| 1 25 Dihydroxy includes fractions if performed (82652) |
$150 |
$374 |
3.9× |
| 5 Nucleotidase (83915) |
$44 |
$109 |
3.9× |
| Acetone serum qual (82009) |
$18 |
$44 |
4.0× |
| Activated protein c resistance (85307) |
$51 |
$127 |
3.3× |
| Acute hepatitis panel (80074) |
$171 |
$428 |
3.6× |
| Adrenocorticotropic hormone (82024) |
$150 |
$374 |
3.9× |
| Afp maternal serum (82105) |
$64 |
$161 |
3.8× |
| Agglutinins febrile ea antigen (86000) |
$26 |
$64 |
3.7× |
| Albumin body fluid (82042) |
$19 |
$48 |
2.4× |
| Albumin serum (82040) |
$20 |
$49 |
4.0× |
| Aldolase (82085) |
$38 |
$95 |
3.9× |
| Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone… (80408) |
$138 |
$346 |
1.1× |
| Aldosterone urine (82088) |
$159 |
$397 |
3.9× |
| Allergen peanut (86003) |
$20 |
$50 |
3.8× |
| Alpha-1-antitrypsin phenotype (82104) |
$169 |
$423 |
11.7× |
| Alpha-Fetoprotein; Amniotic (82106) |
$64 |
$161 |
3.8× |
| Alt (sgpt) (84460) |
$20 |
$50 |
3.8× |
| Aluminum (82108) |
$76 |
$190 |
3.0× |
| Amikacin trough (80150) |
$59 |
$147 |
3.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$66 |
$164 |
2.9× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$66 |
$164 |
3.9× |
| Amino Acids Quant 2-5 (82136) |
$66 |
$164 |
3.4× |
| Amniotic fluid enzyme test (84081) |
$64 |
$160 |
3.9× |
| Amylase urine (82150) |
$25 |
$62 |
3.9× |
| Ana titer (86039) |
$37 |
$92 |
3.3× |
| Angiotensin i enzyme test (82164) |
$57 |
$143 |
3.9× |
| Antibody aspergillus (86606) |
$59 |
$147 |
3.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$60 |
$151 |
3.9× |
| Antibody coxiella burnetii q fever (86638) |
$40 |
$100 |
3.3× |
| Antibody cytomegalovirus cmv (86644) |
$56 |
$140 |
3.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$50 |
$126 |
3.8× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$48 |
$119 |
3.9× |
| Antibody helicobacter pylori (86677) |
$57 |
$143 |
3.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$56 |
$140 |
3.9× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$53 |
$133 |
3.9× |
| Antibody identification (86870) |
$92 |
$229 |
0.2× |
| Antibody identification leukocyte antibodies (86021) |
$37 |
$93 |
2.5× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$49 |
$123 |
3.9× |
| Antibody influenza virus (86710) |
$52 |
$130 |
3.8× |
| Antibody mumps (86735) |
$50 |
$126 |
3.8× |
| Antibody Protozoa Nes (86753) |
$48 |
$119 |
3.9× |
| Antibody screen (86850) |
$113 |
$283 |
11.6× |
| Antibody treponema pallidum (86780) |
$97 |
$242 |
7.3× |
| Antibody; Coccidioides (86635) |
$44 |
$111 |
3.8× |
| Antigen typing (86905) |
$16 |
$39 |
4.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$20 |
$50 |
3.9× |
| Antinuclear antibodies (86038) |
$45 |
$113 |
3.7× |
| Antistreptolysin o titer (86060) |
$28 |
$70 |
3.8× |
| Antithrombin iii activity (85300) |
$46 |
$115 |
3.9× |
| Antithrombin iii antigen (85301) |
$42 |
$104 |
3.9× |
| Apolipoprotein each (82172) |
$60 |
$151 |
2.8× |
| Arsenic Urine (82175) |
$73 |
$183 |
3.8× |
| Assay 17-(17-Ks)Ketosteroids (83586) |
$50 |
$124 |
3.9× |
| Assay Nephelometry Not Spec (83883) |
$53 |
$133 |
3.9× |
| Assay of 5-hiaa (83497) |
$50 |
$124 |
3.9× |
| Assay of ammonia (82140) |
$57 |
$143 |
3.9× |
| Assay of androstenedione (82157) |
$113 |
$283 |
3.9× |
| Assay of c-peptide (84681) |
$81 |
$202 |
3.9× |
| Assay of ceruloplasmin (82390) |
$42 |
$104 |
3.9× |
| Assay of citrate (82507) |
$108 |
$271 |
3.9× |
| Assay of cpk in blood (82552) |
$52 |
$130 |
3.9× |
| Assay of cyclosporine (80158) |
$70 |
$174 |
3.9× |
| Assay of erythropoietin (82668) |
$72 |
$181 |
3.8× |
| Assay of estrone (82679) |
$97 |
$242 |
3.9× |
| Assay of ethosuximide (80168) |
$69 |
$173 |
4.2× |
| Assay of ferritin (82728) |
$44 |
$111 |
3.2× |
| Assay of g6pd enzyme (82955) |
