Lab & pathology prices at Box Butte General Hospital
Alliance, NE · every code in this section with a posted price and a Medicare benchmark.
663 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) | $383.40 | $426 | 10.0× |
| 5 Hiaa (83497) | $170.10 | $189 | 13.2× |
| Acetaminophen level (80143) | $268.20 | $298 | 14.4× |
| Actin smooth muscle antibody each (86015) | $84.60 | $94 | 7.0× |
| Activated protein c resistance (85307) | $251.55 | $279.50 | 16.4× |
| Acute hepatitis panel (80074) | $363.15 | $403.50 | 7.6× |
| Acylcarnitine Plasma (82017) | $444.60 | $494 | 26.4× |
| Adamts13 activity (85397) | $433.80 | $482 | 14.1× |
| Additional high resolution study (88289) | $251.10 | $279 | 7.3× |
| Adenovirus Ag Ia (87301) | $320.40 | $356 | 26.7× |
| Adenovirus antibody (86603) | $140.40 | $156 | 10.9× |
| Afb culture (87116) | $181.80 | $202 | 16.8× |
| Agglutinins febrile (86000) | $28.80 | $32 | 4.1× |
| Albumin Fluid (82042) | $126.90 | $141 | 16.3× |
| Albumin serum (82040) | $56.70 | $63 | 11.5× |
| Aldolase (82085) | $106.20 | $118 | 10.9× |
| Aldosterone urine (82088) | $308.70 | $343 | 7.6× |
| Alkaline phosphatase isoenzymes (84080) | $147.60 | $164 | 10.0× |
| Allergen specific ige (86003) | $68.40 | $76 | 13.1× |
| Allg Spec Ige Recomb Ea (86008) | $76.50 | $85 | 4.3× |
| Alpha-1-antitrypsin phenotype (82104) | $211.50 | $235 | 14.6× |
| Alpha-1-antitrypsin, total (82103) | $268.20 | $298 | 20.0× |
| Alpha-fetoprotein, serum (82105) | $123.30 | $137 | 7.4× |
| Alt (sgpt) (84460) | $86.40 | $96 | 16.3× |
| Aluminum (82108) | $235.80 | $262 | 9.3× |
| Amikacin trough (80150) | $160.20 | $178 | 10.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $477 | $530 | 28.3× |
| Ammonia (82140) | $181.80 | $202 | 12.5× |
| Amylase urine (82150) | $129.15 | $143.50 | 19.9× |
| Ana Titer (86039) | $115.20 | $128 | 10.3× |
| Analysis for antibody to borrelia (relapsing fever bacteria) (86619) | $209.70 | $233 | 15.7× |
| Angiotensin i enzyme test (82164) | $243.90 | $271 | 16.7× |
| Anti-phosphatidylserine antibody (86148) | $115.20 | $128 | 7.2× |
| Antibody Absorption (86978) | $115.20 | $128 | 1.9× |
| Antibody aspergillus (86606) | $128.70 | $143 | 8.6× |
| Antibody coxiella burnetii q fever (86638) | $125.10 | $139 | 10.3× |
| Antibody cytomegalovirus cmv (86644) | $113.40 | $126 | 7.9× |
| Antibody cytomegalovirus cmv igm (86645) | $154.80 | $172 | 9.2× |
| Antibody Encephalitis St. Louis (86653) | $166.50 | $185 | 12.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $122.85 | $136.50 | 9.4× |
| Antibody haemophilus influenza (86684) | $177.30 | $197 | 11.2× |
| Antibody helicobacter pylori (86677) | $220.50 | $245 | 13.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $155.70 | $173 | 10.8× |
| Antibody herpes smplx type 1 (86695) | $102.60 | $114 | 7.8× |
| Antibody identification (86870) | $219.15 | $243.50 | 0.6× |
| Antibody identification leukocyte antibodies (86021) | $261 | $290 | 17.3× |
| Antibody influenza virus (86710) | $50.40 | $56 | 3.7× |
| Antibody john cunningham virus (86711) | $2,793.60 | $3,104 | 165.4× |
| Antibody mumps (86735) | $115.20 | $128 | 8.8× |
| Antibody Protozoa Nes (86753) | $131.85 | $146.50 | 10.6× |
| Antibody rubeola (86765) | $131.40 | $146 | 10.2× |
| Antibody screen (86850) | $137.25 | $152.50 | 14.0× |
| Antibody treponema pallidum (86780) | $81 | $90 | 6.1× |
| Antibody; Coccidioides (86635) | $101.70 | $113 | 8.9× |
| Antigen typing (86905) | $183.15 | $203.50 | 47.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $116.10 | $129 | 22.4× |
| Antinuclear antibodies (86038) | $118.35 | $131.50 | 9.8× |
| Antistreptolysin o titer (86060) | $221.85 | $246.50 | 30.4× |
| Antithrombin iii activity (85300) | $218.25 | $242.50 | 18.4× |
| Antithrombin iii antigen (85301) | $239.40 | $266 | 22.1× |
| Aortic dysfunction/dilation genomic seq analysis (81410) | $5,322.60 | $5,914 | 10.6× |
| Apolipoprotein b (82172) | $158.40 | $176 | 7.5× |
| Arsenic Urine (82175) | $143.10 | $159 | 7.5× |
| Aspergillus ag eia (87305) | $141.30 | $157 | 11.8× |
| Assay galactose transferase (82775) | $335.70 | $373 | 15.9× |
| Assay Lipoprotein Pla2 (83698) | $371.70 | $413 | 8.0× |
| Assay Nephelometry Not Spec (83883) | $213.30 | $237 | 15.7× |
| Assay of acth (82024) | $299.25 | $332.50 | 7.7× |
| Assay of androstenedione (82157) | $238.05 | $264.50 | 8.1× |
| Assay of blood chloride (82435) | $72.90 | $81 | 15.8× |
| Assay of c-peptide (84681) | $174.60 | $194 | 8.4× |
| Assay of calcitonin (82308) | $216 | $240 | 8.1× |
| Assay of ceruloplasmin (82390) | $123.75 | $137.50 | 11.5× |
| Assay of cyclosporine (80158) | $206.10 | $229 | 11.4× |
| Assay of erythropoietin (82668) | $299.70 | $333 | 15.9× |
| Assay of ethosuximide (80168) | $206.10 | $229 | 12.6× |
| Assay of ferritin (82728) | $180 | $200 | 13.2× |
| Assay of fluoride (82735) | $342.90 | $381 | 18.5× |
| Assay of g6pd enzyme (82955) | $140.40 | $156 | 14.5× |
| Assay of gammaglobulin igm (82784) | $137.70 | $153 | 14.8× |
