| 17 Hydroxyprogesterone (83498) |
$41 |
$82 |
1.5× |
| 17-Hydroxypregnenolone (84143) |
$120 |
$240 |
5.3× |
| 5-Hiaa (83497) |
$34 |
$68 |
2.6× |
| Abl1 gene (81170) |
$700 |
$1,400 |
2.3× |
| Acetaminophen (80143) |
$19 |
$38 |
1.0× |
| Acetone serum qual (82009) |
$53.50 |
$107 |
11.8× |
| Acetone, quantitative (82010) |
$53.50 |
$107 |
6.5× |
| Acetylcholine receptor binding antibody (86041) |
$50 |
$100 |
2.7× |
| Acetylcholinesterase (82013) |
$131 |
$262 |
10.7× |
| Acetylcholn rcptr blckg antb (86042) |
$62 |
$124 |
3.4× |
| Acetylcholn rcptr modlg antb (86043) |
$78 |
$156 |
6.5× |
| Acth (82024) |
$44 |
$88 |
1.1× |
| 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× |
| Acylcarnitines quantitative (82017) |
$85.50 |
$171 |
5.1× |
| Adenovirus antibody (86603) |
$196 |
$392 |
15.2× |
| Afb concentration (87015) |
$31.75 |
$63.50 |
4.8× |
| Afb culture (87116) |
$80 |
$160 |
7.4× |
| Afb smear (87206) |
$97 |
$194 |
18.0× |
| Albumin body fluid (82042) |
$23.25 |
$46.50 |
3.0× |
| Albumin serum (82040) |
$27.50 |
$55 |
5.6× |
| Alcohol (82077) |
$18 |
$36 |
1.0× |
| Aldolase (82085) |
$37 |
$74 |
3.8× |
| Aldosterone (82088) |
$92.50 |
$185 |
2.3× |
| Alkaline phosphatase (84075) |
$27.50 |
$55 |
5.3× |
| Alkaline phosphatase isoenzymes (84080) |
$55.50 |
$111 |
3.8× |
| Allergen profile perennial allergen (86003) |
$41.50 |
$83 |
8.0× |
| Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) |
$31.75 |
$63.50 |
1.8× |
| Alpha 2 antiplasmin (85410) |
$126 |
$252 |
16.3× |
| Alpha-1-antitrypsin (82103) |
$44 |
$88 |
3.3× |
| Alpha-1-antitrypsin phenotype (82104) |
$48 |
$96 |
3.3× |
| Alpha-fetoprotein amniotic (82106) |
$96 |
$192 |
5.6× |
| Alpha-fetoprotein serum (82105) |
$26 |
$52 |
1.6× |
| Alt (84460) |
$27.50 |
$55 |
5.2× |
| Aluminum (82108) |
$45 |
$90 |
1.8× |
| Amikacin level (80150) |
$131.50 |
$263 |
8.7× |
| Amino acid screen urine (82128) |
$122 |
$244 |
8.8× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$500.50 |
$1,001 |
29.7× |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
$137 |
$274 |
6.0× |
| Aminolevulinic acid delta (82135) |
$101 |
$202 |
6.1× |
| Ammonia (82140) |
$190.50 |
$381 |
13.1× |
| Amylase (82150) |
$60.50 |
$121 |
9.3× |
| Ana (86038) |
$100.75 |
$201.50 |
8.3× |
| Ana titer (86039) |
$53.50 |
$107 |
4.8× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$18 |
$36 |
1.4× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$18 |
$36 |
1.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$57.50 |
$115 |
3.2× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$97 |
$194 |
6.1× |
| Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) |
$57 |
$114 |
4.3× |
| Androstenedione (82157) |
$65 |
$130 |
2.2× |
| Angiotensin converting enzyme (82164) |
$118 |
$236 |
8.1× |
| Anti-mitochondrial antibody (86255) |
$54 |
$108 |
4.5× |
| Antibody identification platelet antibodies (86022) |
$117.50 |
$235 |
6.4× |
| Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry);… (86828) |
$206 |
$412 |
3.2× |
| Antibody west nile virus igm (86788) |
$59 |
$118 |
3.5× |
| Antibody; Helicobacter pylori (86677) |
$173 |
$346 |
10.3× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$53 |
$106 |
4.4× |
| Antistreptolysin o screen (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 each (82172) |
$42 |
$84 |
2.0× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$140 |
$280 |
11.6× |
| Arsenic (82175) |
$61 |
$122 |
3.2× |
| Aspergillus antibody (86606) |
$69 |
$138 |
4.6× |
| Aspergillus antigen (87305) |
$127 |
$254 |
10.6× |
| Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) |
$128.50 |
$257 |
10.0× |
| Assay anti-mullerian horm (82166) |
$113 |
$226 |
2.9× |
| Assay of fluoride (82735) |
$153 |
$306 |
8.3× |
| Assay of interleukin-6 (il-6) (83529) |
$90 |
$180 |
5.2× |
| Assay of nickel (83885) |
$263.50 |
$527 |
10.8× |
| Assay of porphobilinogen urine qual - porphobilinogen screen (84106) |
$195.50 |
$391 |
33.6× |
| Assay of pregnanetriol - pregnanetriol, urine (84138) |
$228 |
$456 |
10.8× |
| Assay of transcortin arup to esoterix endocrinology 500080 (84449) |
$274 |
$548 |
15.2× |
| Assay of vitamin b-2 (84252) |
$79 |
$158 |
3.9× |
| Assay of vitamin not otherwise specified (84591) |
$160 |
$320 |
9.4× |
| Assay, blood catecholamines - catecholamines, total (82383) |
$121.50 |
$243 |
4.2× |
| Assay, free hydroxyproline - hydroxyproline, free (83500) |
$278.50 |
$557 |
12.3× |
| Ast (84450) |
$27.50 |
$55 |
5.3× |
| Autologous blood or component, collection processing and storage; predeposited (86890) |
$415 |
$830 |
2.3× |
| B cells total count (86355) |
$72 |
$144 |
1.9× |
| Bacterium antibody (86609) |
$69 |
$138 |
5.4× |
| Bartonella antibody (86611) |
$23 |
$46 |
2.3× |
| Basic metabolic panel calcium ionized (80047) |
$94.50 |
$189 |
6.9× |
| Bcr/abl 1 gene other bp (81208) |
$160 |
$320 |
0.7× |
| 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 (86146) |
$68 |
$136 |
2.7× |
| Beta-2 microglobulin (82232) |
$64 |
$128 |
4.0× |
| Bile acids total (82239) |
$131.50 |
$263 |
7.7× |
| Bile acids, cholylglycine - 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× |
| Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) |
$72 |
$144 |
9.3× |
| Blastomyces antibody (86612) |
$88 |
$176 |
6.8× |
| Bleeding time (85002) |
$121.50 |
$243 |
25.2× |
| Blood count leukocyte wbc automated (85048) |
$28.50 |
$57 |
11.2× |
| Blood count reticulocyte automated (85045) |
$173.50 |
$347 |
43.5× |
