Lab & pathology prices at CHI Health St. Elizabeth
Lincoln, NE · every code in this section with a posted price and a Medicare benchmark.
667 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) | $294.50 | $589 | 7.6× |
| 5 Hiaa (83497) | $71.50 | $143 | 5.5× |
| 5 Nucleotidase (83915) | $21 | $42 | 1.9× |
| Acetaminophen level (80143) | $252 | $504 | 13.5× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $106.50 | $213 | 5.8× |
| Acetylcholine receptor binding antibody (86041) | $106.50 | $213 | 5.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $106.50 | $213 | 8.8× |
| Acth stimulation panel adrenal (80400) | $147 | $294 | 4.5× |
| Actin smooth muscle antibody each (86015) | $64.50 | $129 | 5.4× |
| Activated protein c resistance (85307) | $59.50 | $119 | 3.9× |
| Acute hepatitis panel (80074) | $366.50 | $733 | 7.7× |
| Afb culture (87116) | $165.50 | $331 | 15.3× |
| Agglutinins febrile (86000) | $61 | $122 | 8.7× |
| Albumin Fluid (82042) | $30.50 | $61 | 3.9× |
| Albumin serum (82040) | $37 | $74 | 7.5× |
| Aldolase (82085) | $40.50 | $81 | 4.2× |
| Aldosterone urine (82088) | $242 | $484 | 5.9× |
| Alkaline phosphatase isoenzymes (84080) | $75 | $150 | 5.1× |
| Allerg sp igg quan or semiquan (86001) | $46.50 | $93 | 5.9× |
| Allergen specific ige (86003) | $64 | $128 | 12.3× |
| Alpha-1-antitrypsin phenotype (82104) | $79 | $158 | 5.5× |
| Alpha-1-antitrypsin, total (82103) | $81.50 | $163 | 6.1× |
| Alpha-fetoprotein, serum (82105) | $107 | $214 | 6.4× |
| Alt (sgpt) (84460) | $65.50 | $131 | 12.4× |
| Aluminum (82108) | $15 | $30 | 0.6× |
| Amikacin trough (80150) | $34.50 | $69 | 2.3× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $206 | $412 | 12.2× |
| Aminolevulinic acid (ala) (82135) | $114 | $228 | 6.9× |
| Ammonia (82140) | $137.50 | $275 | 9.4× |
| Amylase urine (82150) | $94 | $188 | 14.5× |
| Ana Titer (86039) | $16.50 | $33 | 1.5× |
| Angiotensin i enzyme test (82164) | $84 | $168 | 5.8× |
| Antibody Absorption (86978) | $102 | $204 | 1.7× |
| Antibody aspergillus (86606) | $42 | $84 | 2.8× |
| Antibody coxiella burnetii q fever (86638) | $29.50 | $59 | 2.4× |
| Antibody cytomegalovirus cmv (86644) | $83 | $166 | 5.8× |
| Antibody cytomegalovirus cmv igm (86645) | $160 | $320 | 9.5× |
| Antibody Detection Nos If (87299) | $123 | $246 | 7.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $88 | $176 | 6.7× |
| Antibody helicobacter pylori (86677) | $45 | $90 | 2.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $75 | $150 | 5.2× |
| Antibody herpes smplx type 1 (86695) | $161 | $322 | 12.2× |
| Antibody HIV-2 (86702) | $111 | $222 | 8.2× |
| Antibody identification (86870) | $169 | $338 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $121 | $242 | 8.0× |
| Antibody mumps (86735) | $17.50 | $35 | 1.3× |
| Antibody Protozoa Nes (86753) | $16.50 | $33 | 1.3× |
| Antibody rubeola (86765) | $83 | $166 | 6.4× |
| Antibody screen (86850) | $84.50 | $169 | 8.6× |
| Antibody treponema pallidum (86780) | $47.50 | $95 | 3.6× |
| Antibody; Coccidioides (86635) | $31 | $62 | 2.7× |
| Antigen typing (86905) | $169 | $338 | 44.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $120.50 | $241 | 23.3× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $73.50 | $147 | 6.1× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $64.50 | $129 | 5.4× |
| Antinuclear antibodies (86038) | $36.50 | $73 | 3.0× |
| Antistreptolysin o titer (86060) | $113 | $226 | 15.5× |
| Antithrombin iii activity (85300) | $145 | $290 | 12.2× |
| Apolipoprotein b (82172) | $21 | $42 | 1.0× |
| Aquaporin-4 Antb Elisa (86051) | $48.50 | $97 | 4.2× |
| Arsenic Urine (82175) | $142 | $284 | 7.5× |
| Aspergillus ag eia (87305) | $248 | $496 | 20.7× |
| Assay direct measurement free estradiol (82681) | $50.50 | $101 | 1.8× |
| Assay Nephelometry Not Spec (83883) | $27 | $54 | 2.0× |
| Assay of acth (82024) | $168.50 | $337 | 4.4× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) | $193.50 | $387 | 11.2× |
| Assay of androstenedione (82157) | $27 | $54 | 0.9× |
| Assay of anti-mullerian hormone (82166) | $106.50 | $213 | 2.8× |
| Assay of blood chloride (82435) | $55.75 | $111.50 | 12.1× |
| Assay of c-peptide (84681) | $119 | $238 | 5.7× |
| Assay of calcitonin (82308) | $70.50 | $141 | 2.6× |
| Assay of ceruloplasmin (82390) | $60.50 | $121 | 5.6× |
| Assay of cyclosporine (80158) | $40 | $80 | 2.2× |
| Assay of erythropoietin (82668) | $145.50 | $291 | 7.7× |
| Assay of ethosuximide (80168) | $25 | $50 | 1.5× |
| Assay of ferritin (82728) | $117.50 | $235 | 8.6× |
| Assay of g6pd enzyme (82955) | $36 | $72 | 3.7× |
| Assay of gammaglobulin igm (82784) | $63.50 | $127 | 6.8× |
| Assay of gastrin (82941) | $39.50 | $79 | 2.2× |
| Assay of gentamicin (80170) | $76.50 | $153 | 4.7× |
| Assay of homocystine (83090) | $160.50 | $321 | 9.0× |
