |
— |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) |
— |
$597.91 |
— |
| Theophylline (80198) |
— |
$157.75 |
— |
| Thrombin Time (85670) |
— |
$79.25 |
— |
| Thromboplastin Inhibition Tissue (85705) |
— |
$181.50 |
— |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
— |
$124.50 |
— |
| Thyroglobulin (84432) |
— |
$179.50 |
— |
| Thyroglobulin Antibody (86800) |
— |
$144.75 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$400.50 |
— |
| Thyroxine binding globulin (84442) |
— |
$129.50 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$506.50 |
— |
| Tobramycin peak (80200) |
— |
$32.25 |
— |
| Topiramate (80201) |
— |
$156.75 |
— |
| Touch prep (88161) |
— |
$125.50 |
— |
| Toxoplasma ab igm (86778) |
— |
$139.50 |
— |
| Toxoplasma antibody (86777) |
— |
$141.50 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$74.50 |
— |
| Transferrin (84466) |
— |
$116 |
— |
| Trichomonas Vaginalis Amplif (87661) |
— |
$174.25 |
— |
| Triglycerides (84478) |
— |
$83.75 |
— |
| Troponin Quant (84484) |
— |
$209.75 |
— |
| Tumor immunohistochem/comput (88361) |
— |
$743.63 |
— |
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines |
— |
$102.75–$257 |
— |
| Unlisted Transfusion Medicine Procedure (86999) |
— |
$63.08 |
— |
| Uric acid other source (84560) |
— |
$67.75 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$63.50 |
— |
| Urinalysis Volume Measure (81050) |
— |
$37.50 |
— |
| Urine Bacteria Culture (87088) |
— |
$127.50 |
— |
Urine Pregnancy Test (81025)
range across 2 matching MRF lines |
— |
$5–$9 |
— |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) |
— |
$111 |
— |
| Valproic acid (80164) |
— |
$167 |
— |
| Vancomycin (80202) |
— |
$207 |
— |
| Varicella-zoster antibody (86787) |
— |
$125.50 |
— |
| Vasopressin (84588) |
— |
$189 |
— |
| Viral Culture (87252) |
— |
$259 |
— |
| Virus antibody nos (86790) |
— |
$137 |
— |
| Virus inoculation, shell via (87254) |
— |
$147.75 |
— |
| Viscosity serum (85810) |
— |
$103.50 |
— |
| Vit D 1 25-Dihydroxy (82652) |
— |
$300.25 |
— |
| Vitamin A (84590) |
— |
$131.25 |
— |
| Vitamin b-12 (82607) |
— |
$144.75 |
— |
| Vitamin B2 (Riboflavin) (84252) |
— |
$175.25 |
— |
| Vitamin B6 (84207) |
— |
$213.75 |
— |
| Vitamin c (82180) |
— |
$110.25 |
— |
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines |
— |
$207–$309 |
— |
| Vitamin E (84446) |
— |
$133.75 |
— |
| Von willebrand factor ag (85246) |
— |
$237.75 |
— |
| Zinc (84630) |
— |
$99 |
— |