Lab & pathology prices at Children's Minnesota - Minneapolis Hospital
Minneapolis, MN · every code in this section with a posted price and a Medicare benchmark.
1009 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 3 matching MRF lines |
$106–$272 | $106–$272 | varies |
| 5 Nucleotidase (83915) range across 5 matching MRF lines |
$129–$1,186 | $129–$1,186 | varies |
| Abl1 gene analysis kinase domain variants (81170) range across 2 matching MRF lines |
$195–$598 | $195–$598 | varies |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$131–$226 | $131–$226 | varies |
| Acetylcholine receptor blocking antibody (86042) | $87 | $87 | 4.7× |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$84–$174 | $84–$174 | varies |
| Acth (82024) range across 2 matching MRF lines |
$237–$305 | $237–$305 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$525–$976 | $525–$976 | varies |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $358 | $358 | 4.1× |
| Actin smooth muscle antibody each (86015) | $66 | $66 | 5.5× |
| Acute hepatitis panel (80074) | $323 | $323 | 6.8× |
| Acylcarnitines Quant (82017) range across 9 matching MRF lines |
$122–$912 | $122–$912 | varies |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $47 | $47 | 2.9× |
| Adenovirus antibody (86603) | $204 | $204 | 15.9× |
| Agglutinins Febrile Each Antigen (86000) | $261 | $261 | 37.4× |
| Albumin Fluid (82042) range across 5 matching MRF lines |
$21–$278 | $21–$278 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$20–$79 | $20–$79 | varies |
| Aldolase (82085) | $93 | $93 | 9.6× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$105–$680 | $105–$680 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$74–$242 | $74–$242 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $5 | $5 | 0.6× |
| Allergen specific ige (86003) range across 10 matching MRF lines |
$7–$1,045 | $7–$1,045 | varies |
| Allergen specific igg (86001) range across 4 matching MRF lines |
$37–$133 | $37–$133 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 7 matching MRF lines |
$27–$193 | $27–$193 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$110–$115 | $110–$115 | varies |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$68–$410 | $68–$410 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$98–$153 | $98–$153 | varies |
| Alt (sgpt) (84460) | $104 | $104 | 19.6× |
| Aluminum (82108) range across 2 matching MRF lines |
$76–$197 | $76–$197 | varies |
| Amikacin trough (80150) | $148 | $148 | 9.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 4 matching MRF lines |
$83–$291 | $83–$291 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $44 | $44 | 3.2× |
| Amino Acids Quant 2-5 (82136) range across 5 matching MRF lines |
$8–$580 | $8–$580 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $236 | $236 | 16.6× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$248–$453 | $248–$453 | varies |
| Ammonia (82140) range across 4 matching MRF lines |
$67–$335 | $67–$335 | varies |
| Amylase urine (82150) range across 4 matching MRF lines |
$40–$176 | $40–$176 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$67–$114 | $67–$114 | varies |
| Anca screen each antibody (86036) | $94 | $94 | 7.8× |
| Androstenedione (82157) range across 6 matching MRF lines |
$46–$348 | $46–$348 | varies |
| Androsterone (hormone) level (82160) range across 3 matching MRF lines |
$49–$54 | $49–$54 | varies |
| Angiotensin converting enzyme csf (82164) | $160 | $160 | 11.0× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$212–$322 | $212–$322 | varies |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$9–$176 | $9–$176 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$48–$274 | $48–$274 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$54–$201 | $54–$201 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$40–$101 | $40–$101 | varies |
| Antibody Encephalitis California La Crosse (86651) | $30 | $30 | 2.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$74–$147 | $74–$147 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$33–$152 | $33–$152 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$41–$183 | $41–$183 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$67–$406 | $67–$406 | varies |
| Antibody haemophilus influenza (86684) | $203 | $203 | 12.8× |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$60–$253 | $60–$253 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$54–$111 | $54–$111 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$31–$94 | $31–$94 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 6 matching MRF lines |
$46–$347 | $46–$347 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$141–$247 | $141–$247 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 4 matching MRF lines |
$221–$690 | $221–$690 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
$111–$600 | $111–$600 | varies |
| Antibody identification leukocyte antibodies (86021) range across 6 matching MRF lines |
$83–$668 | $83–$668 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 4 matching MRF lines |
$156–$291 | $156–$291 | varies |
| Antibody john cunningham virus (86711) range across 3 matching MRF lines |
$88–$2,665 | $88–$2,665 | varies |
| Antibody leishmania (86717) | $200 | $200 | 16.3× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 3 matching MRF lines |
$30–$91 | $30–$91 | varies |
| Antibody neisseria meningitidis (86741) | $69 | $69 | 5.2× |
| Antibody plasmodium malaria (86750) | $82 | $82 | 6.2× |
| Antibody Protozoa Nes (86753) range across 8 matching MRF lines |
$54–$441 | $54–$441 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$130–$233 | $130–$233 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$27–$117 | $27–$117 | varies |
| Antibody yersinia (86793) | $200 | $200 | 15.2× |
| Antibody; encephalitis, st. louis (86653) | $30 | $30 | 2.3× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$58–$98 | $58–$98 | varies |
| Antigen typing (86905) range across 5 matching MRF lines |
$48–$282 | $48–$282 | varies |
| Antinomyces antibody (86602) | $31 | $31 | 3.0× |
| Antinuclear antibodies (86038) range across 5 matching MRF lines |
$44–$176 | $44–$176 | varies |
| Antistreptolysin o titer (86060) | $50 | $50 | 6.8× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$129–$291 | $129–$291 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$103–$291 | $103–$291 | varies |
| Aortic dysfunction/dilation dup/del analysis (81411) range across 9 matching MRF lines |
$890–$7,258 | $890–$7,258 | varies |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 7 matching MRF lines |
$346–$4,255 | $346–$4,255 | varies |
| Apc Gene Analysis Known Familial Variants (81202) range across 2 matching MRF lines |
$733–$849 | $733–$849 | varies |
| Apc gene dup/delet variants (81203) | $1,238 | $1,238 | 6.2× |
| Apc gene full sequence (81201) range across 2 matching MRF lines |
$372–$757 | $372–$757 | varies |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$65–$269 | $65–$269 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 4 matching MRF lines |
$164–$659 | $164–$659 | varies |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$293–$492 | $293–$492 | varies |
| Aquaporin-4 Antb Elisa (86051) | $361 | $361 | 31.3× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) | $713 | $713 | 2.4× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) | $568 | $568 | 4.1× |
| Arsenic (82175) range across 7 matching MRF lines |
$30–$419 | $30–$419 | varies |
| Aspa gene analysis common variants (81200) | $672 | $672 | 14.2× |
| Aspergillus ag eia (87305) range across 3 matching MRF lines |
$121–$352 | $121–$352 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$76–$122 | $76–$122 | varies |
| Assay Blood Carbon Dioxide (82374) range across 7 matching MRF lines |
$52–$385 | $52–$385 | varies |
| Assay Blood Catecholamines (82383) | $82 | $82 | 2.8× |
| Assay Duodenal Fluid Trypsin (84485) | $48 | $48 | 6.7× |
| Assay Nephelometry Not Spec (83883) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$102–$333 | $102–$333 | varies |
| Assay of anti-mullerian hormone (82166) | $128 | $128 | 3.3× |
| Assay of b-hexosaminidase each assay (83080) range across 2 matching MRF lines |
$63–$266 | $63–$266 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$18–$103 | $18–$103 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$33–$121 | $33–$121 | varies |
| Assay of corticosterone (82528) range across 3 matching MRF lines |
$72–$269 | $72–$269 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$38–$350 | $38–$350 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$54–$333 | $54–$333 | varies |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
$16–$286 | $16–$286 | varies |
| Assay of gammaglobulin igm (82784) range across 10 matching MRF lines |
$21–$208 | $21–$208 | varies |
| Assay of lactic acid (83605) range across 7 matching MRF lines |
$34–$754 | $34–$754 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$140–$423 | $140–$423 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$99–$252 | $99–$252 | varies |
| Assay of procainamide (80190) | $246 | $246 | 4.1× |
| Assay of proinsulin (84206) | $272 | $272 | 10.2× |
| Assay of pyruvate (84210) range across 3 matching MRF lines |
$43–$223 | $43–$223 | varies |
| Assay of serotonin (84260) range across 3 matching MRF lines |
$101–$317 | $101–$317 | varies |
| Assay of serum potassium (84132) range across 5 matching MRF lines |
$53–$79 | $53–$79 | varies |
| Assay of Sialic Acid (84275) range across 3 matching MRF lines |
$186–$422 | $186–$422 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$69–$80 | $69–$80 | varies |
| Assay of transcortin (84449) | $93 | $93 | 5.2× |
| Assay of Tyrosine (84510) range across 3 matching MRF lines |
$34–$136 | $34–$136 | varies |
| Assay of urea nitrogen (84520) range across 4 matching MRF lines |
$49–$192 | $49–$192 | varies |
| Assay of urine vma (84585) | $48 | $48 | 3.1× |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$166–$209 | $166–$209 | varies |
| Assay of vitamin b-1 (84425) | $92 | $92 | 4.3× |
| Assay Ph Body Fluid Nos (83986) range across 9 matching MRF lines |
$5–$129 | $5–$129 | varies |
| Assay Phosphohexose Enzymes (84087) range across 3 matching MRF lines |
$103–$316 | $103–$316 | varies |
| Asxl1 gene analysis full gene sequence (81175) range across 5 matching MRF lines |
$109–$2,790 | $109–$2,790 | varies |
