| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$480 |
— |
| 5 Hiaa (83497) |
— |
$310 |
— |
| 5 Nucleotidase (83915) |
— |
$170 |
— |
| Acute hepatitis panel (80074) |
— |
$595 |
— |
| Afb culture (87116) |
— |
$250 |
— |
| Albumin Fluid (82042) |
— |
$150 |
— |
| Albumin serum (82040) |
— |
$150 |
— |
| Aldolase (82085) |
— |
$250 |
— |
| Aldosterone urine (82088) |
— |
$360 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$270 |
— |
| Allergen specific ige (86003) |
— |
$140 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$310 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$490 |
— |
| Alpha-fetoprotein amniotic (82106) |
— |
$230 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$277.50 |
— |
| Alt (sgpt) (84460) |
— |
$185 |
— |
| Aluminum (82108) |
— |
$250 |
— |
| Amikacin trough (80150) |
— |
$285 |
— |
| Amino acid screen urine (82128) |
— |
$1,125 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$610 |
— |
| Ammonia (82140) |
— |
$425 |
— |
| Amylase urine (82150) |
— |
$310 |
— |
| Ana Titer (86039) |
— |
$192.50 |
— |
| Angiotensin i enzyme test (82164) |
— |
$255 |
— |
| Antibody Absorption (86978) |
— |
$130 |
— |
| Antibody aspergillus (86606) |
— |
$220 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$545 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$285 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$330 |
— |
| Antibody Encephalitis Eastern Equine (86652) |
— |
$180 |
— |
| Antibody Encephalitis St. Louis (86653) |
— |
$180 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$150 |
— |
| Antibody haemophilus influenza (86684) |
— |
$360 |
— |
| Antibody helicobacter pylori (86677) |
— |
$270 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$205 |
— |
| Antibody identification (86870) |
— |
$167.50 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$115 |
— |
| Antibody influenza virus (86710) |
— |
$360 |
— |
| Antibody mumps (86735) |
— |
$380 |
— |
| Antibody Protozoa Nes (86753) |
— |
$267.50 |
— |
| Antibody rubeola (86765) |
— |
$270 |
— |
| Antibody screen (86850) |
— |
$162.50 |
— |
| Antibody treponema pallidum (86780) |
— |
$277.50 |
— |
| Antibody; Coccidioides (86635) |
— |
$220 |
— |
| Antigen typing (86905) |
— |
$150 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$230 |
— |
| Antinuclear antibodies (86038) |
— |
$352.50 |
— |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
— |
$105 |
— |
| Antistreptolysin o titer (86060) |
— |
$185 |
— |
| Antithrombin iii activity (85300) |
— |
$390 |
— |
| Antithrombin iii antigen (85301) |
— |
$310 |
— |
| Arsenic Urine (82175) |
— |
$380 |
— |
| Assay free hydroxyproline (83500) |
— |
$750 |
— |
| Assay galactose transferase (82775) |
— |
$715 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$390 |
— |
| Assay of acth (82024) |
— |
$480 |
— |
| Assay of androstenedione (82157) |
— |
$90 |
— |
| Assay of blood chloride (82435) |
— |
$150 |
— |
| Assay of c-peptide (84681) |
— |
$430 |
— |
| Assay of calcitonin (82308) |
— |
$430 |
— |
| Assay of ceruloplasmin (82390) |
— |
$250 |
— |
| Assay of creatine (82540) |
— |
$330 |
— |
| Assay of cyclosporine (80158) |
— |
$480 |
— |
| Assay of erythropoietin (82668) |
— |
$380 |
— |
| Assay of ethosuximide (80168) |
— |
$305 |
— |
| Assay of ferritin (82728) |
— |
$225 |
— |
| Assay of g6pd enzyme (82955) |
— |
$285 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$185 |
— |
| Assay of gastrin (82941) |
— |
$270 |
— |
| Assay of gentamicin (80170) |
— |
$330 |
— |
| Assay of glucagon (82943) |
— |
$360 |
— |
| Assay of homocystine (83090) |
— |
$530 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$380 |
— |
| Assay of manganese (83785) |
— |
$330 |
— |