| Assay of gastrin (82941) | $171 | $190 | 9.7× |
| Assay of gentamicin (80170) | $305.10 | $339 | 18.6× |
| Assay of glucagon (82943) | $279.90 | $311 | 19.6× |
| Assay of homocystine (83090) | $300.60 | $334 | 16.8× |
| Assay of lipoprotein(a) (83695) | $182.70 | $203 | 12.8× |
| Assay of manganese (83785) | $237.60 | $264 | 8.9× |
| Assay of metanephrines (83835) | $435.60 | $484 | 25.7× |
| Assay of osteocalcin (83937) | $553.50 | $615 | 18.5× |
| Assay of parathormone (83970) | $277.20 | $308 | 6.7× |
| Assay of phenobarbital (80184) | $190.35 | $211.50 | 12.4× |
| Assay of prealbumin (84134) | $137.25 | $152.50 | 9.4× |
| Assay of procainamide (80190) | $401.40 | $446 | 6.7× |
| Assay of proinsulin (84206) | $221.85 | $246.50 | 8.3× |
| Assay of pyruvate (84210) | $150.30 | $167 | 10.4× |
| Assay of selenium (84255) | $170.10 | $189 | 6.7× |
| Assay of serotonin (84260) | $282.15 | $313.50 | 9.1× |
| Assay of somatomedin (84305) | $247.50 | $275 | 11.6× |
| Assay of tacrolimus (80197) | $242.55 | $269.50 | 17.7× |
| Assay of transcortin (84449) | $308.70 | $343 | 17.2× |
| Assay of urine vma (84585) | $198 | $220 | 12.8× |
| Assay of vitamin k (84597) | $309.60 | $344 | 22.6× |
| Assay of volatiles (84600) | $320.40 | $356 | 18.7× |
| Assay Ph Body Fluid Nos (83986) | $129.60 | $144 | 36.2× |
| Ast (sgot) (84450) | $86.40 | $96 | 16.7× |
| Automated rbc count (85041) | $62.10 | $69 | 20.6× |
| B cells total count (86355) | $101.70 | $113 | 2.7× |
| Bartonella antibody (86611) | $89.10 | $99 | 8.8× |
| Bcr/abl1 gene major bp (81206) | $1,036.80 | $1,152 | 6.3× |
| Bcr/abl1 gene minor bp (81207) | $360 | $400 | 2.5× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $144.45 | $160.50 | 5.7× |
| Beta hydroxybutyrate (82010) | $126 | $140 | 15.4× |
| Beta Lactamase (87185) | $113.40 | $126 | 23.9× |
| Beta-2 microglobulin (82232) | $170.10 | $189 | 10.5× |
| Bilirubin direct (82248) | $65.70 | $73 | 13.1× |
| Bilirubin total (82247) | $82.80 | $92 | 16.5× |
| Bilirubin total transcutaneous (88720) | $89.10 | $99 | 17.7× |
| Biotinidase ea specimen (82261) | $61.20 | $68 | 3.6× |
| Bl Smear W/Diff Wbc Count (85007) | $63.90 | $71 | 16.8× |
| Blastomyces antibody (86612) | $314.55 | $349.50 | 24.4× |
| Bleeding time (85002) | $159.30 | $177 | 33.0× |
| Blood count reticulocyte automated (85045) | $94.95 | $105.50 | 23.8× |
| Blood gases (82803) | $263.70 | $293 | 10.1× |
| Blood gases w/02 saturation (82805) | $270.90 | $301 | 3.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $181.80 | $202 | 11.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $47.70 | $53 | 10.9× |
| Blood Ph - Ph Venous (82800) | $123.30 | $137 | 11.2× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $233.10 | $259 | 36.7× |
| Blood typing abo (86900) | $91.80 | $102 | 30.7× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $100.80 | $112 | 6.2× |
| Blood typing serologic rh (d) (86901) | $93.60 | $104 | 31.3× |
| Body fluid cell count (89051) | $149.40 | $166 | 26.7× |
| Body fluid cell count (89050) | $260.10 | $289 | 55.1× |
| Bordetella antibody (86615) | $158.40 | $176 | 12.0× |
| Brca1&2 seq & full dup/del (81162) | $3,904.20 | $4,338 | 2.1× |
| Brucella antibody (86622) | $160.20 | $178 | 17.9× |
| C diff amplified probe (87493) | $211.95 | $235.50 | 5.7× |
| C-reactive protein (86140) | $115.65 | $128.50 | 22.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $219.15 | $243.50 | 16.9× |
| C1q binding assay (86332) | $340.20 | $378 | 14.0× |
| Ca 125 (86304) | $192.15 | $213.50 | 9.2× |
| Ca 19-9 (86301) | $193.95 | $215.50 | 9.3× |
| Ca 27 29 (86300) | $236.70 | $263 | 11.4× |
| Cadmium level (82300) | $108 | $120 | 4.6× |
| Calcium ionized (82330) | $139.95 | $155.50 | 10.2× |
| Calcium total (82310) | $77.40 | $86 | 15.0× |
| Calcium urine (82340) | $111.60 | $124 | 18.5× |
| Calculus Qualitative Analysis (82355) | $90 | $100 | 7.8× |
| Calculus Spectroscopy (82365) | $162 | $180 | 12.6× |
| Calprotectin, fecal (83993) | $565.20 | $628 | 28.8× |
| Candida antibody (86628) | $141.30 | $157 | 11.8× |
| Carbamazepine (tegretol) total (80156) | $194.85 | $216.50 | 13.4× |
| Carbon dioxide (82374) | $121.50 | $135 | 24.9× |
| Carboxyhemoglobin Quantitative (82375) | $171.90 | $191 | 14.0× |
| Carcinoembryonic antigen (82378) | $257.40 | $286 | 13.6× |
| Cardiolipin ab igg (86147) | $158.40 | $176 | 6.2× |
| Carnitine (82379) | $265.50 | $295 | 15.7× |
| Carotene (82380) | $183.60 | $204 | 19.9× |
| Catecholamines fraction plasma (82384) | $616.95 | $685.50 | 24.4× |
| Cell Cryopreserve/Storage (88240) | $45 | $50 | 3.4× |
| Cell marker study (88182) | $115.20 | $128 | 2.1× |
| Cell saver (86891) | $1,137.60 | $1,264 | 1.4× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $474.30 | $527 | 3.5× |
| Cftr gene com variants (81220) | $431.10 | $479 | 0.8× |
| Cftr gene dup/delet variants (81222) | $2,347.20 | $2,608 | 5.4× |
| Cftr gene full sequence (81223) | $2,347.20 | $2,608 | 4.7× |
