Lab & pathology prices at CHI Health Good Samaritan
Kearney, NE · every code in this section with a posted price and a Medicare benchmark.
656 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) | $88.45 | $145 | 2.3× |
| 5 Hiaa (83497) | $61 | $100 | 4.7× |
| 5 Nucleotidase (83915) | $82.96 | $136 | 7.4× |
| Acetaminophen level (80143) | $300.73 | $493 | 16.1× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $129.93 | $213 | 7.1× |
| Acetylcholine receptor binding antibody (86041) | $129.93 | $213 | 7.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $129.93 | $213 | 10.8× |
| Acth stimulation panel adrenal (80400) | $34.77 | $57 | 1.1× |
| Actin smooth muscle antibody each (86015) | $73.81 | $121 | 6.1× |
| Activated protein c resistance (85307) | $42.09 | $69 | 2.7× |
| Acute hepatitis panel (80074) | $120.78 | $198 | 2.5× |
| Adamts13 activity (85397) | $190.32 | $312 | 6.2× |
| Afb culture (87116) | $148.23 | $243 | 13.7× |
| Agglutinins febrile (86000) | $107.97 | $177 | 15.5× |
| Albumin Fluid (82042) | $41.48 | $68 | 5.3× |
| Albumin serum (82040) | $17.69 | $29 | 3.6× |
| Aldolase (82085) | $23.18 | $38 | 2.4× |
| Aldosterone urine (82088) | $84.79 | $139 | 2.1× |
| Alkaline phosphatase isoenzymes (84080) | $85.40 | $140 | 5.8× |
| Allergen specific ige (86003) | $21.35 | $35 | 4.1× |
| Alpha-1-antitrypsin phenotype (82104) | $162.26 | $266 | 11.2× |
| Alpha-1-antitrypsin, total (82103) | $57.34 | $94 | 4.3× |
| Alpha-fetoprotein, serum (82105) | $75.03 | $123 | 4.5× |
| Alt (sgpt) (84460) | $29.89 | $49 | 5.6× |
| Aluminum (82108) | $84.79 | $139 | 3.3× |
| Amikacin trough (80150) | $75.03 | $123 | 5.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $283.96 | $465.50 | 16.8× |
| Amino Acids, Single Quantitation (82131) | $120.78 | $198 | 5.3× |
| Aminolevulinic acid (ala) (82135) | $139.08 | $228 | 8.5× |
| Ammonia (82140) | $99.43 | $163 | 6.8× |
| Amylase urine (82150) | $65.27 | $107 | 10.1× |
| Ana Titer (86039) | $20.13 | $33 | 1.8× |
| Angiotensin i enzyme test (82164) | $53.07 | $87 | 3.6× |
| Antibody Absorption (86978) | $149.45 | $245 | 2.4× |
| Antibody aspergillus (86606) | $43.92 | $72 | 2.9× |
| Antibody coxiella burnetii q fever (86638) | $35.38 | $58 | 2.9× |
| Antibody cytomegalovirus cmv (86644) | $54.29 | $89 | 3.8× |
| Antibody cytomegalovirus cmv igm (86645) | $22.57 | $37 | 1.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $10.98 | $18 | 0.8× |
| Antibody helicobacter pylori (86677) | $70.76 | $116 | 4.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $28.67 | $47 | 2.0× |
| Antibody herpes smplx type 1 (86695) | $32.94 | $54 | 2.5× |
| Antibody HIV-2 (86702) | $85.40 | $140 | 6.3× |
| Antibody identification (86870) | $123.83 | $203 | 0.3× |
| Antibody identification leukocyte antibodies (86021) | $147.62 | $242 | 9.8× |
| Antibody influenza virus (86710) | $28.67 | $47 | 2.1× |
| Antibody mumps (86735) | $31.11 | $51 | 2.4× |
| Antibody Protozoa Nes (86753) | $129.93 | $213 | 10.5× |
| Antibody rubeola (86765) | $50.63 | $83 | 3.9× |
| Antibody screen (86850) | $85.40 | $140 | 8.7× |
| Antibody treponema pallidum (86780) | $38.43 | $63 | 2.9× |
| Antibody; Coccidioides (86635) | $40.26 | $66 | 3.5× |
| Antigen typing (86905) | $206.18 | $338 | 53.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $75.03 | $123 | 14.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $89.67 | $147 | 7.4× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $73.81 | $121 | 6.1× |
| Antinuclear antibodies (86038) | $80.52 | $132 | 6.7× |
| Antistreptolysin o titer (86060) | $34.16 | $56 | 4.7× |
| Antithrombin iii activity (85300) | $117.73 | $193 | 9.9× |
| Antithrombin iii antigen (85301) | $66.49 | $109 | 6.2× |
| Apolipoprotein b (82172) | $21.35 | $35 | 1.0× |
| Aquaporin-4 Antb Elisa (86051) | $59.17 | $97 | 5.1× |
| Arsenic Urine (82175) | $22.57 | $37 | 1.2× |
| Aspergillus ag eia (87305) | $162.87 | $267 | 13.6× |
| Assay Nephelometry Not Spec (83883) | $73.20 | $120 | 5.4× |
| Assay of acth (82024) | $109.80 | $180 | 2.8× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $73.20 | $120 | 4.2× |
| Assay of androstenedione (82157) | $137.86 | $226 | 4.7× |
| Assay of anti-mullerian hormone (82166) | $129.93 | $213 | 3.4× |
| Assay of blood chloride (82435) | $32.94 | $54 | 7.2× |
| Assay of c-peptide (84681) | $130.54 | $214 | 6.3× |
| Assay of calcitonin (82308) | $112.85 | $185 | 4.2× |
| Assay of ceruloplasmin (82390) | $28.06 | $46 | 2.6× |
| Assay of cyclosporine (80158) | $61 | $100 | 3.4× |
| Assay of erythropoietin (82668) | $86.62 | $142 | 4.6× |
| Assay of ferritin (82728) | $71.98 | $118 | 5.3× |
| Assay of g6pd enzyme (82955) | $26.84 | $44 | 2.8× |
| Assay of gammaglobulin igm (82784) | $33.55 | $55 | 3.6× |
| Assay of gastrin (82941) | $59.78 | $98 | 3.4× |
