| 17 Ketogenic steroids (83582) |
— |
$143.85 |
— |
| 17-Hydroxypregnenolone (84143) |
— |
$222.95 |
— |
| 5 Nucleotidase (83915) |
— |
$115.10 |
— |
| Acetylcholinesterase Assay (82013) |
— |
$136.65 |
— |
| Acth (82024) |
— |
$323.70 |
— |
| Acth Stimulation Panel Adrenal Insufficiency (80400) |
— |
$422.10 |
— |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) |
— |
$687 |
— |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) |
— |
$722.95 |
— |
| Acute hepatitis panel (80074) |
— |
$764.25 |
— |
| Acylcarnitines Quant (82017) |
— |
$176.25 |
— |
| Acylcarnitines; qualitative, each specimen Facility (82016) |
— |
$115.10 |
— |
| Adenovirus antibody (86603) |
— |
$120.35 |
— |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
— |
$390.65 |
— |
| Agglutinins Febrile Each Antigen (86000) |
— |
$72.20 |
— |
| Albumin Fluid (82042) |
— |
$57.55 |
— |
| Albumin ischemia modified (82045) |
— |
$214.15 |
— |
| Albumin serum (82040) |
— |
$35.95 |
— |
| Aldolase (82085) |
— |
$100.70 |
— |
| Aldosterone Suppression Evaluation Panel (80408) |
— |
$792.80 |
— |
| Aldosterone urine (82088) |
— |
$287.75 |
— |
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines |
— |
$154.65–$180.65 |
— |
| Allergen spec ige qual multiallergen screen (86005) |
— |
$137.55 |
— |
| Allergen specific ige (86003) |
— |
$37.80 |
— |
| Allergen specific igg (86001) |
— |
$37.80 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$205 |
— |
| Alpha-1-antitrypsin total (82103) |
— |
$143.85 |
— |
| Alpha-Fetoprotein Amniotic Fluid (82106) |
— |
$169.05 |
— |
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines |
— |
$169–$169.05 |
— |
| Alt (sgpt) (84460) |
— |
$39.60 |
— |
| Aluminum (82108) |
— |
$208.60 |
— |
| Amikacin trough (80150) |
— |
$215.50 |
— |
| Amines vaginal fluid qualitative (82120) |
— |
$88 |
— |
| Amino Acids 1 Quantitative Each Specimen (82131) |
— |
$460.40 |
— |
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines |
— |
$122.25–$460.40 |
— |
| Amino Acids Multiple Qualitative Each Specimen (82128) |
— |
$89.90 |
— |
| Amino Acids Quant 2-5 (82136) |
— |
$3,817.55 |
— |
| Amino acids; single, qualitative, each specimen Facility (82127) |
— |
$87.50 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$154.65 |
— |
| Ammonia (82140) |
— |
$89.90 |
— |
| Amniotic fluid protein test on cervicovaginal fluid (84112) |
— |
$390.65 |
— |
| Amniotic fluid scan (82143) |
— |
$136.65 |
— |
| Amylase urine (82150) |
— |
$61.10 |
— |
| Ana Titer (86039) |
— |
$120.35 |
— |
| Analysis skeletal muscle (88355) |
— |
$841.55 |
— |
| Androstanediol Glucuronide (82154) |
— |
$240.90 |
— |
| Androstenedione (82157) |
— |
$222.95 |
— |
| Androsterone (hormone) level (82160) |
— |
$215.80 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$179.80 |
— |
| Angiotensin II (82163) |
— |
$215.80 |
— |
Animal inoculation, small animal, with observation and dissection Facility (87003)
range across 2 matching MRF lines |
— |
$93.80–$106.30 |
— |
| Anti-Phospholipid Antibody (86148) |
— |
$101.85 |
— |
| Antibody aspergillus (86606) |
— |
$120.35 |
— |
| Antibody Bacterium Not Elsewhere Specified (86609) |
— |
$154.70 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$182.20 |
— |
| Antibody Cytomegalovirus Cmv Igm (86645) |
— |
$165.05 |
— |
| Antibody Encephalitis California La Crosse (86651) |
— |
$123.75 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$158.15 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$158.15 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$178.75 |
— |
| Antibody Fungus Not Elsewhere Specified (86671) |
— |
$171.90 |
— |
| Antibody haemophilus influenza (86684) |
— |
$171.90 |
— |
| Antibody helicobacter pylori (86677) |
— |
$171.90 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$151.25 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$151.25 |
— |
| Antibody HIV-1&HIV-2 single result (86703) |
— |
$137.55 |
— |
| Antibody HIV-2 (86702) |
— |
$158.15 |
— |
| Antibody Hla Class I High Definition Panel Qual (86832) |
— |
$1,134.55 |
— |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) |
— |
$722.05 |
— |
| Antibody Hla Class II Phenotype Panel Qual (86831) |
— |
$618.85 |
— |
| Antibody hla class ii semiquantitative panel (86835) |
— |
$2,888 |
— |
| Antibody htlv/HIV antibody confirmatory test (86689) |
— |
$182.20 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$206.25 |
— |
| Antibody Identification Platelet Immunogl Assay (86023) |
— |
$189.05 |
— |
| Antibody john cunningham virus (86711) |
— |
$140 |
— |
| Antibody leishmania (86717) |
— |
$113.45 |
— |
| Antibody Lymphocytic Choriomeningitis (86727) |
— |
$113.45 |
— |
| Antibody neisseria meningitidis (86741) |
— |
$137.55 |
— |
| Antibody nocardia (86744) |
— |
$137.55 |
— |
| Antibody plasmodium malaria (86750) |
— |
$151.25 |
— |
| Antibody Protozoa Nes (86753) |
— |
$171.90 |
— |
| Antibody rotavirus (86759) |
— |
$137.55 |
— |
| Antibody Titer (86886) |
— |
$148.15 |
— |
| Antibody Treponema Pallidum (86780) |
— |
$116.85 |
— |
| Antibody yersinia (86793) |
— |
$120.35 |
— |
| Antibody; campylobacter (86625) |
— |
$161.55 |
— |
| Antibody; encephalitis, st. louis (86653) |
— |
$123.75 |
— |
| Antibody; influenza virus (86710) |
— |
$113.45 |
— |
| Antibody; mucormycosis Facility (86732) |
— |
$151.25 |
— |
| Antigen typing (86905) |
— |
$71.75 |
— |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
— |
$56.70 |
— |
| Antinomyces antibody (86602) |
— |
$120.35 |
— |
| Antinuclear antibodies (86038) |
— |
$120.35 |
— |
| Antistreptolysin O Screen (86063) |
— |
$58.45 |
— |
| Antistreptolysin o titer (86060) |
— |
$82.55 |
— |
| Antithrombin iii activity (85300) |
— |
$259.55 |
— |
| Antithrombin iii antigen (85301) |
— |
$254.65 |
— |
| Apolipoprotein a1 (82172) |
— |
$118.70 |
— |
| Arsenic (82175) |
— |
$179.80 |
— |
| Aspergillus ag eia (87305) |
— |
$93.80 |
— |
| Assay activated protein c (85307) |
— |
$279.15 |
— |
| Assay Blood Carbon Dioxide (82374) |
— |
$39.60 |
— |
| Assay Blood Catecholamines (82383) |
— |
$197.80 |
— |
| Assay Duodenal Fluid Trypsin (84485) |
— |
$107.90 |
— |
| Assay myeloperoxidase (83876) |
— |
$214.40 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$133.10 |
— |
| Assay of 5-hiaa (83497) |
— |
$158.25 |
— |
| Assay of b-hexosaminidase each assay (83080) |
— |
$122.25 |
— |
| Assay of blood/uric acid (84550) |
— |
$39.60 |
— |
| Assay of calcium in urine (82340) |
— |
$57.55 |
— |
| Assay of corticosterone (82528) |
— |
$197.80 |
— |
| Assay of cpk in blood (82552) |
— |
$129.45 |
— |
| Assay of estrone (82679) |
— |
$215.80 |
— |
| Assay of feces for trypsin (84490) |
— |
$64.75 |
— |
| Assay of g6pd enzyme (82955) |
— |
$129.45 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$115.10 |
— |
| Assay of lactic acid (83605) |
— |
$107.90 |
— |
| Assay of manganese (83785) |
— |
$155.35 |
— |
| Assay of metanephrines (83835) |
— |
$222.95 |
— |
| Assay of phosphatase acid total (84060) |
— |
$104.30 |
— |
| Assay of phosphatase alkaline heat stable (84078) |
— |
$93.50 |
— |
| Assay of procainamide (80190) |
— |
$251.45 |
— |
| Assay of proinsulin (84206) |
— |
$276.95 |
— |
| Assay of prostate specific antigen complexed (84152) |
— |
$116.15 |
— |
| Assay of pyruvate (84210) |
— |
$118.70 |
— |
| Assay of semen fructose (82757) |
— |
$109.50 |
— |
| Assay of serotonin (84260) |
— |
$305.70 |
— |
| Assay of serum potassium (84132) |
— |
$32.35 |
— |
| Assay of Sialic Acid (84275) |
— |
$125.90 |
— |
| Assay of sweat sodium (84302) |
— |
$50.35 |
— |
| Assay of transcortin (84449) |
— |
$179.80 |
— |
| Assay of Tyrosine (84510) |
— |
$71.90 |
— |
| Assay of urea nitrogen (84520) |
— |
$39.60 |
— |
| Assay of urine vma (84585) |
— |
$161.85 |
— |
| Assay of vasoactive intestinal peptide (84586) |
