| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$261 |
— |
| 17-Hydroxycorticosteroids (83491) |
— |
$58 |
— |
| 5 Hiaa (83497) |
— |
$90 |
— |
| 5 Nucleotidase (83915) |
— |
$156 |
— |
| Acetaminophen level (80143) |
— |
$460 |
— |
| Acth stimulation panel adrenal (80400) |
— |
$136 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$150 |
— |
| Activated protein c resistance (85307) |
— |
$385 |
— |
| Acute hepatitis panel (80074) |
— |
$231 |
— |
| Acylcarnitine Plasma (82017) |
— |
$476 |
— |
| Afb culture (87116) |
— |
$110 |
— |
| Agglutinins febrile (86000) |
— |
$119 |
— |
| Albumin Fluid (82042) |
— |
$36 |
— |
| Albumin serum (82040) |
— |
$44 |
— |
| Aldolase (82085) |
— |
$66 |
— |
| Aldosterone urine (82088) |
— |
$231 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$96 |
— |
| Allerg sp igg quan or semiquan (86001) |
— |
$55 |
— |
| Allergen specific ige (86003) |
— |
$99 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$96 |
— |
| Alpha-Fetoprotein L3 (82107) |
— |
$211 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$129 |
— |
| Alt (sgpt) (84460) |
— |
$59 |
— |
| Amikacin trough (80150) |
— |
$99 |
— |
| Amino acid screen urine (82128) |
— |
$105 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$92 |
— |
| Amino Acids, Single Quantitation (82131) |
— |
$95 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$135 |
— |
| Ammonia (82140) |
— |
$107 |
— |
| Amylase urine (82150) |
— |
$80 |
— |
| Ana Titer (86039) |
— |
$162 |
— |
| Analysis nerve (88356) |
— |
$200 |
— |
| Analysis skeletal muscle (88355) |
— |
$259 |
— |
| Angiotensin i enzyme test (82164) |
— |
$98 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$189 |
— |
| Antibody Absorption (86978) |
— |
$100 |
— |
| Antibody aspergillus (86606) |
— |
$86 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$370 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$95 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$65 |
— |
| Antibody helicobacter pylori (86677) |
— |
$74 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$91.50 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$87.50 |
— |
| Antibody identification (86870) |
— |
$851 |
— |
| Antibody influenza virus (86710) |
— |
$68 |
— |
| Antibody Listeria Monocytogenes (86723) |
— |
$140 |
— |
| Antibody mumps (86735) |
— |
$93 |
— |
| Antibody Protozoa Nes (86753) |
— |
$156 |
— |
| Antibody rubeola (86765) |
— |
$111 |
— |
| Antibody screen (86850) |
— |
$187 |
— |
| Antibody treponema pallidum (86780) |
— |
$82 |
— |
| Antibody; Coccidioides (86635) |
— |
$73 |
— |
| Antigen typing (86905) |
— |
$326 |
— |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
— |
$180 |
— |
| Antinuclear antibodies (86038) |
— |
$80 |
— |
| Antistreptolysin o titer (86060) |
— |
$62 |
— |
| Antithrombin iii activity (85300) |
— |
$161 |
— |
| Apolipoprotein b (82172) |
— |
$238 |
— |
| Arsenic Urine (82175) |
— |
$98 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$132.50 |
— |
| Assay of acth (82024) |
— |
$213 |
— |
| Assay of androstenedione (82157) |
— |
$149 |
— |
| Assay of blood chloride (82435) |
— |
$40 |
— |
| Assay of c-peptide (84681) |
— |
$152 |
— |
| Assay of calcitonin (82308) |
— |
$156 |
— |
| Assay of ceruloplasmin (82390) |
— |
$81 |
— |
| Assay of cyclosporine (80158) |
— |
$225 |
— |
| Assay of erythropoietin (82668) |
— |
$125 |
— |
| Assay of ethosuximide (80168) |
— |
$85 |
— |
| Assay of ferritin (82728) |
— |
$93 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$50 |
— |
| Assay of gastrin (82941) |
— |
$100 |
— |
| Assay of gentamicin (80170) |
— |
$96 |
— |
| Assay of glucagon (82943) |
— |
$70 |
— |
| Assay of homocystine (83090) |
— |
