| 17 Hydroxyprogesterone (83498) |
$67 |
$67 |
2.5× |
| 17-Hydroxypregnenolone (84143) |
$223 |
$223 |
9.8× |
| 5-Hiaa (83497) |
$178.50 |
$178.50 |
13.8× |
| Acetaminophen (80143) |
$300 |
$300 |
16.1× |
| Acetone serum qual (82009) |
$78 |
$78 |
17.3× |
| Acth (82024) |
$562 |
$562 |
14.6× |
| Actin smooth muscle antibody each (86015) |
$75 |
$75 |
6.2× |
| Activated protein c resistance (85307) |
$282 |
$282 |
18.4× |
| Acute hepatitis panel (80074) |
$463 |
$463 |
9.7× |
| Adenovirus antibody (86603) |
$196.50 |
$196.50 |
15.3× |
| Afb concentration (87015) |
$179 |
$179 |
26.8× |
| Afb culture (87116) |
$173 |
$173 |
16.0× |
| Afb smear (87206) |
$154 |
$154 |
28.6× |
| Albumin body fluid (82042) |
$62 |
$62 |
8.0× |
| Albumin serum (82040) |
$58 |
$58 |
11.7× |
| Aldolase (82085) |
$147 |
$147 |
15.1× |
| Aldosterone (82088) |
$423 |
$423 |
10.4× |
| Alkaline phosphatase (84075) |
$58 |
$58 |
11.2× |
| Alkaline phosphatase isoenzymes (84080) |
$109 |
$109 |
7.4× |
| Allergen profile perennial allergen (86003) |
$51 |
$51 |
9.8× |
| Alpha-1-antitrypsin (82103) |
$175 |
$175 |
13.0× |
| Alpha-1-antitrypsin phenotype (82104) |
$228 |
$228 |
15.8× |
| Alpha-fetoprotein serum (82105) |
$262 |
$262 |
15.6× |
| Alt (84460) |
$86 |
$86 |
16.2× |
| Aluminum (82108) |
$319 |
$319 |
12.5× |
| Amikacin level (80150) |
$94 |
$94 |
6.2× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$352 |
$352 |
20.9× |
| Ammonia (82140) |
$234 |
$234 |
16.1× |
| Amylase (82150) |
$112 |
$112 |
17.3× |
| Ana (86038) |
$190 |
$190 |
15.7× |
| Ana titer (86039) |
$70 |
$70 |
6.3× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$149.50 |
$149.50 |
11.4× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$90.50 |
$90.50 |
5.9× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$85 |
$85 |
4.7× |
| Angiotensin converting enzyme (82164) |
$185 |
$185 |
12.7× |
| Anti-mitochondrial antibody (86255) |
$193 |
$193 |
16.0× |
| Antibody identification platelet antibodies (86022) |
$305 |
$305 |
16.6× |
| Antibody west nile virus igm (86788) |
$174 |
$174 |
10.3× |
| Antibody; Helicobacter pylori (86677) |
$160 |
$160 |
9.5× |
| Antistreptolysin o titer (86060) |
$126 |
$126 |
17.3× |
| Antithrombin iii activity (85300) |
$233 |
$233 |
19.7× |
| Antithrombin iii antigen (85301) |
$119 |
$119 |
11.0× |
| Apolipoprotein each (82172) |
$175 |
$175 |
8.3× |
| Arsenic (82175) |
$256 |
$256 |
13.5× |
| Aspergillus antigen (87305) |
$183 |
$183 |
15.3× |
| Assay of interleukin-6 (il-6) (83529) |
$119 |
$119 |
6.9× |
| Assay of vitamin b-2 (84252) |
$281 |
$281 |
13.9× |
| Ast (84450) |
$85 |
$85 |
16.4× |
| B cells total count (86355) |
$229.50 |
$229.50 |
6.1× |
| Bartonella antibody (86611) |
$92 |
$92 |
9.0× |
| Basic metabolic panel calcium ionized (80047) |
$413 |
$413 |
30.1× |
| Bcr/abl1 gene major bp (81206) |
$1,075 |
$1,075 |
6.6× |
| Beta 2 glycoprotein i antibody (86146) |
$139 |
$139 |
5.5× |
| Beta-2 microglobulin (82232) |
$235 |
$235 |
14.5× |
| Bile acids total (82239) |
$124 |
$124 |
7.2× |
| Bilirubin direct (82248) |
$83 |
$83 |
16.5× |
| Bilirubin total (82247) |
$83 |
$83 |
16.5× |
| Bilirubin total transcutaneous (88720) |
$32 |
$32 |
6.4× |
| Biotinidase (82261) |
$31 |
$31 |
1.8× |
| Blastomyces antibody (86612) |
$172 |
$172 |
13.3× |
| Blood count leukocyte wbc automated (85048) |
$45 |
$45 |
17.7× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$54 |
$54 |
17.9× |
| Blood gases any combination (82803) |
$379 |
$379 |
14.5× |
| Blood gases ph only (82800) |
$66 |
$66 |
6.0× |
| Blood typing rbc antigens (86905) |
$160 |
$160 |
41.8× |
| Blood typing serologic abo (86900) |
$63 |