| Assay of metanephrines (83835) |
— |
$380 |
— |
| Assay of osteocalcin (83937) |
— |
$305 |
— |
| Assay of parathormone (83970) |
— |
$577.50 |
— |
| Assay of phenobarbital (80184) |
— |
$330 |
— |
| Assay of prealbumin (84134) |
— |
$285 |
— |
| Assay of proinsulin (84206) |
— |
$540 |
— |
| Assay of pyruvate (84210) |
— |
$700 |
— |
| Assay of selenium (84255) |
— |
$150 |
— |
| Assay of semen fructose (82757) |
— |
$380 |
— |
| Assay of serotonin (84260) |
— |
$655 |
— |
| Assay of sialic acid (84275) |
— |
$500 |
— |
| Assay of somatomedin (84305) |
— |
$435 |
— |
| Assay of tacrolimus (80197) |
— |
$430 |
— |
| Assay of urine vma (84585) |
— |
$330 |
— |
| Assay of vitamin k (84597) |
— |
$275 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$140 |
— |
| Ast (sgot) (84450) |
— |
$185 |
— |
| Automated rbc count (85041) |
— |
$100 |
— |
| Bartonella antibody (86611) |
— |
$385 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$130 |
— |
| Beta hydroxybutyrate (82010) |
— |
$150 |
— |
| Beta-2 microglobulin (82232) |
— |
$285 |
— |
| Bilirubin direct (82248) |
— |
$185 |
— |
| Bilirubin total (82247) |
— |
$185 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$90 |
— |
| Blastomyces antibody (86612) |
— |
$220 |
— |
| Bleeding time (85002) |
— |
$205 |
— |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
— |
$750 |
— |
| Blood Count Automated Differential Wbc Count (85004) |
— |
$155 |
— |
| Blood count reticulocyte automated (85045) |
— |
$155 |
— |
| Blood gases (82803) |
— |
$490 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$120 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$750 |
— |
| Blood typing abo (86900) |
— |
$105 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$115 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$90 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$155 |
— |
| Body fluid cell count (89051) |
— |
$140 |
— |
| Body fluid cell count (89050) |
— |
$140 |
— |
| Bordetella antibody (86615) |
— |
$230 |
— |
| Brucella antibody (86622) |
— |
$205 |
— |
| C diff amplified probe (87493) |
— |
$415 |
— |
| C-reactive protein (86140) |
— |
$155 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$480 |
— |
| C1q binding assay (86332) |
— |
$545 |
— |
| Ca 125 (86304) |
— |
$380 |
— |
| Ca 19-9 (86301) |
— |
$380 |
— |
| Ca 27 29 (86300) |
— |
$375 |
— |
| Cadmium level (82300) |
— |
$90 |
— |
| Calcium ionized (82330) |
— |
$205 |
— |
| Calcium total (82310) |
— |
$155 |
— |
| Calculus Spectroscopy (82365) |
— |
$310 |
— |
| California encephalitis ab (86651) |
— |
$180 |
— |
| Calprotectin, fecal (83993) |
— |
$130 |
— |
| Candida antibody (86628) |
— |
$140 |
— |
| Carb deficient transferrin (82373) |
— |
$220 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$330 |
— |
| Carbon dioxide (82374) |
— |
$140 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$250 |
— |
| Carcinoembryonic antigen (82378) |
— |
$380 |
— |
| Cardiolipin ab igg (86147) |
— |
$170 |
— |
| Carnitine (82379) |
— |
$430 |
— |
| Carotene (82380) |
— |
$270 |
— |
| Catecholamines fraction plasma (82384) |
— |
$430 |
— |
| Cd4 absolute count (86361) |
— |
$500 |
— |
| Cell marker study (88182) |
— |
$542.50 |
— |
| Cftr gene full sequence (81223) |
— |
$267.50 |
— |
| Chemiluminescent assay (82397) |
— |
$162.50 |
— |
| Chlamydia antibody (86631) |
— |
$155 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$155 |
— |
| Chloride other source (82438) |
— |
$150 |
— |
| Chloride urine (82436) |
— |
$150 |
— |
| Cholesterol total (82465) |
— |
$185 |
— |
| Cholinesterase rbc (82482) |
— |
$330 |
— |
| Cholinesterase serum (82480) |
— |
$330 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$890 |
— |
| Chrom count break 50-100/20/2 (88248) |
