Lab & pathology prices at Astria Toppenish Hospital
Toppenish, WA · every code in this section with a posted price and a Medicare benchmark.
582 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $347.75 | $535 | 9.0× |
| 5 Nucleotidase (83915) | $157.30 | $242 | 14.1× |
| Acetone serum qual (82009) | $57.20 | $88 | 12.7× |
| Acth stimulation panel adrenal insufficiency (80400) | $220.35 | $339 | 6.8× |
| Acute hepatitis panel (80074) | $442 | $680 | 9.3× |
| Adenovirus ag, if (87260) | $172.90 | $266 | 12.0× |
| Adrenocorticotropic hormone (82024) | $652.60 | $1,004 | 16.9× |
| Afp maternal serum (82105) | $260.32 | $400.50 | 15.5× |
| Albumin body fluid (82042) | $94.90 | $146 | 12.2× |
| Albumin serum (82040) | $88.40 | $136 | 17.9× |
| Aldolase (82085) | $130 | $200 | 13.4× |
| Aldosterone urine (82088) | $63.05 | $97 | 1.5× |
| Alkaline phosphatase isoenzymes (84080) | $192.08 | $295.50 | 13.0× |
| Allergen peanut (86003) | $9.10 | $14 | 1.7× |
| Alpha-1-antitrypsin, total (82103) | $154.70 | $238 | 11.5× |
| Alpha-Fetoprotein; Amniotic (82106) | $71.82 | $110.50 | 4.2× |
| Alt (sgpt) (84460) | $76.05 | $117 | 14.3× |
| Aluminum (82108) | $359.45 | $553 | 14.1× |
| Amylase urine (82150) | $20.80 | $32 | 3.2× |
| Angiotensin i enzyme test (82164) | $194.35 | $299 | 13.3× |
| Antibody aspergillus (86606) | $59.80 | $92 | 4.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $260 | $400 | 16.8× |
| Antibody cytomegalovirus cmv (86644) | $35.10 | $54 | 2.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $136.50 | $210 | 10.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $67.92 | $104.50 | 5.5× |
| Antibody helicobacter pylori (86677) | $61.10 | $94 | 3.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $81.90 | $126 | 5.7× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $104 | $160 | 7.6× |
| Antibody HIV-2 (86702) | $181.35 | $279 | 13.4× |
| Antibody identification (86870) | $512.20 | $788 | 1.3× |
| Antibody influenza virus (86710) | $60.45 | $93 | 4.5× |
| Antibody mumps (86735) | $140.40 | $216 | 10.8× |
| Antibody Protozoa Nes (86753) | $58.50 | $90 | 4.7× |
| Antibody screen (86850) | $212.55 | $327 | 21.8× |
| Antibody treponema pallidum (86780) | $67.60 | $104 | 5.1× |
| Antibody; Coccidioides (86635) | $161.85 | $249 | 14.1× |
| Antigen typing (86905) | $212.55 | $327 | 55.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $512.20 | $788 | 98.9× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $24.70 | $38 | 2.0× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $24.70 | $38 | 2.0× |
| Antinomyces antibody (86602) | $20.80 | $32 | 2.0× |
| Antinuclear antibodies (86038) | $45.50 | $70 | 3.8× |
| Antistreptolysin o titer (86060) | $96.85 | $149 | 13.3× |
| Antithrombin iii activity (85300) | $133.90 | $206 | 11.3× |
| Antithrombin iii antigen (85301) | $82.55 | $127 | 7.6× |
| Apolipoprotein each (82172) | $168.35 | $259 | 8.0× |
| Arsenic Urine (82175) | $197.60 | $304 | 10.4× |
| Aspergillus ag eia (87305) | $343.20 | $528 | 28.6× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $68.90 | $106 | 1.3× |
| Assay Nephelometry Not Spec (83883) | $229.45 | $353 | 16.9× |
| Assay of 5-hiaa (83497) | $136.18 | $209.50 | 10.6× |
| Assay of ammonia (82140) | $174.20 | $268 | 12.0× |
| Assay of androstenedione (82157) | $371.80 | $572 | 12.7× |
| Assay of c-peptide (84681) | $276.90 | $426 | 13.3× |
| Assay of ceruloplasmin (82390) | $159.25 | $245 | 14.8× |
| Assay of citrate (82507) | $101.40 | $156 | 3.6× |
| Assay of cpk in blood (82552) | $160.55 | $247 | 12.0× |
| Assay of cyclosporine (80158) | $592.15 | $911 | 32.8× |
| Assay of erythropoietin (82668) | $250.25 | $385 | 13.3× |
| Assay of estrone (82679) | $92.95 | $143 | 3.7× |
| Assay of ethosuximide (80168) | $230.75 | $355 | 14.1× |
| Assay of ferritin (82728) | $14.95 | $23 | 1.1× |
| Assay of g6pd enzyme (82955) | $37.05 | $57 | 3.8× |
| Assay of gammaglobulin igm (82784) | $124.15 | $191 | 13.3× |
| Assay of gastrin (82941) | $248.95 | $383 | 14.1× |
| Assay of gentamicin (80170) | $247.65 | $381 | 15.1× |
| Assay of homocystine (83090) | $225.55 | $347 | 12.6× |
| Assay of lactic acid (83605) | $128.70 | $198 | 11.1× |
| Assay of lipoprotein(a) (83695) | $200.20 | $308 | 14.0× |
| Assay of manganese (83785) | $141.70 | $218 | 5.3× |
| Assay of metanephrines (83835) | $91 | $140 | 5.4× |