$63 |
21.1× |
| Blood typing serologic rh (d) (86901) |
$63 |
$63 |
21.1× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$216 |
$216 |
13.6× |
| Borrelia miyamotoi amp prb (87478) |
$28 |
$28 |
0.8× |
| C diff amplified probe (87493) |
$478 |
$478 |
12.8× |
| C-peptide (84681) |
$180 |
$180 |
8.6× |
| C-reactive protein (86140) |
$111 |
$111 |
21.4× |
| C-reactive protein high sensitivity (86141) |
$115 |
$115 |
8.9× |
| C2 complement functional (86161) |
$254 |
$254 |
21.2× |
| Ca 125 (86304) |
$175 |
$175 |
8.4× |
| Ca 15-3 (86300) |
$247 |
$247 |
11.9× |
| Cadmium (82300) |
$302 |
$302 |
12.8× |
| Calcitonin (82308) |
$417 |
$417 |
15.6× |
| Calcium ionized (82330) |
$210 |
$210 |
15.4× |
| Calcium total (82310) |
$60 |
$60 |
11.6× |
| Calcium, random urine (82340) |
$100 |
$100 |
16.6× |
| Calculus; qualitative analysis Other Outpatient (82355) |
$202 |
$202 |
17.4× |
| Calprotectin fecal (83993) |
$356 |
$356 |
18.1× |
| Cancer antigen 19-9 (86301) |
$179 |
$179 |
8.6× |
| Carbamazepine total (80156) |
$228 |
$228 |
15.6× |
| Carbon dioxide (82374) |
$59 |
$59 |
12.1× |
| Carbon monoxide (82375) |
$194 |
$194 |
15.7× |
| Cardiolipin antibody ea ig class (86147) |
$141 |
$141 |
5.5× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$111 |
$111 |
6.6× |
| Catecholamines fractionated (82384) |
$410 |
$410 |
16.2× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$301 |
$301 |
6.4× |
| Cea (82378) |
$112 |
$112 |
5.9× |
| Cell count body fluid (89050) |
$151 |
$151 |
32.0× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$37 |
$37 |
6.6× |
| Ceruloplasmin (82390) |
$172 |
$172 |
16.0× |
| Chemiluminescent assay (82397) |
$349 |
$349 |
24.7× |
| Chg fresh frozen plasma thawing each unit (86927) |
$146 |
$146 |
0.8× |
| Chlamydia antibody (86631) |
$50.50 |
$50.50 |
4.3× |
| Chlamydia antibody igm (86632) |
$50.50 |
$50.50 |
4.0× |
| Chlamydia pneumoniae PCR (87486) |
$108 |
$108 |
3.1× |
| Chloride blood (82435) |
$55 |
$55 |
12.0× |
| Chloride urine (82436) |
$86 |
$86 |
15.0× |
| Cholesterol total (82465) |
$78 |
$78 |
17.9× |
| Chorionic gonadotropin test (84702) |
$234 |
$234 |
15.5× |
| Chromium (82495) |
$335 |
$335 |
16.5× |
| Chromogranin a (86316) |
$321 |
$321 |
15.4× |
| Chromosome analysis 15-20 cells (88262) |
$687 |
$687 |
5.5× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$1,952 |
$1,952 |
7.4× |
| Citrate (82507) |
$396 |
$396 |
14.2× |
| Ck mb fraction (82553) |
$182 |
$182 |
15.8× |
| Clostridium ag eia (87324) |
$360 |
$360 |
30.1× |
| Clot inhibit prot s total (85305) |
$180 |
$180 |
15.5× |
| Clotting funct activity (85397) |
$300 |
$300 |
9.7× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$361 |
$361 |
15.7× |
| Cmv antibody (86644) |
$170.50 |
$170.50 |
11.8× |
| Coccidioides antibody (86635) |
$175 |
$175 |
15.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$215.50 |
$215.50 |
8.9× |
| Cold agglutinin screen (86156) |
$112 |
$112 |
13.9× |
| Cold agglutinins titer (86157) |
$118 |
$118 |
14.6× |
| Collagen cross links (82523) |
$306 |
$306 |
16.4× |
| Complement antigen ea component (86160) |
$194 |
$194 |
16.2× |
| Complement total (ch50) (86162) |
$313 |
$313 |
15.4× |
| Copper (82525) |
$170 |
$170 |
13.7× |
| Cortisol free (82530) |
$231 |
$231 |
13.8× |
| Cortisol saliva (82533) |
$251 |
$251 |
15.4× |
| COVID-19 antibody (86769) |
$63 |
$63 |
1.5× |
| Creatine kinase isoenzymes (82552) |
$199 |
$199 |
14.9× |
| Creatine kinase total (82550) |
$85 |
$85 |
13.1× |
| Creatinine (82565) |
$84 |
$84 |
16.4× |
| Creatinine clearance (82575) |
$161 |
$161 |
17.0× |
| Creatinine other source (82570) |
$32 |
$32 |
6.2× |
