| 1 25 Dihydroxy includes fractions if performed (82652) |
$40 |
$167 |
1.0× |
| 5 Hiaa (83497) |
$23 |
$96 |
1.8× |
| 5 Nucleotidase (83915) |
$20 |
$83.50 |
1.8× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) |
$13 |
$55 |
0.2× |
| Activated protein c resistance (85307) |
$55 |
$228 |
3.6× |
| Acute hepatitis panel (80074) |
$144 |
$602 |
3.0× |
| Acylcarnitine Plasma (82017) |
$83 |
$345 |
4.9× |
| Additional high resolution study (88289) |
$83 |
$344 |
2.4× |
| Adenovirus antibody (86603) |
$13 |
$54.50 |
1.0× |
| Afb culture (87116) |
$17 |
$70 |
1.6× |
| Agglutinins febrile (86000) |
$7 |
$28 |
1.0× |
| Albumin Fluid (82042) |
$4.50 |
$18 |
0.6× |
| Albumin serum (82040) |
$10 |
$40 |
2.0× |
| Aldolase (82085) |
$21 |
$87 |
2.2× |
| Aldosterone urine (82088) |
$50.50 |
$209.50 |
1.2× |
| Alkaline phosphatase isoenzymes (84080) |
$14 |
$60 |
0.9× |
| Allergen specific ige (86003) |
$6 |
$26 |
1.1× |
| Allergen specific ige; qualitative, multiallergen screen (86005) |
$18 |
$77 |
2.3× |
| Alpha-1-antitrypsin phenotype (82104) |
$18.50 |
$77 |
1.3× |
| Alpha-1-antitrypsin, total (82103) |
$19.50 |
$81.50 |
1.5× |
| Alpha-fetoprotein, serum (82105) |
$20 |
$83.50 |
1.2× |
| Alt (sgpt) (84460) |
$17.50 |
$71.50 |
3.3× |
| Aluminum (82108) |
$24 |
$99 |
0.9× |
| Amikacin trough (80150) |
$21 |
$86 |
1.4× |
| Amino acid screen urine (82128) |
$24 |
$101 |
1.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$133 |
$554.50 |
7.9× |
| Amino Acids, Single Quantitation (82131) |
$26 |
$107 |
1.1× |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) |
$24.50 |
$100.50 |
1.7× |
| Aminolevulinic acid (ala) (82135) |
$44 |
$184 |
2.7× |
| Ammonia (82140) |
$18 |
$74 |
1.2× |
| Amylase urine (82150) |
$17.50 |
$73 |
2.7× |
| Angiotensin i enzyme test (82164) |
$37 |
$153 |
2.5× |
| Antibody Absorption (86978) |
$35.50 |
$147 |
0.7× |
| Antibody aspergillus (86606) |
$19.50 |
$82 |
1.3× |
| Antibody coxiella burnetii q fever (86638) |
$33 |
$137 |
2.7× |
| Antibody cytomegalovirus cmv (86644) |
$18 |
$74 |
1.3× |
| Antibody cytomegalovirus cmv igm (86645) |
$18 |
$74 |
1.1× |
| Antibody Detection Nos If (87299) |
$18 |
$74.50 |
1.1× |
| Antibody Encephalitis Eastern Equine (86652) |
$32 |
$134 |
2.4× |
| Antibody Encephalitis St. Louis (86653) |
$33 |
$137.50 |
2.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$6 |
$26 |
0.5× |
| Antibody haemophilus influenza (86684) |
$42 |
$176 |
2.7× |
| Antibody helicobacter pylori (86677) |
$26 |
$110 |
1.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$17.50 |
$73.50 |
1.2× |
| Antibody herpes smplx type 1 (86695) |
$21.50 |
$88.50 |
1.6× |
| Antibody HIV-2 (86702) |
$28 |
$116 |
2.1× |
| Antibody identification (86870) |
$83.50 |
$348.50 |
0.3× |
| Antibody influenza virus (86710) |
$15 |
$61 |
1.1× |
| Antibody Listeria Monocytogenes (86723) |
$53 |
$221 |
4.0× |
| Antibody mumps (86735) |
$19 |
$79 |
1.5× |
| Antibody Protozoa Nes (86753) |
$29 |
$122 |
2.3× |
| Antibody rubeola (86765) |
$14 |
$58.50 |
1.1× |
| Antibody screen (86850) |
$21 |
$87 |
2.1× |
| Antibody; campylobacter (86625) |
$78 |
$327 |
5.9× |
| Antibody; Coccidioides (86635) |
$14 |
$57 |
1.2× |
| Antigen typing (86905) |
$96 |
$400 |
25.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$35 |
$145 |
6.8× |
| Antinuclear antibodies (86038) |
$32 |
$134 |
2.6× |
| Antistreptolysin o titer (86060) |
$12 |
$48 |
1.6× |
| Antithrombin iii activity (85300) |
$29 |
$121 |
2.4× |
| Antithrombin iii antigen (85301) |
$36 |
$151 |
3.3× |
| Apolipoprotein b (82172) |
$13 |
$54 |
0.6× |
| Arsenic Urine (82175) |
$32.50 |
$134 |
1.7× |
| Aspa gene analysis common variants (81200) |
$50 |
$208 |
1.1× |
| Aspergillus ag eia (87305) |
$38.50 |
$160.50 |
3.2× |
| Assay free hydroxyproline (83500) |
$20 |
$82 |
0.9× |
| Assay Lipoprotein Pla2 (83698) |
$65 |
$271 |
1.4× |
| Assay Nephelometry Not Spec (83883) |
$25.50 |
$105.50 |
1.9× |
| Assay of acth (82024) |
$33 |
$136 |
0.9× |
| Assay of androstenedione (82157) |
$40 |
$165 |
1.4× |
| Assay of blood chloride (82435) |
$9 |
$36 |
2.0× |
| Assay of c-peptide (84681) |
$14.50 |
$61.50 |
0.7× |
| Assay of calcitonin (82308) |
$34 |
$143 |
1.3× |
| Assay of ceruloplasmin (82390) |
$21 |
$87 |
2.0× |
| Assay of cyclosporine (80158) |
$31 |
$128 |
1.7× |
| Assay of erythropoietin (82668) |
$30 |
$126 |
1.6× |
| Assay of ethosuximide (80168) |
$44 |
$182 |
2.7× |
| Assay of ferritin (82728) |
$17 |
$70 |
1.2× |
| Assay of g6pd enzyme (82955) |
$34 |
$140 |
3.5× |
| Assay of gammaglobulin igm (82784) |
$18 |
$74.50 |
1.9× |
| Assay of gastrin (82941) |
$23 |
$96 |
1.3× |
| Assay of gentamicin (80170) |
$23 |
$97 |
1.4× |
| Assay of glucagon (82943) |
$42 |
$177 |
2.9× |
| Assay of homocystine (83090) |
$39 |
$163 |
2.2× |
| Assay of homovanillic acid (83150) |
$20 |
$85 |
0.9× |
| Assay of manganese (83785) |
$42 |
