| 1 25 Dihydroxy includes fractions if performed (82652) |
$59 |
$59 |
1.5× |
| 5 Nucleotidase (83915) |
$52 |
$52 |
4.7× |
| Acetaminophen level (80143) |
$360 |
$360 |
19.3× |
| Acetone serum qual (82009) |
$25 |
$25 |
5.5× |
| Actin smooth muscle antibody each (86015) |
$20 |
$20 |
1.7× |
| Activated protein c resistance (85307) |
$251 |
$251 |
16.4× |
| Acute hepatitis panel (80074) |
$779 |
$779 |
16.4× |
| Acylcarnitine Plasma (82017) |
$485 |
$485 |
28.7× |
| Acylcarnitines; qualitative, each specimen Facility (82016) |
$138 |
$138 |
8.4× |
| Adamts13 activity (85397) |
$579.50 |
$579.50 |
18.8× |
| Adenovirus antibody (86603) |
$43.50 |
$43.50 |
3.4× |
| Adrenocorticotropic hormone (82024) |
$679 |
$679 |
17.6× |
| Afp maternal serum (82105) |
$292 |
$292 |
17.4× |
| Agglutinins febrile ea antigen (86000) |
$202 |
$202 |
28.9× |
| Albumin body fluid (82042) |
$52 |
$52 |
6.7× |
| Albumin serum (82040) |
$49.50 |
$49.50 |
10.0× |
| Aldolase (82085) |
$20 |
$20 |
2.1× |
| Aldosterone urine (82088) |
$96 |
$96 |
2.4× |
| Alkaline phosphatase isoenzymes (84080) |
$92 |
$92 |
6.2× |
| Allergen peanut (86003) |
$25 |
$25 |
4.8× |
| Allg Spec Ige Recomb Ea (86008) |
$278 |
$278 |
15.5× |
| Alpha-1-antitrypsin, total (82103) |
$193 |
$193 |
14.4× |
| Alt (sgpt) (84460) |
$93 |
$93 |
17.5× |
| Aluminum (82108) |
$51 |
$51 |
2.0× |
| Amikacin trough (80150) |
$261 |
$261 |
17.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$347 |
$347 |
15.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$219 |
$219 |
13.0× |
| Amino Acids Quant 2-5 (82136) |
$253 |
$253 |
12.9× |
| Amino Acids, Multiple Qual (82128) |
$96 |
$96 |
6.9× |
| Amino acids; single, qualitative, each specimen Facility (82127) |
$549 |
$549 |
38.7× |
| Aminolevulinic acid (ala) (82135) |
$183 |
$183 |
11.1× |
| Amylase urine (82150) |
$112 |
$112 |
17.3× |
| Ana titer (86039) |
$40 |
$40 |
3.6× |
| Androsterone (hormone) level (82160) |
$210.50 |
$210.50 |
8.2× |
| Angiotensin i enzyme test (82164) |
$67 |
$67 |
4.6× |
| Antibody aspergillus (86606) |
$316 |
$316 |
21.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$55 |
$55 |
3.6× |
| Antibody coxiella burnetii q fever (86638) |
$51 |
$51 |
4.2× |
| Antibody cytomegalovirus cmv (86644) |
$20 |
$20 |
1.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$26 |
$26 |
2.0× |
| Antibody haemophilus influenza (86684) |
$206 |
$206 |
13.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$50 |
$50 |
3.5× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$868 |
$868 |
63.3× |
| Antibody hla class ii semiquantitative panel (86835) |
$3,735 |
$3,735 |
11.6× |
| Antibody identification (86870) |
$286 |
$286 |
0.7× |
| Antibody identification leukocyte antibodies (86021) |
$506 |
$506 |
33.6× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$96 |
$96 |
7.7× |
| Antibody john cunningham virus (86711) |
$4,969 |
$4,969 |
294.2× |
| Antibody mumps (86735) |
$31 |
$31 |
2.4× |
| Antibody Protozoa Nes (86753) |
$53 |
$53 |
4.3× |
| Antibody screen (86850) |
$162.50 |
$162.50 |
16.6× |
| Antibody treponema pallidum (86780) |
$36 |
$36 |
2.7× |
| Antigen typing (86905) |
$230 |
$230 |
60.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$217 |
$217 |
41.9× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$568 |
$568 |
47.1× |
| Antinuclear antibodies (86038) |
$18 |
$18 |
1.5× |
| Antistreptolysin o titer (86060) |
$37 |
$37 |
5.1× |
| Antithrombin iii activity (85300) |
$141 |
$141 |
11.9× |
| Antithrombin iii antigen (85301) |
$70 |
$70 |
6.5× |
| Aortic dysfunction/dilation dup/del analysis (81411) |
$1,432 |
$1,432 |
1.1× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) |
$1,725 |
$1,725 |
3.4× |
| Apolipoprotein each (82172) |
$46 |
$46 |
2.2× |
| Aquaporin-4 antibody flow cytometry each (86053) |
$243 |
$243 |
6.4× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) |
$101 |
$101 |
0.3× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) |
$644 |
$644 |
4.7× |
| Arsenic Urine (82175) |
$289 |
$289 |
15.2× |
| Aspergillus ag eia (87305) |
$198 |
$198 |
16.5× |
| Assay 17-(17-Ks)Ketosteroids (83586) |
$109 |
$109 |
8.5× |
| Assay galactose transferase (82775) |
$616.50 |
$616.50 |
29.3× |
| Assay Nephelometry Not Spec (83883) |
$61.50 |
$61.50 |
4.5× |
| Assay of 17-hydroxypregnenolone (84143) |
$105 |
$105 |
4.6× |
| Assay of 5-hiaa (83497) |
$142.50 |
$142.50 |
11.0× |
| Assay of ammonia (82140) |
$256 |
$256 |
17.6× |
| Assay of androstenedione (82157) |
$511 |
$511 |
17.5× |
| Assay of anti-mullerian hormone (82166) |
$138 |
$138 |
3.6× |
| Assay of biotinidase (82261) |
$284 |
$284 |
16.8× |
| Assay of c-peptide (84681) |
$104.50 |
$104.50 |
5.0× |
| Assay of ceruloplasmin (82390) |
$28 |
$28 |
2.6× |
| Assay of citrate (82507) |
$193.50 |
$193.50 |
7.0× |
| Assay of corticosterone (82528) |
$121.50 |
$121.50 |
5.4× |
| Assay of creatine (82540) |
$40 |
$40 |
8.6× |
| Assay of cyclosporine (80158) |
$313 |
$313 |
17.3× |
| Assay of dibucaine number (82638) |
$91 |
$91 |
7.4× |
| Assay of erythropoietin (82668) |
$24 |
$24 |
1.3× |
| Assay of estrone (82679) |
$116 |
$116 |
4.6× |
| Assay of ethosuximide (80168) |
$57 |
$57 |
3.5× |
| Assay of ferritin (82728) |
$239 |
$239 |
17.5× |
| Assay of g6pd enzyme (82955) |
$123.50 |
$123.50 |
12.7× |
| Assay of gammaglobulin igm (82784) |
$103 |
$103 |
11.1× |
| Assay of gastrin (82941) |
$50 |
$50 |
2.8× |
| Assay of gentamicin (80170) |
$288 |
$288 |
17.6× |
| Assay of homocystine (83090) |
$295 |
$295 |
16.5× |
| Assay of lactic acid (83605) |
$187 |
$187 |
16.2× |
| Assay of lipoprotein(a) (83695) |
$63 |
$63 |
4.4× |
