Lab & pathology prices at Franciscan Health Crawfordsville
Crawfordsville, IN · every code in this section with a posted price and a Medicare benchmark.
927 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $155.55 | $574 | 10.1× |
| 17-Hydroxypregnenolone (84143) | $69.92 | $258 | 3.1× |
| 5 Nucleotidase (83915) | $54.74 | $202 | 4.9× |
| Acetylcholine receptor binding antibody (86041) | $13.01 | $48 | 0.7× |
| Acetylcholine receptor blocking antibody (86042) | $13.01 | $48 | 0.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $8.67 | $32 | 0.7× |
| Acth (82024) | $186.45 | $688 | 4.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $178.86 | $660 | 5.5× |
| Actin smooth muscle antibody each (86015) | $56.91 | $210 | 4.7× |
| Acute hepatitis panel (80074) | $205.69 | $759 | 4.3× |
| Acylcarnitines Quant (82017) | $136.04 | $502 | 8.1× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $19.51 | $72 | 1.2× |
| Adenovirus antibody (86603) | $66.40 | $245 | 5.2× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $77.78 | $287 | 1.2× |
| Agglutinins Febrile Each Antigen (86000) | $113.01 | $417 | 16.2× |
| Albumin Fluid (82042) | $50.68 | $187 | 6.5× |
| Albumin serum (82040) | $23.58 | $87 | 4.8× |
| Aldolase (82085) | $58.27 | $215 | 6.0× |
| Aldosterone urine (82088) | $159.35 | $588 | 3.9× |
| Alkaline phosphatase isoenzymes (84080) | $47.15 | $174 | 3.2× |
| Allergen spec ige qual multiallergen screen (86005) | $240.92 | $889 | 30.2× |
| Allergen specific ige (86003) | $31.17 | $115 | 6.0× |
| Allergen specific igg (86001) | $19.78 | $73 | 2.5× |
| Allg Spec Ige Recomb Ea (86008) | $23.58 | $87 | 1.3× |
| Alpha-1-antitrypsin phenotype (82104) | $108.94 | $402 | 7.5× |
| Alpha-1-antitrypsin total (82103) | $54.74 | $202 | 4.1× |
| Alpha-Fetoprotein Serum (82105) | $74.53 | $275 | 4.4× |
| Alt (sgpt) (84460) | $35.50 | $131 | 6.7× |
| Aluminum (82108) | $93.50 | $345 | 3.7× |
| Amikacin trough (80150) | $27.64 | $102 | 1.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $116.80 | $431 | 5.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $621.13 | $2,292 | 36.8× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $19.78 | $73 | 1.4× |
| Aminolevulinic acid (ala) (82135) | $144.44 | $533 | 8.8× |
| Ammonia (82140) | $66.40 | $245 | 4.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $85.91 | $317 | 0.9× |
| Amniotic fluid scan (82143) | $23.58 | $87 | 2.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$43.36–$85.91 | $160–$317 | varies |
| Ana Titer (86039) | $47.15 | $174 | 4.2× |
| Analysis skeletal muscle (88355) | $276.15 | $1,019 | 1.5× |
| Anca screen each antibody (86036) | $92.14 | $340 | 7.6× |
| Anca Titer Each Antibody (86037) | $8.94 | $33 | 0.7× |
| Androstenedione (82157) | $299.18 | $1,104 | 10.2× |
| Angiotensin converting enzyme csf (82164) | $62.60 | $231 | 4.3× |
| Anti-Phospholipid Antibody (86148) | $171.27 | $632 | 10.7× |
| Antibody aspergillus (86606) | $62.60 | $231 | 4.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $198.10 | $731 | 15.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $62.60 | $231 | 4.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $74.53 | $275 | 4.4× |
| Antibody Encephalitis California La Crosse (86651) | $264.50 | $976 | 20.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $66.40 | $245 | 5.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $93.50 | $345 | 6.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $69.92 | $258 | 3.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $116.80 | $431 | 9.5× |
| Antibody helicobacter pylori (86677) | $144.44 | $533 | 8.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $66.40 | $245 | 4.6× |
| Antibody Herpes Smplx Type 1 (86695) | $50.68 | $187 | 3.8× |
| Antibody HIV-1&HIV-2 single result (86703) | $74.53 | $275 | 5.4× |
| Antibody HIV-2 (86702) | $31.17 | $115 | 2.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $136.04 | $502 | 7.0× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$50.68–$69.92 | $187–$258 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $38.75 | $143 | 3.1× |
| Antibody john cunningham virus (86711) | $488.88 | $1,804 | 28.9× |
| Antibody Lymphocytic Choriomeningitis (86727) | $82.11 | $303 | 6.4× |
| Antibody nocardia (86744) | $43.36 | $160 | 2.7× |
| Antibody Protozoa Nes (86753) | $147.70 | $545 | 11.9× |
| Antibody Titer (86886) | $147.70 | $545 | 28.5× |
| Antibody Treponema Pallidum (86780) | $38.75 | $143 | 2.9× |
| Antibody; encephalitis, st. louis (86653) | $58.27 | $215 | 4.4× |
| Antibody; influenza virus (86710) | $66.40 | $245 | 4.9× |
| Antigen typing (86905) range across 2 matching MRF lines |