$175 |
1.6× |
| Assay of metanephrines (83835) |
$34.50 |
$143 |
2.0× |
| Assay of parathormone (83970) |
$61 |
$254 |
1.5× |
| Assay of phenobarbital (80184) |
$20 |
$85 |
1.3× |
| Assay of phosphatase acid total (84060) |
$17.50 |
$72.50 |
2.3× |
| Assay of prealbumin (84134) |
$15 |
$63 |
1.0× |
| Assay of procainamide (80190) |
$23 |
$97 |
0.4× |
| Assay of proinsulin (84206) |
$42 |
$177 |
1.6× |
| Assay of pyruvate (84210) |
$23 |
$97 |
1.6× |
| Assay of selenium (84255) |
$32.50 |
$134 |
1.3× |
| Assay of semen fructose (82757) |
$45 |
$188 |
2.6× |
| Assay of serotonin (84260) |
$62 |
$258.50 |
2.0× |
| Assay of somatomedin (84305) |
$34 |
$140 |
1.6× |
| Assay of tacrolimus (80197) |
$48 |
$200 |
3.5× |
| Assay of transcortin (84449) |
$20 |
$85 |
1.1× |
| Assay of urine vma (84585) |
$15 |
$62.50 |
1.0× |
| Assay of vitamin k (84597) |
$102 |
$424 |
7.4× |
| Assay of volatiles (84600) |
$17 |
$71 |
1.0× |
| Assay Ph Body Fluid Nos (83986) |
$8 |
$35 |
2.2× |
| Ast (sgot) (84450) |
$9 |
$38 |
1.7× |
| Atxn2 Gene Detc Abnor Allele (81179) |
$921.50 |
$3,839.50 |
6.7× |
| Autologous Blood Process (86890) |
$44 |
$185 |
0.3× |
| B-hexosaminidase ea assay (83080) |
$28.50 |
$118.50 |
1.7× |
| Bartonella antibody (86611) |
$13 |
$54 |
1.3× |
| Bartonella DNA amp probe (87471) |
$32 |
$133 |
0.9× |
| Bckdhb gene analysis common variants (81205) |
$22 |
$90 |
0.2× |
| Bcr/abl1 gene major bp (81206) |
$67 |
$279 |
0.4× |
| Bcr/abl1 gene minor bp (81207) |
$67 |
$279 |
0.5× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
$15 |
$63 |
0.6× |
| Beta hydroxybutyrate (82010) |
$21 |
$86 |
2.6× |
| Beta Lactamase (87185) |
$2 |
$10 |
0.4× |
| Beta-2 microglobulin (82232) |
$30 |
$125 |
1.9× |
| Bile acids, total (82239) |
$42 |
$176 |
2.5× |
| Bile acids; cholylglycine (82240) |
$74 |
$309 |
2.8× |
| Bilirubin direct (82248) |
$18 |
$74 |
3.6× |
| Bilirubin total (82247) |
$12 |
$51 |
2.4× |
| Bl Smear W/Diff Wbc Count (85007) |
$5 |
$22 |
1.3× |
| Bl Smear W/O Diff Wbc Count (85008) |
$22 |
$91 |
6.4× |
| Blastomyces antibody (86612) |
$12.50 |
$51 |
1.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$54 |
$226 |
0.4× |
| Bleeding time (85002) |
$13 |
$54 |
2.7× |
| Blm Gene (81209) |
$19 |
$80 |
0.5× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
$36 |
$149 |
1.4× |
| Blood gases (82803) |
$53 |
$221 |
2.0× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
$5 |
$22 |
0.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$14 |
$58 |
0.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$7 |
$30 |
1.6× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$84 |
$348 |
13.2× |
| Blood typing abo (86900) |
$26 |
$107 |
8.7× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
$18 |
$73 |
1.1× |
| Blood typing serologic rh (d) (86901) |
$11 |
$45 |
3.7× |
| Blood typing serologic rh phenotyping complete (86906) |
$34 |
$143 |
4.4× |
| Body fluid cell count (89051) |
$21 |
$87 |
3.8× |
| Bordetella antibody (86615) |
$248 |
$1,035 |
18.8× |
| Brca1 Brca2 Gene Analysis Full Sequence Analysis (81163) |
$170 |
$710 |
0.4× |
| Brca1&2 seq & full dup/del (81162) |
$844 |
$3,516 |
0.5× |
| Brucella antibody (86622) |
$17 |
$69 |
1.9× |
| C-reactive protein (86140) |
$9 |
$38 |
1.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$14 |
$57 |
1.1× |
| C1q binding assay (86332) |
$37 |
$155 |
1.5× |
| Ca 125 (86304) |
$66 |
$273 |
3.2× |
| Ca 19-9 (86301) |
$35 |
$146 |
1.7× |
| Ca 27 29 (86300) |
$23 |
$94 |
1.1× |
| Cadmium level (82300) |
$27 |
$114 |
1.1× |
| Calcium ionized (82330) |
$11 |
$44 |
0.8× |
| Calcium total (82310) |
$9 |
$38 |
1.7× |
| Calcium urine (82340) |
$9 |
$39 |
1.5× |
| Calculus Spectroscopy (82365) |
$23 |
$96 |
1.8× |
| California encephalitis ab (86651) |
$32 |
$134 |
2.4× |
| Calr gene com variants (81219) |
$291 |
$1,213 |
2.4× |
| Candida antibody (86628) |
$64 |
$266.50 |
5.3× |
| Carb deficient transferrin (82373) |
$21 |
$87 |
1.2× |
| Carbamazepine (tegretol) total (80156) |
$24 |
$99 |
1.6× |
| Carbon dioxide (82374) |
$14 |
$58.50 |
2.9× |
| Carboxyhemoglobin Quantitative (82375) |
$31 |
$130 |
2.5× |
| Carcinoembryonic antigen (82378) |
$31 |
$130 |
1.6× |
| Cardiolipin ab igg (86147) |
$15 |
$64 |
0.6× |
| Carnitine (82379) |
$37.50 |
$156.50 |
2.2× |
| Carotene (82380) |
$23 |
$96 |
2.5× |
| Catecholamines fraction plasma (82384) |
$27 |
$113 |
1.1× |
| Cell marker study (88182) |
$27 |
$112 |
0.6× |
| Cftr gene com variants (81220) |
$648 |
$2,700 |
1.2× |
| Chemiluminescent assay (82397) |
$48 |
$199 |
3.4× |
| Chlamydia antibody (86631) |
$6 |
$26 |
0.5× |
| Chlamydia antigen gilm (87320) |
$31 |
$128 |
2.1× |
| Chlamydia Igm Antibody (86632) |
$9.50 |
$41 |
0.7× |
| Chloramphenicol (82415) |
$25 |
$104.50 |
2.0× |
| Chloride other source (82438) |
$15.50 |
$66 |
3.1× |
| Chloride urine (82436) |
$9 |
$36 |
1.6× |