| Assay of manganese (83785) |
$53 |
$53 |
2.0× |
| Assay of metanephrines (83835) |
$99 |
$99 |
5.8× |
| Assay of osteocalcin (83937) |
$132 |
$132 |
4.4× |
| Assay of phenobarbital (80184) |
$117 |
$117 |
7.6× |
| Assay of phosphatase acid total (84060) |
$40 |
$40 |
5.2× |
| Assay of prealbumin (84134) |
$256 |
$256 |
17.5× |
| Assay of proinsulin (84206) |
$106 |
$106 |
4.0× |
| Assay of prolactin (84146) |
$339 |
$339 |
17.5× |
| Assay of pyruvate (84210) |
$147 |
$147 |
10.2× |
| Assay of serotonin (84260) |
$236 |
$236 |
7.6× |
| Assay of sialic acid (84275) |
$530 |
$530 |
39.4× |
| Assay of tacrolimus (80197) |
$177 |
$177 |
12.9× |
| Assay of topiramate (80201) |
$209 |
$209 |
17.5× |
| Assay of urine vma (84585) |
$86 |
$86 |
5.5× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$105.50 |
$105.50 |
3.1× |
| Assay of vitamin k (84597) |
$144 |
$144 |
10.5× |
| Assay of volatiles (84600) |
$199 |
$199 |
11.6× |
| Assay Phosphatase Acid Prostatic (84066) |
$51 |
$51 |
5.3× |
| Assay Phosphohexose Enzymes (84087) |
$673 |
$673 |
62.7× |
| Assay spec xcp ur&breath ia (82077) |
$258 |
$258 |
14.9× |
| Ast (sgot) (84450) |
$91 |
$91 |
17.6× |
| Asy carbamazepin 10,11-epxid (80161) |
$141.50 |
$141.50 |
7.6× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) |
$240 |
$240 |
1.8× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) |
$240 |
$240 |
1.8× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) |
$240 |
$240 |
1.8× |
| Atxn2 Gene Detc Abnor Allele (81179) |
$240 |
$240 |
1.8× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) |
$240 |
$240 |
1.8× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) |
$240 |
$240 |
1.8× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) |
$240 |
$240 |
1.8× |
| B cells total count (86355) |
$285 |
$285 |
7.6× |
| B-hexosaminidase ea assay (83080) |
$849 |
$849 |
50.3× |
| Bartonella antibody (86611) |
$129 |
$129 |
12.7× |
| Bartonella PCR (87471) |
$696 |
$696 |
19.8× |
| Bcr/abl1 gene major bp (81206) |
$528 |
$528 |
3.2× |
| Beta 2 glycoprotein 1 igm (86146) |
$41 |
$41 |
1.6× |
| Beta hydroxybutyrate (82010) |
$111.50 |
$111.50 |
13.6× |
| Beta lactamase (87185) |
$56 |
$56 |
11.8× |
| Beta-2 microglobulin (82232) |
$45.50 |
$45.50 |
2.8× |
| Bile acids, total (82239) |
$121 |
$121 |
7.1× |
| Bilirubin direct (82248) |
$87 |
$87 |
17.3× |
| Bilirubin total (82247) |
$57.50 |
$57.50 |
11.5× |
| Bl Smear W/Diff Wbc Count (85007) |
$66 |
$66 |
17.4× |
| Bl Smear W/O Diff Wbc Count (85008) |
$59 |
$59 |
17.2× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$303 |
$303 |
1.5× |
| Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated… (86079) |
$389 |
$389 |
6.2× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
$189 |
$189 |
5.5× |
| Blood Count Automated Differential Wbc Count (85004) |
$112 |
$112 |
17.3× |
| Blood gas (82803) |
$354 |
$354 |
13.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$58 |
$58 |
13.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$190 |
$190 |
29.9× |
| Blood typing abo (86900) |
$124 |
$124 |
41.5× |
| Blood typing serologic rh (d) (86901) |
$65.50 |
$65.50 |
21.9× |
| Body fluid cell count (89051) |
$96 |
$96 |
17.1× |
| Bordetella antibody (86615) |
$245 |
$245 |
18.6× |
| Braf gene (81210) |
$3,219 |
$3,219 |
18.4× |
| Brca1&2 seq & full dup/del (81162) |
$338 |
$338 |
0.2× |
| Brucella antibody (86622) |
$41 |
$41 |
4.6× |
| C diff amplified probe (87493) |
$486 |
$486 |
13.0× |
| C-reactive protein (86140) |
$117.50 |
$117.50 |
22.7× |
| C1q binding assay (86332) |
$167.50 |
$167.50 |
6.9× |
| Ca 125 (86304) |
$47 |
$47 |
2.3× |
| Ca 19-9 (86301) |
$47 |
$47 |
2.3× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) |
$240 |
$240 |
1.8× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) |
$381 |
$381 |
0.5× |
| Cadmium level (82300) |
$50 |
$50 |
2.1× |
| Caffeine (80155) |
$147 |
$147 |
3.8× |
| Calcitonin (82308) |
$72 |
$72 |
2.7× |
| Calcium ionized (82330) |
$241 |
$241 |
17.6× |
| Calcium total (82310) |
$88 |
$88 |
17.1× |
| Calcium urine (82340) |
$106 |
$106 |
17.6× |
| Calculus spectroscopy (82365) |
$123 |
$123 |
9.5× |
| Calprotectin, fecal (83993) |
$250 |
$250 |
12.7× |
| Carb deficient transferrin (82373) |
$628.50 |
$628.50 |
34.8× |
| Carbamazepine total (80156) |
$188 |
$188 |
12.9× |
| Carbon dioxide (82374) |
$87 |
$87 |
17.8× |
| Carboxyhemoglobin (82375) |
$215 |
$215 |
17.5× |
| Carcinoembryonic antigen (82378) |
$37 |
$37 |
2.0× |
| Cardiolipin ab igg (86147) |
$26 |
$26 |
1.0× |
| Carnitine (82379) |
$148 |
$148 |
8.8× |
| Carotene (82380) |
$51 |
$51 |
5.5× |
| Catecholamines fraction plasma (82384) |
$111 |
$111 |
4.4× |
| Catecholamines Total Urine (82382) |
$147 |
$147 |
5.4× |
| Cell Cryopreserve/Storage (88240) |
$534.50 |
$534.50 |
40.9× |
| Cell marker study (88182) |
$764 |
$764 |
12.2× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
$831.50 |
$831.50 |
6.1× |
| Cftr gene com variants (81220) |
$1,288 |
$1,288 |
2.3× |
| Cftr gene dup/delet variants (81222) |
$48 |
$48 |
0.1× |
| Cftr gene full sequence (81223) |
$974 |
$974 |
2.0× |
| Chemiluminescent assay (82397) |
$191.50 |
$191.50 |
13.6× |
| Chimerism w/comp to baseline w/o cell selection (81267) |
$464 |
$464 |
2.2× |
| Chlamydia antibody (86631) |
$168 |
$168 |
14.2× |
| Chloramphenicol (82415) |
$338 |
$338 |
26.7× |
| Chloride blood (82435) |
$84 |
$84 |
18.3× |
| Chloride feces (82438) |
$86 |
$86 |
17.2× |
| Chloride urine (82436) |
$87 |
$87 |
15.1× |
| Cholesterol HDL (83718) |
$145 |
$145 |
17.7× |
| Cholesterol total (82465) |
$43.50 |
$43.50 |
10.0× |
| Cholinesterase rbc (82482) |
$63 |
$63 |
6.4× |
