| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$273.56 |
— |
| 17-Hydroxycorticosteroids (83491) |
— |
$400.24 |
— |
| 5 Hiaa (83497) |
— |
$75.06 |
— |
| 5 Nucleotidase (83915) |
— |
$134.04 |
— |
| Acetaminophen level (80143) |
— |
$241.39 |
— |
| Acute hepatitis panel (80074) |
— |
$180.85 |
— |
| Acylcarnitine Plasma (82017) |
— |
$99.70 |
— |
| Additional high resolution study (88289) |
— |
$298.52 |
— |
| Afb culture (87116) |
— |
$115.63 |
— |
| Agglutinins febrile (86000) |
— |
$72.16 |
— |
| Albumin Fluid (82042) |
— |
$5.89 |
— |
| Albumin serum (82040) |
— |
$19.67 |
— |
| Aldolase (82085) |
— |
$98.25 |
— |
| Aldosterone urine (82088) |
— |
$176.21 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$80.87 |
— |
| Allergen specific ige (86003) |
— |
$299.68 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$56.28 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$59.56 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$184.62 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$144.91 |
— |
| Alt (sgpt) (84460) |
— |
$113.03 |
— |
| Aluminum (82108) |
— |
$141 |
— |
| Amikacin trough (80150) |
— |
$99.70 |
— |
| Amino acid screen urine (82128) |
— |
$179.11 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$673.25 |
— |
| Amino Acids Quant 2-5 (82136) |
— |
$399.09 |
— |
| Amino Acids, Single Quantitation (82131) |
— |
$495.87 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$245.90 |
— |
| Ammonia (82140) |
— |
$24.04 |
— |
| Amniotic fluid enzyme test (84081) |
— |
$205.19 |
— |
| Amylase urine (82150) |
— |
$34.92 |
— |
| Ana Titer (86039) |
— |
$140.57 |
— |
| Angiotensin i enzyme test (82164) |
— |
$153.03 |
— |
| Antibody Absorption (86978) |
— |
$149.56 |
— |
| Antibody aspergillus (86606) |
— |
$406.91 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$104.63 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$114.62 |
— |
| Antibody Detection Nos If (87299) |
— |
$305.18 |
— |
| Antibody Encephalitis Eastern Equine (86652) |
— |
$108.28 |
— |
| Antibody Encephalitis St. Louis (86653) |
— |
$46.15 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$424 |
— |
| Antibody haemophilus influenza (86684) |
— |
$56.28 |
— |
| Antibody helicobacter pylori (86677) |
— |
$100 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$62.30 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$174.77 |
— |
| Antibody HIV-2 (86702) |
— |
$58.26 |
— |
| Antibody identification (86870) |
— |
$437.85 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$20.55 |
— |
| Antibody Listeria Monocytogenes (86723) |
— |
$179.68 |
— |
| Antibody mumps (86735) |
— |
$91.87 |
— |
| Antibody Protozoa Nes (86753) |
— |
$195.34 |
— |
| Antibody rubeola (86765) |
— |
$138.82 |
— |
| Antibody screen (86850) |
— |
$199.98 |
— |
| Antibody treponema pallidum (86780) |
— |
$111.72 |
— |
| Antibody; Coccidioides (86635) |
— |
$15.07 |
— |
| Antigen typing (86905) |
— |
$66.46 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$111.29 |
— |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
— |
$16.46 |
— |
| Antinuclear antibodies (86038) |
— |
$51.87 |
— |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
— |
$74.20 |
— |
| Antithrombin iii activity (85300) |
— |
$307.21 |
— |
| Apolipoprotein b (82172) |
— |
$98.26 |
— |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
— |
$100.28 |
— |
| Arsenic Urine (82175) |
— |
$108.95 |
— |
| Aspergillus ag eia (87305) |
— |
$261.99 |
— |
| Assay direct measurement free estradiol (82681) |
— |
$131.28 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$66.80 |
— |
| Assay of acth (82024) |
— |
$289.53 |
— |
| Assay of c-peptide (84681) |
— |
$698.18 |
— |
| Assay of calcitonin (82308) |
— |
$286.93 |
— |
| Assay of ceruloplasmin (82390) |
— |
$119.70 |
— |
| Assay of cyclosporine (80158) |
— |
$151.57 |
— |
| Assay of erythropoietin (82668) |
— |
$200.56 |
— |