| Chlorinated hydrocarbons screen (82441) |
$28 |
$116.50 |
4.7× |
| Cholesterol total (82465) |
$7 |
$30 |
1.6× |
| Cholinesterase rbc (82482) |
$15 |
$64 |
1.5× |
| Cholinesterase serum (82480) |
$26 |
$107 |
3.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$102.50 |
$427.50 |
0.8× |
| Chromogranin a (86316) |
$15 |
$64 |
0.7× |
| Chromosome analysis 20-25 cells (88264) |
$67 |
$281 |
0.5× |
| Chromosome karyotype study (88280) |
$34 |
$140 |
1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$28 |
$116.50 |
0.8× |
| Citrate (82507) |
$16 |
$67 |
0.6× |
| Ck isoenzymes (82552) |
$24 |
$101 |
1.8× |
| Ckmb (82553) |
$19 |
$81 |
1.6× |
| Clot factor viii vw antigen (85246) |
$38 |
$157.50 |
1.7× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$42 |
$176 |
2.3× |
| Clot retraction (85170) |
$4 |
$17 |
0.2× |
| Cmv PCR (87496) |
$33 |
$136 |
0.9× |
| Coagulation time (85348) |
$4 |
$18 |
0.9× |
| Coagulation time activated (85347) |
$3 |
$11 |
0.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$31 |
$129.50 |
1.3× |
| Cold agglutinin titer (86157) |
$12 |
$51 |
1.5× |
| Collagen cross links (82523) |
$65 |
$271 |
3.5× |
| Compatibility test antiglob (86922) |
$35 |
$145 |
0.2× |
| Compatibility Test Incubate (86921) |
$35 |
$145 |
0.2× |
| Complement c3 (86160) |
$24 |
$99 |
2.0× |
| Complement total ch50 (86162) |
$24 |
$100 |
1.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$48 |
$199.50 |
4.0× |
| Comprehensive review of data (88325) |
$35 |
$145 |
0.2× |
| Concentration Infectious Agent (87015) |
$11 |
$44 |
1.6× |
| Coombs direct (86880) |
$13 |
$53 |
2.4× |
| Coombs Test Indirect Qual (86885) |
$54 |
$226 |
9.4× |
| Copper urine (82525) |
$25 |
$106 |
2.0× |
| Cortisol free (82530) |
$24 |
$99 |
1.4× |
| Cortisol total (82533) |
$18 |
$77 |
1.1× |
| Creatine kinase total (82550) |
$12 |
$49 |
1.8× |
| Creatinine blood (82565) |
$9 |
$38 |
1.8× |
| Creatinine clearance (82575) |
$24.50 |
$103 |
2.6× |
| Creatinine other source (82570) |
$7 |
$30 |
1.4× |
| Crossmatch immediate spin (86920) |
$40 |
$166 |
0.3× |
| Cryoglobulin (82595) |
$9 |
$37.50 |
1.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$11 |
$45 |
1.4× |
| Culture Aerobic Identify (87077) |
$28 |
$117 |
3.5× |
| Culture anaerobic (87075) |
$12 |
$49 |
1.3× |
| Culture blood (87040) |
$13 |
$53 |
1.3× |
| Culture chlamydia (87110) |
$24 |
$99 |
1.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$8 |
$35 |
1.0× |
| Culture fungus id yeast (87106) |
$11 |
$46 |
1.1× |
| Culture fungus other (87102) |
$15 |
$64 |
1.8× |
| Culture genital (87070) |
$14 |
$60 |
1.6× |
| Culture screen only (87081) |
$8.50 |
$36 |
1.3× |
| Culture stool (87045) |
$18 |
$75 |
1.9× |
| Culture typing if ea antiserum (87140) |
$14.50 |
$59.50 |
2.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$2 |
$10 |
0.4× |
| Culture Typing, Glc Method (87143) |
$16 |
$67.50 |
1.3× |
| Culture urine (87086) |
$14 |
$60 |
1.7× |
| Culture urine id ea isolate (87088) |
$14 |
$60 |
1.7× |
| Cyanide (82600) |
$37 |
$153 |
1.9× |
| Cyclic Citrullinated Peptide (86200) |
$10 |
$42 |
0.8× |
| Cyp2c19 gene com variants (81225) |
$125 |
$521 |
0.4× |
| Cyp2c9 gene com variants (81227) |
$85 |
$355 |
0.5× |
| Cyp2d6 gene com variants (81226) |
$219 |
$912 |
0.5× |
| Cytogenetics 10-30 (88273) |
$103 |
$429 |
3.0× |
| Cytogenetics DNA probe (88271) |
$36.50 |
$152 |
1.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$54 |
$223 |
1.3× |
| Cytopath cell enhance tech (88112) |
$10 |
$40 |
0.2× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$21 |
$86 |
0.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$44 |
$182 |
0.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$17 |
$70 |
0.1× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
$18 |
$75 |
1.0× |
| D-Dimer (85379) |
$98 |
$408 |
9.6× |
| Deoxycortisol (82634) |
$33 |
$136 |
1.1× |
| Deoxyribonuclease antibody (86215) |
$12 |
$48 |
0.9× |
| Detect agent nos DNA dir (87797) |
$25 |
$105 |
0.8× |
| Detect agnt mult DNA ampli (87801) |
$88 |
$366 |
1.3× |
| Dhea (82626) |
$40 |
$166 |
1.6× |
| Dhea sulfate (82627) |
$25 |
$105 |
1.1× |
| Digoxin (80162) |
$27 |
$113 |
2.0× |
| Dilantin (80185) |
$24 |
$101 |
1.8× |
| Dmd duplication/deletion analysis (81161) |
$36 |
$149 |
0.1× |
| Dna Antibody Single Stranded (86226) |
$19 |
$81 |
1.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$7.50 |
$29.50 |
0.5× |
| DNA/RNA direct probe (87149) |
$22 |
$91.50 |
1.1× |
| Drug assay methotrexate (80204) |
$31 |
$130 |
0.8× |
| Drug test prsmv chem anlyzr (80307) |
$129 |
$537 |
2.1× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$47 |
$196.50 |
3.7× |
| Ebv viral capsid (86665) |
$11 |
$44 |
0.6× |
| Echinococcus ab igg (86682) |
$34 |
$140 |
2.6× |
| Ehrlichia antibody (86666) |
$29 |
$122 |
2.8× |
| Electrolyte panel (80051) |
$20 |
$82 |
2.9× |
