| 17 Hydroxyprogesterone (83498) |
— |
$230.20 |
— |
| 17-Hydroxypregnenolone (84143) |
— |
$222.95 |
— |
| 5-Hiaa (83497) |
— |
$158.25 |
— |
| Acetone serum qual (82009) |
— |
$53.95 |
— |
| Acetone, quantitative (82010) |
— |
$86.30 |
— |
| Acetylcholinesterase (82013) |
— |
$136.65 |
— |
| Acth (82024) |
— |
$323.70 |
— |
| Acth stim adrenal insuff (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 |
— |
| Activated protein c resistance (85307) |
— |
$279.15 |
— |
| Acute hepatitis panel (80074) |
— |
$764.25 |
— |
| Acylcarnitines quantitative (82017) |
— |
$176.25 |
— |
| Acylcarnitines; qualitative, each specimen Other Outpatient (82016) |
— |
$115.10 |
— |
| Adenovirus ag if (87260) |
— |
$117.30 |
— |
| Adenovirus antibody (86603) |
— |
$120.35 |
— |
| Afb concentration (87015) |
— |
$61.60 |
— |
| Afb culture (87116) |
— |
$88 |
— |
| Afb smear (87206) |
— |
$52.75 |
— |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
— |
$390.65 |
— |
| Albumin body fluid (82042) |
— |
$57.55 |
— |
| Albumin serum (82040) |
— |
$35.95 |
— |
| Albumin; ischemia modified Other Outpatient (82045) |
— |
$214.15 |
— |
| Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) |
— |
$61.10 |
— |
| Aldolase (82085) |
— |
$100.70 |
— |
| Aldosterone (82088) |
— |
$287.75 |
— |
| Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone… (80408) |
— |
$792.80 |
— |
| Alkaline phosphatase (84075) |
— |
$35.95 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$180.65 |
— |
| Allergen profile perennial allergen (86003) |
— |
$37.80 |
— |
| Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient (86005) |
— |
$137.55 |
— |
| Alpha 2 antiplasmin (85410) |
— |
$244.85 |
— |
| Alpha-1-antitrypsin (82103) |
— |
$143.85 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$205 |
— |
| Alpha-fetoprotein amniotic (82106) |
— |
$169.05 |
— |
| Alpha-fetoprotein serum (82105) |
— |
$169 |
— |
| Alt (84460) |
— |
$39.60 |
— |
| Aluminum (82108) |
— |
$208.60 |
— |
| Amikacin level (80150) |
— |
$215.50 |
— |
| Amines, vaginal fluid, qualitative Other Outpatient (82120) |
— |
$88 |
— |
| Amino acid screen urine (82128) |
— |
$89.90 |
— |
| Amino acids quant 2-5 (82136) |
— |
$3,817.55 |
— |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
— |
$122.25 |
— |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) |
— |
$87.50 |
— |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
— |
$460.40 |
— |
| Aminolevulinic acid delta (82135) |
— |
$154.65 |
— |
| Ammonia (82140) |
— |
$89.90 |
— |
| Amniotic fluid scan (82143) |
— |
$136.65 |
— |
| Amylase (82150) |
— |
$61.10 |
— |
| Ana (86038) |
— |
$120.35 |
— |
| Ana titer (86039) |
— |
$120.35 |
— |
| Analysis for antibody to Borrelia (relapsing fever bacteria) (86619) |
— |
$137.55 |
— |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
— |
$158.15 |
— |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
— |
$158.15 |
— |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
— |
$178.75 |
— |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
— |
$171.90 |
— |
| Analysis for antibody to Human T-cell lymphotropic virus, type 2 (HTLV-2) (86688) |
— |
$130.60 |
— |
| Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) |
— |
$123.75 |
— |
| Analysis for antibody to Neisseria meningitidis (bacterial meningitis) (86741) |
— |
$137.55 |
— |
| Analysis for antibody to respiratory syncytial virus (RSV) (86756) |
— |
$137.55 |
— |
| Analysis skeletal muscle (88355) |
— |
$841.55 |
— |
| Androstanediol glucuronide (82154) |
— |
$240.90 |
— |
| Androstenedione (82157) |
— |
$222.95 |
— |
| Androsterone Other Outpatient (82160) |
— |
$215.80 |
— |
| Angiotensin converting enzyme (82164) |
— |
$179.80 |
— |
| Angiotensin II Other Outpatient (82163) |
— |
$215.80 |
— |
| Animal inoculation, small animal, with observation and dissection Other Outpatient (87003) |
— |
$100.05 |
— |
| Anti-DNA (single-stranded) antibodies, quantitative, igg labcorp slc 161422 (86226) |
— |
$130.60 |
— |
| Anti-mitochondrial antibody (86255) |
— |
$76.10 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$101.85 |
— |
| Antibody identification platelet antibodies (86022) |
— |
$292.20 |
— |
| Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) |
— |
$189.05 |
— |
| Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry);… (86828) |
— |
$385.05 |
— |
| Antibody west nile virus igm (86788) |
— |
$147.85 |
— |
| Antibody; Helicobacter pylori (86677) |
— |
$171.90 |
— |
| Antibody; mucormycosis Other Outpatient (86732) |
— |
$151.25 |
— |
| Antibody; Shigella Other Outpatient (86771) |
— |
$113.45 |
— |
| Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) |
— |
$56.70 |
— |
| Antinomyces antibody - hypersensitivity pnuemonitis profile (86602) |
— |
$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 each (82172) |
— |
$118.70 |
— |
| Arsenic (82175) |
— |
$179.80 |
— |
| Aspergillus antibody (86606) |
— |
$120.35 |
— |
| Aspergillus antigen (87305) |
— |
$93.80 |
— |
| Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) |
— |
$143.85 |
— |
| Assay myeloperoxidase (83876) |
— |
$214.40 |
— |
| Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) |
— |
$197.80 |
— |
| Assay of corticosterone (82528) |
— |
$197.80 |
— |
| Assay of feces porphyrins (84126) |
— |
$124.12 |
— |
| Assay of fluoride (82735) |
— |
$147.45 |
— |
| Assay of nickel (83885) |
— |
$154.75 |
— |
| Assay of porphobilinogen urine qual - porphobilinogen screen (84106) |
— |
$71.90 |
— |
| Assay of pregnanetriol - pregnanetriol, urine (84138) |
— |
$151.05 |
— |
| Assay of procainamide (80190) |
— |
$251.45 |
— |
| Assay of sialic acid - lipid associated sialic acid (lasa) (84275) |
— |
$125.90 |
— |
| Assay of transcortin arup to esoterix endocrinology 500080 (84449) |
— |
$179.80 |
— |
| Assay of vitamin b-2 (84252) |
— |
$161.85 |
— |
| Assay of vitamin not otherwise specified (84591) |
— |
$154.65 |
— |
| Assay, blood catecholamines - catecholamines, total (82383) |
— |
$197.80 |
— |
| Assay, free hydroxyproline - hydroxyproline, free (83500) |
— |
$176.25 |
— |
| Ast (84450) |
— |
$39.60 |
— |
| Atomic absorption spectroscopy, each analyte Other Outpatient (82190) |
— |
$215.80 |
— |
| Autologous blood or component, collection processing and storage; intra- or postoperative salvage (86891) |
— |
$412.10 |
— |
| Autologous blood or component, collection processing and storage; predeposited (86890) |
— |
$291.75 |
— |
| B cells total count (86355) |
— |
$238.30 |
— |
| Bacterium antibody (86609) |
— |
$154.70 |
— |
| Bartonella antibody (86611) |
— |
$154.70 |
— |
| Basic metabolic panel calcium ionized (80047) |
— |
$107.80 |
— |
| Bcr/abl 1 gene other bp (81208) |
— |
$1,016.10 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$1,035.75 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$914.90 |
— |
| Beta 2 glycoprotein i antibody (86146) |
— |
$223.50 |
— |
| Beta lactamase (87185) |
— |
$49.80 |
— |
| Beta-2 microglobulin (82232) |
— |
$197.80 |
— |
| Bile acids total (82239) |
— |
$122.25 |
— |
| Bile acids, cholylglycine - 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 Other Outpatient (82252) |
— |
$39.60 |
— |
| Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) |
— |
$44 |
— |
| Biotinidase (82261) |
— |
$39.60 |
— |
| Blastomyces antibody (86612) |
— |
$151.25 |
— |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
— |
$48.95 |
— |
| Bleeding time (85002) |
— |
$97.95 |
— |
| BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Other Outpatient (81209) |
— |
$231.50 |
— |
| Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated… (86079) |
— |
$92.60 |
— |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
— |
$92.60 |
— |
| Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease,… (86078) |
— |
$288.20 |
— |
| Blood clot lysis time (85175) |
— |
$107.80 |
— |
| Blood count leukocyte wbc automated (85048) |
— |
$58.75 |
— |
| Blood count reticulocyte automated (85045) |
— |
$73.50 |
— |