| Cryofibrinogen (82585) |
$60 |
$60 |
4.2× |
| Cryoglobulins (82595) |
$60 |
$60 |
9.3× |
| Cryptosporidium ag eia (87328) |
$240 |
$240 |
17.4× |
| Crystals fluid (89060) |
$113 |
$113 |
15.4× |
| Culture blood (87040) |
$276 |
$276 |
26.7× |
| Culture fungus skin hair nail (87101) |
$249 |
$249 |
32.3× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$164 |
$164 |
20.3× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$136 |
$136 |
16.8× |
| Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) |
$259 |
$259 |
26.2× |
| Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) |
$256 |
$256 |
26.5× |
| Cyclic citrullinated peptide ab (86200) |
$122 |
$122 |
9.4× |
| Cyclosporine (80158) |
$196 |
$196 |
10.9× |
| Cystatin c (82610) |
$133.50 |
$133.50 |
7.2× |
| Cytogenetics 25-99 (88274) |
$431 |
$431 |
10.2× |
| Cytomeg DNA amp probe (87496) |
$621 |
$621 |
17.7× |
| Cytomegalovirus antibody igm (86645) |
$231 |
$231 |
13.7× |
| D-dimer quantitative (85379) |
$107.50 |
$107.50 |
10.6× |
| Deoxycortisol (82634) |
$431 |
$431 |
14.7× |
| Deoxyribonuclease antibody (86215) |
$202 |
$202 |
15.2× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$112.50 |
$112.50 |
8.2× |
| Dhea (82626) |
$431 |
$431 |
17.1× |
| Dhea sulfate (82627) |
$185 |
$185 |
8.3× |
| Digoxin (80162) |
$209 |
$209 |
15.7× |
| Direct antiglobulin test (86880) |
$103 |
$103 |
19.1× |
| Drug assay infliximab (80230) |
$256 |
$256 |
6.6× |
| Drug assay salicylate (80179) |
$300 |
$300 |
16.1× |
| Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes,… (81418) |
$1,284 |
$1,284 |
1.4× |
| Drug screen quant clozapine (80159) |
$356 |
$356 |
17.7× |
| Drug screen quant everolimus (80169) |
$368 |
$368 |
26.8× |
| Drug screen quant levetiracetam (80177) |
$254 |
$254 |
19.2× |
| Drug screen quant mycophenolate (80180) |
$233 |
$233 |
12.9× |
| Drug screen quantitative oxcarbazepine (80183) |
$234 |
$234 |
17.7× |
| Drug test prsmv chem anlyzr (80307) |
$390 |
$390 |
6.3× |
| Drug test prsmv instrmnt (80306) |
$331 |
$331 |
19.3× |
| Ear culture (87070) |
$211 |
$211 |
24.5× |
| Ehrlichia antibody (86666) |
$166 |
$166 |
16.3× |
| Electrolytes panel (80051) |
$216 |
$216 |
30.8× |
| Electrophoretic test (82664) |
$137 |
$137 |
2.2× |
| Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) |
$105 |
$105 |
8.0× |
| Enterovirus by PCR (87498) |
$123 |
$123 |
3.5× |
| Eosinophils urine (87205) |
$113 |
$113 |
26.5× |
| Erythropoietin (82668) |
$148.50 |
$148.50 |
7.9× |
| Estradiol (82670) |
$174 |
$174 |
6.2× |
| Estriol (82677) |
$400 |
$400 |
16.5× |
| Estrogen fractionated (82671) |
$202 |
$202 |
6.3× |
| Estrone (82679) |
$375 |
$375 |
15.0× |
| Ethosuximide (80168) |
$232 |
$232 |
14.2× |
| Eval amniotic fluid protein (84112) |
$260 |
$260 |
2.7× |
| Extractable nuclear antigen antibody any method (86235) |
$52 |
$52 |
2.9× |
| F2 gene analysis (81240) |
$677.50 |
$677.50 |
10.3× |
| F5 gene (81241) |
$174 |
$174 |
2.4× |
| Factor ii activity (85210) |
$200 |
$200 |
15.4× |
| Factor ix activity (85250) |
$235 |
$235 |
12.3× |
| Factor v activity (85220) |
$200 |
$200 |
11.3× |
| Factor vii activity (85230) |
$297 |
$297 |
16.6× |
| Factor viii activity (85240) |
$258 |
$258 |
14.4× |
| Factor viii vw antigen (85246) |
$361 |
$361 |
15.7× |
| Factor xi activity (85270) |
$250 |
$250 |
14.0× |
| Factor xii (hageman) (85280) |
$242 |
$242 |
12.5× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$248 |
$248 |
14.8× |
| Ferritin (82728) |
$211 |
$211 |
15.5× |
| Fetal fibronectin (82731) |
$910 |
$910 |
14.1× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$565 |
$565 |
73.1× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$112 |
