Lab & pathology prices at CCM Health
Montevideo, MN · every code in this section with a posted price and a Medicare benchmark.
659 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) | $391.95 | $603 | 10.2× |
| 5 Nucleotidase (83915) | $189.80 | $292 | 17.0× |
| Abl1 gene (81170) | $345.15 | $531 | 1.2× |
| Acetaminophen level (80143) | $22.10 | $34 | 1.2× |
| Acetone serum qual (82009) | $50.70 | $78 | 11.2× |
| Acetylcholine receptor binding antibody (86041) | $197.92 | $304.50 | 10.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $127.40 | $196 | 10.6× |
| Actin smooth muscle antibody each (86015) | $130 | $200 | 10.8× |
| Activated protein c resistance (85307) | $165.75 | $255 | 10.8× |
| Acute hepatitis panel (80074) | $475.80 | $732 | 10.0× |
| Acylcarnitine Plasma (82017) | $181.35 | $279 | 10.7× |
| Adamts13 activity (85397) | $288.60 | $444 | 9.4× |
| Adrenocorticotropic hormone (82024) | $393.25 | $605 | 10.2× |
| Afp maternal serum (82105) | $180.70 | $278 | 10.8× |
| Albumin body fluid (82042) | $77.35 | $119 | 9.9× |
| Albumin serum (82040) | $55.25 | $85 | 11.2× |
| Aldolase (82085) | $105.30 | $162 | 10.8× |
| Aldosterone urine (82088) | $415.35 | $639 | 10.2× |
| Alkaline phosphatase isoenzymes (84080) | $159.25 | $245 | 10.8× |
| Allergen peanut (86003) | $34.45 | $53 | 6.6× |
| Allergen specific igg (86001) | $119.60 | $184 | 15.3× |
| Allg Spec Ige Recomb Ea (86008) | $107.90 | $166 | 6.0× |
| Alpha-1-antitrypsin phenotype (82104) | $156 | $240 | 10.8× |
| Alpha-1-antitrypsin, total (82103) | $144.95 | $223 | 10.8× |
| Alt (sgpt) (84460) | $58.50 | $90 | 11.0× |
| Aluminum (82108) | $164.45 | $253 | 6.5× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $181.35 | $279 | 10.7× |
| Aminolevulinic acid (ala) (82135) | $176.80 | $272 | 10.7× |
| Amylase urine (82150) | $71.50 | $110 | 11.0× |
| Ana titer (86039) | $120.90 | $186 | 10.8× |
| Angiotensin i enzyme test (82164) | $157.30 | $242 | 10.8× |
| Antibody aspergillus (86606) | $161.85 | $249 | 10.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $167.05 | $257 | 10.8× |
| Antibody coxiella burnetii q fever (86638) | $130.65 | $201 | 10.8× |
| Antibody cytomegalovirus cmv (86644) | $154.70 | $238 | 10.8× |
| Antibody Encephalitis Eastern Equine (86652) | $142.35 | $219 | 10.8× |
| Antibody encephalitis st. louis (86653) | $142.35 | $219 | 10.8× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $141.70 | $218 | 10.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $131.95 | $203 | 10.8× |
| Antibody haemophilus influenza (86684) | $170.95 | $263 | 10.8× |
| Antibody helicobacter pylori (86677) | $165.75 | $255 | 9.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $154.70 | $238 | 10.8× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $150.15 | $231 | 11.0× |
| Antibody HIV-2 (86702) | $145.60 | $224 | 10.8× |
| Antibody identification (86870) | $241.80 | $372 | 0.7× |
| Antibody mumps (86735) | $141.05 | $217 | 10.8× |
| Antibody Protozoa Nes (86753) | $101.40 | $156 | 8.2× |
| Antibody screen (86850) | $96.85 | $149 | 9.9× |
| Antibody treponema pallidum (86780) | $143 | $220 | 10.8× |
| Antibody; Coccidioides (86635) | $124.15 | $191 | 10.8× |
| Antigen typing (86905) | $42.25 | $65 | 11.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $57.20 | $88 | 11.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $130 | $200 | 10.8× |
| Antinuclear antibodies (86038) | $130 | $200 | 10.8× |
| Antistreptolysin o titer (86060) | $80.60 | $124 | 11.0× |
| Antithrombin iii activity (85300) | $128.05 | $197 | 10.8× |
| Antithrombin iii antigen (85301) | $117.65 | $181 | 10.9× |
| Apolipoprotein each (82172) | $200.20 | $308 | 9.5× |
| Aquaporin-4 antibody flow cytometry each (86053) | $130 | $200 | 3.4× |
| Arsenic Urine (82175) | $130.98 | $201.50 | 6.9× |
| Aspergillus ag eia (87305) | $195 | $300 | 16.3× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $512.20 | $788 | 10.0× |
| Assay Nephelometry Not Spec (83883) | $146.25 | $225 | 10.8× |
| Assay of 17-hydroxypregnenolone (84143) | $169.65 | $261 | 7.4× |
| Assay of 5-hiaa (83497) | $138.45 | $213 | 10.7× |
| Assay of ammonia (82140) | $157.30 | $242 | 10.8× |
| Assay of androstenedione (82157) | $303.55 | $467 | 10.4× |
| Assay of anti-mullerian hormone (82166) | $167.70 | $258 | 4.3× |
| Assay of biotinidase (82261) | $181.35 | $279 | 10.7× |
| Assay of c-peptide (84681) | $221 | $340 | 10.6× |
| Assay of ceruloplasmin (82390) | $117 | $180 | 10.9× |
| Assay of citrate (82507) | $289.25 | $445 | 10.4× |
| Assay of cpk in blood (82552) | $146.25 | $225 | 10.9× |
| Assay of cyclosporine (80158) | $191.10 | $294 | 10.6× |
| Assay of erythropoietin (82668) | $198.25 | $305 | 10.6× |
| Assay of estrone (82679) | $100.10 | $154 | 4.0× |
| Assay of ethosuximide (80168) | $176.15 | $271 | 10.8× |
| Assay of ferritin (82728) | $146.90 | $226 | 10.8× |
| Assay of g6pd enzyme (82955) | $104.65 | $161 | 10.8× |
| Assay of gammaglobulin igm (82784) | $100.10 | $154 | 10.8× |
