| 17 Hydroxypregnenolone (84143) |
$48.75 |
$75 |
2.1× |
| 17-Ohcs (83491) |
$44.20 |
$68 |
2.5× |
| 5' Nucleotidase (83915) |
$13 |
$20 |
1.2× |
| 5-Hiaa (83497) |
$29.25 |
$45 |
2.3× |
| Ab; coxiella brunetii (86638) |
$21.12 |
$32.50 |
1.7× |
| Ab; encephalitis calif (86651) |
$36.40 |
$56 |
2.8× |
| Ab; encephalitis e equine (86652) |
$35.75 |
$55 |
2.7× |
| Ab; encephalitis w equine (86654) |
$35.75 |
$55 |
2.7× |
| Ab; htlv or HIV wb (86689) |
$54.60 |
$84 |
2.8× |
| Abl1 gene (81170) |
$799.18 |
$1,229.50 |
2.7× |
| Acetaminophen (80143) |
$78 |
$120 |
4.2× |
| Acetone serum qual (82009) |
$48.10 |
$74 |
10.6× |
| Acetylcholine receptor binding antibody (86041) |
$32.82 |
$50.50 |
1.8× |
| Acetylcholine receptor blocking antibody (86042) |
$32.82 |
$50.50 |
1.8× |
| Acetylcholine receptor modulating antibody (86043) |
$39 |
$60 |
3.2× |
| Acid fast smear only (87206) |
$7.80 |
$12 |
1.4× |
| Acid phosphatase (84060) |
$30.22 |
$46.50 |
4.0× |
| Acth stimulation panel adrenal (80400) |
$170.30 |
$262 |
5.2× |
| Actin smooth muscle antibody each (86015) |
$84.50 |
$130 |
7.0× |
| Activated protein c resistance (85307) |
$24.70 |
$38 |
1.6× |
| Acute hepatitis panel (80074) |
$63.05 |
$97 |
1.3× |
| Acylcarnitines quantitative (82017) |
$240.50 |
$370 |
14.3× |
| Adamts13 activity (85397) |
$114.40 |
$176 |
3.7× |
| Adenovirus ag eia (87301) |
$42.25 |
$65 |
3.5× |
| Adenovirus ag if (87260) |
$22.75 |
$35 |
1.6× |
| Adenovirus antibody (86603) |
$63.05 |
$97 |
4.9× |
| Adrenocorticotropic hormone (82024) |
$37.38 |
$57.50 |
1.0× |
| Afb culture (87116) |
$29.25 |
$45 |
2.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$206.70 |
$318 |
3.2× |
| Albumin csf (82042) |
$32.50 |
$50 |
4.2× |
| Albumin serum (82040) |
$20.80 |
$32 |
4.2× |
| Aldolase (82085) |
$13.98 |
$21.50 |
1.4× |
| Aldosterone urine (82088) |
$40.95 |
$63 |
1.0× |
| Alkaline phosphatase (84075) |
$50.70 |
$78 |
9.8× |
| Alkaline phosphatase isoenzymes (84080) |
$55.90 |
$86 |
3.8× |
| Allerg sp igg quan or semiquan (86001) |
$16.25 |
$25 |
2.1× |
| Allergen specific ige (86003) |
$10.40 |
$16 |
2.0× |
| Allergen specific ige (86005) |
$15.60 |
$24 |
2.0× |
| Alpha 2 antiplasmin (85410) |
$67.92 |
$104.50 |
8.8× |
| Alpha fetoprotein serum (82105) |
$73.78 |
$113.50 |
4.4× |
| Alpha-1 antitrypsin total (82103) |
$25.68 |
$39.50 |
1.9× |
| Alpha-1-antitrypsin phenotype (82104) |
$29.90 |
$46 |
2.1× |
| Alpha-fetoprotein amniotic (82106) |
$130 |
$200 |
7.6× |
| Alt/sgpt (84460) |
$43.55 |
$67 |
8.2× |
| Aluminum (82108) |
$27.30 |
$42 |
1.1× |
| Amikacin level (80150) |
$55.90 |
$86 |
3.7× |
| Amino acids quan 6 or more (82139) |
$258.38 |
$397.50 |
15.3× |
| Amino acids quant 2-5 (82136) |
$284.05 |
$437 |
14.5× |
| Amino acids; multi qual ea (82128) |
$22.75 |
$35 |
1.6× |
| Amino acids; sgl quan ea (82131) |
$36.08 |
$55.50 |
1.6× |
| Aminolevulinic acid delta (82135) |
$29.90 |
$46 |
1.8× |
| Amiodarone (80151) |
$109.85 |
$169 |
5.9× |
| Ammonia (82140) |
$208.32 |
$320.50 |
14.3× |
| Amylase (82150) |
$27.95 |
$43 |
4.3× |
| Ana titer (86039) |
$23.40 |
$36 |
2.1× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$26 |
$40 |
1.6× |
| Analysis for antibody to Neisseria meningitidis (bacterial meningitis) (86741) |
$51.35 |
$79 |
3.9× |
| Androstenedione (82157) |
$30.55 |
$47 |
1.0× |
| Angiotensin converting enzyme (82164) |
$15.60 |
$24 |
1.1× |
| Angiotensin ii (82163) |
$409.50 |
$630 |
20.0× |
| Anti DNA (ss) igg ab qn (86226) |
$28.60 |
$44 |
2.4× |
| Anti-mitochondrial antibody (86255) |
$108.55 |
$167 |
9.0× |
| Anti-phosphatidylserine antibody (86148) |
$29.90 |
$46 |
1.9× |
| Antibody bacterium nos (86609) |
$34.45 |
$53 |
2.7× |
| Antibody elution (86860) |
$246.35 |
$379 |
1.4× |
| Antibody identification (86870) |
$221.32 |
$340.50 |
0.6× |
| Antibody screen rbc each (86850) |
$68.25 |
$105 |
7.0× |
| Antibody toxoplasma (86777) |
$36.08 |
$55.50 |
2.5× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$89.05 |
$137 |
7.4× |
| Antinuclear antibodies (86038) |
$33.15 |
$51 |
2.7× |
| Antistreptolysin o titer (86060) |
$11.05 |
$17 |
1.5× |
| Antithrombin iii activity (85300) |
$13 |
$20 |
1.1× |
| Antithrombin iii antigen (85301) |
$21.45 |
$33 |
2.0× |
| Apolipoprotein b (82172) |
$24.05 |
$37 |
1.1× |
| Aqaprn-4 antb flo cytmtry ea (86053) |
$192.08 |
$295.50 |
5.1× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$122.20 |
$188 |
10.1× |
| Ar gene analysis characterization of alleles (81204) |
$523.25 |
$805 |
3.8× |
| Arsenic (82175) |
$59.80 |
$92 |
3.2× |
| ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Other Outpatient (81200) |
$61.10 |
$94 |
1.3× |
| Aspergillus antibody (86606) |
$29.58 |
$45.50 |
2.0× |
| Aspergillus antigen (87305) |
$120.25 |
$185 |
10.0× |
| Assay myeloperoxidase (83876) |
$206.70 |
$318 |
4.1× |
| Assay of anti-mullerian hormone (82166) |
$36.40 |
$56 |
0.9× |
| Assay of corticosterone (82528) |
$106.60 |
$164 |
4.7× |
| Assay of feces porphyrins (84126) |
$126.42 |
$194.50 |
3.2× |
| Assay of fluoride (82735) |
$283.40 |
$436 |
15.3× |
| Assay of g6pd enzyme (82955) |
$15.60 |
$24 |
1.6× |
| Assay of glucosidase (82963) |
$370.50 |
$570 |
17.2× |
| Assay of procainamide (80192) |
$38.35 |
$59 |
2.3× |
| Assay of sialic acid - lipid associated sialic acid (lasa) (84275) |
$95.55 |
$147 |
7.1× |
| Assay of vitamin b-2 (84252) |
$57.20 |
$88 |
2.8× |
| Assay spec xcp ur&breath ia (82077) |
$112.45 |
$173 |
6.5× |
| Ast/sgot (84450) |
$40.62 |
$62.50 |
7.8× |
| Atn1 gene detc abnor alleles (81177) |
$614.25 |
$945 |
4.5× |
| Atomic absorption spectroscopy, each analyte Other Outpatient (82190) |
$52.65 |
$81 |
3.3× |
| ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other… (81178) |
$388.05 |
$597 |
2.8× |
| ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other… (81179) |
$416.65 |
$641 |
3.0× |
| ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg,… (81180) |
$403 |
$620 |
2.9× |
| ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Other… (81181) |
$430.95 |
$663 |
3.1× |
| Autolog blood predeposited (86890) |
$224.25 |
$345 |
1.3× |
| Autologous blood op salvage (86891) |
$523.25 |
$805 |
0.6× |
| Automated rbc count (85041) |
$68.90 |
$106 |
22.8× |
| B cells total count (86355) |
$122.85 |
$189 |
3.3× |
| B-hexosaminidase ea assay (83080) |
$138.45 |
$213 |
8.2× |
| Bartonella DNA amp probe (87471) |
$153.40 |
$236 |
4.4× |
| Bartonella henselae igm (86611) |
$30.55 |
$47 |
3.0× |
| Basic metabolic panel calcium ionized (80047) |
$102.05 |
$157 |
7.4× |
| Bc - anaerobe - addtl id (87076) |
$47.12 |
$72.50 |
5.8× |
| BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis,… (81205) |
$76.05 |
$117 |
0.8× |
| Bcr/abl 1 gene other bp (81208) |
$373.10 |
$574 |
1.7× |
| Bcr/abl1 gene major bp (81206) |
$668.85 |
$1,029 |
4.1× |
| Bcr/abl1 gene minor bp (81207) |
$786.50 |
$1,210 |
5.4× |
| Beta 2 glycoprotein i ab ea (86146) |
$38.35 |
$59 |
1.5× |
| Beta hydroxybutyrate (82010) |
$35.75 |
$55 |
4.4× |
| Beta-2 microglobulin (82232) |
$20.80 |
$32 |
1.3× |
| Beta-amyloid 1-42 (abeta 42) (82234) |
$72.80 |
$112 |
0.6× |
| Bile acids total (82239) |
$41.92 |
$64.50 |
2.4× |
| Bilirubin direct (82248) |
$88.72 |
$136.50 |
17.7× |
| Bilirubin total (82247) |
$64.35 |
$99 |
12.8× |
| Bilirubin; feces, qualitative Other Outpatient (82252) |
$8.45 |
$13 |
1.9× |
| Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) |
$90.35 |
$139 |
11.7× |
| Biotinidase (82261) |
$62.72 |
$96.50 |
3.7× |
| Blastomyces antibody (86612) |
$16.25 |
$25 |
1.3× |
| BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Other Outpatient (81209) |
$31.20 |
$48 |
0.8× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
$28.60 |
$44 |
0.9× |
| Blood count reticulocyte automated (85044) |
$48.10 |
$74 |
11.2× |
| Blood gases 02 sat only (82810) |
$57.85 |
$89 |
5.9× |
| Blood gases w/o2 saturation (82805) |
$169.65 |
$261 |
2.2× |