| Blood count; automated differential WBC count Other Outpatient (85004) |
$28.50 |
$57 |
4.4× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$51 |
$102 |
16.9× |
| Blood gases any combination (82803) |
$62.50 |
$125 |
2.4× |
| Blood gases ph only (82800) |
$12 |
$24 |
1.1× |
| Blood gases w/o2 saturation (82805) |
$271 |
$542 |
3.4× |
| Blood typing rbc antigens (86905) |
$124.50 |
$249 |
32.5× |
| Blood typing serologic abo (86900) |
$51 |
$102 |
17.1× |
| Blood typing serologic rh (d) (86901) |
$34.50 |
$69 |
11.5× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$298 |
$596 |
46.9× |
| Blood unit compatibility test, incubation technique (86921) |
$148.50 |
$297 |
0.8× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$40 |
$80 |
2.5× |
| Bordetella pertussis igm (86615) |
$50.50 |
$101 |
3.8× |
| Braf gene (81210) |
$475 |
$950 |
2.7× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (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-peptide (84681) |
$30 |
$60 |
1.4× |
| C-reactive protein (86140) |
$56 |
$112 |
10.8× |
| C-reactive protein high sensitivity (86141) |
$48 |
$96 |
3.7× |
| C2 complement functional (86161) |
$96 |
$192 |
8.0× |
| Ca 125 (86304) |
$114.50 |
$229 |
5.5× |
| Ca 15-3 (86300) |
$32.50 |
$65 |
1.6× |
| Cadmium (82300) |
$57.50 |
$115 |
2.4× |
| Calcitonin (82308) |
$85 |
$170 |
3.2× |
| Calcium ionized (82330) |
$139.50 |
$279 |
10.2× |
| Calcium total (82310) |
$27.50 |
$55 |
5.3× |
| Calcium, random urine (82340) |
$75 |
$150 |
12.4× |
| Calprotectin fecal (83993) |
$200 |
$400 |
10.2× |
| Calr gene com variants (81219) |
$200 |
$400 |
1.6× |
| Cancer antigen 19-9 (86301) |
$33 |
$66 |
1.6× |
| Candida antibody (86628) |
$26 |
$52 |
2.2× |
| Candida DNA amp probe (87481) |
$49.50 |
$99 |
1.4× |
| Carbamazepine total (80156) |
$94.25 |
$188.50 |
6.5× |
| Carbamazepine, free (80157) |
$53 |
$106 |
4.0× |
| Carbon dioxide (82374) |
$23 |
$46 |
4.7× |
| Carbon monoxide (82375) |
$121.50 |
$243 |
9.9× |
| Cardiolipin antibody ea ig class (86147) |
$32 |
$64 |
1.3× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$61 |
$122 |
3.6× |
| Carotene (82380) |
$173 |
$346 |
18.8× |
| Casein igg (86001) |
$41.50 |
$83 |
5.3× |
| Catecholamines fractionated (82384) |
$76 |
$152 |
3.0× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$47 |
$94 |
1.0× |
| Cea (82378) |
$167.50 |
$335 |
8.8× |
| Cebpa gene full sequence (81218) |
$396 |
$792 |
1.6× |
| Cell count body fluid (89050) |
$87 |
$174 |
18.4× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$195.50 |
$391 |
34.9× |
| Ceruloplasmin (82390) |
$19 |
$38 |
1.8× |
| 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 specify method national jewish chtx (86155) |
$168 |
$336 |
10.5× |
| Chg fresh frozen plasma thawing each unit (86927) |
$62 |
$124 |
0.3× |
| Chlamydia antibody (86631) |
$21 |
$42 |
1.8× |
| Chlamydia antibody igm (86632) |
$22 |
$44 |
1.7× |
| Chlamydia pneumoniae PCR (87486) |
$142 |
$284 |
4.0× |
| Chlamydia trachomatis ag if (87270) |
$149.50 |
$299 |
12.5× |
| Chloride blood (82435) |
$23 |
$46 |
5.0× |
| 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× |
| Chorionic gonadotropin test (84702) |
$80.75 |
$161.50 |
5.4× |
| Chromium (82495) |
$54 |
$108 |
2.7× |
| Chromogranin a (86316) |
$72 |
$144 |
3.5× |
| Chromosome analys amniotic (88269) |
$212 |
$424 |
1.2× |
| Chromosome analysis 15-20 cells (88262) |
$180 |
$360 |
1.4× |
| Chromosome analysis 20-25 cells (88264) |
$176 |
$352 |
1.2× |
| Citrate (82507) |
$169.75 |
$339.50 |
6.1× |
| Ck mb fraction (82553) |
$59 |
$118 |
5.1× |
| Clostridium ag eia (87324) |
$42.50 |
$85 |
3.5× |
| Clot factor xiii fibrin stab (85290) |
$461 |
$922 |
28.2× |
| Clot inhibit prot s total (85305) |
$36 |
$72 |
3.1× |
| Clotting funct activity (85397) |
$194.50 |
$389 |
6.3× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$95 |
$190 |
4.1× |
| Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Other Outpatient (85293) |
$124.50 |
$249 |
6.6× |
| Clotting; prekallikrein assay (Fletcher factor assay) Other Outpatient (85292) |
$124.50 |
$249 |
6.6× |
| Cmv antibody (86644) |
$29 |
$58 |
2.0× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$417 |
$834 |
1.0× |
| Coagulation time activated (85347) |
$190.75 |
$381.50 |
44.6× |
| Coccidioides antibody (86635) |
$26 |
$52 |
2.3× |
| 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 agglutinins titer (86157) |
$88 |
$176 |
10.9× |
| Collagen cross links (82523) |
$55.50 |
$111 |
3.0× |
| Compatibility each unit electronic (86923) |
$137.50 |
$275 |
0.8× |
| Complement antigen ea component (86160) |
$53.50 |
$107 |
4.5× |
| Complement total (ch50) (86162) |
$40 |
$80 |
2.0× |
| Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) |
$157 |
$314 |
0.9× |
| Coombs test indirect titer (86886) |
$274.50 |
$549 |
53.0× |
| Copper (82525) |
$92 |
$184 |
7.4× |
| Cortisol free (82530) |
$64 |
$128 |
3.8× |
| Cortisol saliva (82533) |
$105 |
$210 |
6.4× |
| COVID-19 antibody (86769) |
$86 |
$172 |
2.0× |
| Coxsackie a9 virus antibody (86658) |
$168 |
$336 |
12.9× |
| Creatine kinase isoenzymes (82552) |
$200 |
$400 |
14.9× |
| Creatine kinase total (82550) |
$44.75 |
$89.50 |
6.9× |
| Creatine serum or plasma arup 2002340 (82540) |
$31.50 |
$63 |
6.8× |
| Creatinine (82565) |
$27.50 |
$55 |
5.4× |
| Creatinine clearance (82575) |
$75.50 |
$151 |
8.0× |
| Creatinine other source (82570) |
$67 |
$134 |
12.9× |
| Crossmatch ahg (86922) |
$149.50 |
$299 |
0.8× |
| Cryofibrinogen (82585) |
$34 |
$68 |