| Chorionic Gonadotropin, Free Beta Chain (84704) |
$282 |
$282 |
18.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$1,303 |
$1,303 |
10.4× |
| Chromium urine (82495) |
$56 |
$56 |
2.8× |
| Chromogranin a (86316) |
$84 |
$84 |
4.0× |
| Chromosome analysis 45 cells (88263) |
$1,150 |
$1,150 |
7.7× |
| Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) |
$2,475 |
$2,475 |
14.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$285 |
$285 |
8.1× |
| Ckmb (82553) |
$52 |
$52 |
4.5× |
| Clot Factor VIII Multimetric (85247) |
$276 |
$276 |
12.0× |
| Clot factor viii vw antigen (85246) |
$344 |
$344 |
15.0× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$312 |
$312 |
17.4× |
| Clot factor xiii fibrin stab (85290) |
$497 |
$497 |
30.4× |
| Clotting Inhibitors Protein S Free (85306) |
$134.50 |
$134.50 |
8.8× |
| Clozapine level (80159) |
$76 |
$76 |
3.8× |
| Cmv ab igm (86645) |
$31 |
$31 |
1.8× |
| Cmv PCR (87496) |
$394.50 |
$394.50 |
11.2× |
| Cns DNA amp probe type 12-25 (87483) |
$614 |
$614 |
1.5× |
| Coagulation time activated (85347) |
$314 |
$314 |
73.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$522.50 |
$522.50 |
21.7× |
| Cold agglutinin screen (86156) |
$119 |
$119 |
14.7× |
| Cold agglutinin titer (86157) |
$145 |
$145 |
18.0× |
| Collagen cross links (82523) |
$250.50 |
$250.50 |
13.4× |
| Comparative anal str markers patient&comp spec (81265) |
$1,292 |
$1,292 |
5.5× |
| Compatibility test antiglob (86922) |
$357 |
$357 |
1.7× |
| Complement c3 (86160) |
$212 |
$212 |
17.7× |
| Complement total (ch50) (86162) |
$258.50 |
$258.50 |
12.7× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$284 |
$284 |
23.7× |
| Concentration Infectious Agent (87015) |
$44 |
$44 |
6.6× |
| Coombs direct (86880) |
$91.50 |
$91.50 |
17.0× |
| Copper urine (82525) |
$217 |
$217 |
17.5× |
| Cortisol free (82530) |
$135 |
$135 |
8.1× |
| Cortisol total (82533) |
$136 |
$136 |
8.3× |
| Creatine kinase total (82550) |
$112 |
$112 |
17.2× |
| Creatinine blood (82565) |
$47 |
$47 |
9.2× |
| Creatinine clearance (82575) |
$164 |
$164 |
17.3× |
| Creatinine other source (82570) |
$91 |
$91 |
17.6× |
| Crossmatch immediate spin (86920) |
$400 |
$400 |
2.0× |
| Cryofibrinogen (82585) |
$31 |
$31 |
2.2× |
| Cryoglobulin (82595) |
$25 |
$25 |
3.9× |
| Crystals body fluid (89060) |
$83 |
$83 |
11.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$101 |
$101 |
12.5× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) |
$988 |
$988 |
4.5× |
| Culture Aerobic Identify (87077) |
$160.50 |
$160.50 |
19.9× |
| Culture aerobic quant other (87071) |
$163 |
$163 |
16.5× |
| Culture afb (87116) |
$181 |
$181 |
16.8× |
| Culture anaerobic (87075) |
$158 |
$158 |
16.7× |
| Culture blood (87040) |
$175 |
$175 |
17.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$126 |
$126 |
16.3× |
| Culture fungus blood (87103) |
$180.50 |
$180.50 |
8.8× |
| Culture fungus id yeast (87106) |
$175 |
$175 |
17.0× |
| Culture fungus other (87102) |
$139 |
$139 |
16.5× |
| Culture genital (87070) |
$144 |
$144 |
16.7× |
| Culture screen only (87081) |
$108 |
$108 |
16.3× |
| Culture stool (87045) |
$158 |
$158 |
16.7× |
| Culture urine (87086) |
$132 |
$132 |
16.4× |
| Cyanide (82600) |
$179 |
$179 |
9.2× |
| Cyclic Citrullinated Peptide (86200) |
$52 |
$52 |
4.0× |
| Cyp2c19 gene com variants (81225) |
$1,047 |
$1,047 |
3.6× |
| Cystatin c (82610) |
$99 |
$99 |
5.3× |
| Cysticercosis Antibody (86682) |
$225 |
$225 |
17.3× |
| Cytogenetics 10-30 (88273) |
$417 |
$417 |
12.0× |
| Cytogenetics 100-300 (88275) |
$476 |
$476 |
9.3× |
| Cytogenetics DNA probe (88271) |
$425 |
$425 |
19.8× |
| Cytogenom const microarray copy number&snp var (81229) |
$2,522 |
$2,522 |
2.2× |
| Cytogenomic neo microra alys (81277) |
$6,697 |
$6,697 |
5.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$358 |
$358 |
8.4× |
| Cytotoxic pra quick (86808) |
$615 |
$615 |
20.7× |
| Cytp concentration smears & interpretation (88108) |
$184 |
$184 |
4.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$381 |
$381 |
6.1× |
| Cytp fna eval dx 1st each site (88172) |
$88 |
$88 |
0.4× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$292 |
$292 |
4.7× |
| Deoxycortisol (82634) |
$105 |
$105 |
3.6× |
| Deoxyribonuclease antibody (86215) |
$34 |
$34 |
2.6× |
| Desoxycorticosterone (82633) |
$105 |
$105 |
3.4× |
| Detect agnt mult DNA ampli (87801) |
$1,252 |
$1,252 |
17.8× |
| Dgp antibody each ig class (86258) |
$121 |
$121 |
10.0× |
| Dhea (82626) |
$439 |
$439 |
17.4× |
| Dhea-sulfate (82627) |
$390 |
$390 |
17.5× |
| Digoxin (80162) |
$232 |
$232 |
17.5× |
| Dilantin (80185) |
$230 |
$230 |
17.4× |
| Dipropylacetic acid free (80165) |
$236 |
$236 |
17.4× |
| Dmd dup/delet analysis (81161) |
$1,656 |
$1,656 |
5.9× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) |
$745 |
$745 |
5.4× |
| Dna Antibody Single Stranded (86226) |
$76 |
$76 |
6.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$33 |
$33 |
2.4× |
| Drug assay adalimumab (80145) |
$581 |
$581 |
15.1× |
| Drug Assay Amiodarone (80151) |
$61 |
$61 |
3.3× |
| Drug assay felbamate (80167) |
$64 |
$64 |
3.4× |
| Drug assay flecainide (80181) |
$96 |
$96 |
5.2× |
| Drug Assay Infliximab (80230) |
$538 |
$538 |
13.9× |
| Drug assay itraconazole (80189) |
$200 |
$200 |
7.4× |
| Drug Assay Lacosamide (80235) |
$350 |
$350 |
12.9× |
| Drug assay leflunomide (80193) |
$274 |
$274 |
7.1× |
| Drug assay methotrexate (80204) |
$724 |
$724 |
18.8× |
| Drug assay posaconazole (80187) |
$206 |
$206 |
7.6× |
| Drug assay voriconazole (80285) |
$350 |
$350 |
12.9× |
| Drug quant nes (80299) |
$279 |
$279 |
15.0× |
