| 1 25 Dihydroxy includes fractions if performed (82652) |
$45 |
$90 |
1.2× |
| 5 Hiaa (83497) |
$34 |
$68 |
2.6× |
| Abl1 gene (81170) |
$700 |
$1,400 |
2.3× |
| Acetaminophen level (80143) |
$19 |
$38 |
1.0× |
| Acetylcholine receptor (achr); blocking antibody (86042) |
$62 |
$124 |
3.4× |
| Acetylcholine receptor binding antibody (86041) |
$50 |
$100 |
2.7× |
| Acetylcholinesterase (82013) |
$131 |
$262 |
10.7× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$78 |
$156 |
6.5× |
| Actin smooth muscle antibody each (86015) |
$26 |
$52 |
2.2× |
| Activated protein c resistance (85307) |
$51 |
$102 |
3.3× |
| Acute hepatitis panel (80074) |
$289 |
$578 |
6.1× |
| Acylcarnitine Plasma (82017) |
$85.50 |
$171 |
5.1× |
| Adamts13 activity (85397) |
$194.50 |
$389 |
6.3× |
| Adenovirus antibody (86603) |
$196 |
$392 |
15.2× |
| Afb culture (87116) |
$80 |
$160 |
7.4× |
| Agglutinins febrile (86000) |
$37 |
$74 |
5.3× |
| Albumin Fluid (82042) |
$23.25 |
$46.50 |
3.0× |
| Albumin serum (82040) |
$27.50 |
$55 |
5.6× |
| Aldolase (82085) |
$37 |
$74 |
3.8× |
| Aldosterone urine (82088) |
$92.50 |
$185 |
2.3× |
| Alkaline phosphatase isoenzymes (84080) |
$55.50 |
$111 |
3.8× |
| Allerg sp igg quan or semiquan (86001) |
$41.50 |
$83 |
5.3× |
| Allergen specific ige (86003) |
$41.50 |
$83 |
8.0× |
| Allg Spec Ige Recomb Ea (86008) |
$31.75 |
$63.50 |
1.8× |
| Alpha-1-antitrypsin phenotype (82104) |
$48 |
$96 |
3.3× |
| Alpha-1-antitrypsin, total (82103) |
$44 |
$88 |
3.3× |
| Alpha-fetoprotein amniotic (82106) |
$96 |
$192 |
5.6× |
| Alpha-fetoprotein, serum (82105) |
$26 |
$52 |
1.6× |
| Alt (sgpt) (84460) |
$27.50 |
$55 |
5.2× |
| Aluminum (82108) |
$45 |
$90 |
1.8× |
| Amikacin trough (80150) |
$131.50 |
$263 |
8.7× |
| Amino acid screen urine (82128) |
$122 |
$244 |
8.8× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$500.50 |
$1,001 |
29.7× |
| Amino Acids, Single Quantitation (82131) |
$137 |
$274 |
6.0× |
| Aminolevulinic acid (ala) (82135) |
$101 |
$202 |
6.1× |
| Ammonia (82140) |
$190.50 |
$381 |
13.1× |
| Amniotic fluid enzyme test (84081) |
$226 |
$452 |
13.7× |
| Amylase urine (82150) |
$60.50 |
$121 |
9.3× |
| Ana Titer (86039) |
$53.50 |
$107 |
4.8× |
| Angiotensin i enzyme test (82164) |
$118 |
$236 |
8.1× |
| Antibody Absorption (86978) |
$531 |
$1,062 |
8.4× |
| Antibody aspergillus (86606) |
$69 |
$138 |
4.6× |
| Antibody coxiella burnetii q fever (86638) |
$29 |
$58 |
2.4× |
| Antibody cytomegalovirus cmv (86644) |
$29 |
$58 |
2.0× |
| Antibody cytomegalovirus cmv igm (86645) |
$31 |
$62 |
1.8× |
| Antibody Encephalitis Eastern Equine (86652) |
$57 |
$114 |
4.3× |
| Antibody Encephalitis St. Louis (86653) |
$57 |
$114 |
4.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$18 |
$36 |
1.4× |
| Antibody haemophilus influenza (86684) |
$97 |
$194 |
6.1× |
| Antibody helicobacter pylori (86677) |
$173 |
$346 |
10.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$67 |
$134 |
4.7× |
| Antibody herpes smplx type 1 (86695) |
$14 |
$28 |
1.1× |
| Antibody HIV-2 (86702) |
$73 |
$146 |
5.4× |
| Antibody identification (86870) |
$169.50 |
$339 |
0.4× |
| Antibody identification leukocyte antibodies (86021) |
$127 |
$254 |
8.4× |
| Antibody mumps (86735) |
$39 |
$78 |
3.0× |
| Antibody Protozoa Nes (86753) |
$75 |
$150 |
6.1× |
| Antibody rubeola (86765) |
$37 |
$74 |
2.9× |
| Antibody screen (86850) |
$158 |
$316 |
16.2× |
| Antibody treponema pallidum (86780) |
$42.25 |
$84.50 |
3.2× |
| Antibody; Coccidioides (86635) |
$26 |
$52 |
2.3× |
| Antigen typing (86905) |
$124.50 |
$249 |
32.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$274.50 |
$549 |
53.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$53 |
$106 |
4.4× |
| Antinuclear antibodies (86038) |
$100.75 |
$201.50 |
8.3× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$94 |
$188 |
16.3× |
| Antistreptolysin o titer (86060) |
$39 |
$78 |
5.3× |
| Antithrombin iii activity (85300) |
$67 |
$134 |
5.7× |
| Antithrombin iii antigen (85301) |
$71 |
$142 |
6.6× |
| Apolipoprotein b (82172) |
$42 |
$84 |
2.0× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$140 |
$280 |
11.6× |
| Arsenic Urine (82175) |
$61 |
$122 |
3.2× |
| Aspergillus ag eia (87305) |
$127 |
$254 |
10.6× |
| Assay direct measurement free estradiol (82681) |
$173 |
$346 |
6.2× |
| Assay free hydroxyproline (83500) |
$278.50 |
$557 |
12.3× |
| Assay galactose transferase (82775) |
$453.50 |
$907 |
21.5× |
| Assay Lipoprotein Pla2 (83698) |
$130.50 |
$261 |
2.8× |
| Assay Nephelometry Not Spec (83883) |
$119.75 |
$239.50 |
8.8× |
| Assay of 17-hydroxypregnenolone (84143) |
$120 |
$240 |
5.3× |
| Assay of acth (82024) |
$44 |
$88 |
1.1× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
$18 |
$36 |
1.0× |
| Assay of androstenedione (82157) |
$65 |
$130 |
2.2× |
| Assay of anti-mullerian hormone (82166) |
$113 |
$226 |
2.9× |
| Assay of blood chloride (82435) |
$23 |
$46 |
5.0× |
| Assay of blood fatty acids (82725) |
$147 |
$294 |
7.8× |
| Assay of c-peptide (84681) |
$30 |
$60 |
1.4× |
| Assay of calcitonin (82308) |
$85 |
$170 |
3.2× |
| Assay of ceruloplasmin (82390) |
$19 |
$38 |
1.8× |
| Assay of creatine (82540) |
$31.50 |
$63 |
6.8× |
| Assay of cyclosporine (80158) |
$210 |
$420 |
11.6× |
| Assay of erythropoietin (82668) |
$28 |
$56 |
1.5× |
| Assay of ethosuximide (80168) |
$157.50 |
$315 |
9.6× |
| Assay of ferritin (82728) |
$93 |
$186 |
6.8× |
| Assay of fluoride (82735) |
$153 |
$306 |
8.3× |
| Assay of g6pd enzyme (82955) |
$62 |
$124 |
6.4× |
| Assay of gammaglobulin igm (82784) |
$82 |
$164 |
8.8× |
| Assay of gastrin (82941) |
$36 |
$72 |
2.0× |
| Assay of gentamicin (80170) |
$206 |
$412 |
12.6× |
| Assay of glucagon (82943) |
$93 |
$186 |
6.5× |
| Assay of homocystine (83090) |
$98.75 |
$197.50 |
5.5× |
| Assay of lipoprotein(a) (83695) |
$41 |
