| 17 Hydroxyprogesterone (83498) |
$92.40 |
$132 |
3.4× |
| Acetone serum qual (82009) |
$52.50 |
$75 |
11.6× |
| Acetone, quantitative (82010) |
$48.30 |
$69 |
5.9× |
| Acth (82024) |
$105.70 |
$151 |
2.7× |
| Actin smooth muscle antibody each (86015) |
$67.90 |
$97 |
5.6× |
| Acute hepatitis panel (80074) |
$225.40 |
$322 |
4.7× |
| Afb culture (87116) |
$73.50 |
$105 |
6.8× |
| Albumin serum (82040) |
$23.80 |
$34 |
4.8× |
| Aldolase (82085) |
$67.90 |
$97 |
7.0× |
| Aldosterone (82088) |
$52.50 |
$75 |
1.3× |
| Alkaline phosphatase (84075) |
$24.50 |
$35 |
4.7× |
| Alkaline phosphatase isoenzymes (84080) |
$32.90 |
$47 |
2.2× |
| Alpha-1-antitrypsin (82103) |
$52.50 |
$75 |
3.9× |
| Alpha-fetoprotein serum (82105) |
$107.80 |
$154 |
6.4× |
| Alt (84460) |
$36.40 |
$52 |
6.9× |
| Ammonia (82140) |
$102.90 |
$147 |
7.1× |
| Amylase (82150) |
$44.10 |
$63 |
6.8× |
| Ana (86038) |
$65.80 |
$94 |
5.4× |
| Ana titer (86039) |
$67.90 |
$97 |
6.1× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$101.50 |
$145 |
5.6× |
| Angiotensin converting enzyme (82164) |
$52.50 |
$75 |
3.6× |
| Antibody west nile virus igm (86788) |
$67.90 |
$97 |
4.0× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$102.20 |
$146 |
8.5× |
| Antistreptolysin o titer (86060) |
$67.90 |
$97 |
9.3× |
| Antithrombin iii activity (85300) |
$134.40 |
$192 |
11.3× |
| Antithrombin iii antigen (85301) |
$102.20 |
$146 |
9.5× |
| Apolipoprotein each (82172) |
$56.70 |
$81 |
2.7× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$225.40 |
$322 |
18.7× |
| Assay of vitamin b-2 (84252) |
$245.70 |
$351 |
12.1× |
| Ast (84450) |
$34.30 |
$49 |
6.6× |
| Bcr/abl1 gene major bp (81206) |
$178.50 |
$255 |
1.1× |
| Beta 2 glycoprotein i antibody (86146) |
$107.80 |
$154 |
4.2× |
| Beta lactamase (87185) |
$107.80 |
$154 |
22.7× |
| Bilirubin direct (82248) |
$28.70 |
$41 |
5.7× |
| Bilirubin total (82247) |
$35 |
$50 |
7.0× |
| Blood count reticulocyte automated (85045) |
$27.30 |
$39 |
6.8× |
| Blood gases any combination (82803) |
$131.60 |
$188 |
5.0× |
| Blood typing serologic abo (86900) |
$37.80 |
$54 |
12.6× |
| Blood typing serologic rh (d) (86901) |
$37.10 |
$53 |
12.4× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$109.20 |
$156 |
6.9× |
| C diff amplified probe (87493) |
$113.40 |
$162 |
3.0× |
| C-peptide (84681) |
$67.90 |
$97 |
3.3× |
| C-reactive protein (86140) |
$35.70 |
$51 |
6.9× |
| C-reactive protein high sensitivity (86141) |
$86.80 |
$124 |
6.7× |
| Ca 125 (86304) |
$133 |
$190 |
6.4× |
| Ca 15-3 (86300) |
$67.90 |
$97 |
3.3× |
| Calcium ionized (82330) |
$52.50 |
$75 |
3.8× |
| Calcium total (82310) |
$27.30 |
$39 |
5.3× |
| Calcium, random urine (82340) |
$52.50 |
$75 |
8.7× |
| Calprotectin fecal (83993) |
$249.90 |
$357 |
12.7× |
| Cancer antigen 19-9 (86301) |
$67.90 |
$97 |
3.3× |
| Candida antibody (86628) |
$147.70 |
$211 |
12.3× |
| Carbamazepine total (80156) |
$98 |
$140 |
6.7× |
| Carbon dioxide (82374) |
$23.80 |
$34 |
4.9× |
| Cardiolipin antibody ea ig class (86147) |
$113.40 |