| Assay of phenobarbital (80184) | $100.75 | $155 | 6.6× |
| Assay of prealbumin (84134) | $61.75 | $95 | 4.2× |
| Assay of prolactin (84146) | $261.30 | $402 | 13.5× |
| Assay of semen fructose (82757) | $79.30 | $122 | 4.6× |
| Assay of tacrolimus (80197) | $191.75 | $295 | 14.0× |
| Assay of topiramate (80201) | $141.70 | $218 | 11.9× |
| Assay of urine vma (84585) | $219.05 | $337 | 14.1× |
| Assay of vasopressin anti-diuretic hormone (84588) | $115.05 | $177 | 3.4× |
| Assay of vitamin k (84597) | $174.85 | $269 | 12.7× |
| Assay Phosphatase Acid Prostatic (84066) | $136.50 | $210 | 14.1× |
| Assay spec xcp ur&breath ia (82077) | $224.90 | $346 | 13.0× |
| Ast (sgot) (84450) | $77.35 | $119 | 14.9× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $682.50 | $1,050 | 0.8× |
| Bcr/abl1 gene major bp (81206) | $573.95 | $883 | 3.5× |
| Bcr/abl1 gene minor bp (81207) | $507 | $780 | 3.5× |
| Beta 2 glycoprotein 1 igm (86146) | $130.98 | $201.50 | 5.1× |
| Beta lactamase (87185) | $101.08 | $155.50 | 21.3× |
| Beta-2 microglobulin (82232) | $152.75 | $235 | 9.4× |
| Bile acids, total (82239) | $62.40 | $96 | 3.6× |
| Bilirubin direct (82248) | $46.15 | $71 | 9.2× |
| Bilirubin total (82247) | $46.80 | $72 | 9.3× |
| Bl Smear W/Diff Wbc Count (85007) | $23.40 | $36 | 6.2× |
| Bld Typing Serologic Rh Phnt (86906) | $72.15 | $111 | 9.3× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $50.70 | $78 | 9.1× |
| Blood gas (82803) | $281.45 | $433 | 10.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $69.55 | $107 | 4.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $33.80 | $52 | 7.7× |
| Blood Ph (82800) | $115.05 | $177 | 10.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $212.55 | $327 | 33.5× |
| Blood typing abo (86900) | $212.55 | $327 | 71.1× |
| Blood typing serologic rh (d) (86901) | $212.55 | $327 | 71.1× |
| Body fluid cell count (89051) | $77.68 | $119.50 | 13.9× |
| Body fluid cell count (89050) | $101.40 | $156 | 21.5× |
| Bone Marrow Smear Interpretation (85097) | $993.85 | $1,529 | 1.1× |
| Braf gene (81210) | $391.30 | $602 | 2.2× |
| Breath Alcohol Test (82075) | $27.95 | $43 | 0.9× |
| Brucella antibody (86622) | $85.80 | $132 | 9.6× |
| C diff amplified probe (87493) | $81.58 | $125.50 | 2.2× |
| C-reactive protein (86140) | $24.70 | $38 | 4.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $161.20 | $248 | 12.4× |
| C1q binding assay (86332) | $91 | $140 | 3.7× |
| Ca 125 (86304) | $403 | $620 | 19.4× |
| Ca 19-9 (86301) | $276.90 | $426 | 13.3× |
| Ca 27 29 (86300) | $285.02 | $438.50 | 13.7× |
| Cadmium level (82300) | $70.85 | $109 | 3.0× |
| Calcitonin (82308) | $377.65 | $581 | 14.1× |
| Calcium ionized (82330) | $169.98 | $261.50 | 12.4× |
| Calcium total (82310) | $61.10 | $94 | 11.8× |
| Calcium urine (82340) | $25.35 | $39 | 4.2× |
| Calculus Quantitative Chemical (82360) | $98.80 | $152 | 7.7× |
| Calculus spectroscopy (82365) | $30.55 | $47 | 2.4× |
| Calprotectin, fecal (83993) | $666.90 | $1,026 | 34.0× |
| Calr gene com variants (81219) | $399.75 | $615 | 3.3× |
| Carbamazepine total (80156) | $174.20 | $268 | 12.0× |
| Carbon dioxide (82374) | $48.75 | $75 | 10.0× |
| Carboxyhemoglobin (82375) | $97.50 | $150 | 7.9× |
| Carcinoembryonic antigen (82378) | $183.62 | $282.50 | 9.7× |
| Cardiolipin ab igg (86147) | $102.05 | $157 | 4.0× |
| Catecholamines fraction plasma (82384) | $206.05 | $317 | 8.2× |
| Cftr gene com variants (81220) | $253.50 | $390 | 0.5× |
| Chemiluminescent assay (82397) | $222.62 | $342.50 | 15.8× |
| Chloride blood (82435) | $58.50 | $90 | 12.7× |
| Chloride feces (82438) | $29.25 | $45 | 5.9× |
| Chloride urine (82436) | $56.55 | $87 | 9.8× |
| Cholesterol HDL (83718) | $102.70 | $158 | 12.5× |
| Cholesterol total (82465) | $65 | $100 | 14.9× |
| Cholinesterase rbc (82482) | $109.20 | $168 | 11.1× |
| Cholinesterase serum (82480) | $136.50 | $210 | 17.3× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $59.15 | $91 | 2.2× |
| Chrmsm analysis addl high resolution study (88289) | $111.80 | $172 | 3.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $122.20 | $188 | 3.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $607.10 | $934 | 4.8× |
| Chromium urine (82495) | $49.40 | $76 | 2.4× |
| Chromogranin a (86316) | $136.50 | $210 | 6.6× |
| Chromosome analysis 20-25 cells (88264) | $536.25 | $825 | 3.7× |
