| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$305 |
— |
| 5 Hiaa (83497) |
— |
$130 |
— |
| Abl1 gene (81170) |
— |
$690 |
— |
| Activated protein c resistance (85307) |
— |
$165 |
— |
| Acute hepatitis panel (80074) |
— |
$380 |
— |
| Adenovirus Ag Ia (87301) |
— |
$205 |
— |
| Afb culture (87116) |
— |
$65 |
— |
| Albumin Fluid (82042) |
— |
$98.50 |
— |
| Albumin serum (82040) |
— |
$112.50 |
— |
| Aldolase (82085) |
— |
$76 |
— |
| Aldosterone urine (82088) |
— |
$175 |
— |
| Allergen specific ige (86003) |
— |
$206 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$90 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$175 |
— |
| Alt (sgpt) (84460) |
— |
$145 |
— |
| Amikacin trough (80150) |
— |
$120 |
— |
| Ammonia (82140) |
— |
$365 |
— |
| Amylase urine (82150) |
— |
$133 |
— |
| Angiotensin i enzyme test (82164) |
— |
$100 |
— |
| Antibody Absorption (86978) |
— |
$330 |
— |
| Antibody aspergillus (86606) |
— |
$310 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$125 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$93 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$225 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$225 |
— |
| Antibody HIV-2 (86702) |
— |
$165 |
— |
| Antibody identification (86870) |
— |
$520 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$215 |
— |
| Antibody mumps (86735) |
— |
$101 |
— |
| Antibody rubeola (86765) |
— |
$97 |
— |
| Antibody screen (86850) |
— |
$310 |
— |
| Antibody treponema pallidum (86780) |
— |
$97.50 |
— |
| Antigen typing (86905) |
— |
$260 |
— |
| Antinuclear antibodies (86038) |
— |
$113 |
— |
| Antistreptolysin o titer (86060) |
— |
$57 |
— |
| Antithrombin iii antigen (85301) |
— |
$210 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$258 |
— |
| Assay of acth (82024) |
— |
$310 |
— |
| Assay of androstenedione (82157) |
— |
$200 |
— |
| Assay of blood chloride (82435) |
— |
$77 |
— |
| Assay of c-peptide (84681) |
— |
$118 |
— |
| Assay of ceruloplasmin (82390) |
— |
$75 |
— |
| Assay of cyclosporine (80158) |
— |
$175 |
— |
| Assay of erythropoietin (82668) |
— |
$140 |
— |
| Assay of ferritin (82728) |
— |
$170 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$64 |
— |
| Assay of gastrin (82941) |
— |
$195 |
— |
| Assay of gentamicin (80170) |
— |
$185 |
— |
| Assay of homocystine (83090) |
— |
$187 |
— |
| Assay of metanephrines (83835) |
— |
$230 |
— |
| Assay of parathormone (83970) |
— |
$170 |
— |
| Assay of phenobarbital (80184) |
— |
$107 |
— |
| Assay of phosphatase acid total (84060) |
— |
$92 |
— |
| Assay of prealbumin (84134) |
— |
$102 |
— |
| Assay of somatomedin (84305) |
— |
$245 |
— |
| Assay of tacrolimus (80197) |
— |
$250 |
— |
| Assay of urine vma (84585) |
— |
$128.50 |
— |
| Ast (sgot) (84450) |
— |
$50 |
— |
| Bartonella antibody (86611) |
— |
$250 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$850 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$62 |
— |
| Beta-2 microglobulin (82232) |
— |
$270 |
— |
| Bilirubin direct (82248) |
— |
$155 |
— |
| Bilirubin total (82247) |
— |
$103 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$77 |
— |
| Blood count reticulocyte automated (85045) |
— |
$130 |
— |
| Blood gases (82803) |
— |
$297.50 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$67 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$30 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$255 |
— |
| Blood typing abo (86900) |
— |
$85 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$47 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$85 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$170 |
— |
| Body fluid cell count (89051) |
— |
$122.50 |
— |
| C-reactive protein (86140) |
— |
$140 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$74 |
— |
| Ca 125 (86304) |
— |
$185 |
— |
| Ca 19-9 (86301) |
— |
$150 |
— |
| Ca 27 29 (86300) |
— |
$205 |
— |
| Calcium ionized (82330) |
— |
$152 |
— |
| Calcium total (82310) |
— |
$130 |
— |
| Calcium urine (82340) |
— |
$42 |
— |
| Calculus Spectroscopy (82365) |
— |
$113 |
— |
| Calprotectin, fecal (83993) |
— |
$465 |
— |