2.4× |
| Cryoglobulins (82595) |
$45 |
$90 |
7.0× |
| Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) |
$76 |
$152 |
5.8× |
| Cryptococcal antigen (87327) |
$85 |
$170 |
6.3× |
| Cryptosporidium ag eia (87328) |
$66.50 |
$133 |
4.8× |
| Crystals fluid (89060) |
$41 |
$82 |
5.6× |
| Culture anaerobic (87075) |
$132.50 |
$265 |
14.0× |
| Culture blood (87040) |
$230.50 |
$461 |
22.3× |
| Culture fungus blood (87103) |
$70 |
$140 |
3.4× |
| Culture fungus skin hair nail (87101) |
$94.50 |
$189 |
12.3× |
| Culture mycoplasma (87109) |
$172 |
$344 |
11.2× |
| Culture stool (87045) |
$50 |
$100 |
5.3× |
| Culture typing if ea antiserum (87140) |
$62 |
$124 |
11.1× |
| Culture urine (87086) |
$49 |
$98 |
6.1× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$62 |
$124 |
7.7× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$153 |
$306 |
18.9× |
| Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) |
$132.50 |
$265 |
13.4× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$25 |
$50 |
2.6× |
| Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) |
$169 |
$338 |
11.6× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$50 |
$100 |
9.7× |
| Cyanide (82600) |
$176 |
$352 |
9.1× |
| Cyclic amp (82030) |
$226 |
$452 |
8.8× |
| Cyclic citrullinated peptide ab (86200) |
$36 |
$72 |
2.8× |
| Cyclosporine (80158) |
$210 |
$420 |
11.6× |
| Cyp2c19 gene analysis common variants (81225) |
$650 |
$1,300 |
2.2× |
| Cystatin c (82610) |
$75.75 |
$151.50 |
4.1× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$138.50 |
$277 |
10.6× |
| Cystine and homocystine, urine, qualitative Other Outpatient (82615) |
$201 |
$402 |
21.0× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$1,816 |
$3,632 |
1.6× |
| Cytogenetics 25-99 (88274) |
$315 |
$630 |
7.4× |
| Cytomeg DNA amp probe (87496) |
$121 |
$242 |
3.4× |
| Cytomegalovirus antibody igm (86645) |
$31 |
$62 |
1.8× |
| Cytopath cell enhance tech (88112) |
$26.50 |
$53 |
0.5× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$94.50 |
$189 |
4.7× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$20.50 |
$41 |
0.8× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) |
$114.50 |
$229 |
5.0× |
| Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) |
$84 |
$168 |
0.5× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) |
$86.50 |
$173 |
2.0× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) |
$33 |
$66 |
2.3× |
| Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (88162) |
$84 |
$168 |
1.5× |
| Cytopathology, smears, any other source; preparation, screening and interpretation (88161) |
$128.50 |
$257 |
4.2× |
| Cytopathology, smears, any other source; screening and interpretation (88160) |
$43.50 |
$87 |
1.4× |
| Cytp eval fine needle aspirate interp & report (88173) |
$84 |
$168 |
1.5× |
| Cytp urine 3-5 probes cmptr (88121) |
$497 |
$994 |
2.7× |
| Cytp urne 3-5 probes ea spec (88120) |
$497 |
$994 |
2.7× |
| D-dimer quantitative (85379) |
$82 |
$164 |
8.1× |
| Deoxycortisol (82634) |
$346 |
$692 |
11.8× |
| Deoxyribonuclease antibody (86215) |
$44 |
$88 |
3.3× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$24 |
$48 |
1.7× |
| 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× |
| Diphtheria antibody (86648) |
$206 |
$412 |
13.5× |
| Direct antiglobulin test (86880) |
$48.50 |
$97 |
9.0× |
| 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 methotrexate (80204) |
$145 |
$290 |
3.8× |
| Drug assay salicylate (80179) |
$19 |
$38 |
1.0× |
| Drug assay vedolizumab (80280) |
$137 |
$274 |
3.6× |
| Drug screen quant caffeine (80155) |
$57 |
$114 |
1.5× |
| Drug screen quant clozapine (80159) |
$47 |
$94 |
2.3× |
| Drug screen quant everolimus (80169) |
$83 |
$166 |
6.0× |
| Drug screen quant gabapentin (80171) |
$43 |
$86 |
2.0× |
| Drug screen quant levetiracetam (80177) |
$91 |
$182 |
6.9× |
| Drug screen quant mycophenolate (80180) |
$57 |
$114 |
3.2× |
| Drug screen quant zonisamide (80203) |
$101 |
$202 |
7.6× |
| Drug screen quantitative oxcarbazepine (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 test prsmv instrmnt (80306) |
$18 |
$36 |
1.1× |
| Ear culture (87070) |
$132.50 |
$265 |
15.4× |
| 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× |
| Electrolytes panel (80051) |
$75 |
$150 |
10.7× |
| Electrophoretic test (82664) |
$56 |
$112 |
0.9× |
| Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) |
$57 |
$114 |
4.3× |
| Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) |
$57 |
$114 |
4.3× |
| Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) |
$57 |
$114 |
4.3× |
| Endomysial antibody each immunoglobulin class (86231) |
$102 |
$204 |
8.4× |
| Enterovirus by PCR (87498) |
$120 |
$240 |
3.4× |
| Enzyme histochemistry (88319) |
$338 |
$676 |
0.4× |
| Eosinophils urine (87205) |
$30 |
$60 |
7.0× |
| Erythropoietin (82668) |
$28 |
$56 |
1.5× |
| Estradiol (82670) |
$143.75 |
$287.50 |
5.1× |
| Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient (82681) |
$173 |
$346 |
6.2× |
| 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× |
| Ethosuximide (80168) |
$157.50 |
$315 |
9.6× |
| Ethylene glycol (82693) |
$116 |
$232 |
7.8× |
| Euglobulin lysis (85360) |
$185 |
$370 |
22.0× |
| Eval amniotic fluid protein (84112) |
$190 |
$380 |
1.9× |
| Extractable nuclear antigen antibody any method (86235) |
$38 |
$76 |
2.1× |
| F2 gene analysis (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 activity (85230) |
$122 |
$244 |
6.8× |
| Factor viii activity (85240) |
$72 |
$144 |
4.0× |