| Asy carbamazepin 10,11-epxid (80161) | $71 | $71 | 3.8× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) range across 2 matching MRF lines |
$152–$339 | $152–$339 | varies |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) range across 2 matching MRF lines |
$147–$339 | $147–$339 | varies |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) | $152 | $152 | 1.1× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) range across 2 matching MRF lines |
$147–$339 | $147–$339 | varies |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $147 | $147 | 1.1× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $147 | $147 | 1.1× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) | $147 | $147 | 1.1× |
| Automated Leukocyte Count (85048) | $57 | $57 | 22.4× |
| B cells total count (86355) range across 6 matching MRF lines |
$84–$440 | $84–$440 | varies |
| Babesia microti amp prb (87469) | $184 | $184 | 5.2× |
| Bacterial antigens 87802 (87802) | $106 | $106 | 8.3× |
| Bartonella antibody (86611) | $32 | $32 | 3.1× |
| Bcr/abl1 gene major bp (81206) range across 7 matching MRF lines |
$80–$729 | $80–$729 | varies |
| Bcr/abl1 gene minor bp (81207) range across 6 matching MRF lines |
$179–$598 | $179–$598 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 4 matching MRF lines |
$243–$499 | $243–$499 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $65 | $65 | 2.6× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$93–$283 | $93–$283 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$13–$68 | $13–$68 | varies |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$60–$333 | $60–$333 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$55–$174 | $55–$174 | varies |
| Bile acids, cholylglycine (82240) | $3 | $3 | 0.1× |
| Bilirubin direct (82248) | $72 | $72 | 14.3× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$61–$233 | $61–$233 | varies |
| Bilirubin total transcutaneous (88720) | $17 | $17 | 3.4× |
| Biotinidase (82261) | $116 | $116 | 6.9× |
| Bl Smear W/O Diff Wbc Count (85008) | $625 | $625 | 182.2× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$116–$174 | $116–$174 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $77 | $77 | 0.4× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$104–$160 | $104–$160 | varies |
| Blm Gene (81209) range across 2 matching MRF lines |
$60–$546 | $60–$546 | varies |
| Blood Count Automated Differential Wbc Count (85004) | $107 | $107 | 16.5× |
| Blood Count Manual Cell Count Each (85032) range across 2 matching MRF lines |
$171–$625 | $171–$625 | varies |
| Blood count reticulocyte automated (85045) range across 3 matching MRF lines |
$77–$118 | $77–$118 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 4 matching MRF lines |
$58–$625 | $58–$625 | varies |
| Blood count spun microhematocrit (85013) | $78 | $78 | 11.1× |
| Blood gas (82803) range across 3 matching MRF lines |
$334–$415 | $334–$415 | varies |
| Blood gases w/02 saturation (82805) range across 6 matching MRF lines |
$255–$356 | $255–$356 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $152 | $152 | 9.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $38 | $38 | 8.7× |
| Blood Sulfhemoglobin Assay (83060) | $76 | $76 | 8.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 16 matching MRF lines |
$46–$40,392 | $46–$40,392 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 3 matching MRF lines |
$130–$325 | $130–$325 | varies |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$34–$492 | $34–$492 | varies |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$121–$215 | $121–$215 | varies |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$66–$229 | $66–$229 | varies |
| Borrelia Antibody (86619) | $178 | $178 | 13.3× |
| Borrelia miyamotoi amp prb (87478) | $50 | $50 | 1.4× |
| Braf gene analysis (81210) range across 15 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Brca1 gene analysis full dup/del analysis (81166) | $73 | $73 | 0.2× |
| Brca1 gene analysis full sequence analysis (81165) | $73 | $73 | 0.3× |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$110–$436 | $110–$436 | varies |
| Brca2 gene analysis full dup/del analysis (81167) range across 2 matching MRF lines |
$73–$390 | $73–$390 | varies |
| Brca2 gene analysis full sequence analysis (81216) range across 2 matching MRF lines |
$73–$1,124 | $73–$1,124 | varies |
| Brucella antibody (86622) range across 2 matching MRF lines |
$58–$64 | $58–$64 | varies |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$87–$241 | $87–$241 | varies |
| C-Peptide (84681) | $155 | $155 | 7.4× |
| C-reactive protein (86140) range across 4 matching MRF lines |
$67–$1,014 | $67–$1,014 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$70–$137 | $70–$137 | varies |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $152 | $152 | 1.1× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) range across 6 matching MRF lines |
$134–$1,449 | $134–$1,449 | varies |
| Cadmium (82300) range across 3 matching MRF lines |
$36–$127 | $36–$127 | varies |
| Caffeine (80155) | $83 | $83 | 2.2× |
| Calcitonin (82308) | $227 | $227 | 8.5× |
| Calcium ionized (82330) range across 4 matching MRF lines |
$140–$385 | $140–$385 | varies |
| Calcium total (82310) range across 4 matching MRF lines |
$87–$136 | $87–$136 | varies |
| Calculus Spectroscopy (82365) | $128 | $128 | 9.9× |
| Calprotectin Fecal (83993) | $411 | $411 | 20.9× |
| Calr gene com variants (81219) | $1,175 | $1,175 | 9.7× |
| Cancer Antigen 125 (86304) | $76 | $76 | 3.7× |
| Candida antibody (86628) | $96 | $96 | 8.0× |
| Car Ion Chnnlpath Inc 10 Gns (81413) range across 6 matching MRF lines |
$412–$2,646 | $412–$2,646 | varies |
| Car Ion Chnnlpath Inc 2 Gns (81414) range across 5 matching MRF lines |
$412–$3,254 | $412–$3,254 | varies |
| Carbamazepine free (80157) | $39 | $39 | 2.9× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$71–$158 | $71–$158 | varies |
| Carbohydrate Deficient Transferrin (82373) range across 2 matching MRF lines |
$121–$267 | $121–$267 | varies |
| Carboxyhemoglobin (82375) | $82 | $82 | 6.7× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$135–$337 | $135–$337 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$18–$101 | $18–$101 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 3 matching MRF lines |
$55–$270 | $55–$270 | varies |
| Carotene (82380) | $237 | $237 | 25.7× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$57–$262 | $57–$262 | varies |
| Ccp antibody (86200) | $114 | $114 | 8.8× |
| Cebpa Gene Analysis Full Gene Sequence (81218) range across 2 matching MRF lines |
$436–$1,777 | $436–$1,777 | varies |
| Cell count csf (89051) range across 3 matching MRF lines |
$93–$361 | $93–$361 | varies |
| Cell marker study (88182) | $539 | $539 | 9.9× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 6 matching MRF lines |
$60–$1,380 | $60–$1,380 | varies |
| Ceruloplasmin (82390) | $163 | $163 | 15.2× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) range across 3 matching MRF lines |
$332–$1,008 | $332–$1,008 | varies |
| Cftr Gene Analysis Known Familial Variants (81221) range across 3 matching MRF lines |
$512–$895 | $512–$895 | varies |
| Cftr gene com variants (81220) range across 4 matching MRF lines |
$279–$1,430 | $279–$1,430 | varies |
| Cftr gene dup/delet variants (81222) range across 8 matching MRF lines |
$22–$1,705 | $22–$1,705 | varies |
| Cftr gene full sequence (81223) range across 7 matching MRF lines |
$146–$3,148 | $146–$3,148 | varies |
| Chemiluminescent assay (82397) range across 14 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 4 matching MRF lines |
$586–$1,085 | $586–$1,085 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) range across 2 matching MRF lines |
$473–$596 | $473–$596 | varies |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
$16–$492 | $16–$492 | varies |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$29–$39 | $29–$39 | varies |
| Chlamydia trachomatis ag if (87270) | $76 | $76 | 6.3× |
| Chloride other source (82438) range across 2 matching MRF lines |
$80–$87 | $80–$87 | varies |
| Chloride Serum (82435) range across 5 matching MRF lines |
$53–$61 | $53–$61 | varies |
| Chloride urine (82436) range across 4 matching MRF lines |
$28–$94 | $28–$94 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $194 | $194 | 32.3× |
| Cholesterol total (82465) range across 3 matching MRF lines |
$21–$108 | $21–$108 | varies |
| Cholinesterase rbc (82482) | $309 | $309 | 31.5× |
| Cholinesterase Serum (82480) | $82 | $82 | 10.4× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$62–$224 | $62–$224 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 3 matching MRF lines |
$109–$185 | $109–$185 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 3 matching MRF lines |
$142–$372 | $142–$372 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 8 matching MRF lines |
$67–$1,317 | $67–$1,317 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) range across 3 matching MRF lines |
$330–$464 | $330–$464 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) range across 3 matching MRF lines |
$761–$1,183 | $761–$1,183 | varies |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) range across 2 matching MRF lines |
$457–$1,055 | $457–$1,055 | varies |
| Chrmsm Breakage Synds Score 100 Cll (88249) range across 6 matching MRF lines |
$457–$2,388 | $457–$2,388 | varies |
| Chromium serum (82495) | $227 | $227 | 11.2× |
| Chromogenic Substrate Assay (85130) range across 5 matching MRF lines |
$75–$475 | $75–$475 | varies |
| Chromogranin a (86316) range across 4 matching MRF lines |
$172–$324 | $172–$324 | varies |
| Chromosome Analysis 15-20 (88262) range across 14 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Chromosome Analysis 20-25 (88264) range across 6 matching MRF lines |
$380–$1,078 | $380–$1,078 | varies |
| Chromosome analysis 45 cells (88263) range across 3 matching MRF lines |
$176–$882 | $176–$882 | varies |
| Chromosome analysis, 5 (88261) range across 5 matching MRF lines |
$176–$599 | $176–$599 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$33–$167 | $33–$167 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$90–$267 | $90–$267 | varies |
| Ckmb (82553) | $60 | $60 | 5.2× |
| Clot Factor VIII Multimetric (85247) range across 4 matching MRF lines |
$31–$312 | $31–$312 | varies |
| Clot factor xiii fibrin stab (85290) range across 4 matching MRF lines |