| Drug screen quant zonisamide (80203) |
$226 |
$226 |
17.1× |
| Drug Screen Quantitative Lamotrigine (80175) |
$223 |
$223 |
16.8× |
| Drug Screen Quantitative Lidocaine (80176) |
$116.50 |
$116.50 |
7.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$223 |
$223 |
16.8× |
| Drug Scrn Quan Levetiracetam (80177) |
$226 |
$226 |
17.1× |
| Drug test prsmv chem anlyzr (80307) |
$133 |
$133 |
2.1× |
| E test (87181) |
$56 |
$56 |
11.8× |
| Ebv viral capsid (86665) |
$22 |
$22 |
1.2× |
| Ehrlichia antibody (86666) |
$46 |
$46 |
4.5× |
| Elastase pancreatic fecal quantitative (82653) |
$232 |
$232 |
10.1× |
| Electrolyte panel (80051) |
$120 |
$120 |
17.1× |
| Electron microscopy diagnostic (88348) |
$3,454.50 |
$3,454.50 |
3.6× |
| Electronic crossmatch (86923) |
$226 |
$226 |
1.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$112 |
$112 |
1.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$103 |
$103 |
8.5× |
| Enterovirus antibody (86658) |
$71.50 |
$71.50 |
5.5× |
| Enterovirus Pcr (87498) |
$581 |
$581 |
16.6× |
| Enzyme cell activity (82657) |
$440 |
$440 |
19.8× |
| Enzyme histochemistry (88319) |
$459 |
$459 |
0.5× |
| Eosinophil count (85048) |
$41 |
$41 |
16.1× |
| Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A,… (81419) |
$3,450 |
$3,450 |
1.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$26 |
$26 |
1.7× |
| Estradiol (82670) |
$520 |
$520 |
18.6× |
| Ethylene glycol (82693) |
$200 |
$200 |
13.4× |
| Everolimus (80169) |
$185 |
$185 |
13.5× |
| Exome sequence analysis (81415) |
$8,050 |
$8,050 |
1.7× |
| Ezh2 gene analysis full gene sequence (81236) |
$229 |
$229 |
0.8× |
| F2 gene analysis 20210g >a variant (81240) |
$223 |
$223 |
3.4× |
| F5 gene analysis, leiden variant (81241) |
$223 |
$223 |
3.0× |
| Factor ii activity (85210) |
$226 |
$226 |
17.4× |
| Factor inhibitor test (85335) |
$220 |
$220 |
17.1× |
| Factor ix activity (85250) |
$332 |
$332 |
17.4× |
| Factor v activity (85220) |
$308 |
$308 |
17.5× |
| Factor vii assay (85230) |
$312 |
$312 |
17.4× |
| Factor viii ahg (85240) |
$297 |
$297 |
16.6× |
| Factor xi assay (85270) |
$312 |
$312 |
17.4× |
| Factor xii assay (85280) |
$339 |
$339 |
17.5× |
| Factor xiii solubility screen (85291) |
$111 |
$111 |
12.2× |
| Fatty acids free (82725) |
$109 |
$109 |
5.8× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$132 |
$132 |
17.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$252.50 |
$252.50 |
14.7× |
| Fecal fat qual (82705) |
$59 |
$59 |
11.6× |
| Fecal fat quant (82710) |
$224 |
$224 |
13.3× |
| Fibrin Degradation Quant (85379) |
$179 |
$179 |
17.6× |
| Fibrinogen activity (85384) |
$223 |
$223 |
22.9× |
| Fibrinogen antigen (85385) |
$157 |
$157 |
10.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$150 |
$150 |
9.7× |
| Flow cytometry first marker (88184) |
$326 |
$326 |
0.8× |
| Fluorescent Antibody Screen (86255) |
$260 |
$260 |
21.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$63.50 |
$63.50 |
5.3× |
| Fluoride (82735) |
$358 |
$358 |
19.3× |
| Fmr1 gene detection (81243) |
$897 |
$897 |
15.7× |
| Folate serum (82746) |
$201 |
$201 |
13.7× |
| Folic acid rbc (82747) |
$59 |
$59 |
3.3× |
| Follicle Stimulating Hormone (83001) |
$324 |
$324 |
17.4× |
| Frozen Section (88331) |
$188 |
$188 |
0.9× |
| Fructosamine (82985) |
$36 |
$36 |
2.1× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) |
$240 |
$240 |
1.8× |
| Fxn Gene Analysis Full Gene Sequence (81286) |
$83 |
$83 |
0.3× |
| G6pd gene analysis full gene sequence (81249) |
$151 |
$151 |
0.3× |
| G6pd Screen (82960) |
$109 |
$109 |
18.0× |
| Gabapentin (80171) |
$61 |
$61 |
2.8× |
| Galactose (82760) |
$91 |
$91 |
8.1× |
| Gammaglobulin ige (82785) |
$289 |
$289 |
17.6× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$150 |
$150 |
15.4× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) |
$496 |
$496 |
6.3× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$3,118 |
$3,118 |
4.1× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) |
$2,635 |
$2,635 |
4.4× |
| Genome sequence analysis (81425) |
$6,877 |
$6,877 |
1.4× |
| Genome sequence analysis each comparator genome (81426) |
$1,794.50 |
$1,794.50 |
0.7× |
| Genotype cytomegalovirus (87910) |
$5,487 |
$5,487 |
21.3× |
| Ggt (82977) |
$122 |
$122 |
16.9× |
| Gjb2 gene full sequence (81252) |
$924 |
$924 |
9.1× |
| GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants… (81254) |
$54 |
$54 |
1.5× |
| Glucagon (82943) |
$76 |
$76 |
5.3× |
| Glucose (82947) |
$70 |
$70 |
17.8× |
| Glucose Blood Test (82962) |
$52 |
$52 |
15.9× |
| Glucose body fluid (82945) |
$70 |
$70 |
17.8× |
| Glucose post dose (82950) |
$30 |
$30 |
6.3× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$26 |
$26 |
6.6× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$87 |
$87 |
6.8× |
| Glutathione (82978) |
$148 |
$148 |
9.6× |
| Growth hormone (83003) |
$292 |
$292 |
17.5× |
| Growth stimulation expressed gene 2 (83006) |
$1,482 |
$1,482 |
19.6× |
| Haloperidol (haldol) (80173) |
$97 |
$97 |
6.1× |
| Haptoglobin (83010) |
$218 |
$218 |
17.3× |
| Hba1/hba2 full gene sequence (81259) |
$1,218 |
$1,218 |
2.0× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) |
$1,030 |
$1,030 |
10.1× |
| Hbb Full Gene Sequence (81364) |
$1,218 |
$1,218 |
3.8× |
| Hcg qualitative (84703) |
$132 |
$132 |
17.6× |
| Hcg quant (84702) |
$159.50 |
$159.50 |
10.6× |
| Hearing Loss Dup/Del Analysis (81431) |
$1,725 |
$1,725 |
2.5× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) |
$1,725 |
$1,725 |
1.1× |
| Heavy metal quant each (83018) |
$99 |
$99 |
4.5× |
| Heinz Bodies; Direct - Heinz Body Stain (85441) |
$73 |
$73 |