$77.78–$85.91 | $287–$317 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $62.60 | $231 | 10.9× |
| Antinuclear antibodies (86038) | $101.08 | $373 | 8.4× |
| Antistreptolysin O Screen (86063) | $93.50 | $345 | 16.2× |
| Antistreptolysin o titer (86060) | $23.58 | $87 | 3.2× |
| Antithrombin iii activity (85300) | $136.04 | $502 | 11.5× |
| Antithrombin iii antigen (85301) | $310.02 | $1,144 | 28.7× |
| Apolipoprotein a1 (82172) | $69.92 | $258 | 3.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $27.10 | $100 | 0.7× |
| Aquaporin-4 Antb Cba Each (86052) | $92.14 | $340 | 7.6× |
| Aquaporin-4 Antb Elisa (86051) | $69.92 | $258 | 6.1× |
| Arsenic (82175) | $58.27 | $215 | 3.1× |
| Aspergillus ag eia (87305) | $97.02 | $358 | 8.1× |
| Assay activated protein c (85307) | $82.11 | $303 | 5.4× |
| Assay Blood Carbon Dioxide (82374) | $10.30 | $38 | 2.1× |
| Assay Blood Catecholamines (82383) | $240.92 | $889 | 8.3× |
| Assay Dir Meas Fr Estradiol (82681) | $108.94 | $402 | 3.9× |
| Assay Nephelometry Not Spec (83883) | $50.68 | $187 | 3.7× |
| Assay of 5-hiaa (83497) | $116.80 | $431 | 9.1× |
| Assay of anti-mullerian hormone (82166) | $27.91 | $103 | 0.7× |
| Assay of b-hexosaminidase each assay (83080) | $144.44 | $533 | 8.6× |
| Assay of blood/uric acid (84550) | $27.64 | $102 | 6.1× |
| Assay of calcium in urine (82340) | $31.17 | $115 | 5.2× |
| Assay of cpk in blood (82552) | $159.35 | $588 | 11.9× |
| Assay of estrone (82679) | $38.75 | $143 | 1.6× |
| Assay of g6pd enzyme (82955) | $43.36 | $160 | 4.5× |
| Assay of gammaglobulin igm (82784) | $47.15 | $174 | 5.1× |
| Assay of lactic acid (83605) | $66.40 | $245 | 5.7× |
| Assay of manganese (83785) | $147.70 | $545 | 5.5× |
| Assay of metanephrines (83835) | $66.40 | $245 | 3.9× |
| Assay of phosphatase acid total (84060) | $77.78 | $287 | 10.2× |
| Assay of procainamide (80190) | $163.41 | $603 | 2.7× |
| Assay of proinsulin (84206) | $240.92 | $889 | 9.0× |
| Assay of pyruvate (84210) | $31.17 | $115 | 2.2× |
| Assay of semen fructose (82757) | $69.92 | $258 | 4.0× |
| Assay of serotonin (84260) | $260.16 | $960 | 8.4× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$19.51–$85.91 | $72–$317 | varies |
| Assay of sweat sodium (84302) | $19.78 | $73 | 4.1× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$17.89–$18.16 | $66–$67 | varies |
| Assay of urine vma (84585) | $163.41 | $603 | 10.5× |
| Assay of vasoactive intestinal peptide (84586) | $318.43 | $1,175 | 9.0× |
| Assay of vitamin b-1 (84425) | $108.94 | $402 | 5.1× |
| Assay Ph Body Fluid Nos (83986) | $19.51 | $72 | 5.4× |
| Assay spec xcp ur&breath ia (82077) | $112.74 | $416 | 6.5× |
| Asy carbamazepin 10,11-epxid (80161) | $108.94 | $402 | 5.8× |
| Atomic Absorption (82190) | $105.42 | $389 | 6.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$88.08–$97.02 | $325–$358 | varies |
| Automated Leukocyte Count (85048) | $31.17 | $115 | 12.3× |
| B cells total count (86355) | $113.01 | $417 | 3.0× |
| Bartonella antibody (86611) | $113.01 | $417 | 11.1× |
| Bcr/abl1 gene major bp (81206) | $116.80 | $431 | 0.7× |
| Bcr/abl1 gene minor bp (81207) | $427.10 | $1,576 | 2.9× |
| Beta 2 glycoprotein i antibody each (86146) | $35.50 | $131 | 1.4× |
| Beta hydroxybutyrate (82010) | $144.44 | $533 | 17.7× |
| Beta Lactamase (87185) | $11.92 | $44 | 2.5× |
| Beta-2 Microglobulin (82232) | $62.60 | $231 | 3.9× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $138.75 | $512 | 1.1× |
| Bile acids total (82239) | $23.58 | $87 | 1.4× |
| Bilirubin direct (82248) | $35.50 | $131 | 7.1× |
| Bilirubin total (82247) | $35.50 | $131 | 7.1× |
| Biotinidase (82261) | $23.58 | $87 | 1.4× |
| Blastomyces antibody (86612) | $43.36 | $160 | 3.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $131.98 | $487 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$171.27–$186.45 | $632–$688 | varies |
| Bleeding time test (85002) | $62.60 | $231 | 13.0× |
| Blood Count Automated Differential Wbc Count (85004) | $16.53 | $61 | 2.6× |
| Blood Count Red Blood Cell Automated (85041) | $10.84 | $40 | 3.6× |
| Blood count reticulocyte automated (85045) | $23.58 | $87 | 5.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $31.17 | $115 | 8.2× |
| Blood gas (82803) | $108.94 | $402 | 4.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $35.50 | $131 | 2.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14.09 | $52 | 3.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$58.27–$113.01 | $215–$417 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$27.64–$82.11 | $102–$303 | varies |
| Body fluid cell count (89050) | $38.75 | $143 | 8.2× |