| Blood count; automated differential WBC count Other Outpatient (85004) |
— |
$63.70 |
— |
| Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Other Outpatient (85032) |
— |
$68.55 |
— |
| Blood count; manual differential WBC count, buffy coat Other Outpatient (85009) |
— |
$58.75 |
— |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
— |
$58.75 |
— |
| Blood gases any combination (82803) |
— |
$165.40 |
— |
| Blood gases ph only (82800) |
— |
$75.50 |
— |
| Blood gases w/o2 saturation (82805) |
— |
$165.40 |
— |
| Blood typing rbc antigens (86905) |
— |
$71.75 |
— |
| Blood typing serologic abo (86900) |
— |
$56.70 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$56.70 |
— |
| Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient (86904) |
— |
$64.85 |
— |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
— |
$148.15 |
— |
| Blood unit compatibility test, incubation technique (86921) |
— |
$92.60 |
— |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
— |
$125.90 |
— |
| Bordetella pertussis igm (86615) |
— |
$171.90 |
— |
| Bradykinin Other Outpatient (82286) |
— |
$287.75 |
— |
| Braf gene (81210) |
— |
$830 |
— |
| BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full… (81166) |
— |
$6,659.30 |
— |
| BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant… (81215) |
— |
$431.75 |
— |
| 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)… (81162) |
— |
$6,659.30 |
— |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) |
— |
$2,698.25 |
— |
| BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) 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 |
— |
| C-reactive protein high sensitivity (86141) |
— |
$89.40 |
— |
| C2 complement functional (86161) |
— |
$158.15 |
— |
| Ca 125 (86304) |
— |
$171.90 |
— |
| Ca 15-3 (86300) |
— |
$171.90 |
— |
| Cadmium (82300) |
— |
$151.05 |
— |
| 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, random urine (82340) |
— |
$57.55 |
— |
| Calcium; after calcium infusion test Other Outpatient (82331) |
— |
$71.90 |
— |
| Calculus; qualitative analysis Other Outpatient (82355) |
— |
$111.50 |
— |
| Calculus; quantitative analysis, chemical Other Outpatient (82360) |
— |
$136.65 |
— |
| Calculus; X-ray diffraction Other Outpatient (82370) |
— |
$133.10 |
— |
| Calprotectin fecal (83993) |
— |
$194.20 |
— |
| Campylobacter antibody (86625) |
— |
$161.55 |
— |
| Cancer antigen 19-9 (86301) |
— |
$165.05 |
— |
| Candida albicans skin test fda standard intradermal alrg [36690] (86485) |
— |
$59 |
— |
| Candida antibody (86628) |
— |
$154.70 |
— |
| Candida DNA amp probe (87481) |
— |
$234.55 |
— |
| Carbamazepine total (80156) |
— |
$215.50 |
— |
| Carbamazepine, free (80157) |
— |
$197.55 |
— |
| Carbohydrate deficient transferrin (82373) |
— |
$197.80 |
— |
| Carbon dioxide (82374) |
— |
$39.60 |
— |
| Carbon monoxide (82375) |
— |
$111.50 |
— |
| Carboxyhemoglobin; qualitative Other Outpatient (82376) |
— |
$53.95 |
— |
| Cardiolipin antibody ea ig class (86147) |
— |
$223.50 |
— |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
— |
$187.05 |
— |
| Carotene (82380) |
— |
$93.50 |
— |
| Casein igg (86001) |
— |
$37.80 |
— |
| Catecholamines (organic nitrogen) urine level (82382) |
— |
$161.85 |
— |
| Catecholamines fractionated (82384) |
— |
$251.75 |
— |
| Cathepsin-D Other Outpatient (82387) |
— |
$251.75 |
— |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
— |
$296.80 |
— |
| Cea (82378) |
— |
$187.05 |
— |
| Cell count body fluid (89050) |
— |
$60.55 |
— |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
— |
$63.90 |
— |
| Cell enumeration & id (86152) |
— |
$983.20 |
— |
| Cell function assay w/stim (86352) |
— |
$857.80 |
— |
| Ceruloplasmin (82390) |
— |
$115.10 |
— |
| Cftr gene com variants (81220) |
— |
$1,010.60 |
— |
| Chemiluminescent assay (82397) |
— |
$100.70 |
— |
| Chemotaxis assay specify method national jewish chtx (86155) |
— |
$106.55 |
— |
| Chg fresh frozen plasma thawing each unit (86927) |
— |
$496.60 |
— |
| Chg leukocyte transfusion (86950) |
— |
$223.45 |
— |
| Chg skin test unlisted antigen each (86486) |
— |
$59 |
— |
| Chimerism anal no cell selec (81267) |
— |
$1,310.55 |
— |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
— |
$1,647.40 |
— |
| Chlamydia antibody (86631) |
— |
$113.45 |
— |
| Chlamydia antibody igm (86632) |
— |
$120.35 |
— |
| Chlamydia culture (87110) |
— |
$123.75 |
— |
| Chlamydia pneumoniae PCR (87486) |
— |
$234.55 |
— |
| Chlamydia trachomatis ag if (87270) |
— |
$117.30 |
— |
| Chloramphenicol (82415) |
— |
$118.70 |
— |
| Chloride blood (82435) |
— |
$35.95 |
— |
| Chloride other source (82438) |
— |
$68.35 |
— |
| 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 Other Outpatient (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 count 45 cell mosaicism 2karyotype (88263) |
— |
$949.35 |
— |
| Chromium (82495) |
— |
$169.05 |
— |
| Chromogenic substrate assay (85130) |
— |
$186.10 |
— |
| Chromogranin a (86316) |
— |
$178.75 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$787.35 |
— |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
— |
$1,094 |
— |
| Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) |
— |
$940.40 |
— |
| Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) |
— |
$1,094 |
— |
| Citrate (82507) |
— |
$251.75 |
— |
| Ck mb fraction (82553) |
— |
$82.75 |
— |
| Clostridium ag eia (87324) |
— |
$93.80 |
— |
| Clot factor viii reltd antgn - von willebrand multimeric (85244) |
— |
$367.35 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$293.85 |
— |
| Clot inhibit prot s total (85305) |
— |
$308.55 |
— |
| Clot retraction Other Outpatient (85170) |
— |
$58.75 |
— |
| Clotting funct activity (85397) |
— |
$195.95 |
— |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
— |
$401.60 |
— |
| Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) |
— |
$195.95 |
— |
| Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Other Outpatient (85293) |
— |
$293.85 |
— |
| Clotting; prekallikrein assay (Fletcher factor assay) Other Outpatient (85292) |
— |
$303.65 |
— |
| Cmv antibody (86644) |
— |
$158.15 |
— |
| Coagulation time activated (85347) |
— |
$73.50 |
— |
| Coagulation time; Lee and White Other Outpatient (85345) |
— |
$122.45 |
— |
| Coagulation time; other methods Other Outpatient (85348) |
— |
$78.40 |
— |
| Coccidioides antibody (86635) |
— |
$154.70 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$161.85 |
— |
| Cold agglutinin screen (86156) |
— |
$65.30 |
— |
| Cold agglutinins titer (86157) |
— |
$79.05 |
— |
| Collagen cross links (82523) |
— |
$172.65 |
— |
| Collect sweat for test (89230) |
— |
$171.30 |
— |
| Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone… (80418) |
— |
$4,490.45 |
— |
| Compatibility each unit electronic (86923) |
— |
$148.15 |
— |
| Complement antigen ea component (86160) |
— |
$140.95 |
— |
| Complement fixation each (86171) |
— |
$99.70 |
— |
| Complement total (ch50) (86162) |
— |
$213.15 |
— |
| Coombs test indirect titer (86886) |
— |
$148.15 |
— |
| Copper (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 |
— |
| COVID-19 antibody (86769) |
— |
$115.75 |
— |
| Coxsackie a9 virus antibody (86658) |
— |
$123.75 |
— |
| Creatine kinase (CK), (CPK); isoforms Other Outpatient (82554) |
— |
$122.25 |
— |
| Creatine kinase isoenzymes (82552) |
— |
$129.45 |
— |
| Creatine kinase total (82550) |
— |
$46.70 |
— |
| Creatine serum or plasma arup 2002340 (82540) |
— |
$64.75 |
— |
| Creatinine (82565) |
— |
$35.95 |
— |
| Creatinine clearance (82575) |
— |
$104.30 |
— |
| Creatinine other source (82570) |
— |
$57.55 |
— |
| Crossmatch ahg (86922) |
— |
$148.15 |
— |
| Cryofibrinogen (82585) |
— |
$82.75 |
— |
| Cryoglobulins (82595) |
— |
$75.50 |
— |
| Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) |
— |
$191.75 |
— |
| Cryptococcal antigen (87327) |
— |
$93.80 |
— |
| Cryptococcus antibody (86641) |
— |
$103.10 |
— |
| Cryptosporidium ag eia (87328) |
— |
$93.80 |
— |
| Cryptosporidium ag if (87272) |