| Assay of homovanillic acid (83150) | $205 | $410 | 9.1× |
| Assay of lipoprotein(a) (83695) | $26.50 | $53 | 1.9× |
| Assay of manganese (83785) | $53.50 | $107 | 2.0× |
| Assay of metanephrines (83835) | $135.50 | $271 | 8.0× |
| Assay of osteocalcin (83937) | $61 | $122 | 2.0× |
| Assay of parathormone (83970) | $239.50 | $479 | 5.8× |
| Assay of phenobarbital (80184) | $87.50 | $175 | 5.7× |
| Assay of prealbumin (84134) | $97.50 | $195 | 6.7× |
| Assay of proinsulin (84206) | $43 | $86 | 1.6× |
| Assay of prostate specific antigen complexed (84152) | $382.50 | $765 | 20.8× |
| Assay of pyruvate (84210) | $156 | $312 | 10.8× |
| Assay of selenium (84255) | $111.50 | $223 | 4.4× |
| Assay of serotonin (84260) | $130 | $260 | 4.2× |
| Assay of somatomedin (84305) | $167.50 | $335 | 7.9× |
| Assay of tacrolimus (80197) | $92.50 | $185 | 6.7× |
| Assay of urine vma (84585) | $54 | $108 | 3.5× |
| Assay of vitamin k (84597) | $70.50 | $141 | 5.1× |
| Assay of volatiles (84600) | $34.50 | $69 | 2.0× |
| Assay Ph Body Fluid Nos (83986) | $57 | $114 | 15.9× |
| Ast (sgot) (84450) | $49 | $98 | 9.5× |
| B cells total count (86355) | $80.50 | $161 | 2.1× |
| Bartonella antibody (86611) | $53 | $106 | 5.2× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $40 | $80 | 1.6× |
| Beta hydroxybutyrate (82010) | $111 | $222 | 13.6× |
| Beta Lactamase (87185) | $105 | $210 | 22.1× |
| Beta-2 microglobulin (82232) | $83.50 | $167 | 5.2× |
| Bile acids, total (82239) | $33 | $66 | 1.9× |
| Bilirubin direct (82248) | $49.50 | $99 | 9.9× |
| Bilirubin total (82247) | $66 | $132 | 13.1× |
| Bilirubin total transcutaneous (88720) | $33.75 | $67.50 | 6.7× |
| Biotinidase ea specimen (82261) | $48.50 | $97 | 2.9× |
| Bl Smear W/Diff Wbc Count (85007) | $51.25 | $102.50 | 13.5× |
| Blastomyces antibody (86612) | $27.50 | $55 | 2.1× |
| Bleeding time (85002) | $115.50 | $231 | 24.0× |
| Blood Count Automated Differential Wbc Count (85004) | $62 | $124 | 9.6× |
| Blood count reticulocyte automated (85045) | $44 | $88 | 11.0× |
| Blood gases (82803) | $215 | $430 | 8.2× |
| Blood gases w/02 saturation (82805) | $318 | $636 | 4.0× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $66 | $132 | 6.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $24 | $48 | 1.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $30 | $60 | 6.8× |
| Blood Ph - Ph Venous (82800) | $84.50 | $169 | 7.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $144 | $288 | 22.7× |
| Blood typing abo (86900) | $67 | $134 | 22.4× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $44 | $88 | 2.7× |
| Blood typing serologic rh (d) (86901) | $54.75 | $109.50 | 18.3× |
| Blood typing serologic rh phenotyping complete (86906) | $44.50 | $89 | 5.7× |
| Body fluid cell count (89051) | $169 | $338 | 30.2× |
| Body fluid cell count (89050) | $27.50 | $55 | 5.8× |
| Bone Marrow Smear Interpretation (85097) | $434.50 | $869 | 0.5× |
| Bordetella antibody (86615) | $38 | $76 | 2.9× |
| Braf gene (81210) | $306 | $612 | 1.7× |
| Brucella antibody (86622) | $55.50 | $111 | 6.2× |
| C diff amplified probe (87493) | $189 | $378 | 5.1× |
| C-reactive protein (86140) | $131.50 | $263 | 25.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $120 | $240 | 9.3× |
| Ca 125 (86304) | $119 | $238 | 5.7× |
| Ca 19-9 (86301) | $256.50 | $513 | 12.3× |
| Ca 27 29 (86300) | $81 | $162 | 3.9× |
| Cadmium level (82300) | $16 | $32 | 0.7× |
| Caffeine (80155) | $18.50 | $37 | 0.5× |
| Calcium ionized (82330) | $103 | $206 | 7.5× |
| Calcium total (82310) | $94 | $188 | 18.2× |
| Calcium urine (82340) | $43.50 | $87 | 7.2× |
| Calculus Spectroscopy (82365) | $121.50 | $243 | 9.4× |
| Calprotectin, fecal (83993) | $468 | $936 | 23.8× |
| Candida DNA dir probe (87480) | $69 | $138 | 3.4× |
| Carbamazepine (tegretol) total (80156) | $92 | $184 | 6.3× |
| Carbamazepine free (80157) | $75.50 | $151 | 5.7× |
| Carbon dioxide (82374) | $11.50 | $23 | 2.4× |
| Carboxyhemoglobin Quantitative (82375) | $102.50 | $205 | 8.3× |
| Carcinoembryonic antigen (82378) | $114.50 | $229 | 6.0× |
| Cardiolipin ab igg (86147) | $147.50 | $295 | 5.8× |
| Carnitine (82379) | $35.50 | $71 | 2.1× |
| Carotene (82380) | $57 | $114 | 6.2× |
| Catecholamines fraction plasma (82384) | $54 | $108 | 2.1× |
| Catecholamines organic nitrogen blood level (82383) | $73.50 | $147 | 2.5× |
| Cd4 absolute count (86361) | $39.50 | $79 | 1.5× |
| Cell saver (86891) | $765.50 | $1,531 | 0.9× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $396 | $792 | 2.9× |
| Cftr gene com variants (81220) | $466.50 | $933 | 0.8× |
| Chemiluminescent assay (82397) | $81.75 | $163.50 | 5.8× |
| Chlamydia antibody (86631) | $12.50 | $25 | 1.1× |
| Chlamydia Igm Antibody (86632) | $12.50 | $25 | 1.0× |