$38 |
$94 |
3.9× |
| Assay of gammaglobulin igm (82784) |
$34 |
$86 |
3.7× |
| Assay of gastrin (82941) |
$68 |
$171 |
3.9× |
| Assay of gentamicin (80170) |
$64 |
$160 |
3.9× |
| Assay of homocystine (83090) |
$66 |
$164 |
3.7× |
| Assay of lactic acid (83605) |
$42 |
$104 |
3.6× |
| Assay of metanephrines (83835) |
$66 |
$164 |
3.9× |
| Assay of osteocalcin (83937) |
$116 |
$291 |
3.9× |
| Assay of phenobarbital (80184) |
$44 |
$111 |
2.9× |
| Assay of phosphatase acid total (84060) |
$28 |
$70 |
3.7× |
| Assay of prealbumin (84134) |
$10 |
$25 |
0.7× |
| Assay of proinsulin (84206) |
$59 |
$147 |
2.2× |
| Assay of prolactin (84146) |
$76 |
$189 |
3.9× |
| Assay of pyruvate (84210) |
$42 |
$106 |
2.9× |
| Assay of serotonin (84260) |
$121 |
$302 |
3.9× |
| Assay of tacrolimus (80197) |
$53 |
$133 |
3.9× |
| Assay of topiramate (80201) |
$46 |
$115 |
3.9× |
| Assay of urine vma (84585) |
$60 |
$151 |
3.9× |
| Assay of vitamin k (84597) |
$53 |
$133 |
3.9× |
| Assay of volatiles (84600) |
$62 |
$156 |
3.6× |
| Ast (sgot) (84450) |
$20 |
$50 |
3.9× |
| Beta hydroxybutyrate (82010) |
$32 |
$81 |
3.9× |
| Beta lactamase (87185) |
$12 |
$30 |
2.5× |
| Beta-2 microglobulin (82232) |
$54 |
$134 |
3.3× |
| Bile acids, total (82239) |
$66 |
$166 |
3.9× |
| Bilirubin direct (82248) |
$20 |
$49 |
4.0× |
| Bilirubin total (82247) |
$20 |
$49 |
4.0× |
| Bl Smear W/Diff Wbc Count (85007) |
$14 |
$34 |
3.7× |
| Blastomyces antibody (86612) |
$50 |
$126 |
3.9× |
| Bld Typing Serologic Rh Phnt (86906) |
$30 |
$75 |
3.9× |
| Bleeding time (85002) |
$18 |
$44 |
3.7× |
| Blood gas (82803) |
$211 |
$528 |
8.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$13 |
$32 |
0.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$13 |
$32 |
3.0× |
| Blood Ph (82800) |
$33 |
$83 |
3.0× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$34 |
$86 |
5.4× |
| Blood typing abo (86900) |
$12 |
$29 |
4.0× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$19 |
$47 |
1.2× |
| Blood typing serologic rh (d) (86901) |
$12 |
$29 |
4.0× |
| Body fluid cell count (89051) |
$21 |
$53 |
3.8× |
| Body fluid cell count (89050) |
$19 |
$47 |
4.0× |
| Bordetella antibody (86615) |
$52 |
$129 |
3.9× |
| Bordetella pertussis dfa (87265) |
$47 |
$117 |
3.9× |
| C diff amplified probe (87493) |
$136 |
$340 |
3.6× |
| C-reactive protein (86140) |
$20 |
$50 |
3.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$50 |
$126 |
3.9× |
| C1q binding assay (86332) |
$96 |
$239 |
3.9× |
| Ca 125 (86304) |
$81 |
$202 |
3.9× |
| Ca 19-9 (86301) |
$81 |
$202 |
3.9× |
| Ca 27 29 (86300) |
$81 |
$202 |
3.9× |
| Cadmium level (82300) |
$104 |
$260 |
4.4× |
| Calcitonin (82308) |
$92 |
$229 |
3.4× |
| Calcium ionized (82330) |
$53 |
$133 |
3.9× |
| Calcium total (82310) |
$20 |
$50 |
3.9× |
| Calcium urine (82340) |
$28 |
$71 |
4.6× |
| Calculus Quantitative Chemical (82360) |
$50 |
$124 |
3.9× |
| Carbamazepine free (80157) |
$52 |
$129 |
3.9× |
| Carbamazepine total (80156) |
$57 |
$143 |
3.9× |
| Carbon dioxide (82374) |
$19 |
$47 |
3.9× |
| Carboxyhemoglobin; qualitative Facility (82376) |
$23 |
$58 |
1.6× |
| Carcinoembryonic antigen (82378) |
$73 |
$183 |
3.9× |
| Cardiolipin ab igg (86147) |
$99 |
$247 |
3.9× |
| Carotene (82380) |
$35 |
$88 |
3.8× |
| Catecholamines fraction plasma (82384) |
$99 |
$247 |
3.9× |
| Catecholamines Total Urine (82382) |
$66 |
$166 |
2.4× |
| Cell enumeration & id (86152) |
$514 |
$1,285 |
2.0× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
$448 |
$1,121 |
3.3× |
| Chemiluminescent assay (82397) |
$46.50 |
$116.50 |
3.3× |
| Chloramphenicol (82415) |
$50 |
$124 |
3.9× |
| Chloride blood (82435) |
$18 |
$44 |
3.9× |
| Chloride feces (82438) |
$19 |
$47 |
3.8× |
| Chloride urine (82436) |
$20 |
$49 |
3.5× |