| Electron microscopy diagnostic (88348) |
$171 |
$712 |
0.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$38 |
$158.50 |
0.6× |
| Encephalitis Western Equine (86654) |
$32 |
$134 |
2.4× |
| Endomysial antibody iga (86255) |
$19 |
$79 |
1.6× |
| Enterovirus antibody (86658) |
$9 |
$38 |
0.7× |
| Enzyme cell activity (82657) |
$70 |
$290 |
3.2× |
| Eosinophil count (85048) |
$18 |
$77 |
7.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$8.50 |
$35 |
0.6× |
| Estradiol (82670) |
$31 |
$130 |
1.1× |
| Estriol (82677) |
$29 |
$121 |
1.2× |
| Estrogen fractionated (82671) |
$115 |
$480 |
3.6× |
| Estrogen receptor analysis (84233) |
$53 |
$222 |
0.6× |
| Estrogens total (82672) |
$40 |
$165 |
1.8× |
| Estrone (82679) |
$28 |
$115 |
1.1× |
| Ethylene glycol (82693) |
$27 |
$113 |
1.8× |
| Euglobulin lysis (85360) |
$17 |
$71.50 |
2.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$18 |
$75 |
2.5× |
| F2 gene analysis 20210g >a variant (81240) |
$43.50 |
$182.50 |
0.7× |
| F5 gene (81241) |
$49 |
$203 |
0.7× |
| Factor ii activity (85210) |
$52 |
$218 |
4.0× |
| Factor inhibitor test (85335) |
$13.50 |
$58 |
1.0× |
| Factor ix activity (85250) |
$36 |
$150.50 |
1.9× |
| Factor v activity (85220) |
$59 |
$246 |
3.3× |
| Factor vii assay (85230) |
$42 |
$176 |
2.3× |
| Factor viii ahg (85240) |
$42 |
$176 |
2.3× |
| Factor viii vw multimetric (85247) |
$43 |
$178 |
1.9× |
| Factor xi assay (85270) |
$42 |
$176 |
2.3× |
| Factor xii assay (85280) |
$49 |
$204.50 |
2.5× |
| Factor xiii solubility screen (85291) |
$29 |
$121 |
3.2× |
| Fancc gene analysis common variant (81242) |
$23 |
$96 |
0.6× |
| Fat stain (89125) |
$25 |
$104 |
4.3× |
| Fecal fat quant (82710) |
$29 |
$122 |
1.7× |
| Fetal bleed screen (85461) |
$108 |
$449.50 |
11.5× |
| Fibrin degradation products (85362) |
$14 |
$60 |
2.0× |
| Fibrin Degradproducts,D-Dimer, Ultrasens - D-Dimer, Rapid (85380) |
$62 |
$257.50 |
6.1× |
| Fibrinogen activity (85384) |
$18 |
$77 |
1.9× |
| Flow cytometry first marker (88184) |
$41.50 |
$173 |
0.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$25.50 |
$107.50 |
2.1× |
| Fmr1 gene charac alleles (81244) |
$22 |
$90 |
0.5× |
| Folate serum (82746) |
$21 |
$87 |
1.4× |
| Folic acid rbc (82747) |
$57 |
$236 |
3.2× |
| Follicle Stimulating Hormone (83001) |
$28 |
$116 |
1.5× |
| Francisella Tularensis (86668) |
$34 |
$141 |
2.4× |
| Fresh frozen plasma thawing each unit (86927) |
$96 |
$400 |
0.6× |
| Frozen Section (88331) |
$41 |
$171 |
0.3× |
| Fructosamine (82985) |
$25 |
$106 |
1.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$12 |
$49.50 |
1.2× |
| G6pc gene analysis common variants (81250) |
$22 |
$90 |
0.4× |
| Galactokinase (82759) |
$49 |
$204 |
2.3× |
| Gammaglobulin ige (82785) |
$70 |
$292.50 |
4.3× |
| Gastric Occult Blood (82271) |
$7 |
$30 |
1.3× |
| Gba Gene (81251) |
$54 |
$224 |
1.1× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$187 |
$779 |
0.1× |
| Ggt (82977) |
$13 |
$56 |
1.8× |
| Giardia lamblia antibody (86674) |
$15 |
$61 |
1.0× |
| Gjb2 gene full sequence (81252) |
$27 |
$114 |
0.3× |
| Gjb6 gene analysis common vari (81254) |
$27 |
$114 |
0.8× |
| Glucose (82947) |
$9 |
$38 |
2.3× |
| Glucose Blood Test (82962) |
$7 |
$29 |
2.1× |
| Glucose body fluid (82945) |
$10 |
$43 |
2.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
$9 |
$38 |
2.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$22 |
$93.50 |
1.7× |
| Growth hormone (83003) |
$23 |
$96 |
1.4× |
| Haptoglobin (83010) |
$16 |
$65 |
1.3× |
| Haptoglobin; phenotypes Other Outpatient (83012) |
$2 |
$9 |
0.1× |
| Hba1/hba2 gene (81257) |
$9 |
$38 |
0.1× |
| Hcg qualitative (84703) |
$18 |
$77 |
2.4× |
| Hcg quant (84702) |
$19 |
$80 |
1.3× |
| Hdl Cholesterol (83718) |
$10 |
$42 |
1.2× |
| Heavy metal quant each (83018) |
$37 |
$153 |
1.7× |
| Hematocrit (85014) |
$9 |
$36 |
3.8× |
| Hemoglobin (85018) |
$8 |
$35 |
3.4× |
| Hemoglobin a1c (83036) |
$19 |
$80 |
2.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$26.50 |
$110 |
1.5× |
| Hemoglobin electrophoresis (83020) |
$12 |
$51 |
0.9× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$49 |
$203 |
6.3× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$12.50 |
$50.50 |
1.5× |
| Hemoglobin plasma (83051) |
$26 |
$110 |
3.6× |
| Hemolysins And Agglutinins Incubated (86941) |
$82 |
$340 |
6.8× |
| Hemosiderin urine (83070) |
$18.50 |
$76 |
3.9× |
| Heparin assay (85520) |
$66 |
$274 |
5.0× |
| Heparin neutralization (85525) |
$14 |
$60 |
1.2× |
| Hepatitis a antibody total (86708) |
$14 |
$59.50 |
1.1× |
| Hepatitis a igm (86709) |
$14 |
$59 |
1.2× |
| Hepatitis b core ab igm (86705) |
$13 |
$53.50 |
1.1× |
| Hepatitis b core antibody total (86704) |
$8 |
$32 |
0.7× |
| Hepatitis B Surface Ab (86706) |
$13 |
$52.50 |
1.2× |
| Hepatitis B Surface Antigen (87340) |
$13 |
$54 |
1.3× |
| Hepatitis be antibody (86707) |
$13 |
$56 |