| Chloride other source (82438) | $20 | $40 | 4.0× |
| Chloride urine (82436) | $29.50 | $59 | 5.1× |
| Cholesterol total (82465) | $27 | $54 | 6.2× |
| Cholinesterase serum (82480) | $41 | $82 | 5.2× |
| Chrmsm analysis addl cells counted each study (88285) | $96.50 | $193 | 3.6× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $856.50 | $1,713 | 6.8× |
| Chromium urine (82495) | $202 | $404 | 10.0× |
| Chromogranin a (86316) | $117 | $234 | 5.6× |
| Chromosome analysis 20-25 cells (88264) | $420 | $840 | 2.9× |
| Chromosome Analysis 5 (88261) | $633.50 | $1,267 | 2.4× |
| Chromosome karyotype study (88280) | $856.50 | $1,713 | 25.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $108.50 | $217 | 3.1× |
| Citrate (82507) | $14 | $28 | 0.5× |
| Ck isoenzymes (82552) | $70 | $140 | 5.2× |
| Ckmb (82553) | $23 | $46 | 2.0× |
| Clot factor viii vw antigen (85246) | $103 | $206 | 4.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $558.50 | $1,117 | 31.2× |
| Clozapine level (80159) | $35 | $70 | 1.7× |
| Cmv PCR (87496) | $107 | $214 | 3.0× |
| Cns DNA amp probe type 12-25 (87483) | $910.50 | $1,821 | 2.2× |
| Coagulation time activated (85347) | $72 | $144 | 16.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $152.50 | $305 | 6.3× |
| Cold agglutinin titer (86157) | $149 | $298 | 18.5× |
| Collagen cross links (82523) | $117 | $234 | 6.3× |
| Compatibility test antiglob (86922) | $291.50 | $583 | 1.6× |
| Complement c3 (86160) | $86 | $172 | 7.2× |
| Complement total ch50 (86162) | $28.50 | $57 | 1.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $58.50 | $117 | 4.9× |
| Concentration Infectious Agent (87015) | $25 | $50 | 3.7× |
| Coombs direct (86880) | $107.50 | $215 | 19.9× |
| Copper urine (82525) | $42 | $84 | 3.4× |
| Cortisol free (82530) | $59 | $118 | 3.5× |
| Cortisol total (82533) | $149.50 | $299 | 9.2× |
| Creatine kinase total (82550) | $119 | $238 | 18.3× |
| Creatinine blood (82565) | $54.75 | $109.50 | 10.7× |
| Creatinine clearance (82575) | $101.50 | $203 | 10.7× |
| Creatinine other source (82570) | $85 | $170 | 16.4× |
| Crossmatch immediate spin (86920) | $155 | $310 | 0.9× |
| Cryoglobulin (82595) | $17.50 | $35 | 2.7× |
| Cryptococcal Antigen (87327) | $124 | $248 | 9.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $135 | $270 | 16.7× |
| Culture Aerobic Identify (87077) | $41.50 | $83 | 5.1× |
| Culture anaerobic (87075) | $214 | $428 | 22.6× |
| Culture blood (87040) | $214.50 | $429 | 20.8× |
| Culture chlamydia (87110) | $81.50 | $163 | 4.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $50.50 | $101 | 6.5× |
| Culture fungus blood (87103) | $116 | $232 | 5.7× |
| Culture fungus id yeast (87106) | $59 | $118 | 5.7× |
| Culture fungus other (87102) | $254 | $508 | 30.2× |
| Culture genital (87070) | $91 | $182 | 10.6× |
| Culture screen only (87081) | $95.50 | $191 | 14.4× |
| Culture stool (87045) | $128 | $256 | 13.6× |
| Culture typing if ea antiserum (87140) | $26.50 | $53 | 4.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $120 | $240 | 23.2× |
| Culture urine (87086) | $77.50 | $155 | 9.6× |
| Culture urine id ea isolate (87088) | $55.50 | $111 | 6.9× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $303 | $606 | 2.6× |
| Cyclic Citrullinated Peptide (86200) | $64 | $128 | 4.9× |
| Cystatin c (82610) | $49.50 | $99 | 2.7× |
| Cytogenetics DNA probe (88271) | $69.50 | $139 | 3.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $404.50 | $809 | 9.4× |
| Cytopath cell enhance tech (88112) | $51 | $102 | 0.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $44 | $88 | 1.1× |
| Cytopath Smear Other Source (88160) | $31 | $62 | 1.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $81 | $162 | 3.0× |
| Cytp concentration smears & interpretation (88108) | $50.50 | $101 | 1.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $69 | $138 | 1.3× |
| Cytp fna eval dx 1st each site (88172) | $18.50 | $37 | 0.1× |
| Cytp slides cerv/vag mnl scrn physician supv (88164) | $54 | $108 | 2.9× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $82 | $164 | 1.5× |
| D-Dimer (85379) | $190.50 | $381 | 18.7× |
| D-Dimer (85378) | $52 | $104 | 5.3× |
| Deoxycortisol (82634) | $109 | $218 | 3.7× |
| Deoxyribonuclease antibody (86215) | $15.50 | $31 | 1.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $22 | $44 | 1.3× |
| Detect agnt mult DNA ampli (87801) | $276.50 | $553 | 3.9× |
| Dhea (82626) | $19 | $38 | 0.8× |
| Dhea sulfate (82627) | $163 | $326 | 7.3× |
| Digoxin (80162) | $98.50 | $197 | 7.4× |
| Dilantin (80185) | $59 | $118 | 4.5× |
| Dipropylacetic acid free (80165) | $144.50 | $289 | 10.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $51 | $102 | 3.7× |
| Dna/Rna Amplified Probe (87150) | $89.50 | $179 | 2.6× |
| DNA/RNA direct probe (87149) | $143 | $286 | 7.1× |
