| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$219 |
— |
| 17-Hydroxycorticosteroids (83491) |
— |
$273 |
— |
| 5 Hiaa (83497) |
— |
$50 |
— |
| Acetaminophen level (80143) |
— |
$80 |
— |
| Acute hepatitis panel (80074) |
— |
$247 |
— |
| Afb culture (87116) |
— |
$33.50 |
— |
| Agglutinins febrile (86000) |
— |
$30 |
— |
| Albumin Fluid (82042) |
— |
$20 |
— |
| Albumin serum (82040) |
— |
$20 |
— |
| Aldolase (82085) |
— |
$49 |
— |
| Aldosterone urine (82088) |
— |
$149 |
— |
| Allergen specific ige (86003) |
— |
$20 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$65 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$55 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$50 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$45.50 |
— |
| Alt (sgpt) (84460) |
— |
$20 |
— |
| Aluminum (82108) |
— |
$94 |
— |
| Amikacin trough (80150) |
— |
$55 |
— |
| Ammonia (82140) |
— |
$37 |
— |
| Amylase urine (82150) |
— |
$28 |
— |
| Ana Titer (86039) |
— |
$42 |
— |
| Angiotensin i enzyme test (82164) |
— |
$55 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$44 |
— |
| Antibody Absorption (86978) |
— |
$137 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$52 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$58 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$52 |
— |
| Antibody helicobacter pylori (86677) |
— |
$52 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$35 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$35 |
— |
| Antibody identification (86870) |
— |
$531.50 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$50 |
— |
| Antibody mumps (86735) |
— |
$46 |
— |
| Antibody rubeola (86765) |
— |
$46 |
— |
| Antibody screen (86850) |
— |
$75 |
— |
| Antibody treponema pallidum (86780) |
— |
$56 |
— |
| Antigen typing (86905) |
— |
$370 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$220 |
— |
| Antinuclear antibodies (86038) |
— |
$45 |
— |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
— |
$20 |
— |
| Antistreptolysin o titer (86060) |
— |
$39 |
— |
| Antithrombin iii activity (85300) |
— |
$44 |
— |
| Antithrombin iii antigen (85301) |
— |
$39 |
— |
| Apolipoprotein b (82172) |
— |
$50 |
— |
| Arsenic Urine (82175) |
— |
$72 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$50 |
— |
| Assay of acth (82024) |
— |
$61 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$160 |
— |
| Assay of androstenedione (82157) |
— |
$105 |
— |
| Assay of blood chloride (82435) |
— |
$19.50 |
— |
| Assay of c-peptide (84681) |
— |
$77 |
— |
| Assay of calcitonin (82308) |
— |
$99 |
— |
| Assay of ceruloplasmin (82390) |
— |
$40 |
— |
| Assay of cyclosporine (80158) |
— |
$69 |
— |
| Assay of erythropoietin (82668) |
— |
$63 |
— |
| Assay of ethosuximide (80168) |
— |
$58 |
— |
| Assay of ferritin (82728) |
— |
$56 |
— |
| Assay of g6pd enzyme (82955) |
— |
$40 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$20 |
— |
| Assay of gastrin (82941) |
— |
$60 |
— |
| Assay of gentamicin (80170) |
— |
$66 |
— |
| Assay of homocystine (83090) |
— |
$74 |
— |
| Assay of metanephrines (83835) |
— |
$61 |
— |
| Assay of parathormone (83970) |
— |
$181 |
— |
| Assay of phenobarbital (80184) |
— |
$43 |
— |
| Assay of prealbumin (84134) |
— |
$66 |
— |
| Assay of proinsulin (84206) |
— |
$55 |
— |
| Assay of serotonin (84260) |
— |
$100 |
— |
| Assay of somatomedin (84305) |
— |
$70 |
— |
| Assay of tacrolimus (80197) |
— |
$114 |
— |
| Assay of urine vma (84585) |
— |
$85 |
— |
| Assay of vitamin k (84597) |
— |
$90 |
— |
| Ast (sgot) (84450) |
— |
$20 |
— |
| Bartonella antibody (86611) |
— |
$35 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$94 |
— |
| Beta hydroxybutyrate (82010) |
— |
$15 |
— |
| Beta-2 microglobulin (82232) |
— |
$61 |
— |
| Bilirubin direct (82248) |