| Chromosome Analysis 5 (88261) | $588.25 | $905 | 2.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $61.75 | $95 | 1.8× |
| Ckmb (82553) | $134.55 | $207 | 11.6× |
| Clot Factor VIII Multimetric (85247) | $490.75 | $755 | 21.4× |
| Clot factor viii vw antigen (85246) | $356.85 | $549 | 15.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $85.15 | $131 | 4.8× |
| Clotting Inhibitors Protein S Free (85306) | $262.92 | $404.50 | 17.2× |
| Clozapine level (80159) | $83.20 | $128 | 4.1× |
| Cmv ab igm (86645) | $231.08 | $355.50 | 13.7× |
| Cmv PCR (87496) | $405.60 | $624 | 11.6× |
| Coagulation time activated (85347) | $59.15 | $91 | 13.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $146.90 | $226 | 6.1× |
| Cold agglutinin screen (86156) | $22.75 | $35 | 2.8× |
| Compatibility test antiglob (86922) | $331.50 | $510 | 1.7× |
| Compatibility Test Incubate (86921) | $331.50 | $510 | 1.7× |
| Complement c3 (86160) | $59.15 | $91 | 4.9× |
| Complement total (ch50) (86162) | $230.10 | $354 | 11.3× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $109.85 | $169 | 9.2× |
| Concentration Infectious Agent (87015) | $92.30 | $142 | 13.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $507.65 | $781 | 12.2× |
| Coombs direct (86880) | $349.05 | $537 | 64.8× |
| Copper urine (82525) | $213.20 | $328 | 17.2× |
| Cortisol free (82530) | $311.35 | $479 | 18.6× |
| Cortisol total (82533) | $150.15 | $231 | 9.2× |
| Creatine kinase total (82550) | $88.40 | $136 | 13.6× |
| Creatinine blood (82565) | $73.12 | $112.50 | 14.3× |
| Creatinine clearance (82575) | $112.45 | $173 | 11.9× |
| Creatinine other source (82570) | $50.70 | $78 | 9.8× |
| Crossmatch immediate spin (86920) | $331.50 | $510 | 1.7× |
| Cryoglobulin (82595) | $55.25 | $85 | 8.5× |
| Crystals body fluid (89060) | $47.45 | $73 | 6.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $60.45 | $93 | 7.5× |
| Culture Aerobic Identify (87077) | $180.05 | $277 | 22.3× |
| Culture afb (87116) | $343.85 | $529 | 31.8× |
| Culture anaerobic (87075) | $151.45 | $233 | 16.0× |
| Culture blood (87040) | $170.95 | $263 | 16.6× |
| Culture chlamydia (87110) | $260.65 | $401 | 13.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $148.85 | $229 | 19.3× |
| Culture fungus blood (87103) | $238.55 | $367 | 11.7× |
| Culture fungus id yeast (87106) | $173.88 | $267.50 | 16.8× |
| Culture fungus other (87102) | $115.70 | $178 | 13.8× |
| Culture genital (87070) | $281.45 | $433 | 32.7× |
| Culture screen only (87081) | $191.42 | $294.50 | 28.9× |
| Culture stool (87045) | $150.80 | $232 | 16.0× |
| Culture typing if ea antiserum (87140) | $83.20 | $128 | 14.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $32.50 | $50 | 6.3× |
| Culture urine (87086) | $114.40 | $176 | 14.2× |
| Culture virus (87252) | $79.95 | $123 | 3.1× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $326.30 | $502 | 2.8× |
| Cyclic Citrullinated Peptide (86200) | $66.95 | $103 | 5.2× |
| Cystatin c (82610) | $81.25 | $125 | 4.4× |
| Cytogenetics 100-300 (88275) | $180.70 | $278 | 3.5× |
| Cytogenetics DNA probe (88271) | $165.10 | $254 | 7.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $1,299.35 | $1,999 | 30.3× |
| Cytopath cell enhance tech (88112) | $139.75 | $215 | 2.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $183.30 | $282 | 4.4× |
| Cytopath Smear Other Source (88160) | $156.65 | $241 | 4.9× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $45.50 | $70 | 2.5× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $75.40 | $116 | 2.8× |
| Cytp concentration smears & interpretation (88108) | $122.85 | $189 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $268.12 | $412.50 | 4.6× |
| Cytp fna eval dx 1st each site (88172) | $566.15 | $871 | 3.0× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $128.70 | $198 | 2.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $68.90 | $106 | 4.2× |
| Detect agnt mult DNA ampli (87801) | $152.75 | $235 | 2.2× |
| Dhea (82626) | $112.45 | $173 | 4.4× |
| Dhea-sulfate (82627) | $295.75 | $455 | 13.3× |
| Digoxin (80162) | $159.90 | $246 | 12.0× |
| Dilantin (80185) | $157.95 | $243 | 11.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $45.82 | $70.50 | 3.3× |
| DNA/RNA direct probe (87149) | $187.20 | $288 | 9.3× |
| Drug Assay Lacosamide (80235) | $386.10 | $594 | 14.2× |