| Chemiluminescent assay (82397) | $250.65 | $278.50 | 17.8× |
| Chlamydia antibody (86631) | $72 | $80 | 6.1× |
| Chlamydia Igm Antibody (86632) | $34.20 | $38 | 2.7× |
| Chloride other source (82438) | $79.20 | $88 | 15.8× |
| Chloride urine (82436) | $91.80 | $102 | 16.0× |
| Cholesterol total (82465) | $86.40 | $96 | 19.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $661.05 | $734.50 | 5.3× |
| Chromium urine (82495) | $211.50 | $235 | 10.4× |
| Chromogranin a (86316) | $251.10 | $279 | 12.1× |
| Chromosome analysis 20-25 cells (88264) | $1,096.20 | $1,218 | 7.6× |
| Chromosome karyotype study (88280) | $275.40 | $306 | 8.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $180.90 | $201 | 5.2× |
| Citrate (82507) | $209.70 | $233 | 7.5× |
| Ck isoenzymes (82552) | $189 | $210 | 14.1× |
| Ckmb (82553) | $303.75 | $337.50 | 26.3× |
| Clot factor viii vw antigen (85246) | $348.30 | $387 | 15.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $657.45 | $730.50 | 36.7× |
| Clozapine level (80159) | $198 | $220 | 9.8× |
| Cmv PCR (87496) | $347.40 | $386 | 9.9× |
| Cns DNA amp probe type 12-25 (87483) | $498.60 | $554 | 1.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $466.65 | $518.50 | 19.4× |
| Cold agglutinin titer (86157) | $119.70 | $133 | 14.9× |
| Collagen cross links (82523) | $344.70 | $383 | 18.5× |
| Compatibility test antiglob (86922) | $235.80 | $262 | 1.3× |
| Complement c3 (86160) | $140.40 | $156 | 11.7× |
| Complement total ch50 (86162) | $192.15 | $213.50 | 9.5× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $218.70 | $243 | 18.2× |
| Concentration Infectious Agent (87015) | $118.35 | $131.50 | 17.7× |
| Coombs direct (86880) | $111.60 | $124 | 20.7× |
| Coombs Test Indirect Qual (86885) | $85.50 | $95 | 14.9× |
| Copper urine (82525) | $160.20 | $178 | 12.9× |
| Cortisol free (82530) | $229.95 | $255.50 | 13.8× |
| Cortisol total (82533) | $229.50 | $255 | 14.1× |
| Creatine kinase total (82550) | $110.70 | $123 | 17.0× |
| Creatinine blood (82565) | $72.45 | $80.50 | 14.2× |
| Creatinine clearance (82575) | $187.20 | $208 | 19.8× |
| Creatinine other source (82570) | $116.55 | $129.50 | 22.5× |
| Crossmatch immediate spin (86920) | $182.70 | $203 | 1.0× |
| Cryofibrinogen (82585) | $47.70 | $53 | 3.4× |
| Cryoglobulin (82595) | $160.20 | $178 | 24.8× |
| Cryptococcal Antigen (87327) | $56.70 | $63 | 4.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $121.50 | $135 | 15.0× |
| Culture Aerobic Identify (87077) | $97.65 | $108.50 | 12.1× |
| Culture anaerobic (87075) | $147.15 | $163.50 | 15.5× |
| Culture blood (87040) | $284.40 | $316 | 27.6× |
| Culture chlamydia (87110) | $236.70 | $263 | 12.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $198 | $220 | 25.7× |
| Culture fungus blood (87103) | $219.60 | $244 | 10.7× |
| Culture fungus id yeast (87106) | $132.30 | $147 | 12.8× |
| Culture fungus other (87102) | $140.40 | $156 | 16.7× |
| Culture genital (87070) | $145.80 | $162 | 16.9× |
| Culture screen only (87081) | $88.65 | $98.50 | 13.4× |
| Culture stool (87045) | $129.15 | $143.50 | 13.7× |
| Culture typing if ea antiserum (87140) | $129.60 | $144 | 23.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $76.50 | $85 | 14.8× |
| Culture urine id ea isolate (87088) | $132.30 | $147 | 16.4× |
| Cyclic Citrullinated Peptide (86200) | $180 | $200 | 13.9× |
| Cystatin c (82610) | $81.90 | $91 | 4.4× |
| Cytogen micrarray copy nmbr (81228) | $4,089.60 | $4,544 | 4.5× |
| Cytogenetics DNA probe (88271) | $257.85 | $286.50 | 12.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $548.10 | $609 | 12.8× |
| Cytopath cell enhance tech (88112) | $140.85 | $156.50 | 2.6× |
| Cytopath Fl Nongyn Filter (88106) | $48.15 | $53.50 | 1.6× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $77.40 | $86 | 2.0× |
| Cytopath Smear Other Source (88160) | $44.55 | $49.50 | 1.5× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $169.20 | $188 | 6.4× |
| Cytp concentration smears & interpretation (88108) | $143.10 | $159 | 3.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $179.10 | $199 | 3.3× |
| Cytp fna eval dx 1st each site (88172) | $72 | $80 | 0.4× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $74.70 | $83 | 4.0× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $126 | $140 | 2.3× |
| Cytp urine 3-5 probes cmptr (88121) | $949.50 | $1,055 | 5.4× |
| D-Dimer (85379) | $195.30 | $217 | 19.2× |
| Deoxyribonuclease antibody (86215) | $135.90 | $151 | 10.3× |
| Detect agnt mult DNA ampli (87801) | $409.95 | $455.50 | 5.8× |
| Dhea (82626) | $243.45 | $270.50 | 9.6× |
| Dhea sulfate (82627) | $214.65 | $238.50 | 9.7× |
| Digoxin (80162) | $153.90 | $171 | 11.6× |
| Dilantin (80185) | $170.10 | $189 | 12.8× |
| Diphtheria antitoxoid (86648) | $242.10 | $269 | 15.9× |
| Dna Antibody Single Stranded (86226) | $233.10 | $259 | 19.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $120.15 | $133.50 | 8.7× |
| Drug assay adalimumab (80145) | $638.10 | $709 | 16.5× |