| Assay of gastrin (82941) | $189.80 | $292 | 10.8× |
| Assay of gentamicin (80170) | $176.15 | $271 | 10.8× |
| Assay of homocystine (83090) | $181.35 | $279 | 10.1× |
| Assay of lactic acid (83605) | $126.75 | $195 | 11.0× |
| Assay of lipoprotein(a) (83695) | $139.75 | $215 | 9.8× |
| Assay of metanephrines (83835) | $182.65 | $281 | 10.8× |
| Assay of phenobarbital (80184) | $148.20 | $228 | 9.7× |
| Assay of prealbumin (84134) | $157.30 | $242 | 10.8× |
| Assay of proinsulin (84206) | $254.80 | $392 | 9.5× |
| Assay of prolactin (84146) | $204.10 | $314 | 10.5× |
| Assay of serotonin (84260) | $321.75 | $495 | 10.4× |
| Assay of tacrolimus (80197) | $147.55 | $227 | 10.7× |
| Assay of topiramate (80201) | $128.70 | $198 | 10.8× |
| Assay of Tyrosine (84510) | $111.15 | $171 | 10.5× |
| Assay of urine vma (84585) | $104 | $160 | 6.7× |
| Assay of vasopressin anti-diuretic hormone (84588) | $352.95 | $543 | 10.4× |
| Assay of vitamin k (84597) | $147.55 | $227 | 10.8× |
| Assay spec xcp ur&breath ia (82077) | $47.45 | $73 | 2.7× |
| Ast (sgot) (84450) | $57.20 | $88 | 11.0× |
| Asy carbamazepin 10,11-epxid (80161) | $180.70 | $278 | 9.7× |
| B cells total count (86355) | $384.80 | $592 | 10.2× |
| Bartonella antibody (86611) | $109.85 | $169 | 10.8× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) | $1,346.80 | $2,072 | 6.3× |
| Bcr/abl1 gene major bp (81206) | $1,235.65 | $1,901 | 7.5× |
| Bcr/abl1 gene minor bp (81207) | $1,146.60 | $1,764 | 7.9× |
| Beta 2 glycoprotein 1 igm (86146) | $269.10 | $414 | 10.6× |
| Beta hydroxybutyrate (82010) | $65 | $100 | 8.0× |
| Beta lactamase (87185) | $62.72 | $96.50 | 13.2× |
| Beta-2 microglobulin (82232) | $174.20 | $268 | 10.8× |
| Bile acids, total (82239) | $184.60 | $284 | 10.8× |
| Bilirubin direct (82248) | $55.90 | $86 | 11.1× |
| Bilirubin total (82247) | $55.90 | $86 | 11.1× |
| Bilirubin total transcutaneous (88720) | $56.55 | $87 | 11.3× |
| Bl Smear W/Diff Wbc Count (85007) | $70.85 | $109 | 18.6× |
| Bl Smear W/O Diff Wbc Count (85008) | $38.35 | $59 | 11.2× |
| Blastomyces antibody (86612) | $138.45 | $213 | 10.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $111.80 | $172 | 0.6× |
| Bld Typing Serologic Rh Phnt (86906) | $85.80 | $132 | 11.1× |
| Blood Count Automated Differential Wbc Count (85004) | $19.50 | $30 | 3.0× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $61.75 | $95 | 11.1× |
| Blood gas (82803) | $247.65 | $381 | 9.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $171.60 | $264 | 10.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $43.55 | $67 | 9.9× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $132.92 | $204.50 | 20.9× |
| Blood typing abo (86900) | $65 | $100 | 21.7× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $158.60 | $244 | 9.7× |
| Blood typing serologic rh (d) (86901) | $33.15 | $51 | 11.1× |
| Body fluid cell count (89051) | $61.10 | $94 | 10.9× |
| Body fluid cell count (89050) | $52.65 | $81 | 11.2× |
| Bordetella antibody (86615) | $296.40 | $456 | 22.5× |
| Borrelia miyamotoi amp prb (87478) | $72.80 | $112 | 2.1× |
| Brca1&2 seq & full dup/del (81162) | $2,782.65 | $4,281 | 1.5× |
| Brucella antibody (86622) | $98.15 | $151 | 11.0× |
| C diff amplified probe (87493) | $364 | $560 | 9.8× |
| C-reactive protein (86140) | $70.85 | $109 | 13.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $139.75 | $215 | 10.8× |
| Ca 125 (86304) | $221 | $340 | 10.6× |
| Ca 19-9 (86301) | $221 | $340 | 10.6× |
| Ca 27 29 (86300) | $221 | $340 | 10.6× |
| Cadmium level (82300) | $244.40 | $376 | 10.3× |
| Calcitonin (82308) | $284.05 | $437 | 10.6× |
| Calcium ionized (82330) | $147.55 | $227 | 10.8× |
| Calcium total (82310) | $57.20 | $88 | 11.1× |
| Calcium urine (82340) | $66.30 | $102 | 11.0× |
| Calculus spectroscopy (82365) | $138.45 | $213 | 10.7× |
| California encephalitis ab (86651) | $142.35 | $219 | 10.8× |
| Calprotectin, fecal (83993) | $207.35 | $319 | 10.6× |
| Calr gene com variants (81219) | $1,030.90 | $1,586 | 8.5× |
| Carbamazepine free (80157) | $143 | $220 | 10.8× |
| Carbamazepine total (80156) | $157.30 | $242 | 10.8× |
| Carbon dioxide (82374) | $54.60 | $84 | 11.2× |
| Carboxyhemoglobin (82375) | $132.60 | $204 | 10.8× |
| Carcinoembryonic antigen (82378) | $200.20 | $308 | 10.6× |
| Cardiolipin ab igg (86147) | $269.10 | $414 | 10.6× |
| Carnitine (82379) | $181.35 | $279 | 10.7× |
| Carotene (82380) | $99.45 | $153 | 10.8× |
| Catecholamines fraction plasma (82384) | $267.15 | $411 | 10.6× |
| Cell marker study (88182) | $319.80 | $492 | 5.9× |
| Cftr gene com variants (81220) | $755.30 | $1,162 | 1.4× |
| Cftr gene dup/delet variants (81222) | $385.45 | $593 | 0.9× |
| Chemiluminescent assay (82397) | $152.75 | $235 | 10.8× |
| Chlamydia antibody (86631) | $126.10 | $194 | 10.7× |
| Chlamydia Igm Antibody (86632) | $135.20 | $208 | 10.7× |
| Chloride blood (82435) | $51.35 | $79 | 11.2× |
| Chloride urine (82436) | $57.20 | $88 | 9.9× |