$162 |
4.5× |
| Catecholamines fractionated (82384) |
$67.90 |
$97 |
2.7× |
| Cea (82378) |
$67.90 |
$97 |
3.6× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$111.30 |
$159 |
19.9× |
| Ceruloplasmin (82390) |
$52.50 |
$75 |
4.9× |
| Chlamydia pneumoniae PCR (87486) |
$128.10 |
$183 |
3.7× |
| Chloride blood (82435) |
$24.50 |
$35 |
5.3× |
| Chloride urine (82436) |
$52.50 |
$75 |
9.1× |
| Cholesterol total (82465) |
$27.30 |
$39 |
6.3× |
| Chorionic gonadotropin test (84702) |
$78.40 |
$112 |
5.2× |
| Chromium (82495) |
$67.90 |
$97 |
3.3× |
| Ck mb fraction (82553) |
$67.90 |
$97 |
5.9× |
| Clostridium ag eia (87324) |
$113.40 |
$162 |
9.5× |
| Cmv antibody (86644) |
$108.50 |
$155 |
7.5× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$520.10 |
$743 |
1.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$130.20 |
$186 |
5.4× |
| Collagen cross links (82523) |
$134.40 |
$192 |
7.2× |
| Complement antigen ea component (86160) |
$60.90 |
$87 |
5.1× |
| Copper (82525) |
$67.90 |
$97 |
5.5× |
| Cortisol saliva (82533) |
$67.90 |
$97 |
4.2× |
| COVID-19 antibody (86769) |
$67.20 |
$96 |
1.6× |
| Creatine kinase total (82550) |
$42.70 |
$61 |
6.6× |
| Creatinine (82565) |
$25.20 |
$36 |
4.9× |
| Creatinine clearance (82575) |
$67.90 |
$97 |
7.2× |
| Creatinine other source (82570) |
$35.70 |
$51 |
6.9× |
| Cryptosporidium ag eia (87328) |
$67.90 |
$97 |
4.9× |
| Crystals fluid (89060) |
$51.80 |
$74 |
7.1× |
| Culture anaerobic (87075) |
$43.40 |
$62 |
4.6× |
| Culture blood (87040) |
$72.80 |
$104 |
7.1× |
| Culture stool (87045) |
$58.80 |
$84 |
6.2× |
| Culture urine (87086) |
$60.20 |
$86 |
7.5× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$52.50 |
$75 |
6.5× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$67.90 |
$97 |
8.4× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$32.90 |
$47 |
6.4× |
| Cyclic citrullinated peptide ab (86200) |
$91 |
$130 |
7.0× |
| Cyclosporine (80158) |
$178.50 |
$255 |
9.9× |
| Cystatin c (82610) |
$111.30 |
$159 |
6.0× |
| D-dimer quantitative (85379) |
$55.30 |
$79 |
5.4× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$67.90 |
$97 |
4.9× |
| Dhea sulfate (82627) |
$67.90 |
$97 |
3.1× |
| Digoxin (80162) |
$89.60 |
$128 |
6.7× |
| DNA/RNA amplified probe (87150) |
$287.70 |
$411 |
8.2× |
| Drug screen quant clozapine (80159) |
$90.30 |
$129 |
4.5× |
| Drug screen quant levetiracetam (80177) |
$90.30 |
$129 |
6.8× |
| Drug test prsmv chem anlyzr (80307) |
$22.40 |
$32 |
0.4× |
| Ear culture (87070) |
$58.80 |
$84 |
6.8× |
| Electrolytes panel (80051) |
$48.30 |
$69 |
6.9× |
| Endomysial antibody each immunoglobulin class (86231) |
$97.30 |
$139 |
8.0× |
| Eosinophils urine (87205) |
$26.60 |
$38 |
6.2× |
| Erythropoietin (82668) |
$67.90 |
$97 |
3.6× |
| Estradiol (82670) |
$123.90 |
$177 |
4.4× |
| Estriol (82677) |
$67.90 |
$97 |
2.8× |
| Estrogen fractionated (82671) |
$134.40 |
$192 |
4.2× |
| Extractable nuclear antigen antibody any method (86235) |
$67.90 |
$97 |
3.8× |
| F2 gene analysis (81240) |
$134.40 |
$192 |
2.0× |