| Assay of ethosuximide (80168) |
— |
$129.84 |
— |
| Assay of ferritin (82728) |
— |
$34.97 |
— |
| Assay of g6pd enzyme (82955) |
— |
$186.64 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$126.50 |
— |
| Assay of gastrin (82941) |
— |
$308.37 |
— |
| Assay of gentamicin (80170) |
— |
$99.85 |
— |
| Assay of homocystine (83090) |
— |
$238.82 |
— |
| Assay of homovanillic acid (83150) |
— |
$164.04 |
— |
| Assay of ketogenic steroids (83582) |
— |
$129.83 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$114.20 |
— |
| Assay of manganese (83785) |
— |
$106.37 |
— |
| Assay of metanephrines (83835) |
— |
$199.40 |
— |
| Assay of parathormone (83970) |
— |
$127.51 |
— |
| Assay of phenobarbital (80184) |
— |
$88.11 |
— |
| Assay of phosphatase acid total (84060) |
— |
$73.90 |
— |
| Assay of prealbumin (84134) |
— |
$116.23 |
— |
| Assay of procainamide (80190) |
— |
$101.30 |
— |
| Assay of proinsulin (84206) |
— |
$242.87 |
— |
| Assay of pyruvate (84210) |
— |
$170.41 |
— |
| Assay of selenium (84255) |
— |
$28.14 |
— |
| Assay of serotonin (84260) |
— |
$151.57 |
— |
| Assay of somatomedin (84305) |
— |
$306.34 |
— |
| Assay of tacrolimus (80197) |
— |
$196.22 |
— |
| Assay of urine vma (84585) |
— |
$213.31 |
— |
| Assay of vitamin k (84597) |
— |
$59.71 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$28.84 |
— |
| Ast (sgot) (84450) |
— |
$122.31 |
— |
| Automated rbc count (85041) |
— |
$18.14 |
— |
| B cells total count (86355) |
— |
$36.96 |
— |
| Bartonella antibody (86611) |
— |
$233.87 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$706.87 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$13.27 |
— |
| Beta hydroxybutyrate (82010) |
— |
$71.87 |
— |
| Beta-2 microglobulin (82232) |
— |
$184.92 |
— |
| Bile acids, total (82239) |
— |
$73.32 |
— |
| Bilirubin direct (82248) |
— |
$84.14 |
— |
| Bilirubin total (82247) |
— |
$61.15 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$31.31 |
— |
| Blastomyces antibody (86612) |
— |
$340.54 |
— |
| Bleeding time (85002) |
— |
$79.99 |
— |
| Blood gases (82803) |
— |
$89.88 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$164.62 |
— |
| Blood typing abo (86900) |
— |
$81.73 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$203.46 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$66.96 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$70.37 |
— |
| Body fluid cell count (89050) |
— |
$66.52 |
— |
| Bone Marrow Smear Interpretation (85097) |
— |
$51.60 |
— |
| Bordetella antibody (86615) |
— |
$415.31 |
— |
| C diff amplified probe (87493) |
— |
$126.75 |
— |
| C-reactive protein (86140) |
— |
$148.61 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$178.23 |
— |
| C1q binding assay (86332) |
— |
$294.17 |
— |
| Ca 125 (86304) |
— |
$226.06 |
— |
| Ca 19-9 (86301) |
— |
$167.96 |
— |
| Ca 27 29 (86300) |
— |
$124.33 |
— |
| Cadmium level (82300) |
— |
$100 |
— |
| Calcium ionized (82330) |
— |
$125.51 |
— |
| Calcium urine (82340) |
— |
$35.51 |
— |
| Calculus Quantitative Chemical (82360) |
— |
$172.44 |
— |
| California encephalitis ab (86651) |
— |
$46.15 |
— |
| Calprotectin, fecal (83993) |
— |
$476.90 |
— |
| Candida antibody (86628) |
— |
$39.34 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$226.64 |
— |
| Carbon dioxide (82374) |
— |
$173.89 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$58.06 |
— |
| Carcinoembryonic antigen (82378) |
— |
$148.97 |
— |
| Cardiolipin ab igg (86147) |
— |
$133.61 |
— |
| Carnitine (82379) |
— |
$220.56 |
— |
| Carotene (82380) |
— |
$131.28 |
— |
| Catecholamines organic nitrogen blood level (82383) |
— |
$214.76 |
— |
| Catecholamines Total Urine (82382) |
— |
$260.26 |
— |
| Cd4 absolute count (86361) |
— |
$219.97 |
— |
| Cftr gene com variants (81220) |
— |
$639.34 |
— |
| Chemiluminescent assay (82397) |
— |
$266.78 |
— |
| Chlamydia antibody (86631) |
— |