| Cholesterol HDL (83718) | $14.63 | $22.50 | 1.8× |
| Cholesterol total (82465) | $48.10 | $74 | 11.1× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $256.10 | $394 | 9.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $1,056.90 | $1,626 | 8.4× |
| Chromium urine (82495) | $214.50 | $330 | 10.6× |
| Chromogenic Substrate Assay (85130) | $269.10 | $414 | 22.6× |
| Chromogranin a (86316) | $221 | $340 | 10.6× |
| Chromosome analysis 20-25 cells (88264) | $1,079 | $1,660 | 7.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $364 | $560 | 10.4× |
| Ckmb (82553) | $124.80 | $192 | 10.8× |
| Clot Factor VIII Multimetric (85247) | $198.90 | $306 | 8.7× |
| Clot factor viii vw antigen (85246) | $242.45 | $373 | 10.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $192.40 | $296 | 10.7× |
| Clotting Inhibitors Protein S Free (85306) | $165.75 | $255 | 10.8× |
| Clozapine level (80159) | $195.65 | $301 | 9.7× |
| Cmv ab igm (86645) | $181.35 | $279 | 10.8× |
| Cmv PCR (87496) | $364 | $560 | 10.4× |
| Cns DNA amp probe type 12-25 (87483) | $832 | $1,280 | 2.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $228.80 | $352 | 9.5× |
| Cold agglutinin titer (86157) | $88.40 | $136 | 11.0× |
| Collagen cross links (82523) | $200.20 | $308 | 10.7× |
| Compatibility test antiglob (86922) | $209.30 | $322 | 1.2× |
| Complement c3 (86160) | $129.35 | $199 | 10.8× |
| Complement total (ch50) (86162) | $215.80 | $332 | 10.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $129.35 | $199 | 10.8× |
| Comprehensive review of data (88325) | $468 | $720 | 2.7× |
| Concentration Infectious Agent (87015) | $74.10 | $114 | 11.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $383.50 | $590 | 9.9× |
| Coombs direct (86880) | $59.80 | $92 | 11.1× |
| Copper urine (82525) | $133.90 | $206 | 10.8× |
| Cortisol free (82530) | $180.05 | $277 | 10.8× |
| Cortisol total (82533) | $175.50 | $270 | 10.8× |
| Creatine kinase total (82550) | $72.15 | $111 | 11.1× |
| Creatinine blood (82565) | $57.20 | $88 | 11.2× |
| Creatinine clearance (82575) | $102.05 | $157 | 10.8× |
| Creatinine other source (82570) | $37.70 | $58 | 7.3× |
| Crossmatch immediate spin (86920) | $105.95 | $163 | 0.6× |
| Cryofibrinogen (82585) | $136.50 | $210 | 9.7× |
| Cryoglobulin (82595) | $71.50 | $110 | 11.1× |
| Crystals body fluid (89060) | $78.65 | $121 | 10.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $88.40 | $136 | 10.9× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $364 | $560 | 1.7× |
| Culture Aerobic Identify (87077) | $88.40 | $136 | 10.9× |
| Culture afb (87116) | $117.65 | $181 | 10.9× |
| Culture anaerobic (87075) | $102.05 | $157 | 10.8× |
| Culture blood (87040) | $123.50 | $190 | 12.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $85.15 | $131 | 11.0× |
| Culture fungus blood (87103) | $194.35 | $299 | 9.5× |
| Culture fungus id yeast (87106) | $111.15 | $171 | 10.8× |
| Culture fungus other (87102) | $91.65 | $141 | 10.9× |
| Culture genital (87070) | $94.90 | $146 | 11.0× |
| Culture screen only (87081) | $73.45 | $113 | 11.1× |
| Culture stool (87045) | $101.40 | $156 | 10.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $58.50 | $90 | 11.3× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $364 | $560 | 10.4× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $1,000.35 | $1,539 | 8.7× |
| Cyclic Citrullinated Peptide (86200) | $139.75 | $215 | 10.8× |
| Cystatin c (82610) | $179.40 | $276 | 9.7× |
| Cysticercosis Antibody (86682) | $140.40 | $216 | 10.8× |
| Cytogenetics 100-300 (88275) | $459.55 | $707 | 9.0× |
| Cytogenetics DNA probe (88271) | $226.20 | $348 | 10.6× |
| Cytogenom const microarray copy number&snp var (81229) | $1,733.88 | $2,667.50 | 1.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $436.15 | $671 | 10.2× |
| Cytopath cell enhance tech (88112) | $140.40 | $216 | 2.6× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $256.75 | $395 | 6.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $146.25 | $225 | 5.5× |
| Cytp concentration smears & interpretation (88108) | $256.75 | $395 | 6.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $350.35 | $539 | 6.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,010.10 | $1,554 | 5.7× |
| Deoxyribonuclease antibody (86215) | $143 | $220 | 10.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $161.85 | $249 | 9.8× |
| Detect agnt mult DNA ampli (87801) | $674.70 | $1,038 | 9.6× |
| Dhea (82626) | $267.15 | $411 | 10.6× |
| Dhea-sulfate (82627) | $235.30 | $362 | 10.6× |
| Digoxin (80162) | $143 | $220 | 10.8× |
| Dilantin (80185) | $143 | $220 | 10.8× |
| Dipropylacetic acid free (80165) | $145.60 | $224 | 10.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $148.20 | $228 | 10.8× |
| Drug assay adalimumab (80145) | $677.95 | $1,043 | 17.6× |
| Drug Assay Amiodarone (80151) | $58.50 | $90 | 3.1× |
| Drug assay felbamate (80167) | $126.10 | $194 | 6.8× |
| Drug assay flecainide (80181) | $87.10 | $134 | 4.7× |