| F5 gene (81241) |
$134.40 |
$192 |
1.8× |
| Factor viii activity (85240) |
$107.80 |
$154 |
6.0× |
| Factor viii vw antigen (85246) |
$112 |
$160 |
4.9× |
| Fecal fat qualitative (82705) |
$52.50 |
$75 |
10.3× |
| Ferritin (82728) |
$150.50 |
$215 |
11.0× |
| Folate serum (82746) |
$67.90 |
$97 |
4.6× |
| Folic acid rbc (82747) |
$67.90 |
$97 |
3.8× |
| Follicle stimulating hormone (fsh) (83001) |
$119.70 |
$171 |
6.4× |
| Fructosamine (82985) |
$67.90 |
$97 |
4.1× |
| Fungus isolation culture (87102) |
$79.10 |
$113 |
9.4× |
| Gamma glutamyl transferase (82977) |
$52.50 |
$75 |
7.3× |
| Gammaglobulin ige (82785) |
$67.90 |
$97 |
4.1× |
| Genet virus isolate hsv (87255) |
$98 |
$140 |
2.9× |
| Gentamicin (80170) |
$111.30 |
$159 |
6.8× |
| Giardia antigen (87329) |
$67.90 |
$97 |
5.7× |
| Gliadin antibody each immunoglobulin class (86258) |
$56.70 |
$81 |
4.7× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$26.60 |
$38 |
8.1× |
| Glucose Fasting (82947) |
$26.60 |
$38 |
6.8× |
| Glucose other fluid (82945) |
$26.60 |
$38 |
6.8× |
| Glucose tolerance test (gtt) (82951) |
$42.70 |
$61 |
3.3× |
| Glycated hemoglobin (83036) |
$60.20 |
$86 |
6.2× |
| H pylori breath test (83013) |
$67.90 |
$97 |
1.0× |
| H pylori stool (87338) |
$134.40 |
$192 |
9.3× |
| Haptoglobin (83010) |
$67.90 |
$97 |
5.4× |
| Hcg ql (84703) |
$47.60 |
$68 |
6.3× |
| Heavy metal quan each nes (83018) |
$107.80 |
$154 |
4.9× |
| Hematocrit (hct) (85014) |
$11.20 |
$16 |
4.7× |
| Hemoglobin (85018) |
$11.20 |
$16 |
4.7× |
| Hemoglobin fractj/quantj chromotography (83021) |
$112.70 |
$161 |
6.2× |
| Hep a ab total (86708) |
$84.70 |
$121 |
6.8× |
| Heparin assay (85520) |
$41.30 |
$59 |
3.2× |
| Hepatitis a antibody igm (86709) |
$72.10 |
$103 |
6.4× |
| Hepatitis b core antibody igm (86705) |
$67.90 |
$97 |
5.8× |
| Hepatitis b core antibody total (86704) |
$52.50 |
$75 |
4.4× |
| Hepatitis b DNA quant (87517) |
$160.30 |
$229 |
3.7× |
| Hepatitis b surface ab (86706) |
$156.80 |
$224 |
14.6× |
| Hepatitis b surface antigen (87340) |
$126 |
$180 |
12.2× |
| Hepatitis be antibody (86707) |
$67.90 |
$97 |
5.9× |
| Hepatitis be antigen (87350) |
$67.90 |
$97 |
5.9× |
| Hepatitis c antibody (86803) |
$141.40 |
$202 |
9.9× |
| Hepatitis c genotype (87902) |
$375.20 |
$536 |
1.5× |
| Hepatitis c RNA quantitative (87522) |
$143.50 |
$205 |
3.3× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$155.05 |
$221.50 |
10.8× |
| Herpes simplex virus by PCR (87529) |
$138.60 |
$198 |
3.9× |
| Heterophile antibody screen (86308) |
$37.10 |
$53 |
7.2× |
| Hexagonal phospholipid neutralization (85598) |
$58.10 |
$83 |
3.2× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$95.20 |
$136 |
4.0× |
| HIV-1 antibody (86701) |
$156.80 |
$224 |
17.6× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$86.10 |
$123 |
6.3× |
| Hla b27 (86812) |
$118.30 |
$169 |
4.6× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$223.30 |
$319 |
3.0× |
| Homocysteine level (83090) |
$67.90 |
$97 |
3.8× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$137.90 |