$82 |
2.9× |
| Assay of metanephrines (83835) |
$54.50 |
$109 |
3.2× |
| Assay of osteocalcin (83937) |
$117 |
$234 |
3.9× |
| Assay of parathormone (83970) |
$86.50 |
$173 |
2.1× |
| Assay of phenobarbital (80184) |
$64 |
$128 |
4.2× |
| Assay of phosphatase acid total (84060) |
$121.50 |
$243 |
15.9× |
| Assay of prealbumin (84134) |
$78.50 |
$157 |
5.4× |
| Assay of proinsulin (84206) |
$103 |
$206 |
3.9× |
| Assay of pyruvate (84210) |
$48 |
$96 |
3.3× |
| Assay of selenium (84255) |
$100 |
$200 |
3.9× |
| Assay of serotonin (84260) |
$92.50 |
$185 |
3.0× |
| Assay of somatomedin (84305) |
$44.50 |
$89 |
2.1× |
| Assay of tacrolimus (80197) |
$46 |
$92 |
3.4× |
| Assay of transcortin (84449) |
$274 |
$548 |
15.2× |
| Assay of urine vma (84585) |
$110.50 |
$221 |
7.1× |
| Assay of vitamin k (84597) |
$126 |
$252 |
9.2× |
| Assay Ph Body Fluid Nos (83986) |
$76.50 |
$153 |
21.4× |
| Assay Thiopurine S-Methyltransferase (84433) |
$340 |
$680 |
15.3× |
| Ast (sgot) (84450) |
$27.50 |
$55 |
5.3× |
| Autologous Blood Process (86890) |
$415 |
$830 |
2.3× |
| Automated rbc count (85041) |
$51 |
$102 |
16.9× |
| B cells total count (86355) |
$72 |
$144 |
1.9× |
| Bartonella antibody (86611) |
$23 |
$46 |
2.3× |
| Bcr/abl1 gene major bp (81206) |
$257 |
$514 |
1.6× |
| Bcr/abl1 gene minor bp (81207) |
$200 |
$400 |
1.4× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
$68 |
$136 |
2.7× |
| Beta hydroxybutyrate (82010) |
$53.50 |
$107 |
6.5× |
| Beta-2 microglobulin (82232) |
$64 |
$128 |
4.0× |
| Bile acids, total (82239) |
$131.50 |
$263 |
7.7× |
| Bile acids; cholylglycine (82240) |
$450.50 |
$901 |
16.9× |
| Bilirubin direct (82248) |
$27.50 |
$55 |
5.5× |
| Bilirubin total (82247) |
$27.50 |
$55 |
5.5× |
| Bilirubin total transcutaneous (88720) |
$13.50 |
$27 |
2.7× |
| Bl Smear W/Diff Wbc Count (85007) |
$30 |
$60 |
7.9× |
| Blastomyces antibody (86612) |
$88 |
$176 |
6.8× |
| Bleeding time (85002) |
$121.50 |
$243 |
25.2× |
| Blood Count Automated Differential Wbc Count (85004) |
$28.50 |
$57 |
4.4× |
| Blood count reticulocyte automated (85045) |
$173.50 |
$347 |
43.5× |
| Blood gases (82803) |
$62.50 |
$125 |
2.4× |
| Blood gases w/02 saturation (82805) |
$271 |
$542 |
3.4× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
$86 |
$172 |
8.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$40 |
$80 |
2.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$37 |
$74 |
8.4× |
| Blood Ph - Ph Venous (82800) |
$12 |
$24 |
1.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$298 |
$596 |
46.9× |
| Blood typing abo (86900) |
$51 |
$102 |
17.1× |
| Blood typing serologic rh (d) (86901) |
$34.50 |
$69 |
11.5× |
| Blood typing serologic rh phenotyping complete (86906) |
$90 |
$180 |
11.6× |
| Body fluid cell count (89051) |
$195.50 |
$391 |
34.9× |
| Body fluid cell count (89050) |
$87 |
$174 |
18.4× |
| Bordetella antibody (86615) |
$50.50 |
$101 |
3.8× |
| Braf gene (81210) |
$475 |
$950 |
2.7× |
| Brca1&2 seq & full dup/del (81162) |
$1,850 |
$3,700 |
1.0× |
| Breath Alcohol Test (82075) |
$40 |
$80 |
1.3× |
| Brucella antibody (86622) |
$41 |
$82 |
4.6× |
| C diff amplified probe (87493) |
$237.50 |
$475 |
6.4× |
| C-reactive protein (86140) |
$56 |
$112 |
10.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$48 |
$96 |
3.7× |
| C1q binding assay (86332) |
$227 |
$454 |
9.3× |
| Ca 125 (86304) |
$114.50 |
$229 |
5.5× |
| Ca 19-9 (86301) |
$33 |
$66 |
1.6× |
| Ca 27 29 (86300) |
$32.50 |
$65 |
1.6× |
| Cadmium level (82300) |
$57.50 |
$115 |
2.4× |
| Caffeine (80155) |
$57 |
$114 |
1.5× |
| Calcium ionized (82330) |
$139.50 |
$279 |
10.2× |
| Calcium total (82310) |
$27.50 |
$55 |
5.3× |
| Calcium urine (82340) |
$75 |
$150 |
12.4× |
| Calculus Spectroscopy (82365) |
$56 |
$112 |
4.3× |
| California encephalitis ab (86651) |
$57 |
$114 |
4.3× |
| Calprotectin, fecal (83993) |
$200 |
$400 |
10.2× |
| Calr gene com variants (81219) |
$200 |
$400 |
1.6× |
| Candida antibody (86628) |
$26 |
$52 |
2.2× |
| Candida DNA dir probe (87480) |
$58.75 |
$117.50 |
2.9× |
| Carbamazepine (tegretol) total (80156) |
$94.25 |
$188.50 |
6.5× |
| Carbamazepine free (80157) |
$53 |
$106 |
4.0× |
| Carbon dioxide (82374) |
$23 |
$46 |
4.7× |
| Carboxyhemoglobin Quantitative (82375) |
$121.50 |
$243 |
9.9× |
| Carcinoembryonic antigen (82378) |
$167.50 |
$335 |
8.8× |
| Cardiolipin ab igg (86147) |
$32 |
$64 |
1.3× |
| Carnitine (82379) |
$61 |
$122 |
3.6× |
| Carotene (82380) |
$173 |
$346 |
18.8× |
| Catecholamines fraction plasma (82384) |
$76 |
$152 |
3.0× |
| Catecholamines organic nitrogen blood level (82383) |
$121.50 |
$243 |
4.2× |
| Cd4 absolute count (86361) |
$43 |
$86 |
1.6× |
| Cebpa gene full sequence (81218) |
$396 |
$792 |
1.6× |
| Cell Cryopreserve/Storage (88240) |
$76 |
$152 |
5.8× |
| Cell marker study (88182) |
$231 |
$462 |
4.2× |
| Cftr gene com variants (81220) |
$557 |
$1,114 |
1.0× |
| Cftr gene dup/delet variants (81222) |
$436 |
$872 |
1.0× |
| Chemiluminescent assay (82397) |
$137 |
$274 |
9.7× |
| Chemotaxis assay (86155) |
$168 |
$336 |
10.5× |
| Chlamydia antibody (86631) |
$21 |
$42 |
1.8× |
| Chlamydia Igm Antibody (86632) |
$22 |
$44 |
1.7× |
| Chlamydia trachomatis ag if (87270) |
$149.50 |
$299 |
12.5× |
| Chloride other source (82438) |
$87 |
$174 |
17.4× |
| Chloride urine (82436) |
$37 |
$74 |
6.4× |
| Cholesterol total (82465) |
$27.50 |
$55 |
6.3× |
| Cholinesterase rbc (82482) |
$84 |
$168 |
8.6× |
| Cholinesterase serum (82480) |
$227 |
$454 |
28.8× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$180 |
$360 |
1.4× |
| Chromium urine (82495) |
$54 |
$108 |
2.7× |
| Chromogranin a (86316) |
$72 |
$144 |
3.5× |
| Chromosome analys amniotic (88269) |
$212 |
$424 |
1.2× |
| Chromosome analysis 20-25 cells (88264) |
$176 |
$352 |
1.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$77.50 |