| Blood Smear,Micro Exam,Manual Diff Wbc - Manual Differential (85007) |
$47.78 |
$73.50 |
12.6× |
| Blood type antigen donor ea (86902) |
$233.35 |
$359 |
36.7× |
| Blood typing abo (86900) |
$94.25 |
$145 |
31.5× |
| Blood typing antigen screen patient serum/unit (86904) |
$100.10 |
$154 |
6.1× |
| Blood typing rbc antigens oth/thn abo/rh d each (86905) |
$233.35 |
$359 |
60.9× |
| Blood typing serologic rh (d) (86901) |
$24.38 |
$37.50 |
8.2× |
| Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff (89051) |
$70.20 |
$108 |
12.5× |
| Bordetella pertussis igm (86615) |
$69.55 |
$107 |
5.3× |
| Braf gene analysis (81210) |
$276.25 |
$425 |
1.6× |
| Brucella antibody (86622) |
$52.65 |
$81 |
5.9× |
| BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R,… (81233) |
$641.55 |
$987 |
3.7× |
| C diff amplified probe (87493) |
$146.25 |
$225 |
3.9× |
| C-peptide (84681) |
$22.42 |
$34.50 |
1.1× |
| C-reactive protein (86140) |
$54.60 |
$84 |
10.5× |
| C1 esterase inhibitor functional (86161) |
$92.30 |
$142 |
7.7× |
| Ca 125 (86304) |
$64.02 |
$98.50 |
3.1× |
| Ca 15-3 (86300) |
$42.58 |
$65.50 |
2.0× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) |
$408.85 |
$629 |
3.0× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) |
$908.70 |
$1,398 |
1.1× |
| Cadmium blood (82300) |
$28.60 |
$44 |
1.2× |
| Caffeine level (80155) |
$151.45 |
$233 |
3.9× |
| Calcitonin (82308) |
$25.35 |
$39 |
0.9× |
| Calcium ionized (82330) |
$80.60 |
$124 |
5.9× |
| Calcium total (82310) |
$48.10 |
$74 |
9.3× |
| Calcium urine (82340) |
$11.70 |
$18 |
1.9× |
| Calprotectin, stool (83993) |
$177.45 |
$273 |
9.0× |
| Calr gene com variants (81219) |
$289.90 |
$446 |
2.4× |
| Campylobacter antibody (86625) |
$155.35 |
$239 |
11.8× |
| Cancer antigen 19-9 (86301) |
$50.05 |
$77 |
2.4× |
| Candida antibody (86628) |
$69.22 |
$106.50 |
5.8× |
| Candida DNA dir probe (87480) |
$139.75 |
$215 |
7.0× |
| Candida na amplified probe (87481) |
$178.75 |
$275 |
5.1× |
| Carbamazepine and Metabolite Component 1 Referred (80161) |
$99.45 |
$153 |
5.3× |
| Carbamazepine free (80157) |
$16.90 |
$26 |
1.3× |
| Carbamazepine total (80156) |
$127.40 |
$196 |
8.7× |
| Carbohydrate def transferrin (82373) |
$252.85 |
$389 |
14.0× |
| Carbon dioxide (82374) |
$42.25 |
$65 |
8.7× |
| Carboxyhemoglobin quant (82375) |
$11.05 |
$17 |
0.9× |
| Carcinoembryonic antigen (cea) (82378) |
$72.48 |
$111.50 |
3.8× |
| Cardiolipin ab ea ig class (86147) |
$37.70 |
$58 |
1.5× |
| Carnitine quant ea specimen (82379) |
$65 |
$100 |
3.9× |
| Carotene (82380) |
$9.10 |
$14 |
1.0× |
| Catecholamines fraction plasma (82384) |
$31.20 |
$48 |
1.2× |
| Catecholamines total urine (82382) |
$32.50 |
$50 |
1.2× |
| Ccp antibody (86200) |
$14.95 |
$23 |
1.2× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$85.80 |
$132 |
1.8× |
| Cell enumeration & id (86152) |
$677.30 |
$1,042 |
2.7× |
| Cell function assay w/stim (86352) |
$214.82 |
$330.50 |
1.6× |
| Ceruloplasmin (82390) |
$14.95 |
$23 |
1.4× |
| CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T… (81224) |
$636.35 |
$979 |
3.8× |
| Cftr gene com variants (81220) |
$442.65 |
$681 |
0.8× |
| Cftr gene full sequence (81223) |
$806.65 |
$1,241 |
1.6× |
| Chemiluminescent assay (82397) |
$79.30 |
$122 |
5.6× |
| Chemotaxis assay specify method national jewish chtx (86155) |
$41.60 |
$64 |
2.6× |
| Chimerism anal no cell selec (81267) |
$931.45 |
$1,433 |
4.5× |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
$1,069.25 |
$1,645 |
4.1× |
| Chlamydia antibody (86631) |
$18.85 |
$29 |
1.6× |
| Chlamydia trachomatis igm (86632) |
$24.70 |
$38 |
1.9× |
| Chloride blood (82435) |
$47.45 |
$73 |
10.3× |
| Chloride fluid (82438) |
$7.15 |
$11 |
1.4× |
| Chloride urine (82436) |
$35.42 |
$54.50 |
6.2× |
| Cholesterol total (82465) |
$18.85 |
$29 |
4.3× |
| Cholinesterase rbc (82482) |
$46.80 |
$72 |
4.8× |
| Cholinesterase serum (82480) |
$13.65 |
$21 |
1.7× |
| Chondroitin B sulfate, quantitative Other Outpatient (82485) |
$270.40 |
$416 |
13.1× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$252.20 |
$388 |
2.0× |
| Chrmsm count 45 cell mosaicism 2karyotype (88263) |
$561.60 |
$864 |
3.7× |
| Chromium (82495) |
$42.25 |
$65 |
2.1× |
| Chromogranin a (86316) |
$88.40 |
$136 |
4.2× |
| Chromosome analys amniotic (88269) |
$731.90 |
$1,126 |
4.2× |
| Chromosome analysis 20-25 cells (88264) |
$366.60 |
$564 |
2.5× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$32.50 |
$50 |
1.2× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$33.15 |
$51 |
1.0× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) |
$414.05 |
$637 |
2.2× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$1,019.20 |
$1,568 |
3.9× |
| Chromosome study additional (88289) |
$82.88 |
$127.50 |
2.4× |
| Chylmd Pneum, Dna, Amp Probe - Chlamydia Pneumoniae Dna Probe, Amp (87486) |
$72.80 |
$112 |
2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$85.80 |
$132 |
2.4× |
| Citrate (82507) |
$31.20 |
$48 |
1.1× |
| Ck isoenzymes (82552) |
$37.70 |
$58 |
2.8× |
| Clot factor xiii fibrin stab (85290) |
$18.20 |
$28 |
1.1× |
| Clotting factor viii multimetric analysis (85247) |
$57.52 |
$88.50 |
2.5× |
| Clotting; hmw kininogen assay (85293) |
$198.90 |
$306 |
10.5× |
| Clotting; prekallikrein assay (Fletcher factor assay) Other Outpatient (85292) |
$252.20 |
$388 |
13.3× |
| Cmv Antibody - Cmv Igg (86644) |
$33.80 |
$52 |
2.3× |
| Cmv PCR quant (87497) |
$201.50 |
$310 |
4.7× |
| CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to… (81187) |
$336.05 |
$517 |
2.5× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$699.40 |
$1,076 |
1.7× |
| Coagulation time activated (85347) |
$70.85 |
$109 |
16.6× |
| Coccidioides antibody (86635) |
$20.80 |
$32 |
1.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$224.25 |
$345 |
9.3× |
| Cold agglutinins titer (86157) |
$8.45 |
$13 |
1.0× |
| Collagen cross links (82523) |
$87.75 |
$135 |
4.7× |
| Compatibility each unit immediate spin technique (86920) |
$128.05 |
$197 |
0.7× |
| Compatibility test antiglob (86922) |
$182.65 |
$281 |
1.0× |
| Compatibility test incubate (86921) |
$120.90 |
$186 |
0.7× |
| Complement c3 (86160) |
$101.40 |
$156 |
8.5× |
| Complement fixation ea ag (86171) |
$63.05 |
$97 |
6.3× |
| Complement total (ch50) (86162) |
$67.60 |
$104 |
3.3× |
| Comprehensive consult (88325) |
$187.85 |
$289 |
1.1× |
| Concentration infectious agents (87015) |
$26 |
$40 |
3.9× |
| Coombs test indirect qual (86885) |
$90.68 |
$139.50 |
15.9× |
| Coombs test indirect titer (86886) |
$122.85 |
$189 |
23.7× |
| Copper liver tissue (82525) |
$65 |
$100 |
5.2× |
| Cortisol free (82530) |
$51.35 |
$79 |
3.1× |
| Cortisol serum (82533) |
$93.60 |
$144 |
5.7× |
| Coxsackie a9 virus antibodies (86658) |
$21.45 |
$33 |
1.6× |
| Cp cerv/vag; atl; manual scrn (88142) |
$33.15 |
$51 |
1.6× |
| Cp concentr tech smear (88108) |
$71.50 |
$110 |
1.8× |
| Cp smr othr; > 5 slides (88162) |
$44.85 |
$69 |
0.8× |
| Cp smr othr; prep scrn int (88161) |
$110.82 |
$170.50 |
3.7× |
| Creatine (82540) |
$47.78 |
$73.50 |
10.3× |
| Creatine kinase mb fraction only (82553) |
$139.75 |
$215 |
12.1× |
| Creatine kinase total (82550) |
$39 |
$60 |
6.0× |
| Creatinine clearance (82575) |
$70.85 |
$109 |
7.5× |
| Creatinine other source (82570) |
$31.52 |
$48.50 |
6.1× |
| Creatinine serum (82565) |
$55.90 |
$86 |
10.9× |
| Crp-high sensitivity (86141) |
$33.15 |
$51 |
2.6× |
| Cryofibrinogen (82585) |
$26.65 |
$41 |
1.9× |
| Cryoglobulins (82595) |
$28.92 |
$44.50 |
4.5× |
| Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) |
$102.05 |
$157 |
7.8× |
| Cryptococcal Antigen (87899) |
$59.15 |
$91 |
3.7× |
| Cryptosporidium antigen (87328) |
$33.80 |
$52 |
2.4× |
| Cul typ id bld pthgn 6+ trgt (87154) |
$228.15 |
$351 |
1.0× |
| Cult aerobic defin id ea isol (87077) |
$40.30 |
$62 |
5.0× |
| Culture aerobic quant other (87071) |
$57.85 |
$89 |
5.8× |
| Culture anaerobic (87075) |
$164.45 |
$253 |
17.4× |