— |
$117.30 |
— |
| Crystals fluid (89060) |
— |
$45.20 |
— |
| Culture anaerobic (87075) |
— |
$88 |
— |
| Culture blood (87040) |
— |
$82.05 |
— |
| Culture fungus blood (87103) |
— |
$76.25 |
— |
| Culture fungus skin hair nail (87101) |
— |
$73.30 |
— |
| Culture mycoplasma (87109) |
— |
$161.30 |
— |
| Culture stool (87045) |
— |
$82.05 |
— |
| Culture typing glc/hplc (87143) |
— |
$114.35 |
— |
| Culture typing if ea antiserum (87140) |
— |
$61.60 |
— |
| Culture urine (87086) |
— |
$73.30 |
— |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
— |
$88 |
— |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
— |
$88 |
— |
| Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) |
— |
$82.05 |
— |
| Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) |
— |
$88 |
— |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
— |
$82.05 |
— |
| Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) |
— |
$82.05 |
— |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Other Outpatient (87084) |
— |
$58.65 |
— |
| Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate,… (87149) |
— |
$126.70 |
— |
| Culture, typing; identification by pulse field gel typing Other Outpatient (87152) |
— |
$41.05 |
— |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
— |
$46.90 |
— |
| Cyanide (82600) |
— |
$158.25 |
— |
| Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Other Outpatient (82608) |
— |
$151.05 |
— |
| Cyclic amp (82030) |
— |
$251.75 |
— |
| Cyclic citrullinated peptide ab (86200) |
— |
$144.35 |
— |
| Cyclosporine (80158) |
— |
$269.35 |
— |
| Cyp2c19 gene analysis common variants (81225) |
— |
$1,351.15 |
— |
| Cyp2c9 gene com variants (81227) |
— |
$810.70 |
— |
| Cyp2d6 gene analysis common variants (81226) |
— |
$2,091.05 |
— |
| Cystatin c (82610) |
— |
$69.45 |
— |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
— |
$171.90 |
— |
| Cystine and homocystine, urine, qualitative Other Outpatient (82615) |
— |
$107.90 |
— |
| Cytomeg DNA amp probe (87496) |
— |
$252.20 |
— |
| Cytomegalovirus antibody igm (86645) |
— |
$165.05 |
— |
| Cytopath cell enhance tech (88112) |
— |
$171.30 |
— |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Other Outpatient (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, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
— |
$167.35 |
— |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) |
— |
$128 |
— |
| Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation (88106) |
— |
$92.60 |
— |
| 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, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) |
— |
$37.85 |
— |
| Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Other Outpatient (88150) |
— |
$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 Other… (88153) |
— |
$66.70 |
— |
| Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (88162) |
— |
$92.60 |
— |
| Cytopathology, smears, any other source; screening and interpretation (88160) |
— |
$92.60 |
— |
| Cytp urine 3-5 probes cmptr (88121) |
— |
$841.55 |
— |
| Cytp urne 3-5 probes ea spec (88120) |
— |
$699.20 |
— |
| D-dimer quantitative (85379) |
— |
$171.40 |
— |
| Dark field examination (87166) |
— |
$82.05 |
— |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Other Outpatient (87164) |
— |
$67.85 |
— |
| Deoxycortisol (82634) |
— |
$233.80 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$134.10 |
— |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
— |
$147.85 |
— |
| Desoxycorticosterone (82633) |
— |
$233.80 |
— |
| 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 sulfate (82627) |
— |
$215.80 |
— |
| Dibucaine number (82638) |
— |
$100.70 |
— |
| Digoxin (80162) |
— |
$202.05 |
— |
| Diphtheria antibody (86648) |
— |
$144.35 |
— |
| Direct antiglobulin test (86880) |
— |
$56.70 |
— |
| DNA/RNA amplified probe (87150) |
— |
$221.65 |
— |
| DNA/RNA sequencing (87153) |
— |
$728.75 |
— |
| Drug screen quant caffeine (80155) |
— |
$89.15 |
— |
| Drug screen quant clozapine (80159) |
— |
$116.90 |
— |
| Drug screen quant everolimus (80169) |
— |
$86.75 |
— |
| Drug screen quant gabapentin (80171) |
— |
$83.75 |
— |
| Drug screen quant levetiracetam (80177) |
— |
$83.75 |
— |
| Drug screen quant mycophenolate (80180) |
— |
$72.15 |
— |
| Drug screen quant tiagabine (80199) |
— |
$72.40 |
— |
| Drug screen quant zonisamide (80203) |
— |
$83.75 |
— |
| Drug screen quantitative oxcarbazepine (80183) |
— |
$83.75 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$152.65 |
— |
| Ear culture (87070) |
— |
$79.15 |
— |
| Egfr gene analysis common variants (81235) |
— |
$1,528.10 |
— |
| Ehrlichia antibody (86666) |
— |
$158.15 |
— |
| Electrolytes panel (80051) |
— |
$89.75 |
— |
| Electron microscopy diagnostic (88348) |
— |
$995.55 |
— |
| Electrophoretic test (82664) |
— |
$217.05 |
— |
| Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) |
— |
$123.75 |
— |
| Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) |
— |
$123.75 |
— |
| Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) |
— |
$123.75 |
— |
| Enterovirus by PCR (87498) |
— |
$322.50 |
— |
| Enzyme cell activity ra (82658) |
— |
$215.80 |
— |
| Enzyme histochemistry (88319) |
— |
$841.55 |
— |
| Eosinophils urine (87205) |
— |
$44 |
— |
| Erythropoietin (82668) |
— |
$233.80 |
— |
| Estradiol (82670) |
— |
$176.50 |
— |
| Estriol (82677) |
— |
$154.65 |
— |
| Estrogen fractionated (82671) |
— |
$316.50 |
— |
| Estrogens total (82672) |
— |
$215.80 |
— |
| Estrone (82679) |
— |
$215.80 |
— |
| Ethosuximide (80168) |
— |
$237.30 |
— |
| Ethylene glycol (82693) |
— |
$169.05 |
— |
| Etiocholanolone Other Outpatient (82696) |
— |
$215.80 |
— |
| Euglobulin lysis (85360) |
— |
$166.55 |
— |
| Eval amniotic fluid protein (84112) |
— |
$390.65 |
— |
| Exhaled breath condensate (83987) |
— |
$81.90 |
— |
| Extractable nuclear antigen antibody any method (86235) |
— |
$130.60 |
— |
| F2 gene analysis (81240) |
— |
$310.85 |
— |
| F5 gene (81241) |
— |
$386.05 |
— |
| 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 vii activity (85230) |
— |
$293.85 |
— |
| Factor viii activity (85240) |
— |
$318.35 |
— |
| Factor viii vw antigen (85246) |
— |
$391.80 |
— |
| Factor x (stuart-prower) (85260) |
— |
$318.35 |
— |
| Factor xi activity (85270) |
— |
$313.40 |
— |
| Factor xii (hageman) (85280) |
— |
$318.35 |
— |
| Fat differential, feces, quantitative Other Outpatient (82715) |
— |
$90.25 |
— |
| Fat stain (89125) |
— |
$60.55 |
— |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
— |
$176.25 |
— |
| Fatty acids nonesterified (82725) |
— |
$84.05 |
— |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
— |
$244.85 |
— |
| Fecal fat qualitative (82705) |
— |
$79.10 |
— |
| Ferritin (82728) |
— |
$133.10 |
— |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
— |
$2,026.95 |
— |
| Fetal fibronectin (82731) |
— |
$390.65 |
— |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
— |
$142.05 |
— |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
— |
$117.55 |
— |
| Fetal lung maturity assessment; fluorescence polarization Other Outpatient (83663) |
— |
$119.50 |
— |
| Fetal lung maturity assessment; foam stability test Other Outpatient (83662) |
— |
$119.50 |
— |
| Fetal lung maturity assessment; lamellar body density Other Outpatient (83664) |
— |
$119.50 |
— |
| Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Other Outpatient (83661) |
— |
$309.25 |
— |
| Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) |
— |
$137.15 |
— |
| Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or… (85380) |
— |
$171.40 |
— |
| Fibrin split products (85362) |
— |
$137.15 |
— |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
— |
$146.90 |
— |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) |
— |
$181.15 |
— |
| Fibrinogen antigen (85385) |
— |
$142.05 |
— |
| Fibrinogen, activity (85384) |
— |
$122.45 |
— |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
— |
$33.55 |
— |