$155 |
2.2× |
| Citrate (82507) |
$169.75 |
$339.50 |
6.1× |
| Ck isoenzymes (82552) |
$200 |
$400 |
14.9× |
| Ckmb (82553) |
$59 |
$118 |
5.1× |
| Clot factor viii vw antigen (85246) |
$88 |
$176 |
3.8× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$133 |
$266 |
7.4× |
| Clot factor xiii fibrin stab (85290) |
$461 |
$922 |
28.2× |
| Clotting prekallikrein assay fletcher fact assay (85292) |
$124.50 |
$249 |
6.6× |
| Clozapine level (80159) |
$47 |
$94 |
2.3× |
| Cmv PCR (87496) |
$121 |
$242 |
3.4× |
| Cns DNA amp probe type 12-25 (87483) |
$417 |
$834 |
1.0× |
| Coagulation time activated (85347) |
$190.75 |
$381.50 |
44.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$135 |
$270 |
5.6× |
| Cold agglutinin screen (86156) |
$56.75 |
$113.50 |
7.0× |
| Cold agglutinin titer (86157) |
$88 |
$176 |
10.9× |
| Collagen cross links (82523) |
$55.50 |
$111 |
3.0× |
| Comparative anal str markers patient&comp spec (81265) |
$686 |
$1,372 |
2.9× |
| Compatibility test antiglob (86922) |
$149.50 |
$299 |
0.8× |
| Compatibility Test Incubate (86921) |
$148.50 |
$297 |
0.8× |
| Complement c3 (86160) |
$53.50 |
$107 |
4.5× |
| Complement total ch50 (86162) |
$40 |
$80 |
2.0× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$96 |
$192 |
8.0× |
| Comprehensive review of data (88325) |
$157 |
$314 |
0.9× |
| Concentration Infectious Agent (87015) |
$31.75 |
$63.50 |
4.8× |
| Coombs direct (86880) |
$48.50 |
$97 |
9.0× |
| Copper urine (82525) |
$92 |
$184 |
7.4× |
| Cortisol free (82530) |
$64 |
$128 |
3.8× |
| Cortisol total (82533) |
$105 |
$210 |
6.4× |
| Creatine kinase total (82550) |
$44.75 |
$89.50 |
6.9× |
| Creatinine blood (82565) |
$27.50 |
$55 |
5.4× |
| Creatinine clearance (82575) |
$75.50 |
$151 |
8.0× |
| Creatinine other source (82570) |
$67 |
$134 |
12.9× |
| Crossmatch immediate spin (86920) |
$122 |
$244 |
0.7× |
| Cryofibrinogen (82585) |
$34 |
$68 |
2.4× |
| Cryoglobulin (82595) |
$45 |
$90 |
7.0× |
| Cryptococcal Antigen (87327) |
$85 |
$170 |
6.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$153 |
$306 |
18.9× |
| Culture Aerobic Identify (87077) |
$62 |
$124 |
7.7× |
| Culture aerobic quant other (87071) |
$132.50 |
$265 |
13.4× |
| Culture anaerobic (87075) |
$132.50 |
$265 |
14.0× |
| Culture blood (87040) |
$230.50 |
$461 |
22.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$94.50 |
$189 |
12.3× |
| Culture fungus blood (87103) |
$70 |
$140 |
3.4× |
| Culture fungus id yeast (87106) |
$110.50 |
$221 |
10.7× |
| Culture fungus other (87102) |
$48.75 |
$97.50 |
5.8× |
| Culture genital (87070) |
$132.50 |
$265 |
15.4× |
| Culture screen only (87081) |
$64.50 |
$129 |
9.7× |
| Culture stool (87045) |
$50 |
$100 |
5.3× |
| Culture typing if ea antiserum (87140) |
$62 |
$124 |
11.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$50 |
$100 |
9.7× |
| Culture typing other methods (87158) |
$72 |
$144 |
9.3× |
| Culture urine (87086) |
$49 |
$98 |
6.1× |
| Culture urine id ea isolate (87088) |
$86.50 |
$173 |
10.7× |
| Cyanide (82600) |
$176 |
$352 |
9.1× |
| Cyclic amp (82030) |
$226 |
$452 |
8.8× |
| Cyclic Citrullinated Peptide (86200) |
$36 |
$72 |
2.8× |
| Cyp2c19 gene com variants (81225) |
$650 |
$1,300 |
2.2× |
| Cystatin c (82610) |
$75.75 |
$151.50 |
4.1× |
| Cytogenetics DNA probe (88271) |
$77.50 |
$155 |
3.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
$1,816 |
$3,632 |
1.6× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$130 |
$260 |
3.0× |
| Cytopath cell enhance tech (88112) |
$26.50 |
$53 |
0.5× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$84 |
$168 |
2.1× |
| Cytopath smear cerv/vag,index add-on (88155) |
$33 |
$66 |
2.3× |
| Cytopath Smear Other Source (88160) |
$43.50 |
$87 |
1.4× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) |
$114.50 |
$229 |
5.0× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) |
$86.50 |
$173 |
2.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$20.50 |
$41 |
0.8× |
| Cytp concentration smears & interpretation (88108) |
$84 |
$168 |
2.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$84 |
$168 |
1.5× |
| Cytp fna eval dx 1st each site (88172) |
$84 |
$168 |
0.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$497 |
$994 |
2.7× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$84 |
$168 |
1.5× |
| Cytp urine 3-5 probes cmptr (88121) |
$497 |
$994 |
2.7× |
| D-Dimer (85379) |
$82 |
$164 |
8.1× |
| D-Dimer (85378) |
$62 |
$124 |
6.4× |
| Deoxycortisol (82634) |
$346 |
$692 |
11.8× |
| Deoxyribonuclease antibody (86215) |
$44 |
$88 |
3.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$63 |
$126 |
3.8× |
| Detection test by immunoassay technique for cytomegalovirus (87332) |
$134 |
$268 |
11.2× |
| Dhea (82626) |
$37 |
$74 |
1.5× |
| Dhea sulfate (82627) |
$36 |
$72 |
1.6× |
| Digoxin (80162) |
$113.50 |
$227 |
8.5× |
| Dihydrotestosterone (82642) |
$90 |
$180 |
3.1× |
| Dilantin (80185) |
$48.75 |
$97.50 |
3.7× |
| Diphtheria antitoxoid (86648) |
$206 |
$412 |
13.5× |
| Dir meas lipoprotein small dense LDL cholesterol (83722) |
$50 |
$100 |
1.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$24 |
$48 |
1.7× |
| Dna/Rna Amplified Probe (87150) |
$38.25 |
$76.50 |
1.1× |
| Drug assay adalimumab (80145) |
$265 |
$530 |
6.9× |
| Drug assay felbamate (80167) |
$85 |
$170 |
4.6× |
| Drug assay flecainide (80181) |
$86 |
$172 |
4.6× |
| Drug Assay Infliximab (80230) |
$319 |
$638 |
8.3× |
| Drug Assay Lacosamide (80235) |
$139 |
$278 |
5.1× |
| Drug assay methotrexate (80204) |
$145 |
$290 |
3.8× |
| Drug assay vedolizumab (80280) |
$137 |
$274 |
3.6× |
| Drug assay voriconazole (80285) |
$115 |
$230 |
4.2× |
| Drug Screen Quant Gabapentin (80171) |
$43 |
$86 |
2.0× |
| Drug screen quant zonisamide (80203) |
$101 |
$202 |
7.6× |
| Drug Screen Quantitative Lamotrigine (80175) |
