| 5-Hiaa (83497) |
$78 |
$104 |
6.0× |
| Acetaminophen (80143) |
$101.25 |
$135 |
5.4× |
| Acetone serum qual (82009) |
$60.75 |
$81 |
13.4× |
| Acetone, quantitative (82010) |
$42 |
$56 |
5.1× |
| Acth (82024) |
$87 |
$116 |
2.3× |
| Actin smooth muscle antibody each (86015) |
$45 |
$60 |
3.7× |
| Acute hepatitis panel (80074) |
$301.50 |
$402 |
6.3× |
| Afb culture (87116) |
$130.50 |
$174 |
12.1× |
| Afb smear (87206) |
$43.50 |
$58 |
8.1× |
| Albumin serum (82040) |
$37.50 |
$50 |
7.6× |
| Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) |
$19.50 |
$26 |
3.1× |
| Aldolase (82085) |
$57.75 |
$77 |
5.9× |
| Aldosterone (82088) |
$200.25 |
$267 |
4.9× |
| Alkaline phosphatase (84075) |
$41.25 |
$55 |
8.0× |
| Alkaline phosphatase isoenzymes (84080) |
$42.75 |
$57 |
2.9× |
| Allergen profile perennial allergen (86003) |
$42 |
$56 |
8.0× |
| Alpha-1-antitrypsin (82103) |
$48.75 |
$65 |
3.6× |
| Alpha-fetoprotein serum (82105) |
$141.75 |
$189 |
8.5× |
| Alt (84460) |
$45.75 |
$61 |
8.6× |
| Aminolevulinic acid delta (82135) |
$56.25 |
$75 |
3.4× |
| Ammonia (82140) |
$92.25 |
$123 |
6.3× |
| Amylase (82150) |
$123.75 |
$165 |
19.1× |
| Ana (86038) |
$112.50 |
$150 |
9.3× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$137.25 |
$183 |
9.0× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$144 |
$192 |
7.9× |
| Androstenedione (82157) |
$66 |
$88 |
2.3× |
| Antibody west nile virus igm (86788) |
$72 |
$96 |
4.3× |
| Antibody; Helicobacter pylori (86677) |
$135 |
$180 |
8.0× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$22.50 |
$30 |
1.9× |
| Antistreptolysin o titer (86060) |
$135 |
$180 |
18.5× |
| Antithrombin iii activity (85300) |
$47.25 |
$63 |
4.0× |
| Apolipoprotein each (82172) |
$85.50 |
$114 |
4.1× |
| Assay of vitamin not otherwise specified (84591) |
$95.25 |
$127 |
5.6× |
| Ast (84450) |
$45.75 |
$61 |
8.8× |
| Beta 2 glycoprotein i antibody (86146) |
$69 |
$92 |
2.7× |
| Beta-2 microglobulin (82232) |
$152.25 |
$203 |
9.4× |
| Bilirubin direct (82248) |
$24 |
$32 |
4.8× |
| Bilirubin total (82247) |
$33 |
$44 |
6.6× |
| Bilirubin total transcutaneous (88720) |
$15 |
$20 |
3.0× |
| Blood count reticulocyte automated (85045) |
$99.75 |
$133 |
25.0× |
| Blood gases any combination (82803) |
$133.50 |
$178 |
5.1× |
| Blood typing rbc antigens (86905) |
$729.75 |
$973 |
190.5× |
| Blood typing serologic abo (86900) |
$261.75 |
$349 |
87.5× |
| Blood typing serologic rh (d) (86901) |
$68.25 |
$91 |
22.8× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$42.75 |
$57 |
2.7× |
| Breath alcohol test (82075) |
$39.75 |
$53 |
1.3× |
| C diff amplified probe (87493) |
$155.25 |
$207 |
4.2× |
| C-peptide (84681) |
$141 |
$188 |
6.8× |
| C-reactive protein (86140) |
$94.50 |
$126 |
18.2× |
| C-reactive protein high sensitivity (86141) |
$66.75 |
$89 |
5.2× |
| Ca 125 (86304) |
$96.75 |
$129 |
4.6× |
| Ca 15-3 (86300) |
$161.25 |
$215 |
7.7× |
| Calcium ionized (82330) |
$138.75 |
$185 |
10.1× |
| Calcium, random urine (82340) |
$111.75 |
$149 |
18.5× |
| Calprotectin fecal (83993) |
$201.75 |
$269 |
10.3× |
| Cancer antigen 19-9 (86301) |
$96.75 |
$129 |
4.6× |