| Drug assay voriconazole (80285) | $266.50 | $410 | 9.8× |
| Drug quant nes (80299) | $120.90 | $186 | 6.5× |
| Drug screen quant zonisamide (80203) | $136.50 | $210 | 10.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $134.55 | $207 | 10.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $79.95 | $123 | 6.0× |
| Drug Scrn Quan Levetiracetam (80177) | $144.30 | $222 | 10.9× |
| Drug test prsmv chem anlyzr (80307) | $224.90 | $346 | 3.6× |
| Drug Test Prsmv Dir Opt Obs (80305) | $45.50 | $70 | 3.6× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $91 | $140 | 5.3× |
| E test (87181) | $27.30 | $42 | 5.7× |
| Ebv viral capsid (86665) | $123.50 | $190 | 6.8× |
| Egfr Gene Analysis Common Variants (81235) | $1,046.50 | $1,610 | 3.2× |
| Ehrlichia antibody (86666) | $48.10 | $74 | 4.7× |
| Elastase pancreatic fecal quantitative (82653) | $507 | $780 | 22.1× |
| Electrolyte panel (80051) | $61.10 | $94 | 8.7× |
| Electron microscopy diagnostic (88348) | $1,070.55 | $1,647 | 1.2× |
| Electronic crossmatch (86923) | $132.60 | $204 | 0.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $154.70 | $238 | 2.5× |
| Enzyme histochemistry (88319) | $696.80 | $1,072 | 0.8× |
| Eosinophil count (85048) | $32.50 | $50 | 12.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $87.10 | $134 | 5.7× |
| Estradiol (82670) | $391.30 | $602 | 14.0× |
| Estriol serum (82677) | $219.05 | $337 | 9.1× |
| Estrogens fractionated (82671) | $185.90 | $286 | 5.8× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $215.80 | $332 | 2.2× |
| Everolimus (80169) | $168.35 | $259 | 12.3× |
| F2 gene analysis 20210g >a variant (81240) | $178.10 | $274 | 2.7× |
| F5 gene analysis, leiden variant (81241) | $187.85 | $289 | 2.6× |
| Factor ii activity (85210) | $68.90 | $106 | 5.3× |
| Factor inhibitor test (85335) | $202.15 | $311 | 15.7× |
| Factor ix activity (85250) | $185.90 | $286 | 9.8× |
| Factor v activity (85220) | $41.60 | $64 | 2.4× |
| Factor viii ahg (85240) | $170.30 | $262 | 9.5× |
| Factor xi assay (85270) | $250.90 | $386 | 14.0× |
| Fecal fat qual (82705) | $23.40 | $36 | 4.6× |
| Fecal fat quant (82710) | $237.25 | $365 | 14.1× |
| Fetal bleed screen (85461) | $170.95 | $263 | 18.3× |
| Fetal fibronectin (82731) | $527.80 | $812 | 8.2× |
| Fibrin Degradation Quant (85379) | $99.45 | $153 | 9.8× |
| Fibrinogen activity (85384) | $102.05 | $157 | 10.5× |
| Flow cytometry first marker (88184) | $298.02 | $458.50 | 0.7× |
| Fluorescent Antibody Screen (86255) | $182 | $280 | 15.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $37.05 | $57 | 3.1× |
| Folate serum (82746) | $96.85 | $149 | 6.6× |
| Follicle Stimulating Hormone (83001) | $234.32 | $360.50 | 12.6× |
| Fresh frozen plasma thawing each unit (86927) | $224.25 | $345 | 1.2× |
| Frozen Section (88331) | $436.15 | $671 | 2.3× |
| Fructosamine (82985) | $60.45 | $93 | 3.6× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $62.40 | $96 | 6.0× |
| Gabapentin (80171) | $190.78 | $293.50 | 8.8× |
| Gammaglobulin ige (82785) | $295.75 | $455 | 18.0× |
| Gardner vag DNA dir probe (87510) | $64.35 | $99 | 3.2× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $8,869.25 | $13,645 | 11.7× |
| Ggt (82977) | $81.90 | $126 | 11.4× |
| Giardia antigen eia stool (87329) | $121.55 | $187 | 10.1× |
| Glucose (82947) | $30.55 | $47 | 7.8× |
| Glucose Blood Test (82962) | $32.18 | $49.50 | 9.8× |
| Glucose body fluid (82945) | $51.35 | $79 | 13.1× |
| Glucose post dose (82950) | $154.70 | $238 | 32.6× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $44.52 | $68.50 | 11.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $164.45 | $253 | 12.8× |
| Growth hormone (83003) | $235.30 | $362 | 14.1× |
| H pylori breath test (83013) | $293.80 | $452 | 4.4× |
| Haptoglobin (83010) | $155.02 | $238.50 | 12.3× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) | $382.85 | $589 | 3.7× |
| Hcg qualitative (84703) | $89.05 | $137 | 11.8× |
| Hcg quant (84702) | $295.10 | $454 | 19.6× |
| Heavy metal quant each (83018) | $51.35 | $79 | 2.3× |
| Hematocrit (85014) | $22.75 | $35 | 9.6× |
| Hemoglobin (85018) | $39 | $60 | 16.5× |
| Hemoglobin (Hgb), quantitative, transcutaneous Facility (88738) | $32.50 | $50 | 6.5× |
| Hemoglobin a1c (83036) | $141.70 | $218 | 14.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $180.70 | $278 | 10.0× |