| Cholesterol HDL (83718) |
$32 |
$81 |
3.9× |
| Cholesterol total (82465) |
$17 |
$43 |
3.9× |
| Cholinesterase serum (82480) |
$31 |
$78 |
3.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$97 |
$243 |
2.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$484 |
$1,210 |
3.9× |
| Chromogranin a (86316) |
$84 |
$209 |
4.0× |
| Chromosome analys amniotic (88269) |
$646 |
$1,616 |
3.7× |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
$173 |
$432 |
1.0× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) |
$698 |
$1,744 |
3.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$136 |
$340 |
3.9× |
| Ckmb (82553) |
$45 |
$112 |
3.9× |
| Clot factor viii vw antigen (85246) |
$89 |
$223 |
3.9× |
| Clot retraction (85170) |
$14 |
$36 |
0.9× |
| Clotting Inhibitors Protein S Free (85306) |
$60 |
$149 |
3.9× |
| Cmv ab igm (86645) |
$66 |
$164 |
3.9× |
| Cmv PCR (87496) |
$136 |
$340 |
3.9× |
| Coagulation time (85348) |
$14 |
$36 |
3.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$88 |
$220 |
3.7× |
| Cold agglutinin screen (86156) |
$32 |
$79 |
4.0× |
| Cold agglutinin titer (86157) |
$31 |
$78 |
3.8× |
| Collagen cross links (82523) |
$72 |
$181 |
3.9× |
| Compatibility test antiglob (86922) |
$126 |
$314 |
0.7× |
| Complement c3 (86160) |
$47 |
$117 |
3.9× |
| Complement total (ch50) (86162) |
$79 |
$198 |
3.9× |
| Concentration Infectious Agent (87015) |
$8 |
$20 |
1.2× |
| Coombs direct (86880) |
$21 |
$53 |
3.9× |
| Copper urine (82525) |
$48 |
$119 |
3.9× |
| Cortisol free (82530) |
$64 |
$161 |
3.8× |
| Cortisol total (82533) |
$63 |
$157 |
3.9× |
| Creatine kinase total (82550) |
$26 |
$64 |
4.0× |
| Creatinine blood (82565) |
$20 |
$49 |
3.9× |
| Creatinine clearance (82575) |
$63 |
$157 |
6.7× |
| Creatinine other source (82570) |
$20 |
$50 |
3.9× |
| Cryptococcus antibody (86641) |
$56 |
$140 |
3.9× |
| Crystals body fluid (89060) |
$27 |
$68 |
3.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$31 |
$78 |
3.8× |
| Culture Aerobic Identify (87077) |
$31 |
$78 |
3.8× |
| Culture afb (87116) |
$38 |
$95 |
3.5× |
| Culture anaerobic (87075) |
$36 |
$91 |
3.8× |
| Culture blood (87040) |
$40 |
$101 |
3.9× |
| Culture chlamydia (87110) |
$77 |
$192 |
3.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$30 |
$75 |
3.9× |
| Culture fungus blood (87103) |
$35 |
$88 |
1.7× |
| Culture fungus id yeast (87106) |
$34 |
$86 |
3.3× |
| Culture fungus other (87102) |
$33 |
$83 |
3.9× |
| Culture genital (87070) |
$34 |
$85 |
3.9× |
| Culture screen only (87081) |
$26 |
$64 |
3.9× |
| Culture stool (87045) |
$53 |
$132.50 |
5.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$20 |
$50 |
3.9× |
| Culture urine (87086) |
$31 |
$78 |
3.8× |
| Culture virus (87252) |
$102 |
$254 |
3.9× |
| Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) |
$41 |
$103 |
3.3× |
| Cyclic Citrullinated Peptide (86200) |
$50 |
$126 |
3.9× |
| Cystatin c (82610) |
$60 |
$150 |
3.2× |
| Cysticercosis Antibody (86682) |
$38 |
$94 |
2.9× |
| Cytogenetics DNA probe (88271) |
$71 |
$177 |
3.3× |
| Cytogenom const microarray copy number&snp var (81229) |
$20 |
$50 |
0.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$167 |
$417 |
3.9× |
| Cytopath cell enhance tech (88112) |
$67 |
$167 |
1.2× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$124.50 |
$311 |
3.2× |
| Cytp concentration smears & interpretation (88108) |
$119 |
$297 |
3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$172 |
$429 |
3.1× |
| D-Dimer (85378) |
$27 |
$68 |
2.8× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) |
$44 |
$109 |
3.9× |
| Deoxyribonuclease antibody (86215) |
$52 |
$129 |
3.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$47 |
$117 |
2.8× |
| Dhea (82626) |
$99 |
$247 |
3.9× |
| Dhea-sulfate (82627) |
$86 |