— |
$20 |
— |
| Bilirubin total (82247) |
— |
$20 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$15 |
— |
| Bl Smear W/O Diff Wbc Count (85008) |
— |
$15 |
— |
| Blastomyces antibody (86612) |
— |
$50 |
— |
| Bleeding time (85002) |
— |
$19 |
— |
| Blood count reticulocyte automated (85045) |
— |
$18 |
— |
| Blood gases (82803) |
— |
$99 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$25 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$34 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$370 |
— |
| Blood typing abo (86900) |
— |
$106 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$65 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$75 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$116 |
— |
| Body fluid cell count (89050) |
— |
$23 |
— |
| Bordetella antibody (86615) |
— |
$70 |
— |
| Brucella antibody (86622) |
— |
$33 |
— |
| C diff amplified probe (87493) |
— |
$73.50 |
— |
| C-reactive protein (86140) |
— |
$25 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$98 |
— |
| Ca 125 (86304) |
— |
$77 |
— |
| Ca 19-9 (86301) |
— |
$77 |
— |
| Ca 27 29 (86300) |
— |
$76.50 |
— |
| Calcium ionized (82330) |
— |
$50 |
— |
| Calcium total (82310) |
— |
$20 |
— |
| Calcium urine (82340) |
— |
$22 |
— |
| Calculus Spectroscopy (82365) |
— |
$61 |
— |
| Calprotectin, fecal (83993) |
— |
$135 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$56 |
— |
| Carbon dioxide (82374) |
— |
$20 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$91 |
— |
| Carcinoembryonic antigen (82378) |
— |
$72 |
— |
| Cardiolipin ab igg (86147) |
— |
$94 |
— |
| Catecholamines fraction plasma (82384) |
— |
$94 |
— |
| Cd4 absolute count (86361) |
— |
$68.50 |
— |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
— |
$454 |
— |
| Chemiluminescent assay (82397) |
— |
$120 |
— |
| Chlamydia antibody (86631) |
— |
$44 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$50 |
— |
| Chloride other source (82438) |
— |
$22 |
— |
| Chloride urine (82436) |
— |
$22 |
— |
| Cholesterol total (82465) |
— |
$25 |
— |
| Cholinesterase serum (82480) |
— |
$30 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$345 |
— |
| Chromium urine (82495) |
— |
$66 |
— |
| Chromogranin a (86316) |
— |
$225 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$127 |
— |
| Citrate (82507) |
— |
$99 |
— |
| Ckmb (82553) |
— |
$43 |
— |
| Clot factor viii vw antigen (85246) |
— |
$75 |
— |
| Clozapine level (80159) |
— |
$45 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$765 |
— |
| Coagulation time activated (85347) |
— |
$19 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$60 |
— |
| Cold agglutinin screen (86156) |
— |
$60 |
— |
| Cold agglutinin titer (86157) |
— |
$46 |
— |
| Collagen cross links (82523) |
— |
$45 |
— |
| Compatibility test antiglob (86922) |
— |
$145 |
— |
| Compatibility Test Incubate (86921) |
— |
$126 |
— |
| Complement c3 (86160) |
— |
$44 |
— |
| Complement total ch50 (86162) |
— |
$77 |
— |
| Concentration Infectious Agent (87015) |
— |
$20 |
— |
| Coombs direct (86880) |
— |
$78.50 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$150 |
— |
| Copper urine (82525) |
— |
$40 |
— |
| Cortisol free (82530) |
— |
$57 |
— |
| Cortisol total (82533) |
— |
$54.50 |
— |
| Creatine kinase total (82550) |
— |
$22.50 |
— |
| Creatinine blood (82565) |
— |
$20 |
— |
| Creatinine clearance (82575) |
— |
$43 |
— |
| Creatinine other source (82570) |
— |
$35 |
— |
| Crossmatch immediate spin (86920) |
— |
$145 |
— |
| Cryoglobulin (82595) |
— |
$25 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$37.50 |
— |
| Culture Aerobic Identify (87077) |
— |
$32 |
— |
| Culture anaerobic (87075) |
— |
$37 |
— |
| Culture blood (87040) |
— |
$43 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$20 |