$29 |
$58 |
2.2× |
| Drug Scrn Quan Levetiracetam (80177) |
$91 |
$182 |
6.9× |
| Drug scrn quant oxcarbazepin (80183) |
$46 |
$92 |
3.5× |
| Drug test prsmv chem anlyzr (80307) |
$86.50 |
$173 |
1.4× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$86.50 |
$173 |
6.9× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
$18 |
$36 |
1.1× |
| Ebv viral capsid (86665) |
$57.50 |
$115 |
3.2× |
| Echinococcus ab igg (86682) |
$138.50 |
$277 |
10.6× |
| Egfr Gene Analysis Common Variants (81235) |
$695 |
$1,390 |
2.1× |
| Ehrlichia antibody (86666) |
$61.50 |
$123 |
6.0× |
| Elastase pancreatic fecal quantitative (82653) |
$140 |
$280 |
6.1× |
| Electrolyte panel (80051) |
$75 |
$150 |
10.7× |
| Electronic crossmatch (86923) |
$137.50 |
$275 |
0.8× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$56 |
$112 |
0.9× |
| Encephalitis Western Equine (86654) |
$57 |
$114 |
4.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$102 |
$204 |
8.4× |
| Endomysial antibody iga (86255) |
$54 |
$108 |
4.5× |
| Entamoeba histolytica antigen (87337) |
$167.50 |
$335 |
14.0× |
| Enterovirus antibody (86658) |
$168 |
$336 |
12.9× |
| Enterovirus Pcr (87498) |
$120 |
$240 |
3.4× |
| Enzyme histochemistry (88319) |
$338 |
$676 |
0.4× |
| Eosinophil count (85048) |
$28.50 |
$57 |
11.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$18 |
$36 |
1.2× |
| Estradiol (82670) |
$143.75 |
$287.50 |
5.1× |
| Estriol (82677) |
$116 |
$232 |
4.8× |
| Estrogen fractionated (82671) |
$48 |
$96 |
1.5× |
| Estrogens total (82672) |
$227 |
$454 |
10.5× |
| Estrone (82679) |
$74.75 |
$149.50 |
3.0× |
| Ethylene glycol (82693) |
$116 |
$232 |
7.8× |
| Euglobulin lysis (85360) |
$185 |
$370 |
22.0× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$190 |
$380 |
1.9× |
| Everolimus (80169) |
$83 |
$166 |
6.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$41 |
$82 |
5.6× |
| F2 gene analysis 20210g >a variant (81240) |
$166.50 |
$333 |
2.5× |
| F5 gene (81241) |
$92.50 |
$185 |
1.3× |
| Factor ii activity (85210) |
$118 |
$236 |
9.1× |
| Factor inhibitor test (85335) |
$145 |
$290 |
11.3× |
| Factor ix activity (85250) |
$127 |
$254 |
6.7× |
| Factor v activity (85220) |
$119 |
$238 |
6.7× |
| Factor vii assay (85230) |
$122 |
$244 |
6.8× |
| Factor viii ahg (85240) |
$72 |
$144 |
4.0× |
| Factor viii vw multimetric (85247) |
$95 |
$190 |
4.1× |
| Factor xi assay (85270) |
$136 |
$272 |
7.6× |
| Factor xii assay (85280) |
$139 |
$278 |
7.2× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$126 |
$252 |
16.3× |
| Fecal fat qual (82705) |
$36 |
$72 |
7.1× |
| Fecal fat quant (82710) |
$79 |
$158 |
4.7× |
| Fetal bleed screen (85461) |
$77.50 |
$155 |
8.3× |
| Fetal fibronectin (82731) |
$525.50 |
$1,051 |
8.2× |
| Fetal lung maturity fluorescence polarization (83663) |
$199 |
$398 |
10.5× |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) |
$143 |
$286 |
1.8× |
| Fibrin degradation products (85362) |
$68 |
$136 |
9.9× |
| Fibrinogen activity (85384) |
$30.50 |
$61 |
3.1× |
| Fibrinogen antigen (85385) |
$134 |
$268 |
9.3× |
| Fibrinolytic Plasminogen (85415) |
$331 |
$662 |
19.3× |
| Fitzgerald factor (clotting factor) measurement (85293) |
$124.50 |
$249 |
6.6× |
| Flow cytometry first marker (88184) |
$298 |
$596 |
0.8× |
| Flt3 gene analysis (81245) |
$481 |
$962 |
2.9× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) |
$254 |
$508 |
3.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$157 |
$314 |
13.0× |
| Folate serum (82746) |
$148.50 |
$297 |
10.1× |
| Folic acid rbc (82747) |
$103 |
$206 |
5.8× |
| Follicle Stimulating Hormone (83001) |
$133 |
$266 |
7.2× |
| Fractionation ketosteroids (83593) |
$320.50 |
$641 |
11.2× |
| Francisella Tularensis (86668) |
$40 |
$80 |
2.8× |
| Fresh frozen plasma thawing each unit (86927) |
$62 |
$124 |
0.3× |
| Frozen Section (88331) |
$84 |
$168 |
0.5× |
| Fructosamine (82985) |
$157 |
$314 |
9.4× |
| Ftl cgen abnor four anal (81511) |
$154 |
$308 |
1.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$52 |
$104 |
5.0× |
| Galactokinase (82759) |
$243.50 |
$487 |
11.3× |
| Galectin-3 serum (82777) |
$153 |
$306 |
3.5× |
| Gammaglobulin ige (82785) |
$89 |
$178 |
5.4× |
| Gardner vag DNA dir probe (87510) |
$58.75 |
$117.50 |
2.9× |
| Gastric Occult Blood (82271) |
$30 |
$60 |
5.6× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$1,850 |
$3,700 |
2.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$1,950 |
$3,900 |
0.7× |
| Ggt (82977) |
$40 |
$80 |
5.6× |
| Giardia antigen eia stool (87329) |
$56 |
$112 |
4.7× |
| Gliadin antibody each immunoglobulin class (86258) |
$69.50 |
$139 |
5.8× |
| Glucose (82947) |
$29 |
$58 |
7.4× |
| Glucose Blood Test (82962) |
$5 |
$10 |
1.5× |
| Glucose body fluid (82945) |
$37 |
$74 |
9.4× |
| Glucose post dose (82950) |
$43.50 |
$87 |
9.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
$40 |
$80 |
10.2× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$121.50 |
$243 |
9.4× |
| Glutathione (82978) |
$118 |
$236 |
7.6× |
| Growth hormone (83003) |
$39 |
$78 |
2.3× |
| Haloperidol (haldol) (80173) |
$108 |
$216 |
6.8× |
| Haptoglobin (83010) |
$34 |
$68 |
2.7× |
| Hba1/hba2 full gene sequence (81259) |
$516 |
$1,032 |
0.9× |
| Hba1/hba2 gene dup/del vrnts (81269) |
$394 |
$788 |
1.9× |
| Hbb duplication/deletion variants (81363) |
$437 |
$874 |
2.2× |
| Hbb Full Gene Sequence (81364) |
$666 |
$1,332 |
2.1× |
| Hcg qualitative (84703) |
$97 |
$194 |
12.9× |
| Hcg quant (84702) |
$80.75 |
$161.50 |
5.4× |
| Hdl Cholesterol (83718) |
$64.50 |
$129 |
7.9× |
| Heavy metal quant each (83018) |
$110.50 |
$221 |
5.0× |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
$94 |
$188 |
4.5× |
| Hemagglutination inhibition (86280) |
$128 |
$256 |
15.6× |
| Hematocrit (85014) |
$40 |
$80 |
16.9× |
| Hemoglobin (85018) |
$40 |
$80 |
16.9× |