| Assay of gentamicin (80170) | $111.02 | $182 | 6.8× |
| Assay of glucagon (82943) | $42.09 | $69 | 2.9× |
| Assay of homocystine (83090) | $143.35 | $235 | 8.0× |
| Assay of homovanillic acid (83150) | $76.25 | $125 | 3.4× |
| Assay of lipoprotein(a) (83695) | $20.13 | $33 | 1.4× |
| Assay of manganese (83785) | $96.99 | $159 | 3.6× |
| Assay of metanephrines (83835) | $125.66 | $206 | 7.4× |
| Assay of parathormone (83970) | $134.81 | $221 | 3.3× |
| Assay of phenobarbital (80184) | $88.45 | $145 | 5.8× |
| Assay of prealbumin (84134) | $39.04 | $64 | 2.7× |
| Assay of proinsulin (84206) | $59.17 | $97 | 2.2× |
| Assay of selenium (84255) | $83.57 | $137 | 3.3× |
| Assay of serotonin (84260) | $194.59 | $319 | 6.3× |
| Assay of somatomedin (84305) | $59.17 | $97 | 2.8× |
| Assay of tacrolimus (80197) | $84.79 | $139 | 6.2× |
| Assay of urine vma (84585) | $45.14 | $74 | 2.9× |
| Assay of vitamin k (84597) | $78.69 | $129 | 5.7× |
| Assay of volatiles (84600) | $134.81 | $221 | 7.9× |
| Assay Ph Body Fluid Nos (83986) | $20.13 | $33 | 5.6× |
| Ast (sgot) (84450) | $25.62 | $42 | 4.9× |
| Automated rbc count (85041) | $13.42 | $22 | 4.4× |
| B cells total count (86355) | $171.41 | $281 | 4.5× |
| Bartonella antibody (86611) | $39.04 | $64 | 3.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $57.95 | $95 | 2.3× |
| Beta hydroxybutyrate (82010) | $40.87 | $67 | 5.0× |
| Beta Lactamase (87185) | $45.14 | $74 | 9.5× |
| Beta-2 microglobulin (82232) | $67.10 | $110 | 4.1× |
| Bile acids, total (82239) | $121.39 | $199 | 7.1× |
| Bilirubin direct (82248) | $17.08 | $28 | 3.4× |
| Bilirubin total (82247) | $26.23 | $43 | 5.2× |
| Bilirubin total transcutaneous (88720) | $23.18 | $38 | 4.6× |
| Biotinidase ea specimen (82261) | $77.47 | $127 | 4.6× |
| Bl Smear W/Diff Wbc Count (85007) | $46.36 | $76 | 12.2× |
| Blastomyces antibody (86612) | $15.86 | $26 | 1.2× |
| Bleeding time (85002) | $23.18 | $38 | 4.8× |
| Blood Count Automated Differential Wbc Count (85004) | $91.50 | $150 | 14.1× |
| Blood count reticulocyte automated (85045) | $35.99 | $59 | 9.0× |
| Blood gases (82803) | $153.11 | $251 | 5.9× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $68.32 | $112 | 7.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $48.80 | $80 | 3.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $27.45 | $45 | 6.3× |
| Blood Ph - Ph Venous (82800) | $80.52 | $132 | 7.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $175.68 | $288 | 27.7× |
| Blood typing abo (86900) | $50.63 | $83 | 16.9× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $59.17 | $97 | 3.6× |
| Blood typing serologic rh (d) (86901) | $30.50 | $50 | 10.2× |
| Body fluid cell count (89051) | $88.45 | $145 | 15.8× |
| Body fluid cell count (89050) | $13.42 | $22 | 2.8× |
| Bone Marrow Smear Interpretation (85097) | $530.09 | $869 | 0.6× |
| Bordetella antibody (86615) | $29.89 | $49 | 2.3× |
| Braf gene (81210) | $403.82 | $662 | 2.3× |
| Breath Alcohol Test (82075) | $53.07 | $87 | 1.8× |
| Brucella antibody (86622) | $87.23 | $143 | 9.8× |
| C diff amplified probe (87493) | $170.80 | $280 | 4.6× |
| C-reactive protein (86140) | $95.77 | $157 | 18.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $95.16 | $156 | 7.3× |
| C1q binding assay (86332) | $106.14 | $174 | 4.4× |
| Ca 125 (86304) | $78.69 | $129 | 3.8× |
| Ca 19-9 (86301) | $64.05 | $105 | 3.1× |
| Ca 27 29 (86300) | $54.60 | $89.50 | 2.6× |
| Calcium ionized (82330) | $73.20 | $120 | 5.4× |
| Calcium total (82310) | $26.84 | $44 | 5.2× |
| Calcium urine (82340) | $42.70 | $70 | 7.1× |
| Calculus Spectroscopy (82365) | $81.13 | $133 | 6.3× |
| Calprotectin, fecal (83993) | $303.17 | $497 | 15.4× |
| Candida DNA dir probe (87480) | $79.30 | $130 | 4.0× |
| Carbamazepine (tegretol) total (80156) | $31.11 | $51 | 2.1× |
| Carbamazepine free (80157) | $71.98 | $118 | 5.4× |
| Carbon dioxide (82374) | $12.20 | $20 | 2.5× |
| Carboxyhemoglobin Quantitative (82375) | $96.38 | $158 | 7.8× |
| Carcinoembryonic antigen (82378) | $112.85 | $185 | 6.0× |
| Cardiolipin ab igg (86147) | $71.98 | $118 | 2.8× |
| Carnitine (82379) | $54.90 | $90 | 3.3× |
| Carotene (82380) | $67.71 | $111 | 7.3× |
| Catecholamines fraction plasma (82384) | $240.95 | $395 | 9.5× |
| Catecholamines organic nitrogen blood level (82383) | $89.67 | $147 | 3.1× |
| Cd4 absolute count (86361) | $19.52 | $32 | 0.7× |
| Cell marker study (88182) | $189.10 | $310 | 3.5× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $181.78 | $298 | 1.3× |
| Cftr gene com variants (81220) | $125.05 | $205 | 0.2× |
| Chemiluminescent assay (82397) | $56.73 | $93 | 4.0× |
| Chlamydia antibody (86631) | $7.32 | $12 | 0.6× |
| Chlamydia Igm Antibody (86632) | $51.85 | $85 | 4.1× |
| Chloride other source (82438) | $33.55 | $55 | 6.7× |
| Chloride urine (82436) | $59.17 | $97 | 10.3× |