$310–$512 | $310–$512 | varies |
| Clotting factor xii hageman (85280) range across 3 matching MRF lines |
$134–$247 | $134–$247 | varies |
| Clotting Funct Activity (85397) range across 9 matching MRF lines |
$33–$660 | $33–$660 | varies |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) range across 2 matching MRF lines |
$572–$2,027 | $572–$2,027 | varies |
| Cns DNA amp probe type 12-25 (87483) range across 3 matching MRF lines |
$605–$1,005 | $605–$1,005 | varies |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$55–$101 | $55–$101 | varies |
| Coccidioides antibody (86635) range across 14 matching MRF lines |
$54–$40,392 | $54–$40,392 | varies |
| Cold agglutinin screen (86156) | $170 | $170 | 21.1× |
| Cold agglutinin titer (86157) | $119 | $119 | 14.8× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$55–$288 | $55–$288 | varies |
| Column Chromotography Quant (82542) range across 14 matching MRF lines |
$69–$40,392 | $69–$40,392 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 4 matching MRF lines |
$480–$1,546 | $480–$1,546 | varies |
| Compatibility Each Unit Incubation (86921) | $67 | $67 | 0.4× |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$152–$203 | $152–$203 | varies |
| Complement Antigen Each Component (86160) range across 17 matching MRF lines |
$109–$40,392 | $109–$40,392 | varies |
| Complement Total (Ch50) (86162) range across 4 matching MRF lines |
$181–$355 | $181–$355 | varies |
| Complement/Function Activity (86161) range across 15 matching MRF lines |
$125–$40,392 | $125–$40,392 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 4 matching MRF lines |
$76–$598 | $76–$598 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 7 matching MRF lines |
$237–$699 | $237–$699 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 7 matching MRF lines |
$293–$1,286 | $293–$1,286 | varies |
| Coombs direct (86880) range across 6 matching MRF lines |
$25–$298 | $25–$298 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$115–$156 | $115–$156 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$110–$255 | $110–$255 | varies |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$27–$2,302 | $27–$2,302 | varies |
| Creatine (82540) range across 4 matching MRF lines |
$14–$73 | $14–$73 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$57–$131 | $57–$131 | varies |
| Creatinine blood (82565) range across 6 matching MRF lines |
$13–$123 | $13–$123 | varies |
| Creatinine clearance (82575) | $103 | $103 | 10.9× |
| Creatinine Urine (82570) range across 11 matching MRF lines |
$23–$356 | $23–$356 | varies |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$81–$446 | $81–$446 | varies |
| Crossmatch immediate spin (86920) | $115 | $115 | 0.6× |
| Crp High Sensitivity (86141) | $200 | $200 | 15.4× |
| Cryofibrinogen (82585) | $98 | $98 | 6.9× |
| Cryoglobulin (82595) | $72 | $72 | 11.1× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 7 matching MRF lines |
$29–$3,848 | $29–$3,848 | varies |
| Cryptococcus ag titer (87899) range across 9 matching MRF lines |
$53–$330 | $53–$330 | varies |
| Cryptosporidium (87272) | $94 | $94 | 7.8× |
| Cryptosporidium ag eia (87328) | $118 | $118 | 8.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 10 matching MRF lines |
$51–$223 | $51–$223 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 7 matching MRF lines |
$67–$155 | $67–$155 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$46–$73 | $46–$73 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $258 | $258 | 1.2× |
| Culture aerobic quant other (87071) range across 3 matching MRF lines |
$57–$161 | $57–$161 | varies |
| Culture afb (87116) range across 4 matching MRF lines |
$102–$162 | $102–$162 | varies |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$67–$148 | $67–$148 | varies |
| Culture blood (87040) range across 4 matching MRF lines |
$45–$306 | $45–$306 | varies |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$42–$154 | $42–$154 | varies |
| Culture csf (87070) range across 20 matching MRF lines |
$55–$601 | $55–$601 | varies |
| Culture fungus (87102) range across 5 matching MRF lines |
$83–$164 | $83–$164 | varies |
| Culture fungus blood (87103) | $164 | $164 | 8.0× |
| Culture screen only (87081) range across 14 matching MRF lines |
$36–$169 | $36–$169 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$68–$84 | $68–$84 | varies |
| Culture typing if ea antiserum (87140) | $67 | $67 | 12.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $47 | $47 | 9.1× |
| Culture typing other methods (87158) | $233 | $233 | 30.1× |
| Culture urine (87086) | $115 | $115 | 14.3× |
| Cyanide (82600) | $128 | $128 | 6.6× |
| Cyclosporine (80158) | $98 | $98 | 5.4× |
| Cyp2c19 gene analysis common variants (81225) range across 4 matching MRF lines |
$31–$1,480 | $31–$1,480 | varies |
| Cyp2c9 gene com variants (81227) range across 5 matching MRF lines |
$24–$3,415 | $24–$3,415 | varies |
| Cyp2d6 gene com variants (81226) range across 3 matching MRF lines |
$24–$965 | $24–$965 | varies |
| Cyp3a5 gene common variants (81231) | $176 | $176 | 1.0× |
| Cystatin C (82610) range across 2 matching MRF lines |
$109–$274 | $109–$274 | varies |
| Cytogenetics 10-30 (88273) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Cytogenetics 100-300 (88275) range across 16 matching MRF lines |
$97–$40,392 | $97–$40,392 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 12 matching MRF lines |
$444–$4,416 | $444–$4,416 | varies |
| Cytogenomic neo microra alys (81277) range across 5 matching MRF lines |
$2,348–$4,431 | $2,348–$4,431 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$35–$182 | $35–$182 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $160 | $160 | 7.9× |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$195–$593 | $195–$593 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $83 | $83 | 3.1× |
| Cytp Concentration Smears & Interpretation (88108) range across 4 matching MRF lines |
$138–$322 | $138–$322 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$52–$1,193 | $52–$1,193 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $176 | $176 | 1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $70 | $70 | 1.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $171 | $171 | 5.6× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $76 | $76 | 6.7× |
| Deoxycortisol (82634) range across 4 matching MRF lines |
$46–$2,302 | $46–$2,302 | varies |
| Deoxyribonuclease antibody (86215) range across 3 matching MRF lines |
$50–$252 | $50–$252 | varies |
| Desoxycorticosterone (82633) range across 4 matching MRF lines |
$77–$2,302 | $77–$2,302 | varies |
| Detect Agent Nos Dna Amp (87798) range across 24 matching MRF lines |
$45–$40,392 | $45–$40,392 | varies |
| Detect Agent Nos Dna Quant (87799) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Detect agnt mult DNA ampli (87801) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Dgp Antibody Each Ig Class (86258) | $78 | $78 | 6.5× |
| Dhea (82626) range across 4 matching MRF lines |
$41–$2,302 | $41–$2,302 | varies |
| Dhea-S (82627) | $118 | $118 | 5.3× |
| Dibucaine number (82638) | $91 | $91 | 7.4× |
| Digoxin (80162) | $52 | $52 | 3.9× |
| Dihydrotestosterone (82642) | $129 | $129 | 4.4× |
| Diphtheria antitoxoid (86648) | $92 | $92 | 6.0× |
| Dipropylacetic Acid Free (80165) range across 4 matching MRF lines |
$68–$1,076 | $68–$1,076 | varies |
| Dmd Duplication/Deletion Analysis (81161) range across 7 matching MRF lines |
$75–$1,127 | $75–$1,127 | varies |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) | $792 | $792 | 2.9× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) range across 4 matching MRF lines |
$378–$1,543 | $378–$1,543 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$61–$114 | $61–$114 | varies |
| Dna/Rna Amplified Probe (87150) range across 4 matching MRF lines |
$124–$254 | $124–$254 | varies |
| DNA/RNA direct probe (87149) | $125 | $125 | 6.2× |
| Dna/Rna Sequencing (87153) range across 6 matching MRF lines |
$222–$804 | $222–$804 | varies |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$21–$68 | $21–$68 | varies |
| Drug assay adalimumab (80145) | $470 | $470 | 12.2× |
| Drug Assay Amiodarone (80151) | $98 | $98 | 5.3× |
| Drug Assay Everolimus (80169) | $176 | $176 | 12.8× |
| Drug assay felbamate (80167) | $102 | $102 | 5.5× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$59–$319 | $59–$319 | varies |
| Drug Assay Itraconazole (80189) | $107 | $107 | 3.9× |
| Drug Assay Lacosamide (80235) | $179 | $179 | 6.6× |
| Drug Assay Posaconazole (80187) | $176 | $176 | 6.5× |
| Drug Assay Vedolizumab (80280) | $441 | $441 | 11.4× |
| Drug assay voriconazole (80285) | $176 | $176 | 6.5× |
| Drug Screen Quant Clozapine (80159) | $105 | $105 | 5.2× |
| Drug Screen Quant Zonisamide (80203) | $69 | $69 | 5.2× |
| Drug Screen Quantitative Gabapentin (80171) | $107 | $107 | 4.9× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$107–$137 | $107–$137 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$85–$221 | $85–$221 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 3 matching MRF lines |
$62–$171 | $62–$171 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $128 | $128 | 7.6× |
| Drug Screen Quantitative Tiagabine (80199) | $144 | $144 | 5.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 25 matching MRF lines |
$105–$40,392 | $105–$40,392 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $33 | $33 | 2.6× |
| Drug Test Prsmv Instrmnt (80306) | $68 | $68 | 4.0× |
| Egfr Gene Analysis Common Variants (81235) range across 3 matching MRF lines |
$220–$951 | $220–$951 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$51–$208 | $51–$208 | varies |
| El-1 Fecal Quantitative (82653) | $182 | $182 | 7.9× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$152–$678 | $152–$678 | varies |
| Electron Microscopy (88348) range across 14 matching MRF lines |
$276–$2,048 | $276–$2,048 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 4 matching MRF lines |
$54–$605 | $54–$605 | varies |
| Encephaltis East Eqne Anbdy (86652) | $30 | $30 | 2.3× |
| Encephaltis West Eqne Antbdy (86654) | $30 | $30 | 2.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$129–$263 | $129–$263 | varies |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$21–$53 | $21–$53 | varies |
| Enterovirus PCR (87498) range across 9 matching MRF lines |
$39–$1,431 | $39–$1,431 | varies |