| Candida antibody (86628) |
$53.25 |
$71 |
4.4× |
| Carbamazepine total (80156) |
$99 |
$132 |
6.8× |
| Carbon monoxide (82375) |
$93.75 |
$125 |
7.6× |
| Cardiolipin antibody ea ig class (86147) |
$75.75 |
$101 |
3.0× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$148.50 |
$198 |
3.2× |
| Cea (82378) |
$115.50 |
$154 |
6.1× |
| Cell count body fluid (89050) |
$58.50 |
$78 |
12.4× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$50.25 |
$67 |
9.0× |
| Ceruloplasmin (82390) |
$94.50 |
$126 |
8.8× |
| Cftr gene com variants (81220) |
$1,252.50 |
$1,670 |
2.3× |
| Chemiluminescent assay (82397) |
$90.38 |
$120.50 |
6.4× |
| Chloride other source (82438) |
$38.25 |
$51 |
7.7× |
| Chloride urine (82436) |
$74.25 |
$99 |
12.9× |
| Cholesterol total (82465) |
$34.50 |
$46 |
7.9× |
| Chorionic gonadotropin test (84702) |
$34.50 |
$46 |
2.3× |
| Chromium (82495) |
$45.75 |
$61 |
2.3× |
| Ck mb fraction (82553) |
$84.75 |
$113 |
7.3× |
| Clostridium ag eia (87324) |
$91.50 |
$122 |
7.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$194.25 |
$259 |
8.1× |
| Cold agglutinin screen (86156) |
$132 |
$176 |
16.4× |
| Compatibility each unit electronic (86923) |
$354 |
$472 |
2.0× |
| Complement antigen ea component (86160) |
$156 |
$208 |
13.0× |
| Complement total (ch50) (86162) |
$112.50 |
$150 |
5.5× |
| Coombs test indirect titer (86886) |
$354 |
$472 |
68.3× |
| Copper (82525) |
$84.75 |
$113 |
6.8× |
| Cortisol free (82530) |
$41.25 |
$55 |
2.5× |
| Cortisol saliva (82533) |
$43.50 |
$58 |
2.7× |
| COVID-19 antibody (86769) |
$81.75 |
$109 |
1.9× |
| Coxsackie a9 virus antibody (86658) |
$56.25 |
$75 |
4.3× |
| Creatine kinase total (82550) |
$58.50 |
$78 |
9.0× |
| Creatine serum or plasma arup 2002340 (82540) |
$93.75 |
$125 |
20.2× |
| Creatinine (82565) |
$34.50 |
$46 |
6.7× |
| Creatinine clearance (82575) |
$107.25 |
$143 |
11.3× |
| Creatinine other source (82570) |
$84.75 |
$113 |
16.4× |
| Crossmatch ahg (86922) |
$354 |
$472 |
2.0× |
| Cryptosporidium ag eia (87328) |
$69.75 |
$93 |
5.0× |
| Crystals fluid (89060) |
$87 |
$116 |
11.9× |
| Culture anaerobic (87075) |
$79.50 |
$106 |
8.4× |
| Culture blood (87040) |
$107.25 |
$143 |
10.4× |
| Culture stool (87045) |
$135 |
$180 |
14.3× |
| Culture urine (87086) |
$88.50 |
$118 |
11.0× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$26.25 |
$35 |
3.2× |
| Cyclic citrullinated peptide ab (86200) |
$60 |
$80 |
4.6× |
| Cytomegalovirus antibody igm (86645) |
$125.25 |
$167 |
7.4× |
| Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) |
$30 |
$40 |
0.2× |
| D-dimer quantitative (85379) |
$163.50 |
$218 |
16.1× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$31.50 |
$42 |
2.3× |
| Dhea (82626) |
$57 |
$76 |
2.3× |
| Dhea sulfate (82627) |
$166.50 |
$222 |
7.5× |
| Digoxin (80162) |
$66 |
$88 |
5.0× |
| Direct antiglobulin test (86880) |
$129.75 |
$173 |
24.1× |
| Drug assay salicylate (80179) |
$101.25 |
$135 |
5.4× |
| Drug screen quant levetiracetam (80177) |
$101.25 |
$135 |
7.6× |
| Drug test prsmv chem anlyzr (80307) |
$142.12 |
$189.50 |
2.3× |
| Drug test prsmv dir opt obs (80305) |
$114.75 |
$153 |
9.1× |
| Ear culture (87070) |