$197 |
7.1× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$112.70 |
$161 |
1.6× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$80.50 |
$115 |
2.3× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$119.70 |
$171 |
2.3× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,875.30 |
$2,679 |
4.5× |
| Immunoassay analyte quantitative nos (83520) |
$161.70 |
$231 |
9.4× |
| Immunoassay infectious agent antibody quan nos (86317) |
$67.90 |
$97 |
4.5× |
| Immunofixation electrophoresis (86334) |
$107.80 |
$154 |
4.8× |
| Immunofixation urine (86335) |
$46.90 |
$67 |
1.6× |
| Immunoglobulin d (82784) |
$67.90 |
$97 |
7.3× |
| Immunoglobulin light chains free each (83521) |
$78.40 |
$112 |
4.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) |
$81.20 |
$116 |
5.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$126 |
$180 |
1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$175 |
$250 |
5.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$121.10 |
$173 |
3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$154 |
$220 |
3.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) |
$571.20 |
$816 |
2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$143.50 |
$205 |
4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$152.25 |
$217.50 |
1.8× |
| Influenza assay w/optic (87804) |
$81.20 |
$116 |
4.9× |
| Influenza DNA amp probe (87502) |
$107.80 |
$154 |
1.1× |
| Insulin antibody (86337) |
$126 |
$180 |
5.9× |
| Insulin total (83525) |
$52.50 |
$75 |
4.6× |
| Iron (83540) |
$52.50 |
$75 |
8.1× |
| Iron binding capacity (83550) |
$67.90 |
$97 |
7.8× |
| Islet cell antibody (86341) |
$107.80 |
$154 |
4.6× |
| Jak2 gene trgt sequence alys (81279) |
$357 |
$510 |
1.9× |
| Lactate (83605) |
$67.20 |
$96 |
5.8× |
| Lactate dehydrogenase (83615) |
$51.80 |
$74 |
8.6× |
| Lactoferrin fecal (qual) (83630) |
$120.40 |
$172 |
6.1× |
| Lamotrigine (80175) |
$86.80 |
$124 |
6.6× |
| Ldh isoenzymes (83625) |
$107.80 |
$154 |
8.4× |
| LDL direct (83721) |
$67.90 |
$97 |
6.5× |
| Lead (83655) |
$52.50 |
$75 |
4.3× |
| Legionella culture (87081) |
$41.30 |
$59 |
6.2× |
| Lipase (83690) |
$52.50 |
$75 |
7.6× |
| Lipoprotein (a) (83695) |
$91 |
$130 |
6.4× |
| Lipoprotein-associated phospholipase a2 (83698) |
$140 |
$200 |
3.0× |
| Lithium (80178) |
$45.50 |
$65 |
6.9× |
| Luteinizing hormone (lh) (83002) |
$118.30 |
$169 |
6.4× |
| Lyme disease antibody (86617) |
$53.20 |
$76 |
3.4× |
| Lyme disease antibody (86618) |
$119.70 |
$171 |
7.0× |
| Magnesium (83735) |
$45.50 |
$65 |
6.8× |
| Manual differential (85007) |
$22.40 |
$32 |
5.9× |
| Mercury (83825) |
$67.90 |
$97 |
4.2× |
| Metanephrines (83835) |
$128.10 |
$183 |
7.6× |
| Methylmalonic acid serum (83921) |
$111.30 |
$159 |
5.2× |
| Microalbumin urine (82043) |
$52.50 |
$75 |
9.1× |
| Mitochondrial antibody each (86381) |
$67.90 |
$97 |
2.7× |
| Mopath procedure level 4 (81403) |
$357 |
$510 |
1.9× |
| Mumps antibody (86735) |
$52.50 |
$75 |
4.0× |
| Mycoplasma pneumoniae by PCR (87581) |
$128.10 |
