Lab & pathology prices at Doctors Memorial Hospital
Perry, FL · every code in this section with a posted price and a Medicare benchmark.
600 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $68.80 | $172 | 1.8× |
| 5 Nucleotidase (83915) | $20.40 | $51 | 1.8× |
| Acetaminophen level (80143) | $36.40 | $91 | 2.0× |
| Acetone serum qual (82009) | $14.80 | $37 | 3.3× |
| Activated protein c resistance (85307) | $78.20 | $195.50 | 5.1× |
| Acute hepatitis panel (80074) | $87 | $217.50 | 1.8× |
| Acylcarnitine Plasma (82017) | $30.40 | $76 | 1.8× |
| Adenovirus Ag Ia (87301) | $22 | $55 | 1.8× |
| Adenovirus antibody (86603) | $20.40 | $51 | 1.6× |
| Adrenocorticotropic hormone (82024) | $66 | $165 | 1.7× |
| Afp maternal serum (82105) | $30.40 | $76 | 1.8× |
| Agglutinins febrile ea antigen (86000) | $13.20 | $33 | 1.9× |
| Albumin body fluid (82042) | $8 | $20 | 1.0× |
| Albumin serum (82040) | $14.40 | $36 | 2.9× |
| Aldolase (82085) | $16 | $40 | 1.6× |
| Aldosterone urine (82088) | $59 | $147.50 | 1.4× |
| Alkaline phosphatase isoenzymes (84080) | $28.80 | $72 | 1.9× |
| Allergen peanut (86003) | $10 | $25 | 1.9× |
| Allergen specific igg (86001) | $8 | $20 | 1.0× |
| Alpha-1-antitrypsin phenotype (82104) | $70.80 | $177 | 4.9× |
| Alpha-1-antitrypsin, total (82103) | $22.80 | $57 | 1.7× |
| Alpha-Fetoprotein L3 (82107) | $30 | $75 | 0.5× |
| Alt (sgpt) (84460) | $12 | $30 | 2.3× |
| Aluminum (82108) | $42 | $105 | 1.6× |
| Amikacin trough (80150) | $27.20 | $68 | 1.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $30.40 | $76 | 1.3× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $25.60 | $64 | 1.5× |
| Amino Acids, Multiple Qual (82128) | $25.60 | $64 | 1.8× |
| Aminolevulinic acid (ala) (82135) | $28.60 | $71.50 | 1.7× |
| Amylase urine (82150) | $28 | $70 | 4.3× |
| Ana titer (86039) | $18.80 | $47 | 1.7× |
| Angiotensin i enzyme test (82164) | $27.40 | $68.50 | 1.9× |
| Anti-phosphatidylserine antibody (86148) | $31.40 | $78.50 | 2.0× |
| Antibody aspergillus (86606) | $27.20 | $68 | 1.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $48.80 | $122 | 3.2× |
| Antibody coxiella burnetii q fever (86638) | $22 | $55 | 1.8× |
| Antibody cytomegalovirus cmv (86644) | $19.45 | $48.62 | 1.4× |
| Antibody Encephalitis Eastern Equine (86652) | $15.70 | $39.25 | 1.2× |
| Antibody encephalitis st. louis (86653) | $15.70 | $39.25 | 1.2× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $24 | $60 | 1.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $40 | $100 | 3.3× |
| Antibody haemophilus influenza (86684) | $28.40 | $71 | 1.8× |
| Antibody helicobacter pylori (86677) | $26.40 | $66 | 1.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $24 | $60 | 1.7× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $23.20 | $58 | 1.7× |
| Antibody HIV-2 (86702) | $18.20 | $45.50 | 1.3× |
| Antibody identification (86870) | $195.60 | $489 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $27.20 | $68 | 1.8× |
| Antibody influenza virus (86710) | $25.20 | $63 | 1.9× |
| Antibody mumps (86735) | $24 | $60 | 1.8× |
| Antibody Protozoa Nes (86753) | $22.40 | $56 | 1.8× |
| Antibody screen (86850) | $37.60 | $94 | 3.8× |
| Antibody treponema pallidum (86780) | $24 | $60 | 1.8× |
| Antibody; campylobacter (86625) | $30 | $75 | 2.3× |
| Antibody; Coccidioides (86635) | $21.20 | $53 | 1.8× |
| Antibody; HTLV-II Facility (86688) | $17.70 | $44.25 | 1.3× |
| Antigen typing (86905) | $7.60 | $19 | 2.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $62 | $155 | 12.0× |
| Antinuclear antibodies (86038) | $22 | $55 | 1.8× |
| Antistreptolysin o titer (86060) | $14 | $35 | 1.9× |
| Antithrombin iii activity (85300) | $10.80 | $27 | 0.9× |
| Apolipoprotein each (82172) | $27 | $67.50 | 1.3× |
| Arsenic Urine (82175) | $54.40 | $136 | 2.9× |
| Aspergillus ag eia (87305) | $42 | $105 | 3.5× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $23.20 | $58 | 1.8× |
| Assay Nephelometry Not Spec (83883) | $26.60 | $66.50 | 2.0× |
| Assay of 17-hydroxypregnenolone (84143) | $41.20 | $103 | 1.8× |
| Assay of 5-hiaa (83497) | $23.20 | $58 | 1.8× |
| Assay of ammonia (82140) | $24 | $60 | 1.6× |
| Assay of androstenedione (82157) | $52.80 | $132 | 1.8× |
| Assay of c-peptide (84681) | $31.60 | $79 | 1.5× |