17.4× |
| Hematocrit (85014) |
$24 |
$24 |
10.1× |
| Hematocrit spun (85013) |
$45 |
$45 |
6.4× |
| Hemoglobin (85018) |
$39 |
$39 |
16.5× |
| Hemoglobin a1c (83036) |
$168 |
$168 |
17.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$84.50 |
$84.50 |
4.7× |
| Hemoglobin electrophoresis (83020) |
$1,218 |
$1,218 |
94.6× |
| Hemoglobin plasma (83051) |
$128 |
$128 |
17.5× |
| Hemoglobin urine (83069) |
$58 |
$58 |
14.7× |
| Hemolysins and agglutinins; incubated Facility (86941) |
$217 |
$217 |
17.9× |
| Hemolysins/agglutinins auto screen (86940) |
$148 |
$148 |
16.9× |
| Hemosiderin urine (83070) |
$40 |
$40 |
8.4× |
| Heparin assay (85520) |
$196.50 |
$196.50 |
15.0× |
| Heparin neutralization (85525) |
$209 |
$209 |
17.7× |
| Hepatitis a antibody total (86708) |
$41 |
$41 |
3.3× |
| Hepatitis a igm (86709) |
$37 |
$37 |
3.3× |
| Hepatitis b core ab igm (86705) |
$208 |
$208 |
17.7× |
| Hepatitis b core antibody total (86704) |
$147.50 |
$147.50 |
12.2× |
| Hepatitis B Surface Ab (86706) |
$182 |
$182 |
16.9× |
| Hepatitis b surface ag quan (87467) |
$207 |
$207 |
8.2× |
| Hepatitis B Surface Antigen (87340) |
$83 |
$83 |
8.0× |
| Hepatitis b virus genotyping (87912) |
$967 |
$967 |
3.8× |
| Hepatitis be antibody (86707) |
$56 |
$56 |
4.8× |
| Hepatitis Be Antigen (87350) |
$52 |
$52 |
4.5× |
| Hepatitis c antibody (86803) |
$151 |
$151 |
10.6× |
| Hepatitis C Genotype (87902) |
$338 |
$338 |
1.3× |
| Hepatitis delta ab (86692) |
$47 |
$47 |
2.7× |
| Hereditary Cardiomyopathy Gen Seq Analys 5 Gen (81439) |
$2,467 |
$2,467 |
4.2× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) |
$2,047 |
$2,047 |
1.6× |
| Hereditary peripheral neuropathy gen seq pnl (81448) |
$2,277 |
$2,277 |
3.9× |
| Herpes simplex type i (86695) |
$70 |
$70 |
5.3× |
| Herpes simplex type ii (86696) |
$662 |
$662 |
34.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$89 |
$89 |
17.2× |
| Hexagonal phospholipid (85598) |
$233 |
$233 |
13.0× |
| Hfe gene (81256) |
$316 |
$316 |
4.8× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) |
$207 |
$207 |
15.5× |
| Histamine plasma (83088) |
$91 |
$91 |
3.1× |
| Histoplasma antigen urine (87385) |
$316 |
$316 |
23.8× |
| HIV confirmation (86689) |
$227 |
$227 |
11.7× |
| HIV-1 genotype (87901) |
$1,596 |
$1,596 |
6.2× |
| Hla class i high defin qual (86832) |
$879 |
$879 |
2.7× |
| Hla class i semiquant panel (86834) |
$4,134 |
$4,134 |
11.6× |
| Hla Class I Typing High Resolution Complete (81379) |
$3,289 |
$3,289 |
9.8× |
| Hla class i typing high resolution one allele or allele group (81381) |
$802 |
$802 |
4.7× |
| Hla Class I Typing Low Resolution Complete (81372) |
$4,651 |
$4,651 |
11.5× |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
$85 |
$85 |
0.7× |
| Hla class i&ii antibody qual (86828) |
$1,227 |
$1,227 |
19.1× |
| Hla class ii high defin qual (86833) |
$879 |
$879 |
2.7× |
| Hla class ii typing high resolution one locus ea (81382) |
$458 |
$458 |
3.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$884.50 |
$884.50 |
11.9× |
| Hla i typing 1 locus hr (81380) |
$770 |
$770 |
4.3× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) |
$3,975 |
$3,975 |
11.5× |
| Hla ii typing 1 locus lr (81376) |
$967.50 |
$967.50 |
7.9× |
| Hla ii typing ag equiv lr (81375) |
$4,651 |
$4,651 |
21.1× |
| Hla typing dr/dq (86817) |
$836 |
$836 |
7.9× |
| Hla x-math non-cytotoxic (86825) |
$421 |
$421 |
3.8× |
| Homogenization tissue (87176) |
$83 |
$83 |
14.1× |
| Homovanillic acid urine (83150) |
$99 |
$99 |
4.4× |
| Hsv Dna Quant (87530) |
$614 |
$614 |
14.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$362 |
$362 |
10.3× |
| Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) |
$616 |
$616 |
16.9× |
| Hydroxycorticosteroids 17 (83491) |
$158.50 |
$158.50 |
8.9× |
| Hydroxyprogesterone 17-d (83498) |
$475 |
$475 |
17.5× |
| Iaad ia clostridium difficile toxin (87324) |
$198 |
$198 |
16.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$181 |
$181 |
17.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$241.50 |
$241.50 |
10.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$219 |
$219 |
15.2× |
| Iaad ia shiga-like toxin (87427) |
$198 |
$198 |
16.5× |
| Iaadi Pneumocustis Carinii (87281) |
$142 |
$142 |
11.9× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
$424 |
$424 |
12.9× |
| Iaadiadoo not otherwise specified (87899) |
$171.50 |
$171.50 |
10.7× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$305 |
$305 |
8.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$305 |
$305 |
8.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
$434 |
$434 |
6.2× |
| Iadna hepatitis b virus quantification (87517) |
$152 |
$152 |
3.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$154.50 |
$154.50 |
3.6× |
| Iadna herpes virus-6 quantification (87533) |
$464 |
$464 |
11.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$416 |
$416 |
11.9× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$127.50 |
$127.50 |
1.5× |
| Iadna human papillomavirus high-risk types (87624) |
$130 |
$130 |
3.7× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) |
$105 |
$105 |
2.6× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
$1,054 |
$1,054 |
21.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$183 |
$183 |
5.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$285 |
$285 |
8.1× |
| Iadna nos amplified probe tq each organism (87798) |
$305 |
$305 |
8.7× |
| Iadna nos quantification each organism (87799) |
$614 |
$614 |
14.3× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$983 |
$983 |
4.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$473 |
$473 |
13.5× |