| Drug Assay Infliximab (80230) | $566.10 | $629 | 14.7× |
| Drug Assay Lacosamide (80235) | $318.60 | $354 | 11.8× |
| Drug assay posaconazole (80187) | $153 | $170 | 5.6× |
| Drug assay vedolizumab (80280) | $333.90 | $371 | 8.7× |
| Drug Screen Quant Gabapentin (80171) | $283.50 | $315 | 13.1× |
| Drug screen quant zonisamide (80203) | $414 | $460 | 31.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $265.05 | $294.50 | 20.0× |
| Drug Scrn Quan Levetiracetam (80177) | $441 | $490 | 33.3× |
| Drug scrn quant oxcarbazepin (80183) | $315 | $350 | 23.8× |
| Drug test prsmv chem anlyzr (80307) | $298.80 | $332 | 4.8× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $404.10 | $449 | 23.6× |
| Ebv viral capsid (86665) | $180 | $200 | 9.9× |
| Echinococcus ab igg (86682) | $379.80 | $422 | 29.2× |
| Ehrlichia antibody (86666) | $125.55 | $139.50 | 12.3× |
| Electrolyte panel (80051) | $155.70 | $173 | 22.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $340.20 | $378 | 5.5× |
| Endomysial antibody iga (86255) | $227.25 | $252.50 | 18.9× |
| Entamoeba histolytica antigen (87337) | $325.80 | $362 | 27.2× |
| Enterovirus antibody (86658) | $167.40 | $186 | 12.8× |
| Enterovirus Pcr (87498) | $322.65 | $358.50 | 9.2× |
| Enzyme cell activity (82657) | $823.95 | $915.50 | 37.2× |
| Enzyme histochemistry (88319) | $72.90 | $81 | 0.1× |
| Eosinophil count (85048) | $66.60 | $74 | 26.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $119.70 | $133 | 7.8× |
| Estradiol (82670) | $185.40 | $206 | 6.6× |
| Estriol (82677) | $168.30 | $187 | 7.0× |
| Estrogens total (82672) | $293.40 | $326 | 13.5× |
| Estrone (82679) | $226.80 | $252 | 9.1× |
| Ethylene glycol (82693) | $261 | $290 | 17.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $211.05 | $234.50 | 2.2× |
| Everolimus (80169) | $426.60 | $474 | 31.1× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $87.30 | $97 | 11.9× |
| F2 gene analysis 20210g >a variant (81240) | $400.50 | $445 | 6.1× |
| F5 gene (81241) | $319.05 | $354.50 | 4.3× |
| Factor ii activity (85210) | $244.80 | $272 | 18.9× |
| Factor ix activity (85250) | $421.20 | $468 | 22.1× |
| Factor v activity (85220) | $303.30 | $337 | 17.2× |
| Factor vii assay (85230) | $251.55 | $279.50 | 14.1× |
| Factor viii ahg (85240) | $292.95 | $325.50 | 16.4× |
| Factor viii vw multimetric (85247) | $385.20 | $428 | 16.8× |
| Factor xi assay (85270) | $257.40 | $286 | 14.4× |
| Factor xii assay (85280) | $261 | $290 | 13.5× |
| Factor xiii solubility screen (85291) | $293.85 | $326.50 | 32.3× |
| Fat stain (89125) | $36 | $40 | 6.1× |
| Fecal fat qual (82705) | $94.95 | $105.50 | 18.6× |
| Fecal fat quant (82710) | $153.90 | $171 | 9.2× |
| Fetal bleed screen (85461) | $150.30 | $167 | 16.1× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $154.80 | $172 | 2.9× |
| Fetal fibronectin (82731) | $927.90 | $1,031 | 14.4× |
| Fetal lung maturity fluorescence polarization (83663) | $275.40 | $306 | 14.6× |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) | $151.20 | $168 | 1.9× |
| Fibrinogen activity (85384) | $204.30 | $227 | 21.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $163.80 | $182 | 10.6× |
| Flow cytometry first marker (88184) | $157.50 | $175 | 0.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $152.10 | $169 | 12.6× |
| Fmr1 gene detection (81243) | $747.90 | $831 | 13.1× |
| Folate serum (82746) | $196.20 | $218 | 13.3× |
| Folic acid rbc (82747) | $166.50 | $185 | 9.4× |
| Follicle Stimulating Hormone (83001) | $238.95 | $265.50 | 12.9× |
| Forensic (investigation) examination of specimen (88125) | $21.60 | $24 | 0.4× |
| Francisella Tularensis (86668) | $180 | $200 | 12.7× |
| Fresh frozen plasma thawing each unit (86927) | $192.15 | $213.50 | 1.1× |
| Fructosamine (82985) | $166.50 | $185 | 9.9× |
| Ftl cgen abnor four anal (81511) | $283.50 | $315 | 1.8× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $123.30 | $137 | 11.9× |
| Galactose (82760) | $45 | $50 | 4.0× |
| Galactose transferase test (82776) | $41.85 | $46.50 | 3.6× |
| Gammaglobulin ige (82785) | $156.60 | $174 | 9.5× |
| Gastric Occult Blood (82271) | $58.50 | $65 | 11.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $325.80 | $362 | 0.1× |
| Genetic testing for severe inherited conditions (81443) | $5,647.50 | $6,275 | 2.3× |
| Ggt (82977) | $81 | $90 | 11.3× |
| Giardia antigen eia stool (87329) | $285.75 | $317.50 | 23.9× |
| Giardia lamblia antibody (86674) | $108 | $120 | 7.3× |
| Glucose (82947) | $74.70 | $83 | 19.0× |
| Glucose Blood Test (82962) | $142.20 | $158 | 43.4× |
| Glucose body fluid (82945) | $121.50 | $135 | 30.9× |
| Glucose post dose (82950) | $95.40 | $106 | 20.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $107.10 | $119 | 27.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $191.70 | $213 | 14.9× |
| Glutamate dehydrogenase (82965) | $180 | $200 | 13.7× |
| Glutathione (82978) | $477 | $530 | 30.9× |