| Assay of ceruloplasmin (82390) | $20 | $50 | 1.9× |
| Assay of citrate (82507) | $50 | $125 | 1.8× |
| Assay of corticosterone (82528) | $40.40 | $101 | 1.8× |
| Assay of cpk in blood (82552) | $19.91 | $49.78 | 1.5× |
| Assay of cyclosporine (80158) | $31.60 | $79 | 1.8× |
| Assay of dibucaine number (82638) | $22.40 | $56 | 1.8× |
| Assay of erythropoietin (82668) | $34 | $85 | 1.8× |
| Assay of estrone (82679) | $42 | $105 | 1.7× |
| Assay of ethosuximide (80168) | $26.80 | $67 | 1.6× |
| Assay of ferritin (82728) | $36.40 | $91 | 2.7× |
| Assay of g6pd enzyme (82955) | $18 | $45 | 1.9× |
| Assay of gammaglobulin igm (82784) | $16.80 | $42 | 1.8× |
| Assay of gastrin (82941) | $32 | $80 | 1.8× |
| Assay of gentamicin (80170) | $32.40 | $81 | 2.0× |
| Assay of homocystine (83090) | $35.20 | $88 | 2.0× |
| Assay of lactic acid (83605) | $20 | $50 | 1.7× |
| Assay of manganese (83785) | $38.80 | $97 | 1.5× |
| Assay of metanephrines (83835) | $32.40 | $81 | 1.9× |
| Assay of osteocalcin (83937) | $37.20 | $93 | 1.2× |
| Assay of phenobarbital (80184) | $32.40 | $81 | 2.1× |
| Assay of prealbumin (84134) | $42.40 | $106 | 2.9× |
| Assay of prolactin (84146) | $33.20 | $83 | 1.7× |
| Assay of pyruvate (84210) | $20 | $50 | 1.4× |
| Assay of serotonin (84260) | $25.20 | $63 | 0.8× |
| Assay of tacrolimus (80197) | $34.80 | $87 | 2.5× |
| Assay of topiramate (80201) | $21.60 | $54 | 1.8× |
| Assay of transcortin (84449) | $27.20 | $68 | 1.5× |
| Assay of urine vma (84585) | $28 | $70 | 1.8× |
| Assay of vasopressin anti-diuretic hormone (84588) | $60.80 | $152 | 1.8× |
| Assay of vitamin k (84597) | $100 | $250 | 7.3× |
| Assay of volatiles (84600) | $28.80 | $72 | 1.7× |
| Assay Phosphatase Acid Prostatic (84066) | $12.80 | $32 | 1.3× |
| Ast (sgot) (84450) | $10 | $25 | 1.9× |
| B cells total count (86355) | $67.20 | $168 | 1.8× |
| Bartonella antibody (86611) | $19.20 | $48 | 1.9× |
| Bcr/abl1 gene major bp (81206) | $264 | $660 | 1.6× |
| Beta 2 glycoprotein 1 igm (86146) | $30 | $75 | 1.2× |
| Beta-2 microglobulin (82232) | $28.80 | $72 | 1.8× |
| Bilirubin direct (82248) | $10.80 | $27 | 2.2× |
| Bilirubin total (82247) | $11.80 | $29.50 | 2.4× |
| Blastomyces antibody (86612) | $20.40 | $51 | 1.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $10.40 | $26 | 0.1× |
| Bleeding time (85002) | $10.80 | $27 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $6.80 | $17 | 1.6× |
| Blood Ph (82800) | $7.20 | $18 | 0.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $24.40 | $61 | 3.8× |
| Blood typing abo (86900) | $13.92 | $34.80 | 4.7× |
| Blood typing serologic rh (d) (86901) | $15.68 | $39.20 | 5.2× |
| Body fluid cell count (89051) | $67.20 | $168 | 12.0× |
| Body fluid cell count (89050) | $9.20 | $23 | 1.9× |
| Bordetella antibody (86615) | $23.60 | $59 | 1.8× |
| Brucella antibody (86622) | $13.20 | $33 | 1.5× |
| C diff amplified probe (87493) | $49.20 | $123 | 1.3× |
| C-reactive protein (86140) | $31.20 | $78 | 6.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $23.20 | $58 | 1.8× |
| Ca 125 (86304) | $37.20 | $93 | 1.8× |
| Ca 19-9 (86301) | $37.20 | $93 | 1.8× |
| Ca 27 29 (86300) | $35.20 | $88 | 1.7× |
| Calcitonin (82308) | $48 | $120 | 1.8× |
| Calcium ionized (82330) | $25.20 | $63 | 1.8× |
| Calcium total (82310) | $9.60 | $24 | 1.9× |
| Calcium urine (82340) | $11.20 | $28 | 1.9× |
| Calculus; qualitative analysis Facility (82355) | $21.20 | $53 | 1.8× |
| California encephalitis ab (86651) | $15.70 | $39.25 | 1.2× |
| Calprotectin, fecal (83993) | $32 | $80 | 1.6× |
| Candida antibody (86628) | $13.20 | $33 | 1.1× |
| Carbamazepine free (80157) | $28.40 | $71 | 2.1× |
| Carbamazepine total (80156) | $43.20 | $108 | 3.0× |
| Carbon dioxide (82374) | $9.20 | $23 | 1.9× |
| Carboxyhemoglobin (82375) | $28.40 | $71 | 2.3× |
| Carcinoembryonic antigen (82378) | $34 | $85 | 1.8× |
| Cardiolipin ab igg (86147) | $30 | $75 | 1.2× |
| Carnitine (82379) | $13.20 | $33 | 0.8× |
| Carotene (82380) | $16.80 | $42 | 1.8× |
| Catecholamines fraction plasma (82384) | $40 | $100 | 1.6× |
| Catecholamines organic nitrogen blood level (82383) | $45.20 | $113 | 1.6× |
| CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants… (81221) | $126 | $315 | 1.3× |
| Chemiluminescent assay (82397) | $40 | $100 | 2.8× |