| Ibmfs sequence analysis panel at least 30 genes (81441) |
$2,277 |
$2,277 |
0.9× |
| If cryptosporidium antigen (87272) |
$198 |
$198 |
16.5× |
| Igg subclasses (82787) |
$26 |
$26 |
3.2× |
| Immunoassay infectious agent antibody quan nos (86317) |
$53 |
$53 |
3.5× |
| Immunoassay nonantibody (83516) |
$61 |
$61 |
5.3× |
| Immunodiffusion Ouchterlony (86331) |
$91.50 |
$91.50 |
7.6× |
| Immunofixation urine (86335) |
$312 |
$312 |
10.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$422 |
$422 |
2.1× |
| Immunohistochemistry (88342) |
$321.50 |
$321.50 |
1.6× |
| In situ hybridization (88365) |
$634 |
$634 |
3.1× |
| Indirect coombs (86885) |
$24 |
$24 |
4.2× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) |
$219 |
$219 |
16.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) |
$39 |
$39 |
0.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) |
$422 |
$422 |
8.2× |
| Influenza DNA amp probe (87502) |
$422 |
$422 |
4.4× |
| Inhibin a (86336) |
$91 |
$91 |
5.8× |
| Inhibin b (83520) |
$313.50 |
$313.50 |
18.2× |
| Insitu hybridization manual (88368) |
$428 |
$428 |
1.0× |
| Insulin antibodies (86337) |
$123 |
$123 |
5.7× |
| Insulin total (83525) |
$206 |
$206 |
18.0× |
| Interleukin 6 (83529) |
$283 |
$283 |
16.4× |
| Intrinsic factor antibody (86340) |
$78 |
$78 |
5.2× |
| Iron (83540) |
$112 |
$112 |
17.3× |
| Iron binding capacity (83550) |
$152 |
$152 |
17.4× |
| Irradiation Blood Product Each Unit (86945) |
$487 |
$487 |
10.9× |
| Islet cell antibody (86341) |
$254 |
$254 |
10.8× |
| Jak2 gene analysis (81270) |
$498 |
$498 |
5.4× |
| Lactoferrin fecal qual (83630) |
$332 |
$332 |
16.9× |
| Lactoferrin Fecal Quantitative (83631) |
$323 |
$323 |
16.5× |
| Ldh body fluid (83615) |
$106 |
$106 |
17.5× |
| Ldh isoenzymes (83625) |
$69 |
$69 |
5.4× |
| LDL cholesterol direct (83721) |
$94 |
$94 |
9.0× |
| Lead (83655) |
$123.50 |
$123.50 |
10.2× |
| Legion pneumo, DNA, amp prob (87541) |
$326 |
$326 |
9.3× |
| Legionella antigen urine (87449) |
$248 |
$248 |
20.7× |
| Leptospira antibody (86720) |
$171 |
$171 |
10.6× |
| Level ii surg pathology grossµscopic exam (88302) |
$244 |
$244 |
5.5× |
| Level v surg pathology grossµscopic exam (88307) |
$930 |
$930 |
2.2× |
| Level vi surg pathology grossµscopic exam (88309) |
$1,223 |
$1,223 |
1.3× |
| Lh (83002) |
$324 |
$324 |
17.5× |
| Lipase (83690) |
$119 |
$119 |
17.3× |
| Lipopro bld electrophoretic (83700) |
$167 |
$167 |
14.8× |
| Lithium (80178) |
$115 |
$115 |
17.4× |
| Lyme disease antibody (86618) |
$91 |
$91 |
5.3× |
| Lymph Choriomeningitis Ab (86727) |
$66 |
$66 |
5.1× |
| Lymphocyte transformation (86353) |
$1,695 |
$1,695 |
34.6× |
| Lymphocytotoxicity assay, visual crossmatch; with titration Facility (86805) |
$648 |
$648 |
3.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$370 |
$370 |
1.8× |
| Macroscopic exam arthropod (87168) |
$71 |
$71 |
16.6× |
| Macroscopic exam parasite (87169) |
$63.50 |
$63.50 |
14.7× |
| Magnesium (83735) |
$115 |
$115 |
17.2× |
| Malaria smear (87207) |
$36 |
$36 |
6.0× |
| Manual Diff Wbc Count B-Coat (85009) |
$79.50 |
$79.50 |
15.7× |
| Manual reticulocyte count (85044) |
$79 |
$79 |
18.3× |
| Mass spectrometry qual/quan (83789) |
$278 |
$278 |
11.5× |
| Mecp2 gene dup/delet variant (81304) |
$724 |
$724 |
4.8× |
| Mecp2 gene, full gene analysis (81302) |
$1,541 |
$1,541 |
2.9× |
| Mercury urine (83825) |
$46 |
$46 |
2.8× |
| Metabolic Panel Ionized Ca (80047) |
$229 |
$229 |
16.7× |
| Methemoglobin (83050) |
$128 |
$128 |
15.6× |
| Methylmalonic acid serum (83921) |
$463.50 |
$463.50 |
21.9× |
| Microalbumin urine (82043) |
$93 |
$93 |
16.1× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$122 |
$122 |
2.0× |
| Microsomal antibodies (86376) |
$153.50 |
$153.50 |
10.5× |
| Mog-igg1 antibody flow cytometry each (86363) |
$254 |
$254 |
6.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
$458 |
$458 |
10.8× |
| Molecular pathology procedure level 2 (81401) |
$838.50 |
$838.50 |
6.1× |
| Molecular pathology procedure level 7 (81406) |
$668 |
$668 |
2.4× |
| Mononuclear cell antigen (86356) |
$215 |
$215 |
8.0× |
| Mopath procedure level 1 (81400) |
$20 |
$20 |
0.3× |
| Mopath procedure level 4 (81403) |
$122.50 |
$122.50 |
0.7× |
| Mopath procedure level 5 (81404) |
$213 |
$213 |
0.8× |
| Mopath procedure level 6 (81405) |
$388 |
$388 |
1.3× |
| Mopath procedure level 8 (81407) |
$346 |
$346 |
0.4× |
| Mopath procedure level 9 (81408) |
$1,142 |
$1,142 |
0.6× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
$132 |
$132 |
0.2× |
| Mtb PCR (87556) |
$876.50 |
$876.50 |
21.0× |
| Mucopolysaccharides acid quantitative (83864) |
$990 |
$990 |
34.7× |
| Muramidase (85549) |
$54 |
$54 |
2.9× |
| Muscle-specific kinase (musk) antibody (86366) |
$2,774 |
$2,774 |
150.8× |
| Mycophenolic acid (80180) |
$304 |
$304 |
16.8× |
| Mycoplasma antibody (86738) |
$36 |
$36 |
2.7× |
| Mycoplasma culture (87109) |
$256 |
$256 |
16.6× |
| Myelin basic protein csf (83873) |
$97 |
$97 |
5.6× |
| Myoglobin urine (83874) |
$43.50 |
$43.50 |
3.4× |
| Nasal smear for eosinophils (89190) |
$84 |
$84 |
14.5× |
| Natriuretic peptide (83880) |
$597 |
$597 |
15.2× |
| Neutralization Test Viral (86382) |
$361 |
$361 |
21.3× |
| Nfct ds chrnc hcv 6 assays (81596) |
$879 |
$879 |
12.2× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$222 |
$222 |
8.5× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$3,559.50 |
$3,559.50 |
7.3× |
| Nitroblue Tetrazolium Dye (86384) |
$545 |
$545 |
40.0× |
| Nk cells total count (86357) |
$628.50 |
$628.50 |
16.7× |
| Noonan spectrum disorders gen seq analys 12 gen (81442) |
$1,708 |
$1,708 |