$183 |
3.7× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$63.70 |
$91 |
5.5× |
| Myoglobin (83874) |
$67.90 |
$97 |
5.3× |
| N.gonorrhoeae DNA amp prob (87591) |
$121.10 |
$173 |
3.5× |
| Natriuretic peptide (83880) |
$218.40 |
$312 |
5.6× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$119.70 |
$171 |
0.5× |
| Occult bld feces 1-3 tests (82272) |
$28.70 |
$41 |
6.8× |
| Occult blood screening (82270) |
$28.70 |
$41 |
6.6× |
| Osmolality serum (83930) |
$77.70 |
$111 |
11.8× |
| Osmolality urine (83935) |
$79.10 |
$113 |
11.6× |
| Ova and parasite exam (87177) |
$90.30 |
$129 |
10.1× |
| Parathyroid hormone (83970) |
$67.90 |
$97 |
1.6× |
| Pertussis by PCR (87798) |
$93.10 |
$133 |
2.7× |
| Ph body fluid (83986) |
$48.30 |
$69 |
13.5× |
| Phenobarbital (80184) |
$74.90 |
$107 |
4.9× |
| Phenytoin level total (80185) |
$89.60 |
$128 |
6.8× |
| Phosphorus (84100) |
$16.80 |
$24 |
3.5× |
| Platelet count automated (85049) |
$30.80 |
$44 |
6.9× |
| Potassium (84132) |
$31.50 |
$45 |
6.6× |
| Potassium urine (84133) |
$73.50 |
$105 |
15.5× |
| Prealbumin (84134) |
$52.50 |
$75 |
3.6× |
| Pregnenolone (84140) |
$116.20 |
$166 |
5.6× |
| Procalcitonin (pct) (84145) |
$181.30 |
$259 |
6.7× |
| Progesterone (84144) |
$98 |
$140 |
4.7× |
| Prolactin (84146) |
$121.80 |
$174 |
6.3× |
| Protein c activity (85303) |
$112 |
$160 |
8.1× |
| Protein electrophoresis serum (84165) |
$65.10 |
$93 |
6.1× |
| Protein electrophoresis urine (84166) |
$46.90 |
$67 |
2.6× |
| Protein s antigen, free (85306) |
$116.20 |
$166 |
7.6× |
| Protein total other source (84157) |
$25.90 |
$37 |
6.5× |
| Protein total serum (84155) |
$24.50 |
$35 |
6.7× |
| Protein total urine (84156) |
$51.10 |
$73 |
13.9× |
| PSA free (84154) |
$112 |
$160 |
6.1× |
| Rbc antibody screen (86850) |
$74.90 |
$107 |
7.7× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$84.70 |
$121 |
7.0× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$107.80 |
$154 |
8.2× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$108.50 |
$155 |
5.6× |
| Renin (84244) |
$67.90 |
$97 |
3.1× |
| Resp virus 12-25 targets (87633) |
$128.10 |
$183 |
0.3× |
| Resp virus 3-5 targets (87631) |
$204.40 |
$292 |
1.4× |
| Respiratory syncytial vi (87280) |
$81.20 |
$116 |
6.1× |
| Reticyte/hgb concentrate (85046) |
$14 |
$20 |
2.5× |
| Rheumatoid factor quant (86431) |
$52.50 |
$75 |
9.3× |
| Ristocetin cofactor (85245) |
$118.30 |
$169 |
5.2× |
| Rl immediate spin crossmatch (86920) |
$74.90 |
$107 |
0.4× |
| Rpr qual (86592) |
$67.90 |
$97 |
15.9× |
| Rpr titer (86593) |
$95.20 |
$136 |
21.6× |
| Rubella antibody (86762) |
$52.50 |
$75 |
3.6× |
| Rubeola antibody (86765) |
$67.90 |
$97 |
5.3× |
| Russell viper venom diluted (85613) |
$42.70 |
$61 |
4.5× |
| Sedimentation rate rbc automated (85652) |
$18.90 |
$27 |
7.0× |
| Sex hormone binding globulin (84270) |
$67.90 |
$97 |
3.1× |
| Shiga-like toxin ag eia (87427) |
$59.50 |
$85 |
5.0× |
| Sialidase enzyme assay (87905) |
$35.70 |
$51 |
2.9× |
| Smear wet mount (87210) |
$31.50 |
$45 |
5.4× |
