Lab & pathology prices at Bon Secours Southside Medical Center
Petersburg, VA · every code in this section with a posted price and a Medicare benchmark.
608 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) | $143.70 | $479 | 3.7× |
| Abl1 gene (81170) | $496.20 | $1,654 | 1.7× |
| Acetaminophen level (80143) | $35.10 | $117 | 1.9× |
| Acetone serum qual (82009) | $44.70 | $149 | 9.9× |
| Acetylcholine receptor binding antibody (86041) | $29.10 | $97 | 1.6× |
| Acetylcholine receptor blocking antibody (86042) | $29.10 | $97 | 1.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $64.20 | $214 | 5.3× |
| Acth stimulation panel adrenal insufficiency (80400) | $56.70 | $189 | 1.7× |
| Actin smooth muscle antibody each (86015) | $20.10 | $67 | 1.7× |
| Activated protein c resistance (85307) | $68.40 | $228 | 4.5× |
| Acute hepatitis panel (80074) | $302.85 | $1,009.50 | 6.4× |
| Adrenocorticotropic hormone (82024) | $993.90 | $3,313 | 25.7× |
| Afp maternal serum (82105) | $63.15 | $210.50 | 3.8× |
| Albumin body fluid (82042) | $34.95 | $116.50 | 4.5× |
| Albumin serum (82040) | $52.80 | $176 | 10.7× |
| Aldolase (82085) | $65.40 | $218 | 6.7× |
| Aldosterone urine (82088) | $250.80 | $836 | 6.2× |
| Alkaline phosphatase isoenzymes (84080) | $273.30 | $911 | 18.5× |
| Allergen peanut (86003) | $17.85 | $59.50 | 3.4× |
| Allg Spec Ige Recomb Ea (86008) | $70.80 | $236 | 3.9× |
| Alpha-1-antitrypsin phenotype (82104) | $38.40 | $128 | 2.7× |
| Alpha-1-antitrypsin, total (82103) | $345 | $1,150 | 25.7× |
| Alpha-Fetoprotein L3 (82107) | $150.45 | $501.50 | 2.3× |
| Alt (sgpt) (84460) | $28.05 | $93.50 | 5.3× |
| Amikacin trough (80150) | $30.60 | $102 | 2.0× |
| Amylase urine (82150) | $145.80 | $486 | 22.5× |
| Angiotensin i enzyme test (82164) | $302.70 | $1,009 | 20.7× |
| Anti-phosphatidylserine antibody (86148) | $25.20 | $84 | 1.6× |
| Antibody aspergillus (86606) | $215.10 | $717 | 14.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $124.80 | $416 | 8.1× |
| Antibody coxiella burnetii q fever (86638) | $34.65 | $115.50 | 2.9× |
| Antibody cytomegalovirus cmv (86644) | $123.90 | $413 | 8.6× |
| Antibody Encephalitis Eastern Equine (86652) | $65.10 | $217 | 4.9× |
| Antibody encephalitis st. louis (86653) | $68.40 | $228 | 5.2× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $138.60 | $462 | 10.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $55.20 | $184 | 4.5× |
| Antibody helicobacter pylori (86677) | $102.90 | $343 | 6.1× |
| Antibody HIV-2 (86702) | $78 | $260 | 5.8× |
| Antibody identification (86870) | $321.60 | $1,072 | 0.9× |
| Antibody Listeria Monocytogenes (86723) | $71.70 | $239 | 5.4× |
| Antibody mumps (86735) | $60.90 | $203 | 4.7× |
| Antibody Protozoa Nes (86753) | $24.45 | $81.50 | 2.0× |
| Antibody screen (86850) | $136.20 | $454 | 13.9× |
| Antibody treponema pallidum (86780) | $35.40 | $118 | 2.7× |
| Antibody; Coccidioides (86635) | $50.40 | $168 | 4.4× |
| Antigen typing (86905) | $125.70 | $419 | 32.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $120.15 | $400.50 | 23.2× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $21 | $70 | 1.7× |
| Antinomyces antibody (86602) | $18.90 | $63 | 1.9× |
| Antinuclear antibodies (86038) | $249.30 | $831 | 20.6× |
| Antistreptolysin o titer (86060) | $42.60 | $142 | 5.8× |
| Antithrombin iii activity (85300) | $132 | $440 | 11.1× |
| Antithrombin iii antigen (85301) | $238.80 | $796 | 22.1× |
| Apolipoprotein each (82172) | $39 | $130 | 1.8× |
| Aquaporin-4 Antb Elisa (86051) | $106.50 | $355 | 9.2× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $318.15 | $1,060.50 | 26.4× |
| Arsenic Urine (82175) | $133.80 | $446 | 7.1× |
| Aspergillus ag eia (87305) | $198.90 | $663 | 16.6× |
| Assay Duodenal Fluid Trypsin (84485) | $16.80 | $56 | 2.3× |
| Assay myeloperoxidase (83876) | $80.10 | $267 | 1.6× |
| Assay Nephelometry Not Spec (83883) | $25.20 | $84 | 1.9× |
| Assay of 5-hiaa (83497) | $101.70 | $339 | 7.9× |
| Assay of ammonia (82140) | $120.60 | $402 | 8.3× |
| Assay of androstenedione (82157) | $61.20 | $204 | 2.1× |
| Assay of anti-mullerian hormone (82166) | $19.50 | $65 | 0.5× |
| Assay of c-peptide (84681) | $138.60 | $462 | 6.7× |
| Assay of ceruloplasmin (82390) | $89.70 | $299 | 8.4× |
| Assay of dibucaine number (82638) | $27.60 | $92 | 2.3× |
| Assay of erythropoietin (82668) | $43.80 | $146 | 2.3× |
| Assay of ferritin (82728) | $154.80 | $516 | 11.4× |
| Assay of g6pd enzyme (82955) | $122.40 | $408 | 12.6× |
| Assay of gammaglobulin igm (82784) | $31.50 | $105 | 3.4× |
| Assay of gastrin (82941) | $108.30 | $361 | 6.1× |
