| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$672 |
— |
| 17-Hydroxycorticosteroids (83491) |
— |
$170 |
— |
| 5 Hiaa (83497) |
— |
$223 |
— |
| Acetaminophen level (80143) |
— |
$235.50 |
— |
| Acetylcholine receptor (achr); blocking antibody (86042) |
— |
$118 |
— |
| Acetylcholine receptor binding antibody (86041) |
— |
$112 |
— |
| Acetylcholn Rcptr Modlg Antb (86043) |
— |
$140 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$205 |
— |
| Acute hepatitis panel (80074) |
— |
$158 |
— |
| Acylcarnitine Plasma (82017) |
— |
$435 |
— |
| Adamts13 activity (85397) |
— |
$422 |
— |
| Additional high resolution study (88289) |
— |
$309 |
— |
| Adenovirus ag, if (87260) |
— |
$118 |
— |
| Afb culture (87116) |
— |
$201 |
— |
| Agglutinins febrile (86000) |
— |
$84 |
— |
| Albumin Fluid (82042) |
— |
$89 |
— |
| Albumin serum (82040) |
— |
$90 |
— |
| Aldolase (82085) |
— |
$169 |
— |
| Aldosterone urine (82088) |
— |
$292.50 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$186 |
— |
| Allergen specific ige (86003) |
— |
$39 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$78.50 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$205 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$258 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$227.50 |
— |
| Alt (sgpt) (84460) |
— |
$100 |
— |
| Aluminum (82108) |
— |
$59 |
— |
| Amikacin trough (80150) |
— |
$217 |
— |
| Amino acid screen urine (82128) |
— |
$85.50 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$798 |
— |
| Amino Acids Quant 2-5 (82136) |
— |
$596 |
— |
| Amino Acids, Single Quantitation (82131) |
— |
$416.50 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$462 |
— |
| Ammonia (82140) |
— |
$142.50 |
— |
| Amylase urine (82150) |
— |
$110.50 |
— |
| Ana Titer (86039) |
— |
$157.50 |
— |
| Angiotensin i enzyme test (82164) |
— |
$273 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$50 |
— |
| Antibody Absorption (86978) |
— |
$157.50 |
— |
| Antibody aspergillus (86606) |
— |
$193 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$107 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$120 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$250.50 |
— |
| Antibody Encephalitis Eastern Equine (86652) |
— |
$109 |
— |
| Antibody Encephalitis St. Louis (86653) |
— |
$109 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$99 |
— |
| Antibody haemophilus influenza (86684) |
— |
$408 |
— |
| Antibody helicobacter pylori (86677) |
— |
$236 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$159 |
— |
| Antibody HIV-2 (86702) |
— |
$119 |
— |
| Antibody identification (86870) |
— |
$329 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$368 |
— |
| Antibody mumps (86735) |
— |
$222 |
— |
| Antibody Protozoa Nes (86753) |
— |
$310 |
— |
| Antibody rubeola (86765) |
— |
$210.50 |
— |
| Antibody screen (86850) |
— |
$162 |
— |
| Antibody treponema pallidum (86780) |
— |
$58 |
— |
| Antibody; Coccidioides (86635) |
— |
$198 |
— |
| Antigen typing (86905) |
— |
$109.50 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$274 |
— |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
— |
$66.50 |
— |
| Antinuclear antibodies (86038) |
— |
$237 |
— |
| Antistreptolysin o titer (86060) |
— |
$167 |
— |
| Antithrombin iii activity (85300) |
— |
$298.50 |
— |
| Antithrombin iii antigen (85301) |
— |
$239.50 |
— |
| Apolipoprotein b (82172) |
— |
$123.50 |
— |
| Aquaporin-4 antibody flow cytometry each (86053) |
— |
$257 |
— |
| Arsenic Urine (82175) |
— |
$291.50 |
— |
| Aspergillus ag eia (87305) |
— |
$313 |
— |
| Assay Duodenal Fluid Trypsin (84485) |
— |
$60 |
— |
| Assay galactose transferase (82775) |
— |
$235.50 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$143 |
— |
| Assay of 17-hydroxypregnenolone (84143) |
— |
$229 |
— |
| Assay of acth (82024) |
— |
$113 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$59 |
— |
| Assay of androstenedione (82157) |
— |
$206.50 |
— |
| Assay of anti-mullerian hormone (82166) |
— |
$240 |
— |
| Assay of blood chloride (82435) |
— |
$72.50 |
— |
| Assay of blood fatty acids (82725) |
— |
$266 |
— |
| Assay of c-peptide (84681) |
— |
$297 |
— |
| Assay of calcitonin (82308) |
— |
$440 |
— |
| Assay of ceruloplasmin (82390) |
— |
$200 |
— |
| Assay of creatine (82540) |
— |
$241.50 |
— |
| Assay of cyclosporine (80158) |
— |
$236 |
— |
| Assay of dibucaine number (82638) |
— |
$113 |
— |
| Assay of erythropoietin (82668) |
— |
$204 |
— |
| Assay of ethosuximide (80168) |
— |
$286 |
— |
| Assay of ferritin (82728) |
— |
$156 |
— |
| Assay of g6pd enzyme (82955) |
— |
$257 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$67 |
— |
| Assay of gastrin (82941) |
— |
$307 |
— |
| Assay of gentamicin (80170) |