| Enzyme cell activity (82657) range across 15 matching MRF lines |
$78–$40,392 | $78–$40,392 | varies |
| Enzyme histochemistry (88319) range across 3 matching MRF lines |
$72–$3,617 | $72–$3,617 | varies |
| Eosinophil Smear (89190) | $95 | $95 | 16.4× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $1,168 | $1,168 | 0.5× |
| Erythropoietin (82668) | $176 | $176 | 9.4× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$88–$161 | $88–$161 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$49–$50 | $49–$50 | varies |
| Estrogen total (82672) range across 2 matching MRF lines |
$75–$260 | $75–$260 | varies |
| Estrogens fractionated (82671) | $91 | $91 | 2.8× |
| Ethosuximide (80168) | $73 | $73 | 4.5× |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$166–$171 | $166–$171 | varies |
| Exam Synovial Fluid Crystals (89060) | $94 | $94 | 12.8× |
| Exome Re-Evaluation (81417) range across 2 matching MRF lines |
$930–$1,778 | $930–$1,778 | varies |
| Exome Sequence Analysis (81415) range across 22 matching MRF lines |
$614–$14,808 | $614–$14,808 | varies |
| Exome sequence analysis each comparator exome (81416) range across 15 matching MRF lines |
$614–$10,120 | $614–$10,120 | varies |
| Ezh2 gene analysis full gene sequence (81236) | $47 | $47 | 0.2× |
| F2 Gene (81240) range across 5 matching MRF lines |
$212–$614 | $212–$614 | varies |
| F9 full gene sequence (81238) range across 7 matching MRF lines |
$293–$1,528 | $293–$1,528 | varies |
| Factor ii activity (85210) range across 2 matching MRF lines |
$102–$185 | $102–$185 | varies |
| Factor Inhibitor Test (85335) range across 9 matching MRF lines |
$96–$962 | $96–$962 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$116–$185 | $116–$185 | varies |
| Factor v activity (85220) range across 3 matching MRF lines |
$103–$335 | $103–$335 | varies |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$293–$1,168 | $293–$1,168 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$108–$185 | $108–$185 | varies |
| Factor viii assay (85240) range across 4 matching MRF lines |
$66–$254 | $66–$254 | varies |
| Factor X (85260) range across 3 matching MRF lines |
$148–$196 | $148–$196 | varies |
| Factor xi activity (85270) range across 3 matching MRF lines |
$173–$231 | $173–$231 | varies |
| Fancc Gene (81242) range across 2 matching MRF lines |
$110–$372 | $110–$372 | varies |
| Fat stain feces urine/respir secretions (89125) | $129 | $129 | 21.9× |
| Fat/Lipids Feces Quantitative (82710) | $208 | $208 | 12.4× |
| Fatty acids free (82725) range across 3 matching MRF lines |
$137–$764 | $137–$764 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) range across 2 matching MRF lines |
$156–$177 | $156–$177 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$84–$432 | $84–$432 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$156–$353 | $156–$353 | varies |
| Fecal Fat Qualitative (82705) | $92 | $92 | 18.0× |
| Ferritin (82728) range across 4 matching MRF lines |
$68–$335 | $68–$335 | varies |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$124–$131 | $124–$131 | varies |
| Fibrin degradation products (85362) | $103 | $103 | 14.9× |
| Fibrin Degradation Quant (85379) range across 4 matching MRF lines |
$90–$165 | $90–$165 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$91–$135 | $91–$135 | varies |
| Fibrinogen antigen (85385) | $167 | $167 | 11.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 5 matching MRF lines |
$47–$666 | $47–$666 | varies |
| Flecainide level (80181) | $102 | $102 | 5.5× |
| Flow cytometry first marker (88184) range across 18 matching MRF lines |
$35–$40,392 | $35–$40,392 | varies |
| Flt3 Gene (81245) range across 6 matching MRF lines |
$106–$1,166 | $106–$1,166 | varies |
| Flt3 gene analysis (81246) range across 2 matching MRF lines |
$212–$693 | $212–$693 | varies |
| Fluorescent antibody screen (86255) range across 18 matching MRF lines |
$3–$40,392 | $3–$40,392 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 16 matching MRF lines |
$3–$40,392 | $3–$40,392 | varies |
| Fmr1 Gene Charac Alleles (81244) range across 2 matching MRF lines |
$297–$384 | $297–$384 | varies |
| Fmr1 gene detection (81243) range across 4 matching MRF lines |
$152–$700 | $152–$700 | varies |
| Folic acid rbc (82747) | $73 | $73 | 4.1× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$48–$114 | $48–$114 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$29–$156 | $29–$156 | varies |
| Francisella tularensis (86668) | $121 | $121 | 8.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $37 | $37 | 0.2× |
| Frozen Section (88331) range across 3 matching MRF lines |
$315–$544 | $315–$544 | varies |
| Fungi Identification Mold (87107) range across 6 matching MRF lines |
$48–$143 | $48–$143 | varies |
| Fungi Identification Yeast (87106) range across 5 matching MRF lines |
$53–$336 | $53–$336 | varies |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) range across 3 matching MRF lines |
$152–$1,200 | $152–$1,200 | varies |
| Fxn Gene Analysis Full Gene Sequence (81286) | $378 | $378 | 1.4× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) range across 2 matching MRF lines |
$88–$206 | $88–$206 | varies |
| G6pd gene analysis full gene sequence (81249) range across 3 matching MRF lines |
$125–$1,701 | $125–$1,701 | varies |
| Galactokinase rbc (82759) range across 2 matching MRF lines |
$229–$923 | $229–$923 | varies |
| Galactose (82760) range across 3 matching MRF lines |
$37–$505 | $37–$505 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 3 matching MRF lines |
$208–$432 | $208–$432 | varies |
| Galectin-3 (82777) | $198 | $198 | 4.5× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$5–$135 | $5–$135 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $93 | $93 | 9.5× |
| Gases blood ph only (82800) | $55 | $55 | 5.0× |
| Gastrin (82941) range across 2 matching MRF lines |
$29–$158 | $29–$158 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$597–$1,249 | $597–$1,249 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 9 matching MRF lines |
$743–$5,741 | $743–$5,741 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 13 matching MRF lines |
$1,170–$12,497 | $1,170–$12,497 | varies |
| Genetic Tstg Severe Inh Cond (81443) range across 17 matching MRF lines |
$258–$7,766 | $258–$7,766 | varies |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427) | $242 | $242 | 0.1× |
| Genome Sequence Analysis (81425) range across 13 matching MRF lines |
$1,623–$20,808 | $1,623–$20,808 | varies |
| Genome sequence analysis each comparator genome (81426) range across 7 matching MRF lines |
$2,509–$22,885 | $2,509–$22,885 | varies |
| Gentamicin (80170) range across 2 matching MRF lines |
$123–$158 | $123–$158 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$56–$135 | $56–$135 | varies |
| Giardia antigen (87329) | $601 | $601 | 50.2× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) range across 2 matching MRF lines |
$303–$934 | $303–$934 | varies |
| Gjb2 Gene Analysis Full Gene Sequence (81252) range across 5 matching MRF lines |
$117–$1,159 | $117–$1,159 | varies |
| Gjb6 Gene Analysis Common Variants (81254) range across 4 matching MRF lines |
$117–$1,738 | $117–$1,738 | varies |
| Glucagon (82943) | $250 | $250 | 17.5× |
| Glucose Blood Test (82962) | $59 | $59 | 18.0× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$47–$134 | $47–$134 | varies |
| Glucose Serum (82947) range across 4 matching MRF lines |
$39–$61 | $39–$61 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$383–$667 | $383–$667 | varies |
| Glucosidase beta (82963) range across 3 matching MRF lines |
$87–$652 | $87–$652 | varies |
| Glutathione (82978) range across 3 matching MRF lines |
$44–$439 | $44–$439 | varies |
| Glycated Protein (82985) | $73 | $73 | 4.4× |
| Gonadotropin Chorionic Qualitative (84703) | $114 | $114 | 15.2× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) range across 2 matching MRF lines |
$222–$1,521 | $222–$1,521 | varies |
| Growth hormone (83003) range across 3 matching MRF lines |
$129–$165 | $129–$165 | varies |
| Growth Hormone Stimulation Panel (80428) range across 4 matching MRF lines |
$248–$684 | $248–$684 | varies |
| Gtt-added samples (82952) | $46 | $46 | 11.7× |
| H Pylori (C-13) Breath (83013) | $143 | $143 | 2.1× |
| Haptoglobin (83010) | $133 | $133 | 10.6× |
| Hba1/hba2 full gene sequence (81259) range across 3 matching MRF lines |
$592–$1,031 | $592–$1,031 | varies |
| Hba1/Hba2 Gene (81257) range across 4 matching MRF lines |
$229–$640 | $229–$640 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$626–$661 | $626–$661 | varies |
| Hbb duplication/deletion variants (81363) range across 3 matching MRF lines |
$122–$908 | $122–$908 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$586–$1,089 | $586–$1,089 | varies |
| Hdl Cholesterol (83718) | $35 | $35 | 4.3× |
| Hearing Loss Dup/Del Analysis (81431) range across 4 matching MRF lines |
$80–$3,427 | $80–$3,427 | varies |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) range across 4 matching MRF lines |
$734–$3,532 | $734–$3,532 | varies |
| Heinz Bodies Direct (85441) range across 4 matching MRF lines |
$92–$284 | $92–$284 | varies |
| Helicobacter Pylori Stool (87338) | $305 | $305 | 21.2× |
| Helminth Antibody (86682) range across 14 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Hematocrit (85014) range across 4 matching MRF lines |
$57–$67 | $57–$67 | varies |
| Hemoglobin (85018) range across 5 matching MRF lines |
$57–$110 | $57–$110 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$39–$89 | $39–$89 | varies |
| Hemoglobin Chromotography (83021) range across 8 matching MRF lines |
$61–$713 | $61–$713 | varies |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $192 | $192 | 47.9× |
| Hemoglobin electrophoresis (83020) range across 8 matching MRF lines |
$54–$735 | $54–$735 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 4 matching MRF lines |
$71–$82 | $71–$82 | varies |
| Hemoglobin plasma (83051) range across 3 matching MRF lines |
$91–$148 | $91–$148 | varies |
| Hemoglobin stability screen (83068) range across 2 matching MRF lines |
$57–$248 | $57–$248 | varies |
| Hemoglobin-Oxygen Affinity (82820) range across 2 matching MRF lines |
$260–$325 | $260–$325 | varies |
| Hemolysins&Agglutinins Auto Screen Each (86940) range across 3 matching MRF lines |
$111–$665 | $111–$665 | varies |