| Assay of gentamicin (80170) | $96.30 | $321 | 5.9× |
| Assay of homocystine (83090) | $39.60 | $132 | 2.2× |
| Assay of lactic acid (83605) | $96 | $320 | 8.3× |
| Assay of lipoprotein(a) (83695) | $76.20 | $254 | 5.3× |
| Assay of metanephrines (83835) | $93.90 | $313 | 5.5× |
| Assay of phenobarbital (80184) | $173.10 | $577 | 11.3× |
| Assay of prealbumin (84134) | $148.20 | $494 | 10.2× |
| Assay of proinsulin (84206) | $42 | $140 | 1.6× |
| Assay of prolactin (84146) | $75 | $250 | 3.9× |
| Assay of pyruvate (84210) | $22.80 | $76 | 1.6× |
| Assay of tacrolimus (80197) | $22.80 | $76 | 1.7× |
| Assay of topiramate (80201) | $71.70 | $239 | 6.0× |
| Assay of transcortin (84449) | $28.50 | $95 | 1.6× |
| Assay of urine vma (84585) | $48.30 | $161 | 3.1× |
| Assay of vitamin k (84597) | $236.40 | $788 | 17.2× |
| Assay of volatiles (84600) | $27 | $90 | 1.6× |
| Assay spec xcp ur&breath ia (82077) | $33.60 | $112 | 1.9× |
| Ast (sgot) (84450) | $27.75 | $92.50 | 5.4× |
| B cells total count (86355) | $93.90 | $313 | 2.5× |
| Bartonella antibody (86611) | $32.25 | $107.50 | 3.2× |
| Bartonella PCR (87471) | $90.90 | $303 | 2.6× |
| Bcr/abl1 gene major bp (81206) | $382.80 | $1,276 | 2.3× |
| Bcr/abl1 gene minor bp (81207) | $361.20 | $1,204 | 2.5× |
| Beta 2 glycoprotein 1 igm (86146) | $81.15 | $270.50 | 3.2× |
| Beta hydroxybutyrate (82010) | $55.50 | $185 | 6.8× |
| Beta lactamase (87185) | $11.40 | $38 | 2.4× |
| Beta-2 microglobulin (82232) | $38.40 | $128 | 2.4× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $381 | $1,270 | 3.0× |
| Bile acids, total (82239) | $71.70 | $239 | 4.2× |
| Bilirubin direct (82248) | $44.10 | $147 | 8.8× |
| Bilirubin total (82247) | $102.60 | $342 | 20.4× |
| Bilirubin total transcutaneous (88720) | $8.40 | $28 | 1.7× |
| Bl Smear W/Diff Wbc Count (85007) | $48.60 | $162 | 12.8× |
| Blastomyces antibody (86612) | $47.40 | $158 | 3.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $111 | $370 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) | $35.10 | $117 | 4.5× |
| Blood gas (82803) | $327 | $1,090 | 12.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $67.20 | $224 | 4.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $37.80 | $126 | 8.6× |
| Blood Ph (82800) | $57.90 | $193 | 5.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $226.80 | $756 | 35.7× |
| Blood typing abo (86900) | $42.30 | $141 | 14.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $64.50 | $215 | 3.9× |
| Blood typing serologic rh (d) (86901) | $40.50 | $135 | 13.5× |
| Body fluid cell count (89051) | $9.60 | $32 | 1.7× |
| Body fluid cell count (89050) | $94.80 | $316 | 20.1× |
| Bordetella antibody (86615) | $11.10 | $37 | 0.8× |
| Braf gene (81210) | $164.40 | $548 | 0.9× |
| Brucella antibody (86622) | $27.60 | $92 | 3.1× |
| C diff amplified probe (87493) | $110.10 | $367 | 3.0× |
| C-reactive protein (86140) | $129.90 | $433 | 25.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $133.50 | $445 | 10.3× |
| Ca 125 (86304) | $41.40 | $138 | 2.0× |
| Ca 19-9 (86301) | $207.60 | $692 | 10.0× |
| Ca 27 29 (86300) | $195.90 | $653 | 9.4× |
| Cadmium level (82300) | $37.20 | $124 | 1.6× |
| Calcium ionized (82330) | $52.35 | $174.50 | 3.8× |
| Calcium total (82310) | $53.10 | $177 | 10.3× |
| Calcium urine (82340) | $27 | $90 | 4.5× |
| Calculus Quantitative Chemical (82360) | $275.10 | $917 | 21.4× |
| California encephalitis ab (86651) | $68.40 | $228 | 5.2× |
| Calprotectin, fecal (83993) | $170.40 | $568 | 8.7× |
| Calr gene com variants (81219) | $222.30 | $741 | 1.8× |
| Carbamazepine free (80157) | $48.30 | $161 | 3.6× |
| Carbamazepine total (80156) | $296.40 | $988 | 20.3× |
| Carbon dioxide (82374) | $56.70 | $189 | 11.6× |
| Carboxyhemoglobin (82375) | $96.90 | $323 | 7.9× |
| Carcinoembryonic antigen (82378) | $154.80 | $516 | 8.2× |
| Cardiolipin ab igg (86147) | $159.60 | $532 | 6.3× |
| Catecholamines fraction plasma (82384) | $67.20 | $224 | 2.7× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $213.90 | $713 | 1.6× |
| Chemiluminescent assay (82397) | $99 | $330 | 7.0× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $410.70 | $1,369 | 1.6× |
| Chlamydia antibody (86631) | $51 | $170 | 4.3× |
| Chlamydia Igm Antibody (86632) | $205.50 | $685 | 16.2× |
| Chloride urine (82436) | $56.70 | $189 | 9.9× |
| Cholesterol total (82465) | $22.95 | $76.50 | 5.3× |
| Cholinesterase serum (82480) | $12.30 | $41 | 1.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $240.30 | $801 | 7.2× |
| Chromium urine (82495) | $60.60 | $202 | 3.0× |