— |
$276.95 |
— |
| Assay of vitamin b-1 (84425) |
— |
$183.45 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$35.95 |
— |
| Assay Phosphohexose Enzymes (84087) |
— |
$161.85 |
— |
| Atomic Absorption (82190) |
— |
$215.80 |
— |
| Autol Bld/Component Collj Storage Predeposited (86890) |
— |
$291.75 |
— |
| Autol bld/component collj storage salvage (86891) |
— |
$412.10 |
— |
| Automated Leukocyte Count (85048) |
— |
$58.75 |
— |
| B cells total count (86355) |
— |
$238.30 |
— |
| Bacterial antigens 87802 (87802) |
— |
$117.30 |
— |
| Bartonella antibody (86611) |
— |
$154.70 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$1,035.75 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$914.90 |
— |
| Bcr/Abl1 Gene Other Bp (81208) |
— |
$1,016.10 |
— |
| Beta 2 glycoprotein i antibody each (86146) |
— |
$223.50 |
— |
| Beta hydroxybutyrate (82010) |
— |
$86.30 |
— |
| Beta Lactamase (87185) |
— |
$49.80 |
— |
| Beta-2 Microglobulin (82232) |
— |
$197.80 |
— |
| Bile acids total (82239) |
— |
$122.25 |
— |
| Bile acids, cholylglycine (82240) |
— |
$244.60 |
— |
| Bilirubin direct (82248) |
— |
$39.60 |
— |
| Bilirubin total (82247) |
— |
$39.60 |
— |
| Bilirubin total transcutaneous (88720) |
— |
$491.95 |
— |
| Bilirubin; feces, qualitative Facility (82252) |
— |
$39.60 |
— |
| Biotinidase (82261) |
— |
$39.60 |
— |
| Bl Smear W/O Diff Wbc Count (85008) |
— |
$48.95 |
— |
| Blastomyces antibody (86612) |
— |
$151.25 |
— |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
— |
$92.60 |
— |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) |
— |
$92.60 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$288.20 |
— |
| Bld Typing Serologic Rh Phnt (86906) |
— |
$58.45 |
— |
| Bleeding time test (85002) |
— |
$97.95 |
— |
| Blm Gene (81209) |
— |
$231.50 |
— |
| Blood Count Automated Differential Wbc Count (85004) |
— |
$63.70 |
— |
| Blood Count Manual Cell Count Each (85032) |
— |
$68.55 |
— |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) |
— |
$58.75 |
— |
| Blood Count Red Blood Cell Automated (85041) |
— |
$58.75 |
— |
| Blood count reticulocyte automated (85045) |
— |
$73.50 |
— |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
— |
$58.75 |
— |
| Blood count spun microhematocrit (85013) |
— |
$44.10 |
— |
| Blood gas (82803) |
— |
$165.40 |
— |
Blood gases w/02 saturation (82805)
range across 3 matching MRF lines |
— |
$165.40–$179.30 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$125.90 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$35.95 |
— |
Blood Sulfhemoglobin Assay (83060)
range across 4 matching MRF lines |
— |
$61.10–$89.90 |
— |
| Blood Type Antigen Donor Reagent Serum Each (86902) |
— |
$148.15 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
— |
$64.85 |
— |
| Blood typing serologic abo (86900) |
— |
$56.70 |
— |
| Body fluid cell count (89050) |
— |
$60.55 |
— |
| Bordetella antibody (86615) |
— |
$171.90 |
— |
| Borrelia Antibody (86619) |
— |
$137.55 |
— |
| Braf gene analysis (81210) |
— |
$830 |
— |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) |
— |
$818.20 |
— |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) |
— |
$2,698.25 |
— |
| Brca1 gene analysis full dup/del analysis (81166) |
— |
$6,659.30 |
— |
| Brca1 Gene Analysis Known Familial Variant (81215) |
— |
$431.75 |
— |
| Brca1&2 gen full seq dup/del (81162) |
— |
$6,659.30 |
— |
| Brca2 Gene Analysis Known Familial Variant (81217) |
— |
$431.75 |
— |
| Breath Alcohol Test (82075) |
— |
$68.40 |
— |
| Brucella antibody (86622) |
— |
$103.10 |
— |
| C diff amplified probe (87493) |
— |
$231.65 |
— |
| C-Peptide (84681) |
— |
$205 |
— |
| C-reactive protein (86140) |
— |
$68.70 |
— |
| Ca 19-9 (86301) |
— |
$165.05 |
— |
| Cadmium (82300) |
— |
$151.05 |
— |
| Caffeine (80155) |
— |
$89.15 |
— |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) |
— |
$171.30 |
— |
| Calcitonin (82308) |
— |
$251.75 |
— |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) |
— |
$651.15 |
— |
| Calcium ionized (82330) |
— |
$118.70 |
— |
| Calcium total (82310) |
— |
$43.15 |
— |
| Calcium; after calcium infusion test (82331) |
— |
$71.90 |
— |
| Calculus assay quant (82360) |
— |
$136.65 |
— |
| Calculus Spectroscopy (82365) |
— |
$129.45 |
— |
| Calculus Xray Diffraction (82370) |
— |
$133.10 |
— |
| Calprotectin Fecal (83993) |
— |
$194.20 |
— |
| Cancer Antigen 125 (86304) |
— |
$171.90 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$171.90 |
— |
| Candida antibody (86628) |
— |
$154.70 |
— |
| Candida Dna Dir Probe (87480) |
— |
$146.65 |
— |
| Carbamazepine free (80157) |
— |
$197.55 |
— |
| Carbamazepine total (80156) |
— |
$215.50 |
— |
| Carbohydrate Deficient Transferrin (82373) |
— |
$197.80 |
— |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) |
— |
$53.95 |
— |
| Carboxyhemoglobin (82375) |
— |
$111.50 |
— |
| Carcinoembryonic antigen (82378) |
— |
$187.05 |
— |
| Cardiolipin ab iga (86147) |
— |
$223.50 |
— |
| Carnitine Quantitative Each Specimen (82379) |
— |
$187.05 |
— |
| Carotene (82380) |
— |
$93.50 |
— |
| Catecholamines fractionated (82384) |
— |
$251.75 |
— |
| Catecholamines total urine (82382) |
— |
$161.85 |
— |
| Cathepsin-d (82387) |
— |
$251.75 |
— |
| Ccp antibody (86200) |
— |
$144.35 |
— |
| Cell count csf (89051) |
— |
$63.90 |
— |
| Cell enumeration & id (86152) |
— |
$983.20 |
— |
| Cellular Function Assay Stimul&Detect Biomarke (86352) |
— |
$857.80 |
— |
| Ceruloplasmin (82390) |
— |
$115.10 |
— |
| Cftr gene com variants (81220) |
— |
$1,010.60 |
— |
| Chemiluminescent assay (82397) |
— |
$100.70 |
— |
| Chemotaxis Assay (86155) |
— |
$106.55 |
— |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
— |
$1,647.40 |
— |
| Chimerism w/comp to baseline w/o cell selection (81267) |
— |
$1,310.55 |
— |
Chlamydia antibody (86631)
range across 3 matching MRF lines |
— |
$106.55–$113.45 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$120.35 |
— |
| Chlamydia trachomatis ag if (87270) |
— |
$117.30 |
— |
| Chloramphenicol level (82415) |
— |
$118.70 |
— |
| Chloride other source (82438) |
— |
$68.35 |
— |
| Chloride Serum (82435) |
— |
$35.95 |
— |
| Chloride urine (82436) |
— |
$39.60 |
— |
| Chlorinated Hydrocarbons Screen (82441) |
— |
$107.90 |
— |
| Cholesterol total (82465) |
— |
$35.95 |
— |
| Cholinesterase rbc (82482) |
— |
$111.50 |
— |
| Cholinesterase Serum (82480) |
— |
$86.30 |
— |
| Chondroitin B sulfate, quantitative Facility (82485) |
— |
$143.85 |
— |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) |
— |
$353 |
— |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) |
— |
$336.75 |
— |
| Chorionic gonadotropin test (84702) |
— |
$136.65 |
— |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) |
— |
$1,094 |
— |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) |
— |
$940.40 |
— |
| Chrmsm Breakage Synds Score 100 Cll (88249) |
— |
$1,094 |
— |
| Chromium serum (82495) |
— |
$169.05 |
— |
| Chromogenic Substrate Assay (85130) |
— |
$186.10 |
— |
| Chromogranin a (86316) |
— |
$178.75 |
— |
| Chromosome Analysis 20-25 (88264) |
— |
$787.35 |
— |
| Chromosome analysis 45 cells (88263) |
— |
$949.35 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$221.65 |
— |
| Citric acid urine (82507) |
— |
$251.75 |
— |
| Ckmb (82553) |
— |
$82.75 |
— |
| Clostridium Difficile (87324) |
— |
$93.80 |
— |
| Clot Factor VIII Multimetric (85247) |
— |
$401.60 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$293.85 |
— |
| Clot lysis time, whole blood dilution Facility (85175) |
— |
$107.80 |
— |
| Clot retraction (85170) |
— |
$58.75 |
— |
| Clotting factor viii related antigen (85244) |
— |
$367.35 |
— |
| Clotting factor xii hageman (85280) |
— |
$318.35 |
— |
| Clotting Funct Activity (85397) |
— |
$195.95 |