| Hemoglobin electrophoresis (83020) | $128.70 | $198 | 10.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $117 | $180 | 15.1× |
| Hemosiderin urine (83070) | $62.40 | $96 | 13.1× |
| Heparin assay (85520) | $138.45 | $213 | 10.6× |
| Hepatitis a antibody total (86708) | $64.35 | $99 | 5.2× |
| Hepatitis a igm (86709) | $105.95 | $163 | 9.4× |
| Hepatitis b core ab igm (86705) | $98.15 | $151 | 8.3× |
| Hepatitis b core antibody total (86704) | $64.35 | $99 | 5.3× |
| Hepatitis B Surface Ab (86706) | $107.25 | $165 | 10.0× |
| Hepatitis b surface ag quan (87467) | $97.50 | $150 | 3.9× |
| Hepatitis B Surface Antigen (87340) | $109.85 | $169 | 10.6× |
| Hepatitis Be Antigen (87350) | $50.05 | $77 | 4.3× |
| Hepatitis c antibody (86803) | $113.75 | $175 | 8.0× |
| Hepatitis C Genotype (87902) | $959.40 | $1,476 | 3.7× |
| Hepatitis delta ab (86692) | $221 | $340 | 12.9× |
| Herpes simplex type i (86695) | $44.85 | $69 | 3.4× |
| Herpes simplex type ii (86696) | $70.20 | $108 | 3.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $62.40 | $96 | 12.0× |
| Hexagonal phospholipid (85598) | $144.30 | $222 | 8.0× |
| Hfe gene (81256) | $208 | $320 | 3.2× |
| Histoplasma antigen urine (87385) | $107.25 | $165 | 8.1× |
| HIV-1 antibody (86701) | $51.35 | $79 | 5.8× |
| HIV-2 probe&revrse trnscripj (87538) | $85.15 | $131 | 2.4× |
| Hla class i&ii antibody qual (86828) | $176.15 | $271 | 2.7× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $354.25 | $545 | 3.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $341.90 | $526 | 4.6× |
| Homogenization tissue (87176) | $57.20 | $88 | 9.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $61.75 | $95 | 1.8× |
| Hydroxyprogesterone 17-d (83498) | $362.05 | $557 | 13.3× |
| Iaad ia clostridium difficile toxin (87324) | $158.60 | $244 | 13.2× |
| Iaad Ia Cryptococcus Neoformans (87327) | $79.30 | $122 | 5.9× |
| Iaad ia cryptosporidium (87328) | $65 | $100 | 4.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $39.65 | $61 | 1.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $342.55 | $527 | 23.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $128.05 | $197 | 3.6× |
| Iaad ia shiga-like toxin (87427) | $51.35 | $79 | 4.3× |
| Iaad Ia Streptococcus Group A (87430) | $21.45 | $33 | 1.3× |
| Iaadi inffluenza a virus (87276) | $38.35 | $59 | 2.4× |
| Iaadi influenza b virus (87275) | $66.30 | $102 | 5.4× |
| Iaadi Not Otherwise Specified Each Organism (87299) | $37.70 | $58 | 2.3× |
| Iaadi parainfluenza virus each type (87279) | $42.25 | $65 | 2.6× |
| Iaadi respiratory synctial virus (87280) | $38.35 | $59 | 2.9× |
| Iaadiadoo not otherwise specified (87899) | $42.25 | $65 | 2.6× |
| Iaadiadoo sarscov2&influenza virus types a&b (87812) | $250.90 | $386 | 3.4× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $406.90 | $626 | 11.6× |
| Iadna candida species amplified probe tq (87481) | $61.75 | $95 | 1.8× |
| Iadna Candida Species Direct Probe Tq (87480) | $64.35 | $99 | 3.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $57.20 | $88 | 1.6× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $133.90 | $206 | 1.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $123.50 | $190 | 1.8× |
| Iadna hepatitis b virus quantification (87517) | $1,139.45 | $1,753 | 26.6× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $482.95 | $743 | 11.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $295.75 | $455 | 8.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $282.75 | $435 | 3.3× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $113.10 | $174 | 1.6× |
| Iadna human papillomavirus high-risk types (87624) | $106.60 | $164 | 3.0× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $90.35 | $139 | 2.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $259.35 | $399 | 7.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $72.48 | $111.50 | 2.1× |
| Iadna nos amplified probe tq each organism (87798) | $61.75 | $95 | 1.8× |
| Iadna nos quantification each organism (87799) | $639.28 | $983.50 | 14.9× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $61.75 | $95 | 1.8× |
| Igg subclasses (82787) | $31.20 | $48 | 3.9× |
| Igh gene rearrange amp meth (81261) | $657.15 | $1,011 | 3.3× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $351.65 | $541 | 0.9× |
| Immunoassay infectious agent antibody quan nos (86317) | $125.78 | $193.50 | 8.4× |