| Chromogranin a (86316) | $80.10 | $267 | 3.8× |
| Chromosome analysis 20-25 cells (88264) | $290.10 | $967 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $293.40 | $978 | 8.4× |
| Clot Factor VIII Multimetric (85247) | $233.10 | $777 | 10.2× |
| Clot factor viii vw antigen (85246) | $146.70 | $489 | 6.4× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $160.65 | $535.50 | 9.0× |
| Clotting Inhibitors Protein S Free (85306) | $97.80 | $326 | 6.4× |
| Clozapine level (80159) | $54.60 | $182 | 2.7× |
| Cmv ab igm (86645) | $128.40 | $428 | 7.6× |
| Cmv PCR (87496) | $128.40 | $428 | 3.7× |
| Cns DNA amp probe type 12-25 (87483) | $688.50 | $2,295 | 1.7× |
| Coagulation time activated (85347) | $27.90 | $93 | 6.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $175.95 | $586.50 | 7.3× |
| Cold agglutinin screen (86156) | $36 | $120 | 4.5× |
| Comparative anal str markers patient&comp spec (81265) | $366.90 | $1,223 | 1.6× |
| Compatibility test antiglob (86922) | $174 | $580 | 1.0× |
| Compatibility Test Incubate (86921) | $136.20 | $454 | 0.8× |
| Complement c3 (86160) | $74.40 | $248 | 6.2× |
| Complement total (ch50) (86162) | $103.50 | $345 | 5.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $28.50 | $95 | 2.4× |
| Concentration Infectious Agent (87015) | $32.70 | $109 | 4.9× |
| Coombs direct (86880) | $58.65 | $195.50 | 10.9× |
| Copper urine (82525) | $42 | $140 | 3.4× |
| Cortisol total (82533) | $72.45 | $241.50 | 4.4× |
| Creatine kinase total (82550) | $131.40 | $438 | 20.2× |
| Creatinine blood (82565) | $44.40 | $148 | 8.7× |
| Creatinine clearance (82575) | $215.70 | $719 | 22.8× |
| Creatinine other source (82570) | $22.35 | $74.50 | 4.3× |
| Crossmatch immediate spin (86920) | $87.60 | $292 | 0.5× |
| Cryoglobulin (82595) | $46.20 | $154 | 7.1× |
| Cryptococcus antibody (86641) | $82.80 | $276 | 5.7× |
| Crystals body fluid (89060) | $122.40 | $408 | 16.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $117.15 | $390.50 | 14.5× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $378.60 | $1,262 | 1.7× |
| Culture Aerobic Identify (87077) | $125.70 | $419 | 15.6× |
| Culture afb (87116) | $35.40 | $118 | 3.3× |
| Culture anaerobic (87075) | $200.70 | $669 | 21.2× |
| Culture blood (87040) | $318.60 | $1,062 | 30.9× |
| Culture chlamydia (87110) | $30.90 | $103 | 1.6× |
| Culture fungus blood (87103) | $102.60 | $342 | 5.0× |
| Culture fungus id yeast (87106) | $104.40 | $348 | 10.1× |
| Culture fungus other (87102) | $106.80 | $356 | 12.7× |
| Culture genital (87070) | $64.20 | $214 | 7.4× |
| Culture screen only (87081) | $13.50 | $45 | 2.0× |
| Culture typing if ea antiserum (87140) | $8.70 | $29 | 1.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $70.20 | $234 | 13.6× |
| Culture typing other methods (87158) | $137.10 | $457 | 17.7× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $110.85 | $369.50 | 3.2× |
| Culture urine (87086) | $143.85 | $479.50 | 17.8× |
| Culture virus (87252) | $61.20 | $204 | 2.3× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $315 | $1,050 | 2.7× |
| Cyclic Citrullinated Peptide (86200) | $188.10 | $627 | 14.5× |
| Cyp2c9 gene com variants (81227) | $275.40 | $918 | 1.6× |
| Cyp3a4 (81230) | $262.20 | $874 | 1.5× |
| Cyp3a5 (81231) | $262.20 | $874 | 1.5× |
| Cytogenom const microarray copy number&snp var (81229) | $1,827 | $6,090 | 1.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $167.10 | $557 | 3.9× |
| Cytopath cell enhance tech (88112) | $87 | $290 | 1.7× |
| Cytp concentration smears & interpretation (88108) | $73.80 | $246 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $52.20 | $174 | 1.0× |
| Cytp fna eval dx 1st each site (88172) | $164.10 | $547 | 1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $104.10 | $347 | 0.6× |
| Deoxyribonuclease antibody (86215) | $180.60 | $602 | 13.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $90 | $300 | 5.4× |
| Dgp antibody each ig class (86258) | $20.10 | $67 | 1.7× |
| Dhea-sulfate (82627) | $225 | $750 | 10.1× |
| Digoxin (80162) | $147.60 | $492 | 11.1× |
| Digoxin free (80163) | $92.70 | $309 | 7.0× |
| Dilantin (80185) | $24.90 | $83 | 1.9× |
| Dipropylacetic acid free (80165) | $21.30 | $71 | 1.6× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $215.70 | $719 | 1.6× |
| Dna Antibody Single Stranded (86226) | $28.50 | $95 | 2.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $277.80 | $926 | 20.2× |
| DNA/RNA direct probe (87149) | $76.35 | $254.50 | 3.8× |
| Drug assay adalimumab (80145) | $159.30 | $531 | 4.1× |
| Drug Assay Amiodarone (80151) | $34.20 | $114 | 1.8× |