$122.25 |
$163 |
14.2× |
| Elastase pancreatic fecal quantitative (82653) |
$75 |
$100 |
3.3× |
| Electrolytes panel (80051) |
$54 |
$72 |
7.7× |
| Endomysial antibody each immunoglobulin class (86231) |
$22.50 |
$30 |
1.9× |
| Enterovirus by PCR (87498) |
$227.25 |
$303 |
6.5× |
| Eosinophils urine (87205) |
$58.50 |
$78 |
13.7× |
| Erythropoietin (82668) |
$93.75 |
$125 |
5.0× |
| Estradiol (82670) |
$237.75 |
$317 |
8.5× |
| Estriol (82677) |
$54.75 |
$73 |
2.3× |
| Estrone (82679) |
$56.25 |
$75 |
2.3× |
| Eval amniotic fluid protein (84112) |
$222.75 |
$297 |
2.3× |
| Extractable nuclear antigen antibody any method (86235) |
$73.50 |
$98 |
4.1× |
| F2 gene analysis (81240) |
$222 |
$296 |
3.4× |
| F5 gene (81241) |
$181.50 |
$242 |
2.5× |
| Factor viii activity (85240) |
$174.75 |
$233 |
9.8× |
| Factor viii vw antigen (85246) |
$55.50 |
$74 |
2.4× |
| Factor x (stuart-prower) (85260) |
$57 |
$76 |
3.2× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$120 |
$160 |
7.1× |
| Fatty acids nonesterified (82725) |
$156 |
$208 |
8.3× |
| Fecal fat qualitative (82705) |
$102 |
$136 |
20.0× |
| Ferritin (82728) |
$106.50 |
$142 |
7.8× |
| Fetal fibronectin (82731) |
$803.25 |
$1,071 |
12.5× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$87 |
$116 |
11.3× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$79.50 |
$106 |
8.5× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) |
$10.50 |
$14 |
0.8× |
| Fibrinogen, activity (85384) |
$114.75 |
$153 |
11.8× |
| Folate serum (82746) |
$97.50 |
$130 |
6.6× |
| Follicle stimulating hormone (fsh) (83001) |
$129 |
$172 |
6.9× |
| Fungus isolation culture (87102) |
$138 |
$184 |
16.4× |
| Gamma glutamyl transferase (82977) |
$36.75 |
$49 |
5.1× |
| Gammaglobulin ige (82785) |
$60 |
$80 |
3.6× |
| Genet virus isolate hsv (87255) |
$100.50 |
$134 |
3.0× |
| Gentamicin (80170) |
$127.50 |
$170 |
7.8× |
| Giardia antigen (87329) |
$66 |
$88 |
5.5× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$51 |
$68 |
15.5× |
| Glucagon (82943) |
$97.50 |
$130 |
6.8× |
| Glucose Fasting (82947) |
$22.50 |
$30 |
5.7× |
| Glucose other fluid (82945) |
$41.25 |
$55 |
10.5× |
| Glucose post glucose dose (82950) |
$44.25 |
$59 |
9.3× |
| Glucose tolerance test (gtt) (82951) |
$126.75 |
$169 |
9.8× |
| Glycated hemoglobin (83036) |
$35.25 |
$47 |
3.6× |
| Glycosylated hb home device (83037) |
$1,260 |
$1,680 |
129.8× |
| H pylori stool (87338) |
$152.25 |
$203 |
10.6× |
| Haptoglobin (83010) |
$57 |
$76 |
4.5× |
| Hcg ql (84703) |
$90 |
$120 |
12.0× |
| HDL cholesterol (83718) |
$39.75 |
$53 |
4.9× |
| Hematocrit (hct) (85014) |
$19.50 |
$26 |
8.2× |
| Hemoglobin (85018) |
$48 |
$64 |
20.3× |
| Hemoglobin electrophoresis (83020) |
$113.25 |
$151 |
8.8× |
| Hep a ab total (86708) |
$99 |
$132 |
8.0× |
| Heparin assay (85520) |
$112.50 |
$150 |
8.6× |
| Hepatitis a antibody igm (86709) |
$78.75 |
$105 |
7.0× |
| Hepatitis b core antibody total (86704) |
$41.25 |
$55 |
3.4× |
| Hepatitis b surface antigen (87340) |
$73.50 |
$98 |
7.1× |
| Hepatitis be antibody (86707) |
$44.25 |
$59 |
3.8× |
| Hepatitis be antigen (87350) |
$44.25 |
$59 |
3.8× |