— |
$145.50 |
— |
| Assay of glucagon (82943) |
— |
$264.50 |
— |
| Assay of homocystine (83090) |
— |
$212 |
— |
| Assay of homovanillic acid (83150) |
— |
$255.50 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$164 |
— |
| Assay of manganese (83785) |
— |
$135 |
— |
| Assay of metanephrines (83835) |
— |
$307.50 |
— |
| Assay of osteocalcin (83937) |
— |
$320 |
— |
| Assay of parathormone (83970) |
— |
$401 |
— |
| Assay of phenobarbital (80184) |
— |
$191.50 |
— |
| Assay of phosphatase acid total (84060) |
— |
$65 |
— |
| Assay of prealbumin (84134) |
— |
$208 |
— |
| Assay of pyruvate (84210) |
— |
$172 |
— |
| Assay of selenium (84255) |
— |
$417 |
— |
| Assay of serotonin (84260) |
— |
$559 |
— |
| Assay of somatomedin (84305) |
— |
$151.50 |
— |
| Assay of tacrolimus (80197) |
— |
$201 |
— |
| Assay of urine vma (84585) |
— |
$342 |
— |
| Assay of vitamin k (84597) |
— |
$333 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$52 |
— |
| Ast (sgot) (84450) |
— |
$95.50 |
— |
| Autologous Blood Process (86890) |
— |
$1,037 |
— |
| B cells total count (86355) |
— |
$153.50 |
— |
| Bartonella antibody (86611) |
— |
$108 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$1,006 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$920 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$132 |
— |
| Beta hydroxybutyrate (82010) |
— |
$68.50 |
— |
| Beta Lactamase (87185) |
— |
$71.50 |
— |
| Beta-2 microglobulin (82232) |
— |
$99 |
— |
| Bile acids, total (82239) |
— |
$108 |
— |
| Bilirubin direct (82248) |
— |
$63 |
— |
| Bilirubin total (82247) |
— |
$100 |
— |
| Biotinidase ea specimen (82261) |
— |
$63 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$70 |
— |
| Bl Smear W/O Diff Wbc Count (85008) |
— |
$117 |
— |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
— |
$278 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$393 |
— |
| Bleeding time (85002) |
— |
$86 |
— |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
— |
$352 |
— |
| Blood gases (82803) |
— |
$318.50 |
— |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
— |
$183.50 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$46 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$162 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$242 |
— |
| Blood typing abo (86900) |
— |
$80 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$118 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$80 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$368 |
— |
| Body fluid cell count (89051) |
— |
$112.50 |
— |
| Breath Alcohol Test (82075) |
— |
$85 |
— |
| Brucella antibody (86622) |
— |
$73 |
— |
| C diff amplified probe (87493) |
— |
$306 |
— |
| C-reactive protein (86140) |
— |
$97 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$152 |
— |
| C1q binding assay (86332) |
— |
$268.50 |
— |
| Ca 125 (86304) |
— |
$353 |
— |
| Caffeine (80155) |
— |
$179 |
— |
| Calcium ionized (82330) |
— |
$125.50 |
— |
| Calcium total (82310) |
— |
$98 |
— |
| Calcium urine (82340) |
— |
$81.50 |
— |
| Calculus Spectroscopy (82365) |
— |
$102 |
— |
| California encephalitis ab (86651) |
— |
$104 |
— |
| Calprotectin, fecal (83993) |
— |
$576 |
— |
| Carb deficient transferrin (82373) |
— |
$650 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$166 |
— |
| Carbamazepine free (80157) |
— |
$157 |
— |
| Carbon dioxide (82374) |
— |
$48 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$125 |
— |
| Carcinoembryonic antigen (82378) |
— |
$325 |
— |
| Cardiolipin ab igg (86147) |
— |
$160.50 |
— |
| Carnitine (82379) |
— |
$249.50 |
— |
| Carotene (82380) |
— |
$270 |
— |
| Catecholamines fraction plasma (82384) |
— |
$477 |
— |
| Cd4 absolute count (86361) |
— |
$566 |
— |
| Cell Cryopreserve/Storage (88240) |
— |
$301 |
— |
| Cell marker study (88182) |
— |
$465.50 |
— |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
— |
$381 |
— |
| Cftr gene com variants (81220) |
— |
$488 |
— |
| Cftr gene full sequence (81223) |
— |
$1,345 |
— |
| Chemiluminescent assay (82397) |
— |
$441 |
— |
| Chlamydia antibody (86631) |
— |
$93 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$89 |
— |
| Chloride other source (82438) |
— |
$55 |
— |
| Chloride urine (82436) |
— |
$104 |
— |
| Cholesterol total (82465) |
— |
$118 |
— |
| Cholinesterase rbc (82482) |
— |
$57 |
— |
| Cholinesterase serum (82480) |
— |
$113 |
— |
| Chondroitin b sulfate (protein) level (82485) |
— |
$343 |
— |
| Chrmsm analysis addl cells counted each study (88285) |
— |
$173 |
— |
| Chrmsm breakage synds score 100 cll (88249) |
— |
$1,298 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$1,504 |
— |
| Chrom count break 50-100/20/2 (88248) |
— |
$1,086 |
— |
| Chromium urine (82495) |