— |
| Culture fungus blood (87103) |
— |
$43 |
— |
| Culture fungus id yeast (87106) |
— |
$30 |
— |
| Culture fungus other (87102) |
— |
$37 |
— |
| Culture genital (87070) |
— |
$31 |
— |
| Culture screen only (87081) |
— |
$25 |
— |
| Culture stool (87045) |
— |
$49 |
— |
| Culture typing if ea antiserum (87140) |
— |
$55 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$21 |
— |
| Culture urine (87086) |
— |
$30 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$103 |
— |
| Cystatin c (82610) |
— |
$90 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$216 |
— |
| Cytopath cell enhance tech (88112) |
— |
$262.50 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$95 |
— |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
— |
$75 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$137 |
— |
| D-Dimer (85379) |
— |
$37 |
— |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
— |
$143 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$171 |
— |
| Dhea (82626) |
— |
$85 |
— |
| Dhea sulfate (82627) |
— |
$75 |
— |
| Digoxin (80162) |
— |
$49 |
— |
| Dilantin (80185) |
— |
$50 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$50 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$82.50 |
— |
| Drug assay felbamate (80167) |
— |
$50 |
— |
| Drug assay methotrexate (80204) |
— |
$60 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$46 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$58 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$65 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$63 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$160 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$7 |
— |
| Ebv viral capsid (86665) |
— |
$60 |
— |
| Ehrlichia antibody (86666) |
— |
$59.50 |
— |
| Electrolyte panel (80051) |
— |
$25 |
— |
| Endomysial antibody iga (86255) |
— |
$45 |
— |
| Enterovirus Pcr (87498) |
— |
$75 |
— |
| Eosinophil count (85048) |
— |
$13 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$63 |
— |
| Estradiol (82670) |
— |
$91 |
— |
| Estriol (82677) |
— |
$80 |
— |
| Estrogens total (82672) |
— |
$86 |
— |
| Estrone (82679) |
— |
$85 |
— |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
— |
$185 |
— |
| Everolimus (80169) |
— |
$45 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$56 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$550 |
— |
| F5 gene (81241) |
— |
$180 |
— |
| Factor ii activity (85210) |
— |
$70 |
— |
| Factor v activity (85220) |
— |
$66 |
— |
| Factor viii ahg (85240) |
— |
$60 |
— |
| Fecal fat qual (82705) |
— |
$20 |
— |
| Fecal fat quant (82710) |
— |
$184 |
— |
| Fibrinogen activity (85384) |
— |
$32 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$44 |
— |
| Folate serum (82746) |
— |
$66 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$85 |
— |
| Francisella Tularensis (86668) |
— |
$35 |
— |
| Frozen Section (88331) |
— |
$189 |
— |
| Gammaglobulin ige (82785) |
— |
$55 |
— |
| Gastric Occult Blood (82271) |
— |
$15 |
— |
| Ggt (82977) |
— |
$37 |
— |
| Giardia ag by if (87269) |
— |
$30 |
— |
| Giardia antigen eia stool (87329) |
— |
$43 |
— |
| Glucose (82947) |
— |
$20 |
— |
| Glucose Blood Test (82962) |
— |
$10 |
— |
| Glucose body fluid (82945) |
— |
$19 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$19 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$49 |
— |
| Growth hormone (83003) |
— |
$55 |
— |
| Haptoglobin (83010) |
— |
$61 |
— |
| Hcg qualitative (84703) |
— |
$32 |
— |
| Hcg quant (84702) |
— |
$33 |
— |
| Heavy metal quant each (83018) |
— |
$85 |
— |
| Hematocrit (85014) |
— |
$13 |
— |
| Hemoglbin meth transc (88741) |
— |
$95 |
— |
| Hemoglobin (85018) |
— |
$13 |
— |
| Hemoglobin a1c (83036) |
— |
$43 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$12 |