| Hemolysins&Agglutinins Incubated (86941) range across 4 matching MRF lines |
$113–$910 | $113–$910 | varies |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$30–$128 | $30–$128 | varies |
| Heparin assay (85520) range across 5 matching MRF lines |
$132–$401 | $132–$401 | varies |
| Heparin Neutralization (85525) | $55 | $55 | 4.6× |
| Hepatitis a antibody total (86708) | $68 | $68 | 5.5× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$31–$144 | $31–$144 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$49–$119 | $49–$119 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$93–$104 | $93–$104 | varies |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$58–$249 | $58–$249 | varies |
| Hepatitis Be Antibody (86707) | $115 | $115 | 9.9× |
| Hepatitis Be Antigen (87350) | $115 | $115 | 10.0× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$60–$321 | $60–$321 | varies |
| Hepatitis C Genotype (87902) | $291 | $291 | 1.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$56–$208 | $56–$208 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $318 | $318 | 7.4× |
| Hepatitis Delta Agent Antibody (86692) | $170 | $170 | 9.9× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,691 | $1,691 | 1.3× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,571 | $1,571 | 2.7× |
| Hereditary Retinal Disorders (81434) | $908 | $908 | 1.5× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $586 | $586 | 0.4× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$64–$101 | $64–$101 | varies |
| Heterophile Antibody Screen (86308) | $97 | $97 | 18.7× |
| Hfe Gene (81256) | $378 | $378 | 5.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $103 | $103 | 13.3× |
| Histamine urine (83088) range across 3 matching MRF lines |
$84–$231 | $84–$231 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$73–$135 | $73–$135 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$227–$435 | $227–$435 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$97–$168 | $97–$168 | varies |
| Hiv Genotype (87901) range across 8 matching MRF lines |
$225–$1,416 | $225–$1,416 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$74–$165 | $74–$165 | varies |
| Hiv-1 Antibody (86701) | $95 | $95 | 10.7× |
| HIV-1 p24 antigen (87390) | $311 | $311 | 12.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 8 matching MRF lines |
$196–$693 | $196–$693 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $279 | $279 | 8.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 2 matching MRF lines |
$551–$647 | $551–$647 | varies |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
$424–$802 | $424–$802 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 3 matching MRF lines |
$176–$312 | $176–$312 | varies |
| Hla class i&ii antibody qual (86828) range across 4 matching MRF lines |
$103–$535 | $103–$535 | varies |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) range across 2 matching MRF lines |
$757–$989 | $757–$989 | varies |
| Hla class ii high defin qual (86833) range across 3 matching MRF lines |
$302–$768 | $302–$768 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$113–$472 | $113–$472 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) range across 2 matching MRF lines |
$792–$1,541 | $792–$1,541 | varies |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $1,290 | $1,290 | 35.3× |
| Hla I Typing 1 Allele Hr (81381) range across 8 matching MRF lines |
$150–$1,200 | $150–$1,200 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $440 | $440 | 1.3× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $585 | $585 | 2.7× |
| Hla ii type 1 ag equiv lr (81377) | $290 | $290 | 3.1× |
| Hla ii typing 1 allele hr (81383) range across 2 matching MRF lines |
$174–$716 | $174–$716 | varies |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$210–$273 | $210–$273 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $684 | $684 | 11.8× |
| Hla-b27 (86812) | $178 | $178 | 6.9× |
| Homocysteine (83090) range across 4 matching MRF lines |
$75–$316 | $75–$316 | varies |
| Homogenization Tissue (87176) range across 3 matching MRF lines |
$28–$57 | $28–$57 | varies |
| Homovanillic acid urine (83150) range across 3 matching MRF lines |
$67–$152 | $67–$152 | varies |
| Hpa-1 genotyping gene analysis common variant (81105) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpa-15 genotyping gene analysis common variant (81112) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpa-2 genotyping gene analysis common variant (81106) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpa-3 genotyping gene analysis common variant (81107) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpa-4 genotyping gene analysis common variant (81108) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpa-5 genotyping gene analysis common variant (81109) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpa-6 genotyping gene analysis common variant (81110) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpa-9 Genotyping (81111) range across 2 matching MRF lines |
$108–$150 | $108–$150 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$114–$333 | $114–$333 | varies |
| Hsv Dna Amp Probe (87529) range across 9 matching MRF lines |
$58–$321 | $58–$321 | varies |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$46–$178 | $46–$178 | varies |
| Htlv-ii antibody (86688) | $46 | $46 | 3.3× |
| Htt Gene Detc Abnor Alleles (81271) | $1,088 | $1,088 | 7.9× |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
$126–$496 | $126–$496 | varies |
| Hydroxyprogesterone 17-d (83498) range across 6 matching MRF lines |
$44–$2,302 | $44–$2,302 | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $157 | $157 | 13.1× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $206 | $206 | 17.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $151 | $151 | 14.6× |
| Iaad Ia Streptococcus Group A (87430) | $61 | $61 | 3.6× |
| Iaadi giardia (87269) | $94 | $94 | 6.9× |
| Iaadi respiratory synctial virus (87280) | $84 | $84 | 6.3× |
| Iaadi Varicella Zoster Virus (87290) | $84 | $84 | 6.3× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$57–$601 | $57–$601 | varies |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $44 | $44 | 1.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $767 | $767 | 21.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$130–$187 | $130–$187 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 5 matching MRF lines |
$75–$362 | $75–$362 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 7 matching MRF lines |
$58–$1,431 | $58–$1,431 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$135–$564 | $135–$564 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $208 | $208 | 3.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $44 | $44 | 1.3× |
| Iadna hepatitis b virus amplified probe tq (87516) | $56 | $56 | 1.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $253 | $253 | 5.9× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 4 matching MRF lines |
$58–$474 | $58–$474 | varies |
| Iadna Herpes Virus-6 Quantification (87533) range across 5 matching MRF lines |
$443–$990 | $443–$990 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 5 matching MRF lines |
$56–$589 | $56–$589 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $72 | $72 | 2.1× |
| Iadna Multiple Organisms Direct Probe Tq (87800) range across 2 matching MRF lines |
$71–$1,519 | $71–$1,519 | varies |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) range across 3 matching MRF lines |
$252–$614 | $252–$614 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 8 matching MRF lines |
$159–$726 | $159–$726 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 5 matching MRF lines |
$72–$344 | $72–$344 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$33–$200 | $33–$200 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 4 matching MRF lines |
$161–$540 | $161–$540 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$399–$489 | $399–$489 | varies |
| Ibmfs sequence analysis panel at least 30 genes (81441) | $2,394 | $2,394 | 1.0× |
| Idh2 common variants (81121) | $105 | $105 | 0.4× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$105–$186 | $105–$186 | varies |
| Igg subclasses (82787) range across 5 matching MRF lines |
$55–$256 | $55–$256 | varies |
| Igh gene rearrange amp meth (81261) range across 4 matching MRF lines |
$312–$723 | $312–$723 | varies |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $70 | $70 | 1.0× |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
$350–$652 | $350–$652 | varies |
| Ikbkap Gene Analysis Common Variants (81260) | $378 | $378 | 9.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $363 | $363 | 1.0× |
| Immune Complex Assay (86332) range across 3 matching MRF lines |
$191–$317 | $191–$317 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $177 | $177 | 6.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 17 matching MRF lines |
$95–$40,392 | $95–$40,392 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 16 matching MRF lines |
$6–$40,392 | $6–$40,392 | varies |
| Immunoassay nonantibody (83516) range across 19 matching MRF lines |
$24–$40,392 | $24–$40,392 | varies |
| Immunodiffusion Ouchterlony (86331) range across 5 matching MRF lines |
$8–$241 | $8–$241 | varies |
| Immunofixation electrophoresis (86334) range across 6 matching MRF lines |
$33–$605 | $33–$605 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 11 matching MRF lines |
$67–$2,841 | $67–$2,841 | varies |
| Immunohistochemistry (88342) range across 16 matching MRF lines |
$65–$848 | $65–$848 | varies |
| In situ hybridization 1st probe stain (88365) range across 8 matching MRF lines |
$27–$610 | $27–$610 | varies |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $208 | $208 | 9.6× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $208 | $208 | 4.1× |
| Influenza assay w/optic (87804) | $90 | $90 | 5.4× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$153–$234 | $153–$234 | varies |
| Inherited Cardmypthy 5 Gns (81439) range across 6 matching MRF lines |
$412–$2,678 | $412–$2,678 | varies |
| Inhibin A (86336) | $109 | $109 | 7.0× |
| Inhibin b (83520) range across 20 matching MRF lines |
$21.85–$40,392 | $21.85–$40,392 | varies |
| Insitu hybridization manual (88368) | $381 | $381 | 1.0× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$109–$282 | $109–$282 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$98–$147 | $98–$147 | varies |