| Drug assay itraconazole (80189) | $196.20 | $654 | 7.2× |
| Drug Assay Lacosamide (80235) | $13.80 | $46 | 0.5× |
| Drug assay posaconazole (80187) | $52.50 | $175 | 1.9× |
| Drug assay voriconazole (80285) | $45.30 | $151 | 1.7× |
| Drug quant nes (80299) | $83.10 | $277 | 4.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $125.70 | $419 | 9.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $312.60 | $1,042 | 23.6× |
| Drug Scrn Quan Levetiracetam (80177) | $125.70 | $419 | 9.5× |
| Drug test prsmv chem anlyzr (80307) | $152.85 | $509.50 | 2.5× |
| E test (87181) | $19.65 | $65.50 | 4.1× |
| Ebv viral capsid (86665) | $122.40 | $408 | 6.7× |
| Egfr Gene Analysis Common Variants (81235) | $548.40 | $1,828 | 1.7× |
| Ehrlichia antibody (86666) | $86.70 | $289 | 8.5× |
| Elastase pancreatic fecal quantitative (82653) | $39.90 | $133 | 1.7× |
| Electrolyte panel (80051) | $132 | $440 | 18.8× |
| Electron microscopy diagnostic (88348) | $384 | $1,280 | 0.5× |
| Electronic crossmatch (86923) | $105.30 | $351 | 0.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $106.20 | $354 | 1.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $21 | $70 | 1.7× |
| Enterovirus antibody (86658) | $22.80 | $76 | 1.7× |
| Enterovirus Pcr (87498) | $861.30 | $2,871 | 24.5× |
| Eosinophil count (85048) | $25.20 | $84 | 9.9× |
| Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A,… (81419) | $3,856.50 | $12,855 | 1.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $127.20 | $424 | 8.3× |
| Estradiol (82670) | $59.40 | $198 | 2.1× |
| Estriol serum (82677) | $56.70 | $189 | 2.3× |
| Estrogens total (82672) | $131.10 | $437 | 6.0× |
| Ethylene glycol (82693) | $23.70 | $79 | 1.6× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $106.80 | $356 | 1.1× |
| F2 gene analysis 20210g >a variant (81240) | $789.60 | $2,632 | 12.0× |
| F5 gene analysis, leiden variant (81241) | $850.20 | $2,834 | 11.6× |
| Factor ix activity (85250) | $66.90 | $223 | 3.5× |
| Factor vii assay (85230) | $150 | $500 | 8.4× |
| Factor viii ahg (85240) | $154.35 | $514.50 | 8.6× |
| Fatty acids free (82725) | $183.75 | $612.50 | 9.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $134.25 | $447.50 | 7.8× |
| Fecal fat qual (82705) | $65.10 | $217 | 12.8× |
| Fetal bleed screen (85461) | $57 | $190 | 6.1× |
| Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) | $347.40 | $1,158 | 0.5× |
| Fetal fibronectin (82731) | $419.40 | $1,398 | 6.5× |
| Fibrin degradation products (85362) | $24.60 | $82 | 3.6× |
| Fibrin Degradation Quant (85379) | $188.40 | $628 | 18.5× |
| Fibrinogen activity (85384) | $49.20 | $164 | 5.1× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $25.50 | $85 | 1.6× |
| Flow cytometry first marker (88184) | $269.70 | $899 | 0.8× |
| Fluorescent Antibody Screen (86255) | $308.85 | $1,029.50 | 25.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $43.05 | $143.50 | 3.6× |
| Folate serum (82746) | $25.80 | $86 | 1.8× |
| Follicle Stimulating Hormone (83001) | $78.15 | $260.50 | 4.2× |
| Frozen Section (88331) | $275.40 | $918 | 1.7× |
| Fructosamine (82985) | $35.40 | $118 | 2.1× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $95.85 | $319.50 | 9.3× |
| G6pd gene analysis full gene sequence (81249) | $945 | $3,150 | 1.6× |
| Gabapentin (80171) | $43.50 | $145 | 2.0× |
| Gammaglobulin ige (82785) | $121.50 | $405 | 7.4× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $2,312.70 | $7,709 | 3.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,598.40 | $15,328 | 1.6× |
| Genetic Tstg Severe Inh Cond (81443) | $4,049.40 | $13,498 | 1.7× |
| Genome sequence analysis (81425) unusually low: confirm this is the full procedure |
$1,541.40 | $5,138 | 0.3× |
| Genome sequence analysis each comparator genome (81426) | $1,541.40 | $5,138 | 0.6× |
| Genotype cytomegalovirus (87910) | $405.30 | $1,351 | 1.6× |
| Ggt (82977) | $38.10 | $127 | 5.3× |
| Giardia antigen eia stool (87329) | $37.20 | $124 | 3.1× |
| Glucose (82947) | $27.90 | $93 | 7.1× |
| Glucose Blood Test (82962) | $37.80 | $126 | 11.5× |
| Glucose body fluid (82945) | $56.70 | $189 | 14.4× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $48.90 | $163 | 12.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $208.50 | $695 | 16.2× |
| Glucosidase beta (82963) | $145.80 | $486 | 6.8× |
| Growth hormone (83003) | $38.70 | $129 | 2.3× |
| H pylori breath test (83013) | $200.40 | $668 | 3.0× |
| Haptoglobin (83010) | $185.85 | $619.50 | 14.8× |
| Hbb Full Gene Sequence (81364) | $537 | $1,790 | 1.7× |
| Hcg qualitative (84703) | $140.40 | $468 | 18.7× |