$215 |
3.9× |
| Digoxin (80162) |
$52 |
$129 |
3.9× |
| Dilantin (80185) |
$52 |
$129 |
3.9× |
| Dna Antibody Single Stranded (86226) |
$47 |
$117 |
3.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$53 |
$133 |
3.9× |
| Drug quant nes (80299) |
$53 |
$133 |
2.8× |
| Drug Screen Quantitative Lamotrigine (80175) |
$44 |
$109 |
3.3× |
| Drug Scrn Quan Levetiracetam (80177) |
$64 |
$161 |
4.8× |
| Drug test prsmv chem anlyzr (80307) |
$53 |
$133 |
0.9× |
| E test (87181) |
$8 |
$19 |
1.7× |
| Ebv viral capsid (86665) |
$70 |
$174 |
3.9× |
| Ehrlichia antibody (86666) |
$40 |
$101 |
3.9× |
| Electrolyte panel (80051) |
$27 |
$68 |
3.9× |
| Enterovirus antibody (86658) |
$50 |
$126 |
3.8× |
| Enterovirus Pcr (87498) |
$116 |
$289 |
3.3× |
| Eosinophil count (85048) |
$9 |
$23 |
3.5× |
| Estradiol (82670) |
$108 |
$271 |
3.9× |
| Estrogens fractionated (82671) |
$125 |
$312 |
3.9× |
| Ethylene glycol (82693) |
$58 |
$145 |
3.9× |
| Everolimus (80169) |
$45 |
$113 |
3.3× |
| F2 gene analysis 20210g >a variant (81240) |
$162 |
$406 |
2.5× |
| F5 gene analysis, leiden variant (81241) |
$401 |
$1,002 |
5.5× |
| Factor ii activity (85210) |
$43 |
$107 |
3.3× |
| Factor ix activity (85250) |
$73 |
$183 |
3.8× |
| Factor v activity (85220) |
$68 |
$171 |
3.9× |
| Factor vii assay (85230) |
$69 |
$173 |
3.9× |
| Fecal fat qual (82705) |
$20 |
$49 |
3.9× |
| Fecal fat quant (82710) |
$66 |
$164 |
3.9× |
| Fetal fibronectin (82731) |
$250 |
$625 |
3.9× |
| Fetal Lung Maturity Fluorescence Polarization (83663) |
$73 |
$183 |
3.9× |
| Fetal screen (83030) |
$32 |
$81 |
3.0× |
| Fibrin degradation products (85362) |
$27 |
$67 |
3.9× |
| Fibrinogen activity (85384) |
$33 |
$83 |
3.4× |
| Flow cytometry first marker (88184) |
$223 |
$557 |
0.6× |
| Fluorescent Antibody Screen (86255) |
$47 |
$117 |
3.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$47 |
$117 |
3.9× |
| Folate serum (82746) |
$57 |
$143 |
3.9× |
| Follicle Stimulating Hormone (83001) |
$72 |
$179 |
3.9× |
| Francisella tularensis (86668) |
$41 |
$102 |
2.9× |
| Fresh frozen plasma thawing each unit (86927) |
$102 |
$254 |
0.6× |
| Frozen Section (88331) |
$78 |
$195 |
0.4× |
| Gabapentin (80171) |
$26 |
$66 |
1.2× |
| Gammaglobulin ige (82785) |
$49 |
$123 |
3.0× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) |
$26 |
$64 |
3.9× |
| Ggt (82977) |
$28 |
$70 |
3.9× |
| Giardia antigen eia stool (87329) |
$47 |
$117 |
3.9× |
| Glucagon (82943) |
$56 |
$140 |
3.9× |
| Glucose (82947) |
$16 |
$39 |
4.1× |
| Glucose Blood Test (82962) |
$7 |
$18 |
2.1× |
| Glucose body fluid (82945) |
$16 |
$39 |
4.1× |
| Glucose post dose (82950) |
$19 |
$47 |
4.0× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$19 |
$47 |
4.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$50 |
$124 |
3.9× |
| Gonadotropin releasing hormone (83727) |
$66 |
$166 |
3.8× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) |
$576 |
$1,440 |
3.9× |
| Growth hormone (83003) |
$64 |
$161 |
3.8× |
| H pylori breath test (83013) |
$222 |
$556 |
3.3× |
| Haptoglobin (83010) |
$49 |
$123 |
3.9× |
| Hcg qualitative (84703) |
$30 |
$74 |
4.0× |
| Hcg quant (84702) |
$59 |
$147 |
3.9× |
| Hematocrit (85014) |
$9 |
$22 |
3.8× |
| Hemoglobin (85018) |
$9 |
$22 |
3.8× |
| Hemoglobin a1c (83036) |
$38 |
$95 |
3.9× |
| Hemoglobin electrophoresis (83020) |
$50 |
$124 |
3.9× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$30 |
$75 |
3.9× |
| Hemoglobin urine (83069) |
$16 |
$39 |
4.1× |
| Hemosiderin urine (83070) |
$17 |
$42.50 |
3.6× |
| Heparin assay (85520) |
$44 |
$111 |
3.4× |
| Hepatitis a antibody total (86708) |
$48 |
$119 |
3.9× |
| Hepatitis a igm (86709) |
$44 |
$109 |
3.9× |
| Hepatitis b core ab igm (86705) |
$46 |
$115 |
3.9× |
| Hepatitis b core antibody total (86704) |