1.1× |
| Hepatitis Be Antigen (87350) |
$15 |
$61 |
1.3× |
| Hepatitis c ab confirm (86804) |
$95 |
$396 |
6.1× |
| Hepatitis c antibody (86803) |
$20 |
$82 |
1.4× |
| Hepatitis C Genotype (87902) |
$100 |
$415 |
0.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
$75 |
$312.50 |
2.1× |
| Hepatitis C Rna Dir Probe (87520) |
$42.50 |
$175.50 |
1.4× |
| Hepatitis delta ab (86692) |
$31 |
$128 |
1.8× |
| Herpes culture (87252) |
$29.50 |
$123 |
1.1× |
| Herpes simplex type 2 (86696) |
$21.50 |
$90.50 |
1.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$12 |
$49.50 |
2.3× |
| Heterophile antibody titer (86309) |
$17 |
$69 |
2.6× |
| Hexa gene analysis common variants (81255) |
$71 |
$294 |
1.4× |
| Hfe gene (81256) |
$42 |
$174 |
0.6× |
| Histamine plasma (83088) |
$31 |
$129 |
1.0× |
| Histoplasma antibody (86698) |
$13 |
$55 |
0.9× |
| Histoplasma antigen urine (87385) |
$59 |
$246 |
4.5× |
| HIV confirmation (86689) |
$20.50 |
$86.50 |
1.1× |
| HIV-1 genotype (87901) |
$77 |
$321 |
0.3× |
| HIV-1 integrase genotype (87906) |
$77 |
$321 |
0.6× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
$33 |
$136 |
2.4× |
| Hla typing a/b/c multiple antigens (86813) |
$161 |
$671 |
2.8× |
| Hla-b27 (86812) |
$25 |
$104 |
1.0× |
| Homogenization tissue (87176) |
$4 |
$18 |
0.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
$34 |
$141 |
0.5× |
| Hpylori Drug Administration (83014) |
$25 |
$106 |
3.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$27 |
$111 |
0.8× |
| Htlv-i antibody (86687) |
$30 |
$126 |
3.3× |
| Hydroxyprogesterone 17-d (83498) |
$36 |
$151 |
1.3× |
| Iaad ia clostridium difficile toxin (87324) |
$28 |
$116 |
2.3× |
| Iaad ia cryptosporidium (87328) |
$29 |
$120 |
2.1× |
| Iaad ia HIV-1 (87390) |
$28 |
$116 |
1.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$41 |
$170 |
2.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$28 |
$116 |
2.0× |
| Iaad ia rotavirus (87425) |
$24 |
$99.50 |
2.0× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
$29 |
$120 |
2.4× |
| Iaadi inffluenza a virus (87276) |
$13 |
$53 |
0.8× |
| Iaadi influenza b virus (87275) |
$14 |
$58.50 |
1.1× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
$16 |
$65 |
1.3× |
| Iaadi respiratory synctial virus (87280) |
$13 |
$53 |
1.0× |
| Iaadiadoo not otherwise specified (87899) |
$26.50 |
$111 |
1.6× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$75.50 |
$313 |
2.2× |
| Iadna candida species amplified probe tq (87481) |
$24 |
$102 |
0.7× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
$19 |
$79.50 |
0.8× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$48 |
$199.50 |
1.4× |
| Iadna hepatitis b virus quantification (87517) |
$107 |
$445.50 |
2.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$105 |
$436 |
2.5× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$74 |
$308 |
0.9× |
| Iadna mycobacteria tuberculosis amp prb (87556) |
$82 |
$342 |
2.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$85 |
$355 |
2.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$28 |
$116 |
0.8× |
| Iadna nos amplified probe tq each organism (87798) |
$70 |
$292.50 |
2.0× |
| Iadna nos quantification each organism (87799) |
$119 |
$494 |
2.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$19 |
$78 |
0.5× |
| Igg subclasses (82787) |
$23 |
$97 |
2.9× |
| Igh gene rearrange amp meth (81261) |
$170 |
$707 |
0.9× |
| Igvh somatic hypermutation (81263) |
$350 |
$1,458 |
1.2× |
| Ikbkap gene analysis (81260) |
$28 |
$118 |
0.7× |
| Immunfix e-phorsis/urine/csf (86335) |
$70.50 |
$294 |
2.4× |
| Immunoassay analyte qual/semiqual single step (83518) |
$18 |
$74.50 |
1.9× |
| Immunoassay infectious agent antibody quan nos (86317) |
$14 |
$57 |
0.9× |
| Immunoassay nonantibody (83516) |
$25 |
$105 |
2.2× |
| Immunoassay with direct visual observation for clostridium (87803) |
$10 |
$43 |
0.6× |
| Immunoassay with direct visual observation for streptococcus (87802) |
$9 |
$36 |
0.7× |
| Immunodiffusion Ouchterlony (86331) |
$19 |
$81 |
1.6× |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
$30 |
$125 |
1.3× |
| Immunofixj Electrophoresis Serum (86334) |
$33 |
$136 |
1.5× |
| Immunoglobulin assay (86023) |
$95 |
$396 |
7.6× |
| Immunohistochemistry (88342) |
$43 |
$178 |
0.3× |
| India ink prep (87210) |
$11.50 |
$48 |
2.0× |
| Influenza a/b ag eia (87400) |
$8 |
$34 |
0.6× |
| Inhibin a (86336) |
$53 |
$219 |
3.4× |
| Inhibin b (83520) |
$26.50 |
$109.50 |
1.5× |
| Insitu hybridization (fish) (88365) |
$82.50 |
$344 |
0.5× |
| Insulin antibodies (86337) |
$17.50 |
$71 |
0.8× |
| Insulin free (83527) |
$22 |
$90.50 |
1.7× |
| Insulin total (83525) |
$20 |
$82 |
1.7× |
| Interleukin 6 (83529) |
$138 |
$576 |
8.0× |
| Intrinsic factor antibody (86340) |
$29 |
$122 |
1.9× |
| Iron (83540) |
$11 |
$44 |
1.7× |
| Iron binding capacity (83550) |
$15 |
$63 |
1.7× |