| Bone marrow smear interpretation (85097) | $54.74 | $202 | 0.1× |
| Bordetella antibody (86615) | $105.42 | $389 | 8.0× |
| Braf gene analysis (81210) | $205.69 | $759 | 1.2× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $2,871.52 | $10,596 | 6.1× |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $2,871.52 | $10,596 | 4.9× |
| Brca1 gene analysis full dup/del analysis (81166) | $2,871.52 | $10,596 | 9.5× |
| Brca1 gene analysis full sequence analysis (81165) | $2,871.52 | $10,596 | 10.2× |
| Brca1&2 gen full seq dup/del (81162) | $2,483.44 | $9,164 | 1.4× |
| Brca2 gene analysis full dup/del analysis (81167) | $2,871.52 | $10,596 | 10.2× |
| Breath Alcohol Test (82075) | $35.50 | $131 | 1.2× |
| Brucella antibody (86622) | $82.11 | $303 | 9.2× |
| C diff amplified probe (87493) | $159.35 | $588 | 4.3× |
| C-Peptide (84681) | $116.80 | $431 | 5.6× |
| C-reactive protein (86140) | $31.17 | $115 | 6.0× |
| Ca 19-9 (86301) | $82.11 | $303 | 3.9× |
| Cadmium (82300) | $105.42 | $389 | 4.5× |
| Caffeine (80155) | $23.58 | $87 | 0.6× |
| Calcitonin (82308) | $260.16 | $960 | 9.7× |
| Calcium ionized (82330) | $62.60 | $231 | 4.6× |
| Calcium total (82310) | $23.58 | $87 | 4.6× |
| Calculus assay quant (82360) | $120.60 | $445 | 9.4× |
| Calculus Spectroscopy (82365) | $147.70 | $545 | 11.4× |
| Calprotectin Fecal (83993) | $89.43 | $330 | 4.6× |
| Calr gene com variants (81219) | $166.94 | $616 | 1.4× |
| Cancer Antigen 125 (86304) | $127.91 | $472 | 6.1× |
| Cancer Antigen 27.29 (86300) | $120.60 | $445 | 5.8× |
| Candida antibody (86628) | $182.93 | $675 | 15.2× |
| Candida Dna Dir Probe (87480) | $35.50 | $131 | 1.8× |
| Carbamazepine free (80157) | $23.58 | $87 | 1.8× |
| Carbamazepine total (80156) | $58.27 | $215 | 4.0× |
| Carbohydrate Deficient Transferrin (82373) | $194.04 | $716 | 10.7× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$54.74–$159.35 | $202–$588 | varies |
| Carcinoembryonic antigen (82378) | $120.60 | $445 | 6.4× |
| Cardiolipin ab iga (86147) | $43.36 | $160 | 1.7× |
| Carnitine Quantitative Each Specimen (82379) | $252.30 | $931 | 15.0× |
| Carotene (82380) | $108.94 | $402 | 11.8× |
| Catecholamines fractionated (82384) | $108.94 | $402 | 4.3× |
| Catecholamines total urine (82382) | $163.41 | $603 | 6.0× |
| Ccp antibody (86200) | $66.40 | $245 | 5.1× |
| Cell count csf (89051) | $27.64 | $102 | 4.9× |
| Cell marker study (88182) | $210.03 | $775 | 3.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $194.04 | $716 | 1.4× |
| Ceruloplasmin (82390) | $43.36 | $160 | 4.0× |
| Cftr Gene Analysis Known Familial Variants (81221) | $582.38 | $2,149 | 6.0× |
| Cftr gene com variants (81220) | $892.67 | $3,294 | 1.6× |
| Cftr gene full sequence (81223) | $69.92 | $258 | 0.1× |
| Chemiluminescent assay (82397) | $31.17 | $115 | 2.2× |
| Chlamydia antibody (86631) | $93.50 | $345 | 7.9× |
| Chlamydia Igm Antibody (86632) | $105.42 | $389 | 8.3× |
| Chlamydia trachomatis ag if (87270) | $35.50 | $131 | 3.0× |
| Chlmy trch&neisra gonor mult (87494) | $47.43 | $175 | 0.7× |
| Chloride other source (82438) | $19.78 | $73 | 4.0× |
| Chloride Serum (82435) | $10.03 | $37 | 2.2× |
| Chloride urine (82436) | $16.26 | $60 | 2.8× |
| Chlorinated Hydrocarbons Screen (82441) | $221.41 | $817 | 36.8× |
| Cholesterol total (82465) | $23.58 | $87 | 5.4× |
| Cholinesterase rbc (82482) | $74.53 | $275 | 7.6× |
| Cholinesterase Serum (82480) | $144.44 | $533 | 18.4× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$47.15–$108.94 | $174–$402 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,163.67 | $4,294 | 6.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $47.15 | $174 | 1.4× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $1,086.71 | $4,010 | 6.3× |
| Chromium serum (82495) | $85.91 | $317 | 4.2× |
| Chromogranin a (86316) | $101.08 | $373 | 4.9× |
| Chromosome analys amniotic (88269) | $1,008.66 | $3,722 | 5.8× |
| Chromosome Analysis 15-20 (88262) | $659.89 | $2,435 | 5.3× |
| Chromosome Analysis 20-25 (88264) | $127.91 | $472 | 0.9× |
| Chromosome analysis, 5 (88261) | $244.98 | $904 | 0.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $89.43 | $330 | 2.5× |
| Citric acid urine (82507) | $229.27 | $846 | 8.2× |
| Ckmb (82553) | $62.60 | $231 | 5.4× |
| Clostridium Difficile (87324) | $147.70 | $545 | 12.3× |
| Clot Factor VIII Multimetric (85247) | $326.28 | $1,204 | 14.2× |
| Clot factor xiii fibrin stab (85290) | $136.04 | $502 | 8.3× |
| Clotting factor viii related antigen (85244) | $186.45 | $688 | 9.1× |
| Clotting factor xii hageman (85280) | $113.01 | $417 | 5.8× |
| Clotting Funct Activity (85397) | $98.92 | $365 | 3.2× |