| Immunoassay nonantibody (83516) | $68.25 | $105 | 5.9× |
| Immunodiffusion Ouchterlony (86331) | $40.30 | $62 | 3.4× |
| Immunofixation (86334) | $146.90 | $226 | 6.6× |
| Immunofixation urine (86335) | $135.85 | $209 | 4.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $436.15 | $671 | 2.3× |
| Immunoglobulin light chains free each (83521) | $108.55 | $167 | 6.3× |
| Immunohistochemistry (88342) | $157.30 | $242 | 0.8× |
| In situ hybridization (88365) | $305.50 | $470 | 1.6× |
| In situ hybridization ea multiplex probe stain (88366) | $305.50 | $470 | 1.6× |
| Indirect coombs (86885) | $315.25 | $485 | 55.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $61.75 | $95 | 1.8× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) | $13 | $20 | 1.1× |
| Influenza DNA amp probe (87502) | $168.35 | $259 | 1.8× |
| Inhibin a (86336) | $71.82 | $110.50 | 4.6× |
| Inhibin b (83520) | $51.35 | $79 | 3.0× |
| Insitu hybridization auto (88367) | $222.95 | $343 | 0.6× |
| Insitu hybridization manual (88368) | $382.20 | $588 | 1.0× |
| Insulin antibodies (86337) | $124.15 | $191 | 5.8× |
| Insulin total (83525) | $99.78 | $153.50 | 8.7× |
| Intrinsic factor antibody (86340) | $222.95 | $343 | 14.8× |
| Iron (83540) | $88.40 | $136 | 13.7× |
| Iron binding capacity (83550) | $68.58 | $105.50 | 7.8× |
| Islet cell antibody (86341) | $159.90 | $246 | 6.8× |
| Jak2 gene analysis (81270) | $414.05 | $637 | 4.5× |
| Jak2 targeted sequence analysis (81279) | $940.55 | $1,447 | 5.1× |
| Kras gene analysis (81275) | $620.75 | $955 | 3.2× |
| Ldh body fluid (83615) | $72.15 | $111 | 11.9× |
| LDL cholesterol direct (83721) | $127.08 | $195.50 | 12.1× |
| Lead (83655) | $95.55 | $147 | 7.9× |
| Legionella antigen urine (87449) | $131.95 | $203 | 11.0× |
| Leptospira antibody (86720) | $107.25 | $165 | 6.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $33.80 | $52 | 7.9× |
| Level ii surg pathology grossµscopic exam (88302) | $135.20 | $208 | 3.2× |
| Level v surg pathology grossµscopic exam (88307) | $560.30 | $862 | 1.4× |
| Level vi surg pathology grossµscopic exam (88309) | $697.45 | $1,073 | 0.8× |
| Lh (83002) | $247 | $380 | 13.3× |
| Lipase (83690) | $92.30 | $142 | 13.4× |
| Lipopro bld electrophoretic (83700) | $25.35 | $39 | 2.3× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $52 | $80 | 1.5× |
| Listeria ab (86609) | $196.30 | $302 | 15.2× |
| Lithium (80178) | $99.45 | $153 | 15.0× |
| Liver ds alys 3 bmrk srm alg (81517) | $828.75 | $1,275 | 4.7× |
| Lyme disease antibody (86618) | $252.20 | $388 | 14.8× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $377.65 | $581 | 2.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $962.32 | $1,480.50 | 5.1× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $436.15 | $671 | 2.3× |
| Macroscopic exam arthropod (87168) | $29.25 | $45 | 6.9× |
| Macroscopic exam parasite (87169) | $26.65 | $41 | 6.2× |
| Magnesium (83735) | $32.50 | $50 | 4.9× |
| Mercury urine (83825) | $229.45 | $353 | 14.1× |
| Metabolic Panel Ionized Ca (80047) | $140.40 | $216 | 10.2× |
| Methemoglobin (83050) | $91.65 | $141 | 11.2× |
| Methylmalonic acid serum (83921) | $237.90 | $366 | 11.2× |
| Microalbumin urine (82043) | $48.42 | $74.50 | 8.4× |
| Microsatellite instability (81301) | $984.10 | $1,514 | 2.8× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $436.15 | $671 | 7.5× |
| Microsomal antibodies (86376) | $205.40 | $316 | 14.1× |
| Mitochondrial antibody each (86381) | $67.60 | $104 | 2.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $694.85 | $1,069 | 16.4× |
| Mopath procedure level 4 (81403) | $620.75 | $955 | 3.4× |
| Mpl gene common variants (81338) | $446.55 | $687 | 3.0× |
| Mrsa PCR (87641) | $62.40 | $96 | 1.8× |
| Mtb PCR (87556) | $73.45 | $113 | 1.8× |
| Mtb rifampin rst amp prb tq (87564) | $891.80 | $1,372 | 11.6× |
| Mycophenolic acid (80180) | $55.25 | $85 | 3.1× |
| Mycoplasma antibody (86738) | $127.40 | $196 | 9.6× |
| Mycoplasma genitalium PCR (87563) | $66.30 | $102 | 1.9× |
| Myoglobin urine (83874) | $181.35 | $279 | 14.0× |
| Nasal smear for eosinophils (89190) | $44.20 | $68 | 7.6× |
| Natriuretic peptide (83880) | $110.50 | $170 | 2.8× |
| Nras gene variants exon 2&3 (81311) | $689.65 | $1,061 | 2.3× |
| Nuclear antigen antibody (86235) | $65 | $100 | 3.6× |
| Occult blood gastric (82271) | $39 | $60 | 7.3× |