| Irradiation of blood product (86945) |
$35 |
$147 |
1.0× |
| Islet cell antibody (86341) |
$38.50 |
$160 |
1.6× |
| Jak2 gene analysis (81270) |
$491.50 |
$2,047.50 |
5.4× |
| Jak2 Targeted Sequence Analysis (81279) |
$25 |
$104 |
0.1× |
| Ketosteroids 17; total (83586) |
$16.50 |
$68 |
1.3× |
| Koh Prep (87220) |
$10.50 |
$44 |
2.5× |
| L/s ratio, fetal lung (83661) |
$23 |
$96 |
1.0× |
| Lactic acid (83605) |
$37 |
$155 |
3.2× |
| Lactoferrin fecal qualitative (83630) |
$38 |
$157 |
1.9× |
| Ldh (83615) |
$17 |
$71 |
2.8× |
| Ldh isoenzymes (83625) |
$13 |
$54 |
1.0× |
| LDL cholesterol direct (83721) |
$18.50 |
$77 |
1.8× |
| Lead (83655) |
$19 |
$80 |
1.6× |
| Legionella antibody (86713) |
$25 |
$104 |
1.6× |
| Legionella antigen urine (87449) |
$26 |
$107 |
2.2× |
| Leptospira antibody (86720) |
$34 |
$143 |
2.1× |
| Leukocyte histamine release test (86343) |
$34 |
$142 |
2.7× |
| Level ii surg pathology grossµscopic exam (88302) |
$8 |
$31.50 |
0.2× |
| Level v surg pathology grossµscopic exam (88307) |
$83.50 |
$348.50 |
0.3× |
| Level vi surg pathology grossµscopic exam (88309) |
$203.50 |
$848.50 |
0.3× |
| Lh (83002) |
$29 |
$122 |
1.6× |
| Lidocaine level (80176) |
$41 |
$172 |
2.8× |
| Lipase (83690) |
$20 |
$83 |
2.9× |
| Lipoprotein Bld Hr Fraction (83701) |
$49 |
$204 |
1.4× |
| Lithium (80178) |
$19 |
$80 |
2.9× |
| Lyme disease antibody (86618) |
$18 |
$75 |
1.1× |
| Lyme disease antibody confirm (86617) |
$14 |
$57.50 |
0.9× |
| Lymph Choriomeningitis Ab (86727) |
$28 |
$117 |
2.2× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
$69 |
$286 |
0.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$81 |
$338 |
0.5× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
$71 |
$297 |
0.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$35 |
$145 |
0.2× |
| Macroscopic exam arthropod (87168) |
$6 |
$26 |
1.4× |
| Macroscopic exam parasite (87169) |
$6 |
$26 |
1.4× |
| Magnesium (83735) |
$11 |
$44 |
1.6× |
| Malaria antibody (86750) |
$62 |
$258 |
4.7× |
| Malaria smear (87207) |
$13 |
$54 |
2.2× |
| Manual cell count each (85032) |
$82 |
$343 |
19.0× |
| Manual Diff Wbc Count B-Coat (85009) |
$4 |
$18 |
0.8× |
| Manual reticulocyte count (85044) |
$13 |
$54 |
3.0× |
| Mass spectrometry qual/quan (83789) |
$17 |
$71 |
0.7× |
| Mcg interphase insitu 25 (88274) |
$42 |
$174 |
1.0× |
| Mcoln1 mucolipin1 gene analysis common variants (81290) |
$27 |
$114 |
0.7× |
| Measurement of complement fixation tests (immune system proteins) (86171) |
$11 |
$45 |
1.1× |
| Measurement of substance using spectroscopy (light) (82190) |
$14 |
$59 |
0.9× |
| Meat fibers, feces (89160) |
$5 |
$22 |
1.0× |
| Mercury (83825) |
$25 |
$103 |
1.5× |
| Methotrexate (80299) |
$41.50 |
$171.50 |
2.2× |
| Methylmalonic acid serum (83921) |
$53 |
$219 |
2.5× |
| Microalbumin urine (82043) |
$14 |
$58 |
2.4× |
| Microbe susceptible diffuse (87181) |
$5 |
$22 |
1.1× |
| Microsomal antibodies (86376) |
$19.50 |
$82 |
1.3× |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
$42 |
$174 |
0.8× |
| Molecular pathology procedure level 2 (81401) |
$94 |
$392.50 |
0.7× |
| Molecular pathology procedure level 7 (81406) |
$363 |
$1,512 |
1.3× |
| Mopath procedure level 1 (81400) |
$84.50 |
$353 |
1.3× |
| Mopath procedure level 3 (81402) |
$121 |
$506 |
0.8× |
| Mopath procedure level 6 (81405) |
$363 |
$1,512 |
1.2× |
| Mopath procedure level 8 (81407) |
$328.50 |
$1,368 |
0.4× |
| Mpl gene analysis common variants (81338) |
$25 |
$104 |
0.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) |
$50 |
$208 |
0.3× |
| Mrsa amp probe (87641) |
$24 |
$102 |
0.7× |
| Msh6 gene dup/delete variant (81300) |
$48 |
$200 |
0.2× |
| Mthfr Gene Analysis Common Variants (81291) |
$86.50 |
$360.50 |
1.3× |
| Mucopolysaccharides acid quantitative (83864) |
$21 |
$87 |
0.7× |
| Muramidase (85549) |
$31 |
$130 |
1.7× |
| Mycobacteric Identification (87118) |
$15.50 |
$64.50 |
1.1× |
| Mycoplasma antibody (86738) |
$14 |
$59 |
1.1× |
| Mycoplasma culture (87109) |
$35.50 |
$146.50 |
2.3× |
| Myelin basic protein csf (83873) |
$30 |
$125 |
1.7× |
| Myoglobin urine (83874) |
$25 |
$104 |
1.9× |
| N.gonorrhoeae, DNA, dir prob (87590) |
$34 |
$140 |
1.3× |
| Nasal smear for eosinophils (89190) |
$13 |
$56 |
2.2× |
| Natriuretic peptide (83880) |
$26 |
$107 |
0.7× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
$54 |
$227 |
0.7× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$25 |
$103 |
1.0× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$280 |
$1,167 |
0.6× |
| Niacin (84591) |
$32 |
$134 |
1.9× |
| Nmr Lipoprofile (83704) |
$27 |
$113 |
0.8× |
| Nuclear antigen antibody (86235) |
$19 |
$79 |
1.1× |
| Oligoclonal bands (83916) |
$30.50 |
$127 |
1.1× |
| Organic Acids Qual Each (83919) |
$17 |
$72 |
1.0× |
| Organic Acids Total Quantitative Each Specimen (83918) |
$38 |
$157.50 |
1.6× |
| Osmolality serum (83930) |