— |
| Hemoglobin plasma (83051) |
— |
$60 |
— |
| Hemosiderin urine (83070) |
— |
$58 |
— |
| Heparin assay (85520) |
— |
$20 |
— |
| Hepatitis a antibody total (86708) |
— |
$40 |
— |
| Hepatitis a igm (86709) |
— |
$56 |
— |
| Hepatitis b core ab igm (86705) |
— |
$44 |
— |
| Hepatitis b core antibody total (86704) |
— |
$40 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$49 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$49 |
— |
| Hepatitis be antibody (86707) |
— |
$40 |
— |
| Hepatitis Be Antigen (87350) |
— |
$40 |
— |
| Hepatitis c ab confirm (86804) |
— |
$103 |
— |
| Hepatitis c antibody (86803) |
— |
$61 |
— |
| Hepatitis C Genotype (87902) |
— |
$806 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$540 |
— |
| Herpes culture (87252) |
— |
$88 |
— |
| Herpes simplex type 2 (86696) |
— |
$65 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$20 |
— |
| Hgb quant transcut carboxyhem (88740) |
— |
$95 |
— |
| Histoplasma antibody (86698) |
— |
$45 |
— |
| Histoplasma antigen urine (87385) |
— |
$135 |
— |
| HIV confirmation (86689) |
— |
$100 |
— |
| HIV-1 genotype (87901) |
— |
$555 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$85 |
— |
| Hla-b27 (86812) |
— |
$108 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$90 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$115 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$103 |
— |
| Ia infectious agt antibody qual/semiq 1step meth (86318) |
— |
$80 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$65 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$50 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$30 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$31.50 |
— |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
— |
$65 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$160 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$157 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$157 |
— |
| Iadna herpes virus-6 amplified probe tq (87532) |
— |
$50 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$450 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$70 |
— |
| Iadna mycobacteria tuberculosis amp prb (87556) |
— |
$147.50 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$115 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$127 |
— |
| Iadna nos quantification each organism (87799) |
— |
$307 |
— |
| If cryptosporidium antigen (87272) |
— |
$30 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$132 |
— |
| Immunoassay nonantibody (83516) |
— |
$45 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$103 |
— |
| Immunohisto Antibody Slide (88344) |
— |
$595 |
— |
| Immunohistochemistry (88342) |
— |
$295 |
— |
| In situ hybridization ea multiplex probe stain (88366) |
— |
$295 |
— |
| India ink prep (87210) |
— |
$19 |
— |
| Influenza a/b ag eia (87400) |
— |
$32 |
— |
| Influenza DNA amp probe (87502) |
— |
$195 |
— |
| Inhibin b (83520) |
— |
$340 |
— |
| Insitu hybridization (fish) (88365) |
— |
$225 |
— |
| Insitu hybridization auto (88367) |
— |
$370 |
— |
| Insitu hybridization manual (88368) |
— |
$315 |
— |
| Insulin antibodies (86337) |
— |
$70 |
— |
| Insulin total (83525) |
— |
$56 |
— |
| Intraop cyto path consult 1 (88333) |
— |
$940.50 |
— |
| Iron (83540) |
— |
$29 |
— |
| Iron binding capacity (83550) |
— |
$49 |
— |
| Ketosteroids 17; total (83586) |
— |
$58 |
— |
| Lactic acid (83605) |
— |
$35 |
— |
| Ldh (83615) |
— |
$25 |
— |
| LDL cholesterol direct (83721) |
— |
$35 |
— |
| Lead (83655) |
— |
$40 |
— |
| Legionella antigen urine (87449) |
— |
$132 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$30 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$115 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$380.50 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$1,340 |