— |
$1,560 |
— |
| Chromium urine (82495) |
— |
$125 |
— |
| Chromogranin a (86316) |
— |
$390 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$1,080 |
— |
| Chromosome karyotype study (88280) |
— |
$700 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$310 |
— |
| Citrate (82507) |
— |
$480 |
— |
| Ck isoenzymes (82552) |
— |
$330 |
— |
| Ckmb (82553) |
— |
$305 |
— |
| Clot factor viii vw antigen (85246) |
— |
$255 |
— |
| Clotting time (85345) |
— |
$205 |
— |
| Cold agglutinin titer (86157) |
— |
$225 |
— |
| Collagen cross links (82523) |
— |
$745 |
— |
| Compatibility test antiglob (86922) |
— |
$215 |
— |
| Compatibility Test Incubate (86921) |
— |
$225 |
— |
| Complement c3 (86160) |
— |
$205 |
— |
| Complement total ch50 (86162) |
— |
$330 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$330 |
— |
| Concentration Infectious Agent (87015) |
— |
$202.50 |
— |
| Coombs direct (86880) |
— |
$137.50 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$45 |
— |
| Copper urine (82525) |
— |
$230 |
— |
| Cortisol free (82530) |
— |
$665 |
— |
| Cortisol total (82533) |
— |
$330 |
— |
| Creatine kinase total (82550) |
— |
$220 |
— |
| Creatinine blood (82565) |
— |
$155 |
— |
| Creatinine clearance (82575) |
— |
$225 |
— |
| Creatinine other source (82570) |
— |
$155 |
— |
| Crossmatch immediate spin (86920) |
— |
$275 |
— |
| Cryofibrinogen (82585) |
— |
$480 |
— |
| Cryoglobulin (82595) |
— |
$140 |
— |
| Cryptococcus antibody (86641) |
— |
$90 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$70 |
— |
| Culture Aerobic Identify (87077) |
— |
$70 |
— |
| Culture anaerobic (87075) |
— |
$320 |
— |
| Culture blood (87040) |
— |
$310 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$320 |
— |
| Culture fungus blood (87103) |
— |
$320 |
— |
| Culture fungus other (87102) |
— |
$195 |
— |
| Culture genital (87070) |
— |
$320 |
— |
| Culture screen only (87081) |
— |
$230 |
— |
| Culture stool (87045) |
— |
$92.50 |
— |
| Culture typing other methods (87158) |
— |
$55 |
— |
| Culture urine (87086) |
— |
$230 |
— |
| Culture urine id ea isolate (87088) |
— |
$285 |
— |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
— |
$200 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$490 |
— |
| Cystatin c (82610) |
— |
$155 |
— |
| Cytogenetics DNA probe (88271) |
— |
$350 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$655 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$90 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$90 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$180 |
— |
| D-Dimer (85379) |
— |
$360 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$270 |
— |
| Dhea (82626) |
— |
$360 |
— |
| Dhea sulfate (82627) |
— |
$360 |
— |
| Digoxin (80162) |
— |
$380 |
— |
| Dilantin (80185) |
— |
$330 |
— |
| Diphtheria antitoxoid (86648) |
— |
$360 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$285 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$285 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$360 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$595 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$350 |
— |
| Ebv viral capsid (86665) |
— |
$225 |
— |
| Echinococcus ab igg (86682) |
— |
$825 |
— |
| Ehrlichia antibody (86666) |
— |
$310 |
— |
| Electrolyte panel (80051) |
— |
$360 |
— |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
— |
$520 |
— |
| Encephalitis Western Equine (86654) |
— |
$180 |
— |
| Endomysial antibody iga (86255) |
— |
$270 |
— |
| Entamoeba histolytica antigen (87337) |
— |
$90 |
— |
| Enterovirus antibody (86658) |
— |
$140 |
— |
| Enterovirus Pcr (87498) |
— |
$1,180 |
— |
| Eosinophil count (85048) |
— |