| Drug Assay Infliximab (80230) | $180.70 | $278 | 4.7× |
| Drug assay itraconazole (80189) | $131.95 | $203 | 4.9× |
| Drug Assay Lacosamide (80235) | $280.80 | $432 | 10.4× |
| Drug assay vedolizumab (80280) | $191.10 | $294 | 5.0× |
| Drug assay voriconazole (80285) | $169.65 | $261 | 6.3× |
| Drug quant nes (80299) | $180.70 | $278 | 9.7× |
| Drug screen quant zonisamide (80203) | $143 | $220 | 10.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $143 | $220 | 10.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $143 | $220 | 10.8× |
| Drug Scrn Quan Levetiracetam (80177) | $143 | $220 | 10.8× |
| Drug test prsmv chem anlyzr (80307) | $570.05 | $877 | 9.2× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $232.70 | $358 | 13.6× |
| Ebv viral capsid (86665) | $191.75 | $295 | 10.6× |
| Egfr Gene Analysis Common Variants (81235) | $1,431.30 | $2,202 | 4.4× |
| Ehrlichia antibody (86666) | $109.85 | $169 | 10.8× |
| Elastase pancreatic fecal quantitative (82653) | $167.70 | $258 | 7.3× |
| Electrolyte panel (80051) | $77.35 | $119 | 11.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $537.55 | $827 | 8.7× |
| Encephalitis Western Equine (86654) | $142.35 | $219 | 10.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $130 | $200 | 10.8× |
| Enterovirus Pcr (87498) | $364 | $560 | 10.4× |
| Enzyme histochemistry (88319) | $313.30 | $482 | 0.4× |
| Eosinophil count (85048) | $28.60 | $44 | 11.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $165.10 | $254 | 10.8× |
| Estradiol (82670) | $289.90 | $446 | 10.4× |
| Estriol serum (82677) | $258.70 | $398 | 10.7× |
| Estrogens fractionated (82671) | $334.75 | $515 | 10.4× |
| Ethylene glycol (82693) | $130 | $200 | 8.7× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $815.75 | $1,255 | 8.3× |
| Everolimus (80169) | $147.55 | $227 | 10.7× |
| F2 gene analysis 20210g >a variant (81240) | $580.45 | $893 | 8.8× |
| F5 gene analysis, leiden variant (81241) | $634.40 | $976 | 8.6× |
| Factor inhibitor test (85335) | $286.65 | $441 | 22.3× |
| Factor ix activity (85250) | $200.85 | $309 | 10.5× |
| Factor v activity (85220) | $189.80 | $292 | 10.8× |
| Factor vii assay (85230) | $192.40 | $296 | 10.7× |
| Factor viii ahg (85240) | $192.40 | $296 | 10.7× |
| Factor xi assay (85270) | $192.40 | $296 | 10.7× |
| Factor xii assay (85280) | $204.10 | $314 | 10.5× |
| Factor xiii solubility screen (85291) | $97.50 | $150 | 10.7× |
| Fatty acids free (82725) | $212.55 | $327 | 11.3× |
| Fecal fat qual (82705) | $56.55 | $87 | 11.1× |
| Fecal fat quant (82710) | $180.70 | $278 | 10.8× |
| Fetal bleed screen (85461) | $92.30 | $142 | 9.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $1,119.30 | $1,722 | 7.3× |
| Fetal fibronectin (82731) | $619.45 | $953 | 9.6× |
| Fibrin Degradation Quant (85379) | $109.85 | $169 | 10.8× |
| Fibrinogen activity (85384) | $96.20 | $148 | 9.9× |
| Fibrinogen Test (85366) | $683.15 | $1,051 | 8.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $150.80 | $232 | 9.7× |
| Flow cytometry first marker (88184) | $109.20 | $168 | 0.3× |
| Fluorescent Antibody Screen (86255) | $130 | $200 | 10.8× |
| Fmr1 gene detection (81243) | $778.05 | $1,197 | 13.6× |
| Folate serum (82746) | $158.60 | $244 | 10.8× |
| Follicle Stimulating Hormone (83001) | $196.30 | $302 | 10.6× |
| Francisella tularensis (86668) | $210.60 | $324 | 14.9× |
| Fresh frozen plasma thawing each unit (86927) | $43.55 | $67 | 0.2× |
| Frozen Section (88331) | $118.30 | $182 | 0.7× |
| Fructosamine (82985) | $163.15 | $251 | 9.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $111.15 | $171 | 10.8× |
| Gabapentin (80171) | $127.40 | $196 | 5.9× |
| Gammaglobulin ige (82785) | $177.45 | $273 | 10.8× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $681.85 | $1,049 | 8.7× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,030.25 | $1,585 | 1.4× |
| Genetic Tstg Severe Inh Cond (81443) | $3,199.30 | $4,922 | 1.3× |
| Ggt (82977) | $79.30 | $122 | 11.0× |
| Giardia antigen eia stool (87329) | $129.35 | $199 | 10.8× |
| Glucose (82947) | $42.90 | $66 | 10.9× |
| Glucose body fluid (82945) | $42.90 | $66 | 10.9× |
| Glucose post dose (82950) | $52.65 | $81 | 11.1× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $42.90 | $66 | 10.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $138.45 | $213 | 10.8× |
| Gonadotropin releasing hormone (83727) | $187.85 | $289 | 10.9× |
| Growth hormone (83003) | $179.40 | $276 | 10.8× |
| H pylori breath test (83013) | $648.05 | $997 | 9.6× |
| H pylri clrthmcn rst amp prb (87513) | $213.20 | $328 | 6.1× |
| Haptoglobin (83010) | $135.20 | $208 | 10.7× |
| Hba1/hba2 full gene sequence (81259) | $814.45 | $1,253 | 1.4× |
| Hba1/hba2 gene dup/del vrnts (81269) | $980.52 | $1,508.50 | 4.8× |
| Hcg qualitative (84703) | $83.20 | $128 | 11.1× |
| Hcg quant (84702) | $161.85 | $249 | 10.8× |
| Heavy metal quant each (83018) | $232.70 | $358 | 10.6× |
| Hematocrit (85014) | $26.65 | $41 | 11.2× |
| Hemoglobin (85018) | $57.20 | $88 | 24.1× |