— |
| Clotting hi molec weight kininogen assay (85293) |
— |
$293.85 |
— |
| Clotting prekallikrein assay fletcher fact assay (85292) |
— |
$303.65 |
— |
| Coagulation time activated (85347) |
— |
$73.50 |
— |
| Coagulation time other methods (85348) |
— |
$78.40 |
— |
| Coagulation time; Lee and White Facility (85345) |
— |
$122.45 |
— |
| Coccidioides antibody (86635) |
— |
$154.70 |
— |
| Cold agglutinin screen (86156) |
— |
$65.30 |
— |
| Cold agglutinin titer (86157) |
— |
$79.05 |
— |
| Collagen crosslinks (82523) |
— |
$172.65 |
— |
Column Chromotography Quant (82542)
range across 13 matching MRF lines |
— |
$125.90–$251.75 |
— |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) |
— |
$4,490.45 |
— |
| Comparative Anal Str Markers Patient&Comp Spec (81265) |
— |
$1,358.50 |
— |
| Compatibility Each Unit Incubation (86921) |
— |
$92.60 |
— |
| Compatibility test antiglob (86922) |
— |
$148.15 |
— |
| Complement Antigen Each Component (86160) |
— |
$140.95 |
— |
| Complement Fixation Tests Each Antigen (86171) |
— |
$99.70 |
— |
| Complement Total (Ch50) (86162) |
— |
$213.15 |
— |
| Complement/Function Activity (86161) |
— |
$158.15 |
— |
| Consltj&Reprt Material Requiring Prepj Slides (88323) |
— |
$171.30 |
— |
| Coombs direct (86880) |
— |
$56.70 |
— |
| Copper urine (82525) |
— |
$107.90 |
— |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) |
— |
$2,082.30 |
— |
| Cortisol free (82530) |
— |
$172.65 |
— |
| Cortisol saliva (82533) |
— |
$169.05 |
— |
| Creatine (82540) |
— |
$64.75 |
— |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) |
— |
$122.25 |
— |
| Creatine kinase total (82550) |
— |
$46.70 |
— |
| Creatinine blood (82565) |
— |
$35.95 |
— |
| Creatinine clearance (82575) |
— |
$104.30 |
— |
| Creatinine Urine (82570) |
— |
$57.55 |
— |
| Crossmatch electronic (86923) |
— |
$148.15 |
— |
| Crossmatch immediate spin (86920) |
— |
$148.15 |
— |
| Crp High Sensitivity (86141) |
— |
$89.40 |
— |
| Cryofibrinogen (82585) |
— |
$82.75 |
— |
| Cryoglobulin (82595) |
— |
$75.50 |
— |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) |
— |
$191.75 |
— |
| Cryptococcal Antigen (87327) |
— |
$93.80 |
— |
| Cryptococcus ab (86641) |
— |
$103.10 |
— |
| Cryptococcus ag titer (87899) |
— |
$102.65 |
— |
| Cryptosporidium (87272) |
— |
$117.30 |
— |
| Cryptosporidium ag eia (87328) |
— |
$93.80 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$88 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$88 |
— |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
— |
$73.30 |
— |
| Culture aerobic quant other (87071) |
— |
$82.05 |
— |
| Culture afb (87116) |
— |
$88 |
— |
| Culture Anaerobic (87075) |
— |
$88 |
— |
| Culture bacteria anaerobic (87073) |
— |
$88 |
— |
| Culture blood (87040) |
— |
$82.05 |
— |
| Culture chlamydia (87110) |
— |
$123.75 |
— |
| Culture csf (87070) |
— |
$79.15 |
— |
| Culture fungus (87102) |
— |
$76.25 |
— |
| Culture fungus blood (87103) |
— |
$76.25 |
— |
| Culture screen only (87081) |
— |
$52.75 |
— |
| Culture stool (87045) |
— |
$82.05 |
— |
| Culture Typing Gas/High Pres Liq Chromatography (87143) |
— |
$114.35 |
— |
| Culture typing if ea antiserum (87140) |
— |
$61.60 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$46.90 |
— |
| Culture typing other methods (87158) |
— |
$44 |
— |
| Culture urine (87086) |
— |
$73.30 |
— |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) |
— |
$58.65 |
— |
| Culture, typing; identification by pulse field gel typing Facility (87152) |
— |
$41.05 |
— |
| Cyanide (82600) |
— |
$158.25 |
— |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
— |
$151.05 |
— |
| Cyclic amp (82030) |
— |
$251.75 |
— |
| Cyclosporine (80158) |
— |
$269.35 |
— |
| Cyp2c19 gene analysis common variants (81225) |
— |
$1,351.15 |
— |
| Cyp2c9 gene com variants (81227) |
— |
$810.70 |
— |
| Cyp2d6 gene com variants (81226) |
— |
$2,091.05 |
— |
| Cystatin C (82610) |
— |
$69.45 |
— |
| Cytomegalovirus igg (86644) |
— |
$158.15 |
— |
| Cytopath C/V Index Add-On (88155) |
— |
$37.85 |
— |
| Cytopath Cell Enhance Tech (88112) |
— |
$171.30 |
— |
| Cytopath Fl Nongyn Filter (88106) |
— |
$92.60 |
— |
| Cytopath unlstd proc (88199) |
— |
$92.60 |
— |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) |
— |
$71.85 |
— |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) |
— |
$95.95 |
— |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) |
— |
$134.95 |
— |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) |
— |
$66.70 |
— |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) |
— |
$66.70 |
— |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) |
— |
$66.70 |
— |
| Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) |
— |
$66.70 |
— |
| Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) |
— |
$66.70 |
— |
| Cytotoxic Antibody Screen Std (86807) |
— |
$275.05 |
— |
| Cytotoxic pra quick (86808) |
— |
$223.50 |
— |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) |
— |
$167.35 |
— |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) |
— |
$128 |
— |
| Cytp Concentration Smears & Interpretation (88108) |
— |
$80 |
— |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
— |
$699.20 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$66.70 |
— |
| Cytp smrs any oth src extnd std > 5 slides (88162) |
— |
$92.60 |
— |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) |
— |
$92.60 |
— |
| Cytp Urine 3-5 Probes Cmptr (88121) |
— |
$841.55 |
— |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) |
— |
$67.85 |
— |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) |
— |
$82.05 |
— |
| Deoxycortisol (82634) |
— |
$233.80 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$134.10 |
— |
| Desoxycorticosterone (82633) |
— |
$233.80 |
— |
| Detect Agent Nos Dna Amp (87798) |
— |
$234.55 |
— |
| Detect Agent Nos Dna Quant (87799) |
— |
$270.60 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$443.35 |
— |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) |
— |
$561.25 |
— |
| Dhea (82626) |
— |
$244.60 |
— |
| Dhea-S (82627) |
— |
$215.80 |
— |
| Dibucaine number (82638) |
— |
$100.70 |
— |
| Digoxin (80162) |
— |
$202.05 |
— |
| Diphtheria antitoxoid (86648) |
— |
$144.35 |
— |
| Dna Antibody Native/Double Stranded (86225) |
— |
$147.85 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$130.60 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$221.65 |
— |
| DNA/RNA direct probe (87149) |
— |
$126.70 |
— |
| Dna/Rna Sequencing (87153) |
— |
$728.75 |
— |
| Drug Assay Everolimus (80169) |
— |
$86.75 |
— |
| Drug Screen Quant Clozapine (80159) |
— |
$116.90 |
— |
| Drug Screen Quant Zonisamide (80203) |
— |
$83.75 |
— |
| Drug Screen Quantitative Gabapentin (80171) |
— |
$83.75 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$83.75 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$83.75 |
— |
| Drug Screen Quantitative Oxcarbazepine (80183) |
— |
$83.75 |
— |
| Drug Screen Quantitative Procainamide Metabolite (80192) |
— |
$251.45 |
— |
| Drug Screen Quantitative Tiagabine (80199) |
— |
$72.40 |
— |
| Drug Test Prsmv Chem Anlyzr (80307) |
— |
$152.65 |
— |
| Egfr Gene Analysis Common Variants (81235) |
— |
$1,528.10 |
— |
| Ehrlichia antibody (86666) |
— |
$158.15 |
— |
| Electrolyte panel (80051) |
— |
$89.75 |
— |
| Electron Microscopy (88348) |
— |
$995.55 |
— |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
— |
$217.05 |
— |
| Encephaltis East Eqne Anbdy (86652) |
— |
$123.75 |
— |
| Encephaltis West Eqne Antbdy (86654) |
— |
$123.75 |
— |
| Enterovirus Antibody (86658) |
— |
$123.75 |
— |
| Enterovirus PCR (87498) |
— |
$322.50 |
— |
| Enzyme cell activity (82657) |
— |
$72.90 |
— |
| Enzyme histochemistry (88319) |
— |
$841.55 |
— |
| Eosinophil Smear (89190) |
— |
$47.10 |
— |