$100 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$145 |
— |
| Estradiol (82670) |
— |
$465 |
— |
| Estriol (82677) |
— |
$305 |
— |
| Estrogen receptor analysis (84233) |
— |
$565 |
— |
| Estrone (82679) |
— |
$430 |
— |
| Ethylene glycol (82693) |
— |
$390 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$185 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$310 |
— |
| F5 gene (81241) |
— |
$310 |
— |
| Factor inhibitor test (85335) |
— |
$560 |
— |
| Factor v activity (85220) |
— |
$425 |
— |
| Factor viii ahg (85240) |
— |
$182.50 |
— |
| Fecal fat qual (82705) |
— |
$185 |
— |
| Fetal bleed screen (85461) |
— |
$140 |
— |
| Fetal fibronectin (82731) |
— |
$1,560 |
— |
| Fibrin degradation products (85362) |
— |
$250 |
— |
| Fibrinogen activity (85384) |
— |
$225 |
— |
| Fibrinolytic factors and inhibitors; plasmin Other Outpatient (85400) |
— |
$330 |
— |
| Flow cytometry first marker (88184) |
— |
$390 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$185 |
— |
| Folate serum (82746) |
— |
$200 |
— |
| Folic acid rbc (82747) |
— |
$255 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$390 |
— |
| Fructosamine (82985) |
— |
$225 |
— |
| Gastric acid analy w/ph ea spe (82930) |
— |
$330 |
— |
| Gastric Occult Blood (82271) |
— |
$140 |
— |
| Ggt (82977) |
— |
$185 |
— |
| Giardia antigen eia stool (87329) |
— |
$140 |
— |
| Giardia lamblia antibody (86674) |
— |
$285 |
— |
| Glucose (82947) |
— |
$150 |
— |
| Glucose body fluid (82945) |
— |
$150 |
— |
| Glucose post dose (82950) |
— |
$150 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$150 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$185 |
— |
| Growth hormone (83003) |
— |
$330 |
— |
| Haloperidol (haldol) (80173) |
— |
$385 |
— |
| Haptoglobin (83010) |
— |
$270 |
— |
| Hcg qualitative (84703) |
— |
$200 |
— |
| Hcg quant (84702) |
— |
$210 |
— |
| Hdl Cholesterol (83718) |
— |
$140 |
— |
| Heavy metal quant each (83018) |
— |
$177.50 |
— |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
— |
$205 |
— |
| Hematocrit (85014) |
— |
$210 |
— |
| Hemoglobin (85018) |
— |
$100 |
— |
| Hemoglobin a1c (83036) |
— |
$255 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$330 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$760 |
— |
| Hemolysins And Agglutinins Incubated (86941) |
— |
$390 |
— |
| Heparin assay (85520) |
— |
$410 |
— |
| Hepatitis a antibody total (86708) |
— |
$380 |
— |
| Hepatitis a igm (86709) |
— |
$105 |
— |
| Hepatitis b core ab igm (86705) |
— |
$115 |
— |
| Hepatitis b core antibody total (86704) |
— |
$250 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$250 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$250 |
— |
| Hepatitis be antibody (86707) |
— |
$250 |
— |
| Hepatitis Be Antigen (87350) |
— |
$250 |
— |
| Hepatitis c antibody (86803) |
— |
$285 |
— |
| Hepatitis C Genotype (87902) |
— |
$940 |
— |
| Hepatitis delta ab (86692) |
— |
$820 |
— |
| Herpes culture (87252) |
— |
$360 |
— |
| Herpes simplex type 2 (86696) |
— |
$205 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$185 |
— |
| Histamine plasma (83088) |
— |
$515 |
— |
| Histoplasma antibody (86698) |
— |
$220 |
— |
| HIV confirmation (86689) |
— |
$140 |
— |
| HIV-1 genotype (87901) |
— |
$1,405 |
— |
| Hla I Typing 1 Locus Lr (81373) |
— |
$285 |
— |
| Hla ii low resolution one antigen equivalent ea (81377) |
— |
$285 |
— |
| Hla-b27 (86812) |
— |
$435 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$150 |
— |
| Hsv Dna Quant (87530) |
— |
$740 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$390 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$205 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$150 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$140 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$105 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$585 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$335 |