| Gonadotropin releasing hormone (83727) | $802.80 | $892 | 46.7× |
| Growth hormone (83003) | $84.60 | $94 | 5.1× |
| Haptoglobin (83010) | $257.40 | $286 | 20.5× |
| Hba1/hba2 gene (81257) | $345.60 | $384 | 3.4× |
| Hcg qualitative (84703) | $140.85 | $156.50 | 18.7× |
| Hcg quant (84702) | $163.80 | $182 | 10.9× |
| Hdl Cholesterol (83718) | $73.80 | $82 | 9.0× |
| Heavy metal quant each (83018) | $340.20 | $378 | 15.5× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $61.20 | $68 | 2.9× |
| Hematocrit (85014) | $54.45 | $60.50 | 23.0× |
| Hemoglobin (85018) | $53.55 | $59.50 | 22.6× |
| Hemoglobin a1c (83036) | $97.65 | $108.50 | 10.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $145.35 | $161.50 | 8.0× |
| Hemoglobin electrophoresis (83020) | $98.55 | $109.50 | 7.7× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $206.10 | $229 | 26.7× |
| Hemoglobin plasma (83051) | $146.70 | $163 | 20.1× |
| Hemoglobin stability screen (83068) | $158.40 | $176 | 16.7× |
| Hemosiderin urine (83070) | $142.20 | $158 | 29.9× |
| Heparin assay (85520) | $286.20 | $318 | 21.9× |
| Hepatitis a antibody total (86708) | $157.50 | $175 | 12.7× |
| Hepatitis a igm (86709) | $145.35 | $161.50 | 12.9× |
| Hepatitis b core ab igm (86705) | $139.50 | $155 | 11.9× |
| Hepatitis b core antibody total (86704) | $139.50 | $155 | 11.6× |
| Hepatitis B Surface Ab (86706) | $145.80 | $162 | 13.6× |
| Hepatitis B Surface Antigen (87340) | $143.55 | $159.50 | 13.9× |
| Hepatitis be antibody (86707) | $126.45 | $140.50 | 10.9× |
| Hepatitis Be Antigen (87350) | $128.70 | $143 | 11.2× |
| Hepatitis c ab confirm (86804) | $692.10 | $769 | 44.7× |
| Hepatitis c antibody (86803) | $134.10 | $149 | 9.4× |
| Hepatitis C Genotype (87902) | $1,158.30 | $1,287 | 4.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $919.80 | $1,022 | 26.2× |
| Hepatitis delta ab (86692) | $354.60 | $394 | 20.7× |
| Herpes culture (87252) | $325.80 | $362 | 12.5× |
| Herpes simplex type 2 (86696) | $108.90 | $121 | 5.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $90 | $100 | 17.4× |
| Hfe gene (81256) | $513.90 | $571 | 7.9× |
| Histamine plasma (83088) | $238.05 | $264.50 | 8.1× |
| Histoplasma antibody (86698) | $233.55 | $259.50 | 16.9× |
| Histoplasma antigen urine (87385) | $477 | $530 | 36.0× |
| HIV confirmation (86689) | $299.70 | $333 | 15.5× |
| HIV-1 antibody (86701) | $121.50 | $135 | 13.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $144 | $160 | 10.5× |
| Hla b 27 disease association lc (81374) | $353.70 | $393 | 4.8× |
| Hla class i&ii antibody qual (86828) | $789.30 | $877 | 12.3× |
| Hla I Typing Complete Lr (81372) | $496.80 | $552 | 1.2× |
| Hla ii typing 1 locus lr (81376) | $424.80 | $472 | 3.5× |
| Hla ii typing ag equiv lr (81375) | $342.90 | $381 | 1.6× |
| Hla typing a/b/c multiple antigens (86813) | $1,134.90 | $1,261 | 19.6× |
| Hla typing dr/dq (86817) | $877.50 | $975 | 8.3× |
| Hla-b27 (86812) | $261 | $290 | 10.1× |
| Homogenization tissue (87176) | $232.20 | $258 | 39.5× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $313.65 | $348.50 | 4.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $364.05 | $404.50 | 10.4× |
| Htlv-i antibody (86687) | $191.70 | $213 | 21.1× |
| Hydroxychloroquine (80220) | $208.80 | $232 | 11.2× |
| Hydroxyprogesterone 17-d (83498) | $169.20 | $188 | 6.2× |
| Iaad ia clostridium difficile toxin (87324) | $184.50 | $205 | 15.4× |
| Iaad ia cryptosporidium (87328) | $122.85 | $136.50 | 8.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $114.30 | $127 | 4.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $279 | $310 | 19.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $157.50 | $175 | 11.3× |
| Iaad ia rotavirus (87425) | $178.20 | $198 | 14.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $150.30 | $167 | 12.5× |
| Iaad Ia Streptococcus Group A (87430) | $107.10 | $119 | 6.4× |
| Iaadi herpes smplx virus type 2 (87273) | $112.50 | $125 | 9.4× |
| Iaadiadoo not otherwise specified (87899) | $126.90 | $141 | 7.9× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $591.30 | $657 | 16.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $115.20 | $128 | 3.3× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $187.20 | $208 | 8.2× |
| Iadna hepatitis b virus quantification (87517) | $441.90 | $491 | 10.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $540 | $600 | 12.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $535.50 | $595 | 6.3× |
| Iadna human papillomavirus high-risk types (87624) | $191.70 | $213 | 5.5× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $295.20 | $328 | 7.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $131.40 | $146 | 3.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $153 | $170 | 4.4× |
| Iadna nos amplified probe tq each organism (87798) | $316.80 | $352 | 9.0× |
| Iadna nos quantification each organism (87799) | $371.70 | $413 | 8.7× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $123.30 | $137 | 3.5× |