| Hemoglobin a1c (83036) |
$128.50 |
$257 |
13.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$41 |
$82 |
2.3× |
| Hemoglobin electrophoresis (83020) |
$49 |
$98 |
3.8× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$124.50 |
$249 |
16.1× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$185 |
$370 |
22.6× |
| Hemoglobin plasma (83051) |
$79 |
$158 |
10.8× |
| Hemoglobin stability screen (83068) |
$48 |
$96 |
5.1× |
| Hemolysins And Agglutinins Incubated (86941) |
$68 |
$136 |
5.6× |
| Hemolysins/agglutinins auto screen (86940) |
$63 |
$126 |
7.2× |
| Heparin assay (85520) |
$80 |
$160 |
6.1× |
| Heparin neutralization (85525) |
$35 |
$70 |
3.0× |
| Hepatitis a antibody total (86708) |
$51 |
$102 |
4.1× |
| Hepatitis a igm (86709) |
$86 |
$172 |
7.6× |
| Hepatitis b core ab igm (86705) |
$112 |
$224 |
9.5× |
| Hepatitis b core antibody total (86704) |
$112 |
$224 |
9.3× |
| Hepatitis B Surface Ab (86706) |
$50.25 |
$100.50 |
4.7× |
| Hepatitis B Surface Antigen (87340) |
$92.50 |
$185 |
9.0× |
| Hepatitis be antibody (86707) |
$31.50 |
$63 |
2.7× |
| Hepatitis Be Antigen (87350) |
$33.50 |
$67 |
2.9× |
| Hepatitis c ab confirm (86804) |
$206 |
$412 |
13.3× |
| Hepatitis c antibody (86803) |
$183 |
$366 |
12.8× |
| Hepatitis C Genotype (87902) |
$222.50 |
$445 |
0.9× |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
$626.50 |
$1,253 |
17.9× |
| Hepatitis delta ab (86692) |
$133 |
$266 |
7.8× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) |
$1,925 |
$3,850 |
1.5× |
| Herpes culture (87252) |
$139 |
$278 |
5.3× |
| Herpes simplex type 2 (86696) |
$20 |
$40 |
1.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$64.50 |
$129 |
12.5× |
| Hfe gene (81256) |
$200 |
$400 |
3.1× |
| Histamine plasma (83088) |
$207.50 |
$415 |
7.0× |
| Histoplasma antibody (86698) |
$21 |
$42 |
1.5× |
| Histoplasma antigen urine (87385) |
$228.25 |
$456.50 |
17.2× |
| HIV confirmation (86689) |
$192 |
$384 |
9.9× |
| HIV-1 antibody (86701) |
$76.50 |
$153 |
8.6× |
| HIV-1 genotype (87901) |
$389.75 |
$779.50 |
1.5× |
| HIV-1 integrase genotype (87906) |
$220 |
$440 |
1.7× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
$132.50 |
$265 |
9.7× |
| Hla class i high defin qual (86832) |
$625 |
$1,250 |
1.9× |
| Hla class i typing high resolution one allele or allele group (81381) |
$218 |
$436 |
1.3× |
| Hla class i&ii antibody qual (86828) |
$206 |
$412 |
3.2× |
| Hla class ii high defin qual (86833) |
$625 |
$1,250 |
1.9× |
| Hla class ii typing high resolution one locus ea (81382) |
$150 |
$300 |
1.2× |
| Hla I Typing 1 Locus Lr (81373) |
$176.50 |
$353 |
1.4× |
| Hla ii typing 1 locus lr (81376) |
$90 |
$180 |
0.7× |
| Hla ii typing ag equiv lr (81375) |
$115 |
$230 |
0.5× |
| Hla typing a/b/c multiple antigens (86813) |
$906 |
$1,812 |
15.6× |
| Hla typing dr/dq (86817) |
$996.50 |
$1,993 |
9.4× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$635 |
$1,270 |
21.0× |
| Hla-b27 (86812) |
$60 |
$120 |
2.3× |
| Homogenization tissue (87176) |
$55.50 |
$111 |
9.4× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
$156 |
$312 |
2.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$162.25 |
$324.50 |
4.6× |
| Human epididymis protein 4 (86305) |
$84 |
$168 |
4.0× |
| Hydroxyprogesterone 17-d (83498) |
$41 |
$82 |
1.5× |
| Hydroxyproline total (83505) |
$206.50 |
$413 |
8.5× |
| Iaad ia clostridium difficile toxin (87324) |
$42.50 |
$85 |
3.5× |
| Iaad ia cryptosporidium (87328) |
$66.50 |
$133 |
4.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$25.50 |
$51 |
1.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$93 |
$186 |
6.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$211 |
$422 |
15.2× |
| Iaad ia rotavirus (87425) |
$133 |
$266 |
11.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
$37 |
$74 |
3.1× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
$67 |
$134 |
5.6× |
| Iaadi respiratory synctial virus (87280) |
$120.50 |
$241 |
9.0× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
$33 |
$66 |
1.0× |
| Iaadiadoo not otherwise specified (87899) |
$85 |
$170 |
5.3× |
| Iadna babesia microti amplified probe technique (87469) |
$124 |
$248 |
3.5× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$335.75 |
$671.50 |
9.6× |
| Iadna candida species amplified probe tq (87481) |
$49.50 |
$99 |
1.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$142 |
$284 |
4.0× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) |
$270 |
$540 |
5.3× |
| Iadna gardnerella vaginalis amplified probe tq (87511) |
$63 |
$126 |
1.8× |
| Iadna hepatitis b virus quantification (87517) |
$159.50 |
$319 |
3.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$671 |
$1,342 |
15.7× |
| Iadna herpes virus-6 amplified probe tq (87532) |
$202.50 |
$405 |
5.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$355 |
$710 |
10.1× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$418.50 |
$837 |
4.9× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) |
$120 |
$240 |
1.7× |
| Iadna human papillomavirus high-risk types (87624) |
$120 |
$240 |
3.4× |
| Iadna mycobacteria tuberculosis amp prb (87556) |
$165.50 |
$331 |
4.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$148.25 |
$296.50 |
4.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$77.50 |
$155 |
2.2× |
| Iadna nos amplified probe tq each organism (87798) |
$130.50 |
$261 |
3.7× |
| Iadna nos quantification each organism (87799) |
$152 |
$304 |
3.5× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$219 |
$438 |
1.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$111 |
$222 |
3.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$132.50 |
$265 |
0.3× |
| Igg subclasses (82787) |
$155 |
$310 |
19.3× |
| Igh gene rearrange amp meth (81261) |
$225 |
$450 |
1.1× |
| Igk rearrangeabn clonal pop (81264) |
$225 |
$450 |
1.3× |