| Cns DNA amp probe type 12-25 (87483) | $359.89 | $1,328 | 0.9× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$47.15–$50.68 | $174–$187 | varies |
| Coagulation time; Lee and White Facility (85345) | $27.64 | $102 | 5.9× |
| Coccidioides antibody (86635) | $58.27 | $215 | 5.1× |
| Cold agglutinin titer (86157) | $85.91 | $317 | 10.7× |
| Collagen crosslinks (82523) | $159.35 | $588 | 8.5× |
| Column Chromotography Quant (82542) | $124.66 | $460 | 5.2× |
| Compatibility Each Unit Incubation (86921) | $31.17 | $115 | 0.2× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$113.01–$127.91 | $417–$472 | varies |
| Complement Antigen Each Component (86160) | $89.43 | $330 | 7.5× |
| Complement Fixation Tests Each Antigen (86171) | $58.27 | $215 | 5.8× |
| Complement Total (Ch50) (86162) | $113.01 | $417 | 5.6× |
| Complement/Function Activity (86161) | $43.36 | $160 | 3.6× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $127.91 | $472 | 0.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $69.92 | $258 | 1.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $54.74 | $202 | 1.4× |
| Coombs direct (86880) range across 2 matching MRF lines |
$43.36–$50.68 | $160–$187 | varies |
| Copper urine (82525) | $50.68 | $187 | 4.1× |
| Cortisol free (82530) | $127.91 | $472 | 7.7× |
| Cortisol saliva (82533) | $97.02 | $358 | 6.0× |
| Creatine (82540) | $116.80 | $431 | 25.2× |
| Creatine kinase total (82550) | $43.36 | $160 | 6.7× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$18.16–$23.58 | $67–$87 | varies |
| Creatinine clearance (82575) | $93.50 | $345 | 9.9× |
| Creatinine Urine (82570) | $27.64 | $102 | 5.3× |
| Crossmatch electronic (86923) | $23.58 | $87 | 0.1× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$62.60–$108.94 | $231–$402 | varies |
| Crp High Sensitivity (86141) | $69.92 | $258 | 5.4× |
| Cryofibrinogen (82585) | $10.03 | $37 | 0.7× |
| Cryoglobulin (82595) | $108.94 | $402 | 16.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $1,823.56 | $6,729 | 139.5× |
| Cryptococcus ab (86641) | $113.01 | $417 | 7.8× |
| Cryptococcus ag titer (87899) | $140.11 | $517 | 8.7× |
| Cryptosporidium ag eia (87328) | $69.92 | $258 | 5.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $35.50 | $131 | 4.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $27.64 | $102 | 3.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $69.92 | $258 | 9.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $171 | $631 | 0.8× |
| Culture aerobic quant other (87071) | $13.01 | $48 | 1.3× |
| Culture afb (87116) | $50.68 | $187 | 4.7× |
| Culture Anaerobic (87075) | $54.74 | $202 | 5.8× |
| Culture blood (87040) | $74.53 | $275 | 7.2× |
| Culture chlamydia (87110) | $178.86 | $660 | 9.1× |
| Culture csf (87070) | $62.60 | $231 | 7.3× |
| Culture fungus (87102) | $62.60 | $231 | 7.4× |
| Culture fungus blood (87103) | $23.58 | $87 | 1.2× |
| Culture screen only (87081) | $27.64 | $102 | 4.2× |
| Culture stool (87045) | $47.15 | $174 | 5.0× |
| Culture typing if ea antiserum (87140) | $27.64 | $102 | 5.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $17.62 | $65 | 3.4× |
| Culture urine (87086) | $40.38 | $149 | 5.0× |
| Cyanide (82600) | $202.71 | $748 | 10.4× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $279.40 | $1,031 | 19.5× |
| Cyclic amp (82030) | $113.01 | $417 | 4.4× |
| Cyclosporine (80158) | $182.93 | $675 | 10.1× |
| Cyp2c19 gene analysis common variants (81225) | $198.10 | $731 | 0.7× |
| Cyp2c9 gene com variants (81227) | $160.16 | $591 | 0.9× |
| Cyp2d6 gene com variants (81226) | $271.81 | $1,003 | 0.6× |
| Cyp3a4 gene common variants (81230) | $160.16 | $591 | 0.9× |
| Cyp3a5 gene common variants (81231) | $160.16 | $591 | 0.9× |
| Cystatin C (82610) | $77.78 | $287 | 4.2× |
| Cytogenetics 10-30 (88273) | $38.75 | $143 | 1.1× |
| Cytogenetics 100-300 (88275) | $82.11 | $303 | 1.6× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $706.50 | $2,607 | 0.8× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $465.85 | $1,719 | 0.4× |
| Cytomegalovirus igg (86644) | $113.01 | $417 | 7.9× |
| Cytopath C/V Index Add-On (88155) | $35.50 | $131 | 2.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $69.92 | $258 | 3.5× |
| Cytopath Cell Enhance Tech (88112) | $105.42 | $389 | 1.9× |
| Cytopath Fl Nongyn Filter (88106) | $54.20 | $200 | 1.8× |