$235 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$175.50 |
— |
| Assay of metanephrines (83835) |
— |
$200 |
— |
| Assay of parathormone (83970) |
— |
$266 |
— |
| Assay of phenobarbital (80184) |
— |
$67 |
— |
| Assay of phosphatase acid total (84060) |
— |
$46 |
— |
| Assay of prealbumin (84134) |
— |
$102 |
— |
| Assay of procainamide (80190) |
— |
$246 |
— |
| Assay of proinsulin (84206) |
— |
$131 |
— |
| Assay of pyruvate (84210) |
— |
$110 |
— |
| Assay of selenium (84255) |
— |
$134 |
— |
| Assay of serotonin (84260) |
— |
$157 |
— |
| Assay of somatomedin (84305) |
— |
$119 |
— |
| Assay of tacrolimus (80197) |
— |
$120 |
— |
| Assay of urine vma (84585) |
— |
$92 |
— |
| Assay of vitamin k (84597) |
— |
$223 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$52 |
— |
| Assay Thiopurine S-Methyltransferase (84433) |
— |
$517 |
— |
| Ast (sgot) (84450) |
— |
$59 |
— |
| B cells total count (86355) |
— |
$308 |
— |
| Bartonella antibody (86611) |
— |
$139 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$539 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$539 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$85 |
— |
| Beta hydroxybutyrate (82010) |
— |
$86 |
— |
| Beta-2 microglobulin (82232) |
— |
$109 |
— |
| Bilirubin direct (82248) |
— |
$65 |
— |
| Bilirubin total (82247) |
— |
$55 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$53 |
— |
| Blastomyces antibody (86612) |
— |
$86 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$510 |
— |
| Bleeding time (85002) |
— |
$77 |
— |
| Blood count reticulocyte automated (85045) |
— |
$47 |
— |
| Blood gases (82803) |
— |
$487 |
— |
| Blood gases w/02 saturation (82805) |
— |
$321 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$64 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$92 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$877 |
— |
| Blood typing abo (86900) |
— |
$312 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$132 |
— |
| Body fluid cell count (89051) |
— |
$88 |
— |
| Body fluid cell count (89050) |
— |
$238 |
— |
| Bordetella antibody (86615) |
— |
$707 |
— |
| Brca1&2 seq & full dup/del (81162) |
— |
$4,061 |
— |
| Breath Alcohol Test (82075) |
— |
$124 |
— |
| Brucella antibody (86622) |
— |
$258 |
— |
| C diff amplified probe (87493) |
— |
$121 |
— |
| C-reactive protein (86140) |
— |
$88 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$192 |
— |
| Ca 125 (86304) |
— |
$137 |
— |
| Ca 19-9 (86301) |
— |
$135 |
— |
| Ca 27 29 (86300) |
— |
$130 |
— |
| Cadmium level (82300) |
— |
$121 |
— |
| Calcium ionized (82330) |
— |
$133 |
— |
| Calcium total (82310) |
— |
$50 |
— |
| Calcium urine (82340) |
— |
$61.50 |
— |
| Calculus Qualitative Analysis (82355) |
— |
$60 |
— |
| Calculus Quantitative Chemical (82360) |
— |
$87 |
— |
| Calculus Spectroscopy (82365) |
— |
$922 |
— |
| Calprotectin, fecal (83993) |
— |
$337 |
— |
| Calr gene com variants (81219) |
— |
$401 |
— |
| Candida DNA dir probe (87480) |
— |
$101 |
— |
| Carb deficient transferrin (82373) |
— |
$248 |
— |
| Carbon dioxide (82374) |
— |
$36.50 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$79 |
— |
| Carcinoembryonic antigen (82378) |
— |
$132 |
— |
| Cardiolipin ab igg (86147) |
— |
$131 |
— |
| Carnitine (82379) |
— |
$339 |
— |
| Carotene (82380) |
— |
$61 |
— |
| Catecholamines fraction plasma (82384) |
— |
$174 |
— |
| Catecholamines Total Urine (82382) |
— |
$151 |
— |
| Cd4 absolute count (86361) |
— |
$138 |
— |
| Cell marker study (88182) |
— |
$367 |
— |
| Cftr gene com variants (81220) |
— |
$2,140 |
— |
| Chemiluminescent assay (82397) |
— |
$149 |
— |
| Chlamydia antibody (86631) |
— |
$123.50 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$71 |
— |
| Chloramphenicol (82415) |