| Cholesterol total (82465) | $45.14 | $74 | 10.4× |
| Cholinesterase rbc (82482) | $45.75 | $75 | 4.7× |
| Cholinesterase serum (82480) | $50.02 | $82 | 6.4× |
| Chrmsm analysis addl cells counted each study (88285) | $93.33 | $153 | 3.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $766.16 | $1,256 | 6.1× |
| Chromium urine (82495) | $50.02 | $82 | 2.5× |
| Chromogranin a (86316) | $104.31 | $171 | 5.0× |
| Chromosome analysis 20-25 cells (88264) | $512.40 | $840 | 3.5× |
| Chromosome Analysis 5 (88261) | $328.79 | $539 | 1.2× |
| Chromosome karyotype study (88280) | $125.05 | $205 | 3.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $49.41 | $81 | 1.4× |
| Citrate (82507) | $742.98 | $1,218 | 26.7× |
| Ck isoenzymes (82552) | $95.77 | $157 | 7.2× |
| Ckmb (82553) | $123.83 | $203 | 10.7× |
| Clot factor viii vw antigen (85246) | $175.68 | $288 | 7.7× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $288.53 | $473 | 16.1× |
| Clot factor xiii fibrin stab (85290) | $155.55 | $255 | 9.5× |
| Clozapine level (80159) | $106.14 | $174 | 5.3× |
| Cmv PCR (87496) | $200.69 | $329 | 5.7× |
| Cns DNA amp probe type 12-25 (87483) | $511.79 | $839 | 1.2× |
| Coagulation time activated (85347) | $68.93 | $113 | 16.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $264.74 | $434 | 11.0× |
| Cold agglutinin titer (86157) | $23.18 | $38 | 2.9× |
| Collagen cross links (82523) | $178.73 | $293 | 9.6× |
| Compatibility test antiglob (86922) | $125.05 | $205 | 0.7× |
| Complement c3 (86160) | $96.38 | $158 | 8.0× |
| Complement total ch50 (86162) | $64.66 | $106 | 3.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $46.36 | $76 | 3.9× |
| Concentration Infectious Agent (87015) | $15.25 | $25 | 2.3× |
| Coombs direct (86880) | $40.87 | $67 | 7.6× |
| Copper urine (82525) | $49.41 | $81 | 4.0× |
| Cortisol free (82530) | $135.42 | $222 | 8.1× |
| Cortisol total (82533) | $92.72 | $152 | 5.7× |
| Creatine kinase total (82550) | $61.61 | $101 | 9.5× |
| Creatinine blood (82565) | $59.48 | $97.50 | 11.6× |
| Creatinine clearance (82575) | $81.74 | $134 | 8.6× |
| Creatinine other source (82570) | $59.78 | $98 | 11.5× |
| Crossmatch immediate spin (86920) | $124.44 | $204 | 0.7× |
| Cryoglobulin (82595) | $48.19 | $79 | 7.4× |
| Cryptococcal Antigen (87327) | $54.90 | $90 | 4.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $42.70 | $70 | 5.3× |
| Culture Aerobic Identify (87077) | $63.44 | $104 | 7.9× |
| Culture aerobic quant other (87071) | $76.25 | $125 | 7.7× |
| Culture anaerobic (87075) | $120.78 | $198 | 12.8× |
| Culture blood (87040) | $212.28 | $348 | 20.6× |
| Culture chlamydia (87110) | $114.07 | $187 | 5.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $58.56 | $96 | 7.6× |
| Culture fungus blood (87103) | $83.57 | $137 | 4.1× |
| Culture fungus id yeast (87106) | $42.09 | $69 | 4.1× |
| Culture fungus other (87102) | $84.79 | $139 | 10.1× |
| Culture genital (87070) | $80.22 | $131.50 | 9.3× |
| Culture screen only (87081) | $35.38 | $58 | 5.3× |
| Culture stool (87045) | $82.96 | $136 | 8.8× |
| Culture typing if ea antiserum (87140) | $35.38 | $58 | 6.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $23.79 | $39 | 4.6× |
| Culture urine (87086) | $67.10 | $110 | 8.3× |
| Culture urine id ea isolate (87088) | $24.40 | $40 | 3.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $425.17 | $697 | 3.7× |
| Cyanide (82600) | $54.29 | $89 | 2.8× |
| Cyclic Citrullinated Peptide (86200) | $111.63 | $183 | 8.6× |
| Cystatin c (82610) | $40.26 | $66 | 2.2× |
| Cytogenetics DNA probe (88271) | $102.48 | $168 | 4.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $341.60 | $560 | 8.0× |
| Cytopath cell enhance tech (88112) | $65.27 | $107 | 1.2× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $51.85 | $85 | 1.3× |
| Cytopath Smear Other Source (88160) | $37.82 | $62 | 1.3× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $40.87 | $67 | 1.5× |
| Cytp concentration smears & interpretation (88108) | $53.68 | $88 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $89.67 | $147 | 1.7× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $34.16 | $56 | 1.8× |
| D-Dimer (85379) | $187.27 | $307 | 18.4× |
| Deoxyribonuclease antibody (86215) | $79.30 | $130 | 6.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $67.10 | $110 | 4.1× |
| Detect agnt mult DNA ampli (87801) | $152.50 | $250 | 2.2× |
| Dhea (82626) | $32.94 | $54 | 1.3× |
| Dhea sulfate (82627) | $35.99 | $59 | 1.6× |
| Digoxin (80162) | $76.86 | $126 | 5.8× |
| Dilantin (80185) | $90.89 | $149 | 6.9× |
| Dipropylacetic acid free (80165) | $15.86 | $26 | 1.2× |
| Dna Antibody Single Stranded (86226) | $14.03 | $23 | 1.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $195.20 | $320 | 14.2× |
| Dna/Rna Amplified Probe (87150) | $49.41 | $81 | 1.4× |