$57.59 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$16.39 |
— |
| Chlamydia trachomatis ag if (87270) |
— |
$170.41 |
— |
| Chloramphenicol (82415) |
— |
$172.44 |
— |
| Chloride other source (82438) |
— |
$34.49 |
— |
| Chloride urine (82436) |
— |
$41.44 |
— |
| Chlorinated hydrocarbons screen (82441) |
— |
$749.75 |
— |
| Cholinesterase rbc (82482) |
— |
$168.24 |
— |
| Cholinesterase serum (82480) |
— |
$137.66 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$1,409.67 |
— |
| Chromium urine (82495) |
— |
$280.84 |
— |
| Chromogranin a (86316) |
— |
$89.85 |
— |
| Chromosome analys amniotic (88269) |
— |
$488.47 |
— |
| Chromosome karyotype study (88280) |
— |
$298.52 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$42.44 |
— |
| Citrate (82507) |
— |
$381.99 |
— |
| Ck isoenzymes (82552) |
— |
$213.31 |
— |
| Ckmb (82553) |
— |
$30.60 |
— |
| Clot factor viii vw antigen (85246) |
— |
$339.67 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$100.28 |
— |
| Clotting time (85345) |
— |
$72.78 |
— |
| Clozapine level (80159) |
— |
$305.48 |
— |
| Cmv PCR (87496) |
— |
$544.86 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$80.87 |
— |
| Collagen cross links (82523) |
— |
$128.26 |
— |
| Compatibility test antiglob (86922) |
— |
$433.43 |
— |
| Compatibility Test Incubate (86921) |
— |
$277.35 |
— |
| Complement c3 (86160) |
— |
$144.33 |
— |
| Complement total ch50 (86162) |
— |
$174.83 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$153.40 |
— |
| Concentration Infectious Agent (87015) |
— |
$54.20 |
— |
| Coombs direct (86880) |
— |
$60.56 |
— |
| Copper urine (82525) |
— |
$149.26 |
— |
| Cortisol free (82530) |
— |
$106.22 |
— |
| Cortisol total (82533) |
— |
$105.19 |
— |
| Creatinine blood (82565) |
— |
$32.75 |
— |
| Creatinine other source (82570) |
— |
$22.90 |
— |
| Cryptococcus antibody (86641) |
— |
$91.01 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$29.85 |
— |
| Culture Aerobic Identify (87077) |
— |
$203.18 |
— |
| Culture anaerobic (87075) |
— |
$140.42 |
— |
| Culture blood (87040) |
— |
$49.17 |
— |
| Culture chlamydia (87110) |
— |
$84.91 |
— |
| Culture fungus other (87102) |
— |
$134.77 |
— |
| Culture genital (87070) |
— |
$196.79 |
— |
| Culture herpes (87250) |
— |
$166.36 |
— |
| Culture screen only (87081) |
— |
$105.78 |
— |
| Culture urine (87086) |
— |
$49.17 |
— |
| Culture, typing; identification by pulse field gel typing Other Outpatient (87152) |
— |
$166.36 |
— |
| Cyanide (82600) |
— |
$155.05 |
— |
| Cyclic amp (82030) |
— |
$266.64 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$78.26 |
— |
| Cystatin c (82610) |
— |
$86.95 |
— |
| Cytopath cell enhance tech (88112) |
— |
$120.86 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$197.95 |
— |
| Cytopath Smear Other Source (88160) |
— |
$49.26 |
— |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
— |
$113.91 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$75.93 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$106.37 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$492.69 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$51.30 |
— |
| D-Dimer (85379) |
— |
$54.64 |
— |
| Deoxycortisol (82634) |
— |
$421.98 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$141.43 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$55.17 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$206.20 |
— |
| Dhea (82626) |
— |
$407.49 |
— |
| Dhea sulfate (82627) |
— |
$258.52 |
— |
| Digoxin (80162) |
— |
$71.57 |
— |
| Dilantin (80185) |
— |
$130.13 |
— |
| Diphtheria antitoxoid (86648) |
— |
$185.19 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$86.07 |
— |
| Drug Assay Amiodarone (80151) |
— |
$367.49 |
— |
| Drug assay felbamate (80167) |
— |
$122.01 |
— |
| Drug Assay Infliximab (80230) |
— |
$136.59 |
— |
| Drug assay leflunomide (80193) |
— |