| Culture blood (87040) |
$161.85 |
$249 |
15.7× |
| Culture chlamydia (87110) |
$40.95 |
$63 |
2.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$15.60 |
$24 |
2.0× |
| Culture fungus blood (87103) |
$31.20 |
$48 |
1.5× |
| Culture fungus id (87106) |
$44.20 |
$68 |
4.3× |
| Culture fungus other (87102) |
$12.35 |
$19 |
1.5× |
| Culture genital (87070) |
$41.28 |
$63.50 |
4.8× |
| Culture mycobacterial definitive id ea isol (87118) |
$63.70 |
$98 |
4.4× |
| Culture mycoplasma (87109) |
$92.95 |
$143 |
6.0× |
| Culture stool (87045) |
$27.95 |
$43 |
3.0× |
| Culture typing if ea antiserum (87140) |
$60.12 |
$92.50 |
10.8× |
| Culture typing nucleic acid probe dir ea organsm (87149) |
$111.80 |
$172 |
5.6× |
| Culture typing serologic (87147) |
$33.80 |
$52 |
6.5× |
| Culture urine (87086) |
$92.30 |
$142 |
11.4× |
| Cyanide (82600) |
$60.45 |
$93 |
3.1× |
| Cyclosporine (80158) |
$49.40 |
$76 |
2.7× |
| Cyp2c19 gene analysis common variants (81225) |
$369.52 |
$568.50 |
1.3× |
| Cyp2c9 gene com variants (81227) |
$233.02 |
$358.50 |
1.3× |
| Cyp2d6 gene analysis common variants (81226) |
$366.60 |
$564 |
0.8× |
| Cyp3a5 gene common variants (81231) |
$237.90 |
$366 |
1.4× |
| Cystatin c (82610) |
$116.35 |
$179 |
6.3× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$1,396.52 |
$2,148.50 |
1.2× |
| Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for… (81228) |
$1,307.80 |
$2,012 |
1.5× |
| Cytogenomic neoplasia microarray analysis (81277) |
$2,156.05 |
$3,317 |
1.9× |
| Cytomegalov amplif na probe (87496) |
$121.88 |
$187.50 |
3.5× |
| Cytomegalovirus antibody igm (86645) |
$18.52 |
$28.50 |
1.1× |
| Cytopath c/v index add-on (88155) |
$25.35 |
$39 |
1.7× |
| Cytopath cell enhance technique (88112) |
$154.70 |
$238 |
2.8× |
| Cytopath fl nongyn smears (88104) |
$98.48 |
$151.50 |
2.5× |
| Cytopath tbs c/v manual (88164) |
$18.20 |
$28 |
1.0× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$125.78 |
$193.50 |
4.7× |
| Cytp dx eval fna 1st ea site (88172) |
$122.20 |
$188 |
0.7× |
| Cytp eval fine needle aspirate interp & report (88173) |
$120.90 |
$186 |
2.2× |
| Cytp urine 3-5 probes cmptr (88121) |
$447.20 |
$688 |
2.5× |
| Cytp urne 3-5 probes ea spec (88120) |
$666.90 |
$1,026 |
3.7× |
| D-dimer quant (85379) |
$92.95 |
$143 |
9.1× |
| Deoxycortisol (82634) |
$47.45 |
$73 |
1.6× |
| Deoxyribonuclease antibody (86215) |
$25.02 |
$38.50 |
1.9× |
| Desoxycorticosterone (82633) |
$87.75 |
$135 |
2.8× |
| Detect agent nos DNA amp (87798) |
$153.08 |
$235.50 |
4.4× |
| Detect agent nos DNA quant (87799) |
$175.50 |
$270 |
4.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$48.10 |
$74 |
2.9× |
| Dhea (82626) |
$23.40 |
$36 |
0.9× |
| Dhea-s (82627) |
$23.08 |
$35.50 |
1.0× |
| Dibucaine number (82638) |
$13.65 |
$21 |
1.1× |
| Digoxin (80162) |
$92.30 |
$142 |
7.0× |
| Digoxin free (80163) |
$179.40 |
$276 |
13.5× |
| Dihydrotestosterone (82642) |
$53.95 |
$83 |
1.8× |
| Diphtheria antibody (86648) |
$16.25 |
$25 |
1.1× |
| Direct antiglobulin test (86880) |
$89.70 |
$138 |
16.6× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded)… (81234) |
$336.05 |
$517 |
2.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$35.75 |
$55 |
2.6× |
| DNA/RNA amplified probe (87150) |
$157.30 |
$242 |
4.5× |
| DNA/RNA sequencing (87153) |
$556.40 |
$856 |
4.8× |
| Donath landsteiner test (86941) |
$104 |
$160 |
8.6× |
| Dpyd gene analysis common variants (81232) |
$235.95 |
$363 |
1.3× |
| Drug assay adalimumab (80145) |
$299.32 |
$460.50 |
7.8× |
| Drug assay felbamate (80167) |
$112.45 |
$173 |
6.0× |
| Drug assay infliximab (80230) |
$157.95 |
$243 |
4.1× |
| Drug assay methotrexate (80204) |
$180.05 |
$277 |
4.7× |
| Drug assay rufinamide (80210) |
$113.42 |
$174.50 |
4.2× |
| Drug assay salicylate (80179) |
$37.70 |
$58 |
2.0× |
| Drug screen quant clozapine (80159) |
$59.15 |
$91 |
2.9× |
| Drug screen quant gabapentin (80171) |
$32.82 |
$50.50 |
1.5× |
| Drug screen quant tiagabine (80199) |
$27.95 |
$43 |
1.0× |
| Drug screen quant zonisamide (80203) |
$48.42 |
$74.50 |
3.7× |
| Drug screen quantitative oxcarbazepine (80183) |
$50.70 |
$78 |
3.8× |
| Drug test prsmv chem anlyzr (80307) |
$106.60 |
$164 |
1.7× |
| Drug test prsmv dir opt obs (80305) |
$147.55 |
$227 |
11.7× |
| Echinococcus ab igg (86682) |
$93.60 |
$144 |
7.2× |
| Egfr gene analysis common variants (81235) |
$618.15 |
$951 |
1.9× |
| Ehrlichia antibody (86666) |
$43.55 |
$67 |
4.3× |
| Elastase pancreatic fecal quantitative (82653) |
$124.15 |
$191 |
5.4× |
| Electrolytes panel (80051) |
$92.95 |
$143 |
13.3× |
| Electron microscopy diagnostic (88348) |
$979.55 |
$1,507 |
1.2× |
| Electronic crossmatch (86923) |
$122.20 |
$188 |
0.7× |
| Electrophoretic test (82664) |
$140.08 |
$215.50 |
2.3× |
| Encephalitis st louis ab (86653) |
$35.75 |
$55 |
2.7× |
| Entamoeba histolytica antigen (87337) |
$144.95 |
$223 |
12.1× |
| Enterovirus by PCR (87498) |
$228.80 |
$352 |
6.5× |
| Enzyme cell activity (82657) |
$221 |
$340 |
10.0× |
| Enzyme cell activity ra (82658) |
$129.35 |
$199 |
2.9× |
| Enzyme histochemistry (88319) |
$506.35 |
$779 |
0.6× |
| Eosinophil smear (89190) |
$20.80 |
$32 |
3.6× |
| Epstein-Barr Antibody - Epstein-Barr Virus Early Igg (86663) |
$15.28 |
$23.50 |
1.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$17.88 |
$27.50 |
1.2× |
| Erythropoietin (82668) |
$21.12 |
$32.50 |
1.1× |
| Estradiol (82670) |
$79.95 |
$123 |
2.9× |
| Estriol serum (82677) |
$24.05 |
$37 |
1.0× |
| Estrogen serum fractionated (82671) |
$44.85 |
$69 |
1.4× |
| Estrogens total (82672) |
$43.55 |
$67 |
2.0× |
| Estrone (82679) |
$27.30 |
$42 |
1.1× |
| Ethosuximide (80168) |
$16.25 |
$25 |
1.0× |
| Ethylene glycol (82693) |
$45.18 |
$69.50 |
3.0× |
| Euglobulin lysis (85360) |
$43.55 |
$67 |
5.2× |
| Everolimus (80169) |
$43.88 |
$67.50 |
3.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$41.60 |
$64 |
5.7× |
| Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Other Outpatient (81415) |
$7,767.50 |
$11,950 |
1.6× |
| F2 gene (81240) |
$287.95 |
$443 |
4.4× |
| Factor ii activity (85210) |
$53.30 |
$82 |
4.1× |
| Factor ix assay (85250) |
$108.88 |
$167.50 |
5.7× |
| Factor v activity (85220) |
$52.32 |
$80.50 |
3.0× |
| Factor v leiden (81241) |
$63.70 |
$98 |
0.9× |
| Factor vii activity (85230) |
$51.68 |
$79.50 |
2.9× |
| Factor viii assay (85240) |
$83.20 |
$128 |
4.6× |
| Factor viii inhibitor (85335) |
$83.85 |
$129 |
6.5× |
| Factor viii vw antigen (85246) |
$115.05 |
$177 |
5.0× |
| Factor x (stuart-prower) (85260) |
$69.22 |
$106.50 |
3.9× |
| Factor xi activity (85270) |
$49.72 |
$76.50 |
2.8× |
| Factor xii (hageman) (85280) |
$49.72 |
$76.50 |
2.6× |
| Fancc gene analysis common variant (81242) |
$29.25 |
$45 |
0.8× |
| Fat stain urine (89125) |
$7.15 |
$11 |
1.2× |
| Fatty acids very long chain (82726) |
$153.40 |
$236 |
7.8× |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
$197.92 |
$304.50 |
11.5× |
| Fecal fat (82710) |
$28.92 |
$44.50 |
1.7× |
| Fecal fat qual (82705) |
$28.60 |
$44 |
5.6× |
| Fecal occult blood immunochemical (82274) |
$24.38 |
$37.50 |
1.5× |
| Ferritin (82728) |
$95.55 |
$147 |
7.0× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$1,722.50 |
$2,650 |
2.3× |
| Fetal fibronectin (82731) |
$352.95 |
$543 |
5.5× |
| Ffp thawing ea unit (86927) |
$117 |
$180 |
0.7× |
| Fibrin split products (85362) |
$38.35 |
$59 |
5.6× |
| Fibrinogen activity (85384) |
$40.30 |
$62 |
4.1× |
| Fibrinogen antigen (85385) |
$36.40 |
$56 |
2.5× |
| Fibrinolysins or coag screen (85390) |
$55.25 |
$85 |
3.6× |
| Flecainide (80181) |
$99.45 |
$153 |
5.3× |
| Flow cytometry first marker (88184) |
$243.10 |
$374 |
0.6× |
| Flt3 gene analysis (81246) |
$340.60 |
$524 |
4.1× |
| Flt3 gene analysis (81245) |
$440.70 |
$678 |
2.7× |
| Fluorescent antibody titer (86256) |
$95.55 |
$147 |
7.9× |
| Fmr1 gene detection (81243) |
$269.10 |
$414 |
4.7× |
| Folate rbc (82747) |