| Hepatitis c antibody (86803) |
$72.75 |
$97 |
5.1× |
| Hepatitis c genotype (87902) |
$579.75 |
$773 |
2.3× |
| Hepatitis c RNA quantitative (87522) |
$290.25 |
$387 |
6.8× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$89.25 |
$119 |
6.2× |
| Herpes simplex virus by PCR (87529) |
$152.25 |
$203 |
4.3× |
| Heterophile antibody screen (86308) |
$105 |
$140 |
20.3× |
| Hfe gene (81256) |
$261.75 |
$349 |
4.0× |
| Histamine (83088) |
$67.50 |
$90 |
2.3× |
| Histoplasma antibody (86698) |
$107.25 |
$143 |
7.8× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$84.75 |
$113 |
6.2× |
| HIV-2 antibody (86702) |
$65.25 |
$87 |
4.8× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$210.75 |
$281 |
2.8× |
| Homocysteine level (83090) |
$221.25 |
$295 |
12.3× |
| Hpv high-risk types (87624) |
$150.75 |
$201 |
4.3× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$97.50 |
$130 |
1.9× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$339 |
$452 |
2.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$655.50 |
$874 |
1.6× |
| Igg subclass 1 (82787) |
$47.25 |
$63 |
5.9× |
| Immunoassay analyte quantitative nos (83520) |
$225 |
$300 |
13.0× |
| Immunoassay infectious agent antibody quan nos (86317) |
$27.75 |
$37 |
1.9× |
| Immunofixation electrophoresis (86334) |
$156.75 |
$209 |
7.0× |
| Immunoglobulin d (82784) |
$67.50 |
$90 |
7.3× |
| Immunoglobulin light chains free each (83521) |
$52.50 |
$70 |
3.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$134.25 |
$179 |
8.4× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$119.25 |
$159 |
9.4× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$323.25 |
$431 |
7.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$141.75 |
$189 |
4.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$297 |
$396 |
6.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$543 |
$724 |
6.4× |
| Influenza assay w/optic (87804) |
$106.50 |
$142 |
6.4× |
| Influenza DNA amp probe (87502) |
$220.50 |
$294 |
2.3× |
| Inhibin a (86336) |
$77.25 |
$103 |
5.0× |
| Insulin antibody (86337) |
$121.50 |
$162 |
5.7× |
| Insulin total (83525) |
$141 |
$188 |
12.3× |
| Iron (83540) |
$78 |
$104 |
12.1× |
| Iron binding capacity (83550) |
$78 |
$104 |
8.9× |
| Islet cell antibody (86341) |
$57 |
$76 |
2.4× |
| Jak2 gene (81270) |
$347.25 |
$463 |
3.8× |
| Jak2 gene trgt sequence alys (81279) |
$417 |
$556 |
2.3× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$30 |
$40 |
0.8× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$30 |
$40 |
0.8× |
| Lacosamide (80235) |
$141 |
$188 |
5.2× |
| Lactate (83605) |
$28.50 |
$38 |
2.5× |
| Lactate dehydrogenase (83615) |
$57.75 |
$77 |
9.6× |
| Lamotrigine (80175) |
$110.25 |
$147 |
8.3× |
| Lead (83655) |
$60.75 |
$81 |
5.0× |
| Legionella culture (87081) |
$81.38 |
$108.50 |
12.3× |
| Legionella urine antigen (87449) |
$96.75 |
$129 |
8.1× |
| Leukocyte assessment fecal (89055) |
$58.50 |
$78 |
13.7× |
| Lipase (83690) |
$122.25 |
$163 |
17.7× |
| Lipoprotein (a) (83695) |
$66 |
$88 |
4.6× |
| Lithium (80178) |
$61.50 |
$82 |
9.3× |
| Luteinizing hormone (lh) (83002) |
$129 |
$172 |
7.0× |
| Lyme disease antibody (86618) |