| Hcg quant (84702) | $217.95 | $726.50 | 14.5× |
| Heavy metal quant each (83018) | $67.20 | $224 | 3.1× |
| Hematocrit (85014) | $70.50 | $235 | 29.7× |
| Hemoglobin (85018) | $66.60 | $222 | 28.1× |
| Hemoglobin a1c (83036) | $82.20 | $274 | 8.5× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $165.90 | $553 | 9.2× |
| Hemoglobin electrophoresis (83020) | $24 | $80 | 1.9× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $52.80 | $176 | 6.8× |
| Heparin assay (85520) | $24 | $80 | 1.8× |
| Hepatitis a antibody total (86708) | $117 | $390 | 9.4× |
| Hepatitis a igm (86709) | $191.70 | $639 | 17.0× |
| Hepatitis b core ab igm (86705) | $41.40 | $138 | 3.5× |
| Hepatitis b core antibody total (86704) | $25.20 | $84 | 2.1× |
| Hepatitis B Surface Ab (86706) | $66.90 | $223 | 6.2× |
| Hepatitis B Surface Antigen (87340) | $32.10 | $107 | 3.1× |
| Hepatitis b virus genotyping (87912) | $521.10 | $1,737 | 2.0× |
| Hepatitis Be Antigen (87350) | $136.50 | $455 | 11.8× |
| Hepatitis c antibody (86803) | $174.60 | $582 | 12.2× |
| Hepatitis C Antibody Confirmatory Test (86804) | $137.10 | $457 | 8.9× |
| Hepatitis C Genotype (87902) | $462 | $1,540 | 1.8× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,956 | $6,520 | 1.5× |
| Herpes simplex type i (86695) | $59.40 | $198 | 4.5× |
| Herpes simplex type ii (86696) | $107.25 | $357.50 | 5.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $138 | $460 | 26.6× |
| Hexagonal phospholipid (85598) | $60.60 | $202 | 3.4× |
| Histoplasma antibody (86698) | $21.60 | $72 | 1.6× |
| Histoplasma antigen urine (87385) | $113.10 | $377 | 8.5× |
| HIV-1 antibody (86701) | $81 | $270 | 9.1× |
| HIV-1 genotype (87901) | $600.90 | $2,003 | 2.3× |
| HIV-2 probe&revrse trnscripj (87538) | $14.70 | $49 | 0.4× |
| Hla class i high defin qual (86832) | $535.50 | $1,785 | 1.7× |
| Hla class i typing high resolution one allele or allele group (81381) | $382.80 | $1,276 | 2.3× |
| Hla class ii phenotype qual (86831) | $135 | $450 | 1.6× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $239.70 | $799 | 2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $858.30 | $2,861 | 11.5× |
| Homogenization tissue (87176) | $32.40 | $108 | 5.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $778.80 | $2,596 | 22.2× |
| Htt gene analysis detect abnormal alleles (81271) | $262.80 | $876 | 1.9× |
| Hydroxychloroquine (80220) | $63.90 | $213 | 3.4× |
| Hydroxyprogesterone 17-d (83498) | $171.90 | $573 | 6.3× |
| Iaad ia clostridium difficile toxin (87324) | $57.60 | $192 | 4.8× |
| Iaad Ia Cryptococcus Neoformans (87327) | $67.20 | $224 | 5.0× |
| Iaad ia cryptosporidium (87328) | $21.60 | $72 | 1.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $52.80 | $176 | 5.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $134.25 | $447.50 | 5.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $48 | $160 | 3.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $22.20 | $74 | 1.6× |
| Iaad Ia Streptococcus Group A (87430) | $27.60 | $92 | 1.6× |
| Iaadi Legionella Pneumophila (87278) | $200.40 | $668 | 12.8× |
| Iaadi Pneumocustis Carinii (87281) | $53.85 | $179.50 | 4.5× |
| Iaadiadoo not otherwise specified (87899) | $36.75 | $122.50 | 2.3× |
| Iaadiadoo trichomonas vaginalis (87808) | $21 | $70 | 1.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $57.90 | $193 | 1.7× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $449.10 | $1,497 | 12.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $121.80 | $406 | 1.7× |
| Iadna hepatitis b virus quantification (87517) | $234.30 | $781 | 5.5× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $177.30 | $591 | 5.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $395.85 | $1,319.50 | 9.2× |
| Iadna herpes virus-6 amplified probe tq (87532) | $428.40 | $1,428 | 12.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $14.70 | $49 | 0.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $402.15 | $1,340.50 | 4.7× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $108 | $360 | 1.5× |
| Iadna human papillomavirus high-risk types (87624) | $60.90 | $203 | 1.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $158.10 | $527 | 4.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $202.80 | $676 | 5.8× |
| Iadna nos amplified probe tq each organism (87798) | $161.70 | $539 | 4.6× |
| Iadna nos quantification each organism (87799) | $232.65 | $775.50 | 5.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $61.20 | $204 | 1.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $338.70 | $1,129 | 0.8× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $529.20 | $1,764 | 2.0× |