| Cytotoxic pra quick (86808) | $427.10 | $1,576 | 14.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$38.75–$62.60 | $143–$231 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $31.17 | $115 | 0.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $166.94 | $616 | 3.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $105.42 | $389 | 0.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $85.91 | $317 | 2.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $210.03 | $775 | 1.2× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $16.53 | $61 | 0.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $86.72 | $320 | 1.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $38.75 | $143 | 1.3× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $210.03 | $775 | 1.2× |
| Deoxycortisol (82634) | $221.41 | $817 | 7.6× |
| Deoxyribonuclease antibody (86215) | $58.27 | $215 | 4.4× |
| Detect Agent Nos Dna Amp (87798) | $62.60 | $231 | 1.8× |
| Detect Agent Nos Dna Quant (87799) | $182.93 | $675 | 4.3× |
| Detect agnt mult DNA ampli (87801) | $85.91 | $317 | 1.2× |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $113.01 | $417 | 0.7× |
| Dgp Antibody Each Ig Class (86258) | $69.92 | $258 | 5.8× |
| Dhea (82626) | $147.70 | $545 | 5.8× |
| Dhea-S (82627) | $85.91 | $317 | 3.9× |
| Digoxin (80162) | $66.40 | $245 | 5.0× |
| Dihydrotestosterone (82642) | $120.60 | $445 | 4.1× |
| Diphtheria antitoxoid (86648) | $221.41 | $817 | 14.6× |
| Dipropylacetic Acid Free (80165) | $54.74 | $202 | 4.0× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $127.91 | $472 | 3.7× |
| Dna Antibody Native/Double Stranded (86225) | $136.04 | $502 | 9.9× |
| Dna Antibody Single Stranded (86226) | $120.60 | $445 | 10.0× |
| Dna/Rna Amplified Probe (87150) | $108.94 | $402 | 3.1× |
| DNA/RNA direct probe (87149) | $47.15 | $174 | 2.4× |
| Dpyd gene common variants (81232) | $171 | $631 | 1.0× |
| Drug assay acetaminophen (80143) | $209.75 | $774 | 11.3× |
| Drug assay adalimumab (80145) | $207.04 | $764 | 5.4× |
| Drug Assay Amiodarone (80151) | $108.94 | $402 | 5.8× |
| Drug Assay Everolimus (80169) | $93.50 | $345 | 6.8× |
| Drug assay felbamate (80167) | $62.06 | $229 | 3.3× |
| Drug Assay Infliximab (80230) | $207.04 | $764 | 5.4× |
| Drug Assay Itraconazole (80189) | $108.94 | $402 | 4.0× |
| Drug Assay Lacosamide (80235) | $25.47 | $94 | 0.9× |
| Drug Assay Leflunomide (80193) | $108.94 | $402 | 2.8× |
| Drug Assay Posaconazole (80187) | $106.50 | $393 | 3.9× |
| Drug Assay Vedolizumab (80280) | $253.66 | $936 | 6.6× |
| Drug assay voriconazole (80285) range across 2 matching MRF lines |
$58.81–$108.94 | $217–$402 | varies |
| Drug Screen Quant Clozapine (80159) | $19.78 | $73 | 1.0× |
| Drug Screen Quant Zonisamide (80203) | $58.27 | $215 | 4.4× |
| Drug Screen Quantitative Gabapentin (80171) | $47.15 | $174 | 2.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $43.36 | $160 | 3.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $35.50 | $131 | 2.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $38.75 | $143 | 2.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $159.35 | $588 | 9.5× |
| Drug Screen Quantitative Tiagabine (80199) | $31.17 | $115 | 1.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $322.49 | $1,190 | 5.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $116.80 | $431 | 9.3× |
| Drug Test Prsmv Instrmnt (80306) | $116.80 | $431 | 6.8× |
| Egfr Gene Analysis Common Variants (81235) | $372.90 | $1,376 | 1.1× |
| Ehrlichia antibody (86666) | $74.53 | $275 | 7.3× |
| El-1 Fecal Quantitative (82653) | $92.14 | $340 | 4.0× |
| Electrolyte panel (80051) | $35.50 | $131 | 5.1× |
| Electron Microscopy (88348) | $353.38 | $1,304 | 0.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $271.81 | $1,003 | 4.4× |
| Encephaltis East Eqne Anbdy (86652) | $93.50 | $345 | 7.1× |
| Encephaltis West Eqne Antbdy (86654) | $82.11 | $303 | 6.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $92.14 | $340 | 7.6× |
| Enterovirus Antibody (86658) | $69.92 | $258 | 5.4× |
| Enterovirus PCR (87498) | $140.11 | $517 | 4.0× |
| Enzyme cell activity (82657) | $329.81 | $1,217 | 14.9× |
| Enzyme histochemistry (88319) | $159.35 | $588 | 0.2× |
| Eosinophil Smear (89190) | $38.75 | $143 | 6.7× |
| Erythropoietin (82668) | $108.94 | $402 | 5.8× |
| Estradiol serum (82670) | $136.04 | $502 | 4.9× |
| Estriol (82677) | $159.35 | $588 | 6.6× |
| Estrogen total (82672) | $205.69 | $759 | 9.5× |
| Estrogens fractionated (82671) | $54.74 | $202 | 1.7× |
| Ethosuximide (80168) | $163.41 | $603 | 10.0× |
| Ethylene Glycol (82693) | $159.35 | $588 | 10.7× |
| Euglobulin lysis (85360) | $127.91 | $472 | 15.2× |
| Exam Synovial Fluid Crystals (89060) | $23.58 | $87 | 3.2× |
| F2 Gene (81240) | $194.04 | $716 | 3.0× |
| Factor ii activity (85210) | $171.27 | $632 | 13.2× |
| Factor ix activity (85250) | $240.92 | $889 | 12.7× |
| Factor v activity (85220) | $248.78 | $918 | 14.1× |