| DNA/RNA direct probe (87149) | $96.99 | $159 | 4.8× |
| Drug Assay Amiodarone (80151) | $156.77 | $257 | 8.4× |
| Drug Assay Lacosamide (80235) | $209.23 | $343 | 7.7× |
| Drug assay methotrexate (80204) | $63.44 | $104 | 1.6× |
| Drug assay voriconazole (80285) | $216.55 | $355 | 8.0× |
| Drug Screen Quant Gabapentin (80171) | $84.79 | $139 | 3.9× |
| Drug screen quant zonisamide (80203) | $117.73 | $193 | 8.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $20.13 | $33 | 1.5× |
| Drug Scrn Quan Levetiracetam (80177) | $23.18 | $38 | 1.7× |
| Drug scrn quant oxcarbazepin (80183) | $16.47 | $27 | 1.2× |
| Drug test prsmv chem anlyzr (80307) | $135.42 | $222 | 2.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $109.80 | $180 | 8.7× |
| Ebv viral capsid (86665) | $66.49 | $109 | 3.7× |
| Echinococcus ab igg (86682) | $40.26 | $66 | 3.1× |
| Egfr Gene Analysis Common Variants (81235) | $456.89 | $749 | 1.4× |
| Ehrlichia antibody (86666) | $54.90 | $90 | 5.4× |
| Elastase pancreatic fecal quantitative (82653) | $153.11 | $251 | 6.7× |
| Electrolyte panel (80051) | $56.12 | $92 | 8.0× |
| Electron microscopy diagnostic (88348) | $916.83 | $1,503 | 1.1× |
| Electronic crossmatch (86923) | $186.66 | $306 | 1.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $143.96 | $236 | 2.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $124.44 | $204 | 10.3× |
| Endomysial antibody iga (86255) | $54.29 | $89 | 4.5× |
| Enterovirus antibody (86658) | $191.54 | $314 | 14.7× |
| Enterovirus Pcr (87498) | $135.42 | $222 | 3.9× |
| Enzyme cell activity (82657) | $265.35 | $435 | 12.0× |
| Eosinophil count (85048) | $37.21 | $61 | 14.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $28.67 | $47 | 1.9× |
| Estradiol (82670) | $100.65 | $165 | 3.6× |
| Estrogen fractionated (82671) | $176.29 | $289 | 5.5× |
| Estrogens total (82672) | $59.17 | $97 | 2.7× |
| Estrone (82679) | $35.38 | $58 | 1.4× |
| Ethylene glycol (82693) | $126.27 | $207 | 8.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $111.63 | $183 | 1.1× |
| Everolimus (80169) | $15.25 | $25 | 1.1× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $32.94 | $54 | 4.5× |
| Examination of archival tissue for genetic analysis (88363) | $28.06 | $46 | 0.9× |
| F2 gene analysis 20210g >a variant (81240) | $198.25 | $325 | 3.0× |
| F5 gene (81241) | $198.25 | $325 | 2.7× |
| Factor ii activity (85210) | $155.55 | $255 | 12.0× |
| Factor inhibitor test (85335) | $50.02 | $82 | 3.9× |
| Factor ix activity (85250) | $84.18 | $138 | 4.4× |
| Factor v activity (85220) | $217.77 | $357 | 12.3× |
| Factor vii assay (85230) | $123.22 | $202 | 6.9× |
| Factor viii ahg (85240) | $96.99 | $159 | 5.4× |
| Factor viii vw multimetric (85247) | $54.29 | $89 | 2.4× |
| Factor xi assay (85270) | $121.39 | $199 | 6.8× |
| Factor xii assay (85280) | $89.67 | $147 | 4.6× |
| Fat stain (89125) | $48.80 | $80 | 8.3× |
| Fecal fat qual (82705) | $11.59 | $19 | 2.3× |
| Fecal fat quant (82710) | $329.40 | $540 | 19.6× |
| Fetal bleed screen (85461) | $105.53 | $173 | 11.3× |
| Fetal fibronectin (82731) | $272.67 | $447 | 4.2× |
| Fibrin degradation products (85362) | $92.72 | $152 | 13.5× |
| Fibrinogen activity (85384) | $100.04 | $164 | 10.3× |
| Fibrinolytic Plasminogen (85415) | $73.81 | $121 | 4.3× |
| Flow cytometry first marker (88184) | $273.89 | $449 | 0.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $136.03 | $223 | 11.3× |
| Folate serum (82746) | $101.87 | $167 | 6.9× |
| Folic acid rbc (82747) | $44.53 | $73 | 2.5× |
| Follicle Stimulating Hormone (83001) | $87.23 | $143 | 4.7× |
| Francisella Tularensis (86668) | $61 | $100 | 4.3× |
| Frozen Section (88331) | $129.93 | $213 | 0.7× |
| Fructosamine (82985) | $104.31 | $171 | 6.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $40.87 | $67 | 4.0× |
| Galactose (82760) | $40.26 | $66 | 3.6× |
| Galactose transferase test (82776) | $39.04 | $64 | 3.3× |
| Gammaglobulin ige (82785) | $70.15 | $115 | 4.3× |
| Gardner vag DNA dir probe (87510) | $88.45 | $145 | 4.4× |
| Gastric Occult Blood (82271) | $21.96 | $36 | 4.1× |
| Ggt (82977) | $26.23 | $43 | 3.6× |
| Giardia antigen eia stool (87329) | $52.46 | $86 | 4.4× |
| Gliadin antibody each immunoglobulin class (86258) | $28.67 | $47 | 2.4× |
| Glucose (82947) | $25.01 | $41 | 6.4× |
| Glucose Blood Test (82962) | $39.65 | $65 | 12.1× |
| Glucose body fluid (82945) | $43.31 | $71 | 11.0× |
| Glucose post dose (82950) | $39.04 | $64 | 8.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $14.64 | $24 | 3.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $61.61 | $101 | 4.8× |
| Growth hormone (83003) | $40.87 | $67 | 2.5× |
| Haptoglobin (83010) | $42.70 | $70 | 3.4× |
| Hcg qualitative (84703) | $105.53 | $173 | 14.0× |
| Hcg quant (84702) | $102.48 | $168 | 6.8× |