| Drug Assay Amiodarone (80151) | $123.50 | $247 | 6.6× |
| Drug assay carbamazepine -10,11-epoxide (80161) | $50.50 | $101 | 2.7× |
| Drug assay felbamate (80167) | $211.50 | $423 | 11.3× |
| Drug assay flecainide (80181) | $50.50 | $101 | 2.7× |
| Drug assay itraconazole (80189) | $50.50 | $101 | 1.9× |
| Drug Assay Lacosamide (80235) | $203 | $406 | 7.5× |
| Drug assay methotrexate (80204) | $93.25 | $186.50 | 2.4× |
| Drug assay voriconazole (80285) | $105 | $210 | 3.9× |
| Drug Screen Quant Gabapentin (80171) | $77.50 | $155 | 3.6× |
| Drug screen quant zonisamide (80203) | $77.50 | $155 | 5.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $43 | $86 | 3.2× |
| Drug Scrn Quan Levetiracetam (80177) | $106.50 | $213 | 8.0× |
| Drug scrn quant oxcarbazepin (80183) | $180.50 | $361 | 13.6× |
| Drug test prsmv chem anlyzr (80307) | $298.50 | $597 | 4.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $90 | $180 | 7.1× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $41 | $82 | 2.4× |
| Ebv viral capsid (86665) | $87.25 | $174.50 | 4.8× |
| Echinococcus ab igg (86682) | $28 | $56 | 2.2× |
| Ehrlichia antibody (86666) | $20 | $40 | 2.0× |
| Elastase pancreatic fecal quantitative (82653) | $142 | $284 | 6.2× |
| Electrolyte panel (80051) | $114.75 | $229.50 | 16.4× |
| Electron microscopy diagnostic (88348) | $751.50 | $1,503 | 0.9× |
| Electronic crossmatch (86923) | $154 | $308 | 0.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $87.50 | $175 | 1.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $108.50 | $217 | 9.0× |
| Endomysial antibody iga (86255) | $70 | $140 | 5.8× |
| Enterovirus antibody (86658) | $36.50 | $73 | 2.8× |
| Enterovirus Pcr (87498) | $74.50 | $149 | 2.1× |
| Enzyme cell activity (82657) | $416.25 | $832.50 | 18.8× |
| Enzyme histochemistry (88319) | $378 | $756 | 0.5× |
| Eosinophil count (85048) | $35 | $70 | 13.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $88 | $176 | 5.8× |
| Estradiol (82670) | $157.50 | $315 | 5.6× |
| Estriol (82677) | $20 | $40 | 0.8× |
| Estrogen fractionated (82671) | $42.50 | $85 | 1.3× |
| Estrone (82679) | $41.50 | $83 | 1.7× |
| Ethylene glycol (82693) | $53 | $106 | 3.6× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $344 | $688 | 3.5× |
| Everolimus (80169) | $33 | $66 | 2.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $43 | $86 | 5.9× |
| F2 gene analysis 20210g >a variant (81240) | $291.50 | $583 | 4.4× |
| F5 gene (81241) | $291.50 | $583 | 4.0× |
| Factor ii activity (85210) | $66 | $132 | 5.1× |
| Factor inhibitor test (85335) | $106.50 | $213 | 8.3× |
| Factor ix activity (85250) | $164 | $328 | 8.6× |
| Factor v activity (85220) | $58 | $116 | 3.3× |
| Factor vii assay (85230) | $70 | $140 | 3.9× |
| Factor viii ahg (85240) | $86 | $172 | 4.8× |
| Factor viii vw multimetric (85247) | $191 | $382 | 8.3× |
| Factor xi assay (85270) | $135.50 | $271 | 7.6× |
| Factor xii assay (85280) | $131 | $262 | 6.8× |
| Fat stain (89125) | $19 | $38 | 3.2× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) | $105 | $210 | 13.6× |
| Fecal fat qual (82705) | $28 | $56 | 5.5× |
| Fecal fat quant (82710) | $211.50 | $423 | 12.6× |
| Fetal bleed screen (85461) | $105.50 | $211 | 11.3× |
| Fetal fibronectin (82731) | $488 | $976 | 7.6× |
| Fibrin degradation products (85362) | $76 | $152 | 11.0× |
| Fibrinogen activity (85384) | $124.50 | $249 | 12.8× |
| Flow cytometry first marker (88184) | $224.50 | $449 | 0.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $116 | $232 | 9.6× |
| Folate serum (82746) | $114 | $228 | 7.8× |
| Folic acid rbc (82747) | $31 | $62 | 1.8× |
| Follicle Stimulating Hormone (83001) | $129 | $258 | 6.9× |
| Francisella Tularensis (86668) | $50 | $100 | 3.5× |
| Frozen Section (88331) | $180 | $360 | 1.0× |
| Fructosamine (82985) | $35.50 | $71 | 2.1× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $79 | $158 | 7.7× |
| G6pd Screen (82960) | $78 | $156 | 12.9× |
| Galactose (82760) | $47.50 | $95 | 4.2× |
| Galactose transferase test (82776) | $42 | $84 | 3.6× |
| Gammaglobulin ige (82785) | $105 | $210 | 6.4× |
| Gardner vag DNA dir probe (87510) | $46.50 | $93 | 2.3× |
| Gastric Occult Blood (82271) | $37 | $74 | 7.0× |
| Ggt (82977) | $65.50 | $131 | 9.1× |
| Giardia antigen eia stool (87329) | $116.50 | $233 | 9.7× |
| Gliadin antibody each immunoglobulin class (86258) | $53.50 | $107 | 4.4× |
| Glucose (82947) | $20.25 | $40.50 | 5.2× |
| Glucose Blood Test (82962) | $42 | $84 | 12.8× |
| Glucose body fluid (82945) | $61 | $122 | 15.5× |
| Glucose post dose (82950) | $64 | $128 | 13.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $80 | $160 | 20.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $282.50 | $565 | 22.0× |
| Growth hormone (83003) | $36.50 | $73 | 2.2× |
| Haptoglobin (83010) | $104.50 | $209 | 8.3× |