— |
| Iaad ia rotavirus (87425) |
— |
$380 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$260 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$80 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$100 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$785 |
— |
| Iadna candida species amplified probe tq (87481) |
— |
$105 |
— |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
— |
$200 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$1,560 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$675 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$845 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$845 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$310 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$427.50 |
— |
| Iadna nos quantification each organism (87799) |
— |
$745 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$230 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$1,560 |
— |
| Igg subclasses (82787) |
— |
$115 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$65 |
— |
| Immunoassay nonantibody (83516) |
— |
$155 |
— |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) |
— |
$250 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$200 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$307.50 |
— |
| Immunohistochemistry (88342) |
— |
$180 |
— |
| India ink prep (87210) |
— |
$115 |
— |
| Influenza a/b ag eia (87400) |
— |
$140 |
— |
| Inhibin a (86336) |
— |
$250 |
— |
| Inhibin b (83520) |
— |
$500 |
— |
| Insitu hybridization (fish) (88365) |
— |
$330 |
— |
| Insulin antibodies (86337) |
— |
$430 |
— |
| Insulin total (83525) |
— |
$250 |
— |
| Intrinsic factor antibody (86340) |
— |
$275 |
— |
| Iron (83540) |
— |
$125 |
— |
| Iron binding capacity (83550) |
— |
$275 |
— |
| Islet cell antibody (86341) |
— |
$750 |
— |
| Ketosteroids 17; total (83586) |
— |
$330 |
— |
| Koh Prep (87220) |
— |
$105 |
— |
| L/s ratio, fetal lung (83661) |
— |
$435 |
— |
| Lactic acid (83605) |
— |
$305 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$115 |
— |
| Ldh (83615) |
— |
$220 |
— |
| Ldh isoenzymes (83625) |
— |
$330 |
— |
| LDL cholesterol direct (83721) |
— |
$150 |
— |
| Lead (83655) |
— |
$250 |
— |
| Legionella antibody (86713) |
— |
$530 |
— |
| Legionella antigen urine (87449) |
— |
$217.50 |
— |
| Legionella pneumophila dfa (87278) |
— |
$275 |
— |
| Leukocyte histamine release test (86343) |
— |
$360 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$270 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$270 |
— |
| Lh (83002) |
— |
$380 |
— |
| Lipase (83690) |
— |
$310 |
— |
| Lipoprotein Bld Hr Fraction (83701) |
— |
$230 |
— |
| Listeria ab (86609) |
— |
$330 |
— |
| Lithium (80178) |
— |
$205 |
— |
| Lyme disease antibody confirm (86617) |
— |
$187.50 |
— |
| Magnesium (83735) |
— |
$200 |
— |
| Malaria smear (87207) |
— |
$190 |
— |
| Mcg interphase insitu 25 (88274) |
— |
$570 |
— |
| Mercury (83825) |
— |
$265 |
— |
| Metabolic Panel Ionized Ca (80047) |
— |
$155 |
— |
| Methotrexate (80299) |
— |
$387.50 |
— |
| Methylmalonic acid serum (83921) |
— |
$545 |
— |
| Microalbumin urine (82043) |
— |
$220 |
— |
| Microsomal antibodies (86376) |
— |
$270 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$200 |
— |
| Molecular pathology procedure level 2 (81401) |
— |
$1,297.50 |
— |
| Mononuclear cell antigen (86356) |
— |
$390 |
— |
| Mucopolysaccharides acid quantitative (83864) |
— |
$270 |
— |
| Muramidase (85549) |
— |
$270 |
— |
| Mycoplasma antibody (86738) |
— |
$250 |