$112 |
12.0× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$111 |
$111 |
1.4× |
| Fibrinogen, activity (85384) |
$105.50 |
$105.50 |
10.9× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$97 |
$97 |
6.3× |
| Folate serum (82746) |
$235 |
$235 |
16.0× |
| Folic acid rbc (82747) |
$254 |
$254 |
14.4× |
| Follicle stimulating hormone (fsh) (83001) |
$282 |
$282 |
15.2× |
| Fructosamine (82985) |
$204 |
$204 |
12.2× |
| Ftl cgen abnor four anal (81511) |
$474 |
$474 |
3.1× |
| Fungus isolation culture (87102) |
$263 |
$263 |
31.3× |
| G6pd full gene sequence (81249) |
$4,167 |
$4,167 |
6.9× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$23 |
$23 |
2.0× |
| Gamma glutamyl transferase (82977) |
$123 |
$123 |
17.1× |
| Gammaglobulin ige (82785) |
$250 |
$250 |
15.2× |
| Gastrin (82941) |
$139 |
$139 |
7.9× |
| Genotype DNA HIV reverse t (87901) |
$2,400 |
$2,400 |
9.3× |
| Gentamicin (80170) |
$281 |
$281 |
17.2× |
| Giardia antigen (87329) |
$75 |
$75 |
6.3× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$50 |
$50 |
15.2× |
| Glucose Fasting (82947) |
$72 |
$72 |
18.3× |
| Glucose other fluid (82945) |
$72 |
$72 |
18.3× |
| Glucose post glucose dose (82950) |
$87 |
$87 |
18.3× |
| Glucose tolerance test (gtt) (82951) |
$115 |
$115 |
8.9× |
| Glucose-6-pd (82955) |
$60 |
$60 |
6.2× |
| Glutathione (82978) |
$224 |
$224 |
14.5× |
| Glycated hemoglobin (83036) |
$152.50 |
$152.50 |
15.7× |
| Growth hormone (hgh) (83003) |
$262 |
$262 |
15.7× |
| Gtt-added samples (82952) |
$66 |
$66 |
16.8× |
| H pylori breath test (83013) |
$300 |
$300 |
4.5× |
| H pylori stool (87338) |
$316 |
$316 |
22.0× |
| Haptoglobin (83010) |
$162 |
$162 |
12.9× |
| Hbsag neutralization (87341) |
$62 |
$62 |
6.0× |
| Hcg ql (84703) |
$115 |
$115 |
15.3× |
| HDL cholesterol (83718) |
$95.50 |
$95.50 |
11.7× |
| Hematocrit (hct) (85014) |
$43 |
$43 |
18.1× |
| Hemoglobin (85018) |
$43 |
$43 |
18.1× |
| Hemoglobin electrophoresis (83020) |
$36 |
$36 |
2.8× |
| Hep a ab total (86708) |
$107 |
$107 |
8.6× |
| Heparin assay (85520) |
$179 |
$179 |
13.7× |
| Hepatitis a antibody igm (86709) |
$107.50 |
$107.50 |
9.5× |
| Hepatitis b core antibody igm (86705) |
$112.50 |
$112.50 |
9.6× |
| Hepatitis b core antibody total (86704) |
$103.50 |
$103.50 |
8.6× |
| Hepatitis b DNA quant (87517) |
$693 |
$693 |
16.2× |
| Hepatitis b surface ab (86706) |
$260 |
$260 |
24.2× |
| Hepatitis b surface antigen (87340) |
$79 |
$79 |
7.6× |
| Hepatitis be antibody (86707) |
$28 |
$28 |
2.4× |
| Hepatitis be antigen (87350) |
$28 |
$28 |
2.4× |
| Hepatitis c antibody (86803) |
$124 |
$124 |
8.7× |
| Hepatitis c genotype (87902) |
$1,022 |
$1,022 |
4.0× |
| Hepatitis c RNA quantitative (87522) |
$693 |
$693 |
16.2× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$85 |
$85 |
5.9× |
| Herpes simplex virus by PCR (87529) |
$119 |
$119 |
3.4× |
| Heterophile antibody screen (86308) |
$85 |
$85 |
16.4× |
| Hexagonal phospholipid neutralization (85598) |
$120 |
$120 |
6.7× |
| Hfe gene (81256) |
$278 |
$278 |
4.3× |
| Hhv-6 DNA amp probe (87532) |
$119 |
$119 |
3.4× |
| Histamine (83088) |
$205 |
$205 |
6.9× |
| Histoplasma antibody (86698) |
$89 |
$89 |
6.5× |
| HIV-1 antibody (86701) |
$138 |
$138 |
15.5× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$177 |
$177 |
12.9× |
| HIV-2 antibody (86702) |
$210 |
$210 |
15.5× |
| Hla b27 (86812) |
$220 |
$220 |
8.5× |
| Hla ii typing 1 locus lr (81376) |
$381 |
$381 |
3.1× |
| Homocysteine level (83090) |
$252 |
$252 |
14.1× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$232 |
$232 |
6.6× |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