| Igg subclasses (82787) | $31.50 | $105 | 3.9× |
| Igvh somatic hypermutation (81263) | $333.60 | $1,112 | 1.1× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $424.95 | $1,416.50 | 1.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $43.80 | $146 | 2.9× |
| Immunoassay nonantibody (83516) | $75.60 | $252 | 6.6× |
| Immunodiffusion Ouchterlony (86331) | $21.60 | $72 | 1.8× |
| Immunofixation (86334) | $181.20 | $604 | 8.1× |
| Immunofixation urine (86335) | $76.05 | $253.50 | 2.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $543 | $1,810 | 3.3× |
| Immunoglobulin light chains free each (83521) | $29.40 | $98 | 1.7× |
| Immunohistochemistry (88342) | $160.20 | $534 | 1.0× |
| In situ hybridization (88365) | $285.60 | $952 | 1.7× |
| Indirect coombs (86885) | $108.15 | $360.50 | 18.9× |
| Influenza DNA amp probe (87502) | $210.60 | $702 | 2.2× |
| Inhibin a (86336) | $351.30 | $1,171 | 22.5× |
| Inhibin b (83520) | $73.65 | $245.50 | 4.3× |
| Insitu hybridization manual (88368) | $562.80 | $1,876 | 1.6× |
| Insulin free (83527) | $38.55 | $128.50 | 3.0× |
| Insulin total (83525) | $89.70 | $299 | 7.8× |
| Interleukin 6 (83529) | $30.30 | $101 | 1.8× |
| Intrinsic factor antibody (86340) | $271.50 | $905 | 18.0× |
| Iron (83540) | $124.20 | $414 | 19.2× |
| Iron binding capacity (83550) | $35.85 | $119.50 | 4.1× |
| Islet cell antibody (86341) | $93.30 | $311 | 4.0× |
| Jak2 gene analysis (81270) | $386.85 | $1,289.50 | 4.2× |
| Jak2 targeted sequence analysis (81279) | $234.30 | $781 | 1.3× |
| Lactoferrin Fecal Quantitative (83631) | $100.20 | $334 | 5.1× |
| Ldh body fluid (83615) | $48.45 | $161.50 | 8.0× |
| Ldh isoenzymes (83625) | $39.60 | $132 | 3.1× |
| LDL cholesterol direct (83721) | $121.80 | $406 | 11.6× |
| Lead (83655) | $144.30 | $481 | 11.9× |
| Legionella antibody (86713) | $225 | $750 | 14.7× |
| Legionella antigen urine (87449) | $180.30 | $601 | 15.1× |
| Leukocyte Histamine Release (86343) | $86.10 | $287 | 6.9× |
| Level ii surg pathology grossµscopic exam (88302) | $77.40 | $258 | 2.1× |
| Level v surg pathology grossµscopic exam (88307) | $356.10 | $1,187 | 1.0× |
| Level vi surg pathology grossµscopic exam (88309) | $522.90 | $1,743 | 0.7× |
| Lh (83002) | $83.10 | $277 | 4.5× |
| Lipase (83690) | $159.30 | $531 | 23.1× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $74.40 | $248 | 2.2× |
| Lithium (80178) | $167.10 | $557 | 25.3× |
| Lyme disease antibody (86618) | $86.10 | $287 | 5.1× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $248.55 | $828.50 | 1.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $275.40 | $918 | 1.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $196.65 | $655.50 | 1.2× |
| Macroscopic exam arthropod (87168) | $37.80 | $126 | 8.9× |
| Magnesium (83735) | $12 | $40 | 1.8× |
| Mercury urine (83825) | $153.90 | $513 | 9.5× |
| Metabolic Panel Ionized Ca (80047) | $209.40 | $698 | 15.3× |
| Methemoglobin (83050) | $174.30 | $581 | 21.3× |
| Methylmalonic acid serum (83921) | $451.50 | $1,505 | 21.3× |
| Microalbumin urine (82043) | $57 | $190 | 9.9× |
| Microsatellite instability (81301) | $231 | $770 | 0.7× |
| Microsomal antibodies (86376) | $114.60 | $382 | 7.9× |
| Mitochondrial antibody each (86381) | $38.40 | $128 | 1.5× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $318.30 | $1,061 | 1.7× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $247.50 | $825 | 20.5× |
| Molecular pathology procedure level 7 (81406) | $467.70 | $1,559 | 1.7× |
| Mopath procedure level 4 (81403) | $262.50 | $875 | 1.4× |
| Mopath procedure level 5 (81404) | $432.90 | $1,443 | 1.6× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $306.30 | $1,021 | 1.7× |
| Mpl gene common variants (81338) | $274.80 | $916 | 1.8× |
| Mrsa PCR (87641) | $110.70 | $369 | 3.2× |
| Mtb rifampin rst amp prb tq (87564) | $115.20 | $384 | 1.5× |
| Muramidase (85549) | $123.90 | $413 | 6.6× |
| Muscle-specific kinase (musk) antibody (86366) | $446.70 | $1,489 | 24.3× |
| Mycobacteric identification (87118) | $140.10 | $467 | 9.6× |
| Mycophenolic acid (80180) | $59.10 | $197 | 3.3× |
| Mycoplasma antibody (86738) | $48.60 | $162 | 3.7× |
| Mycoplasma culture (87109) | $30.30 | $101 | 2.0× |
| Mycoplasma genitalium PCR (87563) | $107.40 | $358 | 3.1× |
| Myelin basic protein csf (83873) | $497.70 | $1,659 | 28.9× |
| Myoglobin urine (83874) | $152.25 | $507.50 | 11.8× |
| Natriuretic peptide (83880) | $151.50 | $505 | 3.9× |