| If varicella-zoster antigen (87290) | $225 | $250 | 16.8× |
| Igg subclasses (82787) | $229.50 | $255 | 28.6× |
| Immunfix e-phorsis/urine/csf (86335) | $168.75 | $187.50 | 5.7× |
| Immunoassay analyte qual/semiqual single step (83518) | $48.60 | $54 | 5.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $135 | $150 | 9.0× |
| Immunoassay nonantibody (83516) | $179.10 | $199 | 15.5× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) | $90 | $100 | 5.6× |
| Immunodiffusion not elsewhere specified (86329) | $229.95 | $255.50 | 16.4× |
| Immunodiffusion Ouchterlony (86331) | $131.85 | $146.50 | 11.0× |
| Immunoelectrophoresis serum (86320) | $194.40 | $216 | 6.5× |
| Immunofixj Electrophoresis Serum (86334) | $345.60 | $384 | 15.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $668.70 | $743 | 3.8× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) | $112.50 | $125 | 9.4× |
| Immunoglobulin assay (86023) | $187.65 | $208.50 | 15.1× |
| Immunohistochemistry (88342) | $327.15 | $363.50 | 1.8× |
| India ink prep (87210) | $68.85 | $76.50 | 11.8× |
| Influenza a/b ag eia (87400) | $138.15 | $153.50 | 9.8× |
| Inhibin a (86336) | $181.80 | $202 | 11.7× |
| Inhibin b (83520) | $344.70 | $383 | 20.0× |
| Insulin antibodies (86337) | $282.15 | $313.50 | 13.2× |
| Insulin free (83527) | $104.40 | $116 | 8.1× |
| Insulin total (83525) | $147.60 | $164 | 12.9× |
| Intrinsic factor antibody (86340) | $171.90 | $191 | 11.4× |
| Iron (83540) | $111.60 | $124 | 17.2× |
| Iron binding capacity (83550) | $160.20 | $178 | 18.3× |
| Islet cell antibody (86341) | $324 | $360 | 13.7× |
| Jak2 gene analysis (81270) | $828.90 | $921 | 9.0× |
| Ketosteroids 17; total (83586) | $483.30 | $537 | 37.8× |
| Koh Prep (87220) | $57.60 | $64 | 13.5× |
| Lactic acid (83605) | $431.10 | $479 | 37.3× |
| Lactoferrin fecal qualitative (83630) | $217.80 | $242 | 11.1× |
| Ldh (83615) | $101.70 | $113 | 16.8× |
| Ldh isoenzymes (83625) | $145.80 | $162 | 11.4× |
| LDL cholesterol direct (83721) | $141.30 | $157 | 13.5× |
| Lead (83655) | $126.90 | $141 | 10.5× |
| Legionella antibody (86713) | $126 | $140 | 8.2× |
| Legionella antigen urine (87449) | $435.60 | $484 | 36.4× |
| Leptospira antibody (86720) | $180.90 | $201 | 11.2× |
| Level ii surg pathology grossµscopic exam (88302) | $131.40 | $146 | 3.4× |
| Level v surg pathology grossµscopic exam (88307) | $489.60 | $544 | 1.3× |
| Level vi surg pathology grossµscopic exam (88309) | $418.50 | $465 | 0.5× |
| Lh (83002) | $224.55 | $249.50 | 12.1× |
| Lipase (83690) | $160.20 | $178 | 23.3× |
| Lipopro bld electrophoretic (83700) | $476.10 | $529 | 42.3× |
| Lipoprotein Bld Hr Fraction (83701) | $340.20 | $378 | 10.0× |
| Listeria ab (86609) | $37.80 | $42 | 2.9× |
| Lithium (80178) | $179.10 | $199 | 27.1× |
| Lyme disease antibody (86618) | $252 | $280 | 14.8× |
| Lyme disease antibody confirm (86617) | $163.80 | $182 | 10.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $268.20 | $298 | 1.5× |
| Macroscopic exam arthropod (87168) | $129.15 | $143.50 | 30.2× |
| Macroscopic exam parasite (87169) | $101.70 | $113 | 23.6× |
| Magnesium (83735) | $107.10 | $119 | 16.0× |
| Malaria smear (87207) | $90 | $100 | 15.0× |
| Mass spectrometry qual/quan (83789) | $196.20 | $218 | 8.1× |
| Measurement of complement fixation tests (immune system proteins) (86171) | $252 | $280 | 25.2× |
| Mercury (83825) | $253.35 | $281.50 | 15.6× |
| Methotrexate (80299) | $374.40 | $416 | 20.1× |
| Methylmalonic acid serum (83921) | $650.25 | $722.50 | 30.7× |
| Microalbumin urine (82043) | $121.95 | $135.50 | 21.1× |
| Microbe susceptible diffuse (87181) | $63.90 | $71 | 13.5× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $113.40 | $126 | 2.1× |
| Microsomal antibodies (86376) | $153 | $170 | 10.5× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $454.50 | $505 | 8.9× |
| Molecular pathology procedure level 2 (81401) | $596.70 | $663 | 4.4× |
| Molecular pathology procedure level 7 (81406) | $1,323 | $1,470 | 4.7× |
| Mononuclear cell antigen (86356) | $130.50 | $145 | 4.9× |
| Mopath procedure level 4 (81403) | $1,610.55 | $1,789.50 | 8.7× |
| Mopath procedure level 5 (81404) | $1,521.90 | $1,691 | 5.5× |
| Mopath procedure level 8 (81407) | $1,323 | $1,470 | 1.6× |
| Mopath procedure level 9 (81408) | $2,614.05 | $2,904.50 | 1.3× |
| Mrsa amp probe (87641) | $89.10 | $99 | 2.5× |
| Mthfr Gene Analysis Common Variants (81291) | $360.90 | $401 | 5.5× |
| Muramidase (85549) | $150.30 | $167 | 8.0× |
| Mycophenolic acid (80180) | $234.90 | $261 | 13.0× |
| Mycoplasma antibody (86738) | $278.10 | $309 | 21.0× |
| Myelin basic protein csf (83873) | $102.60 | $114 | 6.0× |
| Myoglobin urine (83874) | $167.40 | $186 | 13.0× |
| N.gonorrhoeae, DNA, dir prob (87590) | $106.20 | $118 | 4.0× |
| Nasal smear for eosinophils (89190) | $72 | $80 | 12.4× |
| Natriuretic peptide (83880) | $622.80 | $692 | 15.9× |