| Hemoglobin a1c (83036) | $105.30 | $162 | 10.8× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $191.10 | $294 | 10.6× |
| Hemoglobin electrophoresis (83020) | $138.45 | $213 | 10.8× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $85.80 | $132 | 11.1× |
| Hemoglobin stability screen (83068) | $92.30 | $142 | 9.7× |
| Heparin assay (85520) | $141.05 | $217 | 10.8× |
| Hepatitis a antibody total (86708) | $133.25 | $205 | 10.8× |
| Hepatitis a igm (86709) | $121.55 | $187 | 10.8× |
| Hepatitis b core ab igm (86705) | $126.75 | $195 | 10.8× |
| Hepatitis b core antibody total (86704) | $130 | $200 | 10.8× |
| Hepatitis B Surface Ab (86706) | $117 | $180 | 10.9× |
| Hepatitis B Surface Antigen (87340) | $111.80 | $172 | 10.8× |
| Hepatitis be antibody (86707) | $124.80 | $192 | 10.8× |
| Hepatitis Be Antigen (87350) | $124.80 | $192 | 10.8× |
| Hepatitis c antibody (86803) | $110.50 | $170 | 7.7× |
| Hepatitis C Genotype (87902) | $1,455.35 | $2,239 | 5.7× |
| Hepatitis d quantification (87523) | $428.35 | $659 | 10.0× |
| Hepatitis delta ab (86692) | $213.20 | $328 | 12.4× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $6,841.25 | $10,525 | 5.2× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $3,692 | $5,680 | 2.8× |
| Herpes simplex type i (86695) | $142.35 | $219 | 10.8× |
| Herpes simplex type ii (86696) | $204.10 | $314 | 10.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $57.20 | $88 | 11.0× |
| Hexagonal phospholipid (85598) | $193.70 | $298 | 10.8× |
| Hfe gene (81256) | $628.55 | $967 | 9.6× |
| Histamine plasma (83088) | $306.15 | $471 | 10.4× |
| Histoplasma antibody (86698) | $134.55 | $207 | 9.8× |
| Histoplasma antigen urine (87385) | $130.65 | $201 | 9.9× |
| HIV-1 antibody (86701) | $97.50 | $150 | 11.0× |
| HIV-2 probe&revrse trnscripj (87538) | $146.25 | $225 | 4.2× |
| Hla ii typing 1 locus lr (81376) | $1,036.10 | $1,594 | 8.5× |
| Hla-b27 (86812) | $272.35 | $419 | 10.6× |
| Homogenization tissue (87176) | $65 | $100 | 11.1× |
| Hpylori Drug Administration (83014) | $86.45 | $133 | 11.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $364 | $560 | 10.4× |
| Htt gene analysis detect abnormal alleles (81271) | $410.15 | $631 | 3.0× |
| Human epididymis protein 4 (86305) | $81.25 | $125 | 3.9× |
| Hydroxyprogesterone 17-d (83498) | $282.75 | $435 | 10.4× |
| Iaad ia clostridium difficile toxin (87324) | $123.50 | $190 | 10.3× |
| Iaad ia cryptosporidium (87328) | $133.90 | $206 | 9.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $108.55 | $167 | 10.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $255.45 | $393 | 10.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $154.70 | $238 | 10.8× |
| Iaad Ia Streptococcus Group A (87430) | $87.10 | $134 | 5.2× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $122.20 | $188 | 3.7× |
| Iaadiadoo not otherwise specified (87899) | $104 | $160 | 6.5× |
| Iaadiadoo trichomonas vaginalis (87808) | $150.80 | $232 | 9.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $72.80 | $112 | 2.1× |
| Iadna babesia microti amplified probe technique (87469) | $72.80 | $112 | 2.1× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $364 | $560 | 10.4× |
| Iadna candida species amplified probe tq (87481) | $371.80 | $572 | 10.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $364 | $560 | 10.4× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $713.70 | $1,098 | 10.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $131.30 | $202 | 1.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $72.80 | $112 | 2.1× |
| Iadna hepatitis b virus quantification (87517) | $436.15 | $671 | 10.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $436.15 | $671 | 10.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $146.25 | $225 | 4.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $786.50 | $1,210 | 9.2× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $364 | $560 | 5.2× |
| Iadna human papillomavirus high-risk types (87624) | $364 | $560 | 10.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $364 | $560 | 10.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $364 | $560 | 10.4× |
| Iadna nos amplified probe tq each organism (87798) | $364 | $560 | 10.4× |
| Iadna nos quantification each organism (87799) | $436.15 | $671 | 10.2× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $1,407.90 | $2,166 | 6.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $364 | $560 | 10.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $832 | $1,280 | 2.0× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $1,444.30 | $2,222 | 5.5× |
| Igg subclasses (82787) | $87.75 | $135 | 10.9× |
| Igh gene rearrange amp meth (81261) | $1,379.95 | $2,123 | 7.0× |
| Igk rearrangeabn clonal pop (81264) | $1,201.20 | $1,848 | 7.0× |
| Igvh somatic hypermutation (81263) | $1,428.05 | $2,197 | 4.8× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $136.50 | $210 | 0.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $161.20 | $248 | 10.8× |