| Interleukin-6 (83529) range across 3 matching MRF lines |
$44–$720 | $44–$720 | varies |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$162–$207 | $162–$207 | varies |
| Iron (83540) range across 3 matching MRF lines |
$93–$185 | $93–$185 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$91–$126 | $91–$126 | varies |
| Irradiation Blood Product Each Unit (86945) | $105 | $105 | 2.7× |
| Islet cell antibody (86341) range across 14 matching MRF lines |
$119–$40,392 | $119–$40,392 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$372–$724 | $372–$724 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $915 | $915 | 7.3× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 2 matching MRF lines |
$822–$904 | $822–$904 | varies |
| Koh Prep (87220) | $67 | $67 | 15.7× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$220–$231 | $220–$231 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$60–$145 | $60–$145 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$34–$89 | $34–$89 | varies |
| Ldh Isoenzymes (83625) | $127 | $127 | 9.9× |
| LDL direct (83721) | $139 | $139 | 13.2× |
| Lead (83655) range across 3 matching MRF lines |
$21–$121 | $21–$121 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$75–$304 | $75–$304 | varies |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$48–$368 | $48–$368 | varies |
| Leptospira antibody (86720) | $228 | $228 | 14.1× |
| Leukocyte phagocytosis (86344) | $168 | $168 | 16.2× |
| Leukocyte transfusion (86950) | $238 | $238 | 1.3× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$94–$218 | $94–$218 | varies |
| Level ii surg pathology grossµscopic exam (88302) | $195 | $195 | 5.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$419–$933 | $419–$933 | varies |
| Lidocaine (80176) range across 2 matching MRF lines |
$132–$196 | $132–$196 | varies |
| Lipase (83690) range across 4 matching MRF lines |
$43–$164 | $43–$164 | varies |
| Lipoprotein A (83695) | $153 | $153 | 10.7× |
| Lipoprotein Bld Quan Part (83704) | $57 | $57 | 1.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 2 matching MRF lines |
$43–$353 | $43–$353 | varies |
| Lithium (80178) range across 4 matching MRF lines |
$27–$130 | $27–$130 | varies |
| Luteinizing Hormone (Lh) (83002) range across 4 matching MRF lines |
$29–$378 | $29–$378 | varies |
| Lyme disease antibody (86618) range across 6 matching MRF lines |
$73–$298 | $73–$298 | varies |
| Lymphocyte transformation (86353) range across 7 matching MRF lines |
$102–$666 | $102–$666 | varies |
| Lymphocytotoxicity Assay (86805) | $553 | $553 | 2.9× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $460 | $460 | 9.7× |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$74–$176 | $74–$176 | varies |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$187–$378 | $187–$378 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 6 matching MRF lines |
$340–$1,065 | $340–$1,065 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $1,099 | $1,099 | 6.2× |
| Macroscopic exam arthropod (87168) | $116 | $116 | 27.2× |
| Macroscopic Exam Parasite (87169) range across 3 matching MRF lines |
$113–$179 | $113–$179 | varies |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$36–$172 | $36–$172 | varies |
| Mass Spectrometry Quant (83789) range across 14 matching MRF lines |
$72–$40,392 | $72–$40,392 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $16 | $16 | 0.4× |
| Mechanical fragility rbc (85547) | $418 | $418 | 48.6× |
| Mecp2 gene dup/delet variant (81304) range across 9 matching MRF lines |
$27–$1,183 | $27–$1,183 | varies |
| Mecp2 gene full seq (81302) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Mercury urine (83825) range across 5 matching MRF lines |
$26–$286 | $26–$286 | varies |
| Metabolic panel ionized ca (80047) | $318 | $318 | 23.2× |
| Methotrexate (80204) range across 3 matching MRF lines |
$365–$688 | $365–$688 | varies |
| Methylmalonic acid serum (83921) range across 6 matching MRF lines |
$71–$454 | $71–$454 | varies |
| Mgmt methylation analysis (81287) range across 2 matching MRF lines |
$1,156–$1,456 | $1,156–$1,456 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$31–$88 | $31–$88 | varies |
| Microbe Suscept Macrobroth (87188) range across 3 matching MRF lines |
$67–$219 | $67–$219 | varies |
| Microsatellite instability (81301) | $312 | $312 | 0.9× |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$24–$218 | $24–$218 | varies |
| Mitochondrial Antibody Each (86381) | $59 | $59 | 2.3× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) range across 2 matching MRF lines |
$73–$733 | $73–$733 | varies |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 4 matching MRF lines |
$73–$764 | $73–$764 | varies |
| Mog-Igg1 Antb Cba Each (86362) range across 4 matching MRF lines |
$261–$1,106 | $261–$1,106 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 4 matching MRF lines |
$155–$830 | $155–$830 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $238 | $238 | 5.8× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 16 matching MRF lines |
$3–$40,392 | $3–$40,392 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 6 matching MRF lines |
$49–$593 | $49–$593 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 17 matching MRF lines |
$69–$42,412 | $69–$42,412 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 17 matching MRF lines |
$69–$40,392 | $69–$40,392 | varies |
| Mononuclear cell antigen (86356) range across 9 matching MRF lines |
$41–$780 | $41–$780 | varies |
| Mopath procedure level 1 (81400) range across 17 matching MRF lines |
$69–$42,412 | $69–$42,412 | varies |
| Mopath procedure level 2 (81401) range across 18 matching MRF lines |
$69–$42,412 | $69–$42,412 | varies |
| Mopath procedure level 4 (81403) range across 18 matching MRF lines |
$69–$42,412 | $69–$42,412 | varies |
| Mopath procedure level 5 (81404) range across 17 matching MRF lines |
$69–$40,392 | $69–$40,392 | varies |
| Mopath procedure level 7 (81406) range across 18 matching MRF lines |
$69–$42,412 | $69–$42,412 | varies |
| Mopath procedure level 8 (81407) range across 18 matching MRF lines |
$69–$42,412 | $69–$42,412 | varies |
| Mopath procedure level 9 (81408) range across 18 matching MRF lines |
$176–$42,412 | $176–$42,412 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$110–$481 | $110–$481 | varies |
| Mrsa Pcr (87641) range across 3 matching MRF lines |
$72–$919 | $72–$919 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) range across 2 matching MRF lines |
$69–$733 | $69–$733 | varies |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$73–$733 | $73–$733 | varies |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) range across 2 matching MRF lines |
$73–$733 | $73–$733 | varies |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$73–$733 | $73–$733 | varies |
| Mthfr Gene Analysis Common Variants (81291) range across 6 matching MRF lines |
$70–$1,367 | $70–$1,367 | varies |
| Mucopolysaccharides acid quantitative (83864) range across 6 matching MRF lines |
$179–$597 | $179–$597 | varies |
| Mumps antibody (86735) range across 8 matching MRF lines |
$16.91–$209 | $16.91–$209 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,114 | $1,114 | 60.5× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$176–$221 | $176–$221 | varies |
| Mycophenolic Acid (80180) | $227 | $227 | 12.6× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$98–$348 | $98–$348 | varies |
| Mycoplasma culture (87109) | $113 | $113 | 7.3× |
| Myd88 Gene P.Leu265pro Vrnt (81305) range across 2 matching MRF lines |
$37–$263 | $37–$263 | varies |
| Myelin basic protein csf (83873) | $91 | $91 | 5.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$133–$178 | $133–$178 | varies |
| Natriuretic peptide (83880) range across 5 matching MRF lines |
$70–$227 | $70–$227 | varies |
| Neurofilament light chain (83884) range across 2 matching MRF lines |
$346–$1,402 | $346–$1,402 | varies |
| Neutralization Test Viral (86382) range across 3 matching MRF lines |
$129–$519 | $129–$519 | varies |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $76 | $76 | 2.6× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $636 | $636 | 2.5× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) range across 3 matching MRF lines |
$674–$1,687 | $674–$1,687 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $113 | $113 | 0.4× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 5 matching MRF lines |
$225–$744 | $225–$744 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) range across 3 matching MRF lines |
$84–$449 | $84–$449 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 3 matching MRF lines |
$142–$1,342 | $142–$1,342 | varies |
| Niacin (84591) range across 3 matching MRF lines |
$186–$373 | $186–$373 | varies |
| Nickel level (83885) | $156 | $156 | 6.4× |
| Nk cells total count (86357) range across 8 matching MRF lines |
$43–$473 | $43–$473 | varies |
| Noonan Spectrum Disorders (81442) range across 12 matching MRF lines |
$397–$6,978 | $397–$6,978 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 4 matching MRF lines |
$334–$1,208 | $334–$1,208 | varies |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$49–$195 | $49–$195 | varies |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$26–$40,392 | $26–$40,392 | varies |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) range across 5 matching MRF lines |
$490–$9,524 | $490–$9,524 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Occult Blood Other Sources (82271) | $37 | $37 | 7.0× |
| Oligoclonal bands (83916) | $83 | $83 | 3.0× |
| Oncoprotein dcp (83951) | $274 | $274 | 4.3× |
| Organic Acids Qualitative Each Specimen (83919) range across 3 matching MRF lines |
$55–$332 | $55–$332 | varies |
| Organic acids urine (83918) range across 3 matching MRF lines |
$112–$473 | $112–$473 | varies |
| Osmolality serum (83930) range across 3 matching MRF lines |
$84–$108 | $84–$108 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$36–$108 | $36–$108 | varies |
| Osmotic fragility rbc incubated (85557) range across 5 matching MRF lines |
$132–$792 | $132–$792 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $105 | $105 | 14.1× |
| Osteocalcin (83937) range across 2 matching MRF lines |
$107–$394 | $107–$394 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$57–$77 | $57–$77 | varies |
| Oxalate urine (83945) range across 3 matching MRF lines |
$43–$140 | $43–$140 | varies |