| Hdl Cholesterol (83718) | $65.27 | $107 | 8.0× |
| Heavy metal quant each (83018) | $118.34 | $194 | 5.4× |
| Hematocrit (85014) | $25.62 | $42 | 10.8× |
| Hematocrit spun (85013) | $10.37 | $17 | 1.5× |
| Hemoglobin (85018) | $29.89 | $49 | 12.6× |
| Hemoglobin a1c (83036) | $56.73 | $93 | 5.8× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $73.20 | $120 | 4.1× |
| Hemoglobin electrophoresis (83020) | $62.22 | $102 | 4.8× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $188.49 | $309 | 24.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $76.86 | $126 | 9.4× |
| Hemoglobin plasma (83051) | $54.29 | $89 | 7.4× |
| Hemosiderin urine (83070) | $78.69 | $129 | 16.6× |
| Heparin assay (85520) | $62.83 | $103 | 4.8× |
| Hepatitis a antibody total (86708) | $90.28 | $148 | 7.3× |
| Hepatitis a igm (86709) | $14.64 | $24 | 1.3× |
| Hepatitis b core ab igm (86705) | $20.13 | $33 | 1.7× |
| Hepatitis b core antibody total (86704) | $43.92 | $72 | 3.6× |
| Hepatitis B Surface Ab (86706) | $94.55 | $155 | 8.8× |
| Hepatitis B Surface Antigen (87340) | $93.94 | $154 | 9.1× |
| Hepatitis be antibody (86707) | $36.60 | $60 | 3.2× |
| Hepatitis Be Antigen (87350) | $26.84 | $44 | 2.3× |
| Hepatitis c antibody (86803) | $99.43 | $163 | 7.0× |
| Hepatitis C Genotype (87902) | $329.40 | $540 | 1.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $273.89 | $449 | 7.8× |
| Herpes culture (87252) | $117.73 | $193 | 4.5× |
| Herpes simplex type 2 (86696) | $37.21 | $61 | 1.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $50.02 | $82 | 9.7× |
| Hfe gene (81256) | $34.16 | $56 | 0.5× |
| Histoplasma antibody (86698) | $31.11 | $51 | 2.3× |
| Histoplasma antigen urine (87385) | $81.13 | $133 | 6.1× |
| HIV confirmation (86689) | $96.99 | $159 | 5.0× |
| HIV-1 antibody (86701) | $85.40 | $140 | 9.6× |
| HIV-1 genotype (87901) | $425.17 | $697 | 1.7× |
| HIV-1 integrase genotype (87906) | $629.52 | $1,032 | 4.9× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $73.20 | $120 | 5.3× |
| Hla class ii typing high resolution one locus ea (81382) | $294.63 | $483 | 2.4× |
| Hla typing dr/dq (86817) | $56.73 | $93 | 0.5× |
| Hla-b27 (86812) | $100.04 | $164 | 3.9× |
| Homogenization tissue (87176) | $33.55 | $55 | 5.7× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $145.79 | $239 | 4.2× |
| Htlv-i antibody (86687) | $303.78 | $498 | 33.4× |
| Htlv-ii antibody (86688) | $303.78 | $498 | 21.7× |
| Hydroxyprogesterone 17-d (83498) | $114.07 | $187 | 4.2× |
| Iaad ia clostridium difficile toxin (87324) | $32.33 | $53 | 2.7× |
| Iaad ia cryptosporidium (87328) | $21.96 | $36 | 1.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $42.70 | $70 | 4.1× |
| Iaad ia HIV-1 (87390) | $157.38 | $258 | 6.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $54.29 | $89 | 2.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $193.98 | $318 | 13.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $61 | $100 | 4.4× |
| Iaad ia rotavirus (87425) | $104.92 | $172 | 8.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $67.10 | $110 | 1.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $65.88 | $108 | 5.5× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $57.95 | $95 | 1.8× |
| Iaadiadoo not otherwise specified (87899) | $49.41 | $81 | 3.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $61 | $100 | 1.7× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $170.80 | $280 | 4.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $194.59 | $319 | 5.5× |
| Iadna hepatitis b virus quantification (87517) | $384.91 | $631 | 9.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $325.74 | $534 | 7.6× |
| Iadna herpes virus-6 amplified probe tq (87532) | $393.45 | $645 | 11.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $61.61 | $101 | 1.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $489.22 | $802 | 5.7× |
| Iadna human papillomavirus high-risk types (87624) | $108.58 | $178 | 3.1× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $124.44 | $204 | 3.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $114.68 | $188 | 3.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $49.41 | $81 | 1.4× |
| Iadna nos amplified probe tq each organism (87798) | $88.45 | $145 | 2.5× |
| Iadna nos quantification each organism (87799) | $251.32 | $412 | 5.9× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $305.61 | $501 | 1.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $124.44 | $204 | 3.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $505.69 | $829 | 1.2× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $459.33 | $753 | 1.7× |
| Igg subclasses (82787) | $121.39 | $199 | 15.1× |
| Igh gene rearrange amp meth (81261) | $147.62 | $242 | 0.7× |
| Immunfix e-phorsis/urine/csf (86335) | $133.59 | $219 | 4.6× |