$231 |
$231 |
6.6× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$232 |
$232 |
4.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,712 |
$1,712 |
4.1× |
| Igg subclass 1 (82787) |
$72 |
$72 |
9.0× |
| Immunoassay analyte quantitative nos (83520) |
$178 |
$178 |
10.3× |
| Immunoassay infectious agent antibody quan nos (86317) |
$96.50 |
$96.50 |
6.4× |
| Immunofixation electrophoresis (86334) |
$181 |
$181 |
8.1× |
| Immunofixation urine (86335) |
$219.50 |
$219.50 |
7.5× |
| Immunofluor antb 1st stain (88346) |
$908 |
$908 |
5.1× |
| Immunoglobulin d (82784) |
$106 |
$106 |
11.4× |
| Immunoglobulin light chains free each (83521) |
$114 |
$114 |
6.6× |
| Immunoperoxidase (88342) |
$632 |
$632 |
3.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$79 |
$79 |
5.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) |
$153 |
$153 |
4.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$186 |
$186 |
11.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$407 |
$407 |
31.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$285 |
$285 |
4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$351 |
$351 |
8.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) |
$28 |
$28 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) |
$28 |
$28 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$449.50 |
$449.50 |
12.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$166 |
$166 |
4.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$840 |
$840 |
19.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) |
$28 |
$28 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$231 |
$231 |
6.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$693 |
$693 |
8.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$769 |
$769 |
18.5× |
| Influenza assay w/optic (87804) |
$172 |
$172 |
10.4× |
| Influenza DNA amp probe (87502) |
$368 |
$368 |
3.8× |
| Inhibin a (86336) |
$163 |
$163 |
10.5× |
| Insulin antibody (86337) |
$128 |
$128 |
6.0× |
| Insulin total (83525) |
$181 |
$181 |
15.8× |
| Intrinsic factor antibody (86340) |
$235 |
$235 |
15.6× |
| Iron (83540) |
$80 |
$80 |
12.4× |
| Iron binding capacity (83550) |
$80 |
$80 |
9.2× |
| Islet cell antibody (86341) |
$211 |
$211 |
9.0× |
| Jak2 gene (81270) |
$640 |
$640 |
7.0× |
| Lactate (83605) |
$179 |
$179 |
15.5× |
| Lactate dehydrogenase (83615) |
$103 |
$103 |
17.1× |
| Lamotrigine (80175) |
$226 |
$226 |
17.1× |
| LDL direct (83721) |
$147 |
$147 |
14.0× |
| Lead (83655) |
$190 |
$190 |
15.7× |
| Legionella antibody (86713) |
$222 |
$222 |
14.5× |
| Legionella culture (87081) |
$112.50 |
$112.50 |
17.0× |
| Legionella urine antigen (87449) |
$239 |
$239 |
19.9× |
| Leptospira antibody (86720) |
$202 |
$202 |
12.5× |
| Leukocyte assessment fecal (89055) |
$72 |
$72 |
16.9× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$182 |
$182 |
4.6× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$336 |
$336 |
6.1× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$400 |
$400 |
7.3× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$986 |
$986 |
2.6× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$1,139 |
$1,139 |
1.3× |
| Lipase (83690) |
$124 |
$124 |
18.0× |
| Lipopro bld electrophoretic (83700) |
$71 |
$71 |
6.3× |
| Lipoprotein (a) (83695) |
$214 |
$214 |
14.9× |
| Lipoprotein bld by nmr (83704) |
$208 |
$208 |
6.1× |
| Lipoprotein-associated phospholipase a2 (83698) |
$289 |
$289 |
6.2× |
| Lithium (80178) |
$120 |
$120 |
18.2× |
| Luteinizing hormone (lh) (83002) |
$282 |
$282 |
15.2× |
| Lyme disease antibody (86617) |
$184 |
$184 |
11.9× |
| Lyme disease antibody (86618) |
$177 |
$177 |
10.4× |