| Erythropoietin (82668) |
— |
$233.80 |
— |
| Estradiol serum (82670) |
— |
$176.50 |
— |
| Estriol (82677) |
— |
$154.65 |
— |
| Estrogen total (82672) |
— |
$215.80 |
— |
| Estrogens fractionated (82671) |
— |
$316.50 |
— |
Ethosuximide (80168)
range across 3 matching MRF lines |
— |
$237.30–$238 |
— |
| Ethylene Glycol (82693) |
— |
$169.05 |
— |
| Euglobulin lysis (85360) |
— |
$166.55 |
— |
| Exam Synovial Fluid Crystals (89060) |
— |
$45.20 |
— |
| F2 Gene (81240) |
— |
$310.85 |
— |
| Factor ii activity (85210) |
— |
$137.15 |
— |
| Factor Inhibitor Test (85335) |
— |
$195.95 |
— |
| Factor ix activity (85250) |
— |
$318.35 |
— |
| Factor v activity (85220) |
— |
$293.85 |
— |
| Factor v leiden mutation (81241) |
— |
$386.05 |
— |
| Factor vii assay (85230) |
— |
$293.85 |
— |
| Factor viii assay (85240) |
— |
$318.35 |
— |
| Factor X (85260) |
— |
$318.35 |
— |
| Factor xi activity (85270) |
— |
$313.40 |
— |
| Factor xiii screen (85291) |
— |
$195.95 |
— |
| Fat differential, feces, quantitative Facility (82715) |
— |
$90.25 |
— |
| Fat stain feces urine/respir secretions (89125) |
— |
$60.55 |
— |
| Fat/Lipids Feces Quantitative (82710) |
— |
$176.25 |
— |
| Fatty acids free (82725) |
— |
$84.05 |
— |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) |
— |
$244.85 |
— |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
— |
$244.85 |
— |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) |
— |
$318.35 |
— |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) |
— |
$220.40 |
— |
| Fecal Fat Qualitative (82705) |
— |
$79.10 |
— |
| Ferritin (82728) |
— |
$133.10 |
— |
| Fetal Chrmoml Aneuploidy (81420) |
— |
$2,026.95 |
— |
| Fetal Fibronectin (82731) |
— |
$390.65 |
— |
| Fetal hemoglobin assay qual (83033) |
— |
$57.55 |
— |
| Fetal lung maturity assessment; foam stability test Facility (83662) |
— |
$119.50 |
— |
| Fetal Lung Maturity Fluorescence Polarization (83663) |
— |
$119.50 |
— |
| Fetal screen rosette (85461) |
— |
$117.55 |
— |
| Fibrin degradation products (85362) |
— |
$137.15 |
— |
| Fibrin Degradation Quant (85379) |
— |
$171.40 |
— |
| Fibrin dgradj products d-dimer qual/semiquan (85378) |
— |
$137.15 |
— |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) |
— |
$171.40 |
— |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) |
— |
$181.15 |
— |
| Fibrinogen activity (85384) |
— |
$122.45 |
— |
| Fibrinogen antigen (85385) |
— |
$142.05 |
— |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
— |
$33.55 |
— |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) |
— |
$220.40 |
— |
| Flt3 Gene (81245) |
— |
$768.30 |
— |
| Fluorescent antibody screen (86255) |
— |
$76.10 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$76.10 |
— |
| Fluoride serum (82735) |
— |
$147.45 |
— |
| Folic acid rbc (82747) |
— |
$176.25 |
— |
| Folic Acid Serum (82746) |
— |
$147.45 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$179.80 |
— |
| Forensic Cytopathology (88125) |
— |
$171.30 |
— |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) |
— |
$280.50 |
— |
| Francisella tularensis (86668) |
— |
$123.75 |
— |
| Fresh Frozen Plasma Thawing Each Unit (86927) |
— |
$496.60 |
— |
| Frozen Blood Each Unit Freezing (86930) |
— |
$343.80 |
— |
| Frozen Blood Each Unit Thawing (86931) |
— |
$283.60 |
— |
| Frozen blood freeze/thaw (86932) |
— |
$291.75 |
— |
| Fungi Identification Mold (87107) |
— |
$79.15 |
— |
| Fungi Identification Yeast (87106) |
— |
$79.15 |
— |
| Galactokinase rbc (82759) |
— |
$136.65 |
— |
| Galactose (82760) |
— |
$86.30 |
— |
| Galactose transferase test (82776) |
— |
$52.95 |
— |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) |
— |
$133.10 |
— |
| Galectin-3 (82777) |
— |
$138.95 |
— |
| Gammaglobulin ige (82785) |
— |
$147.45 |
— |
| Gardner vag DNA dir probe (87510) |
— |
$146.65 |
— |
| Gardner Vag Dna Quant (87512) |
— |
$263.75 |
— |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
— |
$93.50 |
— |
| Gases blood ph only (82800) |
— |
$75.50 |
— |
| Gastric Analy W/Ph Ea Spec (82930) |
— |
$61.10 |
— |
| Gastrin (82941) |
— |
$169.05 |
— |
| Gastrin after secretin stim (82938) |
— |
$190.60 |
— |
| Genet Virus Isolate Hsv (87255) |
— |
$213.95 |
— |
| Gentamicin (80170) |
— |
$224.55 |
— |
| Ggt (82977) |
— |
$45.45 |
— |
| Gh suppression panel (80430) |
— |
$583.75 |
— |
| Giardia antigen (87329) |
— |
$93.80 |
— |
| Giardia lamblia antibody (86674) |
— |
$137.55 |
— |
| Gluc-6-phosphate dehydrogenase screen (82960) |
— |
$68.35 |
— |
| Glucagon (82943) |
— |
$194.20 |
— |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) |
— |
$381.65 |
— |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) |
— |
$381.65 |
— |
| Glucagon tolerance test Facility (82946) |
— |
$104.30 |
— |
| Glucose 2 hr pp (82950) |
— |
$61.10 |
— |
| Glucose Blood Test (82962) |
— |
$35.95 |
— |
| Glucose body fluid (82945) |
— |
$118.70 |
— |
| Glucose Serum (82947) |
— |
$46.70 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$129.45 |
— |
| Glucosidase beta (82963) |
— |
$161.85 |
— |
| Glutamate dehydrogenase Facility (82965) |
— |
$50.35 |
— |
| Glutathione (82978) |
— |
$118.70 |
— |
| Glutathione reductase, RBC Facility (82979) |
— |
$104.30 |
— |
| Glycated Protein (82985) |
— |
$95.20 |
— |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) |
— |
$136.65 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$82.75 |
— |
| Gonadotropin releasing hormone (83727) |
— |
$197.80 |
— |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) |
— |
$1,055.25 |
— |
| Growth hormone (83003) |
— |
$172.65 |
— |
| Growth hormone antibody (86277) |
— |
$127.20 |
— |
| Growth Hormone Stimulation Panel (80428) |
— |
$583.75 |
— |
| Gtt-added samples (82952) |
— |
$39.60 |
— |
| H Pylori (C-13) Breath (83013) |
— |
$426 |
— |
| H Pylori Drug Admin (83014) |
— |
$426 |
— |
| Haloperidol (80173) |
— |
$197.55 |
— |
| Haptoglobin (83010) |
— |
$133.10 |
— |
| Haptoglobin; phenotypes Facility (83012) |
— |
$161.85 |
— |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) |
— |
$1,264.15 |
— |
| Hdl Cholesterol (83718) |
— |
$68.35 |
— |
| Heavy metal qualitative any analytes (83015) |
— |
$208.60 |
— |
| Heinz Bodies Direct (85441) |
— |
$97.95 |
— |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) |
— |
$83.20 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$93.80 |
— |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) |
— |
$426 |
— |
| Helminth Antibody (86682) |
— |
$171.90 |
— |
| Hemagglutination Inhibition (86280) |
— |
$99.70 |
— |
| Hematocrit (85014) |
— |
$44.10 |
— |
| Hemoglobin (85018) |
— |
$44.10 |
— |
| Hemoglobin a1c (83036) |
— |
$97.10 |
— |
| Hemoglobin Chromotography (83021) |
— |
$161.85 |
— |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) |
— |
$25.20 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$125.90 |
— |
| Hemoglobin F Fetal Chemical (83030) |
— |
$79.10 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$61.10 |
— |
| Hemoglobin plasma (83051) |
— |
$61.10 |
— |
| Hemoglobin stability screen (83068) |
— |
$61.10 |
— |
| Hemoglobin Thermolabile (83065) |
— |
$71.90 |
— |
| Hemoglobin urine (83069) |
— |
$43.15 |
— |
| Hemoglobin-Oxygen Affinity (82820) |
— |
$111.50 |
— |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) |
— |
$86.30 |
— |
| Hemoglobin; methemoglobin, qualitative Facility (83045) |
— |
$46.70 |
— |
| Hemolysin Acid (85475) |
— |
$176.35 |
— |
| Hemolysins&Agglutinins Auto Screen Each (86940) |
— |
$61.35 |
— |
| Hemolysins&Agglutinins Incubated (86941) |
— |
$82.15 |
— |
| Hemosiderin urine (83070) |
— |
$50.35 |
— |
| Hep a ab igm (86709) |
— |
$120.35 |
— |
| Heparin assay (85520) |
— |
$225.25 |
— |
| Heparin Neutralization (85525) |
— |
$181.15 |
— |
| Heparin-Protamine Tolerance Tst (85530) |