| Factor v leiden mutation (81241) | $236.85 | $874 | 3.2× |
| Factor vii assay (85230) | $186.45 | $688 | 10.4× |
| Factor viii assay (85240) | $276.15 | $1,019 | 15.4× |
| Factor X (85260) | $229.27 | $846 | 12.8× |
| Factor xi activity (85270) | $171.27 | $632 | 9.6× |
| Factor xiii screen (85291) | $105.42 | $389 | 11.6× |
| Fancc Gene (81242) | $244.98 | $904 | 6.7× |
| Fat stain feces urine/respir secretions (89125) | $19.78 | $73 | 3.4× |
| Fat/Lipids Feces Quantitative (82710) | $116.80 | $431 | 7.0× |
| Fatty acids free (82725) | $233.33 | $861 | 12.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $77.78 | $287 | 4.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $43.36 | $160 | 6.6× |
| Fecal Fat Qualitative (82705) | $54.74 | $202 | 10.7× |
| Ferritin (82728) | $74.53 | $275 | 5.5× |
| Fetal Chrmoml Aneuploidy (81420) | $504.33 | $1,861 | 0.7× |
| Fetal Chrmoml Microdeltj (81422) | $736.58 | $2,718 | 1.0× |
| Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) | $59.62 | $220 | 0.9× |
| Fetal Fibronectin (82731) | $182.93 | $675 | 2.8× |
| Fetal hemoglobin assay qual (83033) | $27.64 | $102 | 3.5× |
| Fetal screen rosette (85461) | $47.15 | $174 | 5.0× |
| Fibrin degradation products (85362) | $113.01 | $417 | 16.4× |
| Fibrin Degradation Quant (85379) | $85.91 | $317 | 8.4× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $108.94 | $402 | 11.2× |
| Fibrinogen activity (85384) | $113.01 | $417 | 11.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $13.28 | $49 | 0.9× |
| Flecainide level (80181) | $108.94 | $402 | 5.8× |
| Flow cytometry first marker (88184) | $127.91 | $472 | 0.3× |
| Fluorescent antibody screen (86255) | $101.08 | $373 | 8.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $62.60 | $231 | 5.2× |
| Fluoride serum (82735) | $31.17 | $115 | 1.7× |
| Fmr1 gene detection (81243) | $69.92 | $258 | 1.2× |
| Folic acid rbc (82747) | $62.60 | $231 | 3.5× |
| Folic Acid Serum (82746) | $66.40 | $245 | 4.5× |
| Follicle Stimulating Hormone (83001) | $127.91 | $472 | 6.9× |
| Frozen Section (88331) | $295.39 | $1,090 | 1.6× |
| Fungi Identification Mold (87107) | $23.58 | $87 | 2.3× |
| Fungi Identification Yeast (87106) | $43.36 | $160 | 4.2× |
| Galactose (82760) | $18.16 | $67 | 1.6× |
| Galactose transferase test (82776) | $23.58 | $87 | 2.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $19.78 | $73 | 0.9× |
| Galectin-3 (82777) | $50.68 | $187 | 1.1× |
| Gammaglobulin ige (82785) | $151.49 | $559 | 9.2× |
| Gardner vag DNA dir probe (87510) | $35.50 | $131 | 1.8× |
| Gases blood ph only (82800) | $18.16 | $67 | 1.7× |
| Gastrin (82941) | $105.42 | $389 | 6.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $621.13 | $2,292 | 1.5× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,507.84 | $5,564 | 0.5× |
| Genet Virus Isolate Hsv (87255) | $24.66 | $91 | 0.7× |
| Gentamicin (80170) | $120.60 | $445 | 7.4× |
| Ggt (82977) | $43.36 | $160 | 6.0× |
| Giardia antigen (87329) | $105.42 | $389 | 8.8× |
| Giardia lamblia antibody (86674) | $101.08 | $373 | 6.9× |
| Glucagon (82943) | $127.91 | $472 | 9.0× |
| Glucose 2 hr pp (82950) | $17.07 | $63 | 3.6× |
| Glucose Blood Test (82962) | $19.78 | $73 | 6.0× |
| Glucose body fluid (82945) | $15.99 | $59 | 4.1× |
| Glucose Serum (82947) | $17.07 | $63 | 4.3× |
| Glucose tolerance test (gtt) (82951) | $85.91 | $317 | 6.7× |
| Glycated Protein (82985) | $58.27 | $215 | 3.5× |
| Gonadotropin Chorionic Qualitative (84703) | $82.11 | $303 | 10.9× |
| Gonadotropin releasing hormone (83727) | $229.27 | $846 | 13.3× |
| Growth hormone (83003) | $77.78 | $287 | 4.7× |
| Gtt-added samples (82952) | $27.64 | $102 | 7.1× |
| H Pylori (C-13) Breath (83013) | $97.02 | $358 | 1.4× |
| Haloperidol (80173) | $163.41 | $603 | 10.4× |
| Haptoglobin (83010) | $97.02 | $358 | 7.7× |
| Hba1/Hba2 Gene (81257) | $393.22 | $1,451 | 3.8× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $264.50 | $976 | 1.3× |
| Hbb duplication/deletion variants (81363) | $310.02 | $1,144 | 1.5× |
| Hbb Full Gene Sequence (81364) | $310.02 | $1,144 | 1.0× |
| Hdl Cholesterol (83718) | $54.74 | $202 | 6.7× |
| Heavy metal qualitative any analytes (83015) | $213.55 | $788 | 10.2× |
| Helicobacter Pylori Stool (87338) | $77.78 | $287 | 5.4× |
| Helminth Antibody (86682) | $166.94 | $616 | 12.8× |
| Hemagglutination Inhibition (86280) | $144.44 | $533 | 17.6× |
| Hematocrit (85014) | $13.01 | $48 | 5.5× |
| Hemoglobin (85018) | $15.99 | $59 | 6.7× |
| Hemoglobin a1c (83036) | $43.36 | $160 | 4.5× |
| Hemoglobin Chromotography (83021) | $58.27 | $215 | 3.2× |
| Hemoglobin electrophoresis (83020) | $108.94 | $402 | 8.5× |