0.8× |
| Nuclear antigen antibody (86235) |
$33.50 |
$33.50 |
1.9× |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) |
$3,450 |
$3,450 |
1.0× |
| Occult blood gastric (82271) |
$35 |
$35 |
6.6× |
| Occult blood stool (82272) |
$35 |
$35 |
8.3× |
| Oligoclonal bands (83916) |
$199 |
$199 |
7.3× |
| Oncoprotein dcp (83951) |
$371 |
$371 |
5.8× |
| Organic Acids Qualitative Each Specimen (83919) |
$171 |
$171 |
10.4× |
| Organic acids total quantitative each specimen (83918) |
$541.50 |
$541.50 |
22.9× |
| Orthopoxvirus Amp Prb Each (87593) |
$234 |
$234 |
4.6× |
| Osmolality serum (83930) |
$72 |
$72 |
10.9× |
| Osmolality urine (83935) |
$118 |
$118 |
17.3× |
| Osmotic fragility rbc incubated (85557) |
$172 |
$172 |
12.9× |
| Ova and parasite direct-id lca (87177) |
$91 |
$91 |
10.2× |
| Oxalate urine (83945) |
$110 |
$110 |
7.6× |
| Palb2 gene full gene seq (81307) |
$240 |
$240 |
0.4× |
| Pancreatic polypeptide (83519) |
$488 |
$488 |
26.5× |
| Particle Agglutination Screen Each Antibody (86403) |
$191 |
$191 |
16.6× |
| Parvovirus antibody (86747) |
$46 |
$46 |
3.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$151 |
$151 |
0.2× |
| Ph body fluid (83986) |
$58 |
$58 |
16.2× |
| Ph urine (81003) |
$44 |
$44 |
19.6× |
| Phenylketones qual (84035) |
$39 |
$39 |
9.8× |
| Phenytoin free (80186) |
$241 |
$241 |
17.5× |
| Phosphatase alkaline (84075) |
$91 |
$91 |
17.6× |
| Phosphorus blood (84100) |
$84 |
$84 |
17.7× |
| Phosphorus urine (84105) |
$91 |
$91 |
15.7× |
| Pik3ca gene trgt seq alys (81309) |
$3,886 |
$3,886 |
14.1× |
| Pinworm exam (87172) |
$71 |
$71 |
16.6× |
| Plasminogen (85420) |
$69 |
$69 |
10.6× |
| Platelet aggregation (85576) |
$375 |
$375 |
15.1× |
| Platelet count automated (85049) |
$81 |
$81 |
18.1× |
| Pml/raralpha com breakpoints (81315) |
$1,202 |
$1,202 |
5.8× |
| Pmp22 gene dup/delet (81324) |
$1,570 |
$1,570 |
2.1× |
| Pms2 gene analysis duplication/deletion variants (81319) |
$132 |
$132 |
0.6× |
| Pms2 gene analysis full sequence (81317) |
$151 |
$151 |
0.2× |
| Pneumcysts jirovecii amp prb (87594) |
$550 |
$550 |
15.7× |
| Pooling blood platelets (86965) |
$643 |
$643 |
3.1× |
| Porphobilinogen urine quant (84110) |
$109 |
$109 |
12.9× |
| Porphyrins feces qn (84126) |
$449 |
$449 |
11.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$103 |
$103 |
7.0× |
| Potassium (84132) |
$82 |
$82 |
17.2× |
| Potassium urine (84133) |
$79 |
$79 |
16.7× |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) |
$240 |
$240 |
1.8× |
| Pregnenolone (84140) |
$103 |
$103 |
5.0× |
| Primidone (80188) |
$61 |
$61 |
3.7× |
| Procainamide napa (80192) |
$292 |
$292 |
17.4× |
| Procalcitonin (pct) (84145) |
$350 |
$350 |
12.9× |
| Progesterone (84144) |
$90 |
$90 |
4.3× |
| Prostaglandin Ea (84150) |
$596 |
$596 |
14.3× |
| Protein body fluid (84157) |
$66 |
$66 |
16.5× |
| Protein c activity (85303) |
$219 |
$219 |
15.8× |
| Protein c antigen (85302) |
$50 |
$50 |
4.2× |
| Protein electrophoresis serum (84165) |
$47 |
$47 |
4.4× |
| Protein s total (85305) |
$74 |
$74 |
6.4× |
| Protein total serum (84155) |
$66 |
$66 |
18.0× |
| Protein urine (84156) |
$66 |
$66 |
18.0× |
| Protein Western Blot (84182) |
$239 |
$239 |
8.2× |
| Protein westrn blot i&r blood/other fluid (84181) |
$397 |
$397 |
23.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$68 |
$68 |
17.3× |
| Protoporphyrin rbc quantitative (84202) |
$64 |
$64 |
4.5× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) |
$235 |
$235 |
0.8× |
| Pten Gene Analysis Full Sequence Analysis (81321) |
$328 |
$328 |
0.5× |
| Pth intact (83970) |
$725 |
$725 |
17.6× |
| Pyruvate kinase (84220) |
$374.50 |
$374.50 |
39.7× |
| Rbc (85041) |
$48 |
$48 |
15.9× |
| Rbc antibody elution (86860) |
$292 |
$292 |
1.4× |
| Rbc osmotic fragility (85555) |
$200 |
$200 |
26.8× |
| Reagent strip/blood glucose (82948) |
$29 |
$29 |
5.8× |
| Renin activity plasma (84244) |
$92 |
$92 |
4.2× |
| Reptilase test (85635) |
$98 |
$98 |
9.9× |
| Resp virus 12-25 targets (87633) |
$1,199.50 |
$1,199.50 |
2.9× |
| Resp virus 3-5 targets (87631) |
$434 |
$434 |
3.0× |
| Reticulated platelet assay (85055) |
$81 |
$81 |
2.3× |
| Reticulocyte count auto (85045) |
$71 |
$71 |
17.8× |
| Rheumatoid factor quant (86431) |
$100 |
$100 |
17.6× |
| Rickettsia antibody (86757) |
$52 |
$52 |
2.7× |
| Ristocetin cofactor (85245) |
$402 |
$402 |
17.5× |
| Rotavirus ag eia (87425) |
$198 |
$198 |
16.5× |
| Rubella antibody (86762) |
$36 |
$36 |
2.5× |
| Rubeola Antibody Igg (86765) |
$82.50 |
$82.50 |
6.4× |
| Rufinamide (80210) |
$524 |
$524 |
19.3× |
| Russell viper venom time diluted (85613) |
$62 |
$62 |
6.5× |
| Rx metab gen seq alys pnl 6 (81418) |
$3,228.50 |
$3,228.50 |
3.5× |
| Salicylate Level (80179) |
$354 |
$354 |
19.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$215 |
$215 |
4.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$119 |
$119 |
2.8× |
| Sarscov2 & inf a&b amp prb (87636) |
$603 |
$603 |
4.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$239 |
$239 |
1.7× |
| Sedimentation rate auto (85652) |
$46 |
$46 |
17.0× |
| Selenium (84255) |
$24 |
$24 |
0.9× |
| Sensitivity kb (87184) |
$127 |
$127 |
17.0× |
| Sensitivity mic (87186) |
$144 |
$144 |
16.6× |
| Serotonin Release Assay (86022) |
$763.50 |
$763.50 |
41.6× |
| Sex hormone binding globulin (84270) |
$378 |
$378 |
17.4× |
| Sickling of rbc reduction (85660) |
$93 |
$93 |
16.9× |
| Sirolimus (rapamycin) (80195) |
$177 |
$177 |
12.9× |
| Smear acid fast (87206) |
$91 |
$91 |
16.9× |
| Smear complex stain (87209) |
$196 |
$196 |
10.9× |
| Smear gram stain (87205) |
$73 |
$73 |