| Neutralization Test Viral (86382) | $26.70 | $89 | 1.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $201.90 | $673 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $156.90 | $523 | 2.2× |
| Nk cells total count (86357) | $93.90 | $313 | 2.5× |
| Ntrk translocation analysis (81194) | $857.10 | $2,857 | 1.7× |
| Nuclear antigen antibody (86235) | $85.80 | $286 | 4.8× |
| Occult blood gastric (82271) | $37.80 | $126 | 7.1× |
| Occult blood stool (82272) | $35.70 | $119 | 8.4× |
| Oligoclonal bands (83916) | $555.30 | $1,851 | 20.3× |
| Oncoprotein dcp (83951) | $96.60 | $322 | 1.5× |
| Orthopoxvirus Amp Prb Each (87593) | $40.20 | $134 | 0.8× |
| Osmolality serum (83930) | $22.50 | $75 | 3.4× |
| Osmolality urine (83935) | $55.50 | $185 | 8.1× |
| Ova and parasite direct-id lca (87177) | $30.60 | $102 | 3.4× |
| Pancreatic polypeptide (83519) | $409.80 | $1,366 | 22.3× |
| Parvovirus antibody (86747) | $123.90 | $413 | 8.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $674.10 | $2,247 | 0.9× |
| Pdgfra gene (81314) | $545.10 | $1,817 | 1.7× |
| Ph body fluid (83986) | $33 | $110 | 9.2× |
| Ph urine (81003) | $25.20 | $84 | 11.2× |
| Phenotype Infect Agent Drug (87900) | $536.40 | $1,788 | 4.1× |
| Phenylalanine (84030) | $9 | $30 | 1.6× |
| Phenytoin free (80186) | $31.35 | $104.50 | 2.3× |
| Phosphatase alkaline (84075) | $37.50 | $125 | 7.2× |
| Phosphorus blood (84100) | $46.50 | $155 | 9.8× |
| Phosphorus urine (84105) | $16.20 | $54 | 2.8× |
| Platelet aggregation (85576) | $63.90 | $213 | 2.6× |
| Platelet count automated (85049) | $59.10 | $197 | 13.2× |
| Platelet neutralization (85597) | $81.90 | $273 | 4.6× |
| Pneumcysts jirovecii amp prb (87594) | $52.50 | $175 | 1.5× |
| Potassium (84132) | $52.50 | $175 | 11.0× |
| Potassium urine (84133) | $56.70 | $189 | 12.0× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $326.10 | $1,087 | 2.0× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $125.25 | $417.50 | 0.8× |
| Pretx serum rbc antibody identification dilution (86976) | $20.70 | $69 | 0.7× |
| Primidone (80188) | $333.60 | $1,112 | 20.1× |
| Procalcitonin (pct) (84145) | $71.70 | $239 | 2.6× |
| Progesterone (84144) | $92.70 | $309 | 4.4× |
| Protein body fluid (84157) | $31.95 | $106.50 | 8.0× |
| Protein c activity (85303) | $67.80 | $226 | 4.9× |
| Protein c antigen (85302) | $74.70 | $249 | 6.2× |
| Protein electrophoresis serum (84165) | $324.90 | $1,083 | 30.3× |
| Protein Electrophoresis Urine (84166) | $97.80 | $326 | 5.5× |
| Protein s total (85305) | $74.70 | $249 | 6.4× |
| Protein total serum (84155) | $49.05 | $163.50 | 13.4× |
| Protein urine (84156) | $53.10 | $177 | 14.5× |
| Protein Western Blot (84182) | $120 | $400 | 4.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $15 | $50 | 3.8× |
| PSA free (84154) | $33.60 | $112 | 1.8× |
| Pth intact (83970) | $236.40 | $788 | 5.7× |
| Quinidine (80194) | $23.10 | $77 | 1.6× |
| Rbc (85041) | $63.90 | $213 | 21.2× |
| Rbc antibody elution (86860) | $168.30 | $561 | 1.0× |
| Rbc pretreatment serum (86978) | $62.10 | $207 | 1.1× |
| Rbc pretx incubatj w/chemicl (86970) | $142.80 | $476 | 2.5× |
| Renin activity plasma (84244) | $149.70 | $499 | 6.8× |
| Reticulocyte count auto (85045) | $37.80 | $126 | 9.5× |
| Reticulocyte separation (86972) | $249 | $830 | 1.5× |
| Rheumatoid factor quant (86431) | $113.25 | $377.50 | 20.0× |
| Rickettsia antibody (86757) | $68.40 | $228 | 3.5× |
| Ristocetin cofactor (85245) | $146.70 | $489 | 6.4× |
| Rotavirus ag eia (87425) | $95.40 | $318 | 8.0× |
| Rpr Titer (86593) | $22.95 | $76.50 | 5.2× |
| Rsv (87807) | $333 | $1,110 | 25.4× |
| Rubella antibody (86762) | $170.10 | $567 | 11.8× |
| Rubeola Antibody Igg (86765) | $108.30 | $361 | 8.4× |
| Russell viper venom time diluted (85613) | $43.95 | $146.50 | 4.6× |
| Salicylate Level (80179) | $35.10 | $117 | 1.9× |
| Salmonella antibody (86768) | $19.80 | $66 | 1.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $59.10 | $197 | 1.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $19.95 | $66.50 | 0.5× |
| Sarscov2 & inf a&b amp prb (87636) | $136.80 | $456 | 1.0× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $20.40 | $68 | 3.1× |
| Sedimentation rate (85651) | $32.40 | $108 | 7.6× |
| Sedimentation rate auto (85652) | $119.10 | $397 | 44.1× |
| Selenium (84255) | $60.30 | $201 | 2.4× |
| Sensitivity kb (87184) | $38.85 | $129.50 | 5.2× |
| Sensitivity mic (87186) | $54.90 | $183 | 6.3× |
| Serotonin Release Assay (86022) | $249.45 | $831.50 | 13.6× |
| Sex hormone binding globulin (84270) | $36 | $120 | 1.7× |
| SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) | $319.50 | $1,065 | 1.7× |