— |
| Lh (83002) |
— |
$85 |
— |
| Lidocaine level (80176) |
— |
$80 |
— |
| Lipase (83690) |
— |
$32 |
— |
| Lithium (80178) |
— |
$32 |
— |
| Lyme disease antibody (86618) |
— |
$55 |
— |
| Lyme disease antibody confirm (86617) |
— |
$55 |
— |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
— |
$315 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$295 |
— |
| Magnesium (83735) |
— |
$25 |
— |
| Malaria smear (87207) |
— |
$20 |
— |
| Manual reticulocyte count (85044) |
— |
$19 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$375 |
— |
| Mercury (83825) |
— |
$58 |
— |
| Methotrexate (80299) |
— |
$65 |
— |
| Methylmalonic acid serum (83921) |
— |
$40 |
— |
| Microalbumin urine (82043) |
— |
$20 |
— |
| Microsomal antibodies (86376) |
— |
$50 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$90 |
— |
| Muramidase (85549) |
— |
$40 |
— |
| Mycoplasma antibody (86738) |
— |
$64.50 |
— |
| Mycoplasma culture (87109) |
— |
$40 |
— |
| Myoglobin urine (83874) |
— |
$56 |
— |
| N.gonorrhoeae, DNA, dir prob (87590) |
— |
$65 |
— |
| Nasal smear for eosinophils (89190) |
— |
$30 |
— |
| Natriuretic peptide (83880) |
— |
$95 |
— |
| Niacin (84591) |
— |
$35 |
— |
| Nuclear antigen antibody (86235) |
— |
$66 |
— |
| Obstetric panel (80081) |
— |
$105 |
— |
| Occult blood stool (82272) |
— |
$15 |
— |
| Osmolality serum (83930) |
— |
$30 |
— |
| Osmolality urine (83935) |
— |
$30 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$37 |
— |
| Oxalate urine (83945) |
— |
$45 |
— |
| Pancreatic polypeptide (83519) |
— |
$40 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$63 |
— |
| Parvovirus antibody (86747) |
— |
$50 |
— |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) |
— |
$90 |
— |
| Phenytoin free (80186) |
— |
$50 |
— |
| Phosphatase alkaline (84075) |
— |
$20 |
— |
| Phosphorus blood (84100) |
— |
$22.50 |
— |
| Platelet aggregation (85576) |
— |
$62.50 |
— |
| Platelet count (85049) |
— |
$19 |
— |
| Potassium (84132) |
— |
$19.50 |
— |
| Potassium urine (84133) |
— |
$19 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$370 |
— |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
— |
$145 |
— |
| Primidone (80188) |
— |
$58 |
— |
| Procainamide napa (80192) |
— |
$79 |
— |
| Procalcitonin (pct) (84145) |
— |
$55 |
— |
| Progesterone (84144) |
— |
$98 |
— |
| Prolactin (84146) |
— |
$85 |
— |
| Protein body fluid (84157) |
— |
$25 |
— |
| Protein c activity (85303) |
— |
$145 |
— |
| Protein c antigen (85302) |
— |
$40 |
— |
| Protein electrophoresis serum (84165) |
— |
$39 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$40 |
— |
| Protein S Functional (85306) |
— |
$70 |
— |
| Protein s total (85305) |
— |
$40 |
— |
| Protein Total Serum (84155) |
— |
$19.50 |
— |
| Protein urine (84156) |
— |
$19 |
— |
| Prothrombin time substitution (85611) |
— |
$15 |
— |
| PSA free (84154) |
— |
$70 |
— |
| Quantiferon tb gold (86480) |
— |
$135 |
— |
| Quinidine (80194) |
— |
$66 |
— |
| Rbc antibody elution (86860) |
— |
$170 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$115 |
— |
| Reagent strip/blood glucose (82948) |
— |
$15 |
— |
| Reducing substances, stool (84376) |
— |
$15 |
— |
| Renin activity plasma (84244) |
— |
$83 |
— |
| Resp virus 3-5 targets (87631) |
— |
$285 |
— |
| Respiratory Virus (86756) |
— |
$49 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$32 |
— |
| Rheumatoid factor quant (86431) |
— |
$69 |
— |
| Rickettsia antibody (86757) |
— |
$65 |
— |
| Rotavirus (86759) |
— |
$61 |
— |
| Rpr Titer (86593) |
— |
$15 |
— |
| Rsv (87807) |
— |
$25 |
— |
| Rubella antibody (86762) |
— |
$66 |
— |
| Russell viper venom time diluted (85613) |
— |
$26 |
— |
| Salicylate (80179) |
— |