| Factor viii vw antigen (85246) |
$88 |
$176 |
3.8× |
| Factor x (stuart-prower) (85260) |
$133 |
$266 |
7.4× |
| Factor xi activity (85270) |
$136 |
$272 |
7.6× |
| Factor xii (hageman) (85280) |
$139 |
$278 |
7.2× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$79 |
$158 |
4.7× |
| Fatty acids nonesterified (82725) |
$147 |
$294 |
7.8× |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
$331 |
$662 |
19.3× |
| Fecal fat qualitative (82705) |
$36 |
$72 |
7.1× |
| Ferritin (82728) |
$93 |
$186 |
6.8× |
| Fetal fibronectin (82731) |
$525.50 |
$1,051 |
8.2× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$124.50 |
$249 |
16.1× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$77.50 |
$155 |
8.3× |
| Fetal lung maturity assessment; fluorescence polarization Other Outpatient (83663) |
$199 |
$398 |
10.5× |
| Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) |
$62 |
$124 |
6.4× |
| Fibrin split products (85362) |
$68 |
$136 |
9.9× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$143 |
$286 |
1.8× |
| Fibrinogen antigen (85385) |
$134 |
$268 |
9.3× |
| Fibrinogen, activity (85384) |
$30.50 |
$61 |
3.1× |
| Flow cytometry first marker (88184) |
$298 |
$596 |
0.8× |
| Flt3 gene analysis (81246) |
$254 |
$508 |
3.1× |
| Flt3 gene analysis internal tandem dup variants (81245) |
$481 |
$962 |
2.9× |
| Folate serum (82746) |
$148.50 |
$297 |
10.1× |
| Folic acid rbc (82747) |
$103 |
$206 |
5.8× |
| Follicle stimulating hormone (fsh) (83001) |
$133 |
$266 |
7.2× |
| Fractionation ketosteroids - 17-ketosteroids, fractionation (83593) |
$320.50 |
$641 |
11.2× |
| Francisella tularensis ab (86668) |
$40 |
$80 |
2.8× |
| Fructosamine (82985) |
$157 |
$314 |
9.4× |
| Ftl cgen abnor four anal (81511) |
$154 |
$308 |
1.0× |
| Fungus isolation culture (87102) |
$48.75 |
$97.50 |
5.8× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$75.50 |
$151 |
6.2× |
| Galactokinase rbc (82759) |
$243.50 |
$487 |
11.3× |
| Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) |
$453.50 |
$907 |
21.5× |
| Galectin-3 (82777) |
$153 |
$306 |
3.5× |
| Gamma glutamyl transferase (82977) |
$40 |
$80 |
5.6× |
| Gammaglobulin ige (82785) |
$89 |
$178 |
5.4× |
| Gardnerella vaginalis amp probe (87511) |
$63 |
$126 |
1.8× |
| Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) |
$86 |
$172 |
8.8× |
| Gastrin (82941) |
$36 |
$72 |
2.0× |
| Genet virus isolate hsv (87255) |
$54.50 |
$109 |
1.6× |
| Genotype DNA HIV reverse t (87901) |
$389.75 |
$779.50 |
1.5× |
| Genotype DNA/RNA HIV (87906) |
$220 |
$440 |
1.7× |
| Gentamicin (80170) |
$206 |
$412 |
12.6× |
| Giardia antigen (87329) |
$56 |
$112 |
4.7× |
| Gliadin antibody each immunoglobulin class (86258) |
$69.50 |
$139 |
5.8× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$5 |
$10 |
1.5× |
| Glucagon (82943) |
$93 |
$186 |
6.5× |
| Glucose Fasting (82947) |
$29 |
$58 |
7.4× |
| Glucose other fluid (82945) |
$37 |
$74 |
9.4× |
| Glucose post glucose dose (82950) |
$43.50 |
$87 |
9.2× |
| Glucose tolerance test (gtt) (82951) |
$121.50 |
$243 |
9.4× |
| Glucose-6-pd (82955) |
$62 |
$124 |
6.4× |
| Glutathione (82978) |
$118 |
$236 |
7.6× |
| Glycated hemoglobin (83036) |
$128.50 |
$257 |
13.2× |
| Growth hormone (hgh) (83003) |
$39 |
$78 |
2.3× |
| Gtt-added samples (82952) |
$40 |
$80 |
10.2× |
| H pylori breath test (83013) |
$156 |
$312 |
2.3× |
| H pylori stool (87338) |
$93 |
$186 |
6.5× |
| Haloperidol (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 analysis dup/del variants (81269) |
$394 |
$788 |
1.9× |
| Hbb full gene sequence (81364) |
$666 |
$1,332 |
2.1× |
| Hbb gene dup/del variants (81363) |
$437 |
$874 |
2.2× |
| Hcg ql (84703) |
$97 |
$194 |
12.9× |
| HDL cholesterol (83718) |
$64.50 |
$129 |
7.9× |
| Heavy metal quan each nes (83018) |
$110.50 |
$221 |
5.0× |
| Heavy metal screen (83015) |
$94 |
$188 |
4.5× |
| Hemagglutination inhibition (86280) |
$128 |
$256 |
15.6× |
| Hematocrit (hct) (85014) |
$40 |
$80 |
16.9× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) |
$1,850 |
$3,700 |
2.4× |
| Hemoglobin (85018) |
$40 |
$80 |
16.9× |
| Hemoglobin electrophoresis (83020) |
$49 |
$98 |
3.8× |
| Hemoglobin fractj/quantj chromotography (83021) |
$41 |
$82 |
2.3× |
| Hemoglobin plasma (83051) |
$79 |
$158 |
10.8× |
| Hemoglobin stability screen (83068) |
$48 |
$96 |
5.1× |
| Hemolysins and agglutinins; auto, screen, each Other Outpatient (86940) |
$63 |
$126 |
7.2× |
| Hemolysins and agglutinins; incubated Other Outpatient (86941) |
$68 |
$136 |
5.6× |
| Hep a ab total (86708) |
$51 |
$102 |
4.1× |
| Heparin assay (85520) |
$80 |
$160 |
6.1× |
| Heparin neutralization (85525) |
$35 |
$70 |
3.0× |
| Hepatitis a antibody igm (86709) |
$86 |
$172 |
7.6× |
| Hepatitis b core antibody igm (86705) |
$112 |
$224 |
9.5× |
| Hepatitis b core antibody total (86704) |
$112 |
$224 |
9.3× |
| Hepatitis b DNA quant (87517) |
$159.50 |
$319 |
3.7× |
| 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 antibody (86803) |
$183 |
$366 |
12.8× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$206 |
$412 |
13.3× |
| Hepatitis c genotype (87902) |
$222.50 |
$445 |
0.9× |
| Hepatitis c RNA quantitative (87522) |
$671 |
$1,342 |
15.7× |
| Hepatitis delta antibody (86692) |
$133 |
$266 |
7.8× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$67 |
$134 |
4.7× |
| Herpes simplex virus by PCR (87529) |
$162.25 |
$324.50 |
4.6× |
| Heterophile antibody screen (86308) |
$64.50 |
$129 |
12.5× |
| Hexagonal phospholipid neutralization (85598) |