— |
$171.40 |
— |
| Hepatitis a antibody total (86708) |
— |
$127.20 |
— |
| Hepatitis b core ab igm (86705) |
— |
$130.60 |
— |
| Hepatitis b core ab total (86704) |
— |
$120.35 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$106.55 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$93.80 |
— |
| Hepatitis Be Antibody (86707) |
— |
$116.85 |
— |
| Hepatitis Be Antigen (87350) |
— |
$99.65 |
— |
| Hepatitis C Antibody (86803) |
— |
$168.45 |
— |
| Hepatitis c antibody confirmatory test (86804) |
— |
$268.15 |
— |
| Hepatitis C Genotype (87902) |
— |
$926.10 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$328.45 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$328.45 |
— |
| Hepatitis delta ag (87380) |
— |
$132 |
— |
| Hepatitis Delta Agent Antibody (86692) |
— |
$182.20 |
— |
| Hepatitis G Dna Quant (87527) |
— |
$263.85 |
— |
| Herpes simplex type 2 (86696) |
— |
$151.25 |
— |
| Heterophile antibodies titer (86309) |
— |
$85.95 |
— |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) |
— |
$89.40 |
— |
| Heterophile Antibody Screen (86308) |
— |
$61.90 |
— |
| Hfe Gene (81256) |
— |
$412.85 |
— |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) |
— |
$142.05 |
— |
| Histamine urine (83088) |
— |
$244.60 |
— |
| Histoplasma antibody (86698) |
— |
$137.55 |
— |
| Histoplasma antigen urine (87385) |
— |
$93.80 |
— |
| Hiv Genotype (87901) |
— |
$1,626.30 |
— |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
— |
$169 |
— |
| Hiv-1 Antibody (86701) |
— |
$116.85 |
— |
| HIV-1 p24 antigen (87390) |
— |
$146.65 |
— |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
— |
$537.50 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$263.85 |
— |
| Hla class i semiquant panel (86834) |
— |
$3,197.45 |
— |
| Hla Class I Typing High Resolution Complete (81379) |
— |
$2,118.65 |
— |
| Hla Class I Typing High Resolution One Locus Ea (81380) |
— |
$1,119.70 |
— |
| Hla Class I Typing Low Resolution Complete (81372) |
— |
$1,395.45 |
— |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
— |
$703.50 |
— |
| Hla class i&ii antibody qual (86828) |
— |
$385.05 |
— |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) |
— |
$2,540.25 |
— |
| Hla class i/ii antibody qual (86829) |
— |
$292.75 |
— |
| Hla class ii high defin qual (86833) |
— |
$1,031.40 |
— |
| Hla class ii typing high resolution one locus ea (81382) |
— |
$781.30 |
— |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) |
— |
$342.65 |
— |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) |
— |
$114.60 |
— |
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 2 matching MRF lines |
— |
$459.60–$467.45 |
— |
| Hla I Typing 1 Allele Hr (81381) |
— |
$597.45 |
— |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) |
— |
$2,183 |
— |
| Hla i&li low resolution hla-a -b&-drb1 (81371) |
— |
$1,520.45 |
— |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
— |
$1,394.50 |
— |
| Hla ii type 1 ag equiv lr (81377) |
— |
$579.95 |
— |
| Hla ii typing 1 allele hr (81383) |
— |
$689.35 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$772.05 |
— |
| Hla Typing a/B/C Multiple Antigens (86813) |
— |
$378.20 |
— |
| Hla Typing Dr/Dq Multiple Antigens (86817) |
— |
$790.75 |
— |
| Hla Typing Dr/Dq Single Antigen (86816) |
— |
$292.20 |
— |
| Hla-b27 (86812) |
— |
$216.55 |
— |
| Homocysteine (83090) |
— |
$136.65 |
— |
| Homogenization Tissue (87176) |
— |
$52.75 |
— |
| Homovanillic acid urine (83150) |
— |
$143.85 |
— |
| Hsv Dna Amp Probe (87529) |
— |
$263.85 |
— |
| Hsv Dna Quant (87530) |
— |
$270.60 |
— |
| Htlv-I Antibody (86687) |
— |
$137.55 |
— |
| Htlv-ii antibody (86688) |
— |
$130.60 |
— |
| Human Epididymis Protein 4 (86305) |
— |
$132 |
— |
| Hydroxycorticosteroids 17 (83491) |
— |
$197.80 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$230.20 |
— |
| Hydroxyproline free (83500) |
— |
$176.25 |
— |
| Hydroxyproline total (83505) |
— |
$233.80 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$86.85 |
— |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) |
— |
$93.80 |
— |
| Iaad Ia Cytomegalovirus (87332) |
— |
$93.80 |
— |
| Iaad Ia Entamoeba Histolytica Grp (87337) |
— |
$93.80 |
— |
| Iaad Ia Escherichia Coli 0157 (87335) |
— |
$93.80 |
— |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
— |
$93.80 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$93.80 |
— |
| Iaad ia shiga-like toxin (87427) |
— |
$93.80 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$75.75 |
— |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) |
— |
$117.30 |
— |
| Iaadi giardia (87269) |
— |
$117.30 |
— |
| Iaadi herpes smplx virus type 1 (87274) |
— |
$117.30 |
— |
| Iaadi herpes smplx virus type 2 (87273) |
— |
$117.30 |
— |
| Iaadi inffluenza a virus (87276) |
— |
$117.30 |
— |
| Iaadi not otherwise specified each organism (87299) |
— |
$129 |
— |
| Iaadi parainfluenza virus each type (87279) |
— |
$117.30 |
— |
| Iaadi pneumocustis carinii (87281) |
— |
$117.30 |
— |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) |
— |
$93.80 |
— |
| Iaadi respiratory synctial virus (87280) |
— |
$117.30 |
— |
| Iaadi Varicella Zoster Virus (87290) |
— |
$117.30 |
— |
| Iaadiadoo trichomonas vaginalis (87808) |
— |
$117.30 |
— |
Iadna Bartonella Amplified Probe Technique (87471)
range across 3 matching MRF lines |
— |
$126.70–$263.85 |
— |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) |
— |
$307.85 |
— |
| Iadna Candida Species Amplified Probe Tq (87481) |
— |
$234.55 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$234.55 |
— |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
— |
$146.65 |
— |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) |
— |
$252.20 |
— |
| Iadna Cytomegalovirus Direct Probe Tq (87495) |
— |
$219.85 |
— |
| Iadna Cytomegalovirus Quantification (87497) |
— |
$439.85 |
— |
| Iadna hepatitis b virus amplified probe tq (87516) |
— |
$328.45 |
— |
Iadna Hepatitis B Virus Quantification (87517)
range across 3 matching MRF lines |
— |
$175.85–$357.75 |
— |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) |
— |
$263.85 |
— |
| Iadna Herpes Virus-6 Quantification (87533) |
— |
$263.85 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$263.85 |
— |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) |
— |
$293.20 |
— |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) |
— |
$234.55 |
— |
| Iadna Multiple Organisms Direct Probe Tq (87800) |
— |
$253.50 |
— |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) |
— |
$126.70 |
— |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
— |
$234.55 |
— |
| Iadna Mycobacteria Species Direct Probe Tq (87550) |
— |
$126.70 |
— |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) |
— |
$263.85 |
— |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) |
— |
$146.65 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$263.85 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$234.55 |
— |
| Iadna Nos Direct Probe Tq Each Organism (87797) |
— |
$126.70 |
— |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) |
— |
$810.45 |
— |
| Igg subclasses (82787) |
— |
$323.70 |
— |
| Igh gene rearrange amp meth (81261) |
— |
$1,250.70 |
— |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) |
— |
$275.75 |
— |
| Igh@ Variable Region Somatic Mutation Analysis (81263) |
— |
$1,860.45 |
— |
| Igk rearrangeabn clonal pop (81264) |
— |
$943.30 |
— |
| Immune Complex Assay (86332) |
— |
$189.05 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$185.35 |
— |
| Immunoassay analyte qual/semiqual single step (83518) |
— |
$71.90 |
— |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
— |
$161.85 |
— |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) |
— |
$171.90 |
— |
| Immunoassay infectious agent (86318) |
— |
$82.55 |