$47 |
$117 |
3.9× |
| Hepatitis B Surface Ab (86706) |
$42 |
$104 |
3.9× |
| Hepatitis B Surface Antigen (87340) |
$40 |
$101 |
3.9× |
| Hepatitis b virus genotyping (87912) |
$855 |
$2,137 |
3.3× |
| Hepatitis be antibody (86707) |
$48 |
$119 |
4.1× |
| Hepatitis c antibody (86803) |
$56 |
$140 |
3.9× |
| Hepatitis C Antibody Confirmatory Test (86804) |
$60 |
$151 |
3.9× |
| Hepatitis C Genotype (87902) |
$1,000 |
$2,499 |
3.9× |
| Herpes simplex type i (86695) |
$52 |
$129 |
3.9× |
| Herpes simplex type ii (86696) |
$76 |
$189 |
3.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$20 |
$50 |
3.9× |
| Hfe gene (81256) |
$374 |
$936 |
5.7× |
| Histamine plasma (83088) |
$114 |
$285 |
3.9× |
| Histoplasma antibody (86698) |
$49 |
$123 |
3.6× |
| HIV confirmation (86689) |
$76 |
$189 |
3.9× |
| HIV-1 antibody (86701) |
$35 |
$87 |
3.9× |
| Hla-b27 (86812) |
$100 |
$250 |
3.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$136 |
$340 |
3.9× |
| Hydroxycorticosteroids 17 (83491) |
$68 |
$171 |
3.8× |
| Hydroxyproline; free Facility (83500) |
$88 |
$220 |
3.9× |
| Iaad ia clostridium difficile toxin (87324) |
$47 |
$117 |
3.9× |
| Iaad Ia Cryptococcus Neoformans (87327) |
$47 |
$117 |
3.5× |
| Iaad ia cryptosporidium (87328) |
$47 |
$117 |
3.4× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$80 |
$199 |
3.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$47 |
$117 |
3.3× |
| Iaad ia shiga-like toxin (87427) |
$40 |
$99 |
3.3× |
| Iaad Ia Streptococcus Group A (87430) |
$47 |
$117 |
2.8× |
| Iaadi Legionella Pneumophila (87278) |
$47 |
$117 |
3.0× |
| Iaadi parainfluenza virus each type (87279) |
$47 |
$117 |
2.9× |
| Iaadiadoo not otherwise specified (87899) |
$43.50 |
$108 |
2.7× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$136 |
$340 |
3.9× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) |
$136 |
$340 |
3.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$167 |
$417 |
3.9× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$280 |
$701 |
3.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$45 |
$112 |
1.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$136 |
$340 |
3.9× |
| Iadna nos amplified probe tq each organism (87798) |
$136 |
$340 |
3.9× |
| Iadna nos quantification each organism (87799) |
$167 |
$417 |
3.9× |
| Igg subclasses (82787) |
$31 |
$78 |
3.9× |
| Immunoassay infectious agent antibody quan nos (86317) |
$59 |
$147 |
3.9× |
| Immunoassay nonantibody (83516) |
$45 |
$112 |
3.9× |
| Immunodiffusion Ouchterlony (86331) |
$50 |
$126 |
4.2× |
| Immunoelectrophoresis serum (86320) |
$87 |
$217 |
2.9× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) |
$87 |
$217 |
3.8× |
| Immunofixation (86334) |
$87 |
$217 |
3.9× |
| Immunofixation urine (86335) |
$112 |
$280 |
3.8× |
| Immunohistochemistry (88342) |
$156 |
$391 |
0.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87332) |
$146 |
$364 |
12.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) |
$47 |
$117 |
3.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) |
$47 |
$117 |
3.7× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
$162 |
$405 |
12.1× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) |
$182 |
$455 |
13.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) |
$66 |
$166 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) |
$116 |
$289 |
2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Facility (87495) |
$139 |
$348 |
4.6× |
| Inhibin b (83520) |
$50 |
$126 |
2.9× |
| Insulin antibodies (86337) |
$83 |
$208 |
3.9× |
| Insulin total (83525) |
$44 |
$111 |
3.8× |
| Intrinsic factor antibody (86340) |
$59 |
$147 |
3.9× |
| Iron (83540) |
$25 |
$62 |
3.9× |
| Iron binding capacity (83550) |
$34 |
$85 |
3.9× |
| Irradiation Blood Product Each Unit (86945) |
$252 |
