| 1 25 Dihydroxy includes fractions if performed (82652) |
$164.70 |
$183 |
4.3× |
| 5 Nucleotidase (83915) |
$47.70 |
$53 |
4.3× |
| Acetaminophen level (80143) |
$80.10 |
$89 |
4.3× |
| Acetone serum qual (82009) |
$30.60 |
$34 |
6.8× |
| Acetylcholine receptor binding antibody (86041) |
$70.20 |
$78 |
3.8× |
| Acetylcholine receptor blocking antibody (86042) |
$70.20 |
$78 |
3.8× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$45.90 |
$51 |
3.8× |
| Acth stimulation panel adrenal insufficiency (80400) |
$139.50 |
$155 |
4.3× |
| Activated protein c resistance (85307) |
$82.80 |
$92 |
5.4× |
| Acute hepatitis panel (80074) |
$203.40 |
$226 |
4.3× |
| Acylcarnitine Plasma (82017) |
$72 |
$80 |
4.3× |
| Adamts13 activity (85397) |
$166.50 |
$185 |
5.4× |
| Adenovirus ag, if (87260) |
$80.10 |
$89 |
5.6× |
| Adenovirus antibody (86603) |
$49.50 |
$55 |
3.8× |
| Adrenocorticotropic hormone (82024) |
$164.70 |
$183 |
4.3× |
| Afp maternal serum (82105) |
$72 |
$80 |
4.3× |
| Agglutinins febrile ea antigen (86000) |
$33.30 |
$37 |
4.8× |
| Albumin body fluid (82042) |
$33.30 |
$37 |
4.3× |
| Albumin serum (82040) |
$21.60 |
$24 |
4.4× |
| Aldolase (82085) |
$41.40 |
$46 |
4.3× |
| Aldosterone urine (82088) |
$174.60 |
$194 |
4.3× |
| Alkaline phosphatase isoenzymes (84080) |
$63 |
$70 |
4.3× |
| Allergen peanut (86003) |
$19.80 |
$22 |
3.8× |
| Allergen specific igg (86001) |
$36.90 |
$41 |
4.7× |
| Allg Spec Ige Recomb Ea (86008) |
$68.40 |
$76 |
3.8× |
| Alpha-1-antitrypsin phenotype (82104) |
$62.10 |
$69 |
4.3× |
| Alpha-1-antitrypsin, total (82103) |
$57.60 |
$64 |
4.3× |
| Alt (sgpt) (84460) |
$22.50 |
$25 |
4.2× |
| Aluminum (82108) |
$108.90 |
$121 |
4.3× |
| Amikacin trough (80150) |
$98.10 |
$109 |
6.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$97.20 |
$108 |
4.2× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$72 |
$80 |
4.3× |
| Amino Acids Quant 2-5 (82136) |
$83.70 |
$93 |
4.3× |
| Aminolevulinic acid (ala) (82135) |
$70.20 |
$78 |
4.3× |
| Amylase urine (82150) |
$27.90 |
$31 |
4.3× |
| Ana titer (86039) |
$42.30 |
$47 |
3.8× |
| Analysis nerve (88356) |
$108.90 |
$121 |
1.8× |
| Androsterone (hormone) level (82160) |
$108 |
$120 |
4.2× |
| Angiotensin i enzyme test (82164) |
$62.10 |
$69 |
4.3× |
| Anti-phosphatidylserine antibody (86148) |
$61.20 |
$68 |
3.8× |
| Antibody aspergillus (86606) |
$57.60 |
$64 |
3.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$59.40 |
$66 |
3.8× |
| Antibody coxiella burnetii q fever (86638) |
$46.80 |
$52 |
3.9× |
| Antibody cytomegalovirus cmv (86644) |
$54.90 |
$61 |
3.8× |
| Antibody Encephalitis Eastern Equine (86652) |
$51.75 |
$57.50 |
3.9× |
| Antibody encephalitis st. louis (86653) |
$51.75 |
$57.50 |
3.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$50.40 |
$56 |
3.8× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$48.60 |
$54 |
4.0× |
| Antibody helicobacter pylori (86677) |
$64.80 |
$72 |
3.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$88.20 |
$98 |
6.1× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$52.20 |
$58 |
3.8× |
| Antibody HIV-2 (86702) |
$51.30 |
$57 |
3.8× |
| Antibody hla class ii semiquantitative panel (86835) |
$1,235.70 |
$1,373 |
3.8× |
| Antibody identification (86870) |
$1,363.50 |
$1,515 |
3.3× |
| Antibody identification leukocyte antibodies (86021) |
$58.50 |
$65 |
3.9× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$51.30 |
$57 |
4.1× |
| Antibody john cunningham virus (86711) |
$64.80 |
$72 |
3.8× |
| Antibody leishmania (86717) |
$45.90 |
$51 |
3.7× |
| Antibody mumps (86735) |
$49.50 |
$55 |
3.8× |
| Antibody Protozoa Nes (86753) |
$47.70 |
$53 |
3.8× |
| Antibody screen (86850) |
$211.50 |
$235 |
21.6× |
| Antibody treponema pallidum (86780) |
$50.40 |
$56 |
3.8× |
| Antibody; campylobacter (86625) |
$62.10 |
$69 |
4.7× |
| Antibody; Coccidioides (86635) |
$44.10 |
$49 |
3.8× |
| Antigen typing (86905) |
$1,363.50 |
$1,515 |
356.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$653.40 |
$726 |
126.1× |
| Antinuclear antibodies (86038) |
$45.90 |
$51 |
3.8× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$33.30 |
$37 |
5.8× |
| Antistreptolysin o titer (86060) |
$27.90 |
$31 |
3.8× |
| Antithrombin iii activity (85300) |
$63.90 |
$71 |
5.4× |
| Antithrombin iii antigen (85301) |
$58.50 |
$65 |
5.4× |
| Apc gene dup/delet variants (81203) |
$977.40 |
$1,086 |
4.9× |
| Apc gene full sequence (81201) |
$3,811.50 |
$4,235 |
4.9× |
| Apolipoprotein each (82172) |
$90 |
$100 |
4.3× |
| Arsenic Urine (82175) |
$81 |
$90 |
4.3× |
| Aspergillus ag eia (87305) |
$51.30 |
$57 |
4.3× |
| Assay Biovlbl Testosterone Direct Measurement (84410) |
$219.60 |
$244 |
4.3× |
| Assay direct measurement free estradiol (82681) |
$119.70 |
$133 |
4.3× |
| Assay Lipoprotein Pla2 (83698) |
$198 |
$220 |
4.3× |
| Assay myeloperoxidase (83876) |
$217.80 |
$242 |
4.3× |
| Assay Nephelometry Not Spec (83883) |
$58.50 |
$65 |
4.3× |
| Assay of 17-hydroxypregnenolone (84143) |
$97.20 |
$108 |
4.3× |
| Assay of 5-hiaa (83497) |
$54.90 |
$61 |
4.3× |
| Assay of ammonia (82140) |
$62.10 |
$69 |
4.3× |
| Assay of androstenedione (82157) |
$125.10 |
$139 |
4.3× |
| Assay of anti-mullerian hormone (82166) |
$164.70 |
$183 |
4.3× |
| Assay of c-peptide (84681) |
$89.10 |
$99 |
4.3× |
| Assay of ceruloplasmin (82390) |
$45.90 |
$51 |
4.3× |
| Assay of citrate (82507) |
$118.80 |
$132 |
4.3× |
| Assay of corticosterone (82528) |
$99 |
$110 |
4.4× |
| Assay of cpk in blood (82552) |
$90.90 |
$101 |
6.8× |
| Assay of cyclosporine (80158) |
$77.40 |
$86 |
4.3× |
| Assay of dibucaine number (82638) |
$50.40 |
$56 |
4.1× |
| Assay of erythropoietin (82668) |
$80.10 |
$89 |
4.3× |
| Assay of estrone (82679) |
$107.10 |
$119 |
4.3× |
| Assay of ethosuximide (80168) |
$70.20 |
$78 |
4.3× |
| Assay of ferritin (82728) |
$58.50 |
$65 |
4.3× |
| Assay of g6pd enzyme (82955) |
$41.40 |
$46 |
4.3× |
| Assay of gammaglobulin igm (82784) |
$39.60 |
$44 |
4.3× |
| Assay of gastrin (82941) |
$75.60 |
$84 |
4.3× |
| Assay of gentamicin (80170) |
$70.20 |
$78 |
4.3× |
| Assay of homocystine (83090) |
$76.50 |
$85 |
4.3× |
| Assay of lactic acid (83605) |
$49.50 |
$55 |
4.3× |
| Assay of lipoprotein(a) (83695) |
$61.20 |
$68 |
4.3× |
| Assay of manganese (83785) |
$114.30 |
$127 |
4.3× |
| Assay of metanephrines (83835) |
$72 |
$80 |
4.3× |
| Assay of osteocalcin (83937) |
$127.80 |
$142 |
4.3× |
| Assay of phenobarbital (80184) |
$65.70 |
$73 |
4.3× |
| Assay of prealbumin (84134) |
$62.10 |
$69 |
4.3× |
| Assay of proinsulin (84206) |
$114.30 |
$127 |
4.3× |
| Assay of prolactin (84146) |
$82.80 |
$92 |
4.3× |
| Assay of prostate specific antigen complexed (84152) |
$81 |
$90 |
4.4× |
| Assay of pyruvate (84210) |
$60.30 |
$67 |
4.2× |
| Assay of semen fructose (82757) |
$73.80 |
$82 |
4.3× |
| Assay of serotonin (84260) |
$132.30 |
$147 |
4.3× |
| Assay of tacrolimus (80197) |
$58.50 |
$65 |
4.3× |
| Assay of topiramate (80201) |
$51.30 |
$57 |
4.3× |
| Assay of transcortin (84449) |
$76.50 |
$85 |
4.3× |
| Assay of Tyrosine (84510) |
$45 |
$50 |
4.2× |
| Assay of urine vma (84585) |
$66.60 |
$74 |
4.3× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$144.90 |
$161 |
4.3× |
| Assay of vitamin k (84597) |
$58.50 |
$65 |
4.3× |
| Assay of volatiles (84600) |
$108 |
$120 |
6.3× |
| Assay Phosphatase Acid Prostatic (84066) |
$42.30 |
$47 |
4.4× |
| Assay Phosphohexose Enzymes (84087) |
$45.90 |
$51 |
4.3× |
| Assay spec xcp ur&breath ia (82077) |
$73.80 |
$82 |
4.3× |
| Ast (sgot) (84450) |
$22.50 |
$25 |
4.3× |
| B cells total count (86355) |
$144 |
$160 |
3.8× |
| B-hexosaminidase ea assay (83080) |
$81.90 |
$91 |
4.9× |
| Bartonella antibody (86611) |
$38.70 |
$43 |
3.8× |
| Bartonella PCR (87471) |
$171 |
$190 |
4.9× |
| Bcr/abl1 gene major bp (81206) |
$184.50 |
$205 |
1.1× |
| Bcr/abl1 gene minor bp (81207) |
$427.50 |
$475 |
3.0× |
| Beta 2 glycoprotein 1 igm (86146) |
$97.20 |
$108 |
3.8× |
| Beta hydroxybutyrate (82010) |
$35.10 |
$39 |
4.3× |
| Beta lactamase (87185) |
$20.70 |
$23 |
4.4× |
| Beta-2 microglobulin (82232) |
$69.30 |
$77 |
4.3× |
| Beta-amyloid; 1-42 (abeta 42) (82234) |
$167.40 |
$186 |
1.3× |
| Bile acids, total (82239) |
$72.90 |
$81 |
4.3× |
| Bilirubin direct (82248) |
$21.60 |
$24 |
4.3× |
| Bilirubin total (82247) |
$21.60 |
$24 |
4.3× |
| Bl Smear W/Diff Wbc Count (85007) |
$20.70 |
$23 |
5.4× |
| Bl Smear W/O Diff Wbc Count (85008) |
$18.90 |
$21 |
5.5× |
| Blastomyces antibody (86612) |
$49.50 |
$55 |
3.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$653.40 |
$726 |
3.3× |
| Bld Typing Serologic Rh Phnt (86906) |
$150.30 |
$167 |
19.4× |
| Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated… (86079) |
$59.40 |
$66 |
1.0× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
$57.60 |
$64 |
1.7× |
| Blood Count Automated Differential Wbc Count (85004) |
$31.50 |
$35 |
4.9× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) |
$29.70 |
$33 |
5.3× |
| Blood gas (82803) |
$111.60 |
$124 |
4.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$68.40 |
$76 |
4.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$11.70 |
$13 |
2.7× |
| Blood Sulfhemoglobin Assay (83060) |
$39.60 |
$44 |
4.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$1,404 |
$1,560 |
221.1× |
| Blood typing abo (86900) |
$238.50 |
$265 |
79.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$164.70 |
$183 |
10.1× |
| Blood typing serologic rh (d) (86901) |
$144 |
$160 |
48.2× |
| Body fluid cell count (89051) |
$24.30 |
$27 |
4.3× |
| Body fluid cell count (89050) |
$19.80 |
$22 |
4.2× |
| Bone Marrow Smear Interpretation (85097) |
$3,265.20 |
$3,628 |
3.5× |
| Bordetella antibody (86615) |
$50.40 |
$56 |
3.8× |
| Bordetella pertussis dfa (87265) |
$80.10 |
$89 |
6.7× |
| Borrelia Antibody (86619) |
$56.70 |
$63 |
4.2× |
| Braf gene (81210) |
$197.10 |
$219 |
1.1× |
| Brca1&2 seq & full dup/del (81162) |
$7,214.40 |
$8,016 |
4.0× |
| Breath Alcohol Test (82075) |
$127.80 |
$142 |
4.3× |
| Brucella antibody (86622) |
$34.20 |
$38 |
3.8× |
| C diff amplified probe (87493) |
$159.30 |
$177 |
4.3× |
| C-reactive protein (86140) |
$19.80 |
$22 |
3.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$49.50 |
$55 |
3.8× |
| Ca 125 (86304) |
$79.20 |
$88 |
3.8× |
| Ca 19-9 (86301) |
$79.20 |
$88 |
3.8× |
| Ca 27 29 (86300) |
$79.20 |
$88 |
3.8× |
| Cadmium level (82300) |
$100.80 |
$112 |
4.3× |
| Calcitonin (82308) |
$114.30 |
$127 |
4.3× |
| Calcium ionized (82330) |
$58.50 |
$65 |
4.3× |
| Calcium total (82310) |
$22.50 |
$25 |
4.4× |
| Calcium urine (82340) |
$26.10 |
$29 |
4.3× |
| Calculus spectroscopy (82365) |
$54.90 |
$61 |
4.3× |
| California encephalitis ab (86651) |
$53.10 |
$59 |
4.0× |
| Calprotectin, fecal (83993) |
$83.70 |
$93 |
4.3× |
| Calr gene com variants (81219) |
$136.80 |
$152 |
1.1× |
| Candida antibody (86628) |
$45.90 |
$51 |
3.8× |
| Carbamazepine total (80156) |
$62.10 |
$69 |
4.3× |
| Carbon dioxide (82374) |
$20.70 |
$23 |
4.2× |
| Carboxyhemoglobin (82375) |
$53.10 |
$59 |
4.3× |
| Carcinoembryonic antigen (82378) |
$81 |
$90 |
4.3× |
| Cardiolipin ab igg (86147) |
$97.20 |
$108 |
3.8× |
| Carnitine (82379) |
$72 |
$80 |
4.3× |
| Carotene (82380) |
$39.60 |
$44 |
4.3× |
| Catecholamines fraction plasma (82384) |
$108 |
$120 |
4.3× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
$519.30 |
$577 |
3.8× |
| Cftr gene com variants (81220) |
$1,578.60 |
$1,754 |
2.8× |
| Cftr gene dup/delet variants (81222) |
$1,278.90 |
$1,421 |
2.9× |
| Cftr gene full sequence (81223) |
$1,414.80 |
$1,572 |
2.8× |
| Chemiluminescent assay (82397) |
$60.30 |
$67 |
4.3× |
| Chlamydia antibody (86631) |
$45 |
$50 |
3.8× |
| Chlamydia Igm Antibody (86632) |
$48.60 |
$54 |
3.8× |
| Chloride blood (82435) |
$20.70 |
$23 |
4.5× |
| Chloride feces (82438) |
$26.10 |
$29 |
5.2× |
| Chloride urine (82436) |
$24.30 |
$27 |
4.2× |
| Chlorinated hydrocarbons screen (82441) |
$41.40 |
$46 |
6.9× |
| Cholesterol HDL (83718) |
$35.10 |
$39 |
4.3× |
| Cholesterol total (82465) |
$18.90 |
$21 |
4.3× |
| Cholinesterase rbc (82482) |
$52.20 |
$58 |
5.3× |
| Cholinesterase serum (82480) |
$31.50 |
$35 |
4.0× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) |
$211.50 |
$235 |
4.1× |
| Chorionic Gonadotropin, Free Beta Chain (84704) |
$101.70 |
$113 |
6.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) |
$134.10 |
$149 |
5.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$102.60 |
$114 |
3.1× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$355.50 |
$395 |
2.8× |
| Chromium urine (82495) |
$86.40 |
$96 |
4.3× |
| Chromogenic Substrate Assay (85130) |
$65.70 |
$73 |
5.5× |
| Chromogranin a (86316) |
$79.20 |
$88 |
3.8× |
| Chromosome analysis 20-25 cells (88264) |
$166.50 |
$185 |
1.2× |
| Chromosome Analysis 5 (88261) |
$1,245.60 |
$1,384 |
4.7× |
| Chromosome Banding Study (88283) |
$200.70 |
$223 |
2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$150.30 |
$167 |
4.3× |
| Ckmb (82553) |
$49.50 |
$55 |
4.3× |
| Clot Factor VIII Multimetric (85247) |
$124.20 |
$138 |
5.4× |
| Clot factor viii vw antigen (85246) |
$124.20 |
$138 |
5.4× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$120.60 |
$134 |
6.7× |
| Clot factor xiii fibrin stab (85290) |
$88.20 |
$98 |
5.4× |
| Clotting Inhibitors Protein S Free (85306) |
$82.80 |
$92 |
5.4× |
| Clozapine level (80159) |
$86.40 |
$96 |
4.3× |
| Cmv ab igm (86645) |
$64.80 |
$72 |
3.8× |
| Cmv PCR (87496) |
$150.30 |
$167 |
4.3× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) |
$388.80 |
$432 |
2.8× |
| Cns DNA amp probe type 12-25 (87483) |
$1,782 |
$1,980 |
4.3× |
| Coagulation time activated (85347) |
$23.40 |
$26 |
5.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$102.60 |
$114 |
4.3× |
| Cold agglutinin screen (86156) |
$47.70 |
$53 |
5.9× |
| Cold agglutinin titer (86157) |
$30.60 |
$34 |
3.8× |
| Collagen cross links (82523) |
$80.10 |
$89 |
4.3× |
| Comparative anal str markers patient&comp spec (81265) |
$1,514.70 |
$1,683 |
6.5× |
| Compatibility test antiglob (86922) |
$307.80 |
$342 |
1.6× |
| Complement c3 (86160) |
$45.90 |
$51 |
3.8× |
| Complement total (ch50) (86162) |
$77.40 |
$86 |
3.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$45.90 |
$51 |
3.8× |
| Concentration Infectious Agent (87015) |
$28.80 |
$32 |
4.3× |
| Coombs direct (86880) |
$234.45 |
$260.50 |
43.5× |
| Copper urine (82525) |
$53.10 |
$59 |
4.3× |
| Cortisol free (82530) |
$71.10 |
$79 |
4.3× |
| Cortisol total (82533) |
$69.30 |
$77 |
4.3× |
| Creatine kinase total (82550) |
$27.90 |
$31 |
4.3× |
| Creatinine blood (82565) |
$21.60 |
$24 |
4.2× |
| Creatinine clearance (82575) |
$63 |
$70 |
6.7× |
| Creatinine other source (82570) |
$22.50 |
$25 |
4.3× |
| Crossmatch immediate spin (86920) |
$653.40 |
$726 |
3.3× |
| Cryofibrinogen (82585) |
$60.30 |
$67 |
4.3× |
| Cryoglobulin (82595) |
$27.90 |
$31 |
4.3× |
| Cryptococcus antibody (86641) |
$98.10 |
$109 |
6.8× |
| Crystals body fluid (89060) |
$31.50 |
$35 |
4.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$34.20 |
$38 |
4.2× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) |
$824.40 |
$916 |
3.8× |
| Culture Aerobic Identify (87077) |
$34.20 |
$38 |
4.2× |
| Culture aerobic quant other (87071) |
$53.55 |
$59.50 |
5.4× |
| Culture afb (87116) |
$45.90 |
$51 |
4.3× |
| Culture anaerobic (87075) |
$40.50 |
$45 |
4.3× |
| Culture blood (87040) |
$44.10 |
$49 |
4.3× |
| Culture chlamydia (87110) |
$132.30 |
$147 |
6.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$33.30 |
$37 |
4.3× |
| Culture fungus blood (87103) |
$87.30 |
$97 |
4.3× |
| Culture fungus id yeast (87106) |
$44.10 |
$49 |
4.3× |
| Culture fungus other (87102) |
$36 |
$40 |
4.3× |
| Culture genital (87070) |
$35.10 |
$39 |
4.1× |
| Culture screen only (87081) |
$27.90 |
$31 |
4.2× |
| Culture stool (87045) |
$40.50 |
$45 |
4.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$22.50 |
$25 |
4.3× |
| Culture urine (87086) |
$34.20 |
$38 |
4.2× |
| Culture virus (87252) |
$106.20 |
$118 |
4.1× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
$493.20 |
$548 |
4.3× |
| Cyclic Citrullinated Peptide (86200) |
$49.50 |
$55 |
3.8× |
| Cyp2c19 gene com variants (81225) |
$826.20 |
$918 |
2.8× |
| Cystatin c (82610) |
$79.20 |
$88 |
4.3× |
| Cysticercosis Antibody (86682) |
$49.50 |
$55 |
3.8× |
| Cytogenetics 10-30 (88273) |
$218.70 |
$243 |
6.3× |
| Cytogenetics 100-300 (88275) |
$277.20 |
$308 |
5.4× |
| Cytogenetics DNA probe (88271) |
$146.70 |
$163 |
6.8× |
| Cytogenom const microarray copy number&snp var (81229) |
$2,718 |
$3,020 |
2.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$182.70 |
$203 |
4.3× |
| Cytopath cell enhance tech (88112) |
$145.80 |
$162 |
2.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$108 |
$120 |
2.5× |
| Cytopath Smear Other Source (88160) |
$80.10 |
$89 |
2.4× |
| Cytopath Tbs Cerv/Vag Manual (88164) |
$75.60 |
$84 |
4.1× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) |
$43.20 |
$48 |
2.9× |
| Cytotoxic pra quick (86808) |
$88.20 |
$98 |
3.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$36 |
$40 |
1.4× |
| Cytp concentration smears & interpretation (88108) |
$78.75 |
$87.50 |
1.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$146.70 |
$163 |
2.4× |
| Cytp fna eval dx 1st each site (88172) |
$328.50 |
$365 |
1.7× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
$75.60 |
$84 |
4.1× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$92.25 |
$102.50 |
1.5× |
| Deoxycortisol (82634) |
$119.70 |
$133 |
4.1× |
| Deoxyribonuclease antibody (86215) |
$50.40 |
$56 |
3.8× |
| Desoxycorticosterone (82633) |
$131.40 |
$146 |
4.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$71.10 |
$79 |
4.3× |
| Detect agnt mult DNA ampli (87801) |
$299.70 |
$333 |
4.3× |
| Dhea (82626) |
$108 |
$120 |
4.3× |
| Dhea-sulfate (82627) |
$95.40 |
$106 |
4.3× |
| Digoxin (80162) |
$56.70 |
$63 |
4.3× |
| Dihydrotestosterone (82642) |
$125.10 |
$139 |
4.3× |
| Dilantin (80185) |
$56.70 |
$63 |
4.3× |
| Diphtheria antitoxoid (86648) |
$62.10 |
$69 |
4.1× |
| Dipropylacetic acid free (80165) |
$57.60 |
$64 |
4.3× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) |
$139.50 |
$155 |
4.1× |
| Dmd dup/delet analysis (81161) |
$791.10 |
$879 |
2.8× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) |
$388.80 |
$432 |
2.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$52.20 |
$58 |
3.8× |
| Dpyd gene common variants (81232) |
$504.90 |
$561 |
2.9× |
| Drug assay adalimumab (80145) |
$143.10 |
$159 |
3.7× |
| Drug Assay Amiodarone (80151) |
$80.10 |
$89 |
4.3× |
| Drug assay felbamate (80167) |
$79.20 |
$88 |
4.2× |
| Drug Assay Infliximab (80230) |
$164.70 |
$183 |
4.3× |
| Drug Assay Lacosamide (80235) |
$116.10 |
$129 |
4.3× |
| Drug assay leflunomide (80193) |
$156.60 |
$174 |
4.1× |
| Drug assay methotrexate (80204) |
$171 |
$190 |
4.4× |
| Drug assay posaconazole (80187) |
$116.10 |
$129 |
4.3× |
| Drug assay voriconazole (80285) |
$116.10 |
$129 |
4.3× |
| Drug quant nes (80299) |
$80.10 |
$89 |
4.3× |
| Drug screen quant zonisamide (80203) |
$56.70 |
$63 |
4.3× |
| Drug Screen Quantitative Lamotrigine (80175) |
$56.70 |
$63 |
4.3× |
| Drug Screen Quantitative Lidocaine (80176) |
$96.30 |
$107 |
6.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$56.70 |
$63 |
4.3× |
| Drug Scrn Quan Levetiracetam (80177) |
$56.70 |
$63 |
4.3× |
| Drug test prsmv chem anlyzr (80307) |
$265.50 |
$295 |
4.3× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$51.30 |
$57 |
4.1× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) |
$98.10 |
$109 |
5.7× |
| E test (87181) |
$20.70 |
$23 |
4.4× |
| Ebv viral capsid (86665) |
$69.30 |
$77 |
3.8× |
| Egfr Gene Analysis Common Variants (81235) |
$1,035.90 |
$1,151 |
3.2× |
| Ehrlichia antibody (86666) |
$38.70 |
$43 |
3.8× |
| Electrolyte panel (80051) |
$29.70 |
$33 |
4.2× |
| Electron microscopy diagnostic (88348) |
$596.70 |
$663 |
0.6× |
| Electronic crossmatch (86923) |
$307.80 |
$342 |
1.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$302.40 |
$336 |
4.9× |
| Encephalitis Western Equine (86654) |
$53.10 |
$59 |
4.0× |
| Entamoeba histolytica antigen (87337) |
$51.30 |
$57 |
4.3× |
| Enterovirus antibody (86658) |
$49.50 |
$55 |
3.8× |
| Enterovirus Pcr (87498) |
$150.30 |
$167 |
4.3× |
| Enzyme cell activity (82657) |
$94.50 |
$105 |
4.3× |
| Enzyme histochemistry (88319) |
$1,305 |
$1,450 |
1.4× |
| Eosinophil count (85048) |
$13.50 |
$15 |
5.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$58.50 |
$65 |
3.8× |
| Estradiol (82670) |
$119.70 |
$133 |
4.3× |
| Estriol serum (82677) |
$103.50 |
$115 |
4.3× |
| Estrogens fractionated (82671) |
$137.70 |
$153 |
4.3× |
| Estrogens total (82672) |
$92.70 |
$103 |
4.3× |
| Ethylene glycol (82693) |
$63.90 |
$71 |
4.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$419.40 |
$466 |
4.3× |
| Everolimus (80169) |
$58.50 |
$65 |
4.3× |
| Exam & Select Archive Tissue Molecular Analysis (88363) |
$81 |
$90 |
2.4× |
| F2 gene analysis 20210g >a variant (81240) |
$189 |
$210 |
2.9× |
| F5 gene analysis, leiden variant (81241) |
$214.20 |
$238 |
2.9× |
| Factor ii activity (85210) |
$76.50 |
$85 |
5.9× |
| Factor inhibitor test (85335) |
$69.30 |
$77 |
5.4× |
| Factor ix activity (85250) |
$102.60 |
$114 |
5.4× |
| Factor v activity (85220) |
$95.40 |
$106 |
5.4× |
| Factor vii assay (85230) |
$96.30 |
$107 |
5.4× |
| Factor viii ahg (85240) |
$96.30 |
$107 |
5.4× |
| Factor xi assay (85270) |
$96.30 |
$107 |
5.4× |
| Factor xii assay (85280) |
$104.40 |
$116 |
5.4× |
| Fat differential, feces, quantitative Facility (82715) |
$113.40 |
$126 |
4.9× |
| Fatty acids free (82725) |
$80.10 |
$89 |
4.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$106.20 |
$118 |
6.2× |
| Fecal fat qual (82705) |
$21.60 |
$24 |
4.2× |
| Fecal fat quant (82710) |
$72 |
$80 |
4.3× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) |
$2,236.50 |
$2,485 |
2.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) |
$450.90 |
$501 |
2.9× |
| Fetal fibronectin (82731) |
$275.40 |
$306 |
4.3× |
| Fibrin degradation products (85362) |
$38.70 |
$43 |
5.6× |
| Fibrin Degradation Quant (85379) |
$54.90 |
$61 |
5.4× |
| Fibrinogen activity (85384) |
$52.20 |
$58 |
5.4× |
| Fibrinogen antigen (85385) |
$81.90 |
$91 |
5.7× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$83.70 |
$93 |
5.4× |
| Flow cytometry first marker (88184) |
$248.40 |
$276 |
0.6× |
| Flt3 gene analysis (81245) |
$855 |
$950 |
5.2× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) |
$234.90 |
$261 |
2.8× |
| Fluorescent Antibody Screen (86255) |
$45.90 |
$51 |
3.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$45.90 |
$51 |
3.8× |
| Fluoride (82735) |
$78.30 |
$87 |
4.2× |
| Fmr1 gene detection (81243) |
$162 |
$180 |
2.8× |
| Folate serum (82746) |
$63 |
$70 |
4.3× |
| Folic acid rbc (82747) |
$75.60 |
$84 |
4.3× |
| Follicle Stimulating Hormone (83001) |
$79.20 |
$88 |
4.3× |
| Francisella tularensis (86668) |
$54 |
$60 |
3.8× |
| Frozen blood each unit thawing (86931) |
$1,287 |
$1,430 |
6.6× |
| Frozen Section (88331) |
$459.90 |
$511 |
2.3× |
| Fructosamine (82985) |
$72 |
$80 |
4.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$44.10 |
$49 |
4.3× |
| G6pd Screen (82960) |
$41.40 |
$46 |
6.8× |
| Gabapentin (80171) |
$92.70 |
$103 |
4.3× |
| Galectin-3 serum (82777) |
$189 |
$210 |
4.3× |
| Gammaglobulin ige (82785) |
$70.20 |
$78 |
4.3× |
| Gardner vag DNA dir probe (87510) |
$99 |
$110 |
4.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$41.40 |
$46 |
4.2× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) |
$168.30 |
$187 |
2.1× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$2,240.10 |
$2,489 |
2.9× |
| Genotype cytomegalovirus (87910) |
$1,012.50 |
$1,125 |
3.9× |
| Ggt (82977) |
$30.60 |
$34 |
4.3× |
| Giardia antigen eia stool (87329) |
$44.55 |
$49.50 |
3.7× |
| Gjb2 gene full sequence (81252) |
$508.50 |
$565 |
5.0× |
| GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants… (81254) |
$102.60 |
$114 |
2.9× |
| Glucagon (82943) |
$60.30 |
$67 |
4.2× |
| Glucose (82947) |
$17.10 |
$19 |
4.4× |
| Glucose Blood Test (82962) |
$14.40 |
$16 |
4.4× |
| Glucose body fluid (82945) |
$17.10 |
$19 |
4.4× |
| Glucose post dose (82950) |
$20.70 |
$23 |
4.4× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$17.10 |
$19 |
4.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$54.90 |
$61 |
4.3× |
| Glutathione (82978) |
$65.70 |
$73 |
4.3× |
| Growth hormone (83003) |
$71.10 |
$79 |
4.3× |
| H pylori breath test (83013) |
$288 |
$320 |
4.3× |
| H pylri clrthmcn rst amp prb (87513) |
$150.30 |
$167 |
4.3× |
| Haptoglobin (83010) |
$54 |
$60 |
4.3× |
| Hba1/hba2 full gene sequence (81259) |
$1,701 |
$1,890 |
2.8× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) |
$300.60 |
$334 |
2.9× |
| Hba1/hba2 gene dup/del vrnts (81269) |
$573.30 |
$637 |
2.8× |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) |
$1,107 |
$1,230 |
3.0× |
| Hbb duplication/deletion variants (81363) |
$573.30 |
$637 |
2.8× |
| Hbb Full Gene Sequence (81364) |
$920.70 |
$1,023 |
2.8× |
| Hcg qualitative (84703) |
$32.40 |
$36 |
4.3× |
| Hcg quant (84702) |
$63.90 |
$71 |
4.2× |
| Heavy Metal Qualitative Any Analytes (83015) |
$89.10 |
$99 |
4.3× |
| Heavy metal quant each (83018) |
$93.60 |
$104 |
4.3× |
| Heinz Bodies; Direct - Heinz Body Stain (85441) |
$21.60 |
$24 |
5.1× |
| Heinz bodies; induced, acetyl phenylhydrazine Facility (85445) |
$33.30 |
$37 |
4.9× |
| Hemagglutination inhibition test (HAI) Facility (86280) |
$54.90 |
$61 |
6.7× |
| Hematocrit (85014) |
$12.60 |
$14 |
5.3× |
| Hematocrit spun (85013) |
$18 |
$20 |
2.6× |
| Hemoglobin (85018) |
$12.60 |
$14 |
5.3× |
| Hemoglobin a1c (83036) |
$41.40 |
$46 |
4.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$77.40 |
$86 |
4.3× |
| Hemoglobin electrophoresis (83020) |
$54.90 |
$61 |
4.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$41.40 |
$46 |
5.4× |
| Hemoglobin plasma (83051) |
$32.40 |
$36 |
4.4× |
| Hemoglobin stability screen (83068) |
$40.50 |
$45 |
4.3× |
| Hemolysins and agglutinins; incubated Facility (86941) |
$81 |
$90 |
6.7× |
| Hemolysins/agglutinins auto screen (86940) |
$54.90 |
$61 |
6.3× |
| Hemosiderin urine (83070) |
$20.70 |
$23 |
4.4× |
| Heparin assay (85520) |
$71.10 |
$79 |
5.4× |
| Heparin-protamine tolerance test Facility (85530) |
$64.80 |
$72 |
5.0× |
| Hepatitis a antibody total (86708) |
$47.70 |
$53 |
3.8× |
| Hepatitis a igm (86709) |
$43.20 |
$48 |
3.8× |
| Hepatitis b core ab igm (86705) |
$45 |
$50 |
3.8× |
| Hepatitis b core antibody total (86704) |
$45.90 |
$51 |
3.8× |
| Hepatitis B Surface Ab (86706) |
$47.70 |
$53 |
4.4× |
| Hepatitis B Surface Antigen (87340) |
$44.10 |
$49 |
4.3× |
| Hepatitis b virus genotyping (87912) |
$1,012.50 |
$1,125 |
3.9× |
| Hepatitis be antibody (86707) |
$44.10 |
$49 |
3.8× |
| Hepatitis Be Antigen (87350) |
$49.50 |
$55 |
4.3× |
| Hepatitis c antibody (86803) |
$54.90 |
$61 |
3.8× |
| Hepatitis C Genotype (87902) |
$1,100.70 |
$1,223 |
4.3× |
| Hepatitis delta ab (86692) |
$65.70 |
$73 |
3.8× |
| Hereditary Cardiomyopathy Gen Seq Analys 5 Gen (81439) |
$1,658.70 |
$1,843 |
2.8× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) |
$1,940.40 |
$2,156 |
1.5× |
| Hereditary peripheral neuropathy gen seq pnl (81448) |
$1,658.70 |
$1,843 |
2.8× |
| Herpes simplex type i (86695) |
$50.40 |
$56 |
3.8× |
| Herpes simplex type ii (86696) |
$73.80 |
$82 |
3.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$19.80 |
$22 |
3.8× |
| Hexagonal phospholipid (85598) |
$97.20 |
$108 |
5.4× |
| Hfe gene (81256) |
$191.70 |
$213 |
2.9× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) |
$64.80 |
$72 |
4.9× |
| Histamine plasma (83088) |
$126 |
$140 |
4.3× |
| Histoplasma antibody (86698) |
$53.10 |
$59 |
3.9× |
| Histoplasma antigen urine (87385) |
$56.70 |
$63 |
4.3× |
| HIV confirmation (86689) |
$73.80 |
$82 |
3.8× |
| HIV-1 antibody (86701) |
$34.20 |
$38 |
3.8× |
| HIV-1 genotype (87901) |
$1,100.70 |
$1,223 |
4.3× |
| Hla class i high defin qual (86832) |
$1,238.40 |
$1,376 |
3.8× |
| Hla class i semiquant panel (86834) |
$1,368 |
$1,520 |
3.8× |
| Hla class i typing high resolution one allele or allele group (81381) |
$491.40 |
$546 |
2.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
$360.90 |
$401 |
2.8× |
| Hla class i&ii antibody qual (86828) |
$245.70 |
$273 |
3.8× |
| Hla class ii typing high resolution one locus ea (81382) |
$351 |
$390 |
2.8× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) |
$268.20 |
$298 |
2.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$210.60 |
$234 |
2.8× |
| Hla ii typing 1 locus lr (81376) |
$346.50 |
$385 |
2.8× |
| Hla ii typing ag equiv lr (81375) |
$1,552.50 |
$1,725 |
7.0× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) |
$390.60 |
$434 |
6.7× |
| Hla-b27 (86812) |
$99 |
$110 |
3.8× |
| Homogenization tissue (87176) |
$25.20 |
$28 |
4.3× |
| Homovanillic acid urine (83150) |
$111.60 |
$124 |
5.0× |
| Hpv low-risk types (87623) |
$236.70 |
$263 |
6.7× |
| Hpylori Drug Administration (83014) |
$33.30 |
$37 |
4.2× |
| Hsv Dna Quant (87530) |
$182.70 |
$203 |
4.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$150.30 |
$167 |
4.3× |
| Htlv-I Antibody (86687) |
$35.10 |
$39 |
3.9× |
| Htt gene analysis detect abnormal alleles (81271) |
$432 |
$480 |
3.2× |
| Human epididymis protein 4 (86305) |
$79.20 |
$88 |
3.8× |
| Hydroxyprogesterone 17-d (83498) |
$116.10 |
$129 |
4.3× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
$214.20 |
$238 |
4.7× |
| Iaad ia clostridium difficile toxin (87324) |
$51.30 |
$57 |
4.3× |
| Iaad ia cryptosporidium (87328) |
$59.40 |
$66 |
4.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$101.70 |
$113 |
4.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$61.20 |
$68 |
4.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$80.10 |
$89 |
5.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$151.20 |
$168 |
4.3× |
| Iaadi inffluenza a virus (87276) |
$80.10 |
$89 |
5.0× |
| Iaadi influenza b virus (87275) |
$80.10 |
$89 |
6.5× |
| Iaadi Not Otherwise Specified Each Organism (87299) |
$80.10 |
$89 |
5.0× |
| Iaadi parainfluenza virus each type (87279) |
$80.10 |
$89 |
4.9× |
| Iaadi Pneumocustis Carinii (87281) |
$51.30 |
$57 |
4.3× |
| Iaadi respiratory synctial virus (87280) |
$80.10 |
$89 |
6.0× |
| Iaadiadoo not otherwise specified (87899) |
$68.40 |
$76 |
4.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) |
$149.40 |
$166 |
4.3× |
| Iadna babesia microti amplified probe technique (87469) |
$150.30 |
$167 |
4.3× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$150.30 |
$167 |
4.3× |
| Iadna Candida Species Direct Probe Tq (87480) |
$99 |
$110 |
4.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
$346.50 |
$385 |
4.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) |
$144 |
$160 |
4.1× |
| Iadna hepatitis b virus quantification (87517) |
$182.70 |
$203 |
4.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$182.70 |
$203 |
4.3× |
| Iadna herpes virus-6 amplified probe tq (87532) |
$150.30 |
$167 |
4.3× |
| Iadna herpes virus-6 quantification (87533) |
$164.70 |
$183 |
3.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$150.30 |
$167 |
4.3× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$363.60 |
$404 |
4.3× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) |
$299.70 |
$333 |
4.3× |
| Iadna human papillomavirus high-risk types (87624) |
$150.30 |
$167 |
4.3× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) |
$173.70 |
$193 |
4.3× |
| Iadna mycobacteria avium-intraclre amp prb (87561) |
$171.90 |
$191 |
4.9× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
$206.10 |
$229 |
4.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$149.40 |
$166 |
4.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$150.30 |
$167 |
4.3× |
| Iadna nos amplified probe tq each organism (87798) |
$150.30 |
$167 |
4.3× |
| Iadna nos quantification each organism (87799) |
$182.70 |
$203 |
4.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$150.30 |
$167 |
4.3× |
| Igg subclasses (82787) |
$34.20 |
$38 |
4.3× |
| Igh gene rearrange amp meth (81261) |
$1,327.50 |
$1,475 |
6.7× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) |
$967.50 |
$1,075 |
2.3× |
| Immunoassay analyte qual/semiqual single step (83518) |
$42.30 |
$47 |
4.4× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
$87.30 |
$97 |
4.8× |
| Immunoassay infectious agent antibody quan nos (86317) |
$60.75 |
$67.50 |
4.1× |
| Immunoassay nonantibody (83516) |
$49.50 |
$55 |
4.3× |
| Immunodiffusion Ouchterlony (86331) |
$47.25 |
$52.50 |
3.9× |
| Immunofixation (86334) |
$85.50 |
$95 |
3.8× |
| Immunofixation urine (86335) |
$112.50 |
$125 |
3.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$307.35 |
$341.50 |
1.6× |
| Immunohistochemistry (88342) |
$453.60 |
$504 |
2.3× |
| In situ hybridization (88365) |
$418.50 |
$465 |
2.1× |
| Indirect coombs (86885) |
$653.40 |
$726 |
114.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) |
$300.60 |
$334 |
4.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) |
$80.10 |
$89 |
3.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) |
$79.20 |
$88 |
5.0× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
$49.50 |
$55 |
4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) |
$80.10 |
$89 |
2.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) |
$229.50 |
$255 |
3.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) |
$107.10 |
$119 |
3.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) |
$171.90 |
$191 |
4.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Facility (87550) |
$98.10 |
$109 |
4.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) |
$106.20 |
$118 |
4.0× |
| Influenza a/b ag eia (87400) |
$80.10 |
$89 |
5.7× |
| Influenza DNA amp probe (87502) |
$409.50 |
$455 |
4.3× |
| Inhibin a (86336) |
$59.40 |
$66 |
3.8× |
| Inhibin b (83520) |
$73.80 |
$82 |
4.3× |
| Insitu hybridization auto (88367) |
$521.10 |
$579 |
1.3× |
| Insitu hybridization manual (88368) |
$946.80 |
$1,052 |
2.3× |
| Insulin antibodies (86337) |
$81.90 |
$91 |
3.8× |
| Insulin total (83525) |
$48.60 |
$54 |
4.3× |
| Intrinsic factor antibody (86340) |
$57.60 |
$64 |
3.8× |
| Iron (83540) |
$27.90 |
$31 |
4.3× |
| Iron binding capacity (83550) |
$35.10 |
$39 |
4.0× |
| Irradiation Blood Product Each Unit (86945) |
$81 |
$90 |
1.9× |
| Islet cell antibody (86341) |
$90 |
$100 |
3.8× |
| Jak2 gene analysis (81270) |
$184.50 |
$205 |
2.0× |
| Jak2 targeted sequence analysis (81279) |
$546.30 |
$607 |
2.9× |
| Kit gene analys d816 variant (81273) |
$354.60 |
$394 |
2.8× |
| Kras gene analysis (81275) |
$548.10 |
$609 |
2.8× |
| Kras Gene Analysis Additional Variant(S) (81276) |
$548.10 |
$609 |
2.8× |
| Lactoferrin fecal qual (83630) |
$84.60 |
$94 |
4.3× |
| Lactoferrin Fecal Quantitative (83631) |
$77.40 |
$86 |
3.9× |
| Ldh body fluid (83615) |
$26.10 |
$29 |
4.3× |
| Ldh isoenzymes (83625) |
$54.90 |
$61 |
4.3× |
| LDL cholesterol direct (83721) |
$45 |
$50 |
4.3× |
| Lead (83655) |
$52.20 |
$58 |
4.3× |
| Legionella antibody (86713) |
$58.50 |
$65 |
3.8× |
| Legionella antigen urine (87449) |
$51.30 |
$57 |
4.3× |
| Leptospira antibody (86720) |
$62.10 |
$69 |
3.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$18.90 |
$21 |
4.4× |
| Leukocyte Histamine Release (86343) |
$54 |
$60 |
4.3× |
| Level ii surg pathology grossµscopic exam (88302) |
$80.10 |
$89 |
1.9× |
| Level v surg pathology grossµscopic exam (88307) |
$963.90 |
$1,071 |
2.3× |
| Level vi surg pathology grossµscopic exam (88309) |
$2,294.10 |
$2,549 |
2.5× |
| Lh (83002) |
$79.20 |
$88 |
4.3× |
| Lipase (83690) |
$29.70 |
$33 |
4.3× |
| Lipopro bld electrophoretic (83700) |
$47.70 |
$53 |
4.2× |
| Lipoprotein Bld Hr Fraction (83701) |
$144 |
$160 |
4.3× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) |
$145.80 |
$162 |
4.3× |
| Listeria ab (86609) |
$49.50 |
$55 |
3.8× |
| Lithium (80178) |
$27.90 |
$31 |
4.2× |
| Lyme disease antibody (86618) |
$64.80 |
$72 |
3.8× |
| Lymph Choriomeningitis Ab (86727) |
$49.50 |
$55 |
3.8× |
| Lymphocyte transformation (86353) |
$327.60 |
$364 |
6.7× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$384.30 |
$427 |
2.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$314.10 |
$349 |
1.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$396.90 |
$441 |
2.0× |
| Macroscopic exam arthropod (87168) |
$13.50 |
$15 |
3.2× |
| Macroscopic exam parasite (87169) |
$18 |
$20 |
4.2× |
| Magnesium (83735) |
$28.80 |
$32 |
4.3× |
| Malaria smear (87207) |
$25.20 |
$28 |
4.2× |
| Manual cell count each (85032) |
$29.70 |
$33 |
6.9× |
| Mass spectrometry qual/quan (83789) |
$103.50 |
$115 |
4.3× |
| Mercury urine (83825) |
$69.30 |
$77 |
4.3× |
| Metabolic Panel Ionized Ca (80047) |
$58.50 |
$65 |
4.3× |
| Methemoglobin (83050) |
$35.10 |
$39 |
4.3× |
| Methylmalonic acid serum (83921) |
$90.90 |
$101 |
4.3× |
| Mgmt methylation analysis (81287) |
$397.80 |
$442 |
3.2× |
| Microalbumin urine (82043) |
$24.30 |
$27 |
4.2× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$176.40 |
$196 |
2.9× |
| Microsomal antibodies (86376) |
$55.80 |
$62 |
3.8× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
$1,914.30 |
$2,127 |
2.8× |
| Mog-igg1 antibody flow cytometry each (86363) |
$144 |
$160 |
3.8× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
$245.70 |
$273 |
5.8× |
| Molecular pathology procedure level 2 (81401) |
$274.50 |
$305 |
2.0× |
| Molecular pathology procedure level 7 (81406) |
$801.90 |
$891 |
2.8× |
| Mononuclear cell antigen (86356) |
$102.60 |
$114 |
3.8× |
| Mopath procedure level 1 (81400) |
$229.50 |
$255 |
3.6× |
| Mopath procedure level 3 (81402) |
$408.60 |
$454 |
2.7× |
| Mopath procedure level 4 (81403) |
$525.60 |
$584 |
2.8× |
| Mopath procedure level 5 (81404) |
$717.30 |
$797 |
2.6× |
| Mopath procedure level 6 (81405) |
$767.70 |
$853 |
2.5× |
| Mopath procedure level 8 (81407) |
$1,759.50 |
$1,955 |
2.1× |
| Mopath procedure level 9 (81408) |
$3,141.90 |
$3,491 |
1.6× |
| Mrsa PCR (87641) |
$150.30 |
$167 |
4.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
$1,081.80 |
$1,202 |
2.8× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
$1,819.80 |
$2,022 |
2.8× |
| Mtb PCR (87556) |
$178.20 |
$198 |
4.3× |
| Mtb rifampin rst amp prb tq (87564) |
$325.80 |
$362 |
4.2× |
| Mthfr Gene Analysis Common Variants (81291) |
$185.40 |
$206 |
2.8× |
| Mucopolysaccharides acid quantitative (83864) |
$121.50 |
$135 |
4.3× |
| Muramidase (85549) |
$101.70 |
$113 |
5.4× |
| Muscle-specific kinase (musk) antibody (86366) |
$70.20 |
$78 |
3.8× |
| Mycobacteric identification (87118) |
$62.10 |
$69 |
4.3× |
| Mycophenolic acid (80180) |
$77.40 |
$86 |
4.3× |
| Mycoplasma antibody (86738) |
$50.40 |
$56 |
3.8× |
| Myd88 mutation analysis (81305) |
$283.50 |
$315 |
1.6× |
| Myelin basic protein csf (83873) |
$73.80 |
$82 |
4.3× |
| Myoglobin urine (83874) |
$54.90 |
$61 |
4.2× |
| Nasal smear for eosinophils (89190) |
$33.30 |
$37 |
5.8× |
| Natriuretic peptide (83880) |
$167.40 |
$186 |
4.3× |
| Neutralization Test Viral (86382) |
$64.80 |
$72 |
3.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) |
$545.40 |
$606 |
4.3× |
| Nfct ds chrnc hcv 6 assays (81596) |
$205.20 |
$228 |
2.8× |
| Nickel level (83885) |
$104.40 |
$116 |
4.3× |
| Nk cells total count (86357) |
$144 |
$160 |
3.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$331.20 |
$368 |
1.3× |
| Ntrk translocation analysis (81194) |
$765.90 |
$851 |
1.5× |
| Nuclear antigen antibody (86235) |
$68.40 |
$76 |
3.8× |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) |
$8,974.80 |
$9,972 |
2.7× |
| Nudt15 Gene Analysis Common Variants (81306) |
$965.70 |
$1,073 |
3.3× |
| Occult blood gastric (82271) |
$22.50 |
$25 |
4.2× |
| Occult blood stool (82272) |
$18 |
$20 |
4.3× |
| Oligoclonal bands (83916) |
$117 |
$130 |
4.3× |
| Oncology prostate biochemical assay 4 proteins (81539) |
$2,154.60 |
$2,394 |
2.8× |
| Organic Acids Qualitative Each Specimen (83919) |
$64.80 |
$72 |
3.9× |
| Organic acids total quantitative each specimen (83918) |
$100.80 |
$112 |
4.3× |
| Osmolality serum (83930) |
$27.90 |
$31 |
4.2× |
| Osmolality urine (83935) |
$28.80 |
$32 |
4.2× |
| Osmotic fragility rbc incubated (85557) |
$72 |
$80 |
5.4× |
| Ova and parasite direct-id lca (87177) |
$37.80 |
$42 |
4.2× |
| Oxalate urine (83945) |
$62.10 |
$69 |
4.3× |
| Palb2 gene full gene seq (81307) |
$1,918.80 |
$2,132 |
2.8× |
| Pancreatic elastase, fecal (82656) |
$49.50 |
$55 |
4.3× |
| Pancreatic polypeptide (83519) |
$78.30 |
$87 |
4.3× |
| Particle Agglutination Screen Each Antibody (86403) |
$44.10 |
$49 |
3.8× |
| Parvovirus antibody (86747) |
$57.60 |
$64 |
3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$2,295 |
$2,550 |
2.5× |
| Pathology Consultation During Surgery (88329) |
$77.40 |
$86 |
1.1× |
| Ph body fluid (83986) |
$15.30 |
$17 |
4.3× |
| Ph urine (81003) |
$12.60 |
$14 |
5.6× |
| Phenotype Infect Agent Drug (87900) |
$492.30 |
$547 |
3.8× |
| Phenylalanine (84030) |
$23.40 |
$26 |
4.3× |
| Phenytoin free (80186) |
$88.20 |
$98 |
6.4× |
| Phosphatase alkaline (84075) |
$22.50 |
$25 |
4.3× |
| Phosphorus blood (84100) |
$20.70 |
$23 |
4.4× |
| Phosphorus urine (84105) |
$24.30 |
$27 |
4.2× |
| Pinworm exam (87172) |
$18 |
$20 |
4.2× |
| Plasminogen (85420) |
$38.70 |
$43 |
5.9× |
| Platelet aggregation (85576) |
$134.10 |
$149 |
5.4× |
| Platelet count automated (85049) |
$24.30 |
$27 |
5.4× |
| Platelet neutralization (85597) |
$97.20 |
$108 |
5.4× |
| Pml/raralpha com breakpoints (81315) |
$661.50 |
$735 |
3.2× |
| Pms2 gene analysis duplication/deletion variants (81319) |
$577.80 |
$642 |
2.8× |
| Pms2 gene analysis full sequence (81317) |
$1,918.80 |
$2,132 |
2.8× |
| Pneumcysts jirovecii amp prb (87594) |
$150.30 |
$167 |
4.3× |
| Porphobilinogen urine quant (84110) |
$36 |
$40 |
4.3× |
| Porphyrins feces qn (84126) |
$172.80 |
$192 |
4.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$63 |
$70 |
4.3× |
| Potassium (84132) |
$20.70 |
$23 |
4.3× |
| Potassium urine (84133) |
$19.80 |
$22 |
4.2× |
| Pregnancy associated plasma protein-a (84163) |
$63.90 |
$71 |
4.2× |
| Pregnanediol (84135) |
$60.30 |
$67 |
2.8× |
| Pregnenolone (84140) |
$88.20 |
$98 |
4.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$1,363.50 |
$1,515 |
7.0× |
| Pretx serum rbc antibody identification dilution (86976) |
$93.60 |
$104 |
2.8× |
| Primidone (80188) |
$71.10 |
$79 |
4.3× |
| Procainamide napa (80192) |
$112.50 |
$125 |
6.7× |
| Procalcitonin (pct) (84145) |
$116.10 |
$129 |
4.3× |
| Progesterone (84144) |
$89.10 |
$99 |
4.3× |
| Prostaglandin Ea (84150) |
$178.20 |
$198 |
4.3× |
| Protein analysis of tissue by Western Blot, with interpretation and report; Non-Facility (88371) |
$82.80 |
$92 |
3.7× |
| Protein body fluid (84157) |
$17.10 |
$19 |
4.3× |
| Protein c activity (85303) |
$74.70 |
$83 |
5.4× |
| Protein c antigen (85302) |
$58.50 |
$65 |
4.9× |
| Protein electrophoresis serum (84165) |
$45.90 |
$51 |
4.3× |
| Protein Electrophoresis Urine (84166) |
$76.50 |
$85 |
4.3× |
| Protein total serum (84155) |
$15.30 |
$17 |
4.2× |
| Protein urine (84156) |
$15.30 |
$17 |
4.2× |
| Protein Western Blot (84182) |
$125.10 |
$139 |
4.3× |
| Protein westrn blot i&r blood/other fluid (84181) |
$70.20 |
$78 |
4.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$21.60 |
$24 |
5.5× |
| Protoporphyrin rbc quantitative (84202) |
$61.20 |
$68 |
4.3× |
| PSA free (84154) |
$78.30 |
$87 |
4.3× |
| Pth intact (83970) |
$176.40 |
$196 |
4.3× |
| Pyruvate kinase (84220) |
$40.50 |
$45 |
4.3× |
| Quinidine (80194) |
$99 |
$110 |
6.8× |
| Rbc (85041) |
$18 |
$20 |
6.0× |
| Rbc antibody elution (86860) |
$653.40 |
$726 |
3.3× |
| Rbc osmotic fragility (85555) |
$39.60 |
$44 |
5.3× |
| Rbc pretreatment serum (86978) |
$150.30 |
$167 |
2.2× |
| Rbc pretx incubatj w/chemicl (86970) |
$150.30 |
$167 |
2.2× |
| Rbc serum pretx incubj drugs (86975) |
$1,345.50 |
$1,495 |
2.6× |
| Renin activity plasma (84244) |
$93.60 |
$104 |
4.3× |
| Reptilase test (85635) |
$55.80 |
$62 |
5.7× |
| Resp virus 12-25 targets (87633) |
$1,782 |
$1,980 |
4.3× |
| Resp virus 3-5 targets (87631) |
$561.60 |
$624 |
3.9× |
| Respiratory Virus (86756) |
$87.30 |
$97 |
5.5× |
| Reticulated platelet assay (85055) |
$202.50 |
$225 |
5.7× |
| Reticulocyte count auto (85045) |
$21.60 |
$24 |
5.4× |
| Reticulocyte separation (86972) |
$741.60 |
$824 |
3.8× |
| Rheumatoid factor quant (86431) |
$21.60 |
$24 |
3.8× |
| Rickettsia antibody (86757) |
$73.80 |
$82 |
3.8× |
| Ristocetin cofactor (85245) |
$124.20 |
$138 |
5.4× |
| Rotavirus ag eia (87425) |
$49.50 |
$55 |
4.1× |
| Rpr Titer (86593) |
$17.10 |
$19 |
3.9× |
| Rsv (87807) |
$55.80 |
$62 |
4.3× |
| Rubella antibody (86762) |
$54.90 |
$61 |
3.8× |
| Rubeola Antibody Igg (86765) |
$49.50 |
$55 |
3.8× |
| Rufinamide (80210) |
$134.10 |
$149 |
4.9× |
| Russell viper venom time diluted (85613) |
$51.30 |
$57 |
5.4× |
| Salicylate Level (80179) |
$92.70 |
$103 |
5.0× |
| Salmonella antibody (86768) |
$53.10 |
$59 |
4.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$219.60 |
$244 |
4.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$145.35 |
$161.50 |
3.5× |
| Sarscov2 & inf a&b amp prb (87636) |
$606.60 |
$674 |
4.3× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$606.60 |
$674 |
4.3× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) |
$27 |
$30 |
4.1× |
| Sedimentation rate (85651) |
$24.30 |
$27 |
5.7× |
| Sedimentation rate auto (85652) |
$14.40 |
$16 |
5.3× |
| Selenium (84255) |
$108.90 |
$121 |
4.3× |
| Semen analysis complete (89320) |
$37.80 |
$42 |
3.1× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) |
$59.40 |
$66 |
6.0× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) |
$37.80 |
$42 |
3.1× |
| Sensitivity kb (87184) |
$32.40 |
$36 |
4.3× |
| Sensitivity mic (87186) |
$36.90 |
$41 |
4.3× |
| Serotonin Release Assay (86022) |
$70.20 |
$78 |
3.8× |
| Serpina1 gene (81332) |
$213.30 |
$237 |
4.9× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) |
$139.50 |
$155 |
1.8× |
| Sex hormone binding globulin (84270) |
$92.70 |
$103 |
4.3× |
| Sickling of rbc reduction (85660) |
$27 |
$30 |
4.9× |
| Silica (84285) |
$123.30 |
$137 |
4.9× |
| Sirolimus (rapamycin) (80195) |
$58.50 |
$65 |
4.3× |
| Skin Test, Candida (86485) |
$41.40 |
$46 |
1.2× |
| Smear acid fast (87206) |
$23.40 |
$26 |
4.3× |
| Smear complex stain (87209) |
$76.50 |
$85 |
4.3× |
| Smear gram stain (87205) |
$18.90 |
$21 |
4.4× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) |
$388.80 |
$432 |
2.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$25.20 |
$28 |
4.3× |
| So neo gsap DNA mcrstl ins (81457) |
$2,543.40 |
$2,826 |
2.8× |
| So neo gsap DNA/DNA&RNA (81459) |
$8,475.30 |
$9,417 |
2.8× |
| Sodium (84295) |
$20.70 |
$23 |
4.3× |
| Sodium feces (84302) |
$31.50 |
$35 |
6.5× |
| Sodium urine (84300) |
$21.60 |
$24 |
4.3× |
| Soluble transferrin receptor (84238) |
$155.70 |
$173 |
4.3× |
| Somatomedin (84305) |
$90.90 |
$101 |
4.3× |
| Somatostatin (84307) |
$77.40 |
$86 |
4.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$104.40 |
$116 |
0.7× |
| Special stains group 1 (88312) |
$146.70 |
$163 |
2.4× |
| Specific gravity body fluid (84315) |
$9.90 |
$11 |
3.0× |
| Specimen fat stain (89125) |
$29.70 |
$33 |
5.1× |
| Spectrophotometry (84311) |
$34.20 |
$38 |
4.2× |
| Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis Facility… (89260) |
$278.10 |
$309 |
4.6× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) |
$144 |
$160 |
2.4× |
| Sputum specimen collection (89220) |
$483.30 |
$537 |
2.5× |
| Staph a DNA amp probe (87640) |
$150.30 |
$167 |
4.3× |
| Stool Culture, Addl Pathogens (87046) |
$40.50 |
$45 |
4.3× |
| Strep a assay w/optic (87880) |
$71.10 |
$79 |
4.3× |
| Strep a DNA amp probe (87651) |
$150.30 |
$167 |
4.3× |
| Strep b DNA amp probe (87653) |
$150.30 |
$167 |
4.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$88.20 |
$98 |
1.0× |
| Sugars Single Qualitative, Each Specimen (84376) |
$23.40 |
$26 |
4.3× |
| Sugars single quant (84378) |
$51.30 |
$57 |
4.4× |
| Sulfate urine (84392) |
$15.30 |
$17 |
2.8× |
| Surg path level 1 (88300) |
$80.10 |
$89 |
2.4× |
| Surg path level iii (88304) |
$146.70 |
$163 |
2.4× |
| Surgical pathology level IV (88305) |
$146.70 |
$163 |
2.4× |
| Sweat collection (89230) |
$247.50 |
$275 |
4.1× |
| T Cell Absolute Count (86361) |
$102.60 |
$114 |
3.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$180 |
$200 |
3.8× |
| T cells total count (86359) |
$144 |
$160 |
3.8× |
| T3 free (84481) |
$72 |
$80 |
4.3× |
| T3 reverse (84482) |
$67.50 |
$75 |
4.3× |
| T3 total (84480) |
$60.30 |
$67 |
4.3× |
| T3 uptake (84479) |
$27.90 |
$31 |
4.3× |
| T4 free (84439) |
$38.70 |
$43 |
4.3× |
| T4 total (84436) |
$29.70 |
$33 |
4.3× |
| Tau phosphorylated each (84393) |
$167.40 |
$186 |
1.3× |
| Tb ag response t-cell susp (86481) |
$382.50 |
$425 |
3.8× |
| Tb intradermal test (86580) |
$63 |
$70 |
1.9× |
| Tb test, cell immun measure (86480) |
$236.70 |
$263 |
3.8× |
| Test for urine cystines (82615) |
$27 |
$30 |
2.8× |
| Testosterone free (84402) |
$108.90 |
$121 |
4.3× |
| Testosterone total (84403) |
$110.70 |
$123 |
4.3× |
| Tetanus antibody (86774) |
$56.70 |
$63 |
3.8× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) |
$68.40 |
$76 |
5.7× |
| Theophylline (80198) |
$60.30 |
$67 |
4.3× |
| Thin prep pap (88142) |
$22.50 |
$25 |
1.1× |
| Thiopurine methyltransferase (84433) |
$94.50 |
$105 |
4.3× |
| Thrombin time plasma (85670) |
$31.50 |
$35 |
5.5× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$35.10 |
$39 |
5.4× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) |
$154.80 |
$172 |
4.4× |
| Thyroglobulin (84432) |
$68.40 |
$76 |
4.3× |
| Thyroglobulin antibody (86800) |
$61.20 |
$68 |
3.8× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$217.80 |
$242 |
4.3× |
| Thyroxine binding globulin (84442) |
$48.60 |
$54 |
3.3× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$414.90 |
$461 |
2.9× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$18 |
$20 |
4.2× |
| Tissue culture bone marrow (88237) |
$140.40 |
$156 |
1.0× |
| Tissue culture lymphocyte (88230) |
$329.40 |
$366 |
2.8× |
| Tobramycin peak (80200) |
$69.30 |
$77 |
4.3× |
| Total tau (ttau) (84394) |
$167.40 |
$186 |
1.3× |
| Touch prep (88161) |
$64.35 |
$71.50 |
1.9× |
| Toxoplasma ab igm (86778) |
$54.90 |
$61 |
3.8× |
| Toxoplasma antibody igg (86777) |
$54.90 |
$61 |
3.8× |
| Tp53 gene analysis full gene sequence (81351) |
$1,819.80 |
$2,022 |
2.8× |
| Tp53 gene analysis targeted sequence analysis (81352) |
$329.40 |
$366 |
1.0× |
| Tpmt gene com variants (81335) |
$558 |
$620 |
3.2× |
| Transferrin (84466) |
$54.90 |
$61 |
4.3× |
| Trg gene rearrangement analysis (81342) |
$226.80 |
$252 |
1.1× |
| Trichinella antibody (86784) |
$47.70 |
$53 |
3.8× |
| Trichomonas vagin dir probe (87660) |
$99 |
$110 |
4.9× |
| Triglycerides (84478) |
$24.30 |
$27 |
4.2× |
| Troponin (84484) |
$53.10 |
$59 |
4.3× |
| Trypsin; feces, quantitative, 24-hour collection Facility (84490) |
$42.30 |
$47 |
4.3× |
| Tumor immunohistochem/comput (88361) |
$77.40 |
$86 |
0.2× |
| Ugt1a1 gene analysis common variants (81350) |
$663.30 |
$737 |
2.8× |
| Unlisted Surgical Pathology Procedure (88399) |
$108.90 |
$121 |
1.8× |
| Unlisted Transfusion Medicine Procedure (86999) |
$60.30 |
$67 |
1.8× |
| Urea nitrogen (84520) |
$18 |
$20 |
4.6× |
| Urea nitrogen urine (84540) |
$23.40 |
$26 |
4.2× |
| Uric acid blood (84550) |
$19.80 |
$22 |
4.4× |
| Uric acid other source (84560) |
$21.60 |
$24 |
4.3× |
| Urinalysis (81005) |
$11.70 |
$13 |
5.4× |
| Urinalysis auto w/scope (81001) |
$17.10 |
$19 |
5.4× |
| Urinalysis Microscopic Only (81015) |
$16.20 |
$18 |
5.3× |
| Urine Albumin Semiquantitative (82044) |
$30.60 |
$34 |
4.9× |
| Urine Bacteria Culture (87088) |
$45 |
$50 |
5.6× |
| Urine pregnancy test (81025) |
$28.80 |
$32 |
3.3× |
| Urine volume measurement (81050) |
$19.80 |
$22 |
5.4× |
| Valproic acid (80164) |
$57.60 |
$64 |
4.3× |
| Vancomycin trough (80202) |
$57.60 |
$64 |
4.3× |
| Varicella-zoster antibody (86787) |
$49.50 |
$55 |
3.8× |
| Vasoactive intestinal peptide (vip) (84586) |
$151.20 |
$168 |
4.3× |
| Vdrl csf (86592) |
$16.20 |
$18 |
3.8× |
| Very long chain fatty acids (82726) |
$84.60 |
$94 |
4.3× |
| Virus antibody nos (86790) |
$49.50 |
$55 |
3.8× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$132.30 |
$147 |
3.9× |
| Virus inoculation, shell via (87254) |
$81.90 |
$91 |
4.2× |
| Viscosity serum (85810) |
$69.30 |
$77 |
5.9× |
| Vitamin A (84590) |
$49.50 |
$55 |
4.3× |
| Vitamin b-12 (82607) |
$64.80 |
$72 |
4.3× |
| Vitamin b1 (thiamine) (84425) |
$90.90 |
$101 |
4.3× |
| Vitamin b2 (84252) |
$86.40 |
$96 |
4.3× |
| Vitamin b3 niacin (84591) |
$72.90 |
$81 |
4.3× |
| Vitamin b6 (84207) |
$119.70 |
$133 |
4.3× |
| Vitamin c (82180) |
$42.30 |
$47 |
4.3× |
| Vitamin D 25-Hydroxy (82306) |
$126.90 |
$141 |
4.3× |
| Vitamin e serum (84446) |
$60.30 |
$67 |
4.3× |
| West nile virus antibody (86789) |
$54.90 |
$61 |
3.8× |
| West nile virus igm (86788) |
$64.80 |
$72 |
3.8× |
| Xylose Absorption Test (84620) |
$56.70 |
$63 |
4.4× |
| Zika Virus Igm Antibody (86794) |
$52.20 |
$58 |
3.1× |
| Zinc (84630) |
$48.60 |
$54 |
4.3× |