| Chlamydia antibody (86631) | $21.60 | $54 | 1.8× |
| Chloride blood (82435) | $8.80 | $22 | 1.9× |
| Chloride feces (82438) | $9.20 | $23 | 1.8× |
| Chloride urine (82436) | $9.60 | $24 | 1.7× |
| Cholesterol HDL (83718) | $15.20 | $38 | 1.9× |
| Cholesterol total (82465) | $12 | $30 | 2.8× |
| Cholinesterase rbc (82482) | $27.60 | $69 | 2.8× |
| Cholinesterase serum (82480) | $13.60 | $34 | 1.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $211.80 | $529.50 | 1.7× |
| Chromium urine (82495) | $26.20 | $65.50 | 1.3× |
| Chromogranin a (86316) | $35.80 | $89.50 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $48.80 | $122 | 1.4× |
| Ckmb (82553) | $32.40 | $81 | 2.8× |
| Clot Factor VIII Multimetric (85247) | $41.60 | $104 | 1.8× |
| Clot factor viii vw antigen (85246) | $37.60 | $94 | 1.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $32.40 | $81 | 1.8× |
| Clotting Inhibitors Protein S Free (85306) | $27.60 | $69 | 1.8× |
| Cmv ab igm (86645) | $21.40 | $53.50 | 1.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $29.60 | $74 | 1.2× |
| Cold agglutinin titer (86157) | $14.80 | $37 | 1.8× |
| Collagen cross links (82523) | $33.60 | $84 | 1.8× |
| Compatibility test antiglob (86922) | $56 | $140 | 0.3× |
| Complement c3 (86160) | $22 | $55 | 1.8× |
| Complement total (ch50) (86162) | $37.20 | $93 | 1.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $22 | $55 | 1.8× |
| Concentration Infectious Agent (87015) | $12.80 | $32 | 1.9× |
| Coombs direct (86880) | $34.80 | $86.98 | 6.5× |
| Copper urine (82525) | $22.40 | $56 | 1.8× |
| Cortisol free (82530) | $30.40 | $76 | 1.8× |
| Cortisol total (82533) | $29.60 | $74 | 1.8× |
| Creatine kinase total (82550) | $28 | $70 | 4.3× |
| Creatinine blood (82565) | $9.60 | $24 | 1.9× |
| Creatinine clearance (82575) | $32 | $80 | 3.4× |
| Creatinine other source (82570) | $13.40 | $33.50 | 2.6× |
| Crossmatch immediate spin (86920) | $116 | $290 | 0.7× |
| Cryoglobulin (82595) | $10.80 | $27 | 1.7× |
| Crystals body fluid (89060) | $13.60 | $34 | 1.9× |
| Culture Aerobic Identify (87077) | $13.60 | $34 | 1.7× |
| Culture anaerobic (87075) | $17.20 | $43 | 1.8× |
| Culture blood (87040) | $28.40 | $71 | 2.8× |
| Culture chlamydia (87110) | $31.20 | $78 | 1.6× |
| Culture fungus blood (87103) | $16.80 | $42 | 0.8× |
| Culture fungus id yeast (87106) | $16.80 | $42 | 1.6× |
| Culture fungus other (87102) | $16.80 | $42 | 2.0× |
| Culture genital (87070) | $16 | $40 | 1.9× |
| Culture screen only (87081) | $12.80 | $32 | 1.9× |
| Culture stool (87045) | $17.20 | $43 | 1.8× |
| Culture typing if ea antiserum (87140) | $9.60 | $24 | 1.7× |
| Culture urine (87086) | $15.20 | $38 | 1.9× |
| Culture virus (87252) | $47.20 | $118 | 1.8× |
| Cyanide (82600) | $34.80 | $87 | 1.8× |
| Cyclic Citrullinated Peptide (86200) | $40.40 | $101 | 3.1× |
| Cyp2d6 gene com variants (81226) | $864 | $2,160 | 1.9× |
| Cystatin c (82610) | $16 | $40 | 0.9× |
| Cysticercosis Antibody (86682) | $24 | $60 | 1.8× |
| Cytogenetics 10-30 (88273) | $52 | $130 | 1.5× |
| Cytogenetics 100-300 (88275) | $76.80 | $192 | 1.5× |
| Cytogenetics DNA probe (88271) | $42.40 | $106 | 2.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $76.80 | $192 | 1.8× |
| Cytopath cell enhance tech (88112) | $55.40 | $138.50 | 1.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $68.40 | $171 | 1.8× |
| Cytp concentration smears & interpretation (88108) | $48.20 | $120.50 | 1.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $160.80 | $402 | 0.9× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $19.60 | $49 | 1.1× |
| Deoxycortisol (82634) | $52.80 | $132 | 1.8× |
| Deoxyribonuclease antibody (86215) | $41.60 | $104 | 3.1× |
| Desoxycorticosterone (82633) | $56 | $140 | 1.8× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $25.60 | $64 | 1.5× |
| Dhea (82626) | $54.60 | $136.50 | 2.2× |
| Dhea-sulfate (82627) | $42.80 | $107 | 1.9× |
| Digoxin (80162) | $36.80 | $92 | 2.8× |
| Dilantin (80185) | $37.60 | $94 | 2.8× |
| Diphtheria antitoxoid (86648) | $28 | $70 | 1.8× |
| Dipropylacetic acid free (80165) | $25.20 | $63 | 1.9× |
| Dna Antibody Single Stranded (86226) | $20.40 | $51 | 1.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $24.20 | $60.50 | 1.8× |