| Igvh somatic hypermutation (81263) |
$680 |
$1,360 |
2.3× |
| Immunfix e-phorsis/urine/csf (86335) |
$115 |
$230 |
3.9× |
| Immunoassay infectious agent antibody quan nos (86317) |
$72 |
$144 |
4.8× |
| Immunoassay nonantibody (83516) |
$52 |
$104 |
4.5× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) |
$44.50 |
$89 |
3.5× |
| Immunoassay with direct visual observation for clostridium (87803) |
$94 |
$188 |
5.9× |
| Immunoassay with direct visual observation for streptococcus (87802) |
$94 |
$188 |
7.4× |
| Immunofixj Electrophoresis Serum (86334) |
$134.50 |
$269 |
6.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$525 |
$1,050 |
2.9× |
| Immunoglobulin light chains free each (83521) |
$68 |
$136 |
3.9× |
| Immunohisto Antibody Slide (88344) |
$134 |
$268 |
0.4× |
| Immunohistochemistry (88342) |
$152 |
$304 |
0.8× |
| In situ hybridization ea multiplex probe stain (88366) |
$455 |
$910 |
2.5× |
| India ink prep (87210) |
$53.50 |
$107 |
9.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Other Outpatient (87534) |
$355 |
$710 |
16.2× |
| Influenza a/b ag eia (87400) |
$103 |
$206 |
7.3× |
| Inhibin a (86336) |
$77 |
$154 |
4.9× |
| Inhibin b (83520) |
$114.50 |
$229 |
6.6× |
| Insitu hybridization (fish) (88365) |
$322 |
$644 |
1.8× |
| Insitu hybridization manual (88368) |
$100 |
$200 |
0.3× |
| Insulin antibodies (86337) |
$86 |
$172 |
4.0× |
| Insulin free (83527) |
$47 |
$94 |
3.6× |
| Insulin total (83525) |
$67 |
$134 |
5.9× |
| Interleukin 6 (83529) |
$90 |
$180 |
5.2× |
| Intraop cyto path consult 1 (88333) |
$22 |
$44 |
0.0× |
| Intrinsic factor antibody (86340) |
$45 |
$90 |
3.0× |
| Iron (83540) |
$86.50 |
$173 |
13.4× |
| Iron binding capacity (83550) |
$67 |
$134 |
7.7× |
| Irradiation of blood product (86945) |
$139 |
$278 |
3.5× |
| Islet cell antibody (86341) |
$123.50 |
$247 |
5.2× |
| Jak2 gene analysis (81270) |
$300 |
$600 |
3.3× |
| Jak2 Targeted Sequence Analysis (81279) |
$200 |
$400 |
1.1× |
| Ketosteroids 17; total (83586) |
$128.50 |
$257 |
10.0× |
| Kit gene analys d816 variant (81273) |
$487.25 |
$974.50 |
3.9× |
| Kit gene targeted seq analys (81272) |
$350 |
$700 |
1.1× |
| Koh Prep (87220) |
$49 |
$98 |
11.5× |
| Kras gene addl variants (81276) |
$350 |
$700 |
1.8× |
| Kras gene analysis (81275) |
$329 |
$658 |
1.7× |
| Lactic acid (83605) |
$147 |
$294 |
12.7× |
| Lactoferrin fecal qualitative (83630) |
$150 |
$300 |
7.6× |
| Ldh (83615) |
$44 |
$88 |
7.3× |
| Ldh isoenzymes (83625) |
$31 |
$62 |
2.4× |
| LDL cholesterol direct (83721) |
$75.50 |
$151 |
7.2× |
| Lead (83655) |
$20.50 |
$41 |
1.7× |
| Legionella antibody (86713) |
$47 |
$94 |
3.1× |
| Legionella antigen urine (87449) |
$89 |
$178 |
7.4× |
| Leptospira antibody (86720) |
$152 |
$304 |
9.4× |
| Leucine aminopeptidase (lap) (83670) |
$116 |
$232 |
11.8× |
| Level ii surg pathology grossµscopic exam (88302) |
$43.50 |
$87 |
1.1× |
| Level v surg pathology grossµscopic exam (88307) |
$132.50 |
$265 |
0.3× |
| Level vi surg pathology grossµscopic exam (88309) |
$132.50 |
$265 |
0.2× |
| Lh (83002) |
$133 |
$266 |
7.2× |
| Lidocaine level (80176) |
$97 |
$194 |
6.6× |
| Lipase (83690) |
$76.50 |
$153 |
11.1× |
| Lipopro bld electrophoretic (83700) |
$34.50 |
$69 |
3.1× |
| Lipoprotein Bld Hr Fraction (83701) |
$252.50 |
$505 |
7.5× |
| Listeria ab (86609) |
$69 |
$138 |
5.4× |
| Lithium (80178) |
$71 |
$142 |
10.7× |
| Lyme disease antibody (86618) |
$94 |
$188 |
5.5× |
| Lyme disease antibody confirm (86617) |
$101.50 |
$203 |
6.6× |
| Lymphocyte transformation (86353) |
$200 |
$400 |
4.1× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$515 |
$1,030 |
2.8× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
$200.50 |
$401 |
0.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$232.50 |
$465 |
1.3× |
| Macroscopic exam arthropod (87168) |
$28.50 |
$57 |
6.7× |
| Macroscopic exam parasite (87169) |
$28.50 |
$57 |
6.6× |
| Magnesium (83735) |
$124.75 |
$249.50 |
18.6× |
| Malaria smear (87207) |
$35 |
$70 |
5.8× |
| Mass spectrometry qual/quan (83789) |
$146 |
$292 |
6.1× |
| Mcg interphase insitu 25 (88274) |
$315 |
$630 |
7.4× |
| Mercury (83825) |
$38 |
$76 |
2.3× |
| Metabolic Panel Ionized Ca (80047) |
$94.50 |
$189 |
6.9× |
| Methotrexate (80299) |
$106 |
$212 |
5.7× |
| Methylmalonic acid serum (83921) |
$50 |
$100 |
2.4× |
| Mgmt methylation analysis (81287) |
$408.25 |
$816.50 |
3.3× |
| Microalbumin urine (82043) |
$101.50 |
$203 |
17.6× |
| Microbe suscept macrobroth (87188) |
$60 |
$120 |
9.0× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$169.25 |
$338.50 |
3.0× |
| Microsomal antibodies (86376) |
$30 |
$60 |
2.1× |
| Mitochondrial antibody each (86381) |
$22 |
$44 |
0.9× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$276 |
$552 |
1.4× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$55 |
$110 |
4.6× |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
$123 |
$246 |
2.4× |
| Molecular pathology procedure level 2 (81401) |
$368 |
$736 |
2.7× |
| Mononuclear cell antigen (86356) |
$47.50 |
$95 |
1.8× |
| Mopath procedure level 4 (81403) |
$416.50 |
$833 |
2.2× |
| Mpl gene analysis common variants (81338) |
$337 |
$674 |
2.2× |
| Mthfr Gene Analysis Common Variants (81291) |
$368 |
$736 |
5.6× |
| Mucopolysaccharides acid quantitative (83864) |
$86 |
$172 |
3.0× |
| Muramidase (85549) |
$77 |
$154 |
4.1× |
| Muscle-specific kinase (musk) antibody (86366) |
$345 |
$690 |
18.8× |
| Mycobacteric Identification (87118) |
$169 |
$338 |
11.6× |
| Mycophenolic acid (80180) |
$57 |
$114 |
3.2× |
| Mycoplasma antibody (86738) |
$21 |
$42 |
1.6× |
| Mycoplasma culture (87109) |
$172 |
$344 |
11.2× |
| Mycoplasma genitalium PCR (87563) |
$50 |
$100 |
1.4× |
| Myd88 mutation analysis (81305) |
$750 |
$1,500 |
4.3× |
| Myelin basic protein csf (83873) |
$133 |
$266 |
7.7× |
| Myoglobin urine (83874) |