| Hemoglobin F Fetal Chemical (83030) | $77.78 | $287 | 7.2× |
| Hemoglobin plasma (83051) | $166.94 | $616 | 22.8× |
| Hemolysin Acid (85475) | $194.04 | $716 | 21.9× |
| Hemosiderin urine (83070) | $77.78 | $287 | 16.4× |
| Hep a ab igm (86709) | $43.36 | $160 | 3.9× |
| Heparin assay (85520) | $174.80 | $645 | 13.4× |
| Heparin Neutralization (85525) | $16.26 | $60 | 1.4× |
| Hepatitis a antibody total (86708) | $47.15 | $174 | 3.8× |
| Hepatitis b core ab igm (86705) | $35.50 | $131 | 3.0× |
| Hepatitis b core ab total (86704) | $62.60 | $231 | 5.2× |
| Hepatitis B Surface Antibody (86706) | $58.27 | $215 | 5.4× |
| Hepatitis B Surface Antigen (87340) | $38.75 | $143 | 3.8× |
| Hepatitis Be Antibody (86707) | $147.70 | $545 | 12.8× |
| Hepatitis Be Antigen (87350) | $155.55 | $574 | 13.5× |
| Hepatitis C Antibody (86803) | $89.43 | $330 | 6.3× |
| Hepatitis c antibody confirmatory test (86804) | $299.18 | $1,104 | 19.3× |
| Hepatitis C Genotype (87902) | $186.45 | $688 | 0.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $427.10 | $1,576 | 12.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $178.86 | $660 | 4.2× |
| Hepatitis delta ag (87380) | $120.60 | $445 | 6.6× |
| Hepatitis Delta Agent Antibody (86692) | $43.36 | $160 | 2.5× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,086.71 | $4,010 | 0.8× |
| Herpes simplex type 2 (86696) | $74.53 | $275 | 3.9× |
| Heterophile Antibody Screen (86308) | $19.78 | $73 | 3.8× |
| Hfe Gene (81256) | $120.60 | $445 | 1.8× |
| Hgb Quantitative Transcutaneous (88738) | $11.92 | $44 | 2.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $387.80 | $1,431 | 50.2× |
| Histamine urine (83088) | $314.63 | $1,161 | 10.7× |
| Histoplasma antibody (86698) | $43.36 | $160 | 3.1× |
| Histoplasma antigen urine (87385) | $97.02 | $358 | 7.3× |
| Hiv Antigen W/Hiv Antibodies (87806) | $47.15 | $174 | 1.4× |
| Hiv Genotype (87901) | $737.39 | $2,721 | 2.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $62.60 | $231 | 2.6× |
| Hiv-1 Antibody (86701) | $74.53 | $275 | 8.4× |
| HIV-1 p24 antigen (87390) | $329.81 | $1,217 | 13.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $334.14 | $1,233 | 3.9× |
| Hla Class I Typing Low Resolution Complete (81372) | $261.79 | $966 | 0.6× |
| Hla I Typing 1 Allele Hr (81381) | $159.35 | $588 | 0.9× |
| Hla ii type 1 ag equiv lr (81377) | $93.50 | $345 | 1.0× |
| Hla ii typing 1 allele hr (81383) | $140.11 | $517 | 1.3× |
| Hla ii typing 1 locus lr (81376) | $205.69 | $759 | 1.7× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $244.98 | $904 | 2.3× |
| Hla-b27 (86812) | $264.50 | $976 | 10.2× |
| Homocysteine (83090) | $101.08 | $373 | 5.6× |
| Homogenization Tissue (87176) | $15.45 | $57 | 2.6× |
| Homovanillic acid urine (83150) | $314.63 | $1,161 | 14.0× |
| Hpv High-Risk Types (87624) | $89.43 | $330 | 2.5× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $49.05 | $181 | 0.7× |
| Hpv Types 16 & 18 Only (87625) | $29 | $107 | 0.7× |
| Hsv Dna Amp Probe (87529) | $50.68 | $187 | 1.4× |
| Hsv Dna Quant (87530) | $30.62 | $113 | 0.7× |
| Htlv-I Antibody (86687) | $264.50 | $976 | 29.1× |
| Htlv-ii antibody (86688) | $124.66 | $460 | 8.9× |
| Htt Gene Detc Abnor Alleles (81271) | $159.35 | $588 | 1.2× |
| Human Epididymis Protein 4 (86305) | $144.44 | $533 | 6.9× |
| Hydroxycorticosteroids 17 (83491) | $113.01 | $417 | 6.3× |
| Hydroxyprogesterone 17-d (83498) | $85.91 | $317 | 3.2× |
| Hydroxyproline free (83500) | $127.91 | $472 | 5.6× |
| Hydroxyproline total (83505) | $124.66 | $460 | 5.1× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $43.90 | $162 | 1.0× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $19.78 | $73 | 1.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $29.81 | $110 | 2.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $19.78 | $73 | 0.6× |
| Iaad ia shiga-like toxin (87427) | $31.17 | $115 | 2.6× |
| Iaad Ia Streptococcus Group A (87430) | $62.60 | $231 | 3.7× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $77.78 | $287 | 6.5× |
| Iaadi herpes smplx virus type 1 (87274) | $31.17 | $115 | 2.6× |
| Iaadi herpes smplx virus type 2 (87273) | $31.17 | $115 | 2.6× |
| Iaadi not otherwise specified each organism (87299) | $85.91 | $317 | 5.3× |
| Iaadi pneumocustis carinii (87281) | $151.49 | $559 | 12.6× |
| Iaadi Varicella Zoster Virus (87290) | $66.40 | $245 | 4.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $85.91 | $317 | 2.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $43.36 | $160 | 1.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $85.91 | $317 | 2.4× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $66.40 | $245 | 2.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $465.85 | $1,719 | 13.3× |