| Fibrinolytic factors and inhibitors; plasmin Other Outpatient (85400) |
— |
$220.40 |
— |
| Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Other Outpatient (85421) |
— |
$318.35 |
— |
| Flt3 gene analysis internal tandem dup variants (81245) |
— |
$768.30 |
— |
| Folate serum (82746) |
— |
$147.45 |
— |
| Folic acid rbc (82747) |
— |
$176.25 |
— |
| Follicle stimulating hormone (fsh) (83001) |
— |
$179.80 |
— |
| Forensic (investigation) examination of specimen (88125) |
— |
$171.30 |
— |
| Fractionation ketosteroids - 17-ketosteroids, fractionation (83593) |
— |
$280.50 |
— |
| Francisella tularensis ab (86668) |
— |
$123.75 |
— |
| Frozen blood thaw (86931) |
— |
$283.60 |
— |
| Frozen blood, each unit; freezing (includes preparation) (86930) |
— |
$343.80 |
— |
| Frozen blood, each unit; freezing (includes preparation) and thawing (86932) |
— |
$291.75 |
— |
| Fructosamine (82985) |
— |
$95.20 |
— |
| Fungus isolation culture (87102) |
— |
$76.25 |
— |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
— |
$171.90 |
— |
| Galactokinase rbc (82759) |
— |
$136.65 |
— |
| Galactose (82760) |
— |
$86.30 |
— |
| Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) |
— |
$133.10 |
— |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
— |
$52.95 |
— |
| Galectin-3 (82777) |
— |
$138.95 |
— |
| Gamma glutamyl transferase (82977) |
— |
$45.45 |
— |
| Gammaglobulin ige (82785) |
— |
$147.45 |
— |
| Gardnerella vaginalis amp probe (87511) |
— |
$234.55 |
— |
| Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) |
— |
$93.50 |
— |
| Gastric acid analysis, includes pH if performed, each specimen Other Outpatient (82930) |
— |
$61.10 |
— |
| Gastrin (82941) |
— |
$169.05 |
— |
| Gastrin after secretin stimulation Other Outpatient (82938) |
— |
$190.60 |
— |
| Genet virus isolate hsv (87255) |
— |
$213.95 |
— |
| Genotype cytomegalovirus (87910) |
— |
$1,626.45 |
— |
| Genotype DNA hepatitis b (87912) |
— |
$1,626.45 |
— |
| Genotype DNA HIV reverse t (87901) |
— |
$1,626.30 |
— |
| Genotype DNA/RNA HIV (87906) |
— |
$813.20 |
— |
| Gentamicin (80170) |
— |
$224.55 |
— |
| Giardia antigen (87329) |
— |
$93.80 |
— |
| Giardia lamblia antibody (86674) |
— |
$137.55 |
— |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
— |
$35.95 |
— |
| 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 Other Outpatient (82946) |
— |
$104.30 |
— |
| Glucose Fasting (82947) |
— |
$46.70 |
— |
| Glucose other fluid (82945) |
— |
$118.70 |
— |
| Glucose post glucose dose (82950) |
— |
$61.10 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$129.45 |
— |
| Glucose-6-pd (82955) |
— |
$129.45 |
— |
| Glucose-6-phosphate dehydrogenase (G6PD); screen Other Outpatient (82960) |
— |
$68.35 |
— |
| Glucosidase (sugar enzyme) measurement (82963) |
— |
$161.85 |
— |
| Glutamate dehydrogenase Other Outpatient (82965) |
— |
$50.35 |
— |
| Glutathione (82978) |
— |
$118.70 |
— |
| Glutathione reductase, RBC Other Outpatient (82979) |
— |
$104.30 |
— |
| Glycated hemoglobin (83036) |
— |
$97.10 |
— |
| Glycosylated hb home device (83037) |
— |
$86.30 |
— |
| 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 (hgh) (83003) |
— |
$172.65 |
— |
| Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following:… (80428) |
— |
$583.75 |
— |
| Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3)… (80430) |
— |
$583.75 |
— |
| Growth hormone, human (HGH), antibody Other Outpatient (86277) |
— |
$127.20 |
— |
| Gtt-added samples (82952) |
— |
$39.60 |
— |
| H pylori breath test (83013) |
— |
$426 |
— |
| H pylori stool (87338) |
— |
$93.80 |
— |
| Haloperidol (80173) |
— |
$197.55 |
— |
| Haptoglobin (83010) |
— |
$133.10 |
— |
| Haptoglobin; phenotypes Other Outpatient (83012) |
— |
$161.85 |
— |
| Hba1/hba2 gene analysis dup/del variants (81269) |
— |
$1,264.15 |
— |
| Hbsag neutralization (87341) |
— |
$93.80 |
— |
| Hcg free betachain test (84704) |
— |
$136.65 |
— |
| Hcg ql (84703) |
— |
$82.75 |
— |
| HDL cholesterol (83718) |
— |
$68.35 |
— |
| Heavy metal quan each nes (83018) |
— |
$208.60 |
— |
| Heavy metal screen (83015) |
— |
$208.60 |
— |
| Heinz bodies direct (85441) |
— |
$97.95 |
— |
| Heinz bodies induced (85445) |
— |
$83.20 |
— |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Other Outpatient (83009) |
— |
$426 |
— |
| Helicobacter pylori; drug administration Other Outpatient (83014) |
— |
$426 |
— |
| Hemagglutination inhibition (86280) |
— |
$99.70 |
— |
| Hematocrit (hct) (85014) |
— |
$44.10 |
— |
| Hematocrit spun (85013) |
— |
$44.10 |
— |
| Hemoglobin (85018) |
— |
$44.10 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$125.90 |
— |
| Hemoglobin fetal ql (83033) |
— |
$57.55 |
— |
| Hemoglobin fractj/quantj chromotography (83021) |
— |
$161.85 |
— |
| Hemoglobin plasma (83051) |
— |
$61.10 |
— |
| Hemoglobin stability screen (83068) |
— |
$61.10 |
— |
| Hemoglobin urine (83069) |
— |
$43.15 |
— |
| Hemoglobin-oxygen affinity (82820) |
— |
$111.50 |
— |
| Hemoglobin; by copper sulfate method, non-automated f(fetal), chemical (83030) |
— |
$79.10 |
— |
| Hemoglobin; by copper sulfate method, non-automated Other Outpatient (83026) |
— |
$25.20 |
— |
| Hemoglobin; methemoglobin, qualitative Other Outpatient (83045) |
— |
$46.70 |
— |
| Hemoglobin; sulfhemoglobin, quantitative Other Outpatient (83060) |
— |
$75.50 |
— |
| Hemoglobin; thermolabile Other Outpatient (83065) |
— |
$71.90 |
— |
| Hemolysin acid (85475) |
— |
$176.35 |
— |
| Hemolysins and agglutinins; auto, screen, each Other Outpatient (86940) |
— |
$61.35 |
— |
| Hemolysins and agglutinins; incubated Other Outpatient (86941) |
— |
$82.15 |
— |
| Hemosiderin qual (83070) |
— |
$50.35 |
— |
| Hep a ab total (86708) |
— |
$127.20 |
— |
| Heparin assay (85520) |
— |
$225.25 |
— |
| Heparin neutralization (85525) |
— |
$181.15 |
— |
| Heparin-protamine tolerance test Other Outpatient (85530) |
— |
$171.40 |
— |
| Hepatitis a antibody igm (86709) |
— |
$120.35 |
— |
| Hepatitis b core antibody igm (86705) |
— |
$130.60 |
— |
| Hepatitis b core antibody total (86704) |
— |
$120.35 |
— |
| Hepatitis b DNA quant (87517) |
— |
$175.85 |
— |
| Hepatitis b surface ab (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 (eg, immunoblot) Other Outpatient (86804) |
— |
$268.15 |
— |
| Hepatitis c genotype (87902) |
— |
$926.10 |
— |
| Hepatitis c RNA quantitative (87522) |
— |
$328.45 |
— |
| Hepatitis delta antibody (86692) |
— |
$182.20 |
— |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
— |
$151.25 |
— |
| Herpes simplex virus by PCR (87529) |
— |
$263.85 |
— |
| Heterophile antibodies; titer Other Outpatient (86309) |
— |
$85.95 |
— |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Other Outpatient (86310) |
— |
$89.40 |
— |
| Heterophile antibody screen (86308) |
— |
$61.90 |
— |
| Hexagonal phospholipid neutralization (85598) |
— |
$205.75 |
— |
| Hexosaminidase a percent & total hexosaminidase in leukocytes arup 2008125 (83080) |
— |
$122.25 |
— |
| Hfe gene (81256) |
— |
$412.85 |
— |
| Hhv-6 DNA amp probe (87532) |
— |
$263.85 |
— |
| Histamine (83088) |
— |
$244.60 |
— |
| Histoplasma antibody (86698) |
— |
$137.55 |
— |
| HIV-1 ag eia (87390) |
— |
$146.65 |
— |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
— |
$169 |
— |
| HIV-1 antibody (86701) |
— |
$116.85 |
— |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
— |
$137.55 |
— |
| HIV-2 antibody (86702) |
— |
$158.15 |
— |
| Hla b27 (86812) |
— |
$216.55 |
— |
| HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing)… (81371) |
— |
$1,520.45 |
— |
| Hla class i high defin qual (86832) |
— |
$1,134.55 |
— |
| Hla class i phenotype qual (86830) |
— |
$722.05 |
— |
| Hla class i semiquant panel (86834) |
— |
$3,197.45 |
— |
| Hla class i typing high resolution complete (81379) |
— |
$2,118.65 |
— |
| Hla class i typing low resolution complete (81372) |
— |
$1,395.45 |
— |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
— |
$463.52 |
— |
| HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient (81373) |