— |
$85 |
— |
| Chloride other source (82438) |
— |
$30 |
— |
| Chloride urine (82436) |
— |
$74 |
— |
| Cholesterol total (82465) |
— |
$38.50 |
— |
| Cholinesterase serum (82480) |
— |
$71 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$549 |
— |
| Chromogenic substrate assay (85130) |
— |
$164 |
— |
| Chromogranin a (86316) |
— |
$247 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$452 |
— |
| Chromosome Analysis 5 (88261) |
— |
$806 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$179 |
— |
| Citrate (82507) |
— |
$141 |
— |
| Ck isoenzymes (82552) |
— |
$82 |
— |
| Ckmb (82553) |
— |
$167 |
— |
| Clot retraction (85170) |
— |
$67 |
— |
| Cmv PCR (87496) |
— |
$312 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$1,890 |
— |
| Coagulation time (85348) |
— |
$30 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$518 |
— |
| Cold agglutinin titer (86157) |
— |
$66 |
— |
| Collagen cross links (82523) |
— |
$203 |
— |
| Compatibility test antiglob (86922) |
— |
$436 |
— |
| Compatibility Test Incubate (86921) |
— |
$265 |
— |
| Complement c3 (86160) |
— |
$145 |
— |
| Complement total ch50 (86162) |
— |
$168 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$125 |
— |
| Concentration Infectious Agent (87015) |
— |
$90 |
— |
| Coombs direct (86880) |
— |
$163 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$515.50 |
— |
| Copper urine (82525) |
— |
$64 |
— |
| Cortisol free (82530) |
— |
$264 |
— |
| Cortisol total (82533) |
— |
$86 |
— |
| Creatine kinase total (82550) |
— |
$71 |
— |
| Creatinine blood (82565) |
— |
$50 |
— |
| Creatinine clearance (82575) |
— |
$67 |
— |
| Creatinine other source (82570) |
— |
$65 |
— |
| Crossmatch immediate spin (86920) |
— |
$331 |
— |
| Cryoglobulin (82595) |
— |
$63 |
— |
| Cryptococcal Antigen (87327) |
— |
$151 |
— |
| Cryptococcus antibody (86641) |
— |
$120 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$95.50 |
— |
| Culture Aerobic Identify (87077) |
— |
$132 |
— |
| Culture anaerobic (87075) |
— |
$157 |
— |
| Culture Bacteria Anaerobic (87073) |
— |
$217 |
— |
| Culture blood (87040) |
— |
$110 |
— |
| Culture chlamydia (87110) |
— |
$110 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$174 |
— |
| Culture fungus blood (87103) |
— |
$136 |
— |
| Culture fungus other (87102) |
— |
$86 |
— |
| Culture genital (87070) |
— |
$85 |
— |
| Culture screen only (87081) |
— |
$88 |
— |
| Culture stool (87045) |
— |
$86 |
— |
| Culture urine (87086) |
— |
$86 |
— |
| Culture urine id ea isolate (87088) |
— |
$134 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$129 |
— |
| Cystatin c (82610) |
— |
$183 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$663 |
— |
| Cytopath cell enhance tech (88112) |
— |
$79 |
— |
| Cytopath Fl Nongyn Filter (88106) |
— |
$77 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$58 |
— |
| Cytopath Smear Other Source (88160) |
— |
$48 |
— |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
— |
$204 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$70 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$95 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$154 |
— |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
— |
$571 |
— |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
— |
$85 |
— |
| Cytp urine 3-5 probes cmptr (88121) |
— |
$492 |
— |
| Detect agent nos DNA dir (87797) |
— |
$125 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$100 |
— |
| Dhea (82626) |
— |
$184 |
— |
| Dhea sulfate (82627) |
— |
$146 |
— |
| Digoxin (80162) |
— |
$94 |
— |
| Dihydrotestosterone (82642) |
— |
$191 |
— |
| Dilantin (80185) |
— |
$68 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$133 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$306.50 |