$21.50 |
$90.50 |
3.3× |
| Osmolality urine (83935) |
$17 |
$72 |
2.5× |
| Osmotic fragility rbc incubated (85557) |
$19 |
$79 |
1.4× |
| Ova and parasite direct-id lca (87177) |
$9 |
$36 |
1.0× |
| Oxalate urine (83945) |
$17 |
$71.50 |
1.2× |
| Pancreatic polypeptide (83519) |
$36 |
$150 |
2.0× |
| Parainfluenza ag if (87279) |
$13 |
$53 |
0.8× |
| Particle Agglutination Screen Each Antibody (86403) |
$11 |
$44 |
1.0× |
| Parvovirus antibody (86747) |
$25.50 |
$106 |
1.7× |
| Pathology lab procedure (89240) |
$11 |
$44 |
0.2× |
| Phenotype Infect Agent Drug (87900) |
$77 |
$321 |
0.6× |
| Phenytoin free (80186) |
$21.50 |
$90.50 |
1.6× |
| Phosphatase acid prostatic (84066) |
$28 |
$116 |
2.9× |
| Phosphatase alkaline (84075) |
$10 |
$41.50 |
1.9× |
| Phosphorus blood (84100) |
$8 |
$35 |
1.7× |
| Phosphorus urine (84105) |
$10 |
$43 |
1.7× |
| Pinworm exam (87172) |
$7 |
$31 |
1.6× |
| Plasminogen (85420) |
$24 |
$100.50 |
3.7× |
| Platelet aggregation (85576) |
$12 |
$52 |
0.5× |
| Platelet count (85049) |
$13 |
$54 |
2.9× |
| Platelet neutralization (85597) |
$41 |
$172 |
2.3× |
| Porphobilinogen urine quant (84110) |
$12 |
$49 |
1.4× |
| Porphyrins feces qn (84126) |
$72 |
$298 |
1.8× |
| Porphyrins qn & fraction urine (84120) |
$29 |
$120 |
2.0× |
| Potassium (84132) |
$9 |
$36 |
1.9× |
| Potassium urine (84133) |
$10 |
$43 |
2.1× |
| Pregnanetriol (84138) |
$47 |
$194 |
2.2× |
| Pregnenolone (84140) |
$49 |
$204 |
2.4× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$71 |
$297 |
0.5× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
$41 |
$171.50 |
0.3× |
| Primidone (80188) |
$20 |
$85 |
1.2× |
| Procainamide napa (80192) |
$58 |
$243 |
3.5× |
| Procalcitonin (pct) (84145) |
$98 |
$408 |
3.6× |
| Progesterone (84144) |
$24 |
$102 |
1.2× |
| Progesterone (reproductive hormone) receptor analysis (84234) |
$53 |
$222 |
0.8× |
| Prolactin (84146) |
$20 |
$85 |
1.0× |
| Protein body fluid (84157) |
$13 |
$54 |
3.3× |
| Protein c activity (85303) |
$42 |
$177 |
3.0× |
| Protein c antigen (85302) |
$44 |
$183 |
3.7× |
| Protein electrophoresis serum (84165) |
$12 |
$48 |
1.1× |
| Protein Electrophoresis Urine (84166) |
$30 |
$123 |
1.7× |
| Protein S Functional (85306) |
$23 |
$97 |
1.5× |
| Protein s total (85305) |
$64 |
$267.50 |
5.5× |
| Protein Total Serum (84155) |
$15 |
$61 |
4.1× |
| Protein urine (84156) |
$10.50 |
$43 |
2.9× |
| Protein Western Blot (84182) |
$46 |
$190.50 |
1.6× |
| Prothrombin time substitution (85611) |
$5.50 |
$22.50 |
1.4× |
| Protoporphyrin rbc quantitative (84202) |
$25 |
$104 |
1.7× |
| PSA free (84154) |
$18 |
$74 |
1.0× |
| Pyruvate kinase (84220) |
$28 |
$117 |
3.0× |
| Quantiferon tb gold (86480) |
$53 |
$220 |
0.9× |
| Quinidine (80194) |
$23 |
$96 |
1.6× |
| Rbc antibody elution (86860) |
$47.50 |
$199 |
0.3× |
| Rbc osmotic fragility (85555) |
$26 |
$108 |
3.5× |
| Rbc pretx incubatj w/chemicl (86970) |
$18 |
$74 |
0.3× |
| Renin activity plasma (84244) |
$33 |
$136 |
1.5× |
| Reptilase test (85635) |
$11 |
$44 |
1.1× |
| Respiratory viral panel PCR (87633) |
$187 |
$780 |
0.4× |
| Respiratory Virus (86756) |
$18 |
$77 |
1.1× |
| Reticulocyte separation (86972) |
$62 |
$260 |
0.4× |
| Rheumatoid Factor Qual (86430) |
$16 |
$65 |
2.6× |
| Rheumatoid factor quant (86431) |
$6 |
$23 |
1.1× |
| Rickettsia antibody (86757) |
$33 |
$137 |
1.7× |
| Rpr Titer (86593) |
$12 |
$49 |
2.7× |
| Rsv (87807) |
$42 |
$177 |
3.2× |
| Rubella antibody (86762) |
$24 |
$101 |
1.7× |
| Russell viper venom time diluted (85613) |
$24 |
$99 |
2.5× |
| Saccharomyces ab iga (86671) |
$18.50 |
$77 |
1.5× |
| Salmonella antibody (86768) |
$7 |
$28 |
0.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$32 |
$133 |
0.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$26 |
$110 |
0.6× |
| Sarscov2 & inf a&b amp prb (87636) |
$32 |
$133 |
0.2× |
| Sedimentation rate (85651) |
$12 |
$48 |
2.8× |
| Semen analysis complete (89320) |
$18 |
$76 |
1.5× |
| Semen Analysis Presence and/or Motility of Sperm (89300) |
$37 |
$155 |
3.8× |
| Semen analysis sperm presence&/motility sprm (89321) |
$18 |
$74 |
1.5× |
| Semen analysis w/count (89310) |
$14 |
$57 |
1.6× |
| Sensitivity mic (87186) |
$35 |
$147 |
4.0× |
| Serotonin Release Assay (86022) |
$53 |
$222 |
2.9× |
| Serpina1 gene (81332) |
$27 |
$114 |
0.6× |
| Sex hormone binding globulin (84270) |
$32 |
$135 |
1.5× |
| Sickle cell screen (85660) |
$15.50 |
$63.50 |
2.8× |
| Sirolimus (rapamycin) (80195) |
$57 |
$236 |
4.2× |
| Smear acid fast (87206) |
$25 |
$106 |
4.6× |
| Smear gram stain (87205) |
$31 |
$129 |
7.3× |
| Smpd1 Gene Common Variants (81330) |
$37 |
$154 |
0.8× |
| Sodium (84295) |
$9 |
$38 |
1.9× |
| Sodium other source (84302) |
$38.50 |
$160.50 |
7.9× |
| Sodium urine (84300) |
$9.50 |
$40.50 |
1.9× |
| Soluble transferrin receptor (84238) |
$31 |
$128 |