$120 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$147.50 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$85 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$285 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$285 |
— |
| Sedimentation rate (85651) |
— |
$14.50 |
— |
| Sensitivity mic (87186) |
— |
$20 |
— |
| Serotonin Release Assay (86022) |
— |
$103 |
— |
| Sex hormone binding globulin (84270) |
— |
$70 |
— |
| Sickle cell screen (85660) |
— |
$34.50 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$103 |
— |
| Smear acid fast (87206) |
— |
$22 |
— |
| Smear complex stain (87209) |
— |
$40 |
— |
| Smear gram stain (87205) |
— |
$19 |
— |
| Sodium (84295) |
— |
$20 |
— |
| Sodium urine (84300) |
— |
$20 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$115 |
— |
| Special stains group 1 (88312) |
— |
$135 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$130 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$35 |
— |
| Strep a assay w/optic (87880) |
— |
$30 |
— |
| Strep b DNA amp probe (87653) |
— |
$75 |
— |
| Surg path level iii (88304) |
— |
$122.50 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$55 |
— |
| Surgical pathology level IV (88305) |
— |
$139 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$25 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$143 |
— |
| T3 free (84481) |
— |
$55 |
— |
| T3 reverse (84482) |
— |
$62 |
— |
| T3 total (84480) |
— |
$50 |
— |
| T3 uptake (84479) |
— |
$25 |
— |
| T4 Free (84439) |
— |
$43 |
— |
| T4 total (84436) |
— |
$25 |
— |
| Tb ag response t-cell susp (86481) |
— |
$165 |
— |
| Tb intradermal test (86580) |
— |
$58 |
— |
| Test for acetone/ketones (82009) |
— |
$19 |
— |
| Testosterone free (84402) |
— |
$98 |
— |
| Testosterone total (84403) |
— |
$86 |
— |
| Theophylline (80198) |
— |
$49 |
— |
| Thin prep pap (88142) |
— |
$30 |
— |
| Thrombin time plasma (85670) |
— |
$25 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$25 |
— |
| Thyroglobulin (84432) |
— |
$55 |
— |
| Thyroglobulin Ab (86800) |
— |
$55 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$110 |
— |
| Tissue culture bone marrow (88237) |
— |
$265 |
— |
| Tobramycin peak (80200) |
— |
$66 |
— |
| Topiramate (80201) |
— |
$61 |
— |
| Touch prep (88161) |
— |
$70 |
— |
| Toxoplasma ab igm (86778) |
— |
$58 |
— |
| Toxoplasma antibody igg (86777) |
— |
$58 |
— |
| Transferrin (84466) |
— |
$49 |
— |
| Triglycerides (84478) |
— |
$23.50 |
— |
| Troponin (84484) |
— |
$56 |
— |
| Urea nitrogen (84520) |
— |
$26 |
— |
| Urea Nitrogen Clearance (84545) |
— |
$35 |
— |
| Urea nitrogen urine (84540) |
— |
$25 |
— |
| Uric acid blood (84550) |
— |
$19 |
— |
| Uric acid other source (84560) |
— |
$37 |
— |
| Urinalysis w/microscopic (81001) |
— |
$19 |
— |
| Urine microalbumin (protein) analysis (82044) |
— |
$15 |
— |
| Urine pregnancy test (81025) |
— |
$23 |
— |
| Urine volume measurement (81050) |
— |
$23 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$12 |
— |
| Valproic acid level (80164) |
— |
$49 |
— |
| Vancomycin trough (80202) |
— |
$50 |
— |
| Varicella-zoster antibody (86787) |
— |
$52 |
— |
| Vdrl csf (86592) |
— |
$18 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$110 |
— |
| Virus inoculate tissue addl (87253) |
— |
$45 |
— |
| Vitamin A (84590) |
— |
$39 |
— |
| Vitamin b-12 (82607) |
— |
$66 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$45 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$70 |
— |
| Vitamin b6 (84207) |
— |
$295 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$65 |
— |
| Vitamin e serum (84446) |
— |
$50 |
— |
| Von willebrand factor activity (85245) |
— |
$148 |
— |
| West nile virus ab, igm (86788) |
— |
$50 |
— |
| West nile virus antibody (86789) |
— |
$40 |
— |
| Zinc (84630) |
— |
$40 |
— |