| Drug assay adalimumab (80145) | $89.60 | $224 | 2.3× |
| Drug Assay Amiodarone (80151) | $25.20 | $63 | 1.4× |
| Drug assay felbamate (80167) | $25.20 | $63 | 1.4× |
| Drug assay flecainide (80181) | $30.40 | $76 | 1.6× |
| Drug quant nes (80299) | $26 | $65 | 1.4× |
| Drug screen quant zonisamide (80203) | $25.20 | $63 | 1.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $25.20 | $63 | 1.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $28.40 | $71 | 2.1× |
| Drug Scrn Quan Levetiracetam (80177) | $30 | $75 | 2.3× |
| Drug test prsmv chem anlyzr (80307) | $91.20 | $228 | 1.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $110.40 | $276 | 8.8× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $38.80 | $97 | 2.3× |
| E test (87181) | $2.80 | $7 | 0.6× |
| Ebv viral capsid (86665) | $33.80 | $84.50 | 1.9× |
| Ehrlichia antibody (86666) | $9.60 | $24 | 0.9× |
| Electrolyte panel (80051) | $21.60 | $54 | 3.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $61.60 | $154 | 1.0× |
| Entamoeba histolytica antigen (87337) | $34 | $85 | 2.8× |
| Enterovirus antibody (86658) | $21.60 | $54 | 1.7× |
| Enterovirus Pcr (87498) | $16.80 | $42 | 0.5× |
| Eosinophil count (85048) | $4.80 | $12 | 1.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $28.60 | $71.50 | 1.9× |
| Estradiol (82670) | $50.40 | $126 | 1.8× |
| Estriol serum (82677) | $55.80 | $139.50 | 2.3× |
| Estrogens fractionated (82671) | $58 | $145 | 1.8× |
| Ethylene glycol (82693) | $28.40 | $71 | 1.9× |
| F2 gene analysis 20210g >a variant (81240) | $190.40 | $476 | 2.9× |
| F5 gene analysis, leiden variant (81241) | $122.80 | $307 | 1.7× |
| Factor ii activity (85210) | $10.80 | $27 | 0.8× |
| Factor inhibitor test (85335) | $111.20 | $278 | 8.6× |
| Factor ix activity (85250) | $34.40 | $86 | 1.8× |
| Factor v activity (85220) | $32 | $80 | 1.8× |
| Factor vii assay (85230) | $32.40 | $81 | 1.8× |
| Factor viii ahg (85240) | $32.40 | $81 | 1.8× |
| Factor xi assay (85270) | $32.40 | $81 | 1.8× |
| Factor xii assay (85280) | $34.80 | $87 | 1.8× |
| Fatty acids free (82725) | $25.20 | $63 | 1.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $16 | $40 | 0.9× |
| Fecal fat qual (82705) | $66.40 | $166 | 13.0× |
| Fecal fat quant (82710) | $47.40 | $118.50 | 2.8× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $40.60 | $101.50 | 0.6× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $31.20 | $78 | 1.6× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) | $32.40 | $81 | 1.5× |
| Fibrin degradation products (85362) | $18.80 | $47 | 2.7× |
| Fibrin Degradation Quant (85379) | $48.80 | $122 | 4.8× |
| Fibrinogen activity (85384) | $20 | $50 | 2.1× |
| Flow cytometry first marker (88184) | $193.60 | $484 | 0.5× |
| Fluorescent Antibody Screen (86255) | $22 | $55 | 1.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $22 | $55 | 1.8× |
| Fmr1 gene detection (81243) | $222 | $555 | 3.9× |
| Folate serum (82746) | $40 | $100 | 2.7× |
| Follicle Stimulating Hormone (83001) | $33.60 | $84 | 1.8× |
| Francisella tularensis (86668) | $19.20 | $48 | 1.4× |
| Fresh frozen plasma thawing each unit (86927) | $43.60 | $109 | 0.2× |
| Frozen Section (88331) | $115.20 | $288 | 0.6× |
| Fructosamine (82985) | $27.20 | $68 | 1.6× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $16.80 | $42 | 1.6× |
| Gabapentin (80171) | $28 | $70 | 1.3× |
| Gammaglobulin ige (82785) | $8.40 | $21 | 0.5× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $51.60 | $129 | 0.7× |
| Gc Dna Probe (87590) | $22.80 | $57 | 0.8× |
| Ggt (82977) | $18 | $45 | 2.5× |
| Giardia lamblia antibody (86674) | $26 | $65 | 1.8× |
| Glucagon (82943) | $26 | $65 | 1.8× |
| Glucose (82947) | $8.80 | $22 | 2.2× |
| Glucose body fluid (82945) | $8.80 | $22 | 2.2× |
| Glucose post dose (82950) | $8.80 | $22 | 1.9× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $8 | $20 | 2.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $30.40 | $76 | 2.4× |
| Growth hormone (83003) | $30.40 | $76 | 1.8× |
| H pylori breath test (83013) | $109.20 | $273 | 1.6× |
| Haloperidol (haldol) (80173) | $25.20 | $63 | 1.6× |
| Haptoglobin (83010) | $24 | $60 | 1.9× |
| Hcg qualitative (84703) | $18.80 | $47 | 2.5× |
| Hcg quant (84702) | $38.80 | $97 | 2.6× |
| Heavy metal quant each (83018) | $13.60 | $34 | 0.6× |