— |
$141 |
— |
| Chromogranin a (86316) |
— |
$239.50 |
— |
| Chromosome analys amniotic (88269) |
— |
$1,246 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$877 |
— |
| Chromosome analysis 45 cells (88263) |
— |
$1,572 |
— |
| Chromosome Analysis 5 (88261) |
— |
$1,451 |
— |
| Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) |
— |
$1,161 |
— |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) |
— |
$1,278 |
— |
| Chromosome banding study (88283) |
— |
$713.50 |
— |
| Chromosome karyotype study (88280) |
— |
$239 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$113 |
— |
| Citrate (82507) |
— |
$415.50 |
— |
| Ck isoenzymes (82552) |
— |
$69 |
— |
| Ckmb (82553) |
— |
$213 |
— |
| Clot factor viii vw antigen (85246) |
— |
$320 |
— |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
— |
$365 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$383 |
— |
| Cmv PCR (87496) |
— |
$331 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$821.50 |
— |
| Coagulation time activated (85347) |
— |
$105 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$647 |
— |
| Cold agglutinin titer (86157) |
— |
$206 |
— |
| Collagen cross links (82523) |
— |
$363.50 |
— |
| Compatibility test antiglob (86922) |
— |
$334 |
— |
| Complement c3 (86160) |
— |
$223 |
— |
| Complement total ch50 (86162) |
— |
$350 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$357 |
— |
| Comprehensive review of data (88325) |
— |
$827 |
— |
| Concentration Infectious Agent (87015) |
— |
$120.50 |
— |
| Coombs direct (86880) |
— |
$138 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$107.50 |
— |
| Copper urine (82525) |
— |
$231.50 |
— |
| Cortisol free (82530) |
— |
$366 |
— |
| Cortisol total (82533) |
— |
$211 |
— |
| Creatine kinase total (82550) |
— |
$82.50 |
— |
| Creatinine blood (82565) |
— |
$47 |
— |
| Creatinine clearance (82575) |
— |
$130 |
— |
| Creatinine other source (82570) |
— |
$114.50 |
— |
| Crossmatch immediate spin (86920) |
— |
$226 |
— |
| Cryoglobulin (82595) |
— |
$113 |
— |
| Cryptococcal Antigen (87327) |
— |
$100 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$81 |
— |
| Culture Aerobic Identify (87077) |
— |
$126 |
— |
| Culture anaerobic (87075) |
— |
$199 |
— |
| Culture blood (87040) |
— |
$191.50 |
— |
| Culture chlamydia (87110) |
— |
$241.50 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$208 |
— |
| Culture fungus blood (87103) |
— |
$831 |
— |
| Culture fungus id yeast (87106) |
— |
$121 |
— |
| Culture fungus other (87102) |
— |
$604 |
— |
| Culture genital (87070) |
— |
$250 |
— |
| Culture screen only (87081) |
— |
$142 |
— |
| Culture stool (87045) |
— |
$162.50 |
— |
| Culture typing if ea antiserum (87140) |
— |
$96 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$80 |
— |
| Culture urine (87086) |
— |
$153 |
— |
| Culture urine id ea isolate (87088) |
— |
$68 |
— |
| Culture, typing; identification by pulse field gel typing Other Outpatient (87152) |
— |
$232 |
— |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
— |
$415 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$149 |
— |
| Cystatin c (82610) |
— |
$138 |
— |
| Cytogen micrarray copy nmbr (81228) |
— |
$5,684 |
— |
| Cytogenetics 10-30 (88273) |
— |
$475 |
— |
| Cytogenetics DNA probe (88271) |
— |
$201.50 |
— |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
— |
$5,738 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$609.50 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$260 |
— |
| Cytotoxic pra quick (86808) |
— |
$196 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$309 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$516 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$321 |
— |
| Cytp slides cerv/vag mnl scrn physician supv (88164) |
— |
$96 |
— |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
— |
$350 |
— |
| D-Dimer (85378) |
— |
$166.50 |
— |
| Deoxycortisol (82634) |
— |
$191 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$214 |
— |
| Desoxycorticosterone (82633) |
— |
$123 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$237 |
— |
| Detection test by immunoassay technique for cytomegalovirus (87332) |
— |
$201 |
— |
| Detection test by immunofluorescent technique for cytomegalovirus (cmv) (87271) |
— |
$120 |
— |
| Dhea (82626) |
— |
$186 |
— |
| Dhea sulfate (82627) |
— |
$348 |
— |
| Digoxin (80162) |
— |
$234.50 |
— |
| Dihydrotestosterone (82642) |
— |
$288 |
— |
| Dilantin (80185) |
— |
$242 |
— |
| Dipropylacetic acid free (80165) |
— |
$201 |
— |
| Dmd duplication/deletion analysis (81161) |
— |
$2,327 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$230 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$121 |
— |
| DNA/RNA direct probe (87149) |