| Lymph choriomeningitis ab (86727) |
$190 |
$190 |
14.8× |
| Macroscopic exam parasite (87169) |
$109 |
$109 |
25.3× |
| Magnesium (83735) |
$115 |
$115 |
17.2× |
| Malaria smear (87207) |
$152 |
$152 |
25.4× |
| Manganese (83785) |
$376 |
$376 |
14.1× |
| Manual differential (85007) |
$137 |
$137 |
36.1× |
| Mercury (83825) |
$265 |
$265 |
16.3× |
| Metanephrines (83835) |
$222 |
$222 |
13.1× |
| Methylmalonic acid serum (83921) |
$242 |
$242 |
11.4× |
| Microalbumin urine (82043) |
$102 |
$102 |
17.6× |
| Mitochondrial antibody each (86381) |
$159 |
$159 |
6.2× |
| Mold id (87107) |
$282 |
$282 |
27.3× |
| Mononuclear cell antigen (86356) |
$168 |
$168 |
6.3× |
| Mopath procedure level 2 (81401) |
$855 |
$855 |
6.2× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$502 |
$502 |
2.8× |
| Mrsa PCR (87641) |
$271 |
$271 |
7.7× |
| Mtb rifampin rst amp prb tq (87564) |
$726 |
$726 |
9.5× |
| Mthfr gene (81291) |
$408 |
$408 |
6.2× |
| Mumps antibody (86735) |
$201.50 |
$201.50 |
15.4× |
| Mycoplasma pneumoniae by PCR (87581) |
$108 |
$108 |
3.1× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$185 |
$185 |
16.0× |
| Myoglobin (83874) |
$207 |
$207 |
16.0× |
| N.gonorrhoeae DNA amp prob (87591) |
$164 |
$164 |
4.7× |
| Natriuretic peptide (83880) |
$294 |
$294 |
7.5× |
| Nephelometry ea analyte (83883) |
$267 |
$267 |
19.6× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$1,368 |
$1,368 |
5.2× |
| Nk cells total count (86357) |
$220 |
$220 |
5.8× |
| Obstetric panel includes HIV testing (80081) |
$713 |
$713 |
9.5× |
| Occult bld feces 1-3 tests (82272) |
$56 |
$56 |
13.2× |
| Occult blood other sources (82271) |
$57 |
$57 |
10.7× |
| Occult blood screening (82270) |
$60 |
$60 |
13.7× |
| Oligoclonal bands (83916) |
$177 |
$177 |
6.5× |
| Osmolality serum (83930) |
$161 |
$161 |
24.4× |
| Osmolality urine (83935) |
$161 |
$161 |
23.6× |
| Osteocalcin (83937) |
$249 |
$249 |
8.3× |
| Ova and parasite exam (87177) |
$80.50 |
$80.50 |
9.0× |
| Oxalate urine (83945) |
$267 |
$267 |
18.5× |
| Pancreatic elastase fecal (82656) |
$347 |
$347 |
30.1× |
| Pancreatic polypeptide (83519) |
$185 |
$185 |
10.1× |
| Parathyroid hormone (83970) |
$379 |
$379 |
9.2× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$107 |
$107 |
9.3× |
| Parvovirus antibody (86747) |
$130 |
$130 |
8.6× |
| Pertussis by PCR (87798) |
$116 |
$116 |
3.3× |
| Ph body fluid (83986) |
$66 |
$66 |
18.4× |
| Phenobarbital (80184) |
$185 |
$185 |
12.1× |
| Phenylalanine (84030) |
$23 |
$23 |
4.2× |
| Phenytoin level total (80185) |
$209 |
$209 |
15.8× |
| Phosphorus (84100) |
$82 |
$82 |
17.3× |
| Phosphorus urine (84105) |
$31.50 |
$31.50 |
5.4× |
| Pinworm exam (87172) |
$123 |
$123 |
28.8× |
| Plasminogen activity (85420) |
$106 |
$106 |
16.2× |
| Platelet aggregation ea agent (85576) |
$56 |
$56 |
2.2× |
| Platelet count automated (85049) |
$82 |
$82 |
18.3× |
| Platelet neutralization (85597) |
$180 |
$180 |
10.0× |
| Porphobilinogen urine (84110) |
$142 |
$142 |
16.8× |
| Porphyrins urine quantitation & fractionation (84120) |
$216 |
$216 |
14.7× |
| Potassium (84132) |
$83 |
$83 |
17.4× |
| Potassium urine (84133) |
$71 |
$71 |
15.0× |
| Prealbumin (84134) |
$136 |
$136 |
9.3× |
| Pregnenolone (84140) |
$251 |
$251 |
12.1× |
| Procalcitonin (pct) (84145) |
$262.50 |
$262.50 |
9.6× |
| Progesterone (84144) |
$234 |
$234 |
11.2× |
| Proinsulin (84206) |
$248 |
$248 |
9.3× |
| Prolactin (84146) |
$270 |
$270 |
13.9× |
| Prostaglandin (84150) |
$261 |
$261 |
6.2× |
| Prostatic acid phosphatase (84066) |
$146 |
$146 |
15.1× |
| Protein c activity (85303) |
$262.50 |
$262.50 |
19.0× |
| Protein c antigen (85302) |