| Hemoglobin (85018) | $11.72 | $29.30 | 4.9× |
| Hemoglobin a1c (83036) | $24 | $60 | 2.5× |
| Hemoglobin electrophoresis (83020) | $32.40 | $81 | 2.5× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $14 | $35 | 1.8× |
| Hemoglobin plasma (83051) | $14 | $35 | 1.9× |
| Heparin assay (85520) | $16.40 | $41 | 1.3× |
| Hepatitis a antibody total (86708) | $22.40 | $56 | 1.8× |
| Hepatitis a igm (86709) | $20.80 | $52 | 1.8× |
| Hepatitis b core ab igm (86705) | $21.60 | $54 | 1.8× |
| Hepatitis b core antibody total (86704) | $22 | $55 | 1.8× |
| Hepatitis B Surface Ab (86706) | $20 | $50 | 1.9× |
| Hepatitis B Surface Antigen (87340) | $18 | $45 | 1.7× |
| Hepatitis b virus genotyping (87912) | $475.20 | $1,188 | 1.8× |
| Hepatitis be antibody (86707) | $21.20 | $53 | 1.8× |
| Hepatitis Be Antigen (87350) | $21.20 | $53 | 1.8× |
| Hepatitis c antibody (86803) | $26 | $65 | 1.8× |
| Hepatitis C Antibody Confirmatory Test (86804) | $28 | $70 | 1.8× |
| Hepatitis C Genotype (87902) | $318 | $795 | 1.2× |
| Hepatitis delta ab (86692) | $27.60 | $69 | 1.6× |
| Hepatitis delta ag (87380) | $26.80 | $67 | 1.5× |
| Herpes simplex type i (86695) | $23.60 | $59 | 1.8× |
| Herpes simplex type ii (86696) | $34.80 | $87 | 1.8× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $14.40 | $36 | 2.8× |
| Hexa gene analysis common variants (81255) | $13.20 | $33 | 0.3× |
| Hexagonal phospholipid (85598) | $28 | $70 | 1.6× |
| Hfe gene (81256) | $216.80 | $542 | 3.3× |
| Histoplasma antibody (86698) | $19.60 | $49 | 1.4× |
| HIV confirmation (86689) | $32 | $80 | 1.7× |
| HIV-1 antibody (86701) | $20.20 | $50.50 | 2.3× |
| HIV-1 integrase genotype (87906) | $220 | $550 | 1.7× |
| HIV-1 p24 antigen (87390) | $20.40 | $51 | 0.8× |
| Hla-b27 (86812) | $46.40 | $116 | 1.8× |
| Homovanillic acid urine (83150) | $22.40 | $56 | 1.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $53.60 | $134 | 1.5× |
| Htlv-I Antibody (86687) | $17.70 | $44.25 | 1.9× |
| Human epididymis protein 4 (86305) | $102.40 | $256 | 4.9× |
| Hydroxycorticosteroids 17 (83491) | $32 | $80 | 1.8× |
| Hydroxyprogesterone 17-d (83498) | $48.80 | $122 | 1.8× |
| Hydroxyproline total (83505) | $44 | $110 | 1.8× |
| Hydroxyproline; free Facility (83500) | $44 | $110 | 1.9× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $23.46 | $58.65 | 0.5× |
| Iaad ia cryptosporidium (87328) | $22 | $55 | 1.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $15 | $37.50 | 0.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $16.55 | $41.38 | 0.5× |
| Iaad ia shiga-like toxin (87427) | $17.72 | $44.29 | 1.5× |
| Iaadi Not Otherwise Specified Each Organism (87299) | $20.40 | $51 | 1.3× |
| Iaadi parainfluenza virus each type (87279) | $22 | $55 | 1.3× |
| Iaadi respiratory synctial virus (87280) | $20.40 | $51 | 1.5× |
| Iadna candida species amplified probe tq (87481) | $16.80 | $42 | 0.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $32 | $80 | 0.9× |
| Iadna hepatitis b virus amplified probe tq (87516) | $90.40 | $226 | 2.6× |
| Iadna hepatitis b virus quantification (87517) | $191.60 | $479 | 4.5× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $58.20 | $145.50 | 1.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $76.80 | $192 | 1.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $66.20 | $165.50 | 1.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $125.60 | $314 | 1.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $32 | $80 | 0.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $48.60 | $121.50 | 1.4× |
| Iadna nos amplified probe tq each organism (87798) | $53 | $132.50 | 1.5× |
| Iadna nos quantification each organism (87799) | $76.80 | $192 | 1.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $37.20 | $93 | 1.1× |
| If varicella-zoster antigen (87290) | $20.40 | $51 | 1.5× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $50 | $125 | 0.7× |
| Igg subclasses (82787) | $5.60 | $14 | 0.7× |
| Igh gene rearrange amp meth (81261) | $241.20 | $603 | 1.2× |
| Immunoassay analyte qual/semiqual single step (83518) | $80.40 | $201 | 8.3× |
| Immunoassay infectious agent antibody quan nos (86317) | $28 | $70 | 1.9× |
| Immunoassay nonantibody (83516) | $24.40 | $61 | 2.1× |
| Immunodiffusion Ouchterlony (86331) | $16 | $40 | 1.3× |