$295.03 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$223.17 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$152.59 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$522.83 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$81.72 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$91.29 |
— |
| Ebv viral capsid (86665) |
— |
$221.84 |
— |
| Echinococcus ab igg (86682) |
— |
$264.90 |
— |
| Ehrlichia antibody (86666) |
— |
$244.03 |
— |
| Electrolyte panel (80051) |
— |
$317.06 |
— |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
— |
$183.46 |
— |
| Encephalitis Western Equine (86654) |
— |
$46.15 |
— |
| Endomysial antibody iga (86255) |
— |
$79.26 |
— |
| Enterovirus antibody (86658) |
— |
$236.10 |
— |
| Enterovirus Pcr (87498) |
— |
$221.85 |
— |
| Enzyme cell activity (82657) |
— |
$39.34 |
— |
| Eosinophil count (85048) |
— |
$75.35 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$17.48 |
— |
| Estradiol (82670) |
— |
$140.57 |
— |
| Estriol (82677) |
— |
$213.31 |
— |
| Estrogen receptor analysis (84233) |
— |
$452.71 |
— |
| Estrogens total (82672) |
— |
$354.02 |
— |
| Estrone (82679) |
— |
$107.81 |
— |
| Ethylene glycol (82693) |
— |
$94.48 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$95.06 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$276.78 |
— |
| F5 gene (81241) |
— |
$739.61 |
— |
| Factor ii activity (85210) |
— |
$106.66 |
— |
| Factor inhibitor test (85335) |
— |
$26.52 |
— |
| Factor ix activity (85250) |
— |
$202.88 |
— |
| Factor v activity (85220) |
— |
$191.28 |
— |
| Factor vii assay (85230) |
— |
$204.62 |
— |
| Factor viii ahg (85240) |
— |
$211.86 |
— |
| Factor viii vw multimetric (85247) |
— |
$542.83 |
— |
| Factor xi assay (85270) |
— |
$214.47 |
— |
| Factor xii assay (85280) |
— |
$220.85 |
— |
| Fat stain (89125) |
— |
$72.16 |
— |
| Fecal fat quant (82710) |
— |
$241.28 |
— |
| Fetal hemoglobin, chemical (83030) |
— |
$75.65 |
— |
| Fibrin degradation products (85362) |
— |
$101.43 |
— |
| Fibrinogen activity (85384) |
— |
$176.79 |
— |
| Fibrinolytic Plasminogen (85415) |
— |
$634.42 |
— |
| Flow cytometry first marker (88184) |
— |
$1,369.97 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$159.41 |
— |
| Fmr1 gene charac alleles (81244) |
— |
$255.91 |
— |
| Fmr1 gene detection (81243) |
— |
$2,035.98 |
— |
| Folate serum (82746) |
— |
$80.16 |
— |
| Folic acid rbc (82747) |
— |
$238.24 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$133.31 |
— |
| Frozen Section (88331) |
— |
$277.35 |
— |
| Fructosamine (82985) |
— |
$64.62 |
— |
| Gammaglobulin ige (82785) |
— |
$108.98 |
— |
| Gastric Occult Blood (82271) |
— |
$24.56 |
— |
| Ggt (82977) |
— |
$106.66 |
— |
| Giardia antigen eia stool (87329) |
— |
$72.75 |
— |
| Glucose Blood Test (82962) |
— |
$23.32 |
— |
| Glucose body fluid (82945) |
— |
$88.40 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$324.89 |
— |
| Gonadotropin releasing hormone (83727) |
— |
$581.38 |
— |
| Growth hormone (83003) |
— |
$143.90 |
— |
| Haloperidol (haldol) (80173) |
— |
$196.22 |
— |
| Haptoglobin (83010) |
— |
$95.92 |
— |
| Hcg qualitative (84703) |
— |
$31.69 |
— |
| Hcg quant (84702) |
— |
$61.19 |
— |
| Hdl Cholesterol (83718) |
— |
$80.28 |
— |
| Heavy metal quant each (83018) |
— |
$126.95 |
— |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
— |
$170.41 |
— |
| Hemagglutination inhibition (86280) |
— |
$314.45 |
— |
| Hematocrit (85014) |
— |
$9.84 |
— |
| Hematocrit spun (85013) |
— |
$25.50 |
— |
| Hemoglobin a1c (83036) |
— |
$125.78 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$211.57 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$135.39 |
— |
| Hemoglobin fetal ql (83033) |
— |
$69.56 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$208.67 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$31.59 |
— |
| Hemoglobin plasma (83051) |
— |
$53.03 |
— |
| Hemoglobin urine (83069) |
— |
$99.12 |
— |
| Hemolysins And Agglutinins Incubated (86941) |