| Immunoassay infectious agent antibody quan nos (86317) | $146.40 | $240 | 9.8× |
| Immunoassay nonantibody (83516) | $233.63 | $383 | 20.3× |
| Immunofixj Electrophoresis Serum (86334) | $102.48 | $168 | 4.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $159.21 | $261 | 0.9× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $64.66 | $106 | 5.4× |
| Immunoglobulin assay (86023) | $35.38 | $58 | 2.8× |
| Immunoglobulin light chains free each (83521) | $116.51 | $191 | 6.7× |
| Immunohisto Antibody Slide (88344) | $226.92 | $372 | 0.6× |
| Immunohistochemistry (88342) | $237.29 | $389 | 1.3× |
| India ink prep (87210) | $24.40 | $40 | 4.2× |
| Inhibin a (86336) | $259.86 | $426 | 16.7× |
| Inhibin b (83520) | $164.09 | $269 | 9.5× |
| Insitu hybridization (fish) (88365) | $147.62 | $242 | 0.8× |
| Insitu hybridization manual (88368) | $326.96 | $536 | 0.9× |
| Insulin antibodies (86337) | $103.70 | $170 | 4.8× |
| Insulin free (83527) | $35.99 | $59 | 2.8× |
| Insulin total (83525) | $18.30 | $30 | 1.6× |
| Intraop cyto path consult 1 (88333) | $71.37 | $117 | 0.1× |
| Intrinsic factor antibody (86340) | $45.75 | $75 | 3.0× |
| Iron (83540) | $40.87 | $67 | 6.3× |
| Iron binding capacity (83550) | $53.68 | $88 | 6.1× |
| Islet cell antibody (86341) | $140.30 | $230 | 6.0× |
| Jak2 gene analysis (81270) | $92.11 | $151 | 1.0× |
| Koh Prep (87220) | $86.01 | $141 | 20.1× |
| Kras gene analysis (81275) | $390.40 | $640 | 2.0× |
| Lactic acid (83605) | $81.74 | $134 | 7.1× |
| Lactoferrin fecal qualitative (83630) | $39.04 | $64 | 2.0× |
| Ldh (83615) | $42.70 | $70 | 7.1× |
| Ldh isoenzymes (83625) | $67.10 | $110 | 5.2× |
| LDL cholesterol direct (83721) | $31.72 | $52 | 3.0× |
| Lead (83655) | $90.89 | $149 | 7.5× |
| Legion pneumo, DNA, amp prob (87541) | $129.32 | $212 | 3.7× |
| Legionella antigen urine (87449) | $207.10 | $339.50 | 17.3× |
| Legionella pneumophila dfa (87278) | $59.78 | $98 | 3.8× |
| Leptospira antibody (86720) | $123.22 | $202 | 7.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $10.98 | $18 | 2.6× |
| Level ii surg pathology grossµscopic exam (88302) | $103.70 | $170 | 2.7× |
| Level v surg pathology grossµscopic exam (88307) | $858.88 | $1,408 | 2.3× |
| Level vi surg pathology grossµscopic exam (88309) | $327.57 | $537 | 0.4× |
| Lh (83002) | $57.95 | $95 | 3.1× |
| Lipase (83690) | $79.91 | $131 | 11.6× |
| Listeria ab (86609) | $110.41 | $181 | 8.6× |
| Lithium (80178) | $81.13 | $133 | 12.3× |
| Lyme disease antibody (86618) | $126.88 | $208 | 7.5× |
| Lyme disease antibody confirm (86617) | $29.89 | $49 | 1.9× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $512.40 | $840 | 2.9× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $365.70 | $599.50 | 2.1× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $106.14 | $174 | 0.3× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $212.89 | $349 | 1.2× |
| Macroscopic exam parasite (87169) | $51.85 | $85 | 12.0× |
| Magnesium (83735) | $57.95 | $95 | 8.6× |
| Malaria smear (87207) | $82.96 | $136 | 13.8× |
| Mass spectrometry qual/quan (83789) | $109.80 | $180 | 4.6× |
| Mercury (83825) | $46.36 | $76 | 2.9× |
| Methotrexate (80299) | $168.06 | $275.50 | 9.0× |
| Methylmalonic acid serum (83921) | $21.96 | $36 | 1.0× |
| Microalbumin urine (82043) | $25.62 | $42 | 4.4× |
| Microbe Suscept Mycobacteri (87190) | $102.48 | $168 | 14.0× |
| Microbe susceptible diffuse (87181) | $10.98 | $18 | 2.3× |
| Microsatellite instability (81301) | $578.89 | $949 | 1.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $225.70 | $370 | 4.2× |
| Microsomal antibodies (86376) | $41.48 | $68 | 2.9× |
| Mitochondrial antibody each (86381) | $63.44 | $104 | 2.5× |
| Mog-igg1 antibody flow cytometry each (86363) | $488 | $800 | 12.9× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $511.18 | $838 | 10.0× |
| Molecular pathology procedure level 2 (81401) | $423.95 | $695 | 3.1× |
| Mononuclear cell antigen (86356) | $103.70 | $170 | 3.9× |
| Mopath procedure level 4 (81403) | $186.05 | $305 | 1.0× |
| Mrsa amp probe (87641) | $115.90 | $190 | 3.3× |
| Mthfr Gene Analysis Common Variants (81291) | $129.93 | $213 | 2.0× |
| Mucin synovial fluid ropes test (83872) | $20.74 | $34 | 3.5× |
| Muramidase (85549) | $217.16 | $356 | 11.6× |
| Muscle-specific kinase (musk) antibody (86366) | $129.93 | $213 | 7.1× |
| Mycophenolic acid (80180) | $23.18 | $38 | 1.3× |
| Mycoplasma antibody (86738) | $67.71 | $111 | 5.1× |
| Mycoplasma genitalium PCR (87563) | $124.44 | $204 | 3.5× |
| Myelin basic protein csf (83873) | $43.92 | $72 | 2.6× |
| Myoglobin urine (83874) | $129.93 | $213 | 10.1× |
| Nasal smear for eosinophils (89190) | $32.94 | $54 | 5.7× |
| Natriuretic peptide (83880) | $196.42 | $322 | 5.0× |
| Nfct ds bv&vaginitis DNA alg (81514) | $320.86 | $526 | 1.2× |
| Niacin (84591) | $76.25 | $125 | 4.5× |