| Calr gene com variants (81219) |
— |
$815 |
— |
| Candida antibody (86628) |
— |
$210 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$122 |
— |
| Carbon dioxide (82374) |
— |
$95 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$134 |
— |
| Carcinoembryonic antigen (82378) |
— |
$300 |
— |
| Cardiolipin ab igg (86147) |
— |
$165 |
— |
| Catecholamines fraction plasma (82384) |
— |
$190 |
— |
| Chloride urine (82436) |
— |
$62 |
— |
| Cholesterol total (82465) |
— |
$77 |
— |
| Chromogranin a (86316) |
— |
$152 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$89 |
— |
| Ckmb (82553) |
— |
$208 |
— |
| Clot factor viii vw antigen (85246) |
— |
$269 |
— |
| Cmv PCR (87496) |
— |
$330 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$367.50 |
— |
| Compatibility Test Incubate (86921) |
— |
$130 |
— |
| Complement c3 (86160) |
— |
$85 |
— |
| Coombs direct (86880) |
— |
$66 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$260 |
— |
| Copper urine (82525) |
— |
$74.50 |
— |
| Cortisol total (82533) |
— |
$100 |
— |
| Creatine kinase total (82550) |
— |
$129.50 |
— |
| Creatinine blood (82565) |
— |
$55 |
— |
| Creatinine clearance (82575) |
— |
$80 |
— |
| Creatinine other source (82570) |
— |
$50 |
— |
| Crossmatch immediate spin (86920) |
— |
$220 |
— |
| Cryoglobulin (82595) |
— |
$71 |
— |
| Culture Aerobic Identify (87077) |
— |
$86.50 |
— |
| Culture blood (87040) |
— |
$80 |
— |
| Culture genital (87070) |
— |
$113 |
— |
| Culture screen only (87081) |
— |
$102.50 |
— |
| Culture stool (87045) |
— |
$170 |
— |
| Culture typing if ea antiserum (87140) |
— |
$100 |
— |
| Culture urine (87086) |
— |
$100 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$210 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$435 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$175 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$138.75 |
$185 |
2.7× |
| D-Dimer (85379) |
— |
$260 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$77 |
— |
| Dhea (82626) |
— |
$225 |
— |
| Digoxin (80162) |
— |
$135 |
— |
| Dihydrotestosterone (82642) |
— |
$210 |
— |
| Dilantin (80185) |
— |
$135 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$144 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$165 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$165 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$175 |
— |
| Ebv viral capsid (86665) |
— |
$400 |
— |
| Ehrlichia antibody (86666) |
— |
$167.50 |
— |
| Electrolyte panel (80051) |
— |
$145 |
— |
| Endomysial antibody iga (86255) |
— |
$130 |
— |
| Eosinophil count (85048) |
— |
$77 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$145 |
— |
| Estradiol (82670) |
— |
$180 |
— |
| Estriol (82677) |
— |
$130 |
— |
| Estrogens total (82672) |
— |
$153 |
— |
| Estrone (82679) |
— |
$118 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$84 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$350 |
— |
| F5 gene (81241) |
— |
$485 |
— |
| Factor inhibitor test (85335) |
— |
$310 |
— |
| Factor ix activity (85250) |
— |
$310 |
— |
| Factor v activity (85220) |
— |
$270 |
— |
| Factor viii ahg (85240) |
— |
$207 |
— |
| Factor viii vw multimetric (85247) |
— |
$190 |
— |
| Fecal fat qual (82705) |
— |
$102 |
— |
| Fibrinogen activity (85384) |
— |
$93 |
— |
| Flow cytometry first marker (88184) |
— |
$455 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$175 |
— |
| Folate serum (82746) |
— |
$96 |
— |
| Folic acid rbc (82747) |
— |
$85 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$110 |
— |
| Francisella Tularensis (86668) |
— |
$410 |
— |
| Gammaglobulin ige (82785) |
— |
$269 |
— |
| Gastric Occult Blood (82271) |
— |
$55 |
— |
| Ggt (82977) |
— |
$38 |
— |
| Giardia antigen eia stool (87329) |
— |
$107.50 |
— |
| Glucose (82947) |
— |
$50 |
— |
| Glucose Blood Test (82962) |
— |
$31 |
— |
| Glucose body fluid (82945) |
— |
$15 |
— |
| Glucose post dose (82950) |
— |
$57 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$45 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$105 |
— |
| Haptoglobin (83010) |
— |
$105 |
— |
| Hcg qualitative (84703) |
— |
$83 |