— |
$73.90 |
— |
| Hemolysins/agglutinins auto screen (86940) |
— |
$73.90 |
— |
| Hemosiderin urine (83070) |
— |
$57.82 |
— |
| Heparin assay (85520) |
— |
$396.77 |
— |
| Hepatitis a antibody total (86708) |
— |
$34.80 |
— |
| Hepatitis a igm (86709) |
— |
$120.56 |
— |
| Hepatitis b core ab igm (86705) |
— |
$8.03 |
— |
| Hepatitis b core antibody total (86704) |
— |
$45.51 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$363.72 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$93.46 |
— |
| Hepatitis be antibody (86707) |
— |
$8.74 |
— |
| Hepatitis Be Antigen (87350) |
— |
$92.32 |
— |
| Hepatitis c antibody (86803) |
— |
$27.32 |
— |
| Hepatitis C Genotype (87902) |
— |
$788 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$570.07 |
— |
| Herpes culture (87252) |
— |
$106.94 |
— |
| Herpes simplex type 2 (86696) |
— |
$78.83 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$87.81 |
— |
| Hfe gene (81256) |
— |
$527.32 |
— |
| Histamine plasma (83088) |
— |
$384.01 |
— |
| Histoplasma antibody (86698) |
— |
$84.91 |
— |
| Histoplasma antigen urine (87385) |
— |
$99.78 |
— |
| HIV confirmation (86689) |
— |
$159.41 |
— |
| HIV-1 antibody (86701) |
— |
$37.96 |
— |
| HIV-1 genotype (87901) |
— |
$958.36 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$199.96 |
— |
| Hla class i typing high resolution one allele or allele group (81381) |
— |
$407.78 |
— |
| Hla ii typing 1 allele hr (81383) |
— |
$471.26 |
— |
| Hla typing a/b/c multiple antigens (86813) |
— |
$1,327.96 |
— |
| Hla Typing Dr/Dq Single Antigen (86816) |
— |
$957.56 |
— |
| Hla-b27 (86812) |
— |
$358.21 |
— |
| Hormone receptor analysis (84235) |
— |
$225.49 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$489.21 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$227.36 |
— |
| Htt gene analysis detect abnormal alleles (81271) |
— |
$1,023.36 |
— |
| Human epididymis protein 4 (86305) |
— |
$205.43 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$220.85 |
— |
| Hydroxyproline total (83505) |
— |
$183.45 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$113.91 |
— |
| Iaad ia HIV-1 (87390) |
— |
$522.83 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$272.14 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$83.05 |
— |
| Iaad ia rotavirus (87425) |
— |
$161.72 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$607.56 |
— |
| Iaadi inffluenza a virus (87276) |
— |
$75.35 |
— |
| Iaadi influenza b virus (87275) |
— |
$75.35 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$315.60 |
— |
| Iadna candida species amplified probe tq (87481) |
— |
$54.64 |
— |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
— |
$541.38 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$96.16 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$690.35 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$308.36 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$404.58 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$45.02 |
— |
| Iadna mycobacteria tuberculosis amp prb (87556) |
— |
$134.33 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$43.73 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$185.76 |
— |
| Iadna nos quantification each organism (87799) |
— |
$768.60 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$48.54 |
— |
| Iadna-DNA/RNA probe tq 6-11 (87506) |
— |
$472.10 |
— |
| Igg subclasses (82787) |
— |
$160.18 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$105.64 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$264.46 |
— |
| Immunoassay nonantibody (83516) |
— |
$122.38 |
— |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) |
— |
$62.28 |
— |
| Immunodiffusion not elsewhere specified (86329) |
— |
$75.93 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$246.62 |
— |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
— |