| Nk cells total count (86357) | $142.74 | $234 | 3.8× |
| Nmr Lipoprofile (83704) | $145.18 | $238 | 4.2× |
| Nuclear antigen antibody (86235) | $212.89 | $349 | 11.9× |
| Obstetric panel (80081) | $522.77 | $857 | 7.0× |
| Occult blood stool (82272) | $28.67 | $47 | 6.8× |
| Oligoclonal bands (83916) | $57.95 | $95 | 2.1× |
| Organic Acids Total Quantitative Each Specimen (83918) | $403.21 | $661 | 17.1× |
| Osmolality serum (83930) | $42.70 | $70 | 6.5× |
| Osmolality urine (83935) | $45.14 | $74 | 6.6× |
| Ova and parasite direct-id lca (87177) | $77.47 | $127 | 8.7× |
| Oxalate urine (83945) | $51.24 | $84 | 3.5× |
| Pancreatic elastase fecal (82656) | $127.49 | $209 | 11.1× |
| Pancreatic polypeptide (83519) | $780.80 | $1,280 | 42.4× |
| Parvovirus antibody (86747) | $37.21 | $61 | 2.5× |
| Path Consult During Surgery (88329) | $32.33 | $53 | 0.5× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $256.20 | $420 | 3.6× |
| Phenotype Infect Agent Drug (87900) | $261.08 | $428 | 2.0× |
| Phenylalanine (84030) | $30.50 | $50 | 5.5× |
| Phenytoin free (80186) | $52.46 | $86 | 3.8× |
| Phosphatase alkaline (84075) | $20.13 | $33 | 3.9× |
| Phospholipid Neutralization Hexagonal (85598) | $64.05 | $105 | 3.6× |
| Phosphorus blood (84100) | $91.50 | $150 | 19.3× |
| Phosphorus urine (84105) | $23.79 | $39 | 4.1× |
| Pinworm exam (87172) | $29.28 | $48 | 6.9× |
| Plasminogen (85420) | $68.93 | $113 | 10.6× |
| Platelet count (85049) | $17.08 | $28 | 3.8× |
| Platelet neutralization (85597) | $42.09 | $69 | 2.3× |
| Pooling blood platelets (86965) | $79.30 | $130 | 0.4× |
| Porphobilinogen urine quant (84110) | $35.99 | $59 | 4.3× |
| Porphyrins qn & fraction urine (84120) | $51.24 | $84 | 3.5× |
| Potassium (84132) | $25.62 | $42 | 5.4× |
| Potassium urine (84133) | $56.73 | $93 | 12.0× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $180.56 | $296 | 1.0× |
| Primidone (80188) | $39.04 | $64 | 2.4× |
| Procalcitonin (pct) (84145) | $164.09 | $269 | 6.0× |
| Progesterone (84144) | $101.26 | $166 | 4.9× |
| Prolactin (84146) | $80.52 | $132 | 4.2× |
| Protein body fluid (84157) | $61 | $100 | 15.3× |
| Protein c activity (85303) | $176.90 | $290 | 12.8× |
| Protein c antigen (85302) | $120.78 | $198 | 10.1× |
| Protein electrophoresis serum (84165) | $98.82 | $162 | 9.2× |
| Protein Electrophoresis Urine (84166) | $64.66 | $106 | 3.6× |
| Protein S Functional (85306) | $176.90 | $290 | 11.5× |
| Protein s total (85305) | $106.14 | $174 | 9.1× |
| Protein Total Serum (84155) | $9.15 | $15 | 2.5× |
| Protein urine (84156) | $52.46 | $86 | 14.3× |
| Protein Western Blot (84182) | $76.86 | $126 | 2.6× |
| Protein westrn blot i&r blood/other fluid (84181) | $149.45 | $245 | 8.8× |
| Prothrombin time substitution (85611) | $59.17 | $97 | 15.0× |
| Protoporphyrin rbc quantitative (84202) | $82.96 | $136 | 5.8× |
| PSA free (84154) | $68.93 | $113 | 3.7× |
| Quantiferon tb gold (86480) | $179.95 | $295 | 2.9× |
| Rbc antibody elution (86860) | $127.49 | $209 | 0.7× |
| Rbc pretx incubatj w/chemicl (86970) | $124.44 | $204 | 2.0× |
| Ref consult prep elsewhere (88321) | $204.35 | $335 | 5.3× |
| Renin activity plasma (84244) | $59.17 | $97 | 2.7× |
| Resp virus 3-5 targets (87631) | $183.61 | $301 | 1.3× |
| Respiratory viral panel PCR (87633) | $505.69 | $829 | 1.2× |
| Reticulocyte Count (85046) | $93.94 | $154 | 16.9× |
| Rheumatoid Factor Qual (86430) | $42.09 | $69 | 6.9× |
| Rheumatoid factor quant (86431) | $42.70 | $70 | 7.5× |
| Rickettsia antibody (86757) | $21.35 | $35 | 1.1× |
| Rpr Titer (86593) | $39.65 | $65 | 9.0× |
| Rubella antibody (86762) | $60.39 | $99 | 4.2× |
| Russell viper venom time diluted (85613) | $71.98 | $118 | 7.5× |
| Saccharomyces ab iga (86671) | $34.16 | $56 | 2.8× |
| Salicylate (80179) | $63.44 | $104 | 3.4× |
| Salmonella antibody (86768) | $35.99 | $59 | 2.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $93.33 | $153 | 1.8× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $59.78 | $98 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $228.14 | $374 | 1.6× |
| Sed rate automated (85652) | $40.87 | $67 | 15.1× |
| Semen analysis sperm presence&/motility sprm (89321) | $231.80 | $380 | 19.2× |
| Sensitivity mic (87186) | $108.58 | $178 | 12.6× |
| Serotonin Release Assay (86022) | $31.11 | $51 | 1.7× |
| Sex hormone binding globulin (84270) | $176.29 | $289 | 8.1× |
| Sickle cell screen (85660) | $15.86 | $26 | 2.9× |
| Sirolimus (rapamycin) (80195) | $21.96 | $36 | 1.6× |
| Smear acid fast (87206) | $48.80 | $80 | 9.1× |
| Smear complex stain (87209) | $70.76 | $116 | 3.9× |
| Smear gram stain (87205) | $32.33 | $53 | 7.6× |
| Sodium (84295) | $17.69 | $29 | 3.7× |
| Sodium other source (84302) | $78.69 | $129 | 16.2× |
| Sodium urine (84300) | $45.75 | $75 | 9.0× |