| Sickling of rbc reduction (85660) | $50.70 | $169 | 9.2× |
| Sirolimus (rapamycin) (80195) | $88.20 | $294 | 6.4× |
| Smear acid fast (87206) | $9 | $30 | 1.7× |
| Smear complex stain (87209) | $42 | $140 | 2.3× |
| Smear gram stain (87205) | $110.40 | $368 | 25.9× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) | $415.50 | $1,385 | 3.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $18.60 | $62 | 3.2× |
| So neo gsap DNA/DNA&RNA (81459) | $1,977 | $6,590 | 0.7× |
| Sodium (84295) | $50.40 | $168 | 10.5× |
| Sodium feces (84302) | $16.20 | $54 | 3.3× |
| Sodium urine (84300) | $69.90 | $233 | 13.8× |
| Somatomedin (84305) | $49.80 | $166 | 2.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $110.70 | $369 | 0.9× |
| Special stains group 1 (88312) | $111.30 | $371 | 2.2× |
| Spectrophotometry (84311) | $26.70 | $89 | 3.3× |
| Sputum specimen collection (89220) | $76.80 | $256 | 0.5× |
| Stool Culture, Addl Pathogens (87046) | $11.40 | $38 | 1.2× |
| Strep a assay w/optic (87880) | $214.20 | $714 | 13.0× |
| Strep a DNA amp probe (87651) | $61.20 | $204 | 1.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $28.20 | $94 | 0.3× |
| Surg path level 1 (88300) | $57 | $190 | 2.0× |
| Surg path level iii (88304) | $167.10 | $557 | 3.3× |
| Surgical pathology level IV (88305) | $180.30 | $601 | 3.5× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $61.50 | $205 | 8.4× |
| T Cell Absolute Count (86361) | $45.90 | $153 | 1.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $80.10 | $267 | 1.7× |
| T cells total count (86359) | $356.70 | $1,189 | 9.5× |
| T3 free (84481) | $150.90 | $503 | 8.9× |
| T3 uptake (84479) | $13.80 | $46 | 2.1× |
| T4 free (84439) | $113.25 | $377.50 | 12.6× |
| T4 total (84436) | $36.90 | $123 | 5.4× |
| Tb test, cell immun measure (86480) | $144.90 | $483 | 2.3× |
| Testosterone free (84402) | $195.90 | $653 | 7.7× |
| Testosterone total (84403) | $172.50 | $575 | 6.7× |
| Tgsap so neo 5-50 RNA alys (81449) | $1,203.45 | $4,011.50 | 2.0× |
| Theophylline (80198) | $130.20 | $434 | 9.2× |
| Thrombin time plasma (85670) | $29.10 | $97 | 5.0× |
| Thromboplastin Inhibition Tissue (85705) | $27.60 | $92 | 2.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $116.70 | $389 | 18.0× |
| Thyroglobulin (84432) | $55.20 | $184 | 3.4× |
| Thyroglobulin antibody (86800) | $131.40 | $438 | 8.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $35.10 | $117 | 8.2× |
| Tissue culture bone marrow (88237) | $420.90 | $1,403 | 2.9× |
| Tissue transglutaminase ab iga (86364) | $20.10 | $67 | 1.7× |
| Tobramycin peak (80200) | $131.40 | $438 | 8.1× |
| Toxoplasma ab igm (86778) | $203.40 | $678 | 14.1× |
| Toxoplasma antibody igg (86777) | $99 | $330 | 6.9× |
| Transferrin (84466) | $47.40 | $158 | 3.7× |
| Trb@ gene rearrange dirprobe (81341) | $74.40 | $248 | 1.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,444.80 | $4,816 | 6.9× |
| Trg gene rearrangement analysis (81342) | $129.30 | $431 | 0.6× |
| Triglycerides (84478) | $11.10 | $37 | 1.9× |
| Troponin (84484) | $242.10 | $807 | 19.4× |
| Urea nitrogen (84520) | $56.70 | $189 | 14.4× |
| Uric acid blood (84550) | $56.70 | $189 | 12.5× |
| Uric acid other source (84560) | $14.25 | $47.50 | 2.8× |
| Urinalysis auto w/scope (81001) | $139.80 | $466 | 44.1× |
| Urinalysis Microscopic Only (81015) | $39.30 | $131 | 12.9× |
| Urine Bacteria Culture (87088) | $47.40 | $158 | 5.9× |
| Urine pregnancy test (81025) | $113.70 | $379 | 13.2× |
| Urine volume measurement (81050) | $45.90 | $153 | 12.6× |
| Valproic acid (80164) | $144 | $480 | 10.6× |
| Vancomycin trough (80202) | $89.40 | $298 | 6.6× |
| Varicella-zoster antibody (86787) | $215.10 | $717 | 16.7× |
| Vdrl csf (86592) | $14.10 | $47 | 3.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $182.70 | $609 | 5.4× |
| Virus inoculation, shell via (87254) | $90.90 | $303 | 4.6× |
| Viscosity serum (85810) | $59.10 | $197 | 5.1× |
| Vitamin A (84590) | $182.10 | $607 | 15.7× |
| Vitamin b-12 (82607) | $114.90 | $383 | 7.6× |
| Vitamin b1 (thiamine) (84425) | $177.30 | $591 | 8.4× |
| Vitamin b2 (84252) | $154.80 | $516 | 7.6× |
| Vitamin b3 niacin (84591) | $89.55 | $298.50 | 5.2× |
| Vitamin b6 (84207) | $319.80 | $1,066 | 11.4× |
| Vitamin e serum (84446) | $72.60 | $242 | 5.1× |
| Voltage-gated calcium channel antibody each (86596) | $32.10 | $107 | 2.7× |
| West nile virus antibody (86789) | $61.50 | $205 | 4.3× |
| West nile virus igm (86788) | $61.50 | $205 | 3.6× |
| Zika Virus Dna/Rna Amp Probe (87662) | $143.40 | $478 | 2.8× |
| Zinc (84630) | $87 | $290 | 7.6× |