— |
$792 |
— |
| Drug assay adalimumab (80145) |
— |
$700 |
— |
| Drug Assay Amiodarone (80151) |
— |
$56 |
— |
| Drug assay carbamazepine -10,11-epoxide (80161) |
— |
$56 |
— |
| Drug assay felbamate (80167) |
— |
$297 |
— |
| Drug assay flecainide (80181) |
— |
$303 |
— |
| Drug Assay Infliximab (80230) |
— |
$700 |
— |
| Drug assay itraconazole (80189) |
— |
$213 |
— |
| Drug Assay Lacosamide (80235) |
— |
$378 |
— |
| Drug assay methotrexate (80204) |
— |
$297 |
— |
| Drug assay rufinamide (80210) |
— |
$270 |
— |
| Drug assay vedolizumab (80280) |
— |
$685.50 |
— |
| Drug assay voriconazole (80285) |
— |
$163 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$269 |
— |
| Drug screen quant zonisamide (80203) |
— |
$268 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$253 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$344.50 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$280.50 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$101 |
— |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
— |
$270.50 |
— |
| Ebv viral capsid (86665) |
— |
$101 |
— |
| Echinococcus ab igg (86682) |
— |
$335.50 |
— |
| Ehrlichia antibody (86666) |
— |
$106 |
— |
| Elastase pancreatic fecal quantitative (82653) |
— |
$660 |
— |
| Electrolyte panel (80051) |
— |
$248 |
— |
| Electron microscopy diagnostic (88348) |
— |
$1,405 |
— |
| Electronic crossmatch (86923) |
— |
$163 |
— |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
— |
$248 |
— |
| Encephalitis Western Equine (86654) |
— |
$109 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$167 |
— |
| Endomysial antibody iga (86255) |
— |
$469 |
— |
| Enterovirus antibody (86658) |
— |
$82 |
— |
| Enterovirus Pcr (87498) |
— |
$545.50 |
— |
| Enzyme activity radioactive (82658) |
— |
$1,024 |
— |
| Enzyme cell activity (82657) |
— |
$631.50 |
— |
| Enzyme histochemistry (88319) |
— |
$382 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$106 |
— |
| Estradiol (82670) |
— |
$338 |
— |
| Estriol (82677) |
— |
$32 |
— |
| Estrone (82679) |
— |
$337 |
— |
| Ethylene glycol (82693) |
— |
$312 |
— |
| Everolimus (80169) |
— |
$285 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$84 |
— |
| Examination of archival tissue for genetic analysis (88363) |
— |
$91 |
— |
| Exome sequence analysis (81415) |
— |
$8,402.50 |
— |
| Exome sequence analysis each comparator exome (81416) |
— |
$2,430 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$474 |
— |
| F5 gene (81241) |
— |
$851 |
— |
| Factor ii activity (85210) |
— |
$361 |
— |
| Factor inhibitor test (85335) |
— |
$378 |
— |
| Factor ix activity (85250) |
— |
$220 |
— |
| Factor v activity (85220) |
— |
$434 |
— |
| Factor vii assay (85230) |
— |
$413 |
— |
| Factor viii ahg (85240) |
— |
$349.50 |
— |
| Factor viii related antigen (85244) |
— |
$407 |
— |
| Factor viii vw multimetric (85247) |
— |
$247 |
— |
| Factor xi assay (85270) |
— |
$484 |
— |
| Factor xii assay (85280) |
— |
$453 |
— |
| Factor xiii solubility screen (85291) |
— |
$201 |
— |
| Fecal fat qual (82705) |
— |
$46 |
— |
| Fecal fat quant (82710) |
— |
$425 |
— |
| Fetal bleed screen (85461) |
— |
$63 |
— |
| Fibrinogen activity (85384) |
— |
$86 |
— |
| Fibrinogen antigen (85385) |
— |
$156.50 |
— |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
— |
$93 |
— |
| Flow cytometry first marker (88184) |
— |
$216.50 |
— |
| Flt3 gene analysis (81245) |
— |
$668.50 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$165 |
— |
| Fmr1 gene detection (81243) |
— |
$761 |
— |
| Folate serum (82746) |
— |
$289 |
— |
| Folic acid rbc (82747) |
— |
$373 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$263 |
— |
| Francisella Tularensis (86668) |
— |
$299 |
— |
| Fresh frozen plasma thawing each unit (86927) |
— |
$110 |
— |
| Frozen Section (88331) |
— |
$613 |
— |
| Fructosamine (82985) |
— |
$201 |
— |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
— |
$142 |
— |
| G6pd Screen (82960) |
— |
$27 |
— |
| Galactose (82760) |
— |
$30 |
— |
| Galactose transferase test (82776) |
— |
$38 |
— |
| Gammaglobulin ige (82785) |
— |
$145 |
— |
| Gastric Occult Blood (82271) |
— |
$51 |
— |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
— |
$3,628 |
— |
| Gene analysis (methyl cpg binding protein 2) known familial variant (81303) |
— |
$1,480 |
— |
| Ggt (82977) |
— |
$102.50 |
— |
| Giardia antigen eia stool (87329) |
— |
$163.50 |
— |
| Giardia lamblia antibody (86674) |
— |
$140 |
— |
| Glucose (82947) |
— |
$36 |
— |
| Glucose Blood Test (82962) |
— |
$63.50 |
— |
| Glucose body fluid (82945) |
— |
$89.50 |
— |
| Glucose post dose (82950) |
— |
$70 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$169.50 |
— |
| Growth hormone (83003) |
— |
$225 |
— |