$53 |
$106 |
2.9× |
| Hfe gene (81256) |
$200 |
$400 |
3.1× |
| Hhv-6 DNA amp probe (87532) |
$202.50 |
$405 |
5.8× |
| Histamine (83088) |
$207.50 |
$415 |
7.0× |
| Histoplasma antibody (86698) |
$21 |
$42 |
1.5× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$25.50 |
$51 |
1.1× |
| HIV-1 antibody (86701) |
$76.50 |
$153 |
8.6× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$132.50 |
$265 |
9.7× |
| HIV-2 antibody (86702) |
$73 |
$146 |
5.4× |
| Hla b27 (86812) |
$60 |
$120 |
2.3× |
| Hla class i high defin qual (86832) |
$625 |
$1,250 |
1.9× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient (81373) |
$176.50 |
$353 |
1.4× |
| Hla class ii high defin qual (86833) |
$625 |
$1,250 |
1.9× |
| Hla i typing 1 allele hr (81381) |
$218 |
$436 |
1.3× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
$115 |
$230 |
0.5× |
| Hla ii typing 1 loc hr (81382) |
$150 |
$300 |
1.2× |
| Hla ii typing 1 locus lr (81376) |
$90 |
$180 |
0.7× |
| 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 - hla typing, dr/dq, single antigen - tissue (86816) |
$635 |
$1,270 |
21.0× |
| Homocysteine level (83090) |
$98.75 |
$197.50 |
5.5× |
| Homogenization tissue (87176) |
$55.50 |
$111 |
9.4× |
| Hpv high-risk types (87624) |
$120 |
$240 |
3.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) |
$120 |
$240 |
1.7× |
| Hrdtry brst ca-rlatd dsordrs (81432) |
$1,925 |
$3,850 |
1.5× |
| Human epididymis protein 4 (86305) |
$84 |
$168 |
4.0× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$192 |
$384 |
9.9× |
| Hydroxyproline total (83505) |
$206.50 |
$413 |
8.5× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$53 |
$106 |
1.0× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$143 |
$286 |
1.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$132.50 |
$265 |
0.3× |
| Igg subclass 1 (82787) |
$155 |
$310 |
19.3× |
| Igh gene rearrange amp meth (81261) |
$225 |
$450 |
1.1× |
| Igh vari regional mutation (81263) |
$680 |
$1,360 |
2.3× |
| IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis,… (81264) |
$225 |
$450 |
1.3× |
| Immune complex assay (86332) |
$227 |
$454 |
9.3× |
| Immunoassay analyte quantitative nos (83520) |
$114.50 |
$229 |
6.6× |
| Immunoassay infectious agent antibody quan nos (86317) |
$72 |
$144 |
4.8× |
| Immunofixation electrophoresis (86334) |
$134.50 |
$269 |
6.0× |
| Immunofixation urine (86335) |
$115 |
$230 |
3.9× |
| Immunofluor antb 1st stain (88346) |
$525 |
$1,050 |
2.9× |
| Immunoglobulin d (82784) |
$82 |
$164 |
8.8× |
| Immunoglobulin light chains free each (83521) |
$68 |
$136 |
3.9× |
| Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) |
$134 |
$268 |
0.4× |
| Immunoperoxidase (88342) |
$152 |
$304 |
0.8× |
| In situ hybridization 1st probe stain (88365) |
$322 |
$644 |
1.8× |
| In situ hybridization ea multiplex probe stain (88366) |
$455 |
$910 |
2.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87337) |
$167.50 |
$335 |
14.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$211 |
$422 |
15.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
$228.25 |
$456.50 |
17.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87332) |
$134 |
$268 |
11.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) |
$44.50 |
$89 |
3.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) |
$94 |
$188 |
5.9× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) |
$33 |
$66 |
1.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$85 |
$170 |
5.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$94 |
$188 |
7.4× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
$67 |
$134 |
5.6× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$152 |
$304 |
3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) |
$124 |
$248 |
3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$335.75 |
$671.50 |
9.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) |
$58.75 |
$117.50 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$77.50 |
$155 |
2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$130 |
$260 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) |
$58.75 |
$117.50 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$626.50 |
$1,253 |
17.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$355 |
$710 |
10.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Other Outpatient (87534) |
$355 |
$710 |
16.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$418.50 |
$837 |
4.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$165.50 |
$331 |
4.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)… (87636) |
$96.50 |
$193 |
0.7× |
| Influenza a ag eia (87400) |
$103 |
$206 |
7.3× |
| Influenza assay w/optic (87804) |
$63 |
$126 |
3.8× |
| Inhibin a (86336) |
$77 |
$154 |
4.9× |
| Insulin antibody (86337) |
$86 |
$172 |
4.0× |
| Insulin free (83527) |
$47 |
$94 |
3.6× |
| Insulin total (83525) |
$67 |
$134 |
5.9× |
| 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, each unit (86945) |
$139 |
$278 |
3.5× |
| Islet cell antibody (86341) |
$123.50 |
$247 |
5.2× |
| Jak2 gene (81270) |
$300 |
$600 |
3.3× |
| Jak2 gene trgt sequence alys (81279) |
$200 |
$400 |
1.1× |
| 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 (81275) |
$329 |
$658 |
1.7× |
| Kras gene addl variants (81276) |
$350 |
$700 |
1.8× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$84 |
$168 |
2.1× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$84 |
$168 |
2.1× |
| Lacosamide (80235) |
$139 |
$278 |
5.1× |
| Lactate (83605) |
$147 |
$294 |
12.7× |