| Palb2 gene analysis known familial variant (81308) | $110 | $110 | 0.4× |
| Palb2 gene full gene seq (81307) range across 2 matching MRF lines |
$110–$378 | $110–$378 | varies |
| Pancreatic Elastase Fecal (82656) | $187 | $187 | 16.2× |
| Particle Agglut Antbdy Titr (86406) range across 2 matching MRF lines |
$95–$106 | $95–$106 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$100–$153 | $100–$153 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$47–$101 | $47–$101 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$225–$399 | $225–$399 | varies |
| Pathology Consultation During Surgery (88329) | $52 | $52 | 0.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$32–$38 | $32–$38 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$129–$158 | $129–$158 | varies |
| Phenotype Infect Agent Drug (87900) range across 5 matching MRF lines |
$225–$632 | $225–$632 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$43–$137 | $43–$137 | varies |
| Phenylketones qual (84035) | $11 | $11 | 2.8× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$49–$158 | $49–$158 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$42–$104 | $42–$104 | varies |
| Phosphatase acid prostatic (84066) | $157 | $157 | 16.3× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$27–$104 | $27–$104 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$174–$276 | $174–$276 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$78–$154 | $78–$154 | varies |
| Phosphorus urine (84105) range across 4 matching MRF lines |
$29–$122 | $29–$122 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) range across 2 matching MRF lines |
$713–$2,359 | $713–$2,359 | varies |
| Pinworm exam (87172) | $46 | $46 | 10.8× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$225–$469 | $225–$469 | varies |
| Platelet Antibodies (86022) range across 14 matching MRF lines |
$52–$40,392 | $52–$40,392 | varies |
| Platelet count automated (85049) | $57 | $57 | 12.7× |
| Platelet neutralization (85597) | $122 | $122 | 6.8× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) range across 2 matching MRF lines |
$61–$437 | $61–$437 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$372–$747 | $372–$747 | varies |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) | $372 | $372 | 1.8× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) range across 6 matching MRF lines |
$117–$2,297 | $117–$2,297 | varies |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) range across 5 matching MRF lines |
$117–$980 | $117–$980 | varies |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 3 matching MRF lines |
$73–$733 | $73–$733 | varies |
| Pms2 gene full seq analysis (81317) range across 6 matching MRF lines |
$73–$1,581 | $73–$1,581 | varies |
| Pneumcysts jirovecii amp prb (87594) range across 3 matching MRF lines |
$275–$603 | $275–$603 | varies |
| Pooling blood platelets (86965) | $108 | $108 | 0.6× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$40–$147 | $40–$147 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$55–$197 | $55–$197 | varies |
| Potassium Urine (84133) range across 6 matching MRF lines |
$25–$98 | $25–$98 | varies |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) | $152 | $152 | 1.1× |
| Pr assay of etiocholanolone (82696) | $49 | $49 | 1.9× |
| Prealbumin (84134) | $147 | $147 | 10.1× |
| Pregnanediol (84135) range across 2 matching MRF lines |
$41–$49 | $41–$49 | varies |
| Pregnanetriol (84138) | $309 | $309 | 14.7× |
| Pregnenolone (84140) range across 3 matching MRF lines |
$109–$246 | $109–$246 | varies |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $99 | $99 | 0.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 5 matching MRF lines |
$22–$693 | $22–$693 | varies |
| Pretx serum rbc antibody identification dilution (86976) range across 2 matching MRF lines |
$220–$229 | $220–$229 | varies |
| Primidone (80188) range across 2 matching MRF lines |
$4–$78 | $4–$78 | varies |
| Procalcitonin (Pct) (84145) range across 3 matching MRF lines |
$145–$256 | $145–$256 | varies |
| Progesterone (84144) range across 4 matching MRF lines |
$123–$2,302 | $123–$2,302 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$104–$250 | $104–$250 | varies |
| Prostaglandin (84150) range across 7 matching MRF lines |
$115–$665 | $115–$665 | varies |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) range across 2 matching MRF lines |
$153–$596 | $153–$596 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$9–$126 | $9–$126 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$56–$130 | $56–$130 | varies |
| Protein c antigen (85302) | $101 | $101 | 8.4× |
| Protein Electrophoresis Urine (84166) | $70 | $70 | 3.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$19–$196 | $19–$196 | varies |
| Protein S Free (85306) range across 5 matching MRF lines |
$58–$380 | $58–$380 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$76–$594 | $76–$594 | varies |
| Protein total serum (84155) range across 4 matching MRF lines |
$28–$196 | $28–$196 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$28–$36 | $28–$36 | varies |
| Protein Western Blot Test (84182) range across 15 matching MRF lines |
$60–$40,392 | $60–$40,392 | varies |
| Protein, western blot tissue (88371) | $1,020 | $1,020 | 45.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$104–$176 | $104–$176 | varies |
| Protoporphyrin rbc quantitative (84202) | $178 | $178 | 12.4× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) range across 14 matching MRF lines |
$129–$40,392 | $129–$40,392 | varies |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Pten gene analysis known familial variant (81322) range across 2 matching MRF lines |
$220–$649 | $220–$649 | varies |
| Pth Intact (83970) range across 3 matching MRF lines |
$100–$196 | $100–$196 | varies |
| Pyruvate kinase (84220) range across 4 matching MRF lines |
$35–$278 | $35–$278 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$67–$143 | $67–$143 | varies |
| Quantiferon tb gold plus (86480) | $143 | $143 | 2.3× |
| Quantitative assay drug (80299) range across 16 matching MRF lines |
$132–$40,392 | $132–$40,392 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$93–$488 | $93–$488 | varies |
| Quinidine (80194) | $83 | $83 | 5.7× |
| Rbc antibody elution (86860) range across 3 matching MRF lines |
$70–$180 | $70–$180 | varies |
| Rbc antibody identification (86870) range across 5 matching MRF lines |
$107–$304 | $107–$304 | varies |
| Rbc antibody screen (86850) range across 7 matching MRF lines |
$48–$225 | $48–$225 | varies |
| Rbc pretreatment serum (86978) range across 4 matching MRF lines |
$111–$207 | $111–$207 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $89 | $89 | 0.5× |
| Rbc serum pretx incubj drugs (86975) | $220 | $220 | 0.5× |
| Renin activity plasma (84244) | $181 | $181 | 8.2× |
| Reptilase test (85635) | $121 | $121 | 12.3× |
| Resp virus 12-25 targets (87633) range across 7 matching MRF lines |
$208–$1,319 | $208–$1,319 | varies |
| Resp Virus 6-11 Targets (87632) range across 4 matching MRF lines |
$72–$1,179 | $72–$1,179 | varies |
| Reticulated Platelet Assay (85055) | $93 | $93 | 2.6× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$184–$511 | $184–$511 | varies |
| Rh (86901) range across 6 matching MRF lines |
$34–$104 | $34–$104 | varies |
| Rheumatoid Factor Qualitative (86430) | $93 | $93 | 15.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$23–$241 | $23–$241 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$201–$350 | $201–$350 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$62–$188 | $62–$188 | varies |
| Rotavirus ag eia (87425) | $110 | $110 | 9.2× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$56–$146 | $56–$146 | varies |
| Rsv ab (86756) | $215 | $215 | 13.5× |
| Rsv Assay W/Optic (87807) range across 3 matching MRF lines |
$175–$208 | $175–$208 | varies |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$18.20–$242 | $18.20–$242 | varies |
| Rubeola antibody (86765) range across 6 matching MRF lines |
$16.29–$137 | $16.29–$137 | varies |
| Rufinamide (80210) | $105 | $105 | 3.9× |
| Runx1 gene analysis targeted sequence analysis (81334) | $110 | $110 | 0.3× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$31–$203 | $31–$203 | varies |
| Russell Viper Venon Time Undiluted (85612) | $203 | $203 | 11.6× |
| Rx metab gen seq alys pnl 6 (81418) range across 2 matching MRF lines |
$867–$1,302 | $867–$1,302 | varies |
| Salicylate Level (80179) | $21 | $21 | 1.1× |
| Salmonella antibody (86768) range across 2 matching MRF lines |
$47–$611 | $47–$611 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
$41–$396 | $41–$396 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$59–$110 | $59–$110 | varies |
| Sedimentation Rate, Automated (85652) | $61 | $61 | 22.6× |
| Selenium (84255) | $191 | $191 | 7.5× |
| Sensitivity mic (87186) range across 14 matching MRF lines |
$60–$42,412 | $60–$42,412 | varies |
| Serpina 1 gene (81332) | $663 | $663 | 15.2× |
| Serum Bactericidal Titer (87197) | $3,356 | $3,356 | 223.4× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$92–$125 | $92–$125 | varies |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$95–$168 | $95–$168 | varies |
| Sirolimus (80195) range across 3 matching MRF lines |
$118–$252 | $118–$252 | varies |
| Skin test tuberculosis intradermal (86580) | $34 | $34 | 1.1× |
| Smear acid fast (87206) range across 5 matching MRF lines |
$58–$107 | $58–$107 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$77–$277 | $77–$277 | varies |
| Smear gram stain (87205) range across 4 matching MRF lines |
$46–$57 | $46–$57 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$41–$328 | $41–$328 | varies |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $145 | $145 | 0.5× |
| Smn1 Gene Dos/Deletion Alys (81329) | $146 | $146 | 1.1× |
| Smpd1 Gene Analysis Common Variants (81330) | $663 | $663 | 14.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$45–$173 | $45–$173 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) range across 3 matching MRF lines |
$595–$1,102 | $595–$1,102 | varies |
| So neo gsap DNA mcrstl ins (81457) | $4,005 | $4,005 | 4.5× |
| So neo gsap DNA/DNA&RNA (81459) | $7,603 | $7,603 | 2.5× |
| Sodium Serum (84295) range across 4 matching MRF lines |
$61–$99 | $61–$99 | varies |
| Sodium Urine (84300) range across 4 matching MRF lines |