| Haptoglobin (83010) |
— |
$346 |
— |
| Hba1/hba2 full gene sequence (81259) |
— |
$1,435 |
— |
| Hba1/hba2 gene dup/del vrnts (81269) |
— |
$944.50 |
— |
| Hbb duplication/deletion variants (81363) |
— |
$1,329.50 |
— |
| Hbb Full Gene Sequence (81364) |
— |
$2,110 |
— |
| Hcg qualitative (84703) |
— |
$115.50 |
— |
| Hcg quant (84702) |
— |
$312.50 |
— |
| Hdl Cholesterol (83718) |
— |
$119 |
— |
| Heinz Bodies; Direct - Heinz Body Stain (85441) |
— |
$176 |
— |
| Hematocrit (85014) |
— |
$67 |
— |
| Hematocrit spun (85013) |
— |
$53 |
— |
| Hemoglobin (85018) |
— |
$48.50 |
— |
| Hemoglobin a1c (83036) |
— |
$208 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$161 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$45 |
— |
| Hemoglobin fetal ql (83033) |
— |
$114.50 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$118 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$128 |
— |
| Hemoglobin plasma (83051) |
— |
$224.50 |
— |
| Hemoglobin stability screen (83068) |
— |
$97 |
— |
| Hemolysins And Agglutinins Incubated (86941) |
— |
$171 |
— |
| Hemolysins/agglutinins auto screen (86940) |
— |
$164 |
— |
| Heparin assay (85520) |
— |
$219 |
— |
| Heparin neutralization (85525) |
— |
$314 |
— |
| Hepatitis a antibody total (86708) |
— |
$188 |
— |
| Hepatitis a igm (86709) |
— |
$273 |
— |
| Hepatitis b core ab igm (86705) |
— |
$194 |
— |
| Hepatitis b core antibody total (86704) |
— |
$173 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$199 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$158 |
— |
| Hepatitis be antibody (86707) |
— |
$189 |
— |
| Hepatitis Be Antigen (87350) |
— |
$189 |
— |
| Hepatitis c ab confirm (86804) |
— |
$463 |
— |
| Hepatitis c antibody (86803) |
— |
$206 |
— |
| Hepatitis C Genotype (87902) |
— |
$1,181 |
— |
| Hepatitis delta ab (86692) |
— |
$83.50 |
— |
| Herpes culture (87252) |
— |
$145 |
— |
| Histoplasma antibody (86698) |
— |
$125 |
— |
| Histoplasma antigen urine (87385) |
— |
$388.50 |
— |
| HIV confirmation (86689) |
— |
$239.50 |
— |
| HIV-1 antibody (86701) |
— |
$84 |
— |
| Hla antibody screen (86807) |
— |
$554.50 |
— |
| Hla b 27 disease association lc (81374) |
— |
$381 |
— |
| Hla class i high defin qual (86832) |
— |
$1,271 |
— |
| Hla class i typing high resolution complete (81379) |
— |
$1,432 |
— |
| Hla class i typing high resolution one allele or allele group (81381) |
— |
$575 |
— |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) |
— |
$1,619 |
— |
| Hla class ii high defin qual (86833) |
— |
$973.50 |
— |
| Hla class ii phenotype qual (86831) |
— |
$604 |
— |
| Hla class ii typing high resolution one locus ea (81382) |
— |
$732 |
— |
| Hla I Typing Complete Lr (81372) |
— |
$1,591 |
— |
| Hla i&li low resolution hla-a -b&-drb1 (81371) |
— |
$1,297 |
— |
| Hla ii typing 1 allele hr (81383) |
— |
$463 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$248 |
— |
| Hla ii typing ag equiv lr (81375) |
— |
$1,238 |
— |
| Hla typing a/b/c multiple antigens (86813) |
— |
$836 |
— |
| Hla typing dr/dq (86817) |
— |
$546 |
— |
| Hla x-match, non-cytotoxic (86825) |
— |
$1,483 |
— |
| Hla-b27 (86812) |
— |
$547 |
— |
| Homogenization tissue (87176) |
— |
$115.50 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$415 |
— |
| Hydroxychloroquine (80220) |
— |
$868 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$53 |
— |
| Ia infectious agt antibody qual/semiq 1step meth (86318) |
— |
$108 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$147 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$75 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$148 |
— |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
— |
$193 |
— |
| Iaad ia HIV-1 (87390) |
— |
$342 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$68 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$180 |
— |
| Iaad ia rotavirus (87425) |
— |
$149.50 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$139 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$119.50 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$157 |
— |
| Iaadi herpes smplx virus type 2 (87273) |
— |
$80 |
— |
| Iaadi inffluenza a virus (87276) |
— |
$118 |
— |
| Iaadi influenza b virus (87275) |
— |
$115 |
— |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
— |
$120 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$492.50 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$580 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$880.50 |
— |
| Iadna herpes virus-6 amplified probe tq (87532) |
— |
$536 |
— |
| Iadna herpes virus-6 quantification (87533) |
— |
$639 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$616 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$945 |
— |