| Hcg qualitative (84703) | $140 | $280 | 18.6× |
| Hcg quant (84702) | $101.50 | $203 | 6.7× |
| Hdl Cholesterol (83718) | $28 | $56 | 3.4× |
| Heavy metal quant each (83018) | $65.50 | $131 | 3.0× |
| Hematocrit (85014) | $29.50 | $59 | 12.4× |
| Hemoglobin (85018) | $35 | $70 | 14.8× |
| Hemoglobin a1c (83036) | $87.50 | $175 | 9.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $95 | $190 | 5.3× |
| Hemoglobin electrophoresis (83020) | $141 | $282 | 11.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $238 | $476 | 30.8× |
| Hemoglobin Methemoglobin Quantitative (83050) | $65.50 | $131 | 8.0× |
| Hemoglobin plasma (83051) | $72 | $144 | 9.8× |
| Hemolysins And Agglutinins Incubated (86941) | $105 | $210 | 8.7× |
| Hemolysins/agglutinins auto screen (86940) | $105 | $210 | 12.0× |
| Hemosiderin urine (83070) | $17.50 | $35 | 3.7× |
| Heparin assay (85520) | $231.50 | $463 | 17.7× |
| Hepatitis a antibody total (86708) | $71.50 | $143 | 5.8× |
| Hepatitis a igm (86709) | $117 | $234 | 10.4× |
| Hepatitis b core ab igm (86705) | $71 | $142 | 6.0× |
| Hepatitis b core antibody total (86704) | $93.50 | $187 | 7.8× |
| Hepatitis B Surface Ab (86706) | $104 | $208 | 9.7× |
| Hepatitis B Surface Antigen (87340) | $93 | $186 | 9.0× |
| Hepatitis be antibody (86707) | $49.50 | $99 | 4.3× |
| Hepatitis Be Antigen (87350) | $41 | $82 | 3.6× |
| Hepatitis c antibody (86803) | $105 | $210 | 7.4× |
| Hepatitis C Genotype (87902) | $532.50 | $1,065 | 2.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $437 | $874 | 12.5× |
| Hepatitis delta ab (86692) | $160.50 | $321 | 9.4× |
| Herpes culture (87252) | $191.50 | $383 | 7.3× |
| Herpes simplex type 2 (86696) | $161.50 | $323 | 8.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $74.50 | $149 | 14.4× |
| Hfe gene (81256) | $54.50 | $109 | 0.8× |
| Histoplasma antibody (86698) | $28.50 | $57 | 2.1× |
| Histoplasma antigen urine (87385) | $149.50 | $299 | 11.3× |
| HIV confirmation (86689) | $272.50 | $545 | 14.1× |
| HIV-1 antibody (86701) | $146 | $292 | 16.4× |
| HIV-1 genotype (87901) | $176.50 | $353 | 0.7× |
| HIV-1 integrase genotype (87906) | $197 | $394 | 1.5× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $85.50 | $171 | 6.2× |
| Hla class ii typing high resolution one locus ea (81382) | $241.50 | $483 | 2.0× |
| Hla-b27 (86812) | $236 | $472 | 9.1× |
| Homogenization tissue (87176) | $38.50 | $77 | 6.5× |
| Hpv types 16 & 18 only (87625) | $295 | $590 | 7.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $132 | $264 | 3.8× |
| Htlv-i antibody (86687) | $73.50 | $147 | 8.1× |
| Htlv-ii antibody (86688) | $249 | $498 | 17.8× |
| Hydroxyprogesterone 17-d (83498) | $61.50 | $123 | 2.3× |
| Iaad ia clostridium difficile toxin (87324) | $219.50 | $439 | 18.3× |
| Iaad ia cryptosporidium (87328) | $103 | $206 | 7.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $28 | $56 | 2.7× |
| Iaad ia HIV-1 (87390) | $617 | $1,234 | 25.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $130.50 | $261 | 5.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $114.50 | $229 | 8.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $50 | $100 | 3.6× |
| Iaad ia rotavirus (87425) | $34.50 | $69 | 2.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $55 | $110 | 1.6× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $42.25 | $84.50 | 3.5× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $110 | $220 | 3.4× |
| Iaadiadoo not otherwise specified (87899) | $106 | $212 | 6.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $50 | $100 | 1.4× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $317 | $634 | 9.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $27 | $54 | 0.8× |
| Iadna hepatitis b virus quantification (87517) | $419 | $838 | 9.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $365 | $730 | 8.5× |
| Iadna herpes virus-6 quantification (87533) | $124 | $248 | 3.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $82 | $164 | 2.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $743.50 | $1,487 | 8.7× |
| Iadna human papillomavirus high-risk types (87624) | $163 | $326 | 4.6× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $157 | $314 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $27 | $54 | 0.8× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $90 | $180 | 2.6× |
| Iadna nos amplified probe tq each organism (87798) | $171.25 | $342.50 | 4.9× |
| Iadna nos quantification each organism (87799) | $166.25 | $332.50 | 3.9× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $102 | $204 | 2.9× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $718 | $1,436 | 1.7× |
| Igg subclasses (82787) | $56 | $112 | 7.0× |
| Igh gene rearrange amp meth (81261) | $261.50 | $523 | 1.3× |
| Immunfix e-phorsis/urine/csf (86335) | $219 | $438 | 7.5× |