$201.72 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$320.14 |
— |
| Immunohistochemistry (88342) |
— |
$492.69 |
— |
| India ink prep (87210) |
— |
$76.81 |
— |
| Influenza a/b ag eia (87400) |
— |
$116.23 |
— |
| Inhibin a (86336) |
— |
$128.68 |
— |
| Inhibin b (83520) |
— |
$98.27 |
— |
| Insitu hybridization (fish) (88365) |
— |
$277.35 |
— |
| Insulin antibodies (86337) |
— |
$157.11 |
— |
| Insulin free (83527) |
— |
$55.64 |
— |
| Insulin total (83525) |
— |
$155.33 |
— |
| Intrinsic factor antibody (86340) |
— |
$164.33 |
— |
| Iron (83540) |
— |
$289.83 |
— |
| Iron binding capacity (83550) |
— |
$47.81 |
— |
| Irradiation of blood product (86945) |
— |
$140.57 |
— |
| Islet cell antibody (86341) |
— |
$130.71 |
— |
| Jak2 gene analysis (81270) |
— |
$245.86 |
— |
| Ketosteroids 17; total (83586) |
— |
$187.22 |
— |
| Koh Prep (87220) |
— |
$41.30 |
— |
| L/s ratio, fetal lung (83661) |
— |
$157.81 |
— |
| Lactic acid (83605) |
— |
$40.17 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$228.38 |
— |
| Ldh (83615) |
— |
$48.11 |
— |
| Ldh isoenzymes (83625) |
— |
$181.43 |
— |
| LDL cholesterol direct (83721) |
— |
$116.51 |
— |
| Lead (83655) |
— |
$91.29 |
— |
| Legion pneumo, DNA, amp prob (87541) |
— |
$492.69 |
— |
| Legionella antibody (86713) |
— |
$241.99 |
— |
| Legionella antigen urine (87449) |
— |
$153.60 |
— |
| Leptospira antibody (86720) |
— |
$94.10 |
— |
| Leucine aminopeptidase (lap) (83670) |
— |
$142.29 |
— |
| Leukocyte histamine release test (86343) |
— |
$42.77 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$167.81 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$492.69 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$1,214.92 |
— |
| Lh (83002) |
— |
$244.03 |
— |
| Lidocaine level (80176) |
— |
$114.34 |
— |
| Lipase (83690) |
— |
$42.46 |
— |
| Lipoprotein Bld Hr Fraction (83701) |
— |
$112.75 |
— |
| Listeria ab (86609) |
— |
$179.98 |
— |
| Lithium (80178) |
— |
$141.13 |
— |
| Lyme disease antibody (86618) |
— |
$126.40 |
— |
| Lyme disease antibody confirm (86617) |
— |
$59.12 |
— |
| Lymph Choriomeningitis Ab (86727) |
— |
$70.14 |
— |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
— |
$147.82 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$255.91 |
— |
| Magnesium (83735) |
— |
$24.06 |
— |
| Malaria smear (87207) |
— |
$107.53 |
— |
| Manual cell count each (85032) |
— |
$57.09 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$151 |
— |
| Measurement of complement fixation tests (immune system proteins) (86171) |
— |
$271.70 |
— |
| Mercury (83825) |
— |
$226.64 |
— |
| Methotrexate (80299) |
— |
$190.26 |
— |
| Microalbumin urine (82043) |
— |
$25.20 |
— |
| Microbe Suscept Mycobacteri (87190) |
— |
$68.11 |
— |
| Microbe susceptible diffuse (87181) |
— |
$17.97 |
— |
| Microsomal antibodies (86376) |
— |
$74.18 |
— |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
— |
$100.28 |
— |
| Molecular pathology procedure level 2 (81401) |
— |
$631.08 |
— |
| Mononuclear cell antigen (86356) |
— |
$102.01 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$332.71 |
— |
| Mucin synovial fluid ropes test (83872) |
— |
$80.10 |
— |
| Muramidase (85549) |
— |
$308.96 |
— |
| Mycophenolic acid (80180) |
— |
$54.64 |
— |
| Mycoplasma antibody (86738) |
— |
$177.66 |
— |
| Myelin basic protein csf (83873) |
— |
$62.94 |
— |
| Myoglobin urine (83874) |
— |
$111 |
— |
| N.gonorrhoeae, DNA, dir prob (87590) |
— |
$145.21 |
— |
| Natriuretic peptide (83880) |
— |
$125.12 |
— |
| Neutralization test, viral (86382) |
— |
$100.28 |
— |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
— |
$169.37 |
— |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
— |
$358.21 |
— |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
— |
$1,620.09 |
— |
| Niacin (84591) |
— |
$48.08 |
— |
| Nk cells total count (86357) |
— |
$33.88 |
— |
| Nmr Lipoprofile (83704) |
— |
$135.64 |
— |