| Iadna mycobacteria tuberculosis amp prb (87556) |
— |
$368 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$492.50 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$113 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$534.50 |
— |
| Iadna nos quantification each organism (87799) |
— |
$657.50 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$427 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$1,135 |
— |
| If varicella-zoster antigen (87290) |
— |
$120 |
— |
| Igg subclasses (82787) |
— |
$199 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$113.50 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$172.50 |
— |
| Immunoassay nonantibody (83516) |
— |
$143 |
— |
| Immunodiffusion not elsewhere specified (86329) |
— |
$145 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$406 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$372.50 |
— |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) |
— |
$80 |
— |
| Immunoglobulin assay (86023) |
— |
$512 |
— |
| Immunohistochemistry (88342) |
— |
$431.50 |
— |
| India ink prep (87210) |
— |
$98 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Other… (87267) |
— |
$119 |
— |
| Inhibin b (83520) |
— |
$335 |
— |
| Insitu hybridization (fish) (88365) |
— |
$489 |
— |
| Insulin antibodies (86337) |
— |
$124 |
— |
| Insulin total (83525) |
— |
$273 |
— |
| Interleukin 6 (83529) |
— |
$349 |
— |
| Intraop cyto path consult 1 (88333) |
— |
$466 |
— |
| Iron (83540) |
— |
$109 |
— |
| Iron binding capacity (83550) |
— |
$110 |
— |
| Irradiation of blood product (86945) |
— |
$184 |
— |
| Islet cell antibody (86341) |
— |
$272 |
— |
| Ketosteroids 17; total (83586) |
— |
$273 |
— |
| Koh Prep (87220) |
— |
$94 |
— |
| Lactic acid (83605) |
— |
$167 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$126 |
— |
| Ldh (83615) |
— |
$144 |
— |
| Lead (83655) |
— |
$103 |
— |
| Legionella antibody (86713) |
— |
$306 |
— |
| Legionella antigen urine (87449) |
— |
$161 |
— |
| Legionella pneumophila dfa (87278) |
— |
$189 |
— |
| Leptospira antibody (86720) |
— |
$276 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$326 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$867 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$1,217 |
— |
| Lh (83002) |
— |
$228.50 |
— |
| Lidocaine level (80176) |
— |
$297 |
— |
| Lipase (83690) |
— |
$77 |
— |
| Lithium (80178) |
— |
$87 |
— |
| Lyme disease antibody (86618) |
— |
$194 |
— |
| Lymph Choriomeningitis Ab (86727) |
— |
$271 |
— |
| Lymphocyte transformation (86353) |
— |
$628 |
— |
| Lymphocytotoxicity assay (86805) |
— |
$441 |
— |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
— |
$1,011 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$638 |
— |
| Macroscopic exam parasite (87169) |
— |
$160 |
— |
| Magnesium (83735) |
— |
$146 |
— |
| Malaria smear (87207) |
— |
$122 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$30.50 |
— |
| Mcg chrom insitu 3-5 (88272) |
— |
$337 |
— |
| Mcg interphase insitu 25 (88274) |
— |
$321 |
— |
| Mecp2 gene dup/delet variant (81304) |
— |
$1,480 |
— |
| Mecp2 gene, full gene analysis (81302) |
— |
$1,593 |
— |
| Mercury (83825) |
— |
$92.50 |
— |
| Metabolic Panel Ionized Ca (80047) |
— |
$196.50 |
— |
| Methotrexate (80299) |
— |
$332.50 |
— |
| Methylmalonic acid serum (83921) |
— |
$305.50 |
— |
| Microalbumin urine (82043) |
— |
$122 |
— |
| Microbe suscept macrobroth (87188) |
— |
$125 |
— |
| Microbe susceptible diffuse (87181) |
— |
$61 |
— |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
— |
$783 |
— |
| Microsomal antibodies (86376) |
— |
$141 |
— |
| Mitochondrial antibody each (86381) |
— |
$205 |
— |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
— |
$1,074 |
— |
| Mog-igg1 antibody flow cytometry each (86363) |
— |
$257 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$455 |
— |
| Molecular pathology procedure level 2 (81401) |
— |
$777 |
— |
| Molecular pathology procedure level 7 (81406) |
— |
$4,095 |
— |
| Mononuclear cell antigen (86356) |
— |
$104.50 |
— |
| Mopath procedure level 3 (81402) |
— |
$1,662 |
— |
| Mopath procedure level 8 (81407) |
— |
$4,374.50 |
— |
| Mrsa amp probe (87641) |
— |
$273 |
— |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
— |
$2,379 |
— |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
— |
$2,379 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$489 |
— |
| Mucin synovial fluid ropes test (83872) |
— |
$58 |
— |
| Mucopolysaccharides acid quantitative (83864) |
— |
$267 |
— |
| Muramidase (85549) |
— |
$96 |
— |
| Mycophenolic acid (80180) |
— |
$212 |
— |
| Mycoplasma antibody (86738) |
— |
$211 |
— |
| Mycoplasma culture (87109) |
— |
$401 |
— |
| Mycoplasma genitalium PCR (87563) |
— |
$160 |
— |