| Immunoassay infectious agent antibody quan nos (86317) | $121 | $242 | 8.1× |
| Immunoassay nonantibody (83516) | $26.75 | $53.50 | 2.3× |
| Immunodiffusion not elsewhere specified (86329) | $34.50 | $69 | 2.5× |
| Immunodiffusion Ouchterlony (86331) | $17 | $34 | 1.4× |
| Immunofixj Electrophoresis Serum (86334) | $178.50 | $357 | 8.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $155.50 | $311 | 0.9× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $25 | $50 | 2.1× |
| Immunoglobulin assay (86023) | $195.50 | $391 | 15.7× |
| Immunoglobulin light chains free each (83521) | $105.50 | $211 | 6.1× |
| Immunohisto Antibody Slide (88344) | $110 | $220 | 0.3× |
| Immunohistochemistry (88342) | $113 | $226 | 0.6× |
| India ink prep (87210) | $80 | $160 | 13.7× |
| Inhibin a (86336) | $40 | $80 | 2.6× |
| Inhibin b (83520) | $214.75 | $429.50 | 12.4× |
| Insitu hybridization (fish) (88365) | $126 | $252 | 0.7× |
| Insitu hybridization manual (88368) | $445.50 | $891 | 1.2× |
| Insulin antibodies (86337) | $137.50 | $275 | 6.4× |
| Insulin free (83527) | $29.50 | $59 | 2.3× |
| Insulin total (83525) | $144.50 | $289 | 12.6× |
| Intraop cyto path consult 1 (88333) | $405.50 | $811 | 0.5× |
| Intrinsic factor antibody (86340) | $109.50 | $219 | 7.3× |
| Iron (83540) | $69.50 | $139 | 10.7× |
| Iron binding capacity (83550) | $91 | $182 | 10.4× |
| Islet cell antibody (86341) | $354 | $708 | 15.0× |
| Jak2 gene analysis (81270) | $480.50 | $961 | 5.2× |
| Ketosteroids 17; total (83586) | $78 | $156 | 6.1× |
| Koh Prep (87220) | $53.50 | $107 | 12.5× |
| Lactic acid (83605) | $115 | $230 | 9.9× |
| Lactoferrin fecal qualitative (83630) | $57 | $114 | 2.9× |
| Ldh (83615) | $58.50 | $117 | 9.7× |
| Ldh isoenzymes (83625) | $108.50 | $217 | 8.5× |
| LDL cholesterol direct (83721) | $94 | $188 | 9.0× |
| Lead (83655) | $73.50 | $147 | 6.1× |
| Legion pneumo, DNA, amp prob (87541) | $127.50 | $255 | 3.6× |
| Legionella antigen urine (87449) | $201.50 | $403 | 16.8× |
| Leptospira antibody (86720) | $76 | $152 | 4.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $16 | $32 | 3.7× |
| Level ii surg pathology grossµscopic exam (88302) | $51 | $102 | 1.3× |
| Level v surg pathology grossµscopic exam (88307) | $166.50 | $333 | 0.4× |
| Level vi surg pathology grossµscopic exam (88309) | $166.50 | $333 | 0.2× |
| Lh (83002) | $143 | $286 | 7.7× |
| Lidocaine level (80176) | $97 | $194 | 6.6× |
| Lipase (83690) | $110 | $220 | 16.0× |
| Listeria ab (86609) | $90.50 | $181 | 7.0× |
| Lithium (80178) | $126 | $252 | 19.1× |
| Lyme disease antibody (86618) | $138.50 | $277 | 8.1× |
| Lyme disease antibody confirm (86617) | $70 | $140 | 4.5× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $420 | $840 | 2.4× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $299.25 | $598.50 | 1.7× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $88.50 | $177 | 0.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $152.50 | $305 | 0.9× |
| Macroscopic exam parasite (87169) | $22 | $44 | 5.1× |
| Magnesium (83735) | $72.50 | $145 | 10.8× |
| Malaria smear (87207) | $110 | $220 | 18.4× |
| Manual Diff Wbc Count B-Coat (85009) | $48 | $96 | 9.5× |
| Mass spectrometry qual/quan (83789) | $159.25 | $318.50 | 6.6× |
| Mercury (83825) | $324.50 | $649 | 20.0× |
| Methotrexate (80299) | $103.50 | $207 | 5.6× |
| Methylmalonic acid serum (83921) | $29 | $58 | 1.4× |
| Microalbumin urine (82043) | $59.50 | $119 | 10.3× |
| Microbe susceptible diffuse (87181) | $38.50 | $77 | 8.1× |
| Microsatellite instability (81301) | $565 | $1,130 | 1.6× |
| Microsomal antibodies (86376) | $125 | $250 | 8.6× |
| Mitochondrial antibody each (86381) | $51.50 | $103 | 2.0× |
| Mog-igg1 antibody flow cytometry each (86363) | $400 | $800 | 10.6× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $91.50 | $183 | 1.8× |
| Molecular pathology procedure level 2 (81401) | $140.50 | $281 | 1.0× |
| Mononuclear cell antigen (86356) | $85 | $170 | 3.2× |
| Morphometric analysis tumor (88358) | $82 | $164 | 0.5× |
| Mrsa amp probe (87641) | $95 | $190 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $129.50 | $259 | 2.0× |
| Muramidase (85549) | $79 | $158 | 4.2× |
| Muscle-specific kinase (musk) antibody (86366) | $106.50 | $213 | 5.8× |
| Mycobacteric Identification (87118) | $112 | $224 | 7.7× |
| Mycophenolic acid (80180) | $33 | $66 | 1.8× |
| Mycoplasma antibody (86738) | $60.50 | $121 | 4.6× |
| Mycoplasma culture (87109) | $108 | $216 | 7.0× |
| Mycoplasma genitalium PCR (87563) | $102 | $204 | 2.9× |
| Myelin basic protein csf (83873) | $108 | $216 | 6.3× |
| Myoglobin urine (83874) | $99 | $198 | 7.7× |
| Nasal smear for eosinophils (89190) | $31 | $62 | 5.4× |
| Natriuretic peptide (83880) | $196 | $392 | 5.0× |
| Nfct ds bv&vaginitis DNA alg (81514) | $263 | $526 | 1.0× |