| Iadna Cytomegalovirus Quantification (87497) | $127.91 | $472 | 3.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $114.09 | $421 | 1.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $295.39 | $1,090 | 6.9× |
| Iadna Herpes Virus-6 Quantification (87533) | $82.11 | $303 | 2.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$58.27–$74.53 | $215–$275 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $58.27 | $215 | 1.7× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $86.45 | $319 | 1.1× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $174.80 | $645 | 4.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $150.41 | $555 | 3.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $194.04 | $716 | 4.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $85.91 | $317 | 2.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $89.43 | $330 | 2.5× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $67.75 | $250 | 1.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $138.75 | $512 | 1.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $283.47 | $1,046 | 1.1× |
| Ig Light Chains Free Each (83521) | $92.14 | $340 | 5.3× |
| Igg subclasses (82787) | $77.78 | $287 | 9.7× |
| Igh gene rearrange amp meth (81261) | $318.43 | $1,175 | 1.6× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $341.73 | $1,261 | 1.2× |
| Igk rearrangeabn clonal pop (81264) | $240.92 | $889 | 1.4× |
| Ikbkap Gene Analysis Common Variants (81260) | $69.92 | $258 | 1.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $361.51 | $1,334 | 1.0× |
| Immune Complex Assay (86332) | $174.80 | $645 | 7.2× |
| Immunfix e-phorsis/urine/csf (86335) | $131.98 | $487 | 4.5× |
| Immunoassay analyte qual/semiqual single step (83518) | $204.88 | $756 | 21.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $124.66 | $460 | 6.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $38.75 | $143 | 2.6× |
| Immunoassay nonantibody (83516) | $69.92 | $258 | 6.1× |
| Immunodiffusion Ouchterlony (86331) | $105.42 | $389 | 8.8× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $166.94 | $616 | 7.2× |
| Immunoelectrophoresis Serum (86320) | $166.94 | $616 | 5.6× |
| Immunofixation electrophoresis (86334) | $97.02 | $358 | 4.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $303.25 | $1,119 | 1.7× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$82.11–$210.03 | $303–$775 | varies |
| In situ hybridization 1st probe stain (88365) | $174.80 | $645 | 1.0× |
| In situ hybridization ea multiplex probe stain (88366) | $387.80 | $1,431 | 2.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $89.43 | $330 | 6.2× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $105.42 | $389 | 7.9× |
| Influenza a/b ag eia (87400) | $47.15 | $174 | 3.3× |
| Influenza assay w/optic (87804) | $50.68 | $187 | 3.1× |
| Influenza DNA amp probe (87502) | $224.93 | $830 | 2.3× |
| Inhibin A (86336) | $47.15 | $174 | 3.0× |
| Inhibin b (83520) | $101.08 | $373 | 5.9× |
| Insitu hybridization auto (88367) | $54.74 | $202 | 0.1× |
| Insitu hybridization manual (88368) | $54.74 | $202 | 0.1× |
| Insulin antibodies (86337) | $248.78 | $918 | 11.6× |
| Insulin free (83527) | $82.11 | $303 | 6.3× |
| Insulin total (83525) | $85.91 | $317 | 7.5× |
| Interleukin-6 (83529) | $101.08 | $373 | 5.9× |
| Intrinsic factor antibody (86340) | $58.27 | $215 | 3.9× |
| Iron (83540) | $54.74 | $202 | 8.5× |
| Iron Binding Capacity (83550) | $50.68 | $187 | 5.8× |
| Islet cell antibody (86341) | $77.78 | $287 | 3.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $276.15 | $1,019 | 3.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $159.89 | $590 | 0.9× |
| Ketosteroids 17 total (83586) | $113.01 | $417 | 8.8× |
| Koh Prep (87220) | $43.36 | $160 | 10.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $233.33 | $861 | 1.2× |
| Kras Gene Variants Exon 2 (81275) | $233.33 | $861 | 1.2× |
| L/s ratio (83661) | $205.69 | $759 | 9.4× |
| Lactate (ld) (ldh) enzyme (83615) | $43.36 | $160 | 7.2× |
| Lactoferrin fecal qualitative (83630) | $66.40 | $245 | 3.4× |
| Lactoferrin Fecal Quantitative (83631) | $120.60 | $445 | 6.1× |
| Ldh Isoenzymes (83625) | $171.27 | $632 | 13.4× |
| LDL direct (83721) | $38.75 | $143 | 3.7× |
| Lead (83655) | $47.15 | $174 | 3.9× |
| Legionella antibody (86713) | $151.49 | $559 | 9.9× |
| Legionella antigen urine (87449) | $47.15 | $174 | 3.9× |
| Legionella pneumophila dfa (87278) | $202.71 | $748 | 13.0× |
| Leptospira antibody (86720) | $35.50 | $131 | 2.2× |
| Leucine Aminopeptidase Lap (83670) | $50.68 | $187