— |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
— |
$94.70 |
— |
| Immunoassay nonantibody (83516) |
— |
$107.90 |
— |
| Immunodiffusion not elsewhere specified (86329) |
— |
$140.95 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$140.95 |
— |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
— |
$178.75 |
— |
| Immunoelectrophoresis Serum (86320) |
— |
$209.70 |
— |
| Immunofixation electrophoresis (86334) |
— |
$148.50 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) |
— |
$137.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
— |
$140.75 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) |
— |
$132 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) |
— |
$270.60 |
— |
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475)
range across 3 matching MRF lines |
— |
$146.65–$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) |
— |
$132 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) |
— |
$220.80 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) |
— |
$234.55 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) |
— |
$175.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) |
— |
$263.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) |
— |
$263.75 |
— |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) |
— |
$324.20 |
— |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) |
— |
$322.50 |
— |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) |
— |
$146.65 |
— |
| Influenza a/b ag eia (87400) |
— |
$93.80 |
— |
| Influenza assay w/optic (87804) |
— |
$102.65 |
— |
| Influenza DNA amp probe (87502) |
— |
$146 |
— |
| Inhibin A (86336) |
— |
$171.90 |
— |
| Inhibin b (83520) |
— |
$122.25 |
— |
| Insitu hybridization auto (88367) |
— |
$437.60 |
— |
| Insulin antibodies (86337) |
— |
$216.55 |
— |
| Insulin free (83527) |
— |
$154.65 |
— |
| Insulin tolerance panel growth horm defncy (80435) |
— |
$763.35 |
— |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) |
— |
$718.45 |
— |
| Insulin total (83525) |
— |
$136.65 |
— |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) |
— |
$1,145.05 |
— |
| Intrinsic factor (stomach protein) level (83528) |
— |
$179.80 |
— |
| Intrinsic factor antibody (86340) |
— |
$140.95 |
— |
| Iron (83540) |
— |
$40.90 |
— |
| Iron Binding Capacity (83550) |
— |
$61.10 |
— |
| Iron stain peripheral blood (85536) |
— |
$93.05 |
— |
| Irradiation Blood Product Each Unit (86945) |
— |
$85.70 |
— |
| Islet cell antibody (86341) |
— |
$124.95 |
— |
| Isocitric dehydrogenase (IDH) Facility (83570) |
— |
$93.50 |
— |
| Jak2 gene analysis p.val617phe variant (81270) |
— |
$579.05 |
— |
| Ketosteroids 17 total (83586) |
— |
$143.85 |
— |
| Koh Prep (87220) |
— |
$44 |
— |
| Kras Gene Variants Exon 2 (81275) |
— |
$914.40 |
— |
| L/s ratio (83661) |
— |
$309.25 |
— |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$39.60 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$123.95 |
— |
| Lactoferrin Fecal Quantitative (83631) |
— |
$123.95 |
— |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) |
— |
$230.20 |
— |
Lactose urine qual (83633)
range across 3 matching MRF lines |
— |
$53.95–$86.30 |
— |
| Lamellar Body Count (83664) |
— |
$119.50 |
— |
| Ldh Isoenzymes (83625) |
— |
$133.10 |
— |
| LDL direct (83721) |
— |
$71.90 |
— |
| Lead (83655) |
— |
$89.90 |
— |
| Legionella antibody (86713) |
— |
$137.55 |
— |
| Legionella antigen urine (87449) |
— |
$93.80 |
— |
| Legionella DNA probe (87540) |
— |
$126.70 |
— |
Legionella pneumophila dfa (87278)
range across 3 matching MRF lines |
— |
$102.65–$117.30 |
— |
| Leptospira antibody (86720) |
— |
$113.45 |
— |
| Leucine Aminopeptidase Lap (83670) |
— |
$140.20 |
— |
| Leukocyte Assessment Fecal (89055) |
— |
$53.80 |
— |
| Leukocyte Histamine Release (86343) |
— |
$161.55 |
— |
| Leukocyte phagocytosis (86344) |
— |
$154.70 |
— |
| Leukocyte transfusion (86950) |
— |
$223.45 |
— |
| Lidocaine (80176) |
— |
$152.65 |
— |
| Lipase (83690) |
— |
$79.10 |
— |
| Lipoprotein A (83695) |
— |
$82.75 |
— |
| Lipoprotein Bld Quan Part (83704) |
— |
$169.05 |
— |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) |
— |
$111.50 |
— |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) |
— |
$151.05 |
— |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) |
— |
$82.75 |
— |
| Lipoprotein-Associated Phospholipase A2 (83698) |
— |
$214.40 |
— |
| Listeria Monocytogenes (86723) |
— |
$113.45 |
— |
| Lithium (80178) |
— |
$134.70 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$179.80 |
— |
| Lyme disease antibody (86618) |
— |
$171.90 |
— |
| Lymphocyte Culture Mixed (86821) |
— |
$584.50 |
— |
| Lymphocyte transformation (86353) |
— |
$601.95 |
— |
| Lymphocytotoxicity Assay (86805) |
— |
$412.55 |
— |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) |
— |
$412.55 |
— |
| Lysozyme serum (85549) |
— |
$220.40 |
— |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) |
— |
$263.85 |
— |
| Macroscopic exam arthropod (87168) |
— |
$44 |
— |
| Macroscopic Exam Parasite (87169) |
— |
$44 |
— |
| Magnesium Urine (83735) |
— |
$57.55 |
— |
| Malate dehydrogenase Facility (83775) |
— |
$82.75 |
— |
| Mass Spectrometry Quant (83789) |
— |
$161.85 |
— |
| Meat fibers, feces (89160) |
— |
$40.35 |
— |
| Mechanical fragility rbc (85547) |
— |
$102.85 |
— |
| Mercury urine (83825) |
— |
$151.05 |
— |
| Metabolic panel ionized ca (80047) |
— |
$107.80 |
— |
| Methemalbumin (83857) |
— |
$100.70 |
— |
| Methylmalonic acid serum (83921) |
— |
$143.85 |
— |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) |
— |
$740.95 |
— |
| Microalbumin, quantitative (82043) |
— |
$125.90 |
— |
| Microbe Suscept Macrobroth (87188) |
— |
$67.40 |
— |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) |
— |
$104.15 |
— |
| Microsatellite instability (81301) |
— |
$1,829.20 |
— |
| Microsomal Antibodies Each (86376) |
— |
$137.55 |
— |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) |
— |
$882.95 |
— |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
— |
$2,992.40 |
— |
| Mlh1 Gene Analysis Known Familial Variants (81293) |
— |
$1,199.55 |
— |
| Mononuclear cell antigen (86356) |
— |
$171.90 |
— |
| Mopath procedure level 2 (81401) |
— |
$1,388.05 |
— |
| Morphometric analysis nerve (88356) |
— |
$378.50 |
— |
| Mrsa Pcr (87641) |
— |
$234.55 |
— |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) |
— |
$702.50 |
— |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
— |
$702.50 |
— |
| Msh2 Gene Analysis Known Familial Variants (81296) |
— |
$599.75 |
— |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) |
— |
$748.65 |
— |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
— |
$1,332.80 |
— |
| Msh6 Gene Known Variants (81299) |
— |
$746.60 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$275.75 |
— |
| Mucin Clot Body Fluid (83872) |
— |
$64.75 |
— |
| Mucopolysaccharides acid quantitative (83864) |
— |
$187.05 |
— |
| Mumps antibody (86735) |
— |
$137.55 |
— |
| Mycobacteric Identification (87118) |
— |
$82.05 |
— |
| Mycophenolic Acid (80180) |
— |
$72.15 |
— |
| Mycoplasma antibody (86738) |
— |
$137.55 |
— |
| Mycoplasma culture (87109) |
— |
$161.30 |
— |
| Myelin basic protein csf (83873) |
— |
$179.80 |
— |
| Myoglobin urine (83874) |
— |
$129.45 |
— |
| Natriuretic peptide (83880) |
— |
$215.80 |
— |
| Neisseria Dir Na Probe (87590) |
— |
$126.70 |
— |
| Neutralization Test Viral (86382) |
— |
$223.50 |
— |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) |
— |
$131.20 |
— |
| Nfct Agent Genotype Hepatitis B Virus (87912) |
— |
$1,626.45 |
— |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) |
— |
$1,626.45 |
— |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) |
— |
$813.20 |
— |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
— |
$263.85 |