— |
| Myelin basic protein csf (83873) |
— |
$530 |
— |
| Myoglobin urine (83874) |
— |
$330 |
— |
| N.gonorrhoeae, DNA, dir prob (87590) |
— |
$200 |
— |
| Nasal smear for eosinophils (89190) |
— |
$155 |
— |
| Natriuretic peptide (83880) |
— |
$435 |
— |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
— |
$380 |
— |
| Niacin (84591) |
— |
$515 |
— |
| Nmr Lipoprofile (83704) |
— |
$430 |
— |
| Nocardia antibody (86744) |
— |
$275 |
— |
| Nuclear antigen antibody (86235) |
— |
$185 |
— |
| Occult blood stool (82272) |
— |
$140 |
— |
| Oligoclonal bands (83916) |
— |
$430 |
— |
| Organic Acids Total Quantitative Each Specimen (83918) |
— |
$1,125 |
— |
| Osmolality serum (83930) |
— |
$205 |
— |
| Osmolality urine (83935) |
— |
$205 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$140 |
— |
| Oxalate urine (83945) |
— |
$205 |
— |
| Pancreatic elastase fecal (82656) |
— |
$915 |
— |
| Pancreatic polypeptide (83519) |
— |
$480 |
— |
| Parvovirus antibody (86747) |
— |
$202.50 |
— |
| Phenylalanine (84030) |
— |
$270 |
— |
| Phenytoin free (80186) |
— |
$275 |
— |
| Phosphatase acid prostatic (84066) |
— |
$480 |
— |
| Phosphatase alkaline (84075) |
— |
$155 |
— |
| Phosphorus blood (84100) |
— |
$155 |
— |
| Phosphorus urine (84105) |
— |
$155 |
— |
| Pinworm exam (87172) |
— |
$140 |
— |
| Plasminogen (85420) |
— |
$450 |
— |
| Platelet aggregation (85576) |
— |
$225 |
— |
| Platelet count (85049) |
— |
$115 |
— |
| Porphobilinogen Urine Qual (84106) |
— |
$305 |
— |
| Porphobilinogen urine quant (84110) |
— |
$415 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$287.50 |
— |
| Potassium (84132) |
— |
$150 |
— |
| Potassium urine (84133) |
— |
$150 |
— |
| Pregnenolone (84140) |
— |
$225 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$45 |
— |
| Primidone (80188) |
— |
$390 |
— |
| Procainamide napa (80192) |
— |
$357.50 |
— |
| Procalcitonin (pct) (84145) |
— |
$430 |
— |
| Progesterone (84144) |
— |
$380 |
— |
| Prolactin (84146) |
— |
$425 |
— |
| Protein body fluid (84157) |
— |
$140 |
— |
| Protein c activity (85303) |
— |
$360 |
— |
| Protein c antigen (85302) |
— |
$360 |
— |
| Protein electrophoresis serum (84165) |
— |
$140 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$390 |
— |
| Protein S Functional (85306) |
— |
$255 |
— |
| Protein s total (85305) |
— |
$360 |
— |
| Protein Total Serum (84155) |
— |
$140 |
— |
| Protein urine (84156) |
— |
$155 |
— |
| Protein Western Blot (84182) |
— |
$1,100 |
— |
| Protein westrn blot i&r blood/other fluid (84181) |
— |
$180 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$270 |
— |
| PSA free (84154) |
— |
$220 |
— |
| Quantiferon tb gold (86480) |
— |
$380 |
— |
| Quinidine (80194) |
— |
$285 |
— |
| Rbc antibody elution (86860) |
— |
$205 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$165 |
— |
| Reagent strip/blood glucose (82948) |
— |
$170 |
— |
| Renin activity plasma (84244) |
— |
$270 |
— |
| Respiratory Virus (86756) |
— |
$180 |
— |
| Reticulocyte separation (86972) |
— |
$865 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$200 |
— |
| Rheumatoid factor quant (86431) |
— |
$200 |
— |
| Rickettsia antibody (86757) |
— |
$180 |
— |
| Rubella antibody (86762) |
— |
$205 |
— |
| Saccharomyces ab iga (86671) |
— |
$380 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$260 |
— |
| Sedimentation rate (85651) |
— |
$170 |
— |
| Semen analysis complete (89320) |
— |
$330 |
— |
| Semen analysis sperm presence&/motility sprm (89321) |
— |
$115 |
— |
| Sensitivity mic (87186) |
— |
$165 |
— |
| Serotonin Release Assay (86022) |
— |
$380 |
— |
| Sex hormone binding globulin (84270) |
— |
$155 |
— |
| Sickle cell screen (85660) |
— |