| Immunoassay nonantibody (83516) | $124.80 | $192 | 10.8× |
| Immunodiffusion Ouchterlony (86331) | $129.35 | $199 | 10.8× |
| Immunofixation (86334) | $236.60 | $364 | 10.6× |
| Immunofixation urine (86335) | $229.78 | $353.50 | 7.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $72.80 | $112 | 0.4× |
| Immunoglobulin light chains free each (83521) | $129.68 | $199.50 | 7.5× |
| Immunohistochemistry (88342) | $258.05 | $397 | 1.5× |
| In situ hybridization (88365) | $242.45 | $373 | 1.4× |
| Indirect coombs (86885) | $63.05 | $97 | 11.0× |
| Influenza DNA amp probe (87502) | $160.55 | $247 | 1.7× |
| Inhibin a (86336) | $168.35 | $259 | 10.8× |
| Inhibin b (83520) | $167.70 | $258 | 9.7× |
| Insitu hybridization manual (88368) | $349.70 | $538 | 0.9× |
| Insulin antibodies (86337) | $169.98 | $261.50 | 7.9× |
| Insulin total (83525) | $123.50 | $190 | 10.8× |
| Interleukin 6 (83529) | $167.70 | $258 | 9.7× |
| Intrinsic factor antibody (86340) | $163.15 | $251 | 10.8× |
| Iron (83540) | $71.50 | $110 | 11.1× |
| Iron binding capacity (83550) | $96.20 | $148 | 11.0× |
| Irradiation Blood Product Each Unit (86945) | $78 | $120 | 2.0× |
| Islet cell antibody (86341) | $224.25 | $345 | 9.5× |
| Jak2 gene analysis (81270) | $829.40 | $1,276 | 9.0× |
| Lactoferrin fecal qual (83630) | $207.35 | $319 | 10.5× |
| Ldh body fluid (83615) | $66.30 | $102 | 11.0× |
| Ldh isoenzymes (83625) | $56.55 | $87 | 4.4× |
| LDL cholesterol direct (83721) | $102.70 | $158 | 9.8× |
| Lead (83655) | $130.65 | $201 | 10.8× |
| Legion pneumo, DNA, amp prob (87541) | $364 | $560 | 10.4× |
| Legionella antigen urine (87449) | $78.98 | $121.50 | 6.6× |
| Level ii surg pathology grossµscopic exam (88302) | $138.45 | $213 | 3.6× |
| Level v surg pathology grossµscopic exam (88307) | $236.60 | $364 | 0.6× |
| Level vi surg pathology grossµscopic exam (88309) | $286 | $440 | 0.3× |
| Lh (83002) | $195.65 | $301 | 10.6× |
| Lipase (83690) | $96.20 | $148 | 14.0× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $324.35 | $499 | 9.5× |
| Listeria ab (86609) | $140.40 | $216 | 10.9× |
| Lithium (80178) | $73.45 | $113 | 11.1× |
| Lyme disease antibody (86618) | $183.95 | $283 | 10.8× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $610.02 | $938.50 | 3.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $213.85 | $329 | 1.2× |
| Macroscopic exam parasite (87169) | $47.45 | $73 | 11.0× |
| Magnesium (83735) | $64.35 | $99 | 9.6× |
| Malaria smear (87207) | $66.30 | $102 | 11.1× |
| Mass spectrometry qual/quan (83789) | $229.45 | $353 | 9.5× |
| Mercury urine (83825) | $174.85 | $269 | 10.8× |
| Metabolic Panel Ionized Ca (80047) | $102.70 | $158 | 7.5× |
| Methylmalonic acid serum (83921) | $201.50 | $310 | 9.5× |
| Microalbumin urine (82043) | $104.65 | $161 | 18.1× |
| Microsatellite instability (81301) | $1,418.30 | $2,182 | 4.1× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $275.28 | $423.50 | 5.1× |
| Microsomal antibodies (86376) | $156.65 | $241 | 10.8× |
| Mitochondrial antibody each (86381) | $124.80 | $192 | 4.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,846.65 | $2,841 | 2.7× |
| Mog-igg1 antibody flow cytometry each (86363) | $130 | $200 | 3.4× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $388.70 | $598 | 9.2× |
| Molecular pathology procedure level 2 (81401) | $1,026.35 | $1,579 | 7.5× |
| Molecular pathology procedure level 7 (81406) | $1,413.75 | $2,175 | 5.0× |
| Mononuclear cell antigen (86356) | $284.05 | $437 | 10.6× |
| Mopath procedure level 4 (81403) | $1,270.75 | $1,955 | 6.9× |
| Mopath procedure level 5 (81404) | $1,444.30 | $2,222 | 5.3× |
| Mopath procedure level 6 (81405) | $1,404.65 | $2,161 | 4.7× |
| Mopath procedure level 8 (81407) | $1,127.75 | $1,735 | 1.3× |
| Mopath procedure level 9 (81408) | $2,663.70 | $4,098 | 1.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $1,256.45 | $1,933 | 6.8× |
| Mrsa PCR (87641) | $128.05 | $197 | 3.6× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,066.65 | $1,641 | 2.8× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,756.95 | $2,703 | 2.7× |
| Msh6 Gene Analysis Known Familial Variants (81299) | $1,480.05 | $2,277 | 4.8× |
| Mtb PCR (87556) | $382.85 | $589 | 9.2× |
| Mtb rifampin rst amp prb tq (87564) | $967.85 | $1,489 | 12.6× |
| Mucopolysaccharides acid quantitative (83864) | $1,097.85 | $1,689 | 38.5× |
| Muscle-specific kinase (musk) antibody (86366) | $178.10 | $274 | 9.7× |
| Mycobacteric identification (87118) | $141.70 | $218 | 9.7× |
| Mycophenolic acid (80180) | $191.10 | $294 | 10.6× |
| Mycoplasma antibody (86738) | $143 | $220 | 10.8× |
| Myd88 mutation analysis (81305) | $1,219.40 | $1,876 | 7.0× |
| Myoglobin urine (83874) | $138.45 | $213 | 10.7× |
| Nasal smear for eosinophils (89190) | $57.85 | $89 | 10.0× |
| Natriuretic peptide (83880) | $366.60 | $564 | 9.3× |
| Neutralization Test Viral (86382) | $182.65 | $281 | 10.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $243.10 | $374 | 0.9× |