| Immunoelectrophoresis serum (86320) | $40.40 | $101 | 1.4× |
| Immunofixation (86334) | $36.40 | $91 | 1.6× |
| Immunofixation urine (86335) | $70 | $175 | 2.4× |
| Immunohistochemistry (88342) | $127.20 | $318 | 0.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $35.43 | $88.57 | 0.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) | $22.80 | $57 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $16.80 | $42 | 0.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) | $34 | $85 | 1.2× |
| Influenza DNA amp probe (87502) | $112.60 | $281.50 | 1.2× |
| Inhibin a (86336) | $34.80 | $87 | 2.2× |
| Inhibin b (83520) | $26.60 | $66.50 | 1.5× |
| Insulin antibodies (86337) | $34.80 | $87 | 1.6× |
| Insulin free (83527) | $20.80 | $52 | 1.6× |
| Insulin total (83525) | $20.80 | $52 | 1.8× |
| Intrinsic factor antibody (86340) | $27.20 | $68 | 1.8× |
| Iron (83540) | $16.20 | $40.50 | 2.5× |
| Iron binding capacity (83550) | $16.71 | $41.77 | 1.9× |
| Islet cell antibody (86341) | $41 | $102.50 | 1.7× |
| Jak2 gene analysis (81270) | $538.80 | $1,347 | 5.9× |
| Ketogenic steroids, fractionation Facility (83582) | $26 | $65 | 1.7× |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) | $42.80 | $107 | 1.5× |
| Lactoferrin fecal qual (83630) | $32.40 | $81 | 1.6× |
| Ldh body fluid (83615) | $11.20 | $28 | 1.9× |
| Ldh isoenzymes (83625) | $23.20 | $58 | 1.8× |
| LDL cholesterol direct (83721) | $17.20 | $43 | 1.6× |
| Lead (83655) | $34 | $85 | 2.8× |
| Legion pneumo, DNA, amp prob (87541) | $32 | $80 | 0.9× |
| Legionella antibody (86713) | $27.60 | $69 | 1.8× |
| Legionella antigen urine (87449) | $22 | $55 | 1.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $12.04 | $30.10 | 2.8× |
| Level ii surg pathology grossµscopic exam (88302) | $20 | $50 | 0.5× |
| Level v surg pathology grossµscopic exam (88307) | $193.60 | $484 | 0.5× |
| Level vi surg pathology grossµscopic exam (88309) | $332.80 | $832 | 0.4× |
| Lh (83002) | $33.60 | $84 | 1.8× |
| Lipase (83690) | $28 | $70 | 4.1× |
| Lipopro bld electrophoretic (83700) | $26 | $65 | 2.3× |
| Lipoprotein Bld Hr Fraction (83701) | $20.60 | $51.50 | 0.6× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $20 | $50 | 0.6× |
| Listeria ab (86609) | $23.20 | $58 | 1.8× |
| Lithium (80178) | $22 | $55 | 3.3× |
| Lyme disease antibody (86618) | $48.80 | $122 | 2.9× |
| Lymphocyte transformation (86353) | $306 | $765 | 6.2× |
| Macroscopic exam parasite (87169) | $8.40 | $21 | 1.9× |
| Magnesium (83735) | $20.80 | $52 | 3.1× |
| Malaria smear (87207) | $11.20 | $28 | 1.9× |
| Manual reticulocyte count (85044) | $8.40 | $21 | 1.9× |
| Mass spectrometry qual/quan (83789) | $110 | $275 | 4.6× |
| Mercury urine (83825) | $45.76 | $114.40 | 2.8× |
| Methemoglobin (83050) | $12 | $30 | 1.5× |
| Microalbumin urine (82043) | $21.60 | $54 | 3.7× |
| Microsomal antibodies (86376) | $25.20 | $63 | 1.7× |
| Molecular pathology procedure level 2 (81401) | $458.40 | $1,146 | 3.3× |
| Mononuclear cell antigen (86356) | $32.40 | $81 | 1.2× |
| Mopath procedure level 1 (81400) | $358.80 | $897 | 5.6× |
| Mopath procedure level 3 (81402) | $352.80 | $882 | 2.3× |
| Mrsa PCR (87641) | $32 | $80 | 0.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $2,160 | $5,400 | 3.4× |
| Mthfr Gene Analysis Common Variants (81291) | $357.60 | $894 | 5.5× |
| Muramidase (85549) | $31.20 | $78 | 1.7× |
| Mycobacteric identification (87118) | $18.80 | $47 | 1.3× |
| Mycophenolic acid (80180) | $25.20 | $63 | 1.4× |
| Mycoplasma antibody (86738) | $24 | $60 | 1.8× |
| Mycoplasma culture (87109) | $28 | $70 | 1.8× |
| Myoglobin urine (83874) | $23.20 | $58 | 1.8× |
| Nasal smear for eosinophils (89190) | $9.20 | $23 | 1.6× |
| Natriuretic peptide (83880) | $51.60 | $129 | 1.3× |
| Nk cells total count (86357) | $49 | $122.50 | 1.3× |
| Nuclear antigen antibody (86235) | $38 | $95 | 2.1× |
| Occult blood gastric (82271) | $8.40 | $21 | 1.6× |
| Occult blood stool (82272) | $5.60 | $14 | 1.3× |
| Oligoclonal bands (83916) | $37.60 | $94 | 1.4× |
| Organic acids total quantitative each specimen (83918) | $27.60 | $69 | 1.2× |
| Osmolality serum (83930) | $12.80 | $32 | 1.9× |
| Osmolality urine (83935) | $13.20 | $33 | 1.9× |
| Ova and parasite direct-id lca (87177) | $16.40 | $41 | 1.8× |