$21.45 |
$33 |
1.2× |
| Folate serum (82746) |
$72.15 |
$111 |
4.9× |
| Fractionation ketosteroids - 17-ketosteroids, fractionation (83593) |
$250.90 |
$386 |
8.8× |
| Francisella tularensis ab (86668) |
$39.98 |
$61.50 |
2.8× |
| Free t4 (84439) |
$54.60 |
$84 |
6.1× |
| Fructosamine (82985) |
$30.22 |
$46.50 |
1.8× |
| Fructose semen (82757) |
$39.65 |
$61 |
2.3× |
| Fsh (83001) |
$70.20 |
$108 |
3.8× |
| Ftl cgen abnor four anal (81511) |
$248.95 |
$383 |
1.6× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$21.78 |
$33.50 |
2.1× |
| FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles Other Outpatient (81284) |
$416 |
$640 |
3.0× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) |
$47.45 |
$73 |
0.8× |
| G6pd screen (82960) |
$13.65 |
$21 |
2.3× |
| Galactose (82760) |
$213.85 |
$329 |
19.1× |
| Galectin-3 (82777) |
$66.95 |
$103 |
1.5× |
| Gamma glutamyl transferase (82977) |
$43.55 |
$67 |
6.0× |
| Gammaglobulin ige (82785) |
$72.15 |
$111 |
4.4× |
| Gases blood (82803) |
$150.15 |
$231 |
5.8× |
| Gastric occult blood (82271) |
$36.40 |
$56 |
6.8× |
| Gastrin (82941) |
$57.52 |
$88.50 |
3.3× |
| Gba gene (81251) |
$84.50 |
$130 |
1.8× |
| Genet virus isolate hsv (87255) |
$235.30 |
$362 |
6.9× |
| Genetic testing for severe inherited conditions (81443) |
$3,978.65 |
$6,121 |
1.6× |
| Genotype cytomegalovirus (87910) |
$548.92 |
$844.50 |
2.1× |
| Genotype DNA hepatitis b (87912) |
$561.60 |
$864 |
2.2× |
| Genotype DNA HIV other region (87906) |
$254.15 |
$391 |
2.0× |
| Gentamicin (80170) |
$93.60 |
$144 |
5.7× |
| Giardia antigen eia stool (87329) |
$48.75 |
$75 |
4.1× |
| Giardia lamblia antibody (86674) |
$26.65 |
$41 |
1.8× |
| Gliadin antibody each immunoglobulin class (86258) |
$78 |
$120 |
6.5× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$15.60 |
$24 |
4.8× |
| Glucagon (82943) |
$29.58 |
$45.50 |
2.1× |
| Glucose (82947) |
$52 |
$80 |
13.2× |
| Glucose body fluid (82945) |
$36.40 |
$56 |
9.3× |
| Glucose post glucose dose (82950) |
$23.40 |
$36 |
4.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$118.30 |
$182 |
9.2× |
| Glutathione (82978) |
$78 |
$120 |
5.0× |
| Glycomark (84378) |
$52.65 |
$81 |
4.6× |
| Gram stain smear (87205) |
$42.90 |
$66 |
10.0× |
| Gross & micro level ii (88302) |
$126.75 |
$195 |
3.3× |
| Gross & micro level iii (88304) |
$156.65 |
$241 |
2.9× |
| Group a strep PCR (87651) |
$165.75 |
$255 |
4.7× |
| Growth hormone (83003) |
$18.52 |
$28.50 |
1.1× |
| Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following:… (80428) |
$384.15 |
$591 |
5.8× |
| Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3)… (80430) |
$523.90 |
$806 |
4.1× |
| Growth stimulation expressed gene 2 (83006) |
$536.25 |
$825 |
7.1× |
| Gtt-added samples (82952) |
$33.15 |
$51 |
8.5× |
| H pylori (c-13) breath test (83013) |
$85.15 |
$131 |
1.3× |
| Haloperidol (80173) |
$53.95 |
$83 |
3.4× |
| Haptoglobin (83010) |
$43.55 |
$67 |
3.5× |
| Hba1/hba2 gene (81257) |
$494.98 |
$761.50 |
4.8× |
| Hba1/hba2 gene analysis dup/del variants (81269) |
$472.88 |
$727.50 |
2.3× |
| Hbb full gene sequence (81364) |
$683.15 |
$1,051 |
2.1× |
| Hbsag neutralization (87341) |
$44.52 |
$68.50 |
4.3× |
| Hcg free betachain test (84704) |
$44.85 |
$69 |
2.9× |
| Hcg quant (84702) |
$49.08 |
$75.50 |
3.3× |
| Heavy metal quan each nes (83018) |
$87.75 |
$135 |
4.0× |
| Heinz bodies direct (85441) |
$21.45 |
$33 |
5.1× |
| Helicobacter Pylori Antibody Igg (86677) |
$48.75 |
$75 |
2.9× |
| Helicobacter pylori; drug administration Other Outpatient (83014) |
$33.80 |
$52 |
4.3× |
| Hematocrit (85014) |
$28.60 |
$44 |
12.1× |
| Hematocrit spun (85013) |
$22.10 |
$34 |
3.2× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) |
$1,458.60 |
$2,244 |
1.9× |
| Hemoglobin (85018) |
$28.60 |
$44 |
12.1× |
| Hemoglobin a1c (83036) |
$69.55 |
$107 |
7.2× |
| Hemoglobin electrophoresis (83020) |
$32.50 |
$50 |
2.5× |
| Hemoglobin fetal ql (83033) |
$12.35 |
$19 |
1.5× |
| Hemoglobin Fetal,Rosette - Fetal Bleed Screen (85461) |
$48.10 |
$74 |
5.1× |
| Hemoglobin fractj/quantj chromotography (83021) |
$21.78 |
$33.50 |
1.2× |
| Hemoglobin plasma (83051) |
$22.75 |
$35 |
3.1× |
| Hemoglobin stability screen (83068) |
$27.95 |
$43 |
3.0× |
| Hemoglobin urine (83069) |
$5.20 |
$8 |
1.3× |
| Hemoglobin-oxygen affinity (82820) |
$713.70 |
$1,098 |
53.5× |
| Hemosiderin urine (83070) |
$18.52 |
$28.50 |
3.9× |
| Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm (86705) |
$28.28 |
$43.50 |
2.4× |
| Heparin assay (85520) |
$33.15 |
$51 |
2.5× |
| Heparin induced platelet ab (86022) |
$87.10 |
$134 |
4.7× |
| Hepatitis a antibody (haab) total (86708) |
$30.22 |
$46.50 |
2.4× |
| Hepatitis a igm (86709) |
$26.65 |
$41 |
2.4× |
| Hepatitis b core antibody total (86704) |
$33.80 |
$52 |
2.8× |
| Hepatitis b surface antibody (86706) |
$15.60 |
$24 |
1.5× |
| Hepatitis B Surface Antigen (87340) |
$35.75 |
$55 |
3.5× |
| Hepatitis b virus DNA, quantitative, real-time PCR (87517) |
$123.18 |
$189.50 |
2.9× |
| Hepatitis be antibody (86707) |
$14.62 |
$22.50 |
1.3× |
| Hepatitis be antigen (87350) |
$14.62 |
$22.50 |
1.3× |
| Hepatitis c antibody (86803) |
$21.78 |
$33.50 |
1.5× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$63.05 |
$97 |
4.1× |
| Hepatitis c direct probe (87520) |
$145.60 |
$224 |
4.7× |
| Hepatitis c RNA quantitative (87522) |
$85.80 |
$132 |
2.0× |
| Hepatitis c virus genotype (87902) |
$447.20 |
$688 |
1.7× |
| Hepatitis d quantification (87523) |
$321.75 |
$495 |
7.5× |
| Hepatitis delta antibody (86692) |
$18.85 |
$29 |
1.1× |
| Herpes 6 amplif na probe (87532) |
$328.25 |
$505 |
9.4× |
| Herpes simplex type 1 ab (86695) |
$35.75 |
$55 |
2.7× |
| Herpes simplex type 2 antibody (86696) |
$36.40 |
$56 |
1.9× |
| Herpes simplex virus igm ab (86694) |
$27.30 |
$42 |
1.9× |
| Heterophile ab screen (86308) |
$142.35 |
$219 |
27.5× |
| Heterophile antibodies; titer Other Outpatient (86309) |
$92.30 |
$142 |
14.3× |
| Hexa gene analysis common variants (81255) |
$41.60 |
$64 |
0.8× |
| Hexagnal phosph pltlt neutrl (85598) |
$32.50 |
$50 |
1.8× |
| Hfe gene (81256) |
$124.15 |
$191 |
1.9× |
| Hhv-6 DNA quant (87533) |
$276.90 |
$426 |
6.6× |
| High density lipoprotein (83718) |
$48.10 |
$74 |
5.9× |
| Histamine plasma (83088) |
$43.55 |
$67 |
1.5× |
| Histoplasma antibody (86698) |
$16.25 |
$25 |
1.2× |
| Histoplasma antigen by eia (87385) |
$118.30 |
$182 |
8.9× |
| HIV antigen w/HIV antibodies (87806) |
$111.80 |
$172 |
3.4× |
| HIV genotype (87901) |
$459.55 |
$707 |
1.8× |
| HIV p24 antigen (87390) |
$115.38 |
$177.50 |
4.8× |
| HIV-1 antibody (86701) |
$39.32 |
$60.50 |
4.4× |
| HIV-1 DNA by PCR (87535) |
$139.75 |
$215 |
4.0× |
| HIV-1 quant&revrse trnscrpj (87536) |
$82.22 |
$126.50 |
1.0× |
| HIV-1/HIV-2 single result (86703) |
$53.95 |
$83 |
3.9× |
| HIV-2 antibody (86702) |
$48.10 |
$74 |
3.6× |
| Hla b27 (86812) |
$26 |
$40 |
1.0× |
| Hla b5701 (81381) |
$438.10 |
$674 |
2.6× |
| HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing)… (81371) |
$862.55 |
$1,327 |
2.1× |
| Hla class i high defin qual (86832) |
$371.80 |
$572 |
1.1× |
| Hla class i semiquant panel (86834) |
$435.82 |
$670.50 |
1.2× |
| Hla class i typing low resolution complete (81372) |
$681.85 |
$1,049 |
1.7× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient (81373) |
$536.90 |
$826 |
4.2× |
| Hla class i&ii antibody qual (86828) |
$59.15 |
$91 |
0.9× |
| Hla class ii high defin qual (86833) |
$318.50 |
$490 |
1.0× |
| Hla class ii semiquant panel (86835) |
$547.95 |
$843 |
1.7× |
| Hla i & ii typing hr (81378) |
$871.65 |
$1,341 |
2.5× |
| Hla i & ii typing lr (81370) |
$756.60 |
$1,164 |
1.9× |
| Hla i typing 1 antigen lr (81374) |
$573.95 |
$883 |
7.7× |
| Hla i typing 1 locus hr (81380) |
$306.15 |
$471 |
1.7× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
$248.30 |
$382 |
1.1× |
| Hla ii typing 1 allele hr (81383) |
$289.90 |
$446 |
2.7× |
| Hla ii typing 1 loc hr (81382) |
$328.58 |
$505.50 |
2.7× |
| Hla ii typing 1 locus lr (81376) |
$354.25 |
$545 |
2.9× |
| Hla typing a/b/c multiple antigens (86813) |
$206.70 |
$318 |
3.6× |
| Hla typing dr/dq (86817) |
$349.38 |
$537.50 |
3.3× |
| Hla x-math non-cytotoxic (86825) |
$464.10 |
$714 |
4.2× |
| Homocystine (83090) |
$16.25 |
$25 |
0.9× |
| Homogenization tissue (87176) |
$28.60 |
$44 |
4.9× |
| Homovanillic acid (83150) |
$92.30 |
$142 |
4.1× |
| Hpa-1 genotyping gene analysis common variant (81105) |
$218.40 |
$336 |
1.8× |
| Hpa-15 genotyping gene analysis common variant (81112) |
$218.40 |
$336 |
1.8× |
| Hpa-2 genotyping gene analysis common variant (81106) |
$218.40 |
$336 |
1.8× |
| Hpa-3 genotyping gene analysis common variant (81107) |
$218.40 |
$336 |
1.8× |
| Hpa-4 genotyping gene analysis common variant (81108) |
$218.40 |
$336 |
1.8× |
| Hpa-5 genotyping gene analysis common variant (81109) |
$218.40 |
$336 |
1.8× |
| Hpa-6 genotyping gene analysis common variant (81110) |
$218.40 |
$336 |
1.8× |
| Hpa-9 genotyping gene analysis common variant (81111) |
$218.40 |
$336 |
1.8× |
| Hpv high-risk types (87624) |
$54.60 |
$84 |
1.6× |
| Hpv low-risk types (87623) |
$35.75 |
$55 |
1.0× |
| Hpv types 16 & 18 only (87625) |
$60.12 |
$92.50 |
1.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$94.90 |
$146 |
2.7× |
| Htlv-i antibody (86687) |
$40.30 |
$62 |
4.4× |
| Htt gene analysis detect abnormal alleles (81271) |
$548.60 |
$844 |
4.0× |
| Human epididymis protein 4 (86305) |
$402.35 |
$619 |
19.3× |
| Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) |
$284.05 |
$437 |
7.8× |
| Human placental lactogen (83632) |
$351 |
$540 |
17.4× |
| Hydroxychloroquine (80220) |
$252.20 |
$388 |
13.5× |
| Hydroxyprogesterone 17-d (83498) |
$56.22 |
$86.50 |
2.1× |
| Hydroxyproline total (83505) |
$36.40 |
$56 |
1.5× |
| Ia infectious agent sgl step (86318) |
$41.60 |
$64 |
2.3× |
| Iaad ia clostridium difficile toxin (87324) |
$70.85 |
$109 |
5.9× |
| Iaad ia HIV-1 ag w/HIV-1 & HIV-2 antbdy single (87389) |
$69.88 |
$107.50 |
2.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$36.40 |
$56 |
2.5× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
$54.28 |
$83.50 |
4.5× |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
$206.38 |
$317.50 |
5.9× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) |
$295.75 |
$455 |
4.2× |
| Iadna legionella pneumophila amplified probe tq (87541) |
$38.35 |
$59 |
1.1× |
| Iadna multiple organisms amplified probe tq (87801) |
$333.78 |
$513.50 |
4.8× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$101.40 |
$156 |
2.0× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$220.35 |
$339 |
1.5× |
| Iadna sarscov2& inf a&b mult amplified probe tq (87636) |
$407.55 |
$627 |
2.9× |
| Idh1 common variants (81120) |
$320.78 |
$493.50 |
1.7× |
| Idh2 common variants (81121) |
$384.80 |
$592 |
1.3× |
| Ifnl3 gene (81283) |
$314.60 |
$484 |
4.3× |
| Igg subclass 4 (82787) |
$14.30 |
$22 |
1.8× |
| Igh gene rearrang dir probe (81262) |
$259.35 |
$399 |
3.8× |
| Igh gene rearrange amp meth (81261) |
$913.90 |
$1,406 |
4.6× |
| Igh vari regional mutation (81263) |
$481.98 |
$741.50 |
1.6× |
| Igk rearrangeabn clonal pop (81264) |
$913.90 |
$1,406 |
5.3× |
| Ikbkap gene analysis (81260) |
$31.20 |
$48 |
0.8× |
| Immune complex assay (86332) |
$51.35 |
$79 |
2.1× |
| Immunoassay infectious agent antibody quan nos (86317) |
$37.05 |
$57 |
2.5× |
| Immunodiffusion ouchterlony (86331) |
$23.40 |
$36 |
2.0× |
| Immunofixation Electrophoresis Serum (86334) |
$40.30 |
$62 |
1.8× |
| Immunofixation urine (86335) |
$36.40 |
$56 |
1.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$233.35 |
$359 |
1.3× |
| Immunoglobulin assay (86023) |
$45.50 |
$70 |
3.7× |
| Immunoglobulin d (82784) |
$49.08 |
$75.50 |
5.3× |
| Immunoglobulin light chains free each (83521) |
$92.30 |
$142 |
5.3× |
| Immunohisto antibody slide (88344) |
$233.35 |
$359 |
0.6× |
| Immunoperoxidase (88342) |
$132.60 |
$204 |
0.7× |
| In situ hybridization 1st probe stain (88365) |
$342.55 |
$527 |
1.9× |
| In situ hybridization ea multiplex probe stain (88366) |
$668.85 |
$1,029 |
3.8× |
| Infec agent det,gi 12-25 targets (87507) |
$1,698.45 |
$2,613 |
4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) |
$63.05 |
$97 |
1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) |
$314.60 |
$484 |
4.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient (87490) |
$20.80 |
$32 |
0.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) |
$63.05 |
$97 |
1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) |
$217.10 |
$334 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) |
$446.55 |
$687 |
3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Other Outpatient (87516) |
$107.90 |
$166 |
3.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$159.90 |
$246 |
4.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) |
$122.85 |
$189 |
4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique… (87561) |
$129.35 |
$199 |
3.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) |
$156 |
$240 |
5.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Other Outpatient (87550) |
$51.35 |
$79 |
2.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient (87590) |
$24.05 |
$37 |
0.9× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87904) |
$65.32 |
$100.50 |
2.5× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) |
$978.58 |
$1,505.50 |
2.0× |
| Influenza DNA amp probe (87502) |
$157.30 |
$242 |
1.6× |
| Influenza virus antibody (86710) |
$66.95 |
$103 |
4.9× |
| Inhibin a (86336) |
$63.70 |
$98 |
4.1× |
| Inhibin b (83520) |
$107.25 |
$165 |
6.2× |
| Insitu hybridization auto (88367) |
$233.35 |
$359 |
0.6× |
| Insitu hybridization manual (88368) |
$323.70 |
$498 |
0.9× |
| Insulin antibody (86337) |
$20.80 |
$32 |
1.0× |
| Insulin free (83527) |
$45.50 |
$70 |
3.5× |
| Insulin total (83525) |
$12.35 |
$19 |
1.1× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) |
$375.70 |
$578 |
2.3× |
| Interleukin 6 (83529) |
$43.55 |
$67 |
2.5× |
| Intraop cyto path consult 1 (88333) |
$506.35 |
$779 |
0.6× |
| Intrinsic factor ab (86340) |
$29.25 |
$45 |
1.9× |
| Ip stain (87253) |
$38.35 |
$59 |
1.9× |
| Iron (83540) |
$93.60 |
$144 |
14.5× |
| Iron binding capacity total (83550) |
$52 |
$80 |
5.9× |
| Iron stain peripheral blood (85536) |
$54.60 |
$84 |
7.9× |
| Irradiate bld product ea unit (86945) |
$61.75 |
$95 |
1.6× |
| Islet cell antibody (86341) |
$78.32 |
$120.50 |
3.3× |
| Isohemagglutinin titer (86940) |
$78.65 |
$121 |
9.0× |
| Itraconazole (80189) |
$156.65 |
$241 |
5.8× |
| Jak2 gene (81270) |
$248.30 |
$382 |
2.7× |
| Jak2 targeted sequence analysis (81279) |
$492.70 |
$758 |
2.7× |
| Ketogenic steroids fract (83582) |
$83.85 |
$129 |
5.4× |
| Ketosteroids 17 total (83586) |
$20.48 |
$31.50 |
1.6× |
| Kit gene analys d816 variant (81273) |
$259.02 |
$398.50 |
2.1× |
| Kit gene targeted seq analys (81272) |
$551.85 |
$849 |
1.7× |
| Kleihauer betke stain (85460) |
$29.58 |
$45.50 |
3.8× |
| Koh for fungi/parasites/mites (87220) |
$24.05 |
$37 |
5.6× |
| Kras gene (81275) |
$238.55 |
$367 |
1.2× |
| Kras gene addl variants (81276) |
$260 |
$400 |
1.3× |
| L117054ptt substitut (85732) |
$35.75 |
$55 |
5.5× |
| L164657fungus ab nos (86671) |
$53.95 |
$83 |
4.4× |
| L216655epst-barr vca (86665) |
$28.92 |
$44.50 |
1.6× |
| Lacosamide (80235) |
$271.70 |
$418 |
10.0× |
| Lactate dehydrogenase (83615) |
$25.02 |
$38.50 |
4.1× |
| Lactic acid (83605) |
$63.70 |
$98 |
5.5× |
| Lactoferrin fecal qual (83630) |
$67.60 |
$104 |
3.4× |
| Lamellar body count (83664) |
$91.65 |
$141 |
4.7× |
| Lamotrigine (80175) |
$15.60 |
$24 |
1.2× |
| Ldh isoenzymes (83625) |
$15.28 |
$23.50 |
1.2× |
| LDL direct (83721) |
$38.35 |
$59 |
3.7× |
| Lead (83655) |
$48.10 |
$74 |
4.0× |
| Leflunomide (80193) |
$78.65 |
$121 |
2.0× |
| Legionella antibody (86713) |
$63.05 |
$97 |
4.1× |
| Legionella antigen urine (87449) |
$106.92 |
$164.50 |
8.9× |
| Legionella culture (87081) |
$27.95 |
$43 |
4.2× |
| Leishmania antibody (86717) |
$127.40 |
$196 |
10.4× |
| Leptospira antibody (86720) |
$43.55 |
$67 |
2.7× |
| Leucine aminopeptidase (83670) |
$78 |
$120 |
8.0× |
| Leukocyte (Wbc) Count - White Blood Count (85048) |
$23.08 |
$35.50 |
9.1× |
| Leukocyte alkaline phosphatase (85540) |
$18.20 |
$28 |
2.1× |
| Leukocyte Count,Fecal - Fecal Leukocytes (89055) |
$76.05 |
$117 |
17.8× |
| Leukocyte histamine release test (86343) |
$120.25 |
$185 |
9.7× |
| Levetiracetam (keppra) (80177) |
$91.65 |
$141 |
6.9× |
| Lidocaine (80176) |
$31.85 |
$49 |
2.2× |
| Lipase (83690) |
$76.70 |
$118 |
11.1× |
| Lipoprotein (a) (83695) |
$48.10 |
$74 |
3.4× |
| Lipoprotein bld hr fraction (83701) |
$91 |
$140 |
2.7× |
| Lipoprotein blood by nmr spect - lipoprotein (83704) |
$30.55 |
$47 |
0.9× |
| Lipoprotein electrophoresis (83700) |
$22.10 |
$34 |
2.0× |
| Lipoprotein-associated phospholipase a2 (83698) |
$62.72 |
$96.50 |
1.4× |
| Listeria antibody (86723) |
$345.80 |
$532 |
26.2× |
| Lithium (80178) |
$33.48 |
$51.50 |
5.1× |
| Liver ds alys 3 biomarkers ia srm prognostic alg (81517) |
$742.30 |
$1,142 |
4.2× |
| Luteinizing hormone (lh) (83002) |
$118.30 |
$182 |
6.4× |
| Lyme ab igm western blot (86617) |
$51.02 |
$78.50 |
3.3× |
| Lyme disease antibody (86618) |
$63.70 |
$98 |
3.7× |
| Lymes amplified na probe (87476) |
$161.85 |
$249 |
4.6× |
| Lymph choriomeningitis ab (86727) |
$25.35 |
$39 |
2.0× |
| Lymphocyte transformation (86353) |
$238.55 |
$367 |
4.9× |
| M genitalium amp probe (87563) |
$105.30 |
$162 |
3.0× |
| M.Pneumon, Dna, Amp Probe - Mycoplasma Pneumoniae Pcr (87581) |
$120.25 |
$185 |
3.4× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$222.95 |
$343 |
1.3× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$590.85 |
$909 |
3.3× |
| M/phmtrc alys tumor imhchem ea antbdy cmptr asst (88361) |
$233.35 |
$359 |
0.6× |
| Macroscopic exam arthropod (87168) |
$34.78 |
$53.50 |
8.1× |
| Macroscopic exam parasite (87169) |
$9.10 |
$14 |
2.1× |
| Magnesium urine (83735) |
$57.20 |
$88 |
8.5× |
| Malaria antibody (86750) |
$44.85 |
$69 |
3.4× |
| Malaria smear (87207) |
$70.85 |
$109 |
11.8× |
| Manganese (83785) |
$123.50 |
$190 |
4.6× |
| Manual cell count each (85032) |
$49.08 |
$75.50 |
11.4× |
| Manual diff wbc count b-coat (85009) |
$22.10 |
$34 |
4.4× |
| Manual tumor im histochem ea ab (88360) |
$290.88 |
$447.50 |
1.6× |
| Mcg; ip situ 100-300 cells (88275) |
$215.80 |
$332 |
4.2× |
| Mcg; ip situ 25-99 cells (88274) |
$68.90 |
$106 |
1.6× |
| Mcoln1 gene (81290) |
$31.20 |
$48 |
0.8× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Other Outpatient (81304) |
$338.65 |
$521 |
2.3× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Other Outpatient (81302) |
$1,193.40 |
$1,836 |
2.3× |
| Mercury urine (83825) |
$36.72 |
$56.50 |
2.3× |
| Metanephrines (83835) |
$32.18 |
$49.50 |
1.9× |
| Methemoglobin quant (83050) |
$42.25 |
$65 |
5.2× |
| Methylmalonic acid serum (83921) |
$89.05 |
$137 |
4.2× |
| Mgmt methylation analysis (81287) |
$642.85 |
$989 |
5.2× |
| Microalbumin urine (82043) |
$45.18 |
$69.50 |
7.8× |
| Microalbumin; urine semiquan (82044) |
$18.20 |
$28 |
2.9× |
| Microsatellite instability (81301) |
$368.22 |
$566.50 |
1.1× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$96.85 |
$149 |
1.8× |
| Microsomal Antibody - Thyroid Peroxidase Antibody (86376) |
$74.10 |
$114 |
5.1× |
| Mitochondrial antibody each (86381) |
$84.50 |
$130 |
3.3× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$481 |
$740 |
2.5× |
| Mog-igg1 antb flo cytmtry ea (86363) |
$192.08 |
$295.50 |
5.1× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$105.30 |
$162 |
8.7× |
| Molecular cytogenetics DNA probe each (88271) |
$96.20 |
$148 |
4.5× |
| Mononuclear cell antigen (86356) |
$69.55 |
$107 |
2.6× |
| Mopath procedure level 1 (81400) |
$114.40 |
$176 |
1.8× |
| Mopath procedure level 2 (81401) |
$438.75 |
$675 |
3.2× |
| Mopath procedure level 3 (81402) |
$850.85 |
$1,309 |
5.7× |
| Mopath procedure level 4 (81403) |
$509.92 |
$784.50 |
2.8× |
| Mopath procedure level 5 (81404) |
$766.35 |
$1,179 |
2.8× |
| Mopath procedure level 6 (81405) |
$1,483.95 |
$2,283 |
4.9× |
| Mopath procedure level 7 (81406) |
$791.05 |
$1,217 |
2.8× |
| Mopath procedure level 9 (81408) |
$1,840.48 |
$2,831.50 |
0.9× |
| Mpl gene analysis common variants (81338) |
$932.10 |
$1,434 |
6.2× |
| Mpl gene seq alys exon 10 (81339) |
$830.70 |
$1,278 |
4.5× |
| Mrsa PCR (87641) |
$163.15 |
$251 |
4.6× |
| Mtb rifampin rst amp prb tq (87564) |
$323.05 |
$497 |
4.2× |
| Mthfr gene analysis (81291) |
$91 |
$140 |
1.4× |
| Mucin synovial fluid 301 (83872) |
$7.80 |
$12 |
1.3× |
| Mucopolysaccharides (83864) |
$55.90 |
$86 |
2.0× |
| Mumps igg antibody (86735) |
$14.95 |
$23 |
1.1× |
| Muramidase (85549) |
$20.80 |
$32 |
1.1× |
| Muscle-specific kinase antibody (86366) |
$804.70 |
$1,238 |
43.7× |
| Mycobacteria DNA amp probe (87551) |
$234 |
$360 |
4.9× |
| Mycobacteria t amplif na probe (87556) |
$211.58 |
$325.50 |
5.1× |
| Mycophenolic Acid (80180) |
$31.52 |
$48.50 |
1.7× |
| Mycoplasma antibody (86738) |
$45.82 |
$70.50 |
3.5× |
| Myd88 gene p.leu265pro vrnt (81305) |
$654.55 |
$1,007 |
3.7× |
| Myelin basic protein csf (83873) |
$23.72 |
$36.50 |
1.4× |
| Myeloperoxidase antibody (86021) |
$53.95 |
$83 |
3.6× |
| Myoglobin (83874) |
$35.42 |
$54.50 |
2.7× |
| N.gonorrhoeae DNA amp prob (87591) |
$38.35 |
$59 |
1.1× |
| Natriuretic peptide (83880) |
$127.40 |
$196 |
3.2× |
| Nerve teasing preparations (88362) |
$506.35 |
$779 |
0.6× |
| Neurofilament light chain (NfL) Other Outpatient (83884) |
$323.70 |
$498 |
2.8× |
| Neutralization test viral (86382) |
$122.20 |
$188 |
7.2× |
| Nfct agt drug suscept phenotype prediction (87900) |
$232.70 |
$358 |
1.8× |
| Nfct ds bv RNA vag flu alg (81513) |
$291.20 |
$448 |
2.0× |
| Nfct ds chrnc hcv 6 assays (81596) |
$326.95 |
$503 |
4.5× |
| Nickel (83885) |
$49.08 |
$75.50 |
2.0× |
| Nitroblue tetrazolium dye (86384) |
$206.70 |
$318 |
15.2× |
| Nk cells total count (86357) |
$71.50 |
$110 |
1.9× |
| Non gyn sputum nipple d/c (88160) |
$70.85 |
$109 |
2.3× |
| Npm1 gene (81310) |
$320.45 |
$493 |
1.3× |
| Nras gene variants exon 2&3 (81311) |
$328.90 |
$506 |
1.1× |
| Ntrk translocation analysis (81194) |
$1,381.90 |
$2,126 |
2.7× |
| Occult bld feces 1-3 tests (82272) |
$37.05 |
$57 |
8.8× |
| Occult blood stool (82270) |
$34.12 |
$52.50 |
7.8× |
| Oligoclonal bands (83916) |
$30.22 |
$46.50 |
1.1× |
| Oncoprotein dcp (83951) |
$354.25 |
$545 |
5.5× |
| Oncoprotein her-2/neu (83950) |
$248.30 |
$382 |
3.9× |
| Organic acids total quant (83918) |
$189.48 |
$291.50 |
8.0× |
| Orthopoxvirus amp prb each (87593) |
$118.95 |
$183 |
2.3× |
| Osmolality serum (83930) |
$70.20 |
$108 |
10.6× |
| Osmolality urine (83935) |
$13 |
$20 |
1.9× |
| Osmotic fragility rbc incubated (85557) |
$22.10 |
$34 |
1.7× |
| Osmotic fragility rbc unincubated (85555) |
$70.20 |
$108 |
9.4× |
| Osteocalcin (83937) |
$88.08 |
$135.50 |
3.0× |
| Ova 1 (81503) |
$1,317.55 |
$2,027 |
1.5× |
| Ova and parasite exam (87177) |
$7.80 |
$12 |
0.9× |
| Oxalate urine (83945) |
$18.85 |
$29 |
1.3× |
| Pa; screen ea ab (86403) |
$51.35 |
$79 |
4.4× |
| Pa; titer ea ab (86406) |
$73.45 |
$113 |
6.9× |
| PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) |
$393.25 |
$605 |
2.9× |
| Pancreatic Elastase, Fecal, Qual/Semi-Quant - Pancreatic Elastase (82656) |
$187.85 |
$289 |
16.3× |
| Pancreatic polypeptide (83519) |
$117 |
$180 |
6.4× |
| Pap smear (88150) |
$70.85 |
$109 |
3.8× |
| Pappa serum (84163) |
$163.48 |
$251.50 |
10.9× |
| Parainfluenza ag if (87279) |
$17.55 |
$27 |
1.1× |
| Parathyroid hormone (83970) |
$59.48 |
$91.50 |
1.4× |
| Parietal cell antibody (83516) |
$55.90 |
$86 |
4.8× |
| Parvovirus antibody (86747) |
$21.45 |
$33 |
1.4× |
| Pathology - unlisted surgical pathology procedure (88399) |
$40.30 |
$62 |
0.7× |
| Pathology lab procedure (89240) |
$69.55 |
$107 |
1.3× |
| Pca3/klk3 antigen (81313) |
$562.90 |
$866 |
2.2× |
| Pdgfra mutation analysis (81314) |
$566.80 |
$872 |
1.7× |
| Pertussis ag if (87265) |
$11.05 |
$17 |
0.9× |
| Pg cryopreservation semen elective including semen analysis (89259) |
$405.60 |
$624 |
2.3× |
| Ph body fluid (83986) |
$13 |
$20 |
3.6× |
| Phenobarbital (80184) |
$41.60 |
$64 |
2.7× |
| Phenylalanine (84030) |
$92.95 |
$143 |
16.9× |
| Phenytoin free (80186) |
$16.90 |
$26 |
1.2× |
| Phenytoin total (80185) |
$93.60 |
$144 |
7.1× |
| Phospholipid pltlt neutraliz (85597) |
$36.40 |
$56 |
2.0× |
| Phosphorus blood (84100) |
$57.20 |
$88 |
12.1× |
| Phosphorus urine (84105) |
$70.85 |
$109 |
12.3× |
| Pinworm exam (87172) |
$23.40 |
$36 |
5.5× |
| Plasma renin activity (84244) |
$51.68 |
$79.50 |
2.3× |
| Plasminogen activity (85420) |
$25.68 |
$39.50 |
3.9× |
| Platelet Aggregation (85576) |
$78.65 |
$121 |
3.2× |
| Platelet count automated (85049) |
$55.90 |
$86 |
12.5× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) |
$432.90 |
$666 |
1.5× |
| Pml/raralpha com breakpoints (81315) |
$929.50 |
$1,430 |
4.5× |
| Pmp22 gene dup/delet (81324) |
$1,420.90 |
$2,186 |
1.9× |
| Pneumocystis jirovecii amp probe (87594) |
$147.55 |
$227 |
4.2× |
| Pooling platelets/other blood products (86965) |
$117 |
$180 |
0.7× |
| Porphobilinogen urine qual (84106) |
$9.75 |
$15 |
1.7× |
| Porphobilinogen urine quant (84110) |
$27.95 |
$43 |
3.3× |
| Porphyrins total plasma (84311) |
$64.35 |
$99 |
7.9× |
| Porphyrins urine qual (84119) |
$15.28 |
$23.50 |
1.1× |
| Porphyrins urine quantitation & fractionation (84120) |
$339.95 |
$523 |
23.1× |
| Posaconazole (80187) |
$149.50 |
$230 |
5.5× |
| Potassium serum (84132) |
$36.40 |
$56 |
7.6× |
| Potassium urine (84133) |
$7.80 |
$12 |
1.6× |
| Prealbumin (84134) |
$93.60 |
$144 |
6.4× |
| Pregnancy test serum (84703) |
$61.10 |
$94 |
8.1× |
| Pregnancy test urine (81025) |
$26 |
$40 |
3.0× |
| Pregnanetriol (84138) |
$85.15 |
$131 |
4.0× |
| Pregnenolone (84140) |
$78.65 |
$121 |
3.8× |
| Pretreat serum ab id incubate (86977) |
$117 |
$180 |
0.7× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, by dilution (86976) |
$63.70 |
$98 |
2.1× |
| Pretx rbc antibody incubat w/chem agnts/drugs ea (86970) |
$123.50 |
$190 |
2.0× |
| Pretx rbc antibody incubat w/density grad sep (86972) |
$209.95 |
$323 |
1.2× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$167.05 |
$257 |
0.9× |
| Pretx serum rbc antibody id diffial each absrpj (86978) |
$276.58 |
$425.50 |
4.5× |
| Primidone (80188) |
$34.12 |
$52.50 |
2.1× |
| Procalcitonin (pct) (84145) |
$132.60 |
$204 |
4.9× |
| Progesterone (84144) |
$24.05 |
$37 |
1.2× |
| Proinsulin (84206) |
$27.95 |
$43 |
1.0× |
| Prolactin (84146) |
$37.70 |
$58 |
1.9× |
| Prostaglandin (84150) |
$240.50 |
$370 |
5.8× |
| Prostatic acid phosphatase (84066) |
$9.10 |
$14 |
0.9× |
| Protein c antigen (85302) |
$24.70 |
$38 |
2.1× |
| Protein c functional (85303) |
$33.48 |
$51.50 |
2.4× |
| Protein electrophoresis serum (84165) |
$84.18 |
$129.50 |
7.8× |
| Protein electrophoresis urine (84166) |
$26 |
$40 |
1.5× |
| Protein s free (85306) |
$16.25 |
$25 |
1.1× |
| Protein s total (85305) |
$16.25 |
$25 |
1.4× |
| Protein total other source (84157) |
$31.20 |
$48 |
7.8× |
| Protein total serum (84155) |
$47.78 |
$73.50 |
13.0× |
| Protein total urine (84156) |
$14.95 |
$23 |
4.1× |
| Protein western blot (84181) |
$153.72 |
$236.50 |
9.0× |
| Protein western blot test (84182) |
$132.60 |
$204 |
4.5× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$37.05 |
$57 |
9.4× |
| PSA free (84154) |
$28.28 |
$43.50 |
1.5× |
| Pten gene full sequence (81321) |
$1,446.25 |
$2,225 |
2.4× |
| Pyruvate (84210) |
$37.38 |
$57.50 |
2.6× |
| Quinidine (80194) |
$43.88 |
$67.50 |
3.0× |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Other Outpatient (84235) |
$61.75 |
$95 |
0.9× |
| Ref consult prep elsewhere (88321) |
$235.30 |
$362 |
6.0× |
| Reptilase test (85635) |
$36.40 |
$56 |
3.7× |
| Resp virus 12-25 targets (87633) |
$357.82 |
$550.50 |
0.9× |
| Resp virus 3-5 targets (87631) |
$226.85 |
$349 |
1.6× |
| Reticulated platelet assay (85055) |
$107.90 |
$166 |
3.0× |
| Reticulocyte count auto (85045) |
$48.10 |
$74 |
12.1× |
| Reticyte/hgb concentrate (85046) |
$35.75 |
$55 |
6.4× |
| Retinol binding protein (83883) |
$39.98 |
$61.50 |
2.9× |
| Rheumatoid factor quant (86431) |
$67.28 |
$103.50 |
11.9× |
| Rickettsia antibody (86757) |
$20.80 |
$32 |
1.1× |
| Rnp antibody (86235) |
$36.40 |
$56 |
2.0× |
| Rotavirus antigen (87425) |
$14.30 |
$22 |
1.2× |
| Rpr (86592) |
$9.75 |
$15 |
2.3× |
| Rpr titer (86593) |
$13.65 |
$21 |
3.1× |
| Rsv DNA/RNA amp probe (87634) |
$295.75 |
$455 |
4.2× |
| Rsv ia w dir observ (87807) |
$70.85 |
$109 |
5.4× |
| Rubella antibody (86762) |
$32.50 |
$50 |
2.3× |
| Rubeola antibody (86765) |
$41.92 |
$64.50 |
3.3× |
| Russell viper venom diluted (85613) |
$37.05 |
$57 |
3.9× |
| Russell viper venom time (includes venom); undiluted Other Outpatient (85612) |
$15.60 |
$24 |
0.9× |
| Salmonella typhi and paratyphi antibodies (86768) |
$22.10 |
$34 |
1.7× |
| Sars-cov-2 COVID-19 antibody (86769) |
$80.60 |
$124 |
1.9× |
| Sed rate automated (85652) |
$37.05 |
$57 |
13.7× |
| Selenium serum (84255) |
$49.40 |
$76 |
1.9× |
| Semen anal strict criteria (89322) |
$89.70 |
$138 |
5.8× |
| Semen analysis complete (89320) |
$170.30 |
$262 |
13.8× |
| Semen analysis post vasectomy (89321) |
$157.95 |
$243 |
13.1× |
| Semen analysis; motility and count (not including Huhner test) Other Outpatient (89310) |
$122.20 |
$188 |
14.2× |
| Senstitivity - enzyme detect (87185) |
$22.10 |
$34 |
4.7× |
| Serotonin (84260) |
$54.60 |
$84 |
1.8× |
| Serpina1 gene (81332) |
$52 |
$80 |
1.2× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Other Outpatient (86807) |
$135.85 |
$209 |
1.7× |
| Sex chromatin id barr bodies (88130) |
$25.35 |
$39 |
1.4× |
| Sex hormone binding globulin (84270) |
$48.75 |
$75 |
2.2× |
| Sf3b1 gene common variants (81347) |
$1,491.10 |
$2,294 |
7.7× |
| Shiga-like toxin ag eia (87427) |
$94.90 |
$146 |
7.9× |
| Sickle cell screen (85660) |
$59.80 |
$92 |
10.9× |
| Silica (84285) |
$114.40 |
$176 |
4.5× |
| Sirolimus (rapamycin) (80195) |
$56.55 |
$87 |
4.1× |
| Skin test tuberculosis intradermal (86580) |
$37.70 |
$58 |
1.2× |
| Smear wet mount (87210) |
$26.98 |
$41.50 |
4.6× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$250.90 |
$386 |
1.8× |
| SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common… (81330) |
$60.78 |
$93.50 |
1.3× |
| Snrpn/ube3a methylation analysis (81331) |
$588.90 |
$906 |
11.5× |
| Sodium feces (84302) |
$7.80 |
$12 |
1.6× |
| Sodium serum (84295) |
$47.45 |
$73 |
9.9× |
| Sodium urine (84300) |
$9.10 |
$14 |
1.8× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) |
$1,950 |
$3,000 |
0.7× |
| Soluble transferrin receptor (84238) |
$157.95 |
$243 |
4.3× |
| Somatomedin-c (84305) |
$68.90 |
$106 |
3.2× |
| Somatostatin (84307) |
$28.28 |
$43.50 |
1.5× |
| Sp consult; 1st tb w fs sgl sp (88331) |
$229.45 |
$353 |
1.3× |
| Special stains group i (88312) |
$104.65 |
$161 |
1.9× |
| Special stains group ii (88313) |
$73.12 |
$112.50 |
0.5× |
| Specific gravity except urine (84315) |
$12.35 |
$19 |
3.8× |
| Sperm antibodies (89325) |
$37.05 |
$57 |
3.5× |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) Other… (89331) |
$211.90 |
$326 |
10.8× |
| Sperm identification from aspiration (other than seminal fluid) (89257) |
$757.90 |
$1,166 |
13.9× |
| Sperm identification from testis tissue, fresh or cryopreserved (89264) |
$1,215.50 |
$1,870 |
22.3× |
| Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis (89261) |
$375.70 |
$578 |
6.9× |
| Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) |
$201.50 |
$310 |
3.7× |
| Splitting blood/blood products each unit (86985) |
$122.85 |
$189 |
0.7× |
| Sputum collection (89220) |
$117 |
$180 |
0.7× |
| Staph aureus amplified probe (87640) |
$193.70 |
$298 |
5.5× |
| Stem cells total count (86367) |
$259.35 |
$399 |
3.3× |
| Stone analysis (82365) |
$14.95 |
$23 |
1.2× |
| Stool cultr aerobic bact ea (87046) |
$13.65 |
$21 |
1.4× |
| Storage of sperm or semen per year (89343) |
$238.55 |
$367 |
1.3× |
| Str markers specimen anal (81265) |
$1,013.68 |
$1,559.50 |
4.3× |
| Strep a ag eia (87430) |
$156.98 |
$241.50 |
9.3× |
| Strep b DNA amp probe (87653) |
$242.45 |
$373 |
6.9× |
| Strep. gr a immuno w optical (87880) |
$114.40 |
$176 |
6.9× |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
$50.05 |
$77 |
0.5× |
| Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient (84377) |
$81.25 |
$125 |
14.8× |
| Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Other Outpatient (84379) |
$48.10 |
$74 |
4.2× |
| Sugars; single qual ea specimen (84376) |
$12.35 |
$19 |
2.2× |
| Sulfate urine (84392) |
$15.60 |
$24 |
2.8× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$66.95 |
$103 |
2.2× |
| Surg Path,Level V - Lab Surg Path,Level V (88307) |
$233.35 |
$359 |
0.6× |
| Surgical path level vi (88309) |
$514.15 |
$791 |
0.6× |
| Surgical pathology level IV (88305) |
$748.15 |
$1,151 |
13.7× |
| Susceptbilty stdy antimicrbial agnt agar dilutj (87181) |
$22.75 |
$35 |
4.8× |
| Susceptibility broth dilution panel (87186) |
$50.70 |
$78 |
5.9× |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
$89.38 |
$137.50 |
13.5× |
| Susceptibility study antimicrobial disk method (87184) |
$44.20 |
$68 |
5.9× |
| T cells cd4 count (86361) |
$29.25 |
$45 |
1.1× |
| T cells total count (86359) |
$37.70 |
$58 |
1.0× |
| T3 free (84481) |
$48.10 |
$74 |
2.8× |
| T3 reverse (84482) |
$16.25 |
$25 |
1.0× |
| T3 total (84480) |
$93.60 |
$144 |
6.6× |
| T3 uptake (84479) |
$7.80 |
$12 |
1.2× |
| Tacrolimus (80197) |
$65.32 |
$100.50 |
4.8× |
| Targeted genomic seq analys (81445) |
$1,331.20 |
$2,048 |
2.2× |
| Tau phosphorylated ea (84393) |
$72.80 |
$112 |
0.6× |
| Tb test cell immun measure (86480) |
$101.40 |
$156 |
1.6× |
| TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded)… (81344) |
$523.90 |
$806 |
3.8× |
| Teichoic acid antibodies (86329) |
$47.45 |
$73 |
3.4× |
| Telomere length testing (88182) |
$263.90 |
$406 |
4.8× |
| Testosterone free (84402) |
$63.05 |
$97 |
2.5× |
| Testosterone total (84403) |
$41.28 |
$63.50 |
1.6× |
| Tetanus antibody (86774) |
$21.45 |
$33 |
1.4× |
| Thawing of cryopreserved; sperm/semen, each aliquot (89353) |
$172.90 |
$266 |
3.2× |
| Theophylline (80198) |
$118.30 |
$182 |
8.4× |
| Thiamine (84425) |
$59.15 |
$91 |
2.8× |
| Thiocyanate level (84430) |
$34.12 |
$52.50 |
2.9× |
| Thiopurine drug metabolites (83789) |
$193.38 |
$297.50 |
8.0× |
| Thiopurine metabolites (80299) |
$83.85 |
$129 |
4.5× |
| Thrombin time plasma (85670) |
$32.50 |
$50 |
5.6× |
| Thyroglobulin (84432) |
$49.40 |
$76 |
3.1× |
| Thyroglobulin antibody (86800) |
$50.38 |
$77.50 |
3.2× |
| Thyroid stimulating immunoglob (84445) |
$57.85 |
$89 |
1.1× |
| Thyroxine binding globulin (84442) |
$14.95 |
$23 |
1.0× |
| Thyroxine t4 total (84436) |
$27.95 |
$43 |
4.1× |
| Tissue culture bone marrow (88237) |
$283.40 |
$436 |
2.0× |
| Tissue culture lymphocyte (88230) |
$252.20 |
$388 |
2.2× |
| Tissue culture placenta (88235) |
$633.10 |
$974 |
4.2× |
| Tissue culture skin/biopsy (88233) |
$387.40 |
$596 |
2.8× |
| Tissue culture solid tumor (88239) |
$221 |
$340 |
1.5× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$93.60 |
$144 |
8.1× |
| Tobramycin (80200) |
$107.25 |
$165 |
6.6× |
| Topiramate (80201) |
$26.32 |
$40.50 |
2.2× |
| Total tau (84394) |
$72.80 |
$112 |
0.6× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$102.05 |
$157 |
5.2× |
| Toxoplasma antibody igm (86778) |
$33.15 |
$51 |
2.3× |
| Tp53 gene analysis targeted sequence analysis (81352) |
$919.10 |
$1,414 |
2.8× |
| Tp53 gene full gene sequence (81351) |
$1,021.15 |
$1,571 |
1.6× |
| Tpmt gene com variants (81335) |
$398.45 |
$613 |
2.3× |
| Tpmt3, thiopurine methyltransferase activity profile, erythrocytes mayo clinic (84433) |
$164.45 |
$253 |
7.4× |
| Transcortin (84449) |
$77.35 |
$119 |
4.3× |
| Transferrin (84466) |
$28.28 |
$43.50 |
2.2× |
| Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and… (81560) |
$2,698.80 |
$4,152 |
4.2× |
| Trb gene rearrange amplify (81340) |
$952.90 |
$1,466 |
4.6× |
| TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81341) |
$118.30 |
$182 |
2.4× |
| Treponema pallidum antibody (86780) |
$16.90 |
$26 |
1.3× |
| Trg gene rearrangement anal (81342) |
$952.90 |
$1,466 |
4.7× |
| Trichinella antibody (86784) |
$28.92 |
$44.50 |
2.3× |
| Trichomonas assay w/optic (87808) |
$56.55 |
$87 |
3.7× |
| Trichomonas vaginalis amplif (87661) |
$49.40 |
$76 |
1.4× |
| Trichrome stain (87209) |
$96.85 |
$149 |
5.4× |
| Triglycerides (84478) |
$27.62 |
$42.50 |
4.8× |
| Troponin i (84484) |
$115.70 |
$178 |
9.3× |
| Troponin qual (84512) |
$70.85 |
$109 |
7.0× |
| Trypanosoma cruzi igg (86753) |
$29.90 |
$46 |
2.4× |
| Tularemia agglutinins (86000) |
$29.25 |
$45 |
4.2× |
| Tyrosine (84510) |
$92.95 |
$143 |
8.7× |
| Uf hb allergen food alpha gal ige (86008) |
$35.42 |
$54.50 |
2.0× |
| UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated… (81350) |
$261.95 |
$403 |
1.1× |
| Urea nitrogen quantitative (84520) |
$7.80 |
$12 |
2.0× |
| Urea nitrogen urine (84540) |
$47.45 |
$73 |
8.5× |
| Uric acid blood (84550) |
$70.52 |
$108.50 |
15.6× |
| Uric acid other source (84560) |
$22.42 |
$34.50 |
4.4× |
| Urinalysis auto w/micro (81001) |
$36.40 |
$56 |
11.5× |
| Urinalysis microscopic only (81015) |
$16.25 |
$25 |
5.3× |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
$22.75 |
$35 |
10.5× |
| Urine bacteria culture (87088) |
$65.65 |
$101 |
8.1× |
| Urine volume measurement (81050) |
$8.45 |
$13 |
2.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$36.40 |
$56 |
16.2× |
| Valproic acid (80164) |
$115.70 |
$178 |
8.5× |
| Valproic acid free (80165) |
$18.85 |
$29 |
1.4× |
| Vancomycin (80202) |
$117 |
$180 |
8.6× |
| Varicella zoster ag if (87290) |
$46.48 |
$71.50 |
3.5× |
| Varicella zoster antibody igg (86787) |
$29.90 |
$46 |
2.3× |
| Vasoactive intestinal polypeptide (84586) |
$54.28 |
$83.50 |
1.5× |
| Vasopressin (84588) |
$37.38 |
$57.50 |
1.1× |
| Vedolizumab (80280) |
$333.12 |
$512.50 |
8.6× |
| Viral culture non-respiratory (87252) |
$49.40 |
$76 |
1.9× |
| Virus antibody nos (86790) |
$61.75 |
$95 |
4.8× |
| Virus isol shell vial techn (87254) |
$60.45 |
$93 |
3.1× |
| Viscosity serum (85810) |
$14.30 |
$22 |
1.2× |
| Vitamin a (84590) |
$13.65 |
$21 |
1.2× |
| Vitamin b12 (82607) |
$92.30 |
$142 |
6.1× |
| Vitamin b12 binding capacity (82608) |
$21.78 |
$33.50 |
1.5× |
| Vitamin b5 (84591) |
$229.45 |
$353 |
13.4× |
| Vitamin b6 (84207) |
$77.35 |
$119 |
2.8× |
| Vitamin c (82180) |
$68.90 |
$106 |
7.0× |
| Vitamin d 1 25 dihydroxy (82652) |
$37.38 |
$57.50 |
1.0× |
| Vitamin d, 25-hydroxy, labcorp (82306) |
$72.15 |
$111 |
2.4× |
| Vitamin e (84446) |
$13.65 |
$21 |
1.0× |
| Vitamin k1 (84597) |
$74.10 |
$114 |
5.4× |
| Vkorc1 gene (81355) |
$159.90 |
$246 |
1.8× |
| Vma (84585) |
$65 |
$100 |
4.2× |
| Volatiles (84600) |
$193.38 |
$297.50 |
11.3× |
| Voltage-gated calcium channel antibody each (86596) |
$154.38 |
$237.50 |
12.8× |
| Von willebrand factor activity (85245) |
$41.92 |
$64.50 |
1.8× |
| Voriconazole (80285) |
$156.65 |
$241 |
5.8× |
| West nile virus ab igm (86788) |
$59.80 |
$92 |
3.5× |
| West nile virus antibody (86789) |
$59.80 |
$92 |
4.2× |
| Xylose absorption urine (84620) |
$22.75 |
$35 |
1.8× |
| Yersinia antibody (86793) |
$55.25 |
$85 |
4.2× |
| Zika virus DNA/RNA amp probe (87662) |
$120.90 |
$186 |
2.4× |
| Zika virus igm (86794) |
$78 |
$120 |
4.6× |
| Zinc (84630) |
$28.60 |
$44 |
2.5× |
| Zinc protoporphyrin blood (84202) |
$85.80 |
$132 |
6.0× |