— |
| Hcg quant (84702) |
— |
$131.50 |
— |
| Hdl Cholesterol (83718) |
— |
$50 |
— |
| Hematocrit (85014) |
— |
$60 |
— |
| Hemoglobin (85018) |
— |
$36 |
— |
| Hemoglobin a1c (83036) |
— |
$135 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$123 |
— |
| Hepatitis b core antibody total (86704) |
— |
$99 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$137.50 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$100 |
— |
| Hepatitis c antibody (86803) |
— |
$345 |
— |
| Hepatitis C Genotype (87902) |
— |
$330 |
— |
| Herpes culture (87252) |
— |
$295 |
— |
| Herpes simplex type 2 (86696) |
— |
$117.50 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$130 |
— |
| Histamine plasma (83088) |
— |
$495 |
— |
| HIV-1 antibody (86701) |
— |
$165 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$155 |
— |
| Hla-b27 (86812) |
— |
$210 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$185 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$182.50 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$216 |
— |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
— |
$175 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$68 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$185 |
— |
| Iaad ia rotavirus (87425) |
— |
$113 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$155 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$85 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$110 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$337.50 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$102 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$445 |
— |
| Iadna nos quantification each organism (87799) |
— |
$365 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$365 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$88 |
— |
| Immunoassay nonantibody (83516) |
— |
$123 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$240 |
— |
| Immunohisto Antibody Slide (88344) |
— |
$520 |
— |
| Immunohistochemistry (88342) |
— |
$520 |
— |
| India ink prep (87210) |
— |
$36 |
— |
| Inhibin b (83520) |
— |
$240.50 |
— |
| Insulin total (83525) |
— |
$78 |
— |
| Iron (83540) |
— |
$78 |
— |
| Iron binding capacity (83550) |
— |
$103 |
— |
| Jak2 gene analysis (81270) |
— |
$1,030 |
— |
| Koh Prep (87220) |
— |
$30 |
— |
| Lactic acid (83605) |
— |
$210 |
— |
| Ldh (83615) |
— |
$81.50 |
— |
| Lead (83655) |
— |
$76 |
— |
| Legionella antibody (86713) |
— |
$150 |
— |
| Legionella antigen urine (87449) |
— |
$135 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$60 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$80 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$570 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$1,090 |
— |
| Lh (83002) |
— |
$105 |
— |
| Lipase (83690) |
— |
$205 |
— |
| Lithium (80178) |
— |
$85 |
— |
| Lyme disease antibody (86618) |
— |
$83.50 |
— |
| Lyme disease antibody confirm (86617) |
— |
$141 |
— |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
— |
$260 |
— |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
— |
$297.50 |
— |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
— |
$455 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$445 |
— |
| Magnesium (83735) |
— |
$133.50 |
— |
| Malaria smear (87207) |
— |
$96 |
— |
| Methotrexate (80299) |
— |
$400 |
— |
| Methylmalonic acid serum (83921) |
— |
$250 |
— |
| Microalbumin urine (82043) |
— |
$84 |
— |
| Microsomal antibodies (86376) |
— |
$86 |
— |
| Mopath procedure level 4 (81403) |
— |
$660 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$465 |
— |
| Muramidase (85549) |
— |
$102 |
— |
| Mycophenolic acid (80180) |
— |
$143 |
— |
| Mycoplasma antibody (86738) |
— |
$122 |
— |
| Natriuretic peptide (83880) |
— |
$365 |
— |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) |
— |
$480 |
— |
| Nuclear antigen antibody (86235) |
— |
$113 |
— |
| Orthopoxvirus Amp Prb Each (87593) |
— |
$155 |
— |
| Osmolality serum (83930) |
— |
$68 |
— |
| Osmolality urine (83935) |
— |
$68 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$103 |
— |
| Pancreatic polypeptide (83519) |
— |
$255 |
— |