$282 |
$282 |
23.5× |
| Protein electrophoresis serum (84165) |
$213 |
$213 |
19.8× |
| Protein electrophoresis urine (84166) |
$35 |
$35 |
2.0× |
| Protein s antigen, free (85306) |
$185.50 |
$185.50 |
12.1× |
| Protein total other source (84157) |
$103 |
$103 |
25.8× |
| Protein total serum (84155) |
$61 |
$61 |
16.6× |
| Protein total urine (84156) |
$47 |
$47 |
12.8× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$262 |
$262 |
9.0× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$139 |
$139 |
35.3× |
| Protozoa antibody nos (86753) |
$152 |
$152 |
12.3× |
| PSA free (84154) |
$44 |
$44 |
2.4× |
| Rbc antibody elution (86860) |
$248 |
$248 |
1.4× |
| Rbc antibody identification (86870) |
$466 |
$466 |
1.2× |
| Rbc antibody screen (86850) |
$272 |
$272 |
27.8× |
| Reagent strip/blood glucose (82948) |
$137.50 |
$137.50 |
27.3× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$75 |
$75 |
6.2× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$119 |
$119 |
9.0× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$140 |
$140 |
7.2× |
| Renin (84244) |
$177 |
$177 |
8.0× |
| Reptilase test (85635) |
$158 |
$158 |
16.0× |
| Resp virus 12-25 targets (87633) |
$1,110 |
$1,110 |
2.7× |
| Reticyte/hgb concentrate (85046) |
$77 |
$77 |
13.8× |
| Rheumatoid factor (86430) |
$89 |
$89 |
14.5× |
| Rheumatoid factor quant (86431) |
$89 |
$89 |
15.7× |
| Rickettsia antibody (86757) |
$125 |
$125 |
6.5× |
| Ristocetin cofactor (85245) |
$361 |
$361 |
15.7× |
| Rl immediate spin crossmatch (86920) |
$190 |
$190 |
1.1× |
| Rpr qual (86592) |
$179 |
$179 |
41.9× |
| Rpr titer (86593) |
$26 |
$26 |
5.9× |
| Rsv DNA/RNA amp probe (87634) |
$439 |
$439 |
6.3× |
| Rubella antibody (86762) |
$108.50 |
$108.50 |
7.5× |
| Rubeola antibody (86765) |
$136 |
$136 |
10.6× |
| Russell viper venom diluted (85613) |
$61.50 |
$61.50 |
6.4× |
| Sedimentation rate rbc automated (85652) |
$64 |
$64 |
23.7× |
| Selenium (84255) |
$391 |
$391 |
15.3× |
| Semen analysis complete (89320) |
$168 |
$168 |
13.6× |
| Semen analysis post vasectomy (89321) |
$115 |
$115 |
9.5× |
| Semen analysis; motility and count (not including Huhner test) Other Outpatient (89310) |
$109 |
$109 |
12.7× |
| Serotonin (84260) |
$261 |
$261 |
8.4× |
| Sex hormone binding globulin (84270) |
$339 |
$339 |
15.6× |
| Sickle cell screen (85660) |
$103 |
$103 |
18.7× |
| Sirolimus (80195) |
$457 |
$457 |
33.3× |
| Smear wet mount (87210) |
$113 |
$113 |
19.4× |
| Sodium (84295) |
$76 |
$76 |
15.8× |
| Sodium urine (84300) |
$86 |
$86 |
17.0× |
| Somatomedin (84305) |
$250 |
$250 |
11.8× |
| Special stains group i (88312) |
$226 |
$226 |
4.1× |
| Special stains group ii (88313) |
$235 |
$235 |
1.7× |
| Staph a DNA amp probe (87640) |
$271 |
$271 |
7.7× |
| Stone analysis (82365) |
$202 |
$202 |
15.7× |
| Strep a assay w/optic (87880) |
$186 |
$186 |
11.3× |
| Strep a DNA amp probe (87651) |
$209.50 |
$209.50 |
6.0× |
| Strep b DNA amp probe (87653) |
$225 |
$225 |
6.4× |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
$168 |
$168 |
1.8× |
| Surg path level 1 (88300) |
$120 |
$120 |
3.9× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$395 |
$395 |
7.2× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$395 |
$395 |
10.0× |
| Susceptibility mic per plate (87186) |
$214 |
$214 |
24.7× |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
$92 |
$92 |
19.4× |
| T3 free (84481) |
$179.50 |
$179.50 |
10.6× |
| T3 reverse (84482) |
$253 |
$253 |
16.1× |
| T3 uptake (84479) |
$105 |
$105 |
16.2× |
| T4 (thyroxine) total (84436) |
$111 |
$111 |
16.2× |
| Tacrolimus (80197) |
$324 |
$324 |
23.6× |
| Tb test cell immun measure (86480) |