| Neutralization test, viral (86382) | $187.20 | $208 | 11.1× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $617.40 | $686 | 4.8× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $610.20 | $678 | 8.5× |
| Niacin (84591) | $252 | $280 | 14.8× |
| Nk cells total count (86357) | $80.10 | $89 | 2.1× |
| Nmr Lipoprofile (83704) | $187.20 | $208 | 5.5× |
| Nuclear antigen antibody (86235) | $121.05 | $134.50 | 6.8× |
| Obstetric panel (80081) | $340.20 | $378 | 4.5× |
| Occult blood stool (82272) | $54.45 | $60.50 | 12.9× |
| Oligoclonal bands (83916) | $147.60 | $164 | 5.4× |
| Organic Acids Total Quantitative Each Specimen (83918) | $414.90 | $461 | 17.6× |
| Osmolality serum (83930) | $114.30 | $127 | 17.3× |
| Osmolality urine (83935) | $106.20 | $118 | 15.6× |
| Ova and parasite direct-id lca (87177) | $254.70 | $283 | 28.6× |
| Oxalate urine (83945) | $142.65 | $158.50 | 9.9× |
| Pancreatic elastase fecal (82656) | $476.10 | $529 | 41.3× |
| Pancreatic polypeptide (83519) | $315.45 | $350.50 | 17.1× |
| Parainfluenza ag if (87279) | $62.10 | $69 | 3.8× |
| Particle Agglutination Screen Each Antibody (86403) | $112.50 | $125 | 9.7× |
| Parvovirus antibody (86747) | $146.70 | $163 | 9.8× |
| Phenylalanine (84030) | $167.85 | $186.50 | 30.5× |
| Phenytoin free (80186) | $155.70 | $173 | 11.3× |
| Phosphatase alkaline (84075) | $75.15 | $83.50 | 14.5× |
| Phospholipid Neutralization Hexagonal (85598) | $387.90 | $431 | 21.6× |
| Phosphorus blood (84100) | $80.10 | $89 | 16.9× |
| Phosphorus urine (84105) | $121.50 | $135 | 21.0× |
| Pinworm exam (87172) | $61.20 | $68 | 14.3× |
| Plasminogen (85420) | $105.30 | $117 | 16.1× |
| Platelet aggregation (85576) | $703.80 | $782 | 28.3× |
| Platelet count (85049) | $77.40 | $86 | 17.3× |
| Platelet neutralization (85597) | $268.20 | $298 | 14.9× |
| Pooling blood platelets (86965) | $52.20 | $58 | 0.3× |
| Porphobilinogen urine quant (84110) | $162.90 | $181 | 19.3× |
| Porphyrins qn & fraction urine (84120) | $222.30 | $247 | 15.1× |
| Potassium (84132) | $61.20 | $68 | 12.9× |
| Potassium urine (84133) | $79.20 | $88 | 16.7× |
| Pregnenolone (84140) | $441 | $490 | 21.3× |
| Primidone (80188) | $165.60 | $184 | 10.0× |
| Procainamide napa (80192) | $152.10 | $169 | 9.1× |
| Procalcitonin (pct) (84145) | $304.65 | $338.50 | 11.2× |
| Progesterone (84144) | $141.75 | $157.50 | 6.8× |
| Prolactin (84146) | $247.50 | $275 | 12.8× |
| Prostaglandin Ea (84150) | $437.85 | $486.50 | 10.5× |
| Protein body fluid (84157) | $121.50 | $135 | 30.4× |
| Protein c activity (85303) | $245.25 | $272.50 | 17.7× |
| Protein c antigen (85302) | $262.80 | $292 | 21.9× |
| Protein electrophoresis serum (84165) | $127.35 | $141.50 | 11.9× |
| Protein Electrophoresis Urine (84166) | $147.60 | $164 | 8.3× |
| Protein S Functional (85306) | $290.25 | $322.50 | 18.9× |
| Protein s total (85305) | $236.70 | $263 | 20.4× |
| Protein Total Serum (84155) | $77.40 | $86 | 21.1× |
| Protein urine (84156) | $96.75 | $107.50 | 26.4× |
| Protein Western Blot (84182) | $1,116.90 | $1,241 | 38.2× |
| Prothrombin time substitution (85611) | $80.10 | $89 | 20.3× |
| PSA free (84154) | $168.75 | $187.50 | 9.2× |
| Quantiferon tb gold (86480) | $313.65 | $348.50 | 5.1× |
| Quinidine (80194) | $265.50 | $295 | 18.2× |
| Rbc antibody elution (86860) | $234.90 | $261 | 1.3× |
| Rbc osmotic fragility (85555) | $319.50 | $355 | 42.8× |
| Rbc pretx incubatj w/chemicl (86970) | $139.50 | $155 | 2.3× |
| Reducing substances, stool (84376) | $400.50 | $445 | 72.8× |
| Renin activity plasma (84244) | $220.95 | $245.50 | 10.0× |
| Reptilase test (85635) | $132.75 | $147.50 | 13.5× |
| Resp virus 3-5 targets (87631) | $403.65 | $448.50 | 2.8× |
| Rheumatoid Factor Qual (86430) | $106.20 | $118 | 17.3× |
| Rheumatoid factor quant (86431) | $75.60 | $84 | 13.3× |
| Rickettsia antibody (86757) | $137.70 | $153 | 7.1× |
| Rubella antibody (86762) | $116.10 | $129 | 8.1× |
| Russell viper venom time diluted (85613) | $150.30 | $167 | 15.7× |
| Saccharomyces ab iga (86671) | $142.20 | $158 | 11.6× |
| Salicylate (80179) | $274.50 | $305 | 14.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $87.30 | $97 | 1.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $144.45 | $160.50 | 3.4× |
| Sedimentation rate (85651) | $66.60 | $74 | 15.6× |
| Semen analysis w/count (89310) | $180.90 | $201 | 21.0× |
| Sensitivity mic (87186) | $133.65 | $148.50 | 15.5× |
| Serotonin Release Assay (86022) | $575.55 | $639.50 | 31.3× |
| Sex hormone binding globulin (84270) | $152.10 | $169 | 7.0× |
| Sickle cell screen (85660) | $186.30 | $207 | 33.8× |
| Sirolimus (rapamycin) (80195) | $429.30 | $477 | 31.3× |
| Smear acid fast (87206) | $116.55 | $129.50 | 21.6× |
| Smear complex stain (87209) | $98.55 | $109.50 | 5.5× |
| Smear gram stain (87205) | $65.70 | $73 | 15.4× |
| Snrpn/ube3a gene (81331) | $812.70 | $903 | 15.9× |
| Sodium (84295) | $107.10 | $119 | 22.3× |
| Sodium other source (84302) | $72.45 | $80.50 | 14.9× |
| Sodium urine (84300) | $91.80 | $102 | 18.1× |