| Oxalate urine (83945) | $23.20 | $58 | 1.6× |
| Pancreatic elastase, fecal (82656) | $96 | $240 | 8.3× |
| Pancreatic polypeptide (83519) | $38 | $95 | 2.1× |
| Particle Agglutination Screen Each Antibody (86403) | $19.20 | $48 | 1.7× |
| Parvovirus antibody (86747) | $27.20 | $68 | 1.8× |
| Ph body fluid (83986) | $12.20 | $30.50 | 3.4× |
| Ph urine (81003) | $10 | $25 | 4.4× |
| Phenotype Infect Agent Drug (87900) | $220 | $550 | 1.7× |
| Phenylalanine (84030) | $10.40 | $26 | 1.9× |
| Phenytoin free (80186) | $25.20 | $63 | 1.8× |
| Phosphatase alkaline (84075) | $23.20 | $58 | 4.5× |
| Phosphorus blood (84100) | $9.20 | $23 | 1.9× |
| Phosphorus urine (84105) | $9.20 | $23 | 1.6× |
| Pinworm exam (87172) | $8.40 | $21 | 2.0× |
| Platelet count automated (85049) | $11.60 | $29 | 2.6× |
| Pooling blood platelets (86965) | $80 | $200 | 0.4× |
| Porphobilinogen urine qual (84106) | $30 | $75 | 5.2× |
| Porphobilinogen urine quant (84110) | $15.60 | $39 | 1.8× |
| Porphyrins feces qn (84126) | $41.60 | $104 | 1.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $26.80 | $67 | 1.8× |
| Potassium (84132) | $9.60 | $24 | 2.0× |
| Potassium urine (84133) | $10 | $25 | 2.1× |
| Pregnancy associated plasma protein-a (84163) | $42.40 | $106 | 2.8× |
| Pregnenolone (84140) | $36.40 | $91 | 1.8× |
| Primidone (80188) | $30 | $75 | 1.8× |
| Procainamide napa (80192) | $30.40 | $76 | 1.8× |
| Procalcitonin (pct) (84145) | $36 | $90 | 1.3× |
| Progesterone (84144) | $65 | $162.50 | 3.1× |
| Protein body fluid (84157) | $7.60 | $19 | 1.9× |
| Protein c activity (85303) | $25.60 | $64 | 1.8× |
| Protein c antigen (85302) | $58.49 | $146.22 | 4.9× |
| Protein electrophoresis serum (84165) | $19 | $47.50 | 1.8× |
| Protein Electrophoresis Urine (84166) | $30.60 | $76.50 | 1.7× |
| Protein s total (85305) | $58.49 | $146.22 | 5.0× |
| Protein total serum (84155) | $8.33 | $20.83 | 2.3× |
| Protein urine (84156) | $7.60 | $19 | 2.1× |
| Protein Western Blot (84182) | $30 | $75 | 1.0× |
| Protoporphyrin rbc quantitative (84202) | $14.40 | $36 | 1.0× |
| PSA free (84154) | $33.20 | $83 | 1.8× |
| Pth intact (83970) | $74 | $185 | 1.8× |
| Quinidine (80194) | $26.80 | $67 | 1.8× |
| Rbc antibody elution (86860) | $70.80 | $177 | 0.4× |
| Reagent strip/blood glucose (82948) | $20.40 | $51 | 4.0× |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) | $94 | $235 | 1.3× |
| Renin activity plasma (84244) | $37.20 | $93 | 1.7× |
| Reticulocyte count auto (85045) | $15.20 | $38 | 3.8× |
| Rheumatoid Factor Qual (86430) | $10.40 | $26 | 1.7× |
| Rheumatoid factor quant (86431) | $9.60 | $24 | 1.7× |
| Rickettsia antibody (86757) | $33.20 | $83 | 1.7× |
| Ristocetin cofactor (85245) | $59.20 | $148 | 2.6× |
| Rotavirus ag eia (87425) | $24 | $60 | 2.0× |
| Rpr Titer (86593) | $7.60 | $19 | 1.7× |
| Rubella antibody (86762) | $26.40 | $66 | 1.8× |
| Rubeola Antibody Igg (86765) | $23.20 | $58 | 1.8× |
| Russell viper venom time diluted (85613) | $17.20 | $43 | 1.8× |
| Salicylate Level (80179) | $32.40 | $81 | 1.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $90 | $225 | 1.8× |
| Sedimentation rate auto (85652) | $7.20 | $18 | 2.7× |
| Selenium (84255) | $40 | $100 | 1.6× |
| Semen analysis complete (89320) | $22 | $55 | 1.8× |
| Semen analysis motility and count (89310) | $16.40 | $41 | 1.9× |
| Sensitivity kb (87184) | $12.60 | $31.50 | 1.7× |
| Sensitivity mic (87186) | $16 | $40 | 1.8× |
| SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Facility (81327) | $324 | $810 | 1.7× |
| Serotonin Release Assay (86022) | $32 | $80 | 1.7× |
| Serpina1 gene (81332) | $30 | $75 | 0.7× |
| Sex hormone binding globulin (84270) | $31.20 | $78 | 1.4× |
| Sickling of rbc reduction (85660) | $15.74 | $39.36 | 2.9× |
| Sirolimus (rapamycin) (80195) | $25.20 | $63 | 1.8× |
| Skin test; histoplasmosis Facility (86510) | $68 | $170 | 1.7× |
| Smear acid fast (87206) | $10 | $25 | 1.9× |
| Smear complex stain (87209) | $30 | $75 | 1.7× |
| Smear gram stain (87205) | $12.04 | $30.10 | 2.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $8.40 | $21 | 1.4× |
| Sodium (84295) | $9.20 | $23 | 1.9× |
| Sodium feces (84302) | $18.60 | $46.50 | 3.8× |
| Sodium urine (84300) | $23.60 | $59 | 4.7× |