| Myelin basic protein csf (83873) |
— |
$318 |
— |
| Myoglobin urine (83874) |
— |
$246 |
— |
| Natriuretic peptide (83880) |
— |
$333.50 |
— |
| Nfct agent DNA/RNA influenza >2 types ea addl (87503) |
— |
$91 |
— |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
— |
$271 |
— |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
— |
$1,449 |
— |
| Nk cells total count (86357) |
— |
$150.50 |
— |
| Nmr Lipoprofile (83704) |
— |
$244.50 |
— |
| Nuclear antigen antibody (86235) |
— |
$157 |
— |
| Nudt15 Gene Analysis Common Variants (81306) |
— |
$619 |
— |
| Oligoclonal bands (83916) |
— |
$294 |
— |
| Organic Acids Qual Each (83919) |
— |
$424 |
— |
| Organic Acids Total Quantitative Each Specimen (83918) |
— |
$469 |
— |
| Orthopoxvirus Amp Prb Each (87593) |
— |
$168 |
— |
| Osmolality serum (83930) |
— |
$114.50 |
— |
| Osmolality urine (83935) |
— |
$108.50 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$99.50 |
— |
| Oxalate urine (83945) |
— |
$267 |
— |
| Pancreatic polypeptide (83519) |
— |
$473 |
— |
| Parainfluenza ag if (87279) |
— |
$111 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$199 |
— |
| Particle agglutination titer each antibody (86406) |
— |
$207 |
— |
| Parvovirus antibody (86747) |
— |
$214 |
— |
| Phenylalanine (84030) |
— |
$268.50 |
— |
| Phenytoin free (80186) |
— |
$213 |
— |
| Phosphatase alkaline (84075) |
— |
$148 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$273 |
— |
| Phosphorus blood (84100) |
— |
$72.50 |
— |
| Phosphorus urine (84105) |
— |
$84.50 |
— |
| Pinworm exam (87172) |
— |
$89.50 |
— |
| Plasminogen (85420) |
— |
$405 |
— |
| Platelet aggregation (85576) |
— |
$181 |
— |
| Platelet count (85049) |
— |
$70 |
— |
| Platelet neutralization (85597) |
— |
$166 |
— |
| Pmp22 gene full sequence (81325) |
— |
$1,867 |
— |
| Pooling blood platelets (86965) |
— |
$83.50 |
— |
| Porphobilinogen urine quant (84110) |
— |
$183 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$243 |
— |
| Potassium (84132) |
— |
$76 |
— |
| Potassium urine (84133) |
— |
$74.50 |
— |
| Pregnenolone (84140) |
— |
$232 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$190 |
— |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
— |
$427 |
— |
| Pretx serum rbc antibody identification dilution (86976) |
— |
$105 |
— |
| Primidone (80188) |
— |
$86 |
— |
| Procainamide napa (80192) |
— |
$122 |
— |
| Procalcitonin (pct) (84145) |
— |
$387 |
— |
| Progesterone (84144) |
— |
$161.50 |
— |
| Prolactin (84146) |
— |
$319 |
— |
| Protein analysis of tissue by Western Blot, with interpretation and report; Other Outpatient (88371) |
— |
$280 |
— |
| Protein body fluid (84157) |
— |
$110 |
— |
| Protein c activity (85303) |
— |
$521.50 |
— |
| Protein c antigen (85302) |
— |
$542 |
— |
| Protein electrophoresis serum (84165) |
— |
$228.50 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$170 |
— |
| Protein S Functional (85306) |
— |
$361.50 |
— |
| Protein s total (85305) |
— |
$400 |
— |
| Protein total by refractometry any source (84160) |
— |
$124 |
— |
| Protein Total Serum (84155) |
— |
$80.50 |
— |
| Protein urine (84156) |
— |
$58 |
— |
| Protein Western Blot (84182) |
— |
$183 |
— |
| Prothrombin time substitution (85611) |
— |
$100.50 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$364 |
— |
| Pten Gene Full Sequence (81321) |
— |
$4,294 |
— |
| Quantiferon tb gold (86480) |
— |
$163 |
— |
| Quinidine (80194) |
— |
$44 |
— |
| Rbc antibody elution (86860) |
— |
$211.50 |
— |
| Rbc osmotic fragility (85555) |
— |
$379 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$281 |
— |
| Rbc serum pretx incubj drugs (86975) |
— |
$196 |
— |
| Reducing substances, stool (84376) |
— |
$178 |
— |
| Ref consult prep elsewhere (88321) |
— |
$693.50 |
— |
| Renin activity plasma (84244) |
— |
$255 |
— |
| Reptilase test (85635) |
— |
$168 |
— |
| Respiratory viral panel PCR (87633) |
— |
$1,028.50 |
— |
| Reticulocyte Count (85046) |
— |
$61 |
— |
| Reticulocyte separation (86972) |
— |
$284 |
— |
| Rheumatoid factor quant (86431) |
— |
$180 |
— |
| Rickettsia antibody (86757) |
— |
$186 |
— |
| Rpr Titer (86593) |
— |
$82 |
— |
| Rubella antibody (86762) |
— |
$139 |
— |
| Russell viper venom time diluted (85613) |
— |
$166 |
— |
| Saccharomyces ab iga (86671) |
— |
$110 |
— |
| Salicylate (80179) |
— |
$127.50 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$164 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$136 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$154 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$446 |
— |
| Sed rate automated (85652) |
— |
$81 |
— |
| Sensitivity mic (87186) |
— |
$188 |
— |
| Serotonin Release Assay (86022) |
— |
$601 |
— |
| Sex hormone binding globulin (84270) |