— |
| Drug Assay Amiodarone (80151) |
— |
$142 |
— |
| Drug assay carbamazepine -10,11-epoxide (80161) |
— |
$98 |
— |
| Drug assay flecainide (80181) |
— |
$152 |
— |
| Drug Assay Lacosamide (80235) |
— |
$269 |
— |
| Drug assay methotrexate (80204) |
— |
$452 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$173 |
— |
| Drug screen quant zonisamide (80203) |
— |
$45 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$151 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$142 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$294 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$123 |
— |
| Ebv viral capsid (86665) |
— |
$248 |
— |
| Echinococcus ab igg (86682) |
— |
$169 |
— |
| Ehrlichia antibody (86666) |
— |
$251 |
— |
| Electrolyte panel (80051) |
— |
$77 |
— |
| Electron microscopy diagnostic (88348) |
— |
$759 |
— |
| Endomysial antibody iga (86255) |
— |
$131 |
— |
| Entamoeba histolytica antigen (87337) |
— |
$222 |
— |
| Enterovirus antibody (86658) |
— |
$150.50 |
— |
| Enzyme cell activity (82657) |
— |
$438 |
— |
| Enzyme histochemistry (88319) |
— |
$1,196 |
— |
| Eosinophil count (85048) |
— |
$24 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$81 |
— |
| Estradiol (82670) |
— |
$253 |
— |
| Estriol (82677) |
— |
$123 |
— |
| Estrogen fractionated (82671) |
— |
$157 |
— |
| Estrogen receptor analysis (84233) |
— |
$359 |
— |
| Estrone (82679) |
— |
$84 |
— |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
— |
$297 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$76 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$218 |
— |
| F5 gene (81241) |
— |
$240 |
— |
| Factor ii activity (85210) |
— |
$120 |
— |
| Factor ix activity (85250) |
— |
$206 |
— |
| Factor v activity (85220) |
— |
$210 |
— |
| Factor vii assay (85230) |
— |
$206 |
— |
| Factor viii ahg (85240) |
— |
$202 |
— |
| Factor xi assay (85270) |
— |
$226 |
— |
| Factor xii assay (85280) |
— |
$206 |
— |
| Fecal fat qual (82705) |
— |
$75.50 |
— |
| Fecal fat quant (82710) |
— |
$118 |
— |
| Fetal fibronectin (82731) |
— |
$497 |
— |
| Fibrin degradation products (85362) |
— |
$80 |
— |
| Fibrin Degradproducts,D-Dimer, Ultrasens - D-Dimer, Rapid (85380) |
— |
$100 |
— |
| Fibrinogen activity (85384) |
— |
$104 |
— |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
— |
$49 |
— |
| Flow cytometry first marker (88184) |
— |
$823.50 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$117 |
— |
| Folate serum (82746) |
— |
$77 |
— |
| Folic acid rbc (82747) |
— |
$129 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$137 |
— |
| Forensic (investigation) examination of specimen (88125) |
— |
$259 |
— |
| Frozen Section (88331) |
— |
$259 |
— |
| Fructosamine (82985) |
— |
$80 |
— |
| G6pd Screen (82960) |
— |
$86 |
— |
| Gammaglobulin ige (82785) |
— |
$87 |
— |
| Gardner vag DNA dir probe (87510) |
— |
$101 |
— |
| Gastric Occult Blood (82271) |
— |
$32.50 |
— |
| Ggt (82977) |
— |
$55 |
— |
| Giardia antigen eia stool (87329) |
— |
$141 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$42 |
— |
| Glucose (82947) |
— |
$54 |
— |
| Glucose Blood Test (82962) |
— |
$36 |
— |
| Glucose body fluid (82945) |
— |
$71 |
— |
| Glucose post dose (82950) |
— |
$67 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$48 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$137 |
— |
| Gonadotropin releasing hormone (83727) |
— |
$485 |
— |
| Growth hormone (83003) |
— |
$74 |
— |
| Haloperidol (haldol) (80173) |
— |
$107 |
— |
| Haptoglobin (83010) |
— |
$74 |
— |
| Hcg qualitative (84703) |
— |
$89 |
— |
| Hcg quant (84702) |
— |
$170 |
— |
| Hdl Cholesterol (83718) |
— |
$68 |
— |
| Heavy metal quant each (83018) |