— |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
— |
$3,086.90 |
— |
| Niacin (84591) |
— |
$154.65 |
— |
| Nickel level (83885) |
— |
$154.75 |
— |
| Nitroblue Tetrazolium Dye (86384) |
— |
$171.90 |
— |
| Nk cells total count (86357) |
— |
$238.30 |
— |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
— |
$1,144.40 |
— |
| Nuclear antigen antibody (86235) |
— |
$130.60 |
— |
| Nzym actv blood cells/tiss radact substrate ea (82658) |
— |
$215.80 |
— |
| Occult blood feces (82272) |
— |
$32.35 |
— |
| Occult Blood Other Sources (82271) |
— |
$35.95 |
— |
| Oligoclonal bands (83916) |
— |
$197.80 |
— |
| Oncoprotein dcp (83951) |
— |
$575.45 |
— |
| Oncoprotein Her-2/Neu (83950) |
— |
$575.45 |
— |
| Organic Acids Qualitative Each Specimen (83919) |
— |
$161.85 |
— |
| Organic acids urine (83918) |
— |
$215.80 |
— |
| Osmolality serum (83930) |
— |
$68.35 |
— |
| Osmolality Urine (83935) |
— |
$89.90 |
— |
| Osmotic fragility rbc incubated (85557) |
— |
$235.10 |
— |
| Osmotic Fragility RBC Unincubated (85555) |
— |
$171.40 |
— |
| Osteocalcin (83937) |
— |
$269.80 |
— |
| Ova and parasites smears (87177) |
— |
$79.15 |
— |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) |
— |
$71.90 |
— |
| Oxalate urine (83945) |
— |
$107.90 |
— |
| Pancreatic Elastase Fecal (82656) |
— |
$72.90 |
— |
| Particle Agglut Antbdy Titr (86406) |
— |
$89.40 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$64.35 |
— |
| Parvovirus antibody (86747) |
— |
$161.55 |
— |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) |
— |
$431.05 |
— |
| Ph urine (81003) |
— |
$41.50 |
— |
| pH; exhaled breath condensate Facility (83987) |
— |
$81.90 |
— |
| Phenobarbital Level (80184) |
— |
$179.60 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$823.05 |
— |
| Phenylalanine (84030) |
— |
$57.55 |
— |
| Phenylketones qual (84035) |
— |
$41.30 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$202.05 |
— |
| Phenytoin free (80186) |
— |
$219.95 |
— |
| Phosphatase acid prostatic (84066) |
— |
$107.90 |
— |
| Phosphatase alkaline (84075) |
— |
$35.95 |
— |
| Phosphatidylglycerol (84081) |
— |
$222.95 |
— |
| Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) |
— |
$89.90 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$205.75 |
— |
| Phosphorus Serum (84100) |
— |
$29.55 |
— |
| Phosphorus urine (84105) |
— |
$57.55 |
— |
| Pinworm exam (87172) |
— |
$44 |
— |
| Platelet Aggregation (85576) |
— |
$149.90 |
— |
| Platelet Antibodies (86022) |
— |
$292.20 |
— |
| Platelet count automated (85049) |
— |
$58.75 |
— |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) |
— |
$1,309.65 |
— |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) |
— |
$1,997.55 |
— |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) |
— |
$1,026.35 |
— |
| Pms2 gene analysis known familial variants (81318) |
— |
$854.80 |
— |
| Pms2 gene full seq analysis (81317) |
— |
$3,617.70 |
— |
| Pooling blood platelets (86965) |
— |
$283.60 |
— |
| Porphobilinogen Urine Qualitative (84106) |
— |
$71.90 |
— |
| Porphobilinogen, urine; quantitative (84110) |
— |
$104.30 |
— |
Porphyrins Feces Quantitative (84126)
range across 2 matching MRF lines |
— |
$57.65–$190.60 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$169.05 |
— |
| Porphyrins, urine; qualitative (84119) |
— |
$93.50 |
— |
| Potassium Urine (84133) |
— |
$46.70 |
— |
| Pr assay of bradykinin (82286) |
— |
$287.75 |
— |
| Pr assay of etiocholanolone (82696) |
— |
$215.80 |
— |
| Prealbumin (84134) |
— |
$111.50 |
— |
| Pregnancy-Associated Plasma Protein-A (84163) |
— |
$94.90 |
— |
| Pregnanediol (84135) |
— |
$136.65 |
— |
| Pregnanetriol (84138) |
— |
$151.05 |
— |
| Pregnenolone (84140) |
— |
$190.60 |
— |
| Pretx serum rbc antibody identification dilution (86976) |
— |
$283.60 |
— |
| Primidone (80188) |
— |
$251.45 |
— |
| Procalcitonin (Pct) (84145) |
— |
$169 |
— |
Progesterone (84144)
range across 3 matching MRF lines |
— |
$179.80–$192.40 |
— |
| Prolactin (84146) |
— |
$179.80 |
— |
| Prostaglandin (84150) |
— |
$157.65 |
— |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) |
— |
$228.65 |
— |
| Protein body fluid (84157) |
— |
$46.70 |
— |
| Protein C Activity (85303) |
— |
$303.65 |
— |
| Protein c antigen (85302) |
— |
$269.35 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$136.65 |
— |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$129.45 |
— |
| Protein S Free (85306) |
— |
$318.35 |
— |
| Protein s total (85305) |
— |
$308.55 |
— |
| Protein test for diagnosis and monitoring of bladder cancer (86386) |
— |
$71.75 |
— |
| Protein Total Refractometry Any Src (84160) |
— |
$32.70 |
— |
| Protein total serum (84155) |
— |
$39.60 |
— |
| Protein Total Urine (84156) |
— |
$50.35 |
— |
| Protein Western Blot Test (84182) |
— |
$302.15 |
— |
| Protein, western blot tissue (88371) |
— |
$233.85 |
— |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
— |
$78.40 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$125.90 |
— |
| Protoporphyrin, RBC; screen Facility (84203) |
— |
$68.35 |
— |
| PSA free (84154) |
— |
$143.85 |
— |
| Pten Gene Analysis Duplication/Deletion Variant (81323) |
— |
$405.60 |
— |
| Pten Gene Analysis Full Sequence Analysis (81321) |
— |
$2,781.55 |
— |
| Pten gene analysis known familial variant (81322) |
— |
$270.40 |
— |
| Pth Intact (83970) |
— |
$327.30 |
— |
| Pyruvate kinase (84220) |
— |
$93.50 |
— |
| Q Fever Antibody (86638) |
— |
$130.60 |
— |
| Quantiferon tb gold plus (86480) |
— |
$391.55 |
— |
| Quantitative assay drug (80299) |
— |
$224.55 |
— |
| Quantitative Screen Metals (83018) |
— |
$208.60 |
— |
| Quinidine (80194) |
— |
$215.50 |
— |
| Quinine (84228) |
— |
$143.85 |
— |
| Rbc antibody screen (86850) |
— |
$71.75 |
— |
| Rbc serum pretx incubj drugs (86975) |
— |
$148.15 |
— |
| Reagent Strip/Blood Glucose (82948) |
— |
$35.95 |
— |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) |
— |
$330.65 |
— |
| Receptor assay estrogen (84233) |
— |
$390.65 |
— |
| Receptor assay progesterone (84234) |
— |
$387.20 |
— |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) |
— |
$833.60 |
— |
| Renin activity plasma (84244) |
— |
$248.15 |
— |
| Reptilase test (85635) |
— |
$156.70 |
— |
| Resp virus 12-25 targets (87633) |
— |
$2,632.85 |
— |
| Resp Virus 6-11 Targets (87632) |
— |
$1,348.30 |
— |
| Reticulated Platelet Assay (85055) |
— |
$114.60 |
— |
| Reticulocyte Count (85046) |
— |
$34.70 |
— |
| Reticulocyte Count Manual (85044) |
— |
$68.55 |
— |
| Reticulocyte separation (86972) |
— |
$148.15 |
— |
| Rh (86901) |
— |
$56.70 |
— |
| Rheumatoid Factor Qualitative (86430) |
— |
$65.30 |
— |
| Rheumatoid factor quant (86431) |
— |
$68.70 |
— |
| Rickettsia antibody (86757) |
— |
$137.55 |
— |
| Ristocetin cofactor (85245) |
— |
$264.50 |
— |
| Rotavirus ag eia (87425) |
— |
$93.80 |
— |
| Rpr qualitative (86592) |
— |
$48.15 |
— |
| Rsv ab (86756) |
— |
$137.55 |
— |
| Rsv Assay W/Optic (87807) |
— |
$117.30 |
— |
| Rubella Antibody (86762) |
— |
$90.95 |
— |
| Rubeola antibody (86765) |
— |
$144.35 |
— |
| Russell Viper Venom Time Diluted (85613) |
— |
$151.85 |
— |
| Russell Viper Venon Time Undiluted (85612) |
— |
$166.55 |
— |
| Salmonella antibody (86768) |
— |
$113.45 |
— |
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines |
— |
$231.50–$329.90 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$115.75 |
— |
| Sedimentation rate (85651) |
— |
$61.20 |
— |
| Sedimentation Rate, Automated (85652) |
— |
$58.75 |
— |
| Selenium (84255) |
— |
$161.85 |
— |
| Sensitivity mic (87186) |
— |
$67.40 |
— |
| Serpina 1 gene (81332) |
— |
$275.75 |
— |
| Serum Bactericidal Titer (87197) |
— |
$94.90 |
— |
| Sex Chromatin Identification Barr Bodies (88130) |
— |
$95.05 |
— |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) |