| Nuclear antigen antibody (86235) |
— |
$77.37 |
— |
| Occult blood stool (82272) |
— |
$7.65 |
— |
| Oligoclonal bands (83916) |
— |
$88.40 |
— |
| Oncoprotein dcp (83951) |
— |
$266.35 |
— |
| Organic Acids Total Quantitative Each Specimen (83918) |
— |
$420.67 |
— |
| Osmolality serum (83930) |
— |
$45.51 |
— |
| Osmolality urine (83935) |
— |
$45.51 |
— |
| Osmotic fragility rbc incubated (85557) |
— |
$191.87 |
— |
| Oxalate urine (83945) |
— |
$151 |
— |
| Pancreatic elastase fecal (82656) |
— |
$465.16 |
— |
| Pancreatic polypeptide (83519) |
— |
$366.33 |
— |
| Parainfluenza ag if (87279) |
— |
$75.35 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$15.36 |
— |
| Parvovirus antibody (86747) |
— |
$64.62 |
— |
| Pertussis dfa (87265) |
— |
$100.56 |
— |
| Phenylalanine (84030) |
— |
$108.96 |
— |
| Phosphatase acid prostatic (84066) |
— |
$123.32 |
— |
| Phosphorus urine (84105) |
— |
$354.46 |
— |
| Pinworm exam (87172) |
— |
$73.05 |
— |
| Porphobilinogen Urine Qual (84106) |
— |
$120.56 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$158.69 |
— |
| Porphyrins urine qual (84119) |
— |
$196.50 |
— |
| Potassium urine (84133) |
— |
$41.44 |
— |
| Pregnenolone (84140) |
— |
$64.47 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$492.69 |
— |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
— |
$277.35 |
— |
| Pretx serum rbc antibody identification dilution (86976) |
— |
$75.93 |
— |
| Primidone (80188) |
— |
$77.66 |
— |
| Procalcitonin (pct) (84145) |
— |
$78.83 |
— |
| Progesterone (84144) |
— |
$172.44 |
— |
| Prolactin (84146) |
— |
$226.64 |
— |
| Protein body fluid (84157) |
— |
$11.90 |
— |
| Protein c activity (85303) |
— |
$259.11 |
— |
| Protein c antigen (85302) |
— |
$259.11 |
— |
| Protein electrophoresis serum (84165) |
— |
$93.91 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$52.17 |
— |
| Protein S Functional (85306) |
— |
$16.88 |
— |
| Protein s total (85305) |
— |
$259.11 |
— |
| Protein Total Serum (84155) |
— |
$68.39 |
— |
| Protein urine (84156) |
— |
$88.68 |
— |
| Protein Western Blot (84182) |
— |
$38.74 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$83.17 |
— |
| PSA free (84154) |
— |
$194.18 |
— |
| Quantiferon tb gold (86480) |
— |
$483.12 |
— |
| Quinidine (80194) |
— |
$91.58 |
— |
| Rbc antibody elution (86860) |
— |
$277.35 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$214.47 |
— |
| Rbc serum pretx incubj drugs (86975) |
— |
$85.21 |
— |
| Reagent strip/blood glucose (82948) |
— |
$79.12 |
— |
| Ref consult prep elsewhere (88321) |
— |
$151.29 |
— |
| Renin activity plasma (84244) |
— |
$290.10 |
— |
| Respiratory viral panel PCR (87633) |
— |
$1,581.54 |
— |
| Reticulocyte separation (86972) |
— |
$277.35 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$32.02 |
— |
| Rheumatoid factor quant (86431) |
— |
$19.56 |
— |
| Rickettsia antibody (86757) |
— |
$164.62 |
— |
| Rsv (87807) |
— |
$43.71 |
— |
| Rubella antibody (86762) |
— |
$175.64 |
— |
| Russell viper venom time diluted (85613) |
— |
$150.56 |
— |
| Saccharomyces ab iga (86671) |
— |
$376.62 |
— |
| Salicylate (80179) |
— |
$110.36 |
— |
| Salmonella antibody (86768) |
— |
$83.46 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$133.31 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$85.23 |
— |
| Sedimentation rate (85651) |
— |
$120.20 |
— |
| Semen analysis complete (89320) |
— |
$67.24 |
— |
| Semen analysis sperm presence&/motility sprm (89321) |
— |
$52.17 |
— |
| Sensitivity mic (87186) |
— |
$340.42 |
— |
| Serotonin Release Assay (86022) |
— |
$365.75 |
— |
| Sex hormone binding globulin (84270) |
— |
$249.83 |
— |
| Sickle cell screen (85660) |
— |
$64.78 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$341.13 |
— |
| Smear acid fast (87206) |
— |
$100.42 |
— |
| Smear gram stain (87205) |
— |
$32.30 |
— |
| Snrpn/ube3a gene (81331) |
— |
$1,052.92 |
— |
| Sodium (84295) |
— |