$630 |
6.4× |
| Jak2 gene analysis (81270) |
$302 |
$755 |
3.3× |
| Lactoferrin fecal qual (83630) |
$65 |
$162 |
3.3× |
| Lamellar Body Count (83664) |
$73 |
$183 |
3.8× |
| Ldh body fluid (83615) |
$28 |
$69 |
4.6× |
| Ldh isoenzymes (83625) |
$50 |
$124 |
3.9× |
| Lead (83655) |
$47 |
$117 |
3.9× |
| Legionella antibody (86713) |
$60 |
$149 |
3.9× |
| Legionella antigen urine (87449) |
$47 |
$117 |
3.9× |
| Leucine aminopeptidase (lap) (83670) |
$35 |
$88 |
3.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$17 |
$43 |
4.0× |
| Level ii surg pathology grossµscopic exam (88302) |
$114 |
$285 |
2.9× |
| Level v surg pathology grossµscopic exam (88307) |
$355 |
$888 |
0.9× |
| Level vi surg pathology grossµscopic exam (88309) |
$489 |
$1,223 |
0.6× |
| Lh (83002) |
$72 |
$179 |
3.9× |
| Lipase (83690) |
$27 |
$67 |
3.9× |
| Lipoprotein Bld Hr Fraction (83701) |
$97 |
$242 |
2.9× |
| Listeria ab (86609) |
$38 |
$96 |
3.0× |
| Lithium (80178) |
$26 |
$64 |
3.9× |
| Lyme disease antibody (86618) |
$66 |
$166 |
3.9× |
| Macroscopic exam parasite (87169) |
$14 |
$35 |
3.2× |
| Magnesium (83735) |
$28 |
$70 |
4.2× |
| Malaria antibody (86750) |
$52 |
$129 |
3.9× |
| Malaria smear (87207) |
$23 |
$58 |
3.8× |
| Manual cell count each (85032) |
$14 |
$34 |
3.2× |
| Mass spectrometry qual/quan (83789) |
$70 |
$174 |
2.9× |
| Measurement of complement fixation tests (immune system proteins) (86171) |
$33 |
$83 |
3.3× |
| Mercury urine (83825) |
$63 |
$157 |
3.9× |
| Methemoglobin (83050) |
$28 |
$70 |
3.4× |
| Methylmalonic acid serum (83921) |
$64 |
$160 |
3.0× |
| Microalbumin urine (82043) |
$22 |
$56 |
3.8× |
| Microsomal antibodies (86376) |
$57 |
$143 |
3.9× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
$115 |
$287 |
2.7× |
| Molecular pathology procedure level 7 (81406) |
$141 |
$352 |
0.5× |
| Mopath procedure level 5 (81404) |
$190 |
$475 |
0.7× |
| Mopath procedure level 6 (81405) |
$148 |
$369 |
0.5× |
| Mrsa PCR (87641) |
$136 |
$340 |
3.9× |
| Mthfr Gene Analysis Common Variants (81291) |
$158 |
$395 |
2.4× |
| Muramidase (85549) |
$72 |
$181 |
3.8× |
| Mycobacteric identification (87118) |
$36 |
$90 |
2.5× |
| Mycoplasma antibody (86738) |
$52 |
$129 |
3.9× |
| Myelin basic protein csf (83873) |
$64 |
$159 |
3.7× |
| Myoglobin urine (83874) |
$50 |
$126 |
3.9× |
| Nasal smear for eosinophils (89190) |
$19 |
$47 |
3.3× |
| Natriuretic peptide (83880) |
$132 |
$330 |
3.4× |
| Nickel level (83885) |
$92 |
$231 |
3.8× |
| Nuclear antigen antibody (86235) |
$70 |
$174 |
3.9× |
| Occult blood gastric (82271) |
$11 |
$27 |
2.1× |
| Occult blood stool (82272) |
$13 |
$32 |
3.1× |
| Oligoclonal bands (83916) |
$78 |
$195 |
2.8× |
| Oncoprotein dcp (83951) |
$123 |
$308 |
1.9× |
| Organic acids total quantitative each specimen (83918) |
$64 |
$160 |
2.7× |
| Osmolality serum (83930) |
$26 |
$64 |
3.9× |
| Osmolality urine (83935) |
$27 |
$67 |
4.0× |
| Ova 1 (81503) |
$263 |
$658 |
0.3× |
| Ova and parasite direct-id lca (87177) |
$35 |
$87 |
3.9× |
| Oxalate urine (83945) |
$50 |
$124 |
3.5× |
| Pancreatic elastase, fecal (82656) |
$695 |
$1,737 |
60.3× |
| Pancreatic polypeptide (83519) |
$52 |
$130 |
2.8× |
| Particle Agglutination Screen Each Antibody (86403) |
$40 |
$101 |
3.5× |
| Parvovirus antibody (86747) |
$59 |
$147 |
3.9× |
| Ph body fluid (83986) |
$14 |
$36 |
3.9× |
| Phenylalanine (84030) |
$21 |
$53 |
3.8× |
| Phosphatase alkaline (84075) |
$20 |
$50 |
3.9× |
| Phosphorus blood (84100) |
$19 |
$47 |
4.0× |
| Phosphorus urine (84105) |
$22.50 |
$56.50 |
3.9× |
| Pinworm exam (87172) |
$17 |
$43 |
4.0× |
| Platelet count automated (85049) |
$18 |
$44 |
4.0× |
| Pooling blood platelets (86965) |
$161 |
$402 |
0.9× |
| Porphobilinogen urine qual (84106) |
$17 |
$43 |
2.9× |