| Nk cells total count (86357) | $384.80 | $592 | 10.2× |
| Nuclear antigen antibody (86235) | $193.05 | $297 | 10.8× |
| Occult blood gastric (82271) | $53.30 | $82 | 10.0× |
| Occult blood stool (82272) | $41.60 | $64 | 9.8× |
| Oligoclonal bands (83916) | $260.65 | $401 | 9.5× |
| Organic Acids Qualitative Each Specimen (83919) | $132.60 | $204 | 8.1× |
| Osmolality serum (83930) | $73.45 | $113 | 11.1× |
| Osmolality urine (83935) | $75.40 | $116 | 11.1× |
| Ova and parasite direct-id lca (87177) | $97.50 | $150 | 11.0× |
| Oxalate urine (83945) | $140.40 | $216 | 9.7× |
| Pancreatic polypeptide (83519) | $208 | $320 | 11.3× |
| Particle Agglutination Screen Each Antibody (86403) | $113.10 | $174 | 9.8× |
| Parvovirus antibody (86747) | $161.85 | $249 | 10.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $53.30 | $82 | 0.1× |
| Ph body fluid (83986) | $39.65 | $61 | 11.1× |
| Ph urine (81003) | $25.35 | $39 | 11.3× |
| Phenotype Infect Agent Drug (87900) | $1,049.10 | $1,614 | 8.0× |
| Phenylalanine (84030) | $61.10 | $94 | 11.1× |
| Phenytoin free (80186) | $148.20 | $228 | 10.8× |
| Phosphatase alkaline (84075) | $57.20 | $88 | 11.0× |
| Phosphorus blood (84100) | $52.65 | $81 | 11.1× |
| Phosphorus urine (84105) | $57.85 | $89 | 10.0× |
| Pinworm exam (87172) | $47.45 | $73 | 11.1× |
| Platelet count automated (85049) | $50.05 | $77 | 11.2× |
| Platelet neutralization (85597) | $193.70 | $298 | 10.8× |
| Pml/raralpha com breakpoints (81315) | $1,367.60 | $2,104 | 6.6× |
| Pms2 gene analysis duplication/deletion variants (81319) | $593.45 | $913 | 2.9× |
| Porphobilinogen urine quant (84110) | $92.30 | $142 | 10.9× |
| Porphyrins feces qn (84126) | $365.30 | $562 | 9.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $158.60 | $244 | 10.8× |
| Potassium (84132) | $51.35 | $79 | 10.8× |
| Potassium urine (84133) | $47.45 | $73 | 10.0× |
| Pretx serum rbc antibody identification dilution (86976) | $43.55 | $67 | 1.5× |
| Primidone (80188) | $178.75 | $275 | 10.8× |
| Procalcitonin (pct) (84145) | $309.40 | $476 | 11.4× |
| Progesterone (84144) | $135.85 | $209 | 6.5× |
| Prostaglandin Ea (84150) | $96.85 | $149 | 2.3× |
| Protein body fluid (84157) | $40.30 | $62 | 10.1× |
| Protein c activity (85303) | $149.50 | $230 | 10.8× |
| Protein c antigen (85302) | $129.35 | $199 | 10.8× |
| Protein electrophoresis serum (84165) | $117 | $180 | 10.9× |
| Protein Electrophoresis Urine (84166) | $191.75 | $295 | 10.8× |
| Protein total serum (84155) | $40.30 | $62 | 11.0× |
| Protein urine (84156) | $29.90 | $46 | 8.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $43.55 | $67 | 11.1× |
| PSA free (84154) | $194.35 | $299 | 10.6× |
| Pth intact (83970) | $199.55 | $307 | 4.8× |
| Rbc antibody elution (86860) | $198.25 | $305 | 1.1× |
| Rbc pretreatment serum (86978) | $234 | $360 | 3.8× |
| Rbc pretx incubatj w/chemicl (86970) | $126.10 | $194 | 2.1× |
| Reagent strip/blood glucose (82948) | $57.52 | $88.50 | 11.4× |
| Renin activity plasma (84244) | $232.70 | $358 | 10.6× |
| Reptilase test (85635) | $106.60 | $164 | 10.8× |
| Resp virus 12-25 targets (87633) | $364 | $560 | 0.9× |
| Resp virus 3-5 targets (87631) | $215.80 | $332 | 1.5× |
| Reticulocyte count auto (85045) | $43.55 | $67 | 10.9× |
| Rheumatoid factor quant (86431) | $62.40 | $96 | 11.0× |
| Rickettsia antibody (86757) | $72.15 | $111 | 3.7× |
| Ristocetin cofactor (85245) | $107.25 | $165 | 4.7× |
| Rpr Titer (86593) | $47.45 | $73 | 10.8× |
| Rubella antibody (86762) | $154.70 | $238 | 10.8× |
| Rubeola Antibody Igg (86765) | $138.45 | $213 | 10.7× |
| Rufinamide (80210) | $204.10 | $314 | 7.5× |
| Russell viper venom time diluted (85613) | $104 | $160 | 10.9× |
| Salicylate Level (80179) | $48.75 | $75 | 2.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $107.90 | $166 | 2.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $106.60 | $164 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $215.80 | $332 | 1.5× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $243.10 | $374 | 36.6× |
| Sedimentation rate (85651) | $72.15 | $111 | 16.9× |
| Sedimentation rate auto (85652) | $30.55 | $47 | 11.3× |
| Selenium (84255) | $269.75 | $415 | 10.6× |
| Semen analysis complete (89322) | $167.05 | $257 | 10.8× |
| Semen analysis motility and count (89310) | $94.90 | $146 | 11.0× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $130 | $200 | 10.8× |
| Sensitivity kb (87184) | $76.05 | $117 | 10.2× |
| Sensitivity mic (87186) | $94.90 | $146 | 11.0× |
| Serotonin Release Assay (86022) | $194.35 | $299 | 10.6× |
| Sex hormone binding globulin (84270) | $229.45 | $353 | 10.6× |
| Sickling of rbc reduction (85660) | $61.10 | $94 | 11.1× |
| Sirolimus (rapamycin) (80195) | $147.55 | $227 | 10.7× |
| Skin Test, Candida (86485) | $34.45 | $53 | 1.2× |
| Smear acid fast (87206) | $59.80 | $92 | 11.1× |
| Smear complex stain (87209) | $193.70 | $298 | 10.8× |
| Smear gram stain (87205) | $47.45 | $73 | 11.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $57.85 | $89 | 9.9× |