— |
$703.50 |
— |
| Hla class i/ii antibody qual (86829) |
— |
$292.75 |
— |
| Hla class ii high defin qual (86833) |
— |
$1,031.40 |
— |
| Hla class ii phenotype qual (86831) |
— |
$618.85 |
— |
| Hla class ii semiquant panel (86835) |
— |
$2,888 |
— |
| Hla i & ii typing hr (81378) |
— |
$2,183 |
— |
| Hla i & ii typing lr (81370) |
— |
$2,540.25 |
— |
| Hla i typing 1 allele hr (81381) |
— |
$597.45 |
— |
| Hla i typing 1 locus hr (81380) |
— |
$1,119.70 |
— |
| 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 loc hr (81382) |
— |
$781.30 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$772.05 |
— |
| Hla typing a/b/c multiple antigens (86813) |
— |
$378.20 |
— |
| Hla typing dr/dq (86817) |
— |
$790.75 |
— |
| Hla typing, dr/dq,single antigen - hla typing, dr/dq, single antigen - tissue (86816) |
— |
$292.20 |
— |
| HLA typing; lymphocyte culture, mixed (MLC) Other Outpatient (86821) |
— |
$584.50 |
— |
| Homocysteine level (83090) |
— |
$136.65 |
— |
| Homogenization tissue (87176) |
— |
$52.75 |
— |
| Homovanillic acid urine (83150) |
— |
$143.85 |
— |
| Htlv-i antibody (86687) |
— |
$137.55 |
— |
| Human epididymis protein 4 (86305) |
— |
$132 |
— |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
— |
$182.20 |
— |
| Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) |
— |
$114.60 |
— |
| Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution… (86825) |
— |
$342.65 |
— |
| Hydroxyproline total (83505) |
— |
$233.80 |
— |
| Iaadi herpes smplx virus type 1 (87274) |
— |
$117.30 |
— |
| Iaadi herpes smplx virus type 2 (87273) |
— |
$117.30 |
— |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
— |
$263.85 |
— |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
— |
$280.70 |
— |
| Igg subclass 1 (82787) |
— |
$323.70 |
— |
| Igh gene rearrang dir probe (81262) |
— |
$275.75 |
— |
| Igh gene rearrange amp meth (81261) |
— |
$1,250.70 |
— |
| Igh vari regional mutation (81263) |
— |
$1,860.45 |
— |
| IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis,… (81264) |
— |
$943.30 |
— |
| Immune complex assay (86332) |
— |
$189.05 |
— |
| Immunoassay analyte quantitative nos (83520) |
— |
$122.25 |
— |
| Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or… (83518) |
— |
$71.90 |
— |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
— |
$82.55 |
— |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) |
— |
$86.85 |
— |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Other Outpatient (86294) |
— |
$171.90 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$94.70 |
— |
| Immunodiffusion nes (86329) |
— |
$140.95 |
— |
| Immunodiffusion ouchterlony (86331) |
— |
$140.95 |
— |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient (86325) |
— |
$178.75 |
— |
| Immunofixation electrophoresis (86334) |
— |
$148.50 |
— |
| Immunofixation urine (86335) |
— |
$185.35 |
— |
| Immunoglobulin d (82784) |
— |
$115.10 |
— |
| 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… (87380) |
— |
$132 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87337) |
— |
$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… (87391) |
— |
$137.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
— |
$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 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… (87301) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87332) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) |
— |
$93.80 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Other… (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 immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
— |
$102.65 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
— |
$93.80 |
— |
| 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) Other… (87267) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; giardia Other Outpatient (87269) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient (87278) |
— |
$102.65 |
— |
| Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other… (87299) |
— |
$129 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Other Outpatient (87283) |
— |
$117.30 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Other Outpatient (87285) |
— |
$132 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
— |
$443.35 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Other Outpatient (87800) |
— |
$253.50 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism… (87797) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe… (87471) |
— |
$126.70 |
— |
| 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, amplified probe technique Other… (87476) |
— |
$307.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Other Outpatient (87475) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Other Outpatient (87482) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Other Outpatient (87485) |
— |
$132 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Other Outpatient (87487) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
— |
$221.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient (87490) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Other Outpatient (87492) |
— |
$220.80 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Other Outpatient (87495) |
— |
$219.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
— |
$439.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient (87512) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Other Outpatient (87516) |
— |
$328.45 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
— |
$328.45 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Other Outpatient (87520) |
— |
$175.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Other Outpatient (87526) |
— |
$263.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Other Outpatient (87525) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Other Outpatient (87527) |
— |
$263.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Other Outpatient (87528) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Other Outpatient (87531) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient (87533) |
— |
$263.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
— |
$263.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Other Outpatient (87534) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
— |
$537.50 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Other Outpatient (87537) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) |
— |
$293.20 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) |
— |
$131.20 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) |
— |
$324.20 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Other Outpatient (87540) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Other Outpatient (87542) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique… (87561) |
— |
$263.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Other… (87562) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Other Outpatient (87550) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Other Outpatient (87552) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
— |
$263.85 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Other… (87555) |
— |
$146.65 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Other Outpatient (87557) |
— |
$270.60 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Other Outpatient (87580) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Other Outpatient (87582) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient (87590) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Other Outpatient (87650) |
— |
$126.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Other Outpatient (87652) |
— |
$263.75 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B),… (87500) |
— |
$322.50 |
— |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87904) |
— |
$263.85 |
— |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) |
— |
$3,086.90 |
— |
| Influenza a ag eia (87400) |
— |
$93.80 |
— |