| Lactate dehydrogenase (83615) |
$44 |
$88 |
7.3× |
| Lactoferrin fecal (qual) (83630) |
$150 |
$300 |
7.6× |
| Lamotrigine (80175) |
$29 |
$58 |
2.2× |
| Ldh isoenzymes (83625) |
$31 |
$62 |
2.4× |
| LDL direct (83721) |
$75.50 |
$151 |
7.2× |
| Lead (83655) |
$20.50 |
$41 |
1.7× |
| Legionella antibody (86713) |
$47 |
$94 |
3.1× |
| Legionella culture (87081) |
$64.50 |
$129 |
9.7× |
| Legionella urine antigen (87449) |
$89 |
$178 |
7.4× |
| Leptospira antibody (86720) |
$152 |
$304 |
9.4× |
| Leucine aminopeptidase (83670) |
$116 |
$232 |
11.8× |
| Leukocyte alkaline phosphatase (85540) |
$134.50 |
$269 |
15.6× |
| Leukocyte antibody id (86021) |
$127 |
$254 |
8.4× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$43.50 |
$87 |
1.1× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$84 |
$168 |
1.5× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$86.50 |
$173 |
1.6× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$132.50 |
$265 |
0.3× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$132.50 |
$265 |
0.2× |
| Lidocaine (80176) |
$97 |
$194 |
6.6× |
| Lipase (83690) |
$76.50 |
$153 |
11.1× |
| Lipopro bld electrophoretic (83700) |
$34.50 |
$69 |
3.1× |
| Lipoprotein (a) (83695) |
$41 |
$82 |
2.9× |
| Lipoprotein bld by nmr (83704) |
$75 |
$150 |
2.2× |
| Lipoprotein bld hr fraction (83701) |
$252.50 |
$505 |
7.5× |
| Lipoprotein-associated phospholipase a2 (83698) |
$130.50 |
$261 |
2.8× |
| Lipoprtn dir meas sd LDL chl (83722) |
$50 |
$100 |
1.5× |
| Lithium (80178) |
$71 |
$142 |
10.7× |
| Luteinizing hormone (lh) (83002) |
$133 |
$266 |
7.2× |
| Lyme disease antibody (86617) |
$101.50 |
$203 |
6.6× |
| Lyme disease antibody (86618) |
$94 |
$188 |
5.5× |
| Lymphocyte transformation (86353) |
$200 |
$400 |
4.1× |
| M genitalium amp probe (87563) |
$50 |
$100 |
1.4× |
| M/phmtrc alys in situ hybridization ea probe mnl (88368) |
$100 |
$200 |
0.3× |
| M/phmtrc alys ishquant/semiq (88377) |
$515 |
$1,030 |
2.8× |
| 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× |
| Manual differential (85007) |
$30 |
$60 |
7.9× |
| Mercury (83825) |
$38 |
$76 |
2.3× |
| Metanephrines (83835) |
$54.50 |
$109 |
3.2× |
| Methemoglobin quant (83050) |
$185 |
$370 |
22.6× |
| 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× |
| 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× |
| Mold id (87107) |
$52 |
$104 |
5.0× |
| Molecular cytogenetics DNA probe each (88271) |
$77.50 |
$155 |
3.6× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$123 |
$246 |
2.4× |
| Monocyte monolayer assay (mma) - oneblood (86999) |
$51.50 |
$103 |
1.7× |
| Mononuclear cell antigen (86356) |
$47.50 |
$95 |
1.8× |
| Mopath procedure level 2 (81401) |
$368 |
$736 |
2.7× |
| Mopath procedure level 4 (81403) |
$416.50 |
$833 |
2.2× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$232.50 |
$465 |
1.3× |
| Mpl gene analysis common variants (81338) |
$337 |
$674 |
2.2× |
| Mthfr gene (81291) |
$368 |
$736 |
5.6× |
| Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (83864) |
$86 |
$172 |
3.0× |
| Mumps antibody (86735) |
$39 |
$78 |
3.0× |
| Muramidase (85549) |
$77 |
$154 |
4.1× |
| Muscle-specific kinase antb (86366) |
$345 |
$690 |
18.8× |
| Mycoplasma antibody (86738) |
$21 |
$42 |
1.6× |
| Mycoplasma pneumoniae by PCR (87581) |
$148.25 |
$296.50 |
4.2× |
| Myd88 gene p.leu265pro vrnt (81305) |
$750 |
$1,500 |
4.3× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$52 |
$104 |
4.5× |
| Myelin basic protein (83873) |
$133 |
$266 |
7.7× |
| Myoglobin (83874) |
$47.50 |
$95 |
3.7× |
| N.gonorrhoeae DNA amp prob (87591) |
$77.50 |
$155 |
2.2× |
| Nasal smear for eosinophils (89190) |
$60.50 |
$121 |
10.4× |
| Natriuretic peptide (83880) |
$191.25 |
$382.50 |
4.9× |
| Nephelometry ea analyte (83883) |
$119.75 |
$239.50 |
8.8× |
| Neutralization test viral (86382) |
$143 |
$286 |
8.5× |
| Nfct ds bv RNA vag flu alg (81513) |
$143 |
$286 |
1.0× |
| Nfct ds chrnc hcv 6 assays (81596) |
$356 |
$712 |
4.9× |
| Nk cells total count (86357) |
$38 |
$76 |
1.0× |
| Npm1 gene (81310) |
$400 |
$800 |
1.6× |
| Nras gene variants exon 2&3 (81311) |
$401.50 |
$803 |
1.4× |
| Occult blood other sources (82271) |
$30 |
$60 |
5.6× |
| Occult blood screening (82270) |
$37 |
$74 |
8.4× |
| Oligoclonal bands (83916) |
$51 |
$102 |
1.9× |
| Oncoprotein her-2/neu (83950) |
$326 |
$652 |
5.1× |
| Organic acids qual each (83919) |
$103 |
$206 |
6.3× |
| Organic acids total quant (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× |
| Osmotic fragility rbc unincubated (85555) |
$206 |
$412 |
27.6× |
| Osteocalcin (83937) |
$117 |
$234 |
3.9× |
| Ova and parasite exam (87177) |
$26.50 |
$53 |
3.0× |
| Oxalate urine (83945) |
$42 |
$84 |
2.9× |
| Pancreatic polypeptide (83519) |
$83 |
$166 |
4.5× |
| Parathyroid hormone (83970) |
$86.50 |
$173 |
2.1× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$133 |
$266 |
11.5× |
| Parvovirus antibody (86747) |
$22 |
$44 |
1.5× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$200.50 |
$401 |
0.5× |
| Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) |
$22 |
$44 |
0.0× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$84 |
$168 |
0.5× |
| Pathology examination of specimen during surgery (88329) |
$51 |
$102 |
0.8× |
| Pertussis by PCR (87798) |
$130.50 |
$261 |
3.7× |
| Ph body fluid (83986) |
$76.50 |
$153 |
21.4× |
| Phenobarbital (80184) |
$64 |
$128 |
4.2× |
| Phenotype infect agent drug (87900) |
$185.50 |
$371 |
1.4× |
| Phenytoin (dilantin) free (80186) |
$28 |