$47.50 |
$95 |
3.7× |
| Nasal smear for eosinophils (89190) |
$60.50 |
$121 |
10.4× |
| Natriuretic peptide (83880) |
$191.25 |
$382.50 |
4.9× |
| Neutralization test, viral (86382) |
$143 |
$286 |
8.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
$143 |
$286 |
1.0× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
$356 |
$712 |
4.9× |
| Niacin (84591) |
$160 |
$320 |
9.4× |
| Nickel level (83885) |
$263.50 |
$527 |
10.8× |
| Nk cells total count (86357) |
$38 |
$76 |
1.0× |
| Nmr Lipoprofile (83704) |
$75 |
$150 |
2.2× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$400 |
$800 |
1.6× |
| Nras gene variants exon 2&3 (81311) |
$401.50 |
$803 |
1.4× |
| Nuclear antigen antibody (86235) |
$38 |
$76 |
2.1× |
| Oligoclonal bands (83916) |
$51 |
$102 |
1.9× |
| Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) |
$326 |
$652 |
5.1× |
| Organic Acids Qual Each (83919) |
$103 |
$206 |
6.3× |
| Organic Acids Total Quantitative Each Specimen (83918) |
$94 |
$188 |
4.0× |
| Orthopoxvirus Amp Prb Each (87593) |
$140 |
$280 |
2.7× |
| Osmolality serum (83930) |
$94 |
$188 |
14.2× |
| Osmolality urine (83935) |
$61.50 |
$123 |
9.0× |
| Ova and parasite direct-id lca (87177) |
$26.50 |
$53 |
3.0× |
| Oxalate urine (83945) |
$42 |
$84 |
2.9× |
| Pancreatic polypeptide (83519) |
$83 |
$166 |
4.5× |
| Particle Agglutination Screen Each Antibody (86403) |
$133 |
$266 |
11.5× |
| Parvovirus antibody (86747) |
$22 |
$44 |
1.5× |
| Path Consult During Surgery (88329) |
$51 |
$102 |
0.8× |
| Phenotype Infect Agent Drug (87900) |
$185.50 |
$371 |
1.4× |
| Phenytoin free (80186) |
$28 |
$56 |
2.0× |
| Phosphatase acid prostatic (84066) |
$44 |
$88 |
4.6× |
| Phosphatase alkaline (84075) |
$27.50 |
$55 |
5.3× |
| Phospholipid Neutralization Hexagonal (85598) |
$53 |
$106 |
2.9× |
| Phosphorus blood (84100) |
$27.50 |
$55 |
5.8× |
| Phosphorus urine (84105) |
$64.50 |
$129 |
11.2× |
| Pinworm exam (87172) |
$34.50 |
$69 |
8.1× |
| Plasminogen (85420) |
$109 |
$218 |
16.7× |
| Platelet aggregation (85576) |
$142.50 |
$285 |
5.7× |
| Platelet count (85049) |
$68 |
$136 |
15.2× |
| Platelet neutralization (85597) |
$81 |
$162 |
4.5× |
| Pml/raralpha com breakpoints (81315) |
$517 |
$1,034 |
2.5× |
| Pms2 gene analysis duplication/deletion variants (81319) |
$588 |
$1,176 |
2.9× |
| Pneumcysts jirovecii amp prb (87594) |
$250 |
$500 |
7.1× |
| Pooling blood platelets (86965) |
$151.50 |
$303 |
0.8× |
| Porphobilinogen Urine Qual (84106) |
$195.50 |
$391 |
33.6× |
| Porphobilinogen urine quant (84110) |
$39 |
$78 |
4.6× |
| Porphyrins qn & fraction urine (84120) |
$49 |
$98 |
3.3× |
| Potassium (84132) |
$27.50 |
$55 |
5.8× |
| Potassium urine (84133) |
$37 |
$74 |
7.8× |
| Pregnanetriol (84138) |
$228 |
$456 |
10.8× |
| Pregnenolone (84140) |
$102 |
$204 |
4.9× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
$247.50 |
$495 |
1.4× |
| Pretx serum rbc antibody identification dilution (86976) |
$50 |
$100 |
1.6× |
| Primidone (80188) |
$26.50 |
$53 |
1.6× |
| Procainamide napa (80192) |
$114.50 |
$229 |
6.8× |
| Procalcitonin (pct) (84145) |
$157 |
$314 |
5.8× |
| Progesterone (84144) |
$110.50 |
$221 |
5.3× |
| Prolactin (84146) |
$166.50 |
$333 |
8.6× |
| Prostaglandin Ea (84150) |
$320 |
$640 |
7.7× |
| Protein body fluid (84157) |
$70.50 |
$141 |
17.6× |
| Protein c activity (85303) |
$51.50 |
$103 |
3.7× |
| Protein c antigen (85302) |
$128 |
$256 |
10.7× |
| Protein electrophoresis serum (84165) |
$98 |
$196 |
9.1× |
| Protein Electrophoresis Urine (84166) |
$56 |
$112 |
3.1× |
| Protein S Functional (85306) |
$51 |
$102 |
3.3× |
| Protein s total (85305) |
$36 |
$72 |
3.1× |
| Protein Total Serum (84155) |
$27.50 |
$55 |
7.5× |
| Protein urine (84156) |
$22.50 |
$45 |
6.1× |
| Protein Western Blot (84182) |
$132 |
$264 |
4.5× |
| Protein westrn blot i&r blood/other fluid (84181) |
$190 |
$380 |
11.2× |
| Prothrombin time substitution (85611) |
$69 |
$138 |
17.5× |
| PSA free (84154) |
$20 |
$40 |
1.1× |
| Pyruvate kinase (84220) |
$124.50 |
$249 |
13.2× |
| Quantiferon tb gold (86480) |
$167 |
$334 |
2.7× |
| Quinidine (80194) |
$206 |
$412 |
14.1× |
| Rbc antibody elution (86860) |
$280.50 |
$561 |
1.5× |
| Rbc osmotic fragility (85555) |
$206 |
$412 |
27.6× |
| Rbc pretx incubatj w/chemicl (86970) |
$89 |
$178 |
1.4× |
| Rbc serum pretx incubj drugs (86975) |
$47 |
$94 |
0.1× |
| Reagent strip/blood glucose (82948) |
$26.50 |
$53 |
5.3× |
| Reducing substances, stool (84376) |
$101 |
$202 |
18.4× |
| Ref consult prep elsewhere (88321) |
$157.25 |
$314.50 |
3.9× |
| Renin activity plasma (84244) |
$31 |
$62 |
1.4× |
| Reptilase test (85635) |
$101 |
$202 |
10.3× |
| Resp virus 3-5 targets (87631) |
$143 |
$286 |
1.0× |
| Rheumatoid Factor Qual (86430) |
$60.50 |
$121 |
9.9× |
| Rheumatoid factor quant (86431) |
$70.50 |
$141 |
12.4× |
| Rickettsia antibody (86757) |
$72 |
$144 |
3.7× |
| Rpr Titer (86593) |
$20 |
$40 |
4.5× |
| Rubella antibody (86762) |
$128 |
$256 |
8.9× |
| Russell viper venom time diluted (85613) |
$29 |
$58 |
3.0× |
| Saccharomyces ab iga (86671) |
$75.50 |
$151 |
6.2× |
| Salicylate (80179) |
$19 |
$38 |
1.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$53 |
$106 |
1.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$86 |
$172 |
2.0× |
| Sarscov2 & inf a&b amp prb (87636) |
$96.50 |
$193 |
0.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$143 |
$286 |
1.0× |
| Sed rate automated (85652) |
$55.50 |
$111 |
20.6× |
| Semen analysis complete (89320) |
$176 |
$352 |
14.3× |
| Semen analysis sperm presence&/motility sprm (89321) |
$57 |
$114 |
4.7× |
| Sensitivity mic (87186) |
$210 |
$420 |
24.3× |
| Serotonin Release Assay (86022) |
$117.50 |
$235 |
6.4× |
| Serum bactericidal titer (87197) |
$80.50 |
$161 |
5.4× |
| Sex chromatin id barr bodies (88130) |
$62 |
$124 |
3.4× |