17.1× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) |
$872 |
$872 |
6.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$30 |
$30 |
5.2× |
| Snrpn/ube3a gene (81331) |
$1,150 |
$1,150 |
22.5× |
| Sodium (84295) |
$86 |
$86 |
17.9× |
| Sodium feces (84302) |
$86 |
$86 |
17.7× |
| Sodium urine (84300) |
$86 |
$86 |
17.0× |
| Soluble transferrin receptor (84238) |
$74 |
$74 |
2.0× |
| Somatomedin (84305) |
$295 |
$295 |
13.9× |
| Somatostatin (84307) |
$642 |
$642 |
35.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$315 |
$315 |
2.0× |
| Special stains group 1 (88312) |
$385 |
$385 |
6.2× |
| Specific gravity body fluid (84315) |
$62 |
$62 |
18.9× |
| Spectrophotometry (84311) |
$152.50 |
$152.50 |
18.8× |
| Splitting blood/blood products each unit (86985) |
$323 |
$323 |
1.6× |
| Stem cells total count (86367) |
$801.50 |
$801.50 |
10.3× |
| Stool Culture, Addl Pathogens (87046) |
$158 |
$158 |
16.7× |
| Strep a assay w/optic (87880) |
$127 |
$127 |
7.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$171 |
$171 |
1.9× |
| Sugars mono di&oligos mlt qualitative each spe (84377) |
$57.50 |
$57.50 |
10.5× |
| Sugars Single Qualitative, Each Specimen (84376) |
$98 |
$98 |
17.8× |
| Sugars single quant (84378) |
$426 |
$426 |
36.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) |
$799 |
$799 |
20.5× |
| Sulfate urine (84392) |
$85 |
$85 |
15.5× |
| Surg path level 1 (88300) |
$181 |
$181 |
5.2× |
| Surg path level iii (88304) |
$447 |
$447 |
7.2× |
| Surgical pathology level IV (88305) |
$339.50 |
$339.50 |
5.4× |
| Sweat collection (89230) |
$577 |
$577 |
9.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$379 |
$379 |
8.1× |
| T cells total count (86359) |
$415 |
$415 |
11.0× |
| T3 free (84481) |
$31 |
$31 |
1.8× |
| T3 reverse (84482) |
$79 |
$79 |
5.0× |
| T3 total (84480) |
$251 |
$251 |
17.7× |
| T3 uptake (84479) |
$112 |
$112 |
17.3× |
| T4 free (84439) |
$129.50 |
$129.50 |
14.4× |
| T4 total (84436) |
$119 |
$119 |
17.3× |
| Tb test, cell immun measure (86480) |
$153 |
$153 |
2.5× |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) |
$240 |
$240 |
1.8× |
| Testosterone total (84403) |
$453 |
$453 |
17.6× |
| Tetanus antibody (86774) |
$191 |
$191 |
12.9× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) |
$338 |
$338 |
28.0× |
| Theophylline (80198) |
$63 |
$63 |
4.5× |
| Thin prep pap (88142) |
$117 |
$117 |
5.8× |
| Thiocyanate (84430) |
$77 |
$77 |
6.6× |
| Thiopurine methyltransferase (84433) |
$515 |
$515 |
23.2× |
| Thrombin time plasma (85670) |
$225 |
$225 |
39.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$110 |
$110 |
17.0× |
| Thyroglobulin (84432) |
$252 |
$252 |
15.7× |
| Thyroglobulin antibody (86800) |
$39 |
$39 |
2.5× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$130 |
$130 |
2.6× |
| Thyroxine binding globulin (84442) |
$54 |
$54 |
3.7× |
| Tiagabine (80199) |
$229 |
$229 |
8.4× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) |
$267 |
$267 |
1.8× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$1,265 |
$1,265 |
9.0× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$51 |
$51 |
11.9× |
| Tissue culture bone marrow (88237) |
$402 |
$402 |
2.8× |
| Tissue culture lymphocyte (88230) |
$606 |
$606 |
5.2× |
| Tissue culture solid tumor (88239) |
$763 |
$763 |
5.2× |
| Tissue transglutaminase ab iga (86364) |
$189 |
$189 |
16.4× |
| Tobramycin peak (80200) |
$282 |
$282 |
17.5× |
| Touch prep (88161) |
$207 |
$207 |
6.0× |
| Toxoplasma ab igm (86778) |
$37 |
$37 |
2.6× |
| Toxoplasma antibody igg (86777) |
$177.50 |
$177.50 |
12.3× |
| Transferrin (84466) |
$221 |
$221 |
17.3× |
| Trichinella antibody (86784) |
$161 |
$161 |
12.8× |
| Triglycerides (84478) |
$63.50 |
$63.50 |
11.1× |
| Troponin (84484) |
$172 |
$172 |
13.8× |
| Ugt1a1 gene analysis common variants (81350) |
$684 |
$684 |
2.9× |
| Unlisted cytogenetic study (88299) |
$825 |
$825 |
13.2× |
| Unlisted Transfusion Medicine Procedure (86999) |
$608 |
$608 |
17.5× |
| Urea nitrogen (84520) |
$70 |
$70 |
17.7× |
| Urea nitrogen urine (84540) |
$67 |
$67 |
12.1× |
| Uric acid blood (84550) |
$82 |
$82 |
18.1× |
| Uric acid other source (84560) |
$38 |
$38 |
7.5× |
| Urinalysis (81005) |
$20 |
$20 |
9.2× |
| Urinalysis auto w/scope (81001) |
$45 |
$45 |
14.2× |
| Urinalysis Microscopic Only (81015) |
$31 |
$31 |
10.2× |
| Urine pregnancy test (81025) |
$68 |
$68 |
7.9× |
| Valproic acid (80164) |
$239 |
$239 |
17.7× |
| Vancomycin trough (80202) |
$239 |
$239 |
17.7× |
| Varicella-zoster antibody (86787) |
$26 |
$26 |
2.0× |
| Vasoactive intestinal peptide (vip) (84586) |
$125 |
$125 |
3.5× |
| Vdrl csf (86592) |
$24 |
$24 |
5.6× |
| Very long chain fatty acids (82726) |
$180 |
$180 |
9.1× |
| Virus antibody nos (86790) |
$182 |
$182 |
14.1× |
| Viscosity serum (85810) |
$37 |
$37 |
3.2× |
| Vitamin A (84590) |
$207 |
$207 |
17.8× |
| Vitamin b-12 (82607) |
$261 |
$261 |
17.3× |
| Vitamin b1 (thiamine) (84425) |
$37 |
$37 |
1.7× |
| Vitamin b2 (84252) |
$151 |
$151 |
7.5× |
| Vitamin b3 niacin (84591) |
$289 |
$289 |
16.9× |
| Vitamin b6 (84207) |
$224 |
$224 |
8.0× |
| Vitamin c (82180) |
$95.50 |
$95.50 |
9.7× |
| Vitamin D 25-Hydroxy (82306) |
$521 |
$521 |
17.6× |
| Vitamin e serum (84446) |
$251 |
$251 |
17.7× |
| Volume Reduction Blood/Blood Product Each Unit (86960) |
$513 |
$513 |
2.5× |
| Whole mitochondrial genome analysis panel (81465) |
$2,529 |
$2,529 |
2.7× |
| Yersinia antibody (86793) |
$138 |
$138 |
10.5× |
| Zika Virus Dna/Rna Amp Probe (87662) |
$413 |
$413 |
8.0× |
| Zika Virus Igm Antibody (86794) |
$234 |
$234 |
13.9× |
| Zinc (84630) |
$121.50 |
$121.50 |
10.7× |