$56 |
2.0× |
| Phenytoin level total (80185) |
$48.75 |
$97.50 |
3.7× |
| Phosphatidylglycerol (84081) |
$226 |
$452 |
13.7× |
| Phosphorus (84100) |
$27.50 |
$55 |
5.8× |
| Phosphorus urine (84105) |
$64.50 |
$129 |
11.2× |
| Pinworm exam (87172) |
$34.50 |
$69 |
8.1× |
| Plasminogen activity (85420) |
$109 |
$218 |
16.7× |
| Platelet aggregation ea agent (85576) |
$142.50 |
$285 |
5.7× |
| Platelet count automated (85049) |
$68 |
$136 |
15.2× |
| Platelet neutralization (85597) |
$81 |
$162 |
4.5× |
| Pml/raralpha com breakpoints (81315) |
$517 |
$1,034 |
2.5× |
| Pms2 gene dup/delet variants (81319) |
$588 |
$1,176 |
2.9× |
| Pneumcysts jirovecii amp prb (87594) |
$250 |
$500 |
7.1× |
| Pooling of platelets or other blood products (86965) |
$151.50 |
$303 |
0.8× |
| Porphobilinogen urine (84110) |
$39 |
$78 |
4.6× |
| Porphyrins total plasma (84311) |
$115 |
$230 |
14.2× |
| Porphyrins urine quantitation & fractionation (84120) |
$49 |
$98 |
3.3× |
| Potassium (84132) |
$27.50 |
$55 |
5.8× |
| Potassium urine (84133) |
$37 |
$74 |
7.8× |
| Prealbumin (84134) |
$78.50 |
$157 |
5.4× |
| Pregnenolone (84140) |
$102 |
$204 |
4.9× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) |
$89 |
$178 |
1.4× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$531 |
$1,062 |
8.4× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, by dilution (86976) |
$50 |
$100 |
1.6× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with drugs (86975) |
$47 |
$94 |
0.1× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with inhibitors (86977) |
$247.50 |
$495 |
1.4× |
| Primidone (80188) |
$26.50 |
$53 |
1.6× |
| Procainamide; with metabolites (eg, n-acetyl procainamide) Other Outpatient (80192) |
$114.50 |
$229 |
6.8× |
| Procalcitonin (pct) (84145) |
$157 |
$314 |
5.8× |
| Progesterone (84144) |
$110.50 |
$221 |
5.3× |
| Proinsulin (84206) |
$103 |
$206 |
3.9× |
| Prolactin (84146) |
$166.50 |
$333 |
8.6× |
| Prostaglandin (84150) |
$320 |
$640 |
7.7× |
| Prostatic acid phosphatase (84066) |
$44 |
$88 |
4.6× |
| 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 antigen, free (85306) |
$51 |
$102 |
3.3× |
| Protein total other source (84157) |
$70.50 |
$141 |
17.6× |
| Protein total serum (84155) |
$27.50 |
$55 |
7.5× |
| Protein total urine (84156) |
$22.50 |
$45 |
6.1× |
| Protein western blot (84181) |
$190 |
$380 |
11.2× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$132 |
$264 |
4.5× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$69 |
$138 |
17.5× |
| Protozoa antibody nos (86753) |
$75 |
$150 |
6.1× |
| PSA free (84154) |
$20 |
$40 |
1.1× |
| Pyruvate (84210) |
$48 |
$96 |
3.3× |
| Pyruvate kinase (84220) |
$124.50 |
$249 |
13.2× |
| Q fever antibody (86638) |
$29 |
$58 |
2.4× |
| Quinidine (80194) |
$206 |
$412 |
14.1× |
| Rbc antibody elution (86860) |
$280.50 |
$561 |
1.5× |
| Rbc antibody identification (86870) |
$169.50 |
$339 |
0.4× |
| Rbc antibody screen (86850) |
$158 |
$316 |
16.2× |
| Reagent strip/blood glucose (82948) |
$26.50 |
$53 |
5.3× |
| Receptor assay non-endocrine specify receptor (84238) |
$48.50 |
$97 |
1.3× |
| Reducing substances fecal (84376) |
$101 |
$202 |
18.4× |
| Ref john hopkins telomere length measurement flow cytometry and fish (88182) |
$231 |
$462 |
4.2× |
| Ref labcorp, 451840, titrate resistant acid phosphate (trap) (84060) |
$121.50 |
$243 |
15.9× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$157 |
$314 |
13.0× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$14 |
$28 |
1.1× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$20 |
$40 |
1.0× |
| Renin (84244) |
$31 |
$62 |
1.4× |
| Reptilase test (85635) |
$101 |
$202 |
10.3× |
| Resp virus 3-5 targets (87631) |
$143 |
$286 |
1.0× |
| Resp virus 6-11 targets (87632) |
$219 |
$438 |
1.0× |
| Respiratory syncytial vi (87280) |
$120.50 |
$241 |
9.0× |
| Rh phenotyping complete (86906) |
$90 |
$180 |
11.6× |
| Rheumatoid factor (86430) |
$60.50 |
$121 |
9.9× |
| Rheumatoid factor quant (86431) |
$70.50 |
$141 |
12.4× |
| Rickettsia antibody (86757) |
$72 |
$144 |
3.7× |
| Ristocetin cofactor (85245) |
$42 |
$84 |
1.8× |
| Rl immediate spin crossmatch (86920) |
$122 |
$244 |
0.7× |
| Rotavirus ag eia (87425) |
$133 |
$266 |
11.1× |
| Rpr qual (86592) |
$65 |
$130 |
15.2× |
| Rpr titer (86593) |
$20 |
$40 |
4.5× |
| Rubella antibody (86762) |
$128 |
$256 |
8.9× |
| Rubeola antibody (86765) |
$37 |
$74 |
2.9× |
| Russell viper venom diluted (85613) |
$29 |
$58 |
3.0× |
| Sedimentation rate rbc automated (85652) |
$55.50 |
$111 |
20.6× |
| Selenium (84255) |
$100 |
$200 |
3.9× |
| Semen analysis complete (89320) |
$176 |
$352 |
14.3× |
| Semen analysis post vasectomy (89321) |
$57 |
$114 |
4.7× |
| Serotonin (84260) |
$92.50 |
$185 |
3.0× |
| Serum bactericidal titer (87197) |
$80.50 |
$161 |
5.4× |
| Sex chromatin id,barr bodies - lab sex chromatin id,barr bodies (88130) |
$62 |
$124 |
3.4× |
| Sex hormone binding globulin (84270) |
$69 |
$138 |
3.2× |
| Shiga-like toxin ag eia (87427) |
$37 |
$74 |
3.1× |
| Sickle cell screen (85660) |
$59 |
$118 |
10.7× |
| Sirolimus (80195) |
$42 |
$84 |
3.1× |
| Skin test tuberculosis intradermal (86580) |
$4 |
$8 |
0.1× |
| Smear wet mount (87210) |
$53.50 |
$107 |
9.2× |
| Sodium (84295) |
$84 |
$168 |
17.5× |
| Sodium urine (84300) |
$100.75 |
$201.50 |
19.9× |
| Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number… (81445) |
$1,350 |
$2,700 |
2.3× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) |
$1,950 |
$3,900 |
0.7× |