| Porphobilinogen urine quant (84110) |
$33 |
$83 |
3.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$57 |
$143 |
3.9× |
| Potassium (84132) |
$18 |
$44 |
3.8× |
| Potassium urine (84133) |
$17 |
$43 |
3.6× |
| Pregnancy associated plasma protein-a (84163) |
$50 |
$124 |
3.3× |
| Pregnanediol (84135) |
$74 |
$186 |
3.5× |
| Pregnenolone (84140) |
$68 |
$170 |
3.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$161 |
$402 |
0.9× |
| Primidone (80188) |
$64 |
$161 |
3.9× |
| Procainamide napa (80192) |
$64 |
$161 |
3.8× |
| Procalcitonin (pct) (84145) |
$88 |
$221 |
3.2× |
| Progesterone (84144) |
$81 |
$202 |
3.9× |
| Progesterone (reproductive hormone) receptor analysis (84234) |
$252 |
$629 |
3.9× |
| Prostaglandin Ea (84150) |
$82 |
$206 |
2.0× |
| Protein body fluid (84157) |
$14 |
$36 |
3.5× |
| Protein c activity (85303) |
$54 |
$136 |
3.9× |
| Protein c antigen (85302) |
$47 |
$117 |
3.9× |
| Protein electrophoresis serum (84165) |
$42 |
$104 |
3.9× |
| Protein Electrophoresis Urine (84166) |
$59 |
$147 |
3.3× |
| Protein s total (85305) |
$45 |
$112 |
3.9× |
| Protein total serum (84155) |
$14 |
$36 |
3.8× |
| Protein urine (84156) |
$14 |
$36 |
3.8× |
| Protein Western Blot (84182) |
$70 |
$174 |
2.4× |
| Protein westrn blot i&r blood/other fluid (84181) |
$66 |
$166 |
3.9× |
| Protoporphyrin rbc quantitative (84202) |
$56 |
$140 |
3.9× |
| PSA free (84154) |
$72 |
$179 |
3.9× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) |
$212 |
$529 |
0.7× |
| Pten Gene Analysis Full Sequence Analysis (81321) |
$1,452 |
$3,629 |
2.4× |
| Pth intact (83970) |
$161 |
$402 |
3.9× |
| Quinidine (80194) |
$57 |
$143 |
3.9× |
| Rbc (85041) |
$12 |
$29 |
4.0× |
| Rbc antibody elution (86860) |
$420 |
$1,051 |
2.3× |
| Rbc pretreatment serum (86978) |
$162 |
$405 |
2.6× |
| Rbc pretx incubatj w/chemicl (86970) |
$152 |
$380 |
2.4× |
| Reagent strip/blood glucose (82948) |
$13 |
$32 |
2.6× |
| Receptor Assay Estrogen (84233) |
$250 |
$625 |
2.8× |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) |
$203 |
$508 |
2.8× |
| Resp virus 12-25 targets (87633) |
$80 |
$200 |
0.2× |
| Respiratory Virus (86756) |
$50 |
$124 |
3.1× |
| Reticulocyte count auto (85045) |
$16 |
$41 |
4.0× |
| Rheumatoid Factor Qual (86430) |
$22 |
$56 |
3.6× |
| Rheumatoid factor quant (86431) |
$22 |
$56 |
3.9× |
| Rickettsia antibody (86757) |
$76 |
$189 |
3.9× |
| Rotavirus ag eia (87425) |
$47 |
$117 |
3.9× |
| Rubella antibody (86762) |
$56 |
$140 |
3.9× |
| Rubeola Antibody Igg (86765) |
$50 |
$124 |
3.9× |
| Russell viper venom time (includes venom); undiluted Facility (85612) |
$38 |
$94 |
2.2× |
| Russell viper venom time diluted (85613) |
$38 |
$94 |
4.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$80 |
$200 |
1.9× |
| Sedimentation rate auto (85652) |
$11 |
$27 |
4.1× |
| Selenium (84255) |
$99 |
$248 |
3.9× |
| Semen analysis complete (89320) |
$47 |
$117 |
3.8× |
| Semen analysis motility and count (89310) |
$34 |
$85 |
3.9× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) |
$35 |
$87 |
3.6× |
| Sensitivity kb (87184) |
$27 |
$67 |
3.6× |
| Sensitivity mic (87186) |
$34 |
$85 |
3.9× |
| Serotonin Release Assay (86022) |
$71 |
$178 |
3.9× |
| Sex hormone binding globulin (84270) |
$38 |
$94 |
1.7× |
| Sickling of rbc reduction (85660) |
$21 |
$53 |
3.8× |
| Sirolimus (rapamycin) (80195) |
$45 |
$113 |
3.3× |
| Smear acid fast (87206) |
$21 |
$53 |
3.9× |
| Smear gram stain (87205) |
$17 |
$43 |
4.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$17 |
$43 |
2.9× |
| Sodium (84295) |
$19 |
$47 |
4.0× |
| Sodium urine (84300) |
$16 |
$40 |
3.2× |
| Somatomedin (84305) |
$82 |
$206 |
3.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$165 |
$412 |
1.2× |
| Special stains group 1 (88312) |
$239 |