$28–$325 | $28–$325 | varies |
| Soluble fibrin monomer (85366) | $220 | $220 | 2.7× |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$92–$685 | $92–$685 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$26.89–$146 | $26.89–$146 | varies |
| Somatostatin (84307) | $375 | $375 | 20.5× |
| Special Stains Group 1 (88312) range across 5 matching MRF lines |
$88–$2,012 | $88–$2,012 | varies |
| Special Stains Group 2 (88313) range across 10 matching MRF lines |
$70–$1,286 | $70–$1,286 | varies |
| Specific gravity body fluid (84315) | $114 | $114 | 34.8× |
| Specimen infect agnt concntj (87015) range across 5 matching MRF lines |
$38–$160 | $38–$160 | varies |
| Spectrophotometry (84311) range across 15 matching MRF lines |
$43–$40,392 | $43–$40,392 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $101 | $101 | 0.6× |
| Stem cells total count (86367) | $258 | $258 | 3.3× |
| Stool cultr aerobic bact ea (87046) range across 5 matching MRF lines |
$68–$259 | $68–$259 | varies |
| Strep a assay w/optic (87880) | $57 | $57 | 3.4× |
| Strep a DNA amp probe (87651) range across 4 matching MRF lines |
$72–$161 | $72–$161 | varies |
| Strep b DNA amp probe (87653) | $58 | $58 | 1.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $130 | $130 | 1.4× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 2 matching MRF lines |
$231–$369 | $231–$369 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 7 matching MRF lines |
$19–$801 | $19–$801 | varies |
| Sugars Multiple Quant (84379) | $493 | $493 | 42.8× |
| Sugars Single Qual (84376) | $285 | $285 | 51.8× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $221 | $221 | 5.7× |
| Sulfate urine (84392) | $27 | $27 | 4.9× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$216–$268 | $216–$268 | varies |
| Surgical pathology level IV (88305) range across 16 matching MRF lines |
$80–$2,841 | $80–$2,841 | varies |
| Surgical pathology level vi (88309) | $571 | $571 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 4 matching MRF lines |
$29–$147 | $29–$147 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $100 | $100 | 13.4× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $166 | $166 | 22.7× |
| Sweat Collection Iontophoresis (89230) | $94 | $94 | 1.7× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$28–$76 | $28–$76 | varies |
| T cells absolute cd4 count (86361) | $276 | $276 | 10.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 5 matching MRF lines |
$92–$586 | $92–$586 | varies |
| T cells total count (86359) range across 8 matching MRF lines |
$84–$440 | $84–$440 | varies |
| T3 Free (84481) range across 4 matching MRF lines |
$60–$218 | $60–$218 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$92–$150 | $92–$150 | varies |
| T3 Total (84480) range across 3 matching MRF lines |
$65–$203 | $65–$203 | varies |
| T3 Uptake (84479) range across 4 matching MRF lines |
$49–$336 | $49–$336 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$21–$138 | $21–$138 | varies |
| T4 total (84436) range across 4 matching MRF lines |
$21–$138 | $21–$138 | varies |
| Tacrolimus (80197) range across 4 matching MRF lines |
$5–$252 | $5–$252 | varies |
| Tb ag response t-cell susp (86481) range across 5 matching MRF lines |
$127–$222 | $127–$222 | varies |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) range across 2 matching MRF lines |
$152–$1,279 | $152–$1,279 | varies |
| Tert gene targeted seq alys (81345) range across 3 matching MRF lines |
$39–$1,282 | $39–$1,282 | varies |
| Test for acetone/ketones (82009) | $61 | $61 | 13.5× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$49–$201 | $49–$201 | varies |
| Testosterone total (84403) range across 7 matching MRF lines |
$40–$2,302 | $40–$2,302 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$41–$183 | $41–$183 | varies |
| Tetanus antibody (86774) | $87 | $87 | 5.9× |
| Tgsap so/hl 51/< RNA alys (81456) range across 5 matching MRF lines |
$1,038.52–$4,762 | $1,038.52–$4,762 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 3 matching MRF lines |
$1,195–$4,999 | $1,195–$4,999 | varies |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $975 | $975 | 80.6× |
| Theophylline (80198) range across 2 matching MRF lines |
$121–$158 | $121–$158 | varies |
| Thiocyanate (84430) range across 2 matching MRF lines |
$110–$165 | $110–$165 | varies |
| Thiopurine methyltransferase (84433) | $523 | $523 | 23.6× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$83–$146 | $83–$146 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$88–$146 | $88–$146 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$69–$196 | $69–$196 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$69–$193 | $69–$193 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$108–$425 | $108–$425 | varies |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $581 | $581 | 11.5× |
| Thyroxine binding globulin (84442) range across 2 matching MRF lines |
$86–$218 | $86–$218 | varies |
| Tiss cul neo disorders solid tumor (88239) range across 4 matching MRF lines |
$256–$698 | $256–$698 | varies |
| Tissue Culture (88233) range across 15 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Tissue Culture Amniotic Fluid (88235) | $1,142 | $1,142 | 7.6× |
| Tissue culture bone marrow (88237) range across 6 matching MRF lines |
$291–$417 | $291–$417 | varies |
| Tissue Culture Lymphocyte (88230) range across 14 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$119–$158 | $119–$158 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$107–$144 | $107–$144 | varies |
| Touch prep (88161) | $158 | $158 | 5.2× |
| Toxoplasma ab igm (86778) range across 5 matching MRF lines |
$76–$413 | $76–$413 | varies |
| Toxoplasma antibody (86777) range across 14 matching MRF lines |
$39–$40,392 | $39–$40,392 | varies |
| Tp53 gene analysis full gene sequence (81351) range across 2 matching MRF lines |
$110–$1,236 | $110–$1,236 | varies |
| Tpmt gene com variants (81335) range across 3 matching MRF lines |
$748–$1,254 | $748–$1,254 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $104 | $104 | 20.1× |
| Transferrin (84466) | $136 | $136 | 10.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$330–$2,451 | $330–$2,451 | varies |
| Trg gene rearrangement anal (81342) range across 6 matching MRF lines |
$78–$894 | $78–$894 | varies |
| Trichinella Antibody (86784) | $118 | $118 | 9.4× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$65–$185 | $65–$185 | varies |
| Triglycerides (84478) range across 5 matching MRF lines |
$9–$293 | $9–$293 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$70–$432 | $70–$432 | varies |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$117–$621 | $117–$621 | varies |
| Ugt1a1 gene analysis common variants (81350) range across 4 matching MRF lines |
$24–$1,857 | $24–$1,857 | varies |
| Unlisted Surgical Pathology Procedure (88399) range across 14 matching MRF lines |
$13–$199 | $13–$199 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $163 | $163 | 5.4× |
| Urea nitrogen urine (84540) range across 4 matching MRF lines |
$27–$115 | $27–$115 | varies |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $18 | $18 | 3.5× |
| Uric acid other source (84560) range across 4 matching MRF lines |
$56–$116 | $56–$116 | varies |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$32–$153 | $32–$153 | varies |
| Urine Pregnancy Test (81025) range across 5 matching MRF lines |
$31–$39 | $31–$39 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $59 | $59 | 18.6× |
| Valproic acid (80164) range across 2 matching MRF lines |
$68–$158 | $68–$158 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$119–$158 | $119–$158 | varies |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$91–$183 | $91–$183 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$59–$436 | $59–$436 | varies |
| Very Long Chain Fatty Acids (82726) range across 3 matching MRF lines |
$58–$391 | $58–$391 | varies |
| Viral Culture (87252) range across 7 matching MRF lines |
$76–$306 | $76–$306 | varies |
| Virus antibody nos (86790) range across 13 matching MRF lines |
$176–$40,392 | $176–$40,392 | varies |
| Virus inoculate tissue addl (87253) range across 5 matching MRF lines |
$66–$306 | $66–$306 | varies |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$57–$119 | $57–$119 | varies |
| Viscosity serum (85810) | $129 | $129 | 11.1× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$76–$252 | $76–$252 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$37–$156 | $37–$156 | varies |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$76–$126 | $76–$126 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 3 matching MRF lines |
$67–$438 | $67–$438 | varies |
| Vitamin B6 (84207) range across 3 matching MRF lines |
$90–$273 | $90–$273 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$32–$103 | $32–$103 | varies |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$79–$375 | $79–$375 | varies |
| Vitamin E (84446) range across 3 matching MRF lines |
$44–$125 | $44–$125 | varies |
| Vitamin K (84597) | $253 | $253 | 18.4× |
| Vkorc1 gene (81355) | $24 | $24 | 0.3× |
| Volatiles (84600) range across 2 matching MRF lines |
$155–$414 | $155–$414 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$133–$284 | $133–$284 | varies |
| Volume Reduction Blood/Blood Product Each Unit (86960) range across 2 matching MRF lines |
$175–$220 | $175–$220 | varies |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$59–$175 | $59–$175 | varies |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$40–$118 | $40–$118 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$34–$101 | $34–$101 | varies |
| Western Blot Test (84181) | $625 | $625 | 36.7× |
| Whole Mitochondrial Genome (81460) range across 8 matching MRF lines |
$242–$3,986 | $242–$3,986 | varies |
| Whole mitochondrial genome analysis panel (81465) range across 7 matching MRF lines |
$253–$4,113 | $253–$4,113 | varies |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) range across 2 matching MRF lines |
$7,857–$9,594 | $7,857–$9,594 | varies |
| Xm Archive Tissue Molec Anal (88363) | $2,925.05 | $2,925.05 | 96.6× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 3 matching MRF lines |
$56–$540 | $56–$540 | varies |
| Zika Virus Igm Antibody (86794) | $355 | $355 | 21.1× |
| Zinc (84630) range across 3 matching MRF lines |
$125–$180 | $125–$180 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.