| Sodium (84295) | $53.95 | $83 | 11.2× |
| Sodium urine (84300) | $53.95 | $83 | 10.7× |
| Soluble transferrin receptor (84238) | $107.25 | $165 | 2.9× |
| Somatomedin (84305) | $140.72 | $216.50 | 6.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $176.15 | $271 | 1.3× |
| Special stains group 1 (88312) | $210.60 | $324 | 3.9× |
| Specific gravity body fluid (84315) | $33.15 | $51 | 10.1× |
| Spectrophotometry (84311) | $79.95 | $123 | 9.9× |
| Stool Culture, Addl Pathogens (87046) | $101.40 | $156 | 10.7× |
| Strep a DNA amp probe (87651) | $85.80 | $132 | 2.4× |
| Strep b DNA amp probe (87653) | $364 | $560 | 10.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $120.90 | $186 | 1.3× |
| Sulfate urine (84392) | $55.25 | $85 | 10.1× |
| Surg path level 1 (88300) | $68.90 | $106 | 2.3× |
| Surg path level iii (88304) | $170.30 | $262 | 3.2× |
| Surgical pathology level IV (88305) | $193.70 | $298 | 3.6× |
| T Cell Absolute Count (86361) | $284.05 | $437 | 10.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $469.95 | $723 | 10.0× |
| T cells total count (86359) | $384.80 | $592 | 10.2× |
| T3 free (84481) | $182.65 | $281 | 10.8× |
| T3 reverse (84482) | $170.30 | $262 | 10.8× |
| T3 total (84480) | $152.75 | $235 | 10.8× |
| T3 uptake (84479) | $71.50 | $110 | 11.1× |
| T4 free (84439) | $139.75 | $215 | 15.5× |
| T4 total (84436) | $76.05 | $117 | 11.1× |
| Tau phosphorylated each (84393) | $508.30 | $782 | 3.9× |
| Tb ag response t-cell susp (86481) | $824.20 | $1,268 | 8.2× |
| Tb intradermal test (86580) | $48.10 | $74 | 1.6× |
| Tb test, cell immun measure (86480) | $163.80 | $252 | 2.6× |
| Testosterone free (84402) | $269.10 | $414 | 10.6× |
| Testosterone total (84403) | $273 | $420 | 10.6× |
| Theophylline (80198) | $152.75 | $235 | 10.8× |
| Thin prep pap (88142) | $214.50 | $330 | 10.6× |
| Thiopurine methyltransferase (84433) | $211.25 | $325 | 9.5× |
| Thrombin time plasma (85670) | $63.70 | $98 | 11.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $71.50 | $110 | 11.1× |
| Thyroglobulin (84432) | $172.90 | $266 | 10.8× |
| Thyroglobulin antibody (86800) | $171.60 | $264 | 10.8× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $508.30 | $782 | 10.0× |
| Thyroxine binding globulin (84442) | $159.25 | $245 | 10.8× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $47.45 | $73 | 11.1× |
| Tissue culture bone marrow (88237) | $1,071.85 | $1,649 | 7.5× |
| Tissue culture lymphocyte (88230) | $1,009.45 | $1,553 | 8.7× |
| Tissue transglutaminase ab iga (86364) | $124.80 | $192 | 10.8× |
| Tobramycin peak (80200) | $173.55 | $267 | 10.8× |
| Touch prep (88161) | $81.25 | $125 | 2.7× |
| Toxoplasma ab igm (86778) | $42.25 | $65 | 2.9× |
| Toxoplasma antibody igg (86777) | $48.10 | $74 | 3.3× |
| Transferrin (84466) | $137.15 | $211 | 10.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,377.35 | $2,119 | 6.6× |
| Trg gene rearrangement analysis (81342) | $1,366.95 | $2,103 | 6.8× |
| Triglycerides (84478) | $63.70 | $98 | 11.1× |
| Troponin (84484) | $152.75 | $235 | 12.2× |
| Unlisted cytogenetic study (88299) | $113.10 | $174 | 2.1× |
| Unlisted reproductive medicine lab procedure (89398) | $445.90 | $686 | 8.3× |
| Unlisted Surgical Pathology Procedure (88399) | $169.65 | $261 | 3.2× |
| Unlisted Transfusion Medicine Procedure (86999) | $782.60 | $1,204 | 26.2× |
| Urea nitrogen (84520) | $43.55 | $67 | 11.0× |
| Urea nitrogen urine (84540) | $55.25 | $85 | 9.9× |
| Uric acid blood (84550) | $50.70 | $78 | 11.2× |
| Uric acid other source (84560) | $35.10 | $54 | 6.9× |
| Urinalysis (81005) | $1,047.15 | $1,611 | 482.6× |
| Urinalysis auto w/scope (81001) | $35.10 | $54 | 11.1× |
| Urinalysis Microscopic Only (81015) | $33.80 | $52 | 11.1× |
| Urine Bacteria Culture (87088) | $104 | $160 | 12.9× |
| Urine pregnancy test (81025) | $85.80 | $132 | 10.0× |
| Valproic acid (80164) | $145.60 | $224 | 10.8× |
| Vancomycin trough (80202) | $145.60 | $224 | 10.8× |
| Varicella-zoster antibody (86787) | $138.45 | $213 | 10.7× |
| Vasoactive intestinal peptide (vip) (84586) | $366.60 | $564 | 10.4× |
| Vdrl csf (86592) | $47.45 | $73 | 11.1× |
| Virus antibody nos (86790) | $147.55 | $227 | 11.5× |
| Viscosity serum (85810) | $126.10 | $194 | 10.8× |
| Vitamin A (84590) | $125.45 | $193 | 10.8× |
| Vitamin b-12 (82607) | $163.15 | $251 | 10.8× |
| Vitamin b1 (thiamine) (84425) | $224.25 | $345 | 10.6× |
| Vitamin b2 (84252) | $214.50 | $330 | 10.6× |
| Vitamin b3 niacin (84591) | $165.75 | $255 | 9.7× |
| Vitamin b6 (84207) | $291.20 | $448 | 10.4× |
| Vitamin c (82180) | $106.60 | $164 | 10.8× |
| Vitamin D 25-Hydroxy (82306) | $170.30 | $262 | 5.8× |
| Vitamin e serum (84446) | $152.75 | $235 | 10.8× |
| Voltage-gated calcium channel antibody each (86596) | $139.75 | $215 | 11.6× |
| West nile virus antibody (86789) | $154.70 | $238 | 10.8× |
| West nile virus igm (86788) | $181.35 | $279 | 10.8× |
| Zinc (84630) | $122.85 | $189 | 10.8× |