| Sex hormone binding globulin (84270) |
$69 |
$138 |
3.2× |
| Sickle cell screen (85660) |
$59 |
$118 |
10.7× |
| Sirolimus (rapamycin) (80195) |
$42 |
$84 |
3.1× |
| Smear acid fast (87206) |
$97 |
$194 |
18.0× |
| Smear complex stain (87209) |
$39.25 |
$78.50 |
2.2× |
| Smear gram stain (87205) |
$30 |
$60 |
7.0× |
| Sodium (84295) |
$84 |
$168 |
17.5× |
| Sodium urine (84300) |
$100.75 |
$201.50 |
19.9× |
| Soluble transferrin receptor (84238) |
$48.50 |
$97 |
1.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$49.50 |
$99 |
0.3× |
| Special stains group 1 (88312) |
$43.50 |
$87 |
0.8× |
| Specific gravity body fluid (84315) |
$34.50 |
$69 |
10.5× |
| Spectrophotometry (84311) |
$115 |
$230 |
14.2× |
| Stool Cultr Aerobic Bact Ea (87046) |
$25 |
$50 |
2.6× |
| Strep a assay w/optic (87880) |
$54.50 |
$109 |
3.3× |
| Strep a DNA amp probe (87651) |
$55 |
$110 |
1.6× |
| Strep b DNA amp probe (87653) |
$86.50 |
$173 |
2.5× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$345 |
$690 |
3.7× |
| Sugars single quant (84378) |
$334 |
$668 |
29.0× |
| Surg path level iii (88304) |
$84 |
$168 |
1.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$43.50 |
$87 |
1.4× |
| Surgical pathology level IV (88305) |
$86.50 |
$173 |
1.6× |
| Susceptibility study antimicrobial disk method (87184) |
$133 |
$266 |
17.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$47 |
$94 |
1.0× |
| T cells, total count (86359) |
$38 |
$76 |
1.0× |
| T3 free (84481) |
$133 |
$266 |
7.9× |
| T3 reverse (84482) |
$53 |
$106 |
3.4× |
| T3 total (84480) |
$86.50 |
$173 |
6.1× |
| T3 uptake (84479) |
$124.50 |
$249 |
19.2× |
| T4 Free (84439) |
$132.50 |
$265 |
14.7× |
| T4 total (84436) |
$51 |
$102 |
7.4× |
| T4-neonatal (84437) |
$186.50 |
$373 |
28.8× |
| Targeted genomic seq analysis (81445) |
$1,350 |
$2,700 |
2.3× |
| Tb ag response t-cell susp (86481) |
$257 |
$514 |
2.6× |
| Tb intradermal test (86580) |
$4 |
$8 |
0.1× |
| Test for acetone/ketones (82009) |
$53.50 |
$107 |
11.8× |
| Test for urine cystines (82615) |
$201 |
$402 |
21.0× |
| Testosterone free (84402) |
$26 |
$52 |
1.0× |
| Testosterone total (84403) |
$26 |
$52 |
1.0× |
| Tetanus antibody (86774) |
$206 |
$412 |
13.9× |
| Theophylline (80198) |
$121.50 |
$243 |
8.6× |
| Thin prep pap (88142) |
$94.50 |
$189 |
4.7× |
| Thiocyanate (84430) |
$137 |
$274 |
11.8× |
| Thrombin time plasma (85670) |
$22 |
$44 |
3.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$28 |
$56 |
4.3× |
| Thyroglobulin (84432) |
$108.50 |
$217 |
6.8× |
| Thyroglobulin Ab (86800) |
$33 |
$66 |
2.1× |
| Thyroid Stimulating Immunoglobulin (84445) |
$97 |
$194 |
1.9× |
| Thyroxine binding globulin (84442) |
$65 |
$130 |
4.4× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$352 |
$704 |
2.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
$69.50 |
$139 |
6.0× |
| Tissue culture bone marrow (88237) |
$216.50 |
$433 |
1.5× |
| Tissue Culture Lymphocyte (88230) |
$180 |
$360 |
1.5× |
| Tissue culture placenta (88235) |
$271 |
$542 |
1.8× |
| Tissue culture solid tumor (88239) |
$839 |
$1,678 |
5.7× |
| Tobramycin peak (80200) |
$192.50 |
$385 |
11.9× |
| Topiramate (80201) |
$63 |
$126 |
5.3× |
| Touch prep (88161) |
$128.50 |
$257 |
4.2× |
| Toxin or antitoxin assay (87230) |
$157.50 |
$315 |
8.0× |
| Toxoplasma ab igm (86778) |
$36 |
$72 |
2.5× |
| Toxoplasma antibody igg (86777) |
$40 |
$80 |
2.8× |
| Transferrin (84466) |
$31 |
$62 |
2.4× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) |
$160 |
$320 |
0.7× |
| Trg gene rearrangement analysis (81342) |
$350 |
$700 |
1.7× |
| Trichinella antibody (86784) |
$196 |
$392 |
15.6× |
| Trichomonas vagin dir probe (87660) |
$58.75 |
$117.50 |
2.9× |
| Triglycerides (84478) |
$27.50 |
$55 |
4.8× |
| Troponin (84484) |
$87 |
$174 |
7.0× |
| Unlisted transfusion medicine procedure (86999) |
$51.50 |
$103 |
1.7× |
| Urea nitrogen (84520) |
$27.50 |
$55 |
7.0× |
| Urea nitrogen urine (84540) |
$67 |
$134 |
12.1× |
| Uric acid blood (84550) |
$84.75 |
$169.50 |
18.8× |
| Uric acid other source (84560) |
$56.25 |
$112.50 |
11.1× |
| Urinalysis microscopic only (81015) |
$37 |
$74 |
12.1× |
| Urinalysis w/microscopic (81001) |
$88 |
$176 |
27.8× |
| Urine pregnancy test (81025) |
$54.50 |
$109 |
6.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$32.50 |
$65 |
14.4× |
| Valproic acid level (80164) |
$169.50 |
$339 |
12.5× |
| Vancomycin trough (80202) |
$206 |
$412 |
15.2× |
| Varicella-zoster antibody (86787) |
$28 |
$56 |
2.2× |
| Vasoactive intestinal peptide (vip) (84586) |
$105 |
$210 |
3.0× |
| Vasopressin (84588) |
$174.75 |
$349.50 |
5.1× |
| Vdrl csf (86592) |
$65 |
$130 |
15.2× |
| Virus antibody nos (86790) |
$128.75 |
$257.50 |
10.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$54.50 |
$109 |
1.6× |
| Virus inoculation, shell via (87254) |
$65 |
$130 |
3.3× |
| Viscosity serum (85810) |
$104 |
$208 |
8.9× |
| Vitamin A (84590) |
$44 |
$88 |
3.8× |
| Vitamin b-12 (82607) |
$150.50 |
$301 |
10.0× |
| Vitamin b-2 (riboflavin) (84252) |
$79 |
$158 |
3.9× |
| Vitamin b1 (thiamine) (84425) |
$203.50 |
$407 |
9.6× |
| Vitamin b6 (84207) |
$93 |
$186 |
3.3× |
| Vitamin C (82180) |
$68 |
$136 |
6.9× |
| Vitamin D 25-Hydroxy (82306) |
$76.50 |
$153 |
2.6× |
| Vitamin e serum (84446) |
$44 |
$88 |
3.1× |
| Voltage-gated calcium channel antibody each (86596) |
$55 |
$110 |
4.6× |
| Von willebrand factor activity (85245) |
$42 |
$84 |
1.8× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$134.50 |
$269 |
15.6× |
| West nile virus ab, igm (86788) |
$59 |
$118 |
3.5× |
| West nile virus antibody (86789) |
$42 |
$84 |
2.9× |
| Xylose Absorption Test (84620) |
$160.50 |
$321 |
12.4× |
| Yersinia antibody (86793) |
$250 |
$500 |
19.0× |
| Zika Virus Igm Antibody (86794) |
$200 |
$400 |
11.9× |
| Zinc (84630) |
$110.50 |
$221 |
9.7× |