| Osmolality serum (83930) | $50.70 | $78 | 7.7× |
| Osmolality urine (83935) | $423.80 | $652 | 62.1× |
| Ova and parasite direct-id lca (87177) | $147.55 | $227 | 16.6× |
| Oxalate urine (83945) | $181.35 | $279 | 12.6× |
| Pancreatic polypeptide (83519) | $133.25 | $205 | 7.2× |
| Parvovirus antibody (86747) | $43.55 | $67 | 2.9× |
| Pathology Consultation During Surgery (88329) | $142.35 | $219 | 2.2× |
| Ph body fluid (83986) | $22.75 | $35 | 6.4× |
| Ph urine (81003) | $27.30 | $42 | 12.1× |
| Phenylalanine (84030) | $244.40 | $376 | 44.4× |
| Phenytoin free (80186) | $104 | $160 | 7.6× |
| Phosphatase alkaline (84075) | $119.28 | $183.50 | 23.0× |
| Phosphorus blood (84100) | $72.15 | $111 | 15.2× |
| Phosphorus urine (84105) | $33.80 | $52 | 5.8× |
| Pinworm exam (87172) | $71.50 | $110 | 16.7× |
| Platelet aggregation (85576) | $119.60 | $184 | 4.8× |
| Platelet count automated (85049) | $18.20 | $28 | 4.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $70.20 | $108 | 4.8× |
| Potassium (84132) | $66.30 | $102 | 13.9× |
| Potassium urine (84133) | $50.70 | $78 | 10.7× |
| Pregnancy associated plasma protein-a (84163) | $89.70 | $138 | 6.0× |
| Pregnenolone (84140) | $148.85 | $229 | 7.2× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $28.60 | $44 | 0.2× |
| Procalcitonin (pct) (84145) | $620.10 | $954 | 22.8× |
| Progesterone (84144) | $364.65 | $561 | 17.5× |
| Progesterone (reproductive hormone) receptor analysis (84234) | $249.60 | $384 | 3.8× |
| Protein body fluid (84157) | $140.08 | $215.50 | 35.0× |
| Protein c activity (85303) | $186.55 | $287 | 13.5× |
| Protein c antigen (85302) | $143.65 | $221 | 12.0× |
| Protein electrophoresis serum (84165) | $365.95 | $563 | 34.1× |
| Protein Electrophoresis Urine (84166) | $386.10 | $594 | 21.7× |
| Protein s total (85305) | $151.45 | $233 | 13.0× |
| Protein total serum (84155) | $60.12 | $92.50 | 16.4× |
| Protein urine (84156) | $285.35 | $439 | 77.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $69.55 | $107 | 17.7× |
| Protoporphyrin rbc quantitative (84202) | $133.25 | $205 | 9.3× |
| PSA free (84154) | $100.75 | $155 | 5.5× |
| Pth intact (83970) | $156.65 | $241 | 3.8× |
| Rbc (85041) | $37.05 | $57 | 12.3× |
| Rbc antibody elution (86860) | $349.05 | $537 | 1.8× |
| Rbc pretreatment serum (86978) | $69.55 | $107 | 1.1× |
| Rbc pretx incubatj w/chemicl (86970) | $71.50 | $110 | 1.1× |
| Reagent strip/blood glucose (82948) | $42.90 | $66 | 8.5× |
| Renin activity plasma (84244) | $250.90 | $386 | 11.4× |
| Resp virus 12-25 targets (87633) | $572.65 | $881 | 1.4× |
| Reticulocyte count auto (85045) | $50.70 | $78 | 12.7× |
| Reticulocyte separation (86972) | $95.55 | $147 | 0.5× |
| Rheumatoid factor quant (86431) | $24.70 | $38 | 4.4× |
| Rickettsia antibody (86757) | $262.60 | $404 | 13.6× |
| Ristocetin cofactor (85245) | $347.10 | $534 | 15.1× |
| Rotavirus ag eia (87425) | $115.05 | $177 | 9.6× |
| Rpr Titer (86593) | $34.12 | $52.50 | 7.8× |
| Rsv (87807) | $158.60 | $244 | 12.1× |
| Rubella antibody (86762) | $174.20 | $268 | 12.1× |
| Rubeola Antibody Igg (86765) | $72.80 | $112 | 5.7× |
| Russell viper venom time diluted (85613) | $62.40 | $96 | 6.5× |
| Salicylate Level (80179) | $191.10 | $294 | 10.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157.30 | $242 | 3.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $89.05 | $137 | 2.1× |
| Sars-cov-2 covid19 w/optic (87811) | $80.92 | $124.50 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $250.90 | $386 | 1.8× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $107.90 | $166 | 16.3× |
| Sedimentation rate auto (85652) | $58.50 | $90 | 21.7× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $110.50 | $170 | 9.2× |
| Sensitivity kb (87184) | $101.40 | $156 | 13.6× |
| Sensitivity mic (87186) | $126.10 | $194 | 14.6× |
| Serotonin Release Assay (86022) | $149.50 | $230 | 8.1× |
| Sex hormone binding globulin (84270) | $76.70 | $118 | 3.5× |
| Sickling of rbc reduction (85660) | $71.82 | $110.50 | 13.0× |
| Sirolimus (rapamycin) (80195) | $167.70 | $258 | 12.2× |
| Smear acid fast (87206) | $74.75 | $115 | 13.9× |
| Smear complex stain (87209) | $66.95 | $103 | 3.7× |
| Smear gram stain (87205) | $55.25 | $85 | 12.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $40.95 | $63 | 7.0× |
| Sodium (84295) | $63.70 | $98 | 13.2× |