— |
$202 |
— |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
— |
$227 |
— |
| Hemagglutination inhibition (86280) |
— |
$130 |
— |
| Hematocrit (85014) |
— |
$34 |
— |
| Hemoglobin (85018) |
— |
$42 |
— |
| Hemoglobin a1c (83036) |
— |
$99.50 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$133 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$169 |
— |
| Hemoglobin urine (83069) |
— |
$26 |
— |
| Hemolysins/agglutinins auto screen (86940) |
— |
$225 |
— |
| Hemosiderin urine (83070) |
— |
$44 |
— |
| Heparin neutralization (85525) |
— |
$136 |
— |
| Hepatitis a antibody total (86708) |
— |
$95 |
— |
| Hepatitis a igm (86709) |
— |
$64 |
— |
| Hepatitis b core antibody total (86704) |
— |
$95 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$66.50 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$95 |
— |
| Hepatitis Be Antigen (87350) |
— |
$87 |
— |
| Hepatitis c antibody (86803) |
— |
$95 |
— |
| Hepatitis C Genotype (87902) |
— |
$388 |
— |
| Hepatitis delta ag (87380) |
— |
$66 |
— |
| Herpes culture (87252) |
— |
$268 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$53 |
— |
| Histoplasma antibody (86698) |
— |
$83 |
— |
| Hla-b27 (86812) |
— |
$211 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$347 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$247 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$171 |
— |
| Hydroxyproline total (83505) |
— |
$124 |
— |
| Ia infectious agt antibody qual/semiq 1step meth (86318) |
— |
$136 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$105 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$144 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$135 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$133 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$94 |
— |
| Iaad ia rotavirus (87425) |
— |
$115 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$86 |
— |
| Iaadi herpes smplx virus type 2 (87273) |
— |
$38 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$62 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$460 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$388 |
— |
| Iadna herpes virus-6 amplified probe tq (87532) |
— |
$247 |
— |
| Iadna herpes virus-6 quantification (87533) |
— |
$685 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$394 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$293 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$174 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$241.50 |
— |
| Iadna nos quantification each organism (87799) |
— |
$415 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$213 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$1,328 |
— |
| Igg subclasses (82787) |
— |
$223 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$365 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$195.50 |
— |
| Immunoassay nonantibody (83516) |
— |
$42 |
— |
| Immunoassay with direct visual observation for streptococcus (87802) |
— |
$107 |
— |
| Immunodiffusion not elsewhere specified (86329) |
— |
$119 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$76 |
— |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
— |
$174 |
— |
| Immunoelectrophoresis serum (86320) |
— |
$210.50 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$146 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$332 |
— |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) |
— |
$38 |
— |
| Immunoglobulin assay (86023) |
— |
$384 |
— |
| Immunoglobulin light chains free each (83521) |
— |
$189 |
— |
| Immunohisto Antibody Slide (88344) |
— |
$297 |
— |
| Immunohistochemistry (88342) |
— |
$290 |
— |
| India ink prep (87210) |
— |
$65 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Other… (87809) |