$100.50 |
$134 |
5.9× |
| Magnesium (83735) |
$77.62 |
$103.50 |
11.6× |
| Malaria smear (87207) |
$238.50 |
$318 |
39.8× |
| Manual differential (85007) |
$35.62 |
$47.50 |
9.4× |
| Microalbumin urine (82043) |
$82.50 |
$110 |
14.3× |
| Mitochondrial antibody each (86381) |
$48 |
$64 |
1.9× |
| Mumps antibody (86735) |
$66.75 |
$89 |
5.1× |
| Mycoplasma antibody (86738) |
$77.25 |
$103 |
5.8× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$85.50 |
$114 |
7.4× |
| Myelin basic protein (83873) |
$81.75 |
$109 |
4.8× |
| Myoglobin (83874) |
$78 |
$104 |
6.0× |
| Nasal smear for eosinophils (89190) |
$16.50 |
$22 |
2.8× |
| Natriuretic peptide (83880) |
$116.25 |
$155 |
3.0× |
| Occult bld feces 1-3 tests (82272) |
$51.75 |
$69 |
12.2× |
| Occult blood screening (82270) |
$50.25 |
$67 |
11.5× |
| Oligoclonal bands (83916) |
$108.75 |
$145 |
4.0× |
| Osmolality serum (83930) |
$66.75 |
$89 |
10.1× |
| Osmolality urine (83935) |
$66.75 |
$89 |
9.8× |
| Ova and parasite exam (87177) |
$166.50 |
$222 |
18.7× |
| Pancreatic polypeptide (83519) |
$105 |
$140 |
5.7× |
| Parathyroid hormone (83970) |
$207.75 |
$277 |
5.0× |
| Pertussis by PCR (87798) |
$281.25 |
$375 |
8.0× |
| Ph body fluid (83986) |
$46.50 |
$62 |
13.0× |
| Phenytoin level total (80185) |
$108 |
$144 |
8.2× |
| Phosphorus (84100) |
$12.75 |
$17 |
2.7× |
| Phosphorus urine (84105) |
$99.75 |
$133 |
17.3× |
| Potassium (84132) |
$29.25 |
$39 |
6.1× |
| Potassium urine (84133) |
$74.25 |
$99 |
15.7× |
| Prealbumin (84134) |
$55.50 |
$74 |
3.8× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$143.25 |
$191 |
2.4× |
| Procalcitonin (pct) (84145) |
$167.25 |
$223 |
6.1× |
| Progesterone (84144) |
$47.25 |
$63 |
2.3× |
| Proinsulin (84206) |
$60 |
$80 |
2.2× |
| Prolactin (84146) |
$137.25 |
$183 |
7.1× |
| Protein c activity (85303) |
$39 |
$52 |
2.8× |
| Protein c antigen (85302) |
$48.75 |
$65 |
4.1× |
| Protein electrophoresis serum (84165) |
$83.25 |
$111 |
7.8× |
| Protein electrophoresis urine (84166) |
$119.25 |
$159 |
6.7× |
| Protein s antigen, free (85306) |
$49.50 |
$66 |
3.2× |
| Protein total other source (84157) |
$108 |
$144 |
27.0× |
| Protein total serum (84155) |
$27.75 |
$37 |
7.6× |
| Protein total urine (84156) |
$90 |
$120 |
24.5× |
| PSA free (84154) |
$134.25 |
$179 |
7.3× |
| Rbc antibody elution (86860) |
$354 |
$472 |
2.0× |
| Rbc antibody identification (86870) |
$729.75 |
$973 |
2.0× |
| Rbc antibody screen (86850) |
$90.75 |
$121 |
9.3× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$61.50 |
$82 |
4.7× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$78 |
$104 |
4.0× |
| Renin (84244) |
$49.50 |
$66 |
2.3× |
| Rheumatoid factor quant (86431) |
$40.50 |
$54 |
7.1× |
| Rickettsia antibody (86757) |
$53.25 |
$71 |
2.8× |
| Ristocetin cofactor (85245) |
$235.50 |
$314 |
10.3× |
| Rl immediate spin crossmatch (86920) |
$354 |
$472 |
2.0× |
| Rpr qual (86592) |
$54 |
$72 |
12.6× |
| Rsv DNA/RNA amp probe (87634) |
$189.75 |
$253 |
2.7× |
| Rubella antibody (86762) |
$75 |
$100 |
5.2× |
| Rubeola antibody (86765) |
$41.25 |
$55 |
3.2× |
| Sedimentation rate rbc non-automated (85651) |