| Sodium feces (84302) | $57.20 | $88 | 11.8× |
| Sodium urine (84300) | $70.85 | $109 | 14.0× |
| Somatomedin (84305) | $315.25 | $485 | 14.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $187.85 | $289 | 1.3× |
| Special stains group 1 (88312) | $180.05 | $277 | 3.1× |
| Sputum specimen collection (89220) | $487.50 | $750 | 2.6× |
| Staph a DNA amp probe (87640) | $61.75 | $95 | 1.8× |
| Stool Culture, Addl Pathogens (87046) | $38.35 | $59 | 4.1× |
| Strep a assay w/optic (87880) | $39 | $60 | 2.4× |
| Strep a DNA amp probe (87651) | $21.45 | $33 | 0.6× |
| Strep b DNA amp probe (87653) | $61.75 | $95 | 1.8× |
| Surg path level 1 (88300) | $77.35 | $119 | 2.4× |
| Surg path level iii (88304) | $85.15 | $131 | 1.5× |
| Surgical pathology level IV (88305) | $167.38 | $257.50 | 2.9× |
| T Cell Absolute Count (86361) | $85.15 | $131 | 3.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $406.90 | $626 | 8.7× |
| T cells total count (86359) | $140.40 | $216 | 3.7× |
| T3 free (84481) | $297.05 | $457 | 17.5× |
| T3 reverse (84482) | $72.15 | $111 | 4.6× |
| T3 total (84480) | $152.75 | $235 | 10.8× |
| T3 uptake (84479) | $42.90 | $66 | 6.6× |
| T4 free (84439) | $88.40 | $136 | 9.8× |
| T4 total (84436) | $105.62 | $162.50 | 15.4× |
| Tb intradermal test (86580) | $45.50 | $70 | 1.4× |
| Tb test, cell immun measure (86480) | $235.95 | $363 | 3.8× |
| Testosterone free (84402) | $334.75 | $515 | 13.1× |
| Testosterone total (84403) | $312.65 | $481 | 12.1× |
| Theophylline (80198) | $187.85 | $289 | 13.3× |
| Thin prep pap (88142) | $45.50 | $70 | 2.2× |
| Thiocyanate (84430) | $91 | $140 | 7.8× |
| Thiopurine methyltransferase (84433) | $620.75 | $955 | 28.0× |
| Thrombin time plasma (85670) | $25.35 | $39 | 4.4× |
| Thromboplastin Inhibition Tissue (85705) | $442.65 | $681 | 46.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $92.95 | $143 | 14.4× |
| Thyroglobulin (84432) | $202.80 | $312 | 12.6× |
| Thyroglobulin antibody (86800) | $231.72 | $356.50 | 14.6× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $440.70 | $678 | 8.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $884.65 | $1,361 | 6.3× |
| Tissue culture bone marrow (88237) | $387.08 | $595.50 | 2.7× |
| Tissue culture lymphocyte (88230) | $521.95 | $803 | 4.5× |
| Tissue transglutaminase ab iga (86364) | $129.35 | $199 | 11.2× |
| Touch prep (88161) | $141.05 | $217 | 4.4× |
| Toxoplasma ab igm (86778) | $213.20 | $328 | 14.8× |
| Toxoplasma antibody igg (86777) | $213.20 | $328 | 14.8× |
| Transferrin (84466) | $175.50 | $270 | 13.8× |
| Trg gene rearrangement analysis (81342) | $599.30 | $922 | 3.0× |
| Trichomonas vagin dir probe (87660) | $64.35 | $99 | 3.2× |
| Triglycerides (84478) | $41.60 | $64 | 7.2× |
| Troponin (84484) | $189.15 | $291 | 15.2× |
| Tumor immunohistochem/comput (88361) | $436.15 | $671 | 1.1× |
| Unlisted Surgical Pathology Procedure (88399) | $128.70 | $198 | 2.2× |
| Urea nitrogen (84520) | $48.10 | $74 | 12.2× |
| Urea nitrogen urine (84540) | $43.55 | $67 | 7.8× |
| Uric acid blood (84550) | $57.85 | $89 | 12.8× |
| Uric acid other source (84560) | $247 | $380 | 48.6× |
| Urinalysis auto w/scope (81001) | $38.35 | $59 | 12.1× |
| Urinalysis Microscopic Only (81015) | $21.45 | $33 | 7.0× |
| Urine Bacteria Culture (87088) | $142.35 | $219 | 17.6× |
| Urine pregnancy test (81025) | $54.28 | $83.50 | 6.3× |
| Valproic acid (80164) | $123.50 | $190 | 9.1× |
| Vancomycin trough (80202) | $131.30 | $202 | 9.7× |
| Varicella-zoster antibody (86787) | $190.45 | $293 | 14.8× |
| Vasoactive intestinal peptide (vip) (84586) | $280.80 | $432 | 7.9× |
| Vdrl csf (86592) | $71.50 | $110 | 16.7× |
| Virus antibody nos (86790) | $41.60 | $64 | 3.2× |
| Virus inoculation, shell via (87254) | $61.10 | $94 | 3.1× |
| Vitamin A (84590) | $170.30 | $262 | 14.7× |
| Vitamin b-12 (82607) | $100.10 | $154 | 6.6× |
| Vitamin b1 (thiamine) (84425) | $286.65 | $441 | 13.5× |
| Vitamin b2 (84252) | $94.25 | $145 | 4.7× |
| Vitamin b3 niacin (84591) | $226.20 | $348 | 13.3× |
| Vitamin b6 (84207) | $288.60 | $444 | 10.3× |
| Vitamin D 25-Hydroxy (82306) | $152.10 | $234 | 5.1× |
| Vitamin e serum (84446) | $174.85 | $269 | 12.3× |
| West nile virus antibody (86789) | $103.35 | $159 | 7.2× |
| West nile virus igm (86788) | $103.35 | $159 | 6.1× |
| Zinc (84630) | $193.70 | $298 | 17.0× |