| Niacin (84591) | $87.50 | $175 | 5.1× |
| Nk cells total count (86357) | $76 | $152 | 2.0× |
| Nmr Lipoprofile (83704) | $23.50 | $47 | 0.7× |
| Nuclear antigen antibody (86235) | $44.75 | $89.50 | 2.5× |
| Obstetric panel (80081) | $454.50 | $909 | 6.1× |
| Occult blood stool (82272) | $30 | $60 | 7.1× |
| Oligoclonal bands (83916) | $130.50 | $261 | 4.8× |
| Organic Acids Total Quantitative Each Specimen (83918) | $109.25 | $218.50 | 4.6× |
| Osmolality serum (83930) | $134 | $268 | 20.3× |
| Osmolality urine (83935) | $53 | $106 | 7.8× |
| Osmotic fragility rbc incubated (85557) | $86 | $172 | 6.4× |
| Ova and parasite direct-id lca (87177) | $74.50 | $149 | 8.4× |
| Oxalate urine (83945) | $8.50 | $17 | 0.6× |
| Pancreatic elastase fecal (82656) | $162 | $324 | 14.1× |
| Pancreatic polypeptide (83519) | $96.50 | $193 | 5.2× |
| Particle Agglutination Screen Each Antibody (86403) | $36 | $72 | 3.1× |
| Parvovirus antibody (86747) | $95.50 | $191 | 6.4× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $210 | $420 | 3.0× |
| Phenotype Infect Agent Drug (87900) | $176.50 | $353 | 1.4× |
| Phenylalanine (84030) | $93.50 | $187 | 17.0× |
| Phenytoin free (80186) | $52.50 | $105 | 3.8× |
| Phosphatase alkaline (84075) | $60 | $120 | 11.6× |
| Phospholipid Neutralization Hexagonal (85598) | $30 | $60 | 1.7× |
| Phosphorus blood (84100) | $54.50 | $109 | 11.5× |
| Phosphorus urine (84105) | $33.50 | $67 | 5.8× |
| Pinworm exam (87172) | $41.50 | $83 | 9.7× |
| Plasminogen (85420) | $146 | $292 | 22.4× |
| Platelet aggregation (85576) | $102 | $204 | 4.1× |
| Platelet count (85049) | $60.50 | $121 | 13.5× |
| Platelet neutralization (85597) | $124 | $248 | 6.9× |
| Pooling blood platelets (86965) | $42 | $84 | 0.2× |
| Porphobilinogen urine quant (84110) | $94 | $188 | 11.1× |
| Porphyrins qn & fraction urine (84120) | $39.50 | $79 | 2.7× |
| Porphyrins urine qual (84119) | $50.50 | $101 | 3.8× |
| Potassium (84132) | $51.50 | $103 | 10.8× |
| Potassium urine (84133) | $31.50 | $63 | 6.7× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $148 | $296 | 0.8× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $57.50 | $115 | 0.3× |
| Primidone (80188) | $61 | $122 | 3.7× |
| Procainamide napa (80192) | $57.50 | $115 | 3.4× |
| Procalcitonin (pct) (84145) | $130.50 | $261 | 4.8× |
| Progesterone (84144) | $121 | $242 | 5.8× |
| Prolactin (84146) | $99 | $198 | 5.1× |
| Protein body fluid (84157) | $39.50 | $79 | 9.9× |
| Protein c activity (85303) | $43.50 | $87 | 3.1× |
| Protein c antigen (85302) | $254 | $508 | 21.1× |
| Protein electrophoresis serum (84165) | $65.50 | $131 | 6.1× |
| Protein Electrophoresis Urine (84166) | $133.50 | $267 | 7.5× |
| Protein S Functional (85306) | $43.50 | $87 | 2.8× |
| Protein s total (85305) | $174.50 | $349 | 15.0× |
| Protein Total Serum (84155) | $73 | $146 | 19.9× |
| Protein urine (84156) | $60.50 | $121 | 16.5× |
| Protein Western Blot (84182) | $63 | $126 | 2.2× |
| Protein westrn blot i&r blood/other fluid (84181) | $98 | $196 | 5.8× |
| Prothrombin time substitution (85611) | $77 | $154 | 19.5× |
| Protoporphyrin rbc quantitative (84202) | $164.50 | $329 | 11.5× |
| PSA free (84154) | $167.50 | $335 | 9.1× |
| Quantiferon tb gold (86480) | $218 | $436 | 3.5× |
| Quinidine (80194) | $62.50 | $125 | 4.3× |
| Rbc antibody elution (86860) | $104.50 | $209 | 0.6× |
| Rbc pretx incubatj w/chemicl (86970) | $40 | $80 | 0.7× |
| Reducing substances, stool (84376) | $24 | $48 | 4.4× |
| Ref consult prep elsewhere (88321) | $198 | $396 | 5.1× |
| Renin activity plasma (84244) | $131 | $262 | 6.0× |
| Resp virus 3-5 targets (87631) | $319 | $638 | 2.2× |
| Respiratory viral panel PCR (87633) | $1,225.50 | $2,451 | 2.9× |
| Reticulated platelet assay (85055) | $20 | $40 | 0.6× |
| Rheumatoid factor quant (86431) | $51.50 | $103 | 9.1× |
| Rickettsia antibody (86757) | $42 | $84 | 2.2× |
| Rpr Titer (86593) | $25.50 | $51 | 5.8× |
| Rsv (87807) | $27 | $54 | 2.1× |
| Rubella antibody (86762) | $88 | $176 | 6.1× |
| Russell viper venom time diluted (85613) | $87 | $174 | 9.1× |
| Saccharomyces ab iga (86671) | $59 | $118 | 4.8× |
| Salicylate (80179) | $206.50 | $413 | 11.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $88 | $176 | 1.7× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $48 | $96 | 1.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $187 | $374 | 1.3× |
| Sed rate automated (85652) | $61.50 | $123 | 22.8× |
| Sensitivity mic (87186) | $88.50 | $177 | 10.2× |
| Serotonin Release Assay (86022) | $151.50 | $303 | 8.2× |
| Sex hormone binding globulin (84270) | $156 | $312 | 7.2× |
| Sickle cell screen (85660) | $42 | $84 | 7.6× |
| Sirolimus (rapamycin) (80195) | $109 | $218 | 7.9× |
| Smear acid fast (87206) | $70.50 | $141 | 13.1× |