— |
$63 |
— |
| Sickle cell screen (85660) |
— |
$104 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$354 |
— |
| Skin test candida (86485) |
— |
$83 |
— |
| Skin test unlisted antigen (86486) |
— |
$89 |
— |
| Smear acid fast (87206) |
— |
$138 |
— |
| Smear complex stain (87209) |
— |
$85.50 |
— |
| Smear gram stain (87205) |
— |
$108 |
— |
| Snrpn/ube3a gene (81331) |
— |
$1,168 |
— |
| Sodium (84295) |
— |
$76 |
— |
| Sodium other source (84302) |
— |
$36 |
— |
| Sodium urine (84300) |
— |
$92 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$176 |
— |
| Special stains group 1 (88312) |
— |
$299 |
— |
| Specific gravity body fluid (84315) |
— |
$42 |
— |
| Spectrophotometry (84311) |
— |
$127 |
— |
| Splitting blood/blood products each unit (86985) |
— |
$147 |
— |
| Stem cells total count (86367) |
— |
$7,414 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$125 |
— |
| Strep a DNA amp probe (87651) |
— |
$190.50 |
— |
| Sugars Multiple Qual (84377) |
— |
$123 |
— |
| Sugars single quant (84378) |
— |
$801 |
— |
| Surg path level iii (88304) |
— |
$431 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$165 |
— |
| Surgical pathology level IV (88305) |
— |
$578 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$113 |
— |
| Sweat collection (89230) |
— |
$282.50 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$157 |
— |
| T cells, total count (86359) |
— |
$151 |
— |
| T3 free (84481) |
— |
$489 |
— |
| T3 reverse (84482) |
— |
$290.50 |
— |
| T3 total (84480) |
— |
$277 |
— |
| T4 Free (84439) |
— |
$145 |
— |
| T4 total (84436) |
— |
$152 |
— |
| T4-neonatal (84437) |
— |
$34.50 |
— |
| Tb intradermal test (86580) |
— |
$83.50 |
— |
| Testosterone free (84402) |
— |
$22 |
— |
| Testosterone total (84403) |
— |
$172 |
— |
| Thawing and expansion of frozen cells (88241) |
— |
$473 |
— |
| Theophylline (80198) |
— |
$242 |
— |
| Thin prep pap (88142) |
— |
$126.50 |
— |
| Thiocyanate (84430) |
— |
$88 |
— |
| Thrombin time plasma (85670) |
— |
$111.50 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$133 |
— |
| Thyroglobulin (84432) |
— |
$253 |
— |
| Thyroglobulin Ab (86800) |
— |
$207 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$842 |
— |
| Thyroxine binding globulin (84442) |
— |
$190 |
— |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
— |
$1,383 |
— |
| Tissue culture bone marrow (88237) |
— |
$1,269 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$851 |
— |
| Tissue culture placenta (88235) |
— |
$1,104 |
— |
| Tissue culture solid tumor (88239) |
— |
$1,501 |
— |
| Tobramycin peak (80200) |
— |
$182 |
— |
| Topiramate (80201) |
— |
$392 |
— |
| Toxin or antitoxin assay (87230) |
— |
$286 |
— |
| Toxoplasma ab igm (86778) |
— |
$236 |
— |
| Toxoplasma antibody igg (86777) |
— |
$339 |
— |
| Tpmt gene com variants (81335) |
— |
$1,044 |
— |
| Transferrin (84466) |
— |
$143.50 |
— |
| Triglycerides (84478) |
— |
$131 |
— |
| Troponin (84484) |
— |
$140.50 |
— |
| Trypsin feces qual (84488) |
— |
$59 |
— |
| Tyrosine (84510) |
— |
$422 |
— |
| Urea nitrogen (84520) |
— |
$43 |
— |
| Urea nitrogen urine (84540) |
— |
$90.50 |
— |
| Uric acid blood (84550) |
— |
$81.50 |
— |
| Uric acid other source (84560) |
— |
$113 |
— |
| Urinalysis qual/semiquant except immunoassays (81005) |
— |
$49 |
— |
| Urinalysis w/microscopic (81001) |
— |
$81.50 |
— |
| Urine pregnancy test (81025) |
— |
$74 |
— |
| Urine volume measurement (81050) |
— |
$44 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$47 |
— |
| Valproic acid level (80164) |
— |
$239 |
— |
| Vancomycin trough (80202) |
— |
$241.50 |
— |
| Varicella-zoster antibody (86787) |
— |
$225 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$646 |
— |
| Vasopressin (84588) |
— |
$766 |
— |
| Vdrl csf (86592) |
— |
$66 |
— |
| Very long chain fatty acids (82726) |
— |
$779 |
— |
| Virus antibody nos (86790) |
— |
$113 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$225 |
— |
| Virus inoculate tissue addl (87253) |
— |
$145 |
— |
| Virus inoculation, shell via (87254) |
— |
$131.50 |
— |
| Vitamin A (84590) |
— |
$270 |
— |
| Vitamin b-12 (82607) |
— |
$289 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$99 |
— |
| Vitamin b6 (84207) |
— |
$72 |
— |
| Vitamin C (82180) |
— |
$126 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$381.50 |
— |
| Vitamin e serum (84446) |
— |
$262 |
— |
| Vol reduction of blood/prod (86960) |
— |
$182 |
— |
| Von willebrand factor activity (85245) |
— |
$336.50 |
— |
| West nile virus ab, igm (86788) |
— |
$112 |
— |
| West nile virus antibody (86789) |
— |
$117 |
— |
| Xylose Absorption Test (84620) |
— |
$375 |
— |
| Yersinia antibody (86793) |
— |
$200 |
— |
| Zinc (84630) |
— |
$230 |
— |