| Somatomedin (84305) | $35.60 | $89 | 1.7× |
| Somatostatin (84307) | $43.60 | $109 | 2.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $29.60 | $74 | 0.2× |
| Special stains group 1 (88312) | $94.40 | $236 | 1.7× |
| Specific gravity body fluid (84315) | $22 | $55 | 6.7× |
| Specimen fat stain (89125) | $8.40 | $21 | 1.4× |
| Spectrophotometry (84311) | $14.20 | $35.50 | 1.8× |
| Stool Culture, Addl Pathogens (87046) | $16 | $40 | 1.7× |
| Strep a assay w/optic (87880) | $19.20 | $48 | 1.2× |
| Strep a DNA amp probe (87651) | $32 | $80 | 0.9× |
| Sugars Single Qualitative, Each Specimen (84376) | $21.60 | $54 | 3.9× |
| Sugars single quant (84378) | $23.20 | $58 | 2.0× |
| Sulfate urine (84392) | $9.20 | $23 | 1.7× |
| Surg path level 1 (88300) | $16.40 | $41 | 0.5× |
| Surg path level iii (88304) | $42.80 | $107 | 0.8× |
| Surgical pathology level IV (88305) | $125.20 | $313 | 2.3× |
| T Cell Absolute Count (86361) | $8.40 | $21 | 0.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $13.20 | $33 | 0.3× |
| T cells total count (86359) | $37 | $92.50 | 1.0× |
| T3 free (84481) | $28.40 | $71 | 1.7× |
| T3 reverse (84482) | $28.40 | $71 | 1.8× |
| T3 total (84480) | $26 | $65 | 1.8× |
| T3 uptake (84479) | $11.60 | $29 | 1.8× |
| T4 free (84439) | $27.20 | $68 | 3.0× |
| T4 total (84436) | $28.80 | $72 | 4.2× |
| Tb intradermal test (86580) | $14.80 | $37 | 0.5× |
| Tb test, cell immun measure (86480) | $98.40 | $246 | 1.6× |
| Test for urine cystines (82615) | $15.20 | $38 | 1.6× |
| Testosterone free (84402) | $45.60 | $114 | 1.8× |
| Testosterone total (84403) | $46.40 | $116 | 1.8× |
| Tetanus antibody (86774) | $26.80 | $67 | 1.8× |
| Theophylline (80198) | $35.20 | $88 | 2.5× |
| Thrombin time plasma (85670) | $15.34 | $38.36 | 2.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $11.60 | $29 | 1.8× |
| Thyroglobulin (84432) | $28.80 | $72 | 1.8× |
| Thyroglobulin antibody (86800) | $28.80 | $72 | 1.8× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $31.60 | $79 | 0.6× |
| Thyroxine binding globulin (84442) | $26.80 | $67 | 1.8× |
| Tiagabine (80199) | $23.60 | $59 | 0.9× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $228 | $570 | 1.6× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $8.40 | $21 | 2.0× |
| Tissue culture lymphocyte (88230) | $196.80 | $492 | 1.7× |
| Tobramycin peak (80200) | $28.80 | $72 | 1.8× |
| Toxoplasma ab igm (86778) | $20.20 | $50.50 | 1.4× |
| Toxoplasma antibody igg (86777) | $26.40 | $66 | 1.8× |
| Tpmt gene com variants (81335) | $32 | $80 | 0.2× |
| Transferrin (84466) | $23.20 | $58 | 1.8× |
| Triglycerides (84478) | $11.40 | $28.50 | 2.0× |
| Troponin (84484) | $36.40 | $91 | 2.9× |
| Trypsin feces qual (84488) | $13.60 | $34 | 1.9× |
| Urea nitrogen (84520) | $9 | $22.50 | 2.3× |
| Urea Nitrogen Clearance (84545) | $15.73 | $39.32 | 2.2× |
| Urea nitrogen urine (84540) | $9.20 | $23 | 1.7× |
| Uric acid blood (84550) | $14.80 | $37 | 3.3× |
| Uric acid other source (84560) | $9.20 | $23 | 1.8× |
| Urinalysis Microscopic Only (81015) | $10.80 | $27 | 3.5× |
| Urine Bacteria Culture (87088) | $13.60 | $34 | 1.7× |
| Urine pregnancy test (81025) | $18.80 | $47 | 2.2× |
| Valproic acid (80164) | $45 | $112.49 | 3.3× |
| Vancomycin trough (80202) | $44.40 | $111 | 3.3× |
| Varicella-zoster antibody (86787) | $24.40 | $61 | 1.9× |
| Vasoactive intestinal peptide (vip) (84586) | $34.40 | $86 | 1.0× |
| Vdrl csf (86592) | $8.40 | $21 | 2.0× |
| Virus antibody nos (86790) | $28.40 | $71 | 2.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $47.20 | $118 | 1.4× |
| Virus inoculation, shell via (87254) | $34.80 | $87 | 1.8× |
| Vitamin A (84590) | $21.20 | $53 | 1.8× |
| Vitamin b-12 (82607) | $41.92 | $104.81 | 2.8× |
| Vitamin b1 (thiamine) (84425) | $16 | $40 | 0.8× |
| Vitamin b2 (84252) | $22.80 | $57 | 1.1× |
| Vitamin b3 niacin (84591) | $36 | $90 | 2.1× |
| Vitamin D 25-Hydroxy (82306) | $62.80 | $157 | 2.1× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $34 | $85 | 4.0× |
| West nile virus antibody (86789) | $28.40 | $71 | 2.0× |
| West nile virus igm (86788) | $28.40 | $71 | 1.7× |
| Xylose Absorption Test (84620) | $45.60 | $114 | 3.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $57.20 | $143 | 1.1× |
| Zinc (84630) | $20.80 | $52 | 1.8× |