| Soluble transferrin receptor (84238) | $222.04 | $364 | 6.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $76.86 | $126 | 0.6× |
| Special stains group 1 (88312) | $61.61 | $101 | 1.1× |
| Specific gravity body fluid (84315) | $16.47 | $27 | 5.0× |
| Spectrophotometry (84311) | $79.91 | $131 | 9.9× |
| Splitting blood/blood products each unit (86985) | $150.67 | $247 | 0.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $59.78 | $98 | 6.3× |
| Strep a assay w/optic (87880) | $34.77 | $57 | 2.1× |
| Strep a DNA amp probe (87651) | $35.99 | $59 | 1.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $113.46 | $186 | 1.2× |
| Sulfate urine (84392) | $150.06 | $246 | 27.3× |
| Surg path level iii (88304) | $121.39 | $199 | 2.2× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $73.20 | $120 | 2.4× |
| Surgical pathology level IV (88305) | $234.24 | $384 | 4.3× |
| Susceptibility study antimicrobial disk method (87184) | $35.99 | $59 | 4.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $141.52 | $232 | 3.0× |
| T cells, total count (86359) | $85.40 | $140 | 2.3× |
| T3 free (84481) | $112.24 | $184 | 6.6× |
| T3 reverse (84482) | $58.56 | $96 | 3.7× |
| T3 total (84480) | $22.57 | $37 | 1.6× |
| T3 uptake (84479) | $62.22 | $102 | 9.6× |
| T4 Free (84439) | $73.20 | $120 | 8.1× |
| T4 total (84436) | $57.34 | $94 | 8.3× |
| T4-neonatal (84437) | $31.72 | $52 | 4.9× |
| Tb intradermal test (86580) | $50.40 | $82.62 | 1.7× |
| Test for acetone/ketones (82009) | $61.61 | $101 | 13.6× |
| Test rbc protoporphyrin (84203) | $14.64 | $24 | 1.5× |
| Testosterone free (84402) | $271.45 | $445 | 10.7× |
| Testosterone total (84403) | $74.42 | $122 | 2.9× |
| Theophylline (80198) | $95.16 | $156 | 6.7× |
| Thin prep pap (88142) | $35.99 | $59 | 1.8× |
| Thrombin time plasma (85670) | $23.79 | $39 | 4.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $92.72 | $152 | 14.3× |
| Thyroglobulin (84432) | $48.19 | $79 | 3.0× |
| Thyroglobulin Ab (86800) | $24.40 | $40 | 1.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $92.72 | $152 | 1.8× |
| Thyroxine binding globulin (84442) | $136.03 | $223 | 9.2× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $471.53 | $773 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $59.17 | $97 | 5.1× |
| Tissue culture bone marrow (88237) | $489.83 | $803 | 3.4× |
| Tissue Culture Lymphocyte (88230) | $358.07 | $587 | 3.1× |
| Tissue culture solid tumor (88239) | $274.50 | $450 | 1.9× |
| Tobramycin peak (80200) | $126.88 | $208 | 7.9× |
| Topiramate (80201) | $95.77 | $157 | 8.0× |
| Touch prep (88161) | $67.10 | $110 | 2.2× |
| Toxoplasma ab igm (86778) | $62.83 | $103 | 4.4× |
| Toxoplasma antibody igg (86777) | $60.39 | $99 | 4.2× |
| Transferrin (84466) | $64.66 | $106 | 5.1× |
| Trichinella antibody (86784) | $72.59 | $119 | 5.8× |
| Trichomonas vagin dir probe (87660) | $167.75 | $275 | 8.4× |
| Triglycerides (84478) | $48.19 | $79 | 8.4× |
| Troponin (84484) | $166.53 | $273 | 13.4× |
| Tyrosine (84510) | $30.50 | $50 | 2.9× |
| Unlisted transfusion medicine procedure (86999) | $73.81 | $121 | 2.5× |
| Urea nitrogen (84520) | $40.87 | $67 | 10.3× |
| Urea nitrogen urine (84540) | $47.58 | $78 | 8.6× |
| Uric acid blood (84550) | $14.64 | $24 | 3.2× |
| Uric acid other source (84560) | $35.38 | $58 | 7.0× |
| Urinalysis microscopic only (81015) | $6.71 | $11 | 2.2× |
| Urinalysis w/microscopic (81001) | $48.50 | $79.50 | 15.3× |
| Urine pregnancy test (81025) | $74.42 | $122 | 8.6× |
| Urine volume measurement (81050) | $17.69 | $29 | 4.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $28.36 | $46.50 | 12.6× |
| Valproic acid level (80164) | $95.77 | $157 | 7.1× |
| Vancomycin trough (80202) | $120.17 | $197 | 8.9× |
| Varicella-zoster antibody (86787) | $81.13 | $133 | 6.3× |
| Vasoactive intestinal peptide (vip) (84586) | $62.22 | $102 | 1.8× |
| Vasopressin (84588) | $102.48 | $168 | 3.0× |
| Vdrl csf (86592) | $27.45 | $45 | 6.4× |
| Very long chain fatty acids (82726) | $50.63 | $83 | 2.6× |
| Virus antibody nos (86790) | $57.34 | $94 | 4.5× |
| Virus inoculation, shell via (87254) | $34.16 | $56 | 1.7× |
| Viscosity serum (85810) | $48.19 | $79 | 4.1× |
| Vitamin A (84590) | $35.38 | $58 | 3.0× |
| Vitamin b-12 (82607) | $94.55 | $155 | 6.3× |
| Vitamin b1 (thiamine) (84425) | $142.74 | $234 | 6.7× |
| Vitamin b6 (84207) | $176.90 | $290 | 6.3× |
| Vitamin C (82180) | $28.67 | $47 | 2.9× |
| Vitamin D 25-Hydroxy (82306) | $46.66 | $76.50 | 1.6× |
| Vitamin e serum (84446) | $36.60 | $60 | 2.6× |
| Von willebrand factor activity (85245) | $178.73 | $293 | 7.8× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $69.54 | $114 | 8.1× |
| West nile virus ab, igm (86788) | $84.79 | $139 | 5.0× |
| West nile virus antibody (86789) | $86.01 | $141 | 6.0× |
| Zinc (84630) | $17.69 | $29 | 1.6× |