— |
$87 |
— |
| Inhibin a (86336) |
— |
$68 |
— |
| Inhibin b (83520) |
— |
$157 |
— |
| Insitu hybridization (fish) (88365) |
— |
$350 |
— |
| Insitu hybridization auto (88367) |
— |
$535 |
— |
| Insitu hybridization manual (88368) |
— |
$544 |
— |
| Insulin antibodies (86337) |
— |
$130 |
— |
| Interleukin 6 (83529) |
— |
$57 |
— |
| Intraop cyto path consult 1 (88333) |
— |
$1,196 |
— |
| Intrinsic factor antibody (86340) |
— |
$124 |
— |
| Iron (83540) |
— |
$54 |
— |
| Iron binding capacity (83550) |
— |
$74 |
— |
| Islet cell antibody (86341) |
— |
$168 |
— |
| Jak2 gene analysis (81270) |
— |
$742 |
— |
| Jak2 Targeted Sequence Analysis (81279) |
— |
$720 |
— |
| Ketosteroids 17; total (83586) |
— |
$88 |
— |
| Koh Prep (87220) |
— |
$30 |
— |
| Lactic acid (83605) |
— |
$85 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$90 |
— |
| Ldh (83615) |
— |
$70.50 |
— |
| Ldh isoenzymes (83625) |
— |
$45 |
— |
| LDL cholesterol direct (83721) |
— |
$51 |
— |
| Lead (83655) |
— |
$86 |
— |
| Legionella antibody (86713) |
— |
$194 |
— |
| Legionella antigen urine (87449) |
— |
$61 |
— |
| Legionella pneumophila dfa (87278) |
— |
$89 |
— |
| Leucine aminopeptidase (lap) (83670) |
— |
$50 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$77.50 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$310 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$666 |
— |
| Lh (83002) |
— |
$87 |
— |
| Lidocaine level (80176) |
— |
$99 |
— |
| Lipase (83690) |
— |
$101.50 |
— |
| Lipopro bld electrophoretic (83700) |
— |
$93 |
— |
| Listeria ab (86609) |
— |
$108 |
— |
| Lithium (80178) |
— |
$57 |
— |
| Lyme disease antibody (86618) |
— |
$136 |
— |
| Lyme disease antibody confirm (86617) |
— |
$152 |
— |
| Lymphocyte transformation (86353) |
— |
$266 |
— |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
— |
$473 |
— |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
— |
$763 |
— |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
— |
$308 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$259 |
— |
| Magnesium (83735) |
— |
$100 |
— |
| Malaria antibody (86750) |
— |
$170 |
— |
| Malaria smear (87207) |
— |
$90 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$81 |
— |
| Mercury (83825) |
— |
$78.50 |
— |
| Metabolic Panel Ionized Ca (80047) |
— |
$267.50 |
— |
| Methotrexate (80299) |
— |
$152 |
— |
| Microalbumin urine (82043) |
— |
$166 |
— |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
— |
$263 |
— |
| Microsomal antibodies (86376) |
— |
$106 |
— |
| Mitochondrial antibody each (86381) |
— |
$185 |
— |
| Mononuclear cell antigen (86356) |
— |
$135 |
— |
| Morphometric analysis tumor (88358) |
— |
$412 |
— |
| Mpl gene analysis common variants (81338) |
— |
$493 |
— |
| Mrsa amp probe (87641) |
— |
$121 |
— |
| Muramidase (85549) |
— |
$148 |
— |
| Mycoplasma antibody (86738) |
— |
$113 |
— |
| Mycoplasma genitalium PCR (87563) |
— |
$182 |
— |
| Myelin basic protein csf (83873) |
— |
$188 |
— |
| Myoglobin urine (83874) |
— |
$131 |
— |
| Nasal smear for eosinophils (89190) |
— |
$25 |
— |
| Natriuretic peptide (83880) |
— |
$119.50 |
— |
| Nerve teasing preparations (88362) |
— |
$666 |
— |
| Nfct ds bv&vaginitis DNA alg (81515) |
— |
$463 |
— |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
— |
$521 |
— |
| Niacin (84591) |
— |
$264 |
— |
| Nk cells total count (86357) |
— |
$282 |
— |
| Nmr Lipoprofile (83704) |
— |
$136 |
— |
| Nocardia antibody (86744) |
— |
$142 |
— |
| Nuclear antigen antibody (86235) |
— |
$94 |
— |
| Obstetric panel (80081) |
— |
$879 |
— |
| Occult blood stool (82272) |
— |
$64 |
— |
| Oligoclonal bands (83916) |
— |
$176.50 |
— |
| Organic Acids Qual Each (83919) |
— |
$65 |