$17.48 |
— |
| Sodium other source (84302) |
— |
$9.57 |
— |
| Sodium urine (84300) |
— |
$58.26 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$97.10 |
— |
| Special stains group 1 (88312) |
— |
$121.70 |
— |
| Specific gravity body fluid (84315) |
— |
$25.20 |
— |
| Spectrophotometry (84311) |
— |
$112.75 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$203.25 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$106.70 |
— |
| Strep a assay w/optic (87880) |
— |
$31.69 |
— |
| Surg path level iii (88304) |
— |
$210.12 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$75.93 |
— |
| Surgical pathology level IV (88305) |
— |
$159.66 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$75.92 |
— |
| T cells, total count (86359) |
— |
$40.03 |
— |
| T3 free (84481) |
— |
$110.36 |
— |
| T3 reverse (84482) |
— |
$205.19 |
— |
| T3 total (84480) |
— |
$77.11 |
— |
| T3 uptake (84479) |
— |
$43.89 |
— |
| T4 Free (84439) |
— |
$111 |
— |
| T4 total (84436) |
— |
$26.30 |
— |
| Tb intradermal test (86580) |
— |
$35.17 |
— |
| Test for acetone/ketones (82009) |
— |
$40.57 |
— |
| Test for urine cystines (82615) |
— |
$103.18 |
— |
| Testosterone free (84402) |
— |
$192.16 |
— |
| Testosterone total (84403) |
— |
$259.53 |
— |
| Tetanus antibody (86774) |
— |
$185.19 |
— |
| Theophylline (80198) |
— |
$103.18 |
— |
| Thin prep pap (88142) |
— |
$77.53 |
— |
| Thrombin time plasma (85670) |
— |
$101.72 |
— |
| Thyroglobulin (84432) |
— |
$237.36 |
— |
| Thyroglobulin Ab (86800) |
— |
$56.74 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$770.92 |
— |
| Thyroxine binding globulin (84442) |
— |
$102.60 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$502.83 |
— |
| Tissue culture placenta (88235) |
— |
$423.20 |
— |
| Tobramycin peak (80200) |
— |
$176.79 |
— |
| Topiramate (80201) |
— |
$178.96 |
— |
| Touch prep (88161) |
— |
$75.93 |
— |
| Toxoplasma ab igm (86778) |
— |
$53.62 |
— |
| Toxoplasma antibody igg (86777) |
— |
$88.11 |
— |
| Transferrin (84466) |
— |
$150.41 |
— |
| Trh stimulation panel (80438) |
— |
$539.93 |
— |
| Triglycerides (84478) |
— |
$76.52 |
— |
| Troponin (84484) |
— |
$76.49 |
— |
| Trypsin feces quantitative 24-hr collection (84490) |
— |
$91.01 |
— |
| Unlisted transfusion medicine procedure (86999) |
— |
$184.48 |
— |
| Urea nitrogen urine (84540) |
— |
$84.62 |
— |
| Uric acid blood (84550) |
— |
$34.97 |
— |
| Uric acid other source (84560) |
— |
$47.82 |
— |
| Urinalysis w/microscopic (81001) |
— |
$25.13 |
— |
| Urine volume measurement (81050) |
— |
$12.75 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$88.11 |
— |
| Urobilinogen, feces, quantitative Other Outpatient (84577) |
— |
$89.56 |
— |
| Valproic acid level (80164) |
— |
$88.11 |
— |
| Vancomycin trough (80202) |
— |
$53.54 |
— |
| Varicella-zoster antibody (86787) |
— |
$68.39 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$151.86 |
— |
| Vasopressin (84588) |
— |
$280.24 |
— |
| Vdrl csf (86592) |
— |
$34 |
— |
| Virus antibody nos (86790) |
— |
$38.85 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$328.37 |
— |
| Virus inoculate tissue addl (87253) |
— |
$132.74 |
— |
| Viscosity serum (85810) |
— |
$16.61 |
— |
| Vitamin A (84590) |
— |
$190.98 |
— |
| Vitamin b-12 (82607) |
— |
$52.45 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$137.96 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$254.74 |
— |
| Vitamin b6 (84207) |
— |
$351.85 |
— |
| Vitamin C (82180) |
— |
$152.88 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$163.04 |
— |
| Vitamin e serum (84446) |
— |
$60.86 |
— |
| Von willebrand factor activity (85245) |
— |
$542.83 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$167.81 |
— |
| West nile virus ab, igm (86788) |
— |
$339.08 |
— |
| West nile virus antibody (86789) |
— |
$119.41 |
— |
| Xylose Absorption Test (84620) |
— |
$85.80 |
— |
| Zinc (84630) |
— |
$98.12 |
— |