| Phosphatase alkaline (84075) |
— |
$103 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$110 |
— |
| Phosphorus blood (84100) |
— |
$155 |
— |
| Phosphorus urine (84105) |
— |
$71 |
— |
| Platelet count (85049) |
— |
$77 |
— |
| Platelet neutralization (85597) |
— |
$44 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$245 |
— |
| Potassium (84132) |
— |
$249 |
— |
| Potassium urine (84133) |
— |
$83 |
— |
| Pregnenolone (84140) |
— |
$335 |
— |
| Procalcitonin (pct) (84145) |
— |
$332.50 |
— |
| Progesterone (84144) |
— |
$137 |
— |
| Prolactin (84146) |
— |
$137 |
— |
| Prostaglandin Ea (84150) |
— |
$185 |
— |
| Protein body fluid (84157) |
— |
$15 |
— |
| Protein c activity (85303) |
— |
$180.50 |
— |
| Protein electrophoresis serum (84165) |
— |
$85 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$150 |
— |
| Protein S Functional (85306) |
— |
$175 |
— |
| Protein Total Serum (84155) |
— |
$85 |
— |
| Protein urine (84156) |
— |
$77.50 |
— |
| PSA free (84154) |
— |
$78 |
— |
| Quantiferon tb gold (86480) |
— |
$310 |
— |
| Rbc antibody elution (86860) |
— |
$425 |
— |
| Renin activity plasma (84244) |
— |
$143 |
— |
| Reticulocyte separation (86972) |
— |
$445 |
— |
| Rheumatoid factor quant (86431) |
— |
$71 |
— |
| Rsv (87807) |
— |
$185 |
— |
| Rubella antibody (86762) |
— |
$83 |
— |
| Russell viper venom time diluted (85613) |
— |
$115 |
— |
| Salicylate (80179) |
— |
$141 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$260 |
— |
| Sedimentation rate (85651) |
— |
$66 |
— |
| Semen analysis sperm presence&/motility sprm (89321) |
— |
$103 |
— |
| Sensitivity mic (87186) |
— |
$101 |
— |
| Serotonin Release Assay (86022) |
— |
$485 |
— |
| Sex hormone binding globulin (84270) |
— |
$122 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$250 |
— |
| Smear acid fast (87206) |
— |
$70 |
— |
| Smear complex stain (87209) |
— |
$95 |
— |
| Smear gram stain (87205) |
— |
$71 |
— |
| Sodium (84295) |
— |
$103 |
— |
| Sodium urine (84300) |
— |
$95 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$150 |
— |
| Special stains group 1 (88312) |
— |
$190 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$102 |
— |
| Strep a assay w/optic (87880) |
— |
$103 |
— |
| Surg path level iii (88304) |
— |
$185 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$80 |
— |
| Surgical pathology level IV (88305) |
— |
$210 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$100 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$78 |
— |
| T3 free (84481) |
— |
$280 |
— |
| T3 reverse (84482) |
— |
$68 |
— |
| T3 total (84480) |
— |
$113 |
— |
| T3 uptake (84479) |
— |
$70 |
— |
| T4 Free (84439) |
— |
$91 |
— |
| T4 total (84436) |
— |
$300 |
— |
| Tb intradermal test (86580) |
— |
$55 |
— |
| Testosterone free (84402) |
— |
$205 |
— |
| Testosterone total (84403) |
— |
$122 |
— |
| Theophylline (80198) |
— |
$105 |
— |
| Thrombin time plasma (85670) |
— |
$118 |
— |
| Thyroglobulin (84432) |
— |
$505 |
— |
| Thyroglobulin Ab (86800) |
— |
$305.50 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$180 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$46 |
— |
| Transferrin (84466) |
— |
$87 |
— |
| Triglycerides (84478) |
— |
$50 |
— |
| Troponin (84484) |
— |
$365 |
— |
| Unlisted transfusion medicine procedure (86999) |
— |
$60 |
— |
| Urea nitrogen (84520) |
— |
$65 |
— |
| Uric acid blood (84550) |
— |
$115 |
— |
| Uric acid other source (84560) |
— |
$71 |
— |
| Urinalysis microscopic only (81015) |
— |
$24 |
— |
| Urinalysis w/microscopic (81001) |
— |
$85 |
— |
| Urine pregnancy test (81025) |
— |
$72 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$43 |
— |
| Valproic acid level (80164) |
— |
$260 |
— |
| Vancomycin trough (80202) |
— |
$310 |
— |
| Varicella-zoster antibody (86787) |
— |
$102.50 |
— |
| Vitamin b-12 (82607) |
— |
$120 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$122 |
— |
| Vitamin b6 (84207) |
— |
$47 |
— |
| Vitamin C (82180) |
— |
$50 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$310 |
— |
| Von willebrand factor activity (85245) |
— |
$268 |
— |
| Zinc (84630) |
— |
$94 |
— |