— |
| Organic Acids Total Quantitative Each Specimen (83918) |
— |
$445 |
— |
| Osmolality serum (83930) |
— |
$65 |
— |
| Osmolality urine (83935) |
— |
$65 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$52 |
— |
| Oxalate urine (83945) |
— |
$65 |
— |
| Pancreatic polypeptide (83519) |
— |
$174 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$107 |
— |
| Parvovirus antibody (86747) |
— |
$167 |
— |
| Phosphatase acid prostatic (84066) |
— |
$51 |
— |
| Phosphatase alkaline (84075) |
— |
$50 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$212 |
— |
| Phosphorus blood (84100) |
— |
$46 |
— |
| Pinworm exam (87172) |
— |
$30 |
— |
| Platelet count (85049) |
— |
$33 |
— |
| Platelet neutralization (85597) |
— |
$92 |
— |
| Pmp22 gene dup/delet (81324) |
— |
$1,299 |
— |
| Porphobilinogen urine quant (84110) |
— |
$60 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$146 |
— |
| Porphyrins urine qual (84119) |
— |
$99 |
— |
| Potassium (84132) |
— |
$50 |
— |
| Potassium urine (84133) |
— |
$29 |
— |
| Pregnanediol (84135) |
— |
$99 |
— |
| Pregnenolone (84140) |
— |
$129 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$851 |
— |
| Primidone (80188) |
— |
$99 |
— |
| Procainamide napa (80192) |
— |
$134 |
— |
| Procalcitonin (pct) (84145) |
— |
$215 |
— |
| Progesterone (84144) |
— |
$106 |
— |
| Progesterone (reproductive hormone) receptor analysis (84234) |
— |
$327 |
— |
| Prolactin (84146) |
— |
$100 |
— |
| Protein body fluid (84157) |
— |
$45 |
— |
| Protein c activity (85303) |
— |
$182 |
— |
| Protein c antigen (85302) |
— |
$283 |
— |
| Protein electrophoresis serum (84165) |
— |
$113 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$93 |
— |
| Protein S Functional (85306) |
— |
$247.50 |
— |
| Protein total by refractometry any source (84160) |
— |
$40 |
— |
| Protein Total Serum (84155) |
— |
$49 |
— |
| Protein urine (84156) |
— |
$59 |
— |
| Protein Western Blot (84182) |
— |
$217 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$87 |
— |
| PSA free (84154) |
— |
$187 |
— |
| Quantiferon tb gold (86480) |
— |
$317 |
— |
| Quinidine (80194) |
— |
$76 |
— |
| Rbc antibody elution (86860) |
— |
$510 |
— |
| Reagent strip/blood glucose (82948) |
— |
$17 |
— |
| Ref consult prep elsewhere (88321) |
— |
$263 |
— |
| Renin activity plasma (84244) |
— |
$124 |
— |
| Reptilase test (85635) |
— |
$336 |
— |
| Respiratory viral panel PCR (87633) |
— |
$801 |
— |
| Reticulocyte Count (85046) |
— |
$99 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$52 |
— |
| Rheumatoid factor quant (86431) |
— |
$209 |
— |
| Rickettsia antibody (86757) |
— |
$237 |
— |
| Rpr Titer (86593) |
— |
$111 |
— |
| Rubella antibody (86762) |
— |
$215 |
— |
| Russell viper venom time diluted (85613) |
— |
$119 |
— |
| Saccharomyces ab iga (86671) |
— |
$146 |
— |
| Salicylate (80179) |
— |
$257 |
— |
| Salmonella antibody (86768) |
— |
$67 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$96 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$100 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$327 |
— |
| Sedimentation rate (85651) |
— |
$28 |
— |
| Semen analysis sperm presence&/motility sprm (89321) |
— |
$50 |
— |
| Semen analysis w/count (89310) |
— |
$50 |
— |
| Sensitivity mic (87186) |
— |
$96.50 |
— |
| Serotonin Release Assay (86022) |
— |
$202 |
— |
| Sex hormone binding globulin (84270) |
— |
$103 |
— |
| Sickle cell screen (85660) |
— |
$29 |
— |
| Skin test candida (86485) |
— |
$423 |
— |
| Smear acid fast (87206) |
— |
$79 |
— |
| Smear complex stain (87209) |
— |
$139 |
— |
| Smear gram stain (87205) |
— |
$38.50 |
— |
| Sodium (84295) |
— |
$50 |
— |
| Sodium urine (84300) |
— |
$64.50 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$74 |