$52.50 |
$70 |
12.3× |
| Semen analysis post vasectomy (89321) |
$64.50 |
$86 |
5.4× |
| Sex hormone binding globulin (84270) |
$85.50 |
$114 |
3.9× |
| Shiga-like toxin ag eia (87427) |
$34.50 |
$46 |
2.9× |
| Sickle cell screen (85660) |
$66 |
$88 |
12.0× |
| Skin test tuberculosis intradermal (86580) |
$31.50 |
$42 |
1.1× |
| Smear wet mount (87210) |
$65.25 |
$87 |
11.2× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$465.75 |
$621 |
3.4× |
| Sodium (84295) |
$27.75 |
$37 |
5.8× |
| Sodium urine (84300) |
$75 |
$100 |
14.8× |
| Somatomedin (84305) |
$112.50 |
$150 |
5.3× |
| Stone analysis (82365) |
$114.75 |
$153 |
8.9× |
| Strep a assay w/optic (87880) |
$53.25 |
$71 |
3.2× |
| Strep a DNA amp probe (87651) |
$52.50 |
$70 |
1.5× |
| Susceptibility mic per plate (87186) |
$150 |
$200 |
17.3× |
| T cells cd4 count (86361) |
$144 |
$192 |
5.4× |
| T3 free (84481) |
$119.25 |
$159 |
7.0× |
| T3 reverse (84482) |
$69.75 |
$93 |
4.4× |
| T3 uptake (84479) |
$79.50 |
$106 |
12.3× |
| T4 (thyroxine) total (84436) |
$57 |
$76 |
8.3× |
| Tacrolimus (80197) |
$245.25 |
$327 |
17.9× |
| Tb test cell immun measure (86480) |
$139.50 |
$186 |
2.3× |
| Testosterone free (84402) |
$150 |
$200 |
5.9× |
| Testosterone total (84403) |
$185.25 |
$247 |
7.2× |
| Thyroglobulin antibody (86800) |
$39.75 |
$53 |
2.5× |
| Thyroid peroxidase antibody (86376) |
$115.50 |
$154 |
7.9× |
| Thyroxine free (ft4) (84439) |
$113.25 |
$151 |
12.6× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$21.75 |
$29 |
1.9× |
| Topiramate (80201) |
$115.50 |
$154 |
9.7× |
| Toxoplasma antibody igm (86778) |
$60.75 |
$81 |
4.2× |
| Tpmt gene com variants (81335) |
$375 |
$500 |
2.1× |
| Transferrin (84466) |
$127.50 |
$170 |
10.0× |
| Treponema pallidum antibody (86780) |
$100.12 |
$133.50 |
7.6× |
| Trichomonas vaginalis amplif (87661) |
$83.25 |
$111 |
2.4× |
| Trichrome stain (87209) |
$33.75 |
$45 |
1.9× |
| Triglycerides (84478) |
$26.25 |
$35 |
4.6× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$155.25 |
$207 |
10.9× |
| Troponin t (84484) |
$98.25 |
$131 |
7.9× |
| Urea nitrogen quantitative (84520) |
$25.50 |
$34 |
6.5× |
| Uric acid blood (84550) |
$45.75 |
$61 |
10.1× |
| Urinalysis auto w/micro (81001) |
$55.50 |
$74 |
17.5× |
| Urinalysis microscopic only (81015) |
$18 |
$24 |
5.9× |
| Urine Pregnancy Test POC (81025) |
$53.62 |
$71.50 |
6.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$32.25 |
$43 |
14.3× |
| Valproic acid (80164) |
$79.50 |
$106 |
5.9× |
| Vancomycin (80202) |
$103.50 |
$138 |
7.6× |
| Varicella zoster antibody igg (86787) |
$126 |
$168 |
9.8× |
| Vasoactive intestinal peptide (vip) (84586) |
$79.50 |
$106 |
2.3× |
| Virus antibody nos (86790) |
$55.50 |
$74 |
4.3× |
| Vitamin a (84590) |
$45.75 |
$61 |
3.9× |
| Vitamin b-12 (82607) |
$210.75 |
$281 |
14.0× |
| Vitamin b1 whole blood (84425) |
$108 |
$144 |
5.1× |
| Vitamin d 25 hydroxy (82306) |
$150 |
$200 |
5.1× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$225.75 |
$301 |
5.9× |
| Vitamin e (84446) |
$45.75 |
$61 |
3.2× |
| West nile virus antibody (86789) |
$77.25 |
$103 |
5.4× |
| Zinc (84630) |
$110.25 |
$147 |
9.7× |