| Smear complex stain (87209) | $125.50 | $251 | 7.0× |
| Smear gram stain (87205) | $59 | $118 | 13.8× |
| Sodium (84295) | $58 | $116 | 12.1× |
| Sodium other source (84302) | $20 | $40 | 4.1× |
| Sodium urine (84300) | $54.50 | $109 | 10.8× |
| Soluble transferrin receptor (84238) | $30 | $60 | 0.8× |
| Somatostatin (84307) | $320 | $640 | 17.5× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $60.50 | $121 | 0.4× |
| Special stains group 1 (88312) | $86 | $172 | 1.6× |
| Specific gravity body fluid (84315) | $24 | $48 | 7.3× |
| Spectrophotometry (84311) | $50.50 | $101 | 6.2× |
| Splitting blood/blood products each unit (86985) | $136 | $272 | 0.8× |
| Stool Cultr Aerobic Bact Ea (87046) | $85.50 | $171 | 9.1× |
| Strep a assay w/optic (87880) | $118 | $236 | 7.1× |
| Strep a DNA amp probe (87651) | $22 | $44 | 0.6× |
| Strep b DNA amp probe (87653) | $67 | $134 | 1.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $93 | $186 | 1.0× |
| Sulfate urine (84392) | $8.50 | $17 | 1.5× |
| Surg path level iii (88304) | $52.50 | $105 | 1.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $24.50 | $49 | 0.8× |
| Surgical pathology level IV (88305) | $149.75 | $299.50 | 2.8× |
| Susceptibility study antimicrobial disk method (87184) | $53.50 | $107 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $144.50 | $289 | 3.1× |
| T cells, total count (86359) | $111 | $222 | 2.9× |
| T3 free (84481) | $272.50 | $545 | 16.1× |
| T3 reverse (84482) | $43 | $86 | 2.7× |
| T3 total (84480) | $99.50 | $199 | 7.0× |
| T3 uptake (84479) | $42 | $84 | 6.5× |
| T4 Free (84439) | $73.50 | $147 | 8.1× |
| T4 total (84436) | $32.50 | $65 | 4.7× |
| T4-neonatal (84437) | $20 | $40 | 3.1× |
| Tb intradermal test (86580) | $42.32 | $84.62 | 1.4× |
| Testosterone free (84402) | $94.50 | $189 | 3.7× |
| Testosterone total (84403) | $146 | $292 | 5.7× |
| Theophylline (80198) | $65 | $130 | 4.6× |
| Thiocyanate (84430) | $116.50 | $233 | 10.0× |
| Thrombin time plasma (85670) | $58.50 | $117 | 10.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $69.50 | $139 | 10.7× |
| Thyroglobulin (84432) | $162 | $324 | 10.1× |
| Thyroglobulin Ab (86800) | $46.50 | $93 | 2.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $219 | $438 | 4.3× |
| Thyroxine binding globulin (84442) | $111.50 | $223 | 7.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $51.50 | $103 | 4.5× |
| Tissue culture bone marrow (88237) | $655 | $1,310 | 4.6× |
| Tissue Culture Lymphocyte (88230) | $339 | $678 | 2.9× |
| Tissue culture placenta (88235) | $715 | $1,430 | 4.8× |
| Tobramycin peak (80200) | $104 | $208 | 6.4× |
| Topiramate (80201) | $62.50 | $125 | 5.2× |
| Touch prep (88161) | $55 | $110 | 1.8× |
| Toxoplasma ab igm (86778) | $127 | $254 | 8.8× |
| Toxoplasma antibody igg (86777) | $127 | $254 | 8.8× |
| Tpmt gene com variants (81335) | $573 | $1,146 | 3.3× |
| Transferrin (84466) | $88 | $176 | 6.9× |
| Trichomonas vagin dir probe (87660) | $146 | $292 | 7.3× |
| Triglycerides (84478) | $69.50 | $139 | 12.1× |
| Troponin (84484) | $178.50 | $357 | 14.3× |
| Urea nitrogen (84520) | $24.75 | $49.50 | 6.3× |
| Urea nitrogen urine (84540) | $42.50 | $85 | 7.6× |
| Uric acid blood (84550) | $60.50 | $121 | 13.4× |
| Uric acid other source (84560) | $25 | $50 | 4.9× |
| Urinalysis microscopic only (81015) | $47.50 | $95 | 15.6× |
| Urinalysis qual/semiquant except immunoassays (81005) | $24 | $48 | 11.1× |
| Urinalysis w/microscopic (81001) | $68.75 | $137.50 | 21.7× |
| Urine pregnancy test (81025) | $73 | $146 | 8.5× |
| Urine volume measurement (81050) | $19.50 | $39 | 5.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $35.25 | $70.50 | 15.7× |
| Valproic acid level (80164) | $144.50 | $289 | 10.7× |
| Vancomycin trough (80202) | $184.50 | $369 | 13.6× |
| Varicella-zoster antibody (86787) | $74 | $148 | 5.7× |
| Vasoactive intestinal peptide (vip) (84586) | $238 | $476 | 6.7× |
| Vdrl csf (86592) | $41 | $82 | 9.6× |
| Very long chain fatty acids (82726) | $42.50 | $85 | 2.2× |
| Virus antibody nos (86790) | $49.50 | $99 | 3.8× |
| Virus inoculation, shell via (87254) | $6.50 | $13 | 0.3× |
| Viscosity serum (85810) | $16.50 | $33 | 1.4× |
| Vitamin A (84590) | $91.50 | $183 | 7.9× |
| Vitamin b-12 (82607) | $122 | $244 | 8.1× |
| Vitamin b1 (thiamine) (84425) | $78 | $156 | 3.7× |
| Vitamin b6 (84207) | $199 | $398 | 7.1× |
| Vitamin C (82180) | $26 | $52 | 2.6× |
| Vitamin D 25-Hydroxy (82306) | $267.50 | $535 | 9.0× |
| Vitamin e serum (84446) | $129 | $258 | 9.1× |
| Von willebrand factor activity (85245) | $202 | $404 | 8.8× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $117 | $234 | 13.6× |
| West nile virus ab, igm (86788) | $46 | $92 | 2.7× |
| West nile virus antibody (86789) | $42 | $84 | 2.9× |
| Zinc (84630) | $35.50 | $71 | 3.1× |