$598 |
4.3× |
| Spectrophotometry (84311) |
$17 |
$43 |
2.1× |
| Sperm antibody measurement (89325) |
$42 |
$104 |
3.9× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) |
$38 |
$95 |
3.7× |
| Sputum specimen collection (89220) |
$40 |
$99 |
0.2× |
| Stool Culture, Addl Pathogens (87046) |
$36 |
$91 |
3.8× |
| Strep a assay w/optic (87880) |
$47 |
$117 |
2.8× |
| Sugars single quant (84378) |
$41 |
$102 |
3.6× |
| Surg path level 1 (88300) |
$109 |
$273 |
3.6× |
| Surg path level iii (88304) |
$136 |
$340 |
2.5× |
| Surgical pathology level IV (88305) |
$177 |
$443 |
3.2× |
| T Cell Absolute Count (86361) |
$70 |
$174 |
2.6× |
| T3 free (84481) |
$66 |
$164 |
3.9× |
| T3 reverse (84482) |
$61 |
$153 |
3.9× |
| T3 total (84480) |
$55 |
$137 |
3.9× |
| T4 free (84439) |
$35 |
$88 |
3.9× |
| T4 total (84436) |
$27 |
$67 |
3.9× |
| Tb intradermal test (86580) |
$29.50 |
$73.50 |
1.0× |
| Tb test, cell immun measure (86480) |
$180.50 |
$451.50 |
2.9× |
| Testosterone free (84402) |
$38 |
$94 |
1.5× |
| Testosterone total (84403) |
$100 |
$250 |
3.9× |
| Theophylline (80198) |
$55 |
$137 |
3.9× |
| Thin prep pap (88142) |
$67 |
$167 |
3.3× |
| Thrombin time plasma (85670) |
$22 |
$56 |
3.8× |
| Thyroglobulin (84432) |
$62 |
$156 |
3.9× |
| Thyroglobulin antibody (86800) |
$62 |
$156 |
3.9× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$92 |
$229 |
1.8× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) |
$260 |
$650 |
3.9× |
| Thyroxine binding globulin (84442) |
$58 |
$145 |
3.9× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$17 |
$43 |
4.0× |
| Tissue culture lymphocyte (88230) |
$452 |
$1,130 |
3.9× |
| Tobramycin peak (80200) |
$63 |
$157 |
3.9× |
| Toxoplasma ab igm (86778) |
$56 |
$140 |
3.9× |
| Toxoplasma antibody igg (86777) |
$56 |
$140 |
3.9× |
| Transferrin (84466) |
$50 |
$124 |
3.9× |
| Triglycerides (84478) |
$22 |
$56 |
3.8× |
| Troponin (84484) |
$38 |
$95 |
3.0× |
| Tumor immunohistochem/comput (88361) |
$583 |
$1,457 |
1.5× |
| Unlisted Transfusion Medicine Procedure (86999) |
$162 |
$405 |
5.3× |
| Urea nitrogen (84520) |
$16 |
$39 |
4.1× |
| Urea nitrogen urine (84540) |
$19 |
$47 |
3.4× |
| Uric acid blood (84550) |
$18 |
$44 |
4.0× |
| Uric acid other source (84560) |
$21.50 |
$53 |
4.2× |
| Urinalysis (81005) |
$8 |
$19 |
3.7× |
| Urinalysis Microscopic Only (81015) |
$10 |
$26 |
3.3× |
| Urine Albumin Semiquantitative (82044) |
$18 |
$44 |
2.9× |
| Urine Bacteria Culture (87088) |
$30 |
$74 |
3.7× |
| Urine pregnancy test (81025) |
$10 |
$24 |
1.2× |
| Urobilinogen urine qual (84578) |
$13 |
$32 |
2.9× |
| Urobilinogen, feces, quantitative Facility (84577) |
$49 |
$123 |
2.9× |
| Valproic acid (80164) |
$52 |
$130 |
3.8× |
| Vancomycin trough (80202) |
$52 |
$130 |
3.8× |
| Varicella-zoster antibody (86787) |
$50 |
$124 |
3.9× |
| Vasoactive intestinal peptide (vip) (84586) |
$173 |
$433 |
4.9× |
| Vdrl csf (86592) |
$17 |
$43 |
4.0× |
| Virus antibody nos (86790) |
$50 |
$124 |
3.9× |
| Virus inoculation, shell via (87254) |
$77 |
$192 |
3.9× |
| Viscosity serum (85810) |
$111 |
$278 |
9.5× |
| Vitamin A (84590) |
$45 |
$112 |
3.9× |
| Vitamin b-12 (82607) |
$59 |
$147 |
3.9× |
| Vitamin b1 (thiamine) (84425) |
$74 |
$186 |
3.5× |
| Vitamin b2 (84252) |
$67 |
$167 |
3.3× |
| Vitamin b3 niacin (84591) |
$45 |
$112 |
2.6× |
| Vitamin b6 (84207) |
$74 |
$186 |
2.6× |
| Vitamin c (82180) |
$38 |
$95 |
3.8× |
| Vitamin D 25-Hydroxy (82306) |
$115 |
$288 |
3.9× |
| Vitamin e serum (84446) |
$55 |
$137 |
3.9× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$34 |
$85 |
4.0× |
| West nile virus antibody (86789) |
$48 |
$119 |
3.3× |
| West nile virus igm (86788) |
$56 |
$140 |
3.3× |
| Yersinia antibody (86793) |
$52 |
$129 |
3.9× |
| Zinc (84630) |
$44 |
$111 |
3.9× |