| Somatomedin (84305) |
$44.50 |
$89 |
2.1× |
| Special stains group i (88312) |
$43.50 |
$87 |
0.8× |
| Special stains group ii (88313) |
$49.50 |
$99 |
0.3× |
| Specific gravity except urine (84315) |
$34.50 |
$69 |
10.5× |
| Stone analysis (82365) |
$56 |
$112 |
4.3× |
| Str markers specimen anal (81265) |
$686 |
$1,372 |
2.9× |
| 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× |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
$345 |
$690 |
3.7× |
| Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Other Outpatient (84378) |
$334 |
$668 |
29.0× |
| Surg path level 1 (88300) |
$43.50 |
$87 |
1.4× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$169.25 |
$338.50 |
3.0× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$157.25 |
$314.50 |
3.9× |
| Susceptibility mic per plate (87186) |
$210 |
$420 |
24.3× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$133 |
$266 |
17.8× |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
$60 |
$120 |
9.0× |
| T cells cd4 count (86361) |
$43 |
$86 |
1.6× |
| T3 free (84481) |
$133 |
$266 |
7.9× |
| T3 reverse (84482) |
$53 |
$106 |
3.4× |
| T3 uptake (84479) |
$124.50 |
$249 |
19.2× |
| T4 (thyroxine) total (84436) |
$51 |
$102 |
7.4× |
| Tacrolimus (80197) |
$46 |
$92 |
3.4× |
| Tb test cell immun measure (86480) |
$167 |
$334 |
2.7× |
| 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× |
| Thiocyanate level (84430) |
$137 |
$274 |
11.8× |
| Thiopurine drug metabolites (83789) |
$146 |
$292 |
6.1× |
| Thiopurine metabolites (80299) |
$106 |
$212 |
5.7× |
| Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) |
$340 |
$680 |
15.3× |
| Thrombin time plasma (85670) |
$22 |
$44 |
3.8× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$28 |
$56 |
4.3× |
| Thyroglobulin (84432) |
$108.50 |
$217 |
6.8× |
| Thyroglobulin antibody (86800) |
$33 |
$66 |
2.1× |
| Thyroid peroxidase antibody (86376) |
$30 |
$60 |
2.1× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$97 |
$194 |
1.9× |
| Thyroxine binding globulin (84442) |
$65 |
$130 |
4.4× |
| Thyroxine free (ft4) (84439) |
$132.50 |
$265 |
14.7× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$186.50 |
$373 |
28.8× |
| Tissue culture bone marrow (88237) |
$216.50 |
$433 |
1.5× |
| Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) |
$271 |
$542 |
1.8× |
| Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) |
$352 |
$704 |
2.5× |
| Tissue culture lymphocyte (88230) |
$180 |
$360 |
1.5× |
| Tissue culture solid tumor (88239) |
$839 |
$1,678 |
5.7× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$69.50 |
$139 |
6.0× |
| Tobramycin (80200) |
$192.50 |
$385 |
11.9× |
| Topiramate (80201) |
$63 |
$126 |
5.3× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$157.50 |
$315 |
8.0× |
| Toxoplasma antibody igg (86777) |
$40 |
$80 |
2.8× |
| Toxoplasma antibody igm (86778) |
$36 |
$72 |
2.5× |
| Transferrin (84466) |
$31 |
$62 |
2.4× |
| Treponema pallidum antibody (86780) |
$42.25 |
$84.50 |
3.2× |
| Trg gene rearrangement anal (81342) |
$350 |
$700 |
1.7× |
| Trichinella antibody (86784) |
$196 |
$392 |
15.6× |
| Trichomonas vagin dir probe (87660) |
$58.75 |
$117.50 |
2.9× |
| Trichomonas vaginalis amplif (87661) |
$111 |
$222 |
3.2× |
| Trichrome stain (87209) |
$39.25 |
$78.50 |
2.2× |
| Triglycerides (84478) |
$27.50 |
$55 |
4.8× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$86.50 |
$173 |
6.1× |
| Troponin t (84484) |
$87 |
$174 |
7.0× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$257 |
$514 |
2.6× |
| Tularemia antibody (86000) |
$37 |
$74 |
5.3× |
| Unlisted molecular pathology (81479) |
$668 |
$1,336 |
— |
| Urea nitrogen quantitative (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 auto w/micro (81001) |
$88 |
$176 |
27.8× |
| Urinalysis microscopic only (81015) |
$37 |
$74 |
12.1× |
| Urine bacteria culture (87088) |
$86.50 |
$173 |
10.7× |
| Urine Pregnancy Test POC (81025) |
$54.50 |
$109 |
6.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$32.50 |
$65 |
14.4× |
| Valproic acid (80164) |
$169.50 |
$339 |
12.5× |
| Vancomycin (80202) |
$206 |
$412 |
15.2× |
| Varicella zoster antibody igg (86787) |
$28 |
$56 |
2.2× |
| Vasoactive intestinal peptide (vip) (84586) |
$105 |
$210 |
3.0× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$174.75 |
$349.50 |
5.1× |
| Viral culture non-respiratory (87252) |
$139 |
$278 |
5.3× |
| Virus antibody nos (86790) |
$128.75 |
$257.50 |
10.0× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$65 |
$130 |
3.3× |
| Viscosity (85810) |
$104 |
$208 |
8.9× |
| Vitamin a (84590) |
$44 |
$88 |
3.8× |
| Vitamin b-12 (82607) |
$150.50 |
$301 |
10.0× |
| Vitamin b1 whole blood (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 D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$45 |
$90 |
1.2× |
| Vitamin e (84446) |
$44 |
$88 |
3.1× |
| Vitamin k1 (84597) |
$126 |
$252 |
9.2× |
| Vma (84585) |
$110.50 |
$221 |
7.1× |
| Voltage-gated calcium channel antibody each (86596) |
$55 |
$110 |
4.6× |
| Voriconazole (80285) |
$115 |
$230 |
4.2× |
| West nile virus antibody (86789) |
$42 |
$84 |
2.9× |
| Xylose absorption test, blood and/or urine Other Outpatient (84620) |
$160.50 |
$321 |
12.4× |
| Yeast id (87106) |
$110.50 |
$221 |
10.7× |
| Yersinia antibody (86793) |
$250 |
$500 |
19.0× |
| Z t cells total count (86359) |
$38 |
$76 |
1.0× |
| Zika virus DNA/RNA amp probe (87662) |
$270 |
$540 |
5.3× |
| Zika virus igm antibody (86794) |
$200 |
$400 |
11.9× |
| Zinc (84630) |
$110.50 |
$221 |
9.7× |