| Influenza a ag if (87276) |
— |
$117.30 |
— |
| Influenza antibody (86710) |
— |
$113.45 |
— |
| Influenza assay w/optic (87804) |
— |
$102.65 |
— |
| Influenza b ag if (87275) |
— |
$117.30 |
— |
| Influenza DNA amp probe (87502) |
— |
$146 |
— |
| Inhibin a (86336) |
— |
$171.90 |
— |
| Insulin antibody (86337) |
— |
$216.55 |
— |
| Insulin free (83527) |
— |
$154.65 |
— |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) |
— |
$718.45 |
— |
| Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human… (80435) |
— |
$763.35 |
— |
| 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 antibody (86340) |
— |
$140.95 |
— |
| Intrinsic factor Other Outpatient (83528) |
— |
$179.80 |
— |
| Iron (83540) |
— |
$40.90 |
— |
| Iron binding capacity (83550) |
— |
$61.10 |
— |
| Iron stain peripheral blood (85536) |
— |
$93.05 |
— |
| Irradiation of blood product, each unit (86945) |
— |
$85.70 |
— |
| Islet cell antibody (86341) |
— |
$124.95 |
— |
| Isocitric dehydrogenase (IDH) Other Outpatient (83570) |
— |
$93.50 |
— |
| Jak2 gene (81270) |
— |
$579.05 |
— |
| John cunningham antibody (86711) |
— |
$140 |
— |
| Ketogenic steroids, fractionation Other Outpatient (83582) |
— |
$143.85 |
— |
| Koh prep (87220) |
— |
$44 |
— |
| Kras gene (81275) |
— |
$914.40 |
— |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
— |
$80 |
— |
| Lactate (83605) |
— |
$107.90 |
— |
| Lactate dehydrogenase (83615) |
— |
$39.60 |
— |
| Lactoferrin fecal (qual) (83630) |
— |
$123.95 |
— |
| Lactoferrin, fecal; quantitative Other Outpatient (83631) |
— |
$123.95 |
— |
| Lactogen, human placental (HPL) human chorionic somatomammotropin Other Outpatient (83632) |
— |
$230.20 |
— |
| Lactose, urine, qualitative Other Outpatient (83633) |
— |
$86.30 |
— |
| Lamotrigine (80175) |
— |
$83.75 |
— |
| Ldh isoenzymes (83625) |
— |
$133.10 |
— |
| LDL direct (83721) |
— |
$71.90 |
— |
| Lead (83655) |
— |
$89.90 |
— |
| Legion pneumo DNA amp prob (87541) |
— |
$234.55 |
— |
| Legionella antibody (86713) |
— |
$137.55 |
— |
| Legionella culture (87081) |
— |
$52.75 |
— |
| Legionella urine antigen (87449) |
— |
$93.80 |
— |
| Leishmania antibody (86717) |
— |
$113.45 |
— |
| Leptospira antibody (86720) |
— |
$113.45 |
— |
| Leucine aminopeptidase (83670) |
— |
$140.20 |
— |
| Leukocyte alkaline phosphatase (85540) |
— |
$132.25 |
— |
| Leukocyte antibody id (86021) |
— |
$206.25 |
— |
| Leukocyte assessment fecal (89055) |
— |
$53.80 |
— |
| Leukocyte phagocytosis (86344) |
— |
$154.70 |
— |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
— |
$187.55 |
— |
| Lidocaine (80176) |
— |
$152.65 |
— |
| Lipase (83690) |
— |
$79.10 |
— |
| Lipopro bld electrophoretic (83700) |
— |
$111.50 |
— |
| Lipoprotein (a) (83695) |
— |
$82.75 |
— |
| Lipoprotein bld by nmr (83704) |
— |
$169.05 |
— |
| Lipoprotein bld hr fraction (83701) |
— |
$151.05 |
— |
| Lipoprotein, direct measurement; VLDL cholesterol Other Outpatient (83719) |
— |
$82.75 |
— |
| Lipoprotein-associated phospholipase a2 (83698) |
— |
$214.40 |
— |
| Listeria antibody (86723) |
— |
$113.45 |
— |
| Lithium (80178) |
— |
$134.70 |
— |
| Luteinizing hormone (lh) (83002) |
— |
$179.80 |
— |
| Lyme disease antibody (86617) |
— |
$182.20 |
— |
| Lyme disease antibody (86618) |
— |
$171.90 |
— |
| Lymph choriomeningitis ab (86727) |
— |
$113.45 |
— |
| Lymphocyte transformation (86353) |
— |
$601.95 |
— |
| Lymphocytotoxicity assay, visual crossmatch; with titration Other Outpatient (86805) |
— |
$412.55 |
— |
| Lymphocytotoxicity assay, visual crossmatch; without titration Other Outpatient (86806) |
— |
$412.55 |
— |
| Macroscopic exam arthropod (87168) |
— |
$44 |
— |
| Macroscopic exam parasite (87169) |
— |
$44 |
— |
| Magnesium (83735) |
— |
$57.55 |
— |
| Malaria antibody (86750) |
— |
$151.25 |
— |
| Malaria smear (87207) |
— |
$82.05 |
— |
| Malate dehydrogenase Other Outpatient (83775) |
— |
$82.75 |
— |
| Manganese (83785) |
— |
$155.35 |
— |
| Manual differential (85007) |
— |
$58.75 |
— |
| Manual reticulocyte count (85044) |
— |
$68.55 |
— |
| Maternal serum screening, integrated, specimen #1, papp-a, nt arup 3000147 (84163) |
— |
$94.90 |
— |
| Measurement of antibody to streptokinase (enzyme) (86590) |
— |
$69.75 |
— |
| Meat fibers, feces Other Outpatient (89160) |
— |
$40.35 |
— |
| Mechanical fragility, RBC Other Outpatient (85547) |
— |
$102.85 |
— |
| Mercury (83825) |
— |
$151.05 |
— |
| Metanephrines (83835) |
— |
$222.95 |
— |
| Methemalbumin Other Outpatient (83857) |
— |
$100.70 |
— |
| Methemoglobin quant (83050) |
— |
$61.10 |
— |
| Methylmalonic acid serum (83921) |
— |
$143.85 |
— |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Other… (80436) |
— |
$740.95 |
— |
| Microalbumin urine (82043) |
— |
$125.90 |
— |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Other Outpatient (83861) |
— |
$104.15 |
— |
| Microsatellite instability analysis (81301) |
— |
$1,829.20 |
— |
| Microscopic genetic analysis of nerve tissue (88356) |
— |
$378.50 |
— |
| Mlh1 gene dup/delete variant (81294) |
— |
$882.95 |
— |
| Mlh1 gene full seq (81292) |
— |
$2,992.40 |
— |
| Mlh1 gene known variants (81293) |
— |
$1,199.55 |
— |
| Mold id (87107) |
— |
$79.15 |
— |
| Monocyte monolayer assay (mma) - oneblood (86999) |
— |
$56.70 |
— |
| Mononuclear cell antigen (86356) |
— |
$171.90 |
— |
| Mopath procedure level 2 (81401) |
— |
$1,388.05 |
— |
| Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) |
— |
$437.60 |
— |
| Mrsa PCR (87641) |
— |
$234.55 |
— |
| Msh2 gene dup/delete variant (81297) |
— |
$702.50 |
— |
| Msh2 gene full seq (81295) |
— |
$702.50 |
— |
| Msh2 gene known variants (81296) |
— |
$599.75 |
— |
| Msh6 gene dup/delete variant (81300) |
— |
$748.65 |
— |
| Msh6 gene full seq (81298) |
— |
$1,332.80 |
— |
| Msh6 gene known variants (81299) |
— |
$746.60 |
— |
| Mthfr gene (81291) |
— |
$275.75 |
— |
| Mucin, synovial fluid (Ropes test) Other Outpatient (83872) |
— |
$64.75 |
— |
| Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (83864) |
— |
$187.05 |
— |
| Mumps antibody (86735) |
— |
$137.55 |
— |
| Muramidase (85549) |
— |
$220.40 |
— |
| Mycobacteria DNA amp probe (87551) |
— |
$234.55 |
— |
| Mycoplasma antibody (86738) |
— |
$137.55 |
— |
| Mycoplasma pneumoniae by PCR (87581) |
— |
$263.85 |
— |
| Myelin associated glycoprotein (mag) antibody (83516) |
— |
$107.90 |
— |
| Myelin basic protein (83873) |
— |
$179.80 |
— |
| Myoglobin (83874) |
— |
$129.45 |
— |
| N.gonorrhoeae DNA amp prob (87591) |
— |
$234.55 |
— |
| Nasal smear for eosinophils (89190) |
— |
$47.10 |
— |
| Natriuretic peptide (83880) |
— |
$215.80 |
— |
| Nephelometry ea analyte (83883) |
— |
$133.10 |
— |
| Neutralization test viral (86382) |
— |
$223.50 |
— |
| Nitroblue tetrazolium dye (86384) |
— |
$171.90 |
— |
| Nk cells total count (86357) |
— |
$238.30 |
— |
| Nocardia antibody (86744) |
— |
$137.55 |
— |
| Npm1 gene (81310) |
— |
$1,144.40 |
— |
| Nuclear Matrix Protein 22 (NMP22), qualitative Other Outpatient (86386) |
— |
$71.75 |
— |
| Nucleotidase 5 (83915) |
— |
$115.10 |
— |
| Occult bld feces 1-3 tests (82272) |
— |
$32.35 |
— |
| Occult blood other sources (82271) |
— |
$35.95 |
— |
| Occult blood screening (82270) |
— |
$35.95 |
— |
| Oligoclonal bands (83916) |
— |
$197.80 |
— |
| Oncoprotein dcp (83951) |
— |
$575.45 |
— |
| Oncoprotein her-2/neu (83950) |
— |
$575.45 |
— |
| Organic acids qual each (83919) |
— |
$161.85 |
— |
| Organic acids total quant (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 parasite exam (87177) |
— |
$79.15 |
— |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone Other Outpatient (84830) |
— |
$71.90 |
— |
| Oxalate urine (83945) |
— |
$107.90 |
— |
| Pancreatic elastase fecal (82656) |
— |
$72.90 |
— |
| Pancreatic polypeptide (83519) |
— |
$161.85 |
— |
| Parainfluenza ag if (87279) |
— |
$117.30 |
— |
| Parathyroid hormone (83970) |
— |
$327.30 |
— |
| Particle agglut antbdy titr arup to palo alto medical foundation (86406) |
— |
$89.40 |