$220 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$585 |
— |
| Smear acid fast (87206) |
— |
$140 |
— |
| Smear complex stain (87209) |
— |
$185 |
— |
| Smear gram stain (87205) |
— |
$150 |
— |
| Sodium (84295) |
— |
$150 |
— |
| Sodium other source (84302) |
— |
$150 |
— |
| Sodium urine (84300) |
— |
$150 |
— |
| Soluble transferrin receptor (84238) |
— |
$185 |
— |
| Somatostatin (84307) |
— |
$895 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$90 |
— |
| Special stains group 1 (88312) |
— |
$240 |
— |
| Spectrophotometry (84311) |
— |
$100 |
— |
| Staph aureus amplified probe (87640) |
— |
$105 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$140 |
— |
| Strep b DNA amp probe (87653) |
— |
$105 |
— |
| Sugars single quant (84378) |
— |
$760 |
— |
| Surg path level iii (88304) |
— |
$180 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$55 |
— |
| Surgical pathology level IV (88305) |
— |
$180 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$500 |
— |
| T cells, total count (86359) |
— |
$330 |
— |
| T3 free (84481) |
— |
$255 |
— |
| T3 reverse (84482) |
— |
$125 |
— |
| T3 total (84480) |
— |
$250 |
— |
| T3 uptake (84479) |
— |
$155 |
— |
| T4 Free (84439) |
— |
$225 |
— |
| T4 total (84436) |
— |
$130 |
— |
| Tb intradermal test (86580) |
— |
$100 |
— |
| Test for acetone/ketones (82009) |
— |
$65 |
— |
| Testosterone free (84402) |
— |
$170 |
— |
| Testosterone total (84403) |
— |
$347.50 |
— |
| Tetanus antibody (86774) |
— |
$330 |
— |
| Theophylline (80198) |
— |
$310 |
— |
| Thin prep pap (88142) |
— |
$105 |
— |
| Thrombin time plasma (85670) |
— |
$360 |
— |
| Thyroglobulin (84432) |
— |
$225 |
— |
| Thyroglobulin Ab (86800) |
— |
$225 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$330 |
— |
| Thyroxine binding globulin (84442) |
— |
$55 |
— |
| Tiagabine (80199) |
— |
$480 |
— |
| Tissue culture bone marrow (88237) |
— |
$2,135 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$1,170 |
— |
| Tobramycin peak (80200) |
— |
$330 |
— |
| Topiramate (80201) |
— |
$430 |
— |
| Toxoplasma ab igm (86778) |
— |
$360 |
— |
| Toxoplasma antibody igg (86777) |
— |
$270 |
— |
| Tpmt gene com variants (81335) |
— |
$140 |
— |
| Transferrin (84466) |
— |
$220 |
— |
| Triglycerides (84478) |
— |
$185 |
— |
| Troponin (84484) |
— |
$305 |
— |
| Urea nitrogen (84520) |
— |
$155 |
— |
| Urea Nitrogen Clearance (84545) |
— |
$225 |
— |
| Urea nitrogen urine (84540) |
— |
$155 |
— |
| Uric acid blood (84550) |
— |
$205 |
— |
| Uric acid other source (84560) |
— |
$155 |
— |
| Urinalysis microscopic only (81015) |
— |
$100 |
— |
| Urinalysis w/microscopic (81001) |
— |
$120 |
— |
| Urine pregnancy test (81025) |
— |
$200 |
— |
| Urine volume measurement (81050) |
— |
$55 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$115 |
— |
| Valproic acid level (80164) |
— |
$330 |
— |
| Vancomycin trough (80202) |
— |
$380 |
— |
| Varicella-zoster antibody (86787) |
— |
$285 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$480 |
— |
| Vasopressin (84588) |
— |
$235 |
— |
| Vdrl csf (86592) |
— |
$150 |
— |
| Virus antibody nos (86790) |
— |
$330 |
— |
| Vitamin A (84590) |
— |
$410 |
— |
| Vitamin b-12 (82607) |
— |
$200 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$670 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$330 |
— |
| Vitamin b6 (84207) |
— |
$230 |
— |
| Vitamin C (82180) |
— |
$225 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$200 |
— |
| Vitamin e serum (84446) |
— |
$285 |
— |
| Vkorc1 gene (81355) |
— |
$25 |
— |
| Von willebrand factor activity (85245) |
— |
$320 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$270 |
— |
| West nile virus antibody (86789) |
— |
$500 |
— |
| Zinc (84630) |
— |
$225 |
— |