| Soluble transferrin receptor (84238) | $261 | $290 | 7.1× |
| Somatostatin (84307) | $557.10 | $619 | 30.5× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $169.20 | $188 | 1.2× |
| Special stains group 1 (88312) | $150.30 | $167 | 2.8× |
| Specific gravity body fluid (84315) | $39.60 | $44 | 12.1× |
| Spectrophotometry (84311) | $343.80 | $382 | 42.4× |
| Sperm antibody measurement (89325) | $146.70 | $163 | 13.7× |
| Splitting blood/blood products each unit (86985) | $33.30 | $37 | 0.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $82.80 | $92 | 8.8× |
| Strep b DNA amp probe (87653) | $89.10 | $99 | 2.5× |
| Sugars single quant (84378) | $677.70 | $753 | 58.8× |
| Sulfate urine (84392) | $200.70 | $223 | 36.6× |
| Surg path level iii (88304) | $181.80 | $202 | 3.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $84.60 | $94 | 2.8× |
| Surgical pathology level IV (88305) | $212.85 | $236.50 | 3.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $162 | $180 | 3.4× |
| T cells, total count (86359) | $80.10 | $89 | 2.1× |
| T3 free (84481) | $225 | $250 | 13.3× |
| T3 reverse (84482) | $249.30 | $277 | 15.8× |
| T3 total (84480) | $118.80 | $132 | 8.4× |
| T3 uptake (84479) | $99 | $110 | 15.3× |
| T4 Free (84439) | $127.35 | $141.50 | 14.1× |
| T4 total (84436) | $125.10 | $139 | 18.2× |
| T4-neonatal (84437) | $44.55 | $49.50 | 6.9× |
| Tb intradermal test (86580) | $85.50 | $95 | 2.8× |
| Test for urine cystines (82615) | $82.80 | $92 | 8.7× |
| Testosterone total (84403) | $194.85 | $216.50 | 7.5× |
| Theophylline (80198) | $147.60 | $164 | 10.4× |
| Thin prep pap (88142) | $145.35 | $161.50 | 7.2× |
| Thrombin time plasma (85670) | $88.65 | $98.50 | 15.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $218.70 | $243 | 33.8× |
| Thyroglobulin (84432) | $289.35 | $321.50 | 18.0× |
| Thyroglobulin Ab (86800) | $131.40 | $146 | 8.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $575.10 | $639 | 11.3× |
| Thyroxine binding globulin (84442) | $247.50 | $275 | 16.7× |
| Tiagabine (80199) | $405 | $450 | 14.9× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $756 | $840 | 5.4× |
| Tissue culture bone marrow (88237) | $993.60 | $1,104 | 6.9× |
| Tissue Culture Lymphocyte (88230) | $817.65 | $908.50 | 7.0× |
| Tissue culture placenta (88235) | $472.50 | $525 | 3.1× |
| Tobramycin peak (80200) | $194.40 | $216 | 12.1× |
| Topiramate (80201) | $260.10 | $289 | 21.8× |
| Toxin or antitoxin assay (87230) | $254.70 | $283 | 12.9× |
| Toxoplasma ab igm (86778) | $132.30 | $147 | 9.2× |
| Toxoplasma antibody igg (86777) | $101.25 | $112.50 | 7.0× |
| Transferrin (84466) | $152.10 | $169 | 11.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $410.40 | $456 | 2.0× |
| Trg gene rearrangement analysis (81342) | $410.40 | $456 | 2.0× |
| Triglycerides (84478) | $93.60 | $104 | 16.3× |
| Troponin (84484) | $565.20 | $628 | 45.3× |
| Trypsin feces quantitative 24-hr collection (84490) | $160.20 | $178 | 16.1× |
| Unlisted cytogenetic study (88299) | $82.80 | $92 | 1.5× |
| Urea nitrogen (84520) | $72.45 | $80.50 | 18.3× |
| Urea nitrogen urine (84540) | $47.70 | $53 | 8.6× |
| Uric acid blood (84550) | $75.15 | $83.50 | 16.6× |
| Uric acid other source (84560) | $81 | $90 | 15.9× |
| Urinalysis microscopic only (81015) | $30.60 | $34 | 10.0× |
| Urinalysis w/microscopic (81001) | $86.40 | $96 | 27.3× |
| Urine pregnancy test (81025) | $101.70 | $113 | 11.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $52.20 | $58 | 23.2× |
| Valproic acid level (80164) | $404.55 | $449.50 | 29.9× |
| Vancomycin trough (80202) | $312.75 | $347.50 | 23.1× |
| Vanomycin DNA amp probe (87500) | $405 | $450 | 11.5× |
| Varicella-zoster antibody (86787) | $157.50 | $175 | 12.2× |
| Vasoactive intestinal peptide (vip) (84586) | $303.30 | $337 | 8.6× |
| Vasopressin (84588) | $268.20 | $298 | 7.9× |
| Vdrl csf (86592) | $63.90 | $71 | 15.0× |
| Very long chain fatty acids (82726) | $444.60 | $494 | 22.5× |
| Virus antibody nos (86790) | $273.60 | $304 | 21.2× |
| Virus inoculate tissue addl (87253) | $93.15 | $103.50 | 4.6× |
| Virus inoculation, shell via (87254) | $121.05 | $134.50 | 6.2× |
| Viscosity serum (85810) | $208.80 | $232 | 17.9× |
| Vitamin A (84590) | $220.05 | $244.50 | 19.0× |
| Vitamin b-12 (82607) | $180 | $200 | 11.9× |
| Vitamin b-2 (riboflavin) (84252) | $251.10 | $279 | 12.4× |
| Vitamin b1 (thiamine) (84425) | $106.20 | $118 | 5.0× |
| Vitamin b6 (84207) | $225 | $250 | 8.0× |
| Vitamin C (82180) | $152.10 | $169 | 15.4× |
| Vitamin D 25-Hydroxy (82306) | $247.05 | $274.50 | 8.3× |
| Vitamin e serum (84446) | $218.25 | $242.50 | 15.4× |
| Von willebrand factor activity (85245) | $394.20 | $438 | 17.2× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $326.70 | $363 | 38.0× |
| West nile virus ab, igm (86788) | $139.95 | $155.50 | 8.3× |
| West nile virus antibody (86789) | $138.15 | $153.50 | 9.6× |
| Zika Virus Igm Antibody (86794) | $311.85 | $346.50 | 18.5× |
| Zinc (84630) | $122.40 | $136 | 10.7× |