— |
| Special stains group 1 (88312) |
— |
$91 |
— |
| Specific gravity body fluid (84315) |
— |
$19 |
— |
| Spectrophotometry (84311) |
— |
$70 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$103 |
— |
| Strep a assay w/optic (87880) |
— |
$68 |
— |
| Strep b DNA amp probe (87653) |
— |
$157.50 |
— |
| Sulfate urine (84392) |
— |
$38 |
— |
| Sulfhemoglobin quant (83060) |
— |
$93 |
— |
| Surg path level iii (88304) |
— |
$95 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$60 |
— |
| Surgical pathology level IV (88305) |
— |
$97 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$271.50 |
— |
| T cells, total count (86359) |
— |
$192 |
— |
| T3 free (84481) |
— |
$113 |
— |
| T3 reverse (84482) |
— |
$164 |
— |
| T3 total (84480) |
— |
$183 |
— |
| T3 uptake (84479) |
— |
$53 |
— |
| T4 Free (84439) |
— |
$60 |
— |
| T4 total (84436) |
— |
$53 |
— |
| Tb intradermal test (86580) |
— |
$32 |
— |
| Test for acetone/ketones (82009) |
— |
$73 |
— |
| Test for urine cystines (82615) |
— |
$71 |
— |
| Testosterone free (84402) |
— |
$154 |
— |
| Testosterone total (84403) |
— |
$157 |
— |
| Theophylline (80198) |
— |
$73 |
— |
| Thin prep pap (88142) |
— |
$173 |
— |
| Thiocyanate (84430) |
— |
$66 |
— |
| Thrombin time plasma (85670) |
— |
$40 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$60 |
— |
| Thyroglobulin (84432) |
— |
$51 |
— |
| Thyroglobulin Ab (86800) |
— |
$124 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$486 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$42 |
— |
| Tissue culture bone marrow (88237) |
— |
$452 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$410 |
— |
| Tobramycin peak (80200) |
— |
$163 |
— |
| Topiramate (80201) |
— |
$322 |
— |
| Touch prep (88161) |
— |
$50 |
— |
| Toxin or antitoxin assay (87230) |
— |
$144 |
— |
| Toxoplasma ab igm (86778) |
— |
$239 |
— |
| Toxoplasma antibody igg (86777) |
— |
$211 |
— |
| Transferrin (84466) |
— |
$70 |
— |
| Triglycerides (84478) |
— |
$67 |
— |
| Troponin (84484) |
— |
$168 |
— |
| Unlisted transfusion medicine procedure (86999) |
— |
$154 |
— |
| Urea nitrogen (84520) |
— |
$41 |
— |
| Urea Nitrogen Clearance (84545) |
— |
$65 |
— |
| Uric acid blood (84550) |
— |
$50 |
— |
| Uric acid other source (84560) |
— |
$51 |
— |
| Urinalysis microscopic only (81015) |
— |
$18 |
— |
| Urinalysis w/microscopic (81001) |
— |
$57 |
— |
| Urine pregnancy test (81025) |
— |
$88 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$17 |
— |
| Urobilinogen quantitative (84580) |
— |
$46 |
— |
| Urobilinogen, feces, quantitative Other Outpatient (84577) |
— |
$50 |
— |
| Valproic acid level (80164) |
— |
$85.50 |
— |
| Vancomycin trough (80202) |
— |
$119 |
— |
| Varicella-zoster antibody (86787) |
— |
$209 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$301 |
— |
| Vasopressin (84588) |
— |
$225 |
— |
| Vdrl csf (86592) |
— |
$62 |
— |
| Virus antibody nos (86790) |
— |
$106 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$50 |
— |
| Vitamin A (84590) |
— |
$100 |
— |
| Vitamin b-12 (82607) |
— |
$137 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$245 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$119 |
— |
| Vitamin b6 (84207) |
— |
$271 |
— |
| Vitamin C (82180) |
— |
$77 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$189 |
— |
| Vitamin e serum (84446) |
— |
$90 |
— |
| Vldl cholesterol level (83719) |
— |
$60 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$96 |
— |
| West nile virus ab, igm (86788) |
— |
$135 |
— |
| West nile virus antibody (86789) |
— |
$213 |
— |
| Xylose Absorption Test (84620) |
— |
$154 |
— |
| Yersinia antibody (86793) |
— |
$68 |
— |
| Zinc (84630) |
— |
$59 |
— |