| Sodium (84295) |
$32.90 |
$47 |
6.8× |
| Sodium urine (84300) |
$52.50 |
$75 |
10.4× |
| Somatomedin (84305) |
$67.90 |
$97 |
3.2× |
| Stone analysis (82365) |
$67.90 |
$97 |
5.3× |
| Strep a assay w/optic (87880) |
$53.90 |
$77 |
3.3× |
| Susceptibility mic per plate (87186) |
$107.80 |
$154 |
12.5× |
| T cells cd4 count (86361) |
$160.30 |
$229 |
6.0× |
| T3 free (84481) |
$113.40 |
$162 |
6.7× |
| T3 reverse (84482) |
$116.20 |
$166 |
7.4× |
| T3 uptake (84479) |
$52.50 |
$75 |
8.1× |
| T4 (thyroxine) total (84436) |
$52.50 |
$75 |
7.6× |
| Tacrolimus (80197) |
$115.50 |
$165 |
8.4× |
| Tb test cell immun measure (86480) |
$143.50 |
$205 |
2.3× |
| Testosterone free (84402) |
$86.80 |
$124 |
3.4× |
| Testosterone total (84403) |
$168 |
$240 |
6.5× |
| Thiopurine methyltransferase, rbc (82657) |
$334.60 |
$478 |
15.1× |
| Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) |
$334.60 |
$478 |
15.1× |
| Thrombin time plasma (85670) |
$11.90 |
$17 |
2.1× |
| Thyroglobulin (84432) |
$151.90 |
$217 |
9.5× |
| Thyroglobulin antibody (86800) |
$54.60 |
$78 |
3.4× |
| Thyroid peroxidase antibody (86376) |
$55.30 |
$79 |
3.8× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$143.50 |
$205 |
2.8× |
| Thyroxine free (ft4) (84439) |
$52.50 |
$75 |
5.8× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$69.30 |
$99 |
6.0× |
| Transferrin (84466) |
$52.50 |
$75 |
4.1× |
| Treponema pallidum antibody (86780) |
$60.20 |
$86 |
4.5× |
| Trichomonas assay w/optic (87808) |
$81.20 |
$116 |
5.3× |
| Trichrome stain (87209) |
$74.90 |
$107 |
4.2× |
| Triglycerides (84478) |
$39.90 |
$57 |
7.0× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$52.50 |
$75 |
3.7× |
| Troponin t (84484) |
$67.90 |
$97 |
5.4× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$96.60 |
$138 |
1.0× |
| Unlisted molecular pathology (81479) |
$130.20 |
$186 |
— |
| Urea nitrogen quantitative (84520) |
$26.60 |
$38 |
6.7× |
| Uric acid blood (84550) |
$31.50 |
$45 |
7.0× |
| Urinalysis microscopic only (81015) |
$27.30 |
$39 |
9.0× |
| Urine bacteria culture (87088) |
$53.90 |
$77 |
6.7× |
| Urine Pregnancy Test POC (81025) |
$45.50 |
$65 |
5.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$12.60 |
$18 |
5.6× |
| Valproic acid (80164) |
$91.70 |
$131 |
6.8× |
| Valproic acid (dipropylacetic acid); free (80165) |
$35.70 |
$51 |
2.6× |
| Vancomycin (80202) |
$90.30 |
$129 |
6.7× |
| Varicella zoster antibody igg (86787) |
$77.70 |
$111 |
6.0× |
| Viral culture non-respiratory (87252) |
$114.10 |
$163 |
4.4× |
| Vitamin a (84590) |
$67.90 |
$97 |
5.8× |
| Vitamin b-12 (82607) |
$107.80 |
$154 |
7.1× |
| Vitamin b1 whole blood (84425) |
$99.40 |
$142 |
4.7× |
| Vitamin b6 (84207) |
$67.90 |
$97 |
2.4× |
| Vitamin d 25 hydroxy (82306) |
$151.90 |
$217 |
5.1× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$134.40 |
$192 |
3.5× |
| Vitamin e (84446) |
$67.90 |
$97 |
4.8× |
| Vitamin k1 (84597) |
$143.50 |
$205 |
10.5× |
| West nile virus antibody (86789) |
$67.90 |
$97 |
4.7× |
| Zinc (84630) |
$67.90 |
$97 |
6.0× |