— |
$46.85 |
— |
| Sex Hormone Binding Globulin (84270) |
— |
$208.60 |
— |
| Shigella Antibody (86771) |
— |
$113.45 |
— |
| Sickling of rbc reduction (85660) |
— |
$75.90 |
— |
| Silica (84285) |
— |
$197.80 |
— |
| Sirolimus (80195) |
— |
$278.35 |
— |
| Skin Test Candida (86485) |
— |
$59 |
— |
| Skin test tuberculosis intradermal (86580) |
— |
$59 |
— |
| Skin test unlisted antigen each (86486) |
— |
$59 |
— |
| Skin test; histoplasmosis (86510) |
— |
$59 |
— |
| Smear acid fast (87206) |
— |
$52.75 |
— |
| Smear gram stain (87205) |
— |
$44 |
— |
| Smear Special Stain (87207) |
— |
$82.05 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$38.05 |
— |
| Sodium Serum (84295) |
— |
$35.95 |
— |
| Sodium Urine (84300) |
— |
$50.35 |
— |
| Soluble fibrin monomer (85366) |
— |
$146.90 |
— |
| Soluble Transferrin Receptor (84238) |
— |
$395.65 |
— |
| Somatomedin (84305) |
— |
$287.75 |
— |
| Somatostatin (84307) |
— |
$222.95 |
— |
| Special Stains Group 2 (88313) |
— |
$129.65 |
— |
| Specific gravity body fluid (84315) |
— |
$32.35 |
— |
| Specimen infect agnt concntj (87015) |
— |
$61.60 |
— |
| Spectrophotometry (84311) |
— |
$75.50 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$171.30 |
— |
| Staph a DNA amp probe (87640) |
— |
$234.55 |
— |
| Stem cells total count (86367) |
— |
$238.30 |
— |
| Stone Analysis (82355) |
— |
$111.50 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$82.05 |
— |
| Strep a assay w/optic (87880) |
— |
$102.65 |
— |
| Strep a DNA amp probe (87651) |
— |
$87.60 |
— |
| Strep b DNA amp probe (87653) |
— |
$234.55 |
— |
| Streptokinase, antibody Facility (86590) |
— |
$69.75 |
— |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) |
— |
$70.60 |
— |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) |
— |
$34.70 |
— |
| Sugars Multiple Quant (84379) |
— |
$70.60 |
— |
| Sugars Single Qual (84376) |
— |
$34.70 |
— |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) |
— |
$136.65 |
— |
| Sulfate urine (84392) |
— |
$144.70 |
— |
| Surgical pathology level IV (88305) |
— |
$187.55 |
— |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) |
— |
$44 |
— |
| Susceptibility Study Antimicrobial Disk Method (87184) |
— |
$58.65 |
— |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) |
— |
$67.40 |
— |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
— |
$46.90 |
— |
| Sweat Collection Iontophoresis (89230) |
— |
$171.30 |
— |
| Syphilis Test Non-Trep Quant (86593) |
— |
$48.15 |
— |
| T cells absolute cd4 count (86361) |
— |
$216.55 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$296.80 |
— |
| T cells total count (86359) |
— |
$238.30 |
— |
| T3 Free (84481) |
— |
$190.60 |
— |
| T3 reverse (84482) |
— |
$179.80 |
— |
| T3 Total (84480) |
— |
$143.85 |
— |
| T3 Uptake (84479) |
— |
$64.75 |
— |
| T4 Free (84439) |
— |
$100.70 |
— |
| T4 total (84436) |
— |
$57.55 |
— |
| T4-neonatal (84437) |
— |
$64.75 |
— |
| Tacrolimus (80197) |
— |
$278.35 |
— |
| Tb ag response t-cell susp (86481) |
— |
$473.30 |
— |
| Test for acetone/ketones (82009) |
— |
$53.95 |
— |
| Test for urine cystines (82615) |
— |
$107.90 |
— |
| Testosterone total (84403) |
— |
$163.05 |
— |
| Testosterone, Free (84402) |
— |
$201.45 |
— |
| Tetanus antibody (86774) |
— |
$154.70 |
— |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) |
— |
$143.75 |
— |
| Theophylline (80198) |
— |
$211 |
— |
| Thiocyanate (84430) |
— |
$115.10 |
— |
| Thrombin Time (85670) |
— |
$102.85 |
— |
| Thrombin time titer (85675) |
— |
$112.60 |
— |
| Thrombomodulin Facility (85337) |
— |
$235.10 |
— |
| Thromboplastin Inhibition Tissue (85705) |
— |
$195.95 |
— |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
— |
$107.80 |
— |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) |
— |
$104.15 |
— |
| Thyroglobulin (84432) |
— |
$165.40 |
— |
| Thyroglobulin Antibody (86800) |
— |
$147.85 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$438.80 |
— |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) |
— |
$426.60 |
— |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) |
— |
$449.05 |
— |
| Thyroxine binding globulin (84442) |
— |
$129.45 |
— |
| Tobramycin peak (80200) |
— |
$224.55 |
— |
| Topiramate (80201) |
— |
$219.95 |
— |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
— |
$132 |
— |
| Toxoplasma ab igm (86778) |
— |
$147.85 |
— |
| Toxoplasma antibody (86777) |
— |
$113.45 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$39.60 |
— |
| Transferrin (84466) |
— |
$136.65 |
— |
| Trb@ gene rearrange dirprobe (81341) |
— |
$313.25 |
— |
| Trb@ Rearrangement Anal Amplification Method (81340) |
— |
$1,319.80 |
— |
| Trg gene rearrangement anal (81342) |
— |
$1,272.95 |
— |
| Trichinella Antibody (86784) |
— |
$123.75 |
— |
| Trichomonas vagin dir probe (87660) |
— |
$126.70 |
— |
| Trichomonas Vaginalis Amplif (87661) |
— |
$221.05 |
— |
| Triglycerides (84478) |
— |
$39.60 |
— |
| Troponin Quant (84484) |
— |
$107.65 |
— |
| Troponin, qualitative (84512) |
— |
$48.60 |
— |
| Trypsin feces qual (84488) |
— |
$107.90 |
— |
| Unlisted Cytogenetic Study (88299) |
— |
$92.60 |
— |
| Unlisted miscellaneous pathology test (89240) |
— |
$92.60 |
— |
| Unlisted Transfusion Medicine Procedure (86999) |
— |
$56.70 |
— |
| Urea Nitrogen Clearance (84545) |
— |
$75.50 |
— |
| Urea nitrogen urine (84540) |
— |
$61.10 |
— |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) |
— |
$43.15 |
— |
| Uric acid other source (84560) |
— |
$57.55 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$39.35 |
— |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) |
— |
$39.35 |
— |
| Urinalysis Volume Measure (81050) |
— |
$39.35 |
— |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) |
— |
$48.10 |
— |
| Urine Albumin Semiquantitative (82044) |
— |
$61.10 |
— |
| Urine Bacteria Culture (87088) |
— |
$70.35 |
— |
| Urine Pregnancy Test (81025) |
— |
$74.30 |
— |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) |
— |
$50.30 |
— |
| Urobilinogen urine qual (84578) |
— |
$43.15 |
— |
| Urobilinogen, feces, quantitative Facility (84577) |
— |
$78.80 |
— |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
— |
$64.75 |
— |
| Urobilinogen, urine; semiquantitative Facility (84583) |
— |
$43.15 |
— |
| Valproic acid (80164) |
— |
$211 |
— |
| Vancomycin (80202) |
— |
$202.05 |
— |
| Varicella-zoster antibody (86787) |
— |
$140.95 |
— |
| Vasopressin (84588) |
— |
$287.75 |
— |
| Very Long Chain Fatty Acids (82726) |
— |
$72.90 |
— |
| Viral Culture (87252) |
— |
$164.65 |
— |
| Virus antibody nos (86790) |
— |
$137.55 |
— |
| Virus inoculate tissue addl (87253) |
— |
$146.65 |
— |
| Virus inoculation, shell via (87254) |
— |
$146.65 |
— |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) |
— |
$146.65 |
— |
| Viscosity serum (85810) |
— |
$122.45 |
— |
| Vit D 1 25-Dihydroxy (82652) |
— |
$287.75 |
— |
| Vitamin A (84590) |
— |
$161.85 |
— |
| Vitamin b-12 (82607) |
— |
$143.85 |
— |
| Vitamin B2 (Riboflavin) (84252) |
— |
$161.85 |
— |
| Vitamin B6 (84207) |
— |
$269.80 |
— |
| Vitamin c (82180) |
— |
$115.10 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$269.80 |
— |
| Vitamin E (84446) |
— |
$115.10 |
— |
| Vitamin K (84597) |
— |
$208.60 |
— |
| Volatiles (84600) |
— |
$111.50 |
— |
| Volume Reduction Blood/Blood Product Each Unit (86960) |
— |
$202.60 |
— |
| Von willebrand factor ag (85246) |
— |
$391.80 |
— |
| Wbc Alkaline Phosphatase Count (85540) |
— |
$132.25 |
— |
| West nile virus ab igm (86788) |
— |
$147.85 |
— |
| West Nile Virus Antibody (86789) |
— |
$147.85 |
— |
| Western Blot Test (84181) |
— |
$187.05 |
— |
| Xm Archive Tissue Molec Anal (88363) |
— |
$92.60 |
— |
| Xylose Absorption Test (84620) |
— |
$147.45 |
— |
| Zinc (84630) |
— |
$136.65 |
— |