$280 |
$280 |
4.5× |
| Testosterone bioavailable (84410) |
$320 |
$320 |
6.2× |
| Testosterone free (84402) |
$66 |
$66 |
2.6× |
| Testosterone total (84403) |
$383 |
$383 |
14.8× |
| Tetanus antibody (86774) |
$189 |
$189 |
12.8× |
| Theophylline (80198) |
$214 |
$214 |
15.1× |
| Thiopurine drug metabolites (83789) |
$300 |
$300 |
12.4× |
| Thiopurine metabolites (80299) |
$217.50 |
$217.50 |
11.7× |
| Thiopurine methyltransferase, rbc (82657) |
$254 |
$254 |
11.5× |
| Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) |
$337 |
$337 |
15.2× |
| Thrombin time plasma (85670) |
$83.50 |
$83.50 |
14.5× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$154 |
$154 |
23.8× |
| Thyroglobulin (84432) |
$255 |
$255 |
15.9× |
| Thyroglobulin antibody (86800) |
$177 |
$177 |
11.1× |
| Thyroid peroxidase antibody (86376) |
$225 |
$225 |
15.5× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$728 |
$728 |
14.3× |
| Thyroxine binding globulin (84442) |
$192 |
$192 |
13.0× |
| Thyroxine free (ft4) (84439) |
$141 |
$141 |
15.6× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$23 |
$23 |
3.6× |
| Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) |
$1,128.50 |
$1,128.50 |
8.0× |
| Tissue culture lymphocyte (88230) |
$727 |
$727 |
6.2× |
| Tobramycin (80200) |
$277 |
$277 |
17.2× |
| Topiramate (80201) |
$177 |
$177 |
14.8× |
| Toxoplasma antibody igg (86777) |
$110 |
$110 |
7.6× |
| Transferrin (84466) |
$200 |
$200 |
15.7× |
| Treponema pallidum antibody (86780) |
$164.50 |
$164.50 |
12.4× |
| Trichomonas vaginalis amplif (87661) |
$219 |
$219 |
6.2× |
| Trichrome stain (87209) |
$119 |
$119 |
6.6× |
| Triglycerides (84478) |
$63.50 |
$63.50 |
11.1× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$229 |
$229 |
16.1× |
| Troponin t (84484) |
$177 |
$177 |
14.2× |
| Urea nitrogen quantitative (84520) |
$76 |
$76 |
19.2× |
| Urea nitrogen urine (84540) |
$84 |
$84 |
15.1× |
| Uric acid blood (84550) |
$77 |
$77 |
17.0× |
| Uric acid other source (84560) |
$77 |
$77 |
15.2× |
| Urinalysis auto w/micro (81001) |
$96 |
$96 |
30.3× |
| Urinalysis microscopic only (81015) |
$59 |
$59 |
19.3× |
| Urinalysis volume measure (81050) |
$17 |
$17 |
4.7× |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
$34 |
$34 |
15.7× |
| Urine bacteria culture (87088) |
$224 |
$224 |
27.7× |
| Urine Pregnancy Test POC (81025) |
$55 |
$55 |
6.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$52 |
$52 |
23.1× |
| Vancomycin (80202) |
$238 |
$238 |
17.6× |
| Varicella zoster antibody igg (86787) |
$115 |
$115 |
8.9× |
| Vasoactive intestinal peptide (vip) (84586) |
$190 |
$190 |
5.4× |
| Viral culture non-respiratory (87252) |
$271 |
$271 |
10.4× |
| Virus antibody nos (86790) |
$207 |
$207 |
16.1× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$271 |
$271 |
13.9× |
| Vitamin a (84590) |
$172 |
$172 |
14.8× |
| Vitamin b-12 (82607) |
$261 |
$261 |
17.3× |
| Vitamin b1 whole blood (84425) |
$293 |
$293 |
13.8× |
| Vitamin b6 (84207) |
$407 |
$407 |
14.5× |
| Vitamin c (82180) |
$182 |
$182 |
18.4× |
| Vitamin d 25 hydroxy (82306) |
$213 |
$213 |
7.2× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$598 |
$598 |
15.5× |
| Vitamin e (84446) |
$206 |
$206 |
14.5× |
| Vitamin k1 (84597) |
$184 |
$184 |
13.4× |
| Vma (84585) |
$204 |
$204 |
13.2× |
| Voltage-gated calcium channel antibody each (86596) |
$75 |
$75 |
6.2× |
| West nile virus antibody (86789) |
$150 |
$150 |
10.4× |
| Yeast id (87106) |
$243 |
$243 |
23.5× |
| Z t cells total count (86359) |
$220 |
$220 |
5.8× |
| Zika virus DNA/RNA amp probe (87662) |
$490 |
$490 |
9.5× |
| Zinc (84630) |
$178 |
$178 |
15.6× |