— |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
— |
$64.35 |
— |
| Parvovirus antibody (86747) |
— |
$161.55 |
— |
| Pathology lab procedure (89240) |
— |
$92.60 |
— |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Other… (80417) |
— |
$431.05 |
— |
| Pertussis ag if (87265) |
— |
$117.30 |
— |
| Pertussis by PCR (87798) |
— |
$234.55 |
— |
| Ph body fluid (83986) |
— |
$35.95 |
— |
| Phenobarbital (80184) |
— |
$179.60 |
— |
| Phenotype infect agent drug (87900) |
— |
$823.05 |
— |
| Phenylalanine (84030) |
— |
$57.55 |
— |
| Phenylketones, qualitative Other Outpatient (84035) |
— |
$41.30 |
— |
| Phenytoin (dilantin) free (80186) |
— |
$219.95 |
— |
| Phenytoin level total (80185) |
— |
$202.05 |
— |
| Phosphatase, alkaline; heat stable (total not included) Other Outpatient (84078) |
— |
$93.50 |
— |
| Phosphatidylglycerol (84081) |
— |
$222.95 |
— |
| Phosphogluconate, 6-, dehydrogenase, RBC Other Outpatient (84085) |
— |
$89.90 |
— |
| Phosphohexose isomerase (84087) |
— |
$161.85 |
— |
| Phosphorus (84100) |
— |
$29.55 |
— |
| Phosphorus urine (84105) |
— |
$57.55 |
— |
| Pinworm exam (87172) |
— |
$44 |
— |
| Plasminogen activity (85420) |
— |
$220.40 |
— |
| Platelet aggregation ea agent (85576) |
— |
$149.90 |
— |
| Platelet count automated (85049) |
— |
$58.75 |
— |
| Pml/raralpha com breakpoints (81315) |
— |
$1,309.65 |
— |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) |
— |
$1,997.55 |
— |
| PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch… (81318) |
— |
$854.80 |
— |
| Pms2 gene dup/delet variants (81319) |
— |
$1,026.35 |
— |
| Pms2 gene full seq analysis (81317) |
— |
$3,617.70 |
— |
| Pooling of platelets or other blood products (86965) |
— |
$283.60 |
— |
| Porphobilinogen urine (84110) |
— |
$104.30 |
— |
| Porphyrins total plasma (84311) |
— |
$75.50 |
— |
| Porphyrins urine quantitation & fractionation (84120) |
— |
$169.05 |
— |
| Potassium (84132) |
— |
$32.35 |
— |
| Potassium urine (84133) |
— |
$46.70 |
— |
| Prealbumin (84134) |
— |
$111.50 |
— |
| Pregnanediol Other Outpatient (84135) |
— |
$136.65 |
— |
| Pregnenolone (84140) |
— |
$190.60 |
— |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density… (86972) |
— |
$148.15 |
— |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, by dilution (86976) |
— |
$283.60 |
— |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with drugs (86975) |
— |
$148.15 |
— |
| Primidone (80188) |
— |
$251.45 |
— |
| Procainamide; with metabolites (eg, n-acetyl procainamide) Other Outpatient (80192) |
— |
$251.45 |
— |
| Procalcitonin (pct) (84145) |
— |
$169 |
— |
| Progesterone (84144) |
— |
$192.40 |
— |
| Progesterone (reproductive hormone) receptor analysis (84234) |
— |
$387.20 |
— |
| Proinsulin (84206) |
— |
$276.95 |
— |
| Prolactin (84146) |
— |
$179.80 |
— |
| Prostaglandin (84150) |
— |
$157.65 |
— |
| Prostate specific antigen (PSA); complexed (direct measurement) Other Outpatient (84152) |
— |
$116.15 |
— |
| Prostatic acid phosphatase (84066) |
— |
$107.90 |
— |
| Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band… (88372) |
— |
$228.65 |
— |
| Protein analysis of tissue by Western Blot, with interpretation and report; Other Outpatient (88371) |
— |
$233.85 |
— |
| Protein c activity (85303) |
— |
$303.65 |
— |
| Protein c antigen (85302) |
— |
$269.35 |
— |
| Protein electrophoresis serum (84165) |
— |
$129.45 |
— |
| Protein electrophoresis urine (84166) |
— |
$136.65 |
— |
| Protein s antigen, free (85306) |
— |
$318.35 |
— |
| Protein total other source (84157) |
— |
$46.70 |
— |
| Protein total serum (84155) |
— |
$39.60 |
— |
| Protein total urine (84156) |
— |
$50.35 |
— |
| Protein western blot (84181) |
— |
$187.05 |
— |
| Protein, total, by refractometry, any source Other Outpatient (84160) |
— |
$32.70 |
— |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
— |
$302.15 |
— |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
— |
$78.40 |
— |
| Protoporphyrin, RBC; screen Other Outpatient (84203) |
— |
$68.35 |
— |
| Protozoa antibody nos (86753) |
— |
$171.90 |
— |
| PSA free (84154) |
— |
$143.85 |
— |
| Pten gene dup/delet variant (81323) |
— |
$405.60 |
— |
| Pten gene full sequence (81321) |
— |
$2,781.55 |
— |
| Pten gene known fam variant (81322) |
— |
$270.40 |
— |
| Pyruvate (84210) |
— |
$118.70 |
— |
| Pyruvate kinase (84220) |
— |
$93.50 |
— |
| Q fever antibody (86638) |
— |
$130.60 |
— |
| Quinidine (80194) |
— |
$215.50 |
— |
| Quinine Other Outpatient (84228) |
— |
$143.85 |
— |
| Rbc antibody screen (86850) |
— |
$71.75 |
— |
| Reagent strip/blood glucose (82948) |
— |
$35.95 |
— |
| Receptor assay non-endocrine specify receptor (84238) |
— |
$395.65 |
— |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Other Outpatient (84235) |
— |
$330.65 |
— |
| Receptor assay; estrogen Other Outpatient (84233) |
— |
$390.65 |
— |
| Reducing substances fecal (84376) |
— |
$34.70 |
— |
| Ref labcorp, 451840, titrate resistant acid phosphate (trap) (84060) |
— |
$104.30 |
— |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
— |
$76.10 |
— |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
— |
$151.25 |
— |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
— |
$151.25 |
— |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Other… (80416) |
— |
$833.60 |
— |
| Renin (84244) |
— |
$248.15 |
— |
| Reptilase test (85635) |
— |
$156.70 |
— |
| Resp virus 12-25 targets (87633) |
— |
$2,632.85 |
— |
| Resp virus 3-5 targets (87631) |
— |
$810.45 |
— |
| Resp virus 6-11 targets (87632) |
— |
$1,348.30 |
— |
| Respiratory syncytial vi (87280) |
— |
$117.30 |
— |
| Reticulated platelet assay (85055) |
— |
$114.60 |
— |
| Reticyte/hgb concentrate (85046) |
— |
$34.70 |
— |
| Rh phenotyping complete (86906) |
— |
$58.45 |
— |
| Rheumatoid factor (86430) |
— |
$65.30 |
— |
| Rheumatoid factor quant (86431) |
— |
$68.70 |
— |
| Rickettsia antibody (86757) |
— |
$137.55 |
— |
| Ristocetin cofactor (85245) |
— |
$264.50 |
— |
| Rl immediate spin crossmatch (86920) |
— |
$148.15 |
— |
| Rotavirus ag eia (87425) |
— |
$93.80 |
— |
| Rotavirus antibody (86759) |
— |
$137.55 |
— |
| Rpr qual (86592) |
— |
$48.15 |
— |
| Rpr titer (86593) |
— |
$48.15 |
— |
| Rubella antibody (86762) |
— |
$90.95 |
— |
| Rubeola antibody (86765) |
— |
$144.35 |
— |
| Russell viper venom diluted (85613) |
— |
$151.85 |
— |
| Russell viper venom time (includes venom); undiluted Other Outpatient (85612) |
— |
$166.55 |
— |
| Salmonella typhi and paratyphi antibodies (86768) |
— |
$113.45 |
— |
| Sedimentation rate rbc automated (85652) |
— |
$58.75 |
— |
| Sedimentation rate rbc non-automated (85651) |
— |
$61.20 |
— |
| Selenium (84255) |
— |
$161.85 |
— |
| Semen fructose (carbohydrate) level (82757) |
— |
$109.50 |
— |
| Serotonin (84260) |
— |
$305.70 |
— |
| Serpina1 gene (81332) |
— |
$275.75 |
— |
| Serum bactericidal titer (87197) |
— |
$94.90 |
— |
| Serum immunoelectrophoresis (86320) |
— |
$209.70 |
— |
| Serum screening for cytotoxic percent reactive antibody (PRA); quick method Other Outpatient (86808) |
— |
$223.50 |
— |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Other Outpatient (86807) |
— |
$275.05 |
— |
| Sex chromatin id,barr bodies - lab sex chromatin id,barr bodies (88130) |
— |
$95.05 |
— |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Other Outpatient (88140) |
— |
$46.85 |
— |
| Sex hormone binding globulin (84270) |
— |
$208.60 |
— |
| Shiga-like toxin ag eia (87427) |
— |
$93.80 |
— |
| Sialidase enzyme assay (87905) |
— |
$146.65 |
— |
| Sickle cell screen (85660) |
— |
$75.90 |
— |
| Silica Other Outpatient (84285) |
— |
$197.80 |
— |
| Sirolimus (80195) |
— |
$278.35 |
— |
| Skin test histoplasmosis (parasite infection) (86510) |
— |
$59 |
— |
| Skin test tuberculosis intradermal (86580) |
— |
$59 |
— |
| Smear wet mount (87210) |
— |
$38.05 |
— |
| Sodium (84295) |
— |
$35.95 |
— |
| Sodium other source (84302) |
— |
$50.35 |
— |
| Sodium urine (84300) |
— |
$50.35 |
— |
| Somatomedin (84305) |
— |
$287.75 |
— |
| Somatostatin (84307) |
— |
$222.95 |
— |
| Special stains group ii (88313) |
— |
$129.65 |
— |
| Specific gravity except urine (84315) |
— |
$32.35 |
— |
| Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) |
— |
$171.30 |
— |
| Staph a DNA amp probe (87640) |
— |
$234.55 |
— |
| Stem cells (ie, CD34), total count Other Outpatient (86367) |
— |
$238.30 |
— |
| Stone analysis (82365) |
— |
$129.45 |
— |
| Str markers specimen anal (81265) |
— |
$1,358.50 |
— |
| Strep a ag ia (87430) |
— |
$75.75 |
— |
| Strep a assay w/optic (87880) |
— |
$102.65 |
— |
| Strep a DNA amp probe (87651) |
— |
$87.60 |
— |
| Strep b DNA amp probe (87653) |
— |
$234.55 |
— |
| Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient (84377) |
— |
$34.70 |
— |
| Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Other Outpatient (84379) |
— |
$70.60 |
— |
| Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Other Outpatient (84378) |
— |
$70.60 |
— |
| Sugars, chromatographic, TLC or paper chromatography Other Outpatient (84375) |
— |
$136.65 |
— |
| Sulfate urine (84392) |
— |
$144.70 |
— |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
— |
$171.30 |
— |
| Susceptibility mic per plate (87186) |
— |
$67.40 |
— |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
— |
$44 |
— |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
— |
$58.65 |
— |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
— |
$67.40 |
— |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
— |
$67.40 |
— |
| Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient (87190) |
— |
$46.90 |
— |
| T cells cd4 count (86361) |
— |
$216.55 |
— |
| T3 free (84481) |
— |
$190.60 |
— |
| T3 reverse (84482) |
— |
$179.80 |
— |
| T3 uptake (84479) |
— |
$64.75 |
— |
| T4 (thyroxine) total (84436) |
— |
$57.55 |
— |
| Tacrolimus (80197) |
— |
$278.35 |
— |
| Tb test cell immun measure (86480) |
— |
$391.55 |
— |
| Testosterone free (84402) |
— |
$201.45 |
— |
| Testosterone total (84403) |
— |
$163.05 |
— |
| Tetanus antibody (86774) |
— |
$154.70 |
— |
| Thawing and expansion of frozen cells, each aliquot Other Outpatient (88241) |
— |
$143.75 |
— |
| Theophylline (80198) |
— |
$211 |
— |
| Thiocyanate level (84430) |
— |
$115.10 |
— |
| Thiopurine drug metabolites (83789) |
— |
$161.85 |
— |
| Thiopurine metabolites (80299) |
— |
$224.55 |
— |
| Thiopurine methyltransferase, rbc (82657) |
— |
$72.90 |
— |
| Thrombin time plasma (85670) |
— |
$102.85 |
— |
| Thrombin time titer (85675) |
— |
$112.60 |
— |
| Thrombomodulin Other Outpatient (85337) |
— |
$235.10 |
— |
| Thromboplastin inhibition (circulating anticoagulant) measurement (85705) |
— |
$195.95 |
— |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
— |
$107.80 |
— |
| Thromboxane metabolite(s), including thromboxane if performed, urine Other Outpatient (84431) |
— |
$104.15 |
— |
| Thyroglobulin (84432) |
— |
$165.40 |
— |
| Thyroglobulin antibody (86800) |
— |
$147.85 |
— |
| Thyroid peroxidase antibody (86376) |
— |
$137.55 |
— |
| Thyroid stimulating immune globulins (thyroid related protein) level (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 |
— |
| Thyroxine free (ft4) (84439) |
— |
$100.70 |
— |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
— |
$64.75 |
— |
| Tobramycin (80200) |
— |
$224.55 |
— |
| Topiramate (80201) |
— |
$219.95 |
— |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
— |
$132 |
— |
| Toxoplasma antibody igg (86777) |
— |
$113.45 |
— |
| Toxoplasma antibody igm (86778) |
— |
$147.85 |
— |
| Transferrin (84466) |
— |
$136.65 |
— |
| TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81340) |
— |
$1,319.80 |
— |
| TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81341) |
— |
$313.25 |
— |
| Treponema pallidum antibody (86780) |
— |
$116.85 |
— |
| Trg gene rearrangement anal (81342) |
— |
$1,272.95 |
— |
| Trichinella antibody (86784) |
— |
$123.75 |
— |
| Trichomonas assay w/optic (87808) |
— |
$117.30 |
— |
| Trichomonas vagin dir probe (87660) |
— |
$126.70 |
— |
| Trichomonas vaginalis amplif (87661) |
— |
$221.05 |
— |
| Triglycerides (84478) |
— |
$39.60 |
— |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
— |
$143.85 |
— |
| Troponin t (84484) |
— |
$107.65 |
— |
| Troponin, qualitative Other Outpatient (84512) |
— |
$48.60 |
— |
| Trypsin; duodenal fluid Other Outpatient (84485) |
— |
$107.90 |
— |
| Trypsin; feces, qualitative Other Outpatient (84488) |
— |
$107.90 |
— |
| Trypsin; feces, quantitative, 24-hour collection Other Outpatient (84490) |
— |
$64.75 |
— |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
— |
$473.30 |
— |
| Tularemia antibody (86000) |
— |
$72.20 |
— |
| Tyrosine (84510) |
— |
$71.90 |
— |
| Unlisted cytogenetic study (88299) |
— |
$92.60 |
— |
| Unlisted cytopathology procedure (88199) |
— |
$92.60 |
— |
| Urea nitrogen clearance (84545) |
— |
$75.50 |
— |
| Urea nitrogen quantitative (84520) |
— |
$39.60 |
— |
| Urea nitrogen urine (84540) |
— |
$61.10 |
— |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Other Outpatient (84525) |
— |
$43.15 |
— |
| Uric acid blood (84550) |
— |
$39.60 |
— |
| Uric acid other source (84560) |
— |
$57.55 |
— |
| Urinalysis auto w/micro (81001) |
— |
$50.30 |
— |
| Urinalysis microscopic only (81015) |
— |
$39.35 |
— |
| Urinalysis volume measure (81050) |
— |
$39.35 |
— |
| Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) |
— |
$48.10 |
— |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
— |
$39.35 |
— |
| Urine bacteria culture (87088) |
— |
$70.35 |
— |
| Urine porphyrins (metabolism substance) analysis (84119) |
— |
$93.50 |
— |
| Urine Pregnancy Test POC (81025) |
— |
$74.30 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$41.50 |
— |
| Urobilinogen, feces, quantitative Other Outpatient (84577) |
— |
$78.80 |
— |
| Urobilinogen, urine; qualitative Other Outpatient (84578) |
— |
$43.15 |
— |
| Urobilinogen, urine; quantitative, timed specimen Other Outpatient (84580) |
— |
$64.75 |
— |
| Urobilinogen, urine; semiquantitative Other Outpatient (84583) |
— |
$43.15 |
— |
| Valproic acid (80164) |
— |
$211 |
— |
| Vancomycin (80202) |
— |
$202.05 |
— |
| Varicella zoster ag if (87290) |
— |
$117.30 |
— |
| Varicella zoster antibody igg (86787) |
— |
$140.95 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$276.95 |
— |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
— |
$287.75 |
— |
| Very long chain fatty acids (82726) |
— |
$72.90 |
— |
| Viral culture non-respiratory (87252) |
— |
$164.65 |
— |
| Virus antibody nos (86790) |
— |
$137.55 |
— |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
— |
$146.65 |
— |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Other Outpatient (87250) |
— |
$146.65 |
— |
| Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) |
— |
$146.65 |
— |
| Viscosity (85810) |
— |
$122.45 |
— |
| Vitamin a (84590) |
— |
$161.85 |
— |
| Vitamin b-12 (82607) |
— |
$143.85 |
— |
| Vitamin b1 whole blood (84425) |
— |
$183.45 |
— |
| Vitamin b6 (84207) |
— |
$269.80 |
— |
| Vitamin c (82180) |
— |
$115.10 |
— |
| Vitamin d 25 hydroxy (82306) |
— |
$269.80 |
— |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
— |
$287.75 |
— |
| Vitamin e (84446) |
— |
$115.10 |
— |
| Vitamin k1 (84597) |
— |
$208.60 |
— |
| Vma (84585) |
— |
$161.85 |
— |
| Volatiles (84600) |
— |
$111.50 |
— |
| Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit (86960) |
— |
$202.60 |
— |
| West nile virus antibody (86789) |
— |
$147.85 |
— |
| White blood cell histamine (immune system chemical) release test (86343) |
— |
$161.55 |
— |
| Xm archive tissue molec anal (88363) |
— |
$92.60 |
— |
| Xylose absorption test, blood and/or urine Other Outpatient (84620) |
— |
$147.45 |
— |
| Yeast id (87106) |
— |
$79.15 |
— |
| Yersinia antibody (86793) |
— |
$120.35 |
— |
| Z t cells total count (86359) |
— |
$238.30 |
— |
| Zinc (84630) |
— |
$136.65 |
— |
| Zinc protoporphyrins (84202) |
— |
$125.90 |
— |