0.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$20 |
$82 |
0.2× |
| Special stains group 1 (88312) |
$11 |
$46 |
0.2× |
| Spectrophotometry (84311) |
$26 |
$109.50 |
3.2× |
| Staph aureus amplified probe (87640) |
$24 |
$102 |
0.7× |
| Stool Cultr Aerobic Bact Ea (87046) |
$20.50 |
$84 |
2.2× |
| Strep a assay w/optic (87880) |
$23 |
$94 |
1.4× |
| Strep a DNA amp probe (87651) |
$24 |
$102 |
0.7× |
| Strep b DNA amp probe (87653) |
$24 |
$102 |
0.7× |
| Sugars Multiple Qual (84377) |
$10.50 |
$43 |
1.9× |
| Sugars single quant (84378) |
$18 |
$77 |
1.6× |
| Sulfate urine (84392) |
$10 |
$43 |
1.8× |
| Sulfhemoglobin quant (83060) |
$13 |
$53.50 |
1.5× |
| Surg path level iii (88304) |
$11 |
$46 |
0.2× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$10 |
$40 |
0.4× |
| Surgical pathology level IV (88305) |
$17 |
$70 |
0.4× |
| Susceptibility study antimicrobial disk method (87184) |
$7 |
$31 |
0.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$52.50 |
$218.50 |
1.1× |
| T cells, total count (86359) |
$35 |
$145 |
0.9× |
| T3 free (84481) |
$18 |
$75 |
1.1× |
| T3 reverse (84482) |
$26 |
$107 |
1.6× |
| T3 total (84480) |
$21 |
$87.50 |
1.5× |
| T3 uptake (84479) |
$7 |
$30.50 |
1.1× |
| T4 Free (84439) |
$23 |
$94 |
2.5× |
| T4 total (84436) |
$31 |
$130 |
4.5× |
| Tbp gene analysis eval detect abnormal alleles (81344) |
$86 |
$357 |
0.6× |
| Test for acetone/ketones (82009) |
$6 |
$26 |
1.3× |
| Testosterone free (84402) |
$39 |
$161 |
1.5× |
| Testosterone total (84403) |
$15 |
$63 |
0.6× |
| Tetanus antibody (86774) |
$47 |
$194 |
3.2× |
| Theophylline (80198) |
$24 |
$101 |
1.7× |
| Thiocyanate (84430) |
$31 |
$128 |
2.7× |
| Thrombin time plasma (85670) |
$15 |
$62 |
2.6× |
| Thrombin time titer (85675) |
$10.50 |
$44 |
1.5× |
| Thromboplastin Inhibition Tissue (85705) |
$10 |
$43 |
1.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$6 |
$23 |
0.9× |
| Thyroglobulin (84432) |
$31.50 |
$131.50 |
2.0× |
| Thyroglobulin Ab (86800) |
$28 |
$118 |
1.8× |
| Thyroid Stimulating Immunoglobulin (84445) |
$66 |
$275 |
1.3× |
| Thyroxine binding globulin (84442) |
$29 |
$122 |
2.0× |
| Tissue culture bone marrow (88237) |
$68 |
$283 |
0.5× |
| Tissue Culture Lymphocyte (88230) |
$121.50 |
$505.50 |
1.0× |
| Tobramycin peak (80200) |
$23 |
$97 |
1.4× |
| Topiramate (80201) |
$46 |
$190 |
3.9× |
| Toxoplasma ab igm (86778) |
$15 |
$64 |
1.0× |
| Toxoplasma antibody igg (86777) |
$18 |
$75.50 |
1.3× |
| Tp53 gene analysis full gene sequence (81351) |
$25 |
$104 |
0.0× |
| Transferrin (84466) |
$15 |
$63 |
1.2× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$179 |
$746 |
0.9× |
| Trg gene rearrangement analysis (81342) |
$319 |
$1,328 |
1.6× |
| Trichinella antibody (86784) |
$34 |
$143 |
2.7× |
| Triglycerides (84478) |
$7 |
$29 |
1.2× |
| Troponin (84484) |
$45 |
$187 |
3.6× |
| Unlisted transfusion medicine procedure (86999) |
$76 |
$318 |
2.9× |
| Urea nitrogen (84520) |
$9 |
$38 |
2.3× |
| Urea nitrogen urine (84540) |
$9 |
$37 |
1.6× |
| Uric acid blood (84550) |
$17 |
$70.50 |
3.8× |
| Uric acid other source (84560) |
$10.50 |
$44.50 |
2.1× |
| Urinalysis qual/semiquant except immunoassays (81005) |
$9 |
$39 |
4.1× |
| Urinalysis w/microscopic (81001) |
$10.50 |
$45 |
3.3× |
| Urine pregnancy test (81025) |
$29 |
$122 |
3.4× |
| Urine volume measurement (81050) |
$8 |
$32 |
2.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$13 |
$56 |
5.8× |
| Urobilinogen quantitative (84580) |
$43 |
$178 |
4.5× |
| Valproic acid level (80164) |
$33 |
$136 |
2.4× |
| Vancomycin trough (80202) |
$19 |
$78 |
1.4× |
| Vanomycin DNA amp probe (87500) |
$24 |
$102 |
0.7× |
| Varicella-zoster antibody (86787) |
$20 |
$82 |
1.6× |
| Vasoactive intestinal peptide (vip) (84586) |
$48 |
$202 |
1.4× |
| Vasopressin (84588) |
$63 |
$262 |
1.9× |
| Vdrl csf (86592) |
$11 |
$46 |
2.6× |
| Very long chain fatty acids (82726) |
$53 |
$221 |
2.7× |
| Virus antibody nos (86790) |
$36.50 |
$153 |
2.8× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$33 |
$139 |
1.0× |
| Virus inoculation, shell via (87254) |
$20.50 |
$86 |
1.0× |
| Viscosity serum (85810) |
$29 |
$120 |
2.5× |
| Vitamin A (84590) |
$18.50 |
$77.50 |
1.6× |
| Vitamin b-12 (82607) |
$18 |
$77 |
1.2× |
| Vitamin b-2 (riboflavin) (84252) |
$31.50 |
$130 |
1.6× |
| Vitamin b1 (thiamine) (84425) |
$47.50 |
$199 |
2.2× |
| Vitamin b6 (84207) |
$39 |
$162.50 |
1.4× |
| Vitamin C (82180) |
$31.50 |
$129.50 |
3.2× |
| Vitamin D 25-Hydroxy (82306) |
$33 |
$137 |
1.1× |
| Vitamin e serum (84446) |
$39 |
$162 |
2.8× |
| Vkorc1 gene (81355) |
$51 |
$214 |
0.6× |
| Von willebrand factor activity (85245) |
$33 |
$137 |
1.4× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$34 |
$141 |
4.0× |
| Xylose Absorption Test (84620) |
$39 |
$162.50 |
3.0× |
| Yersinia antibody (86793) |
$47 |
$194 |
3.6× |
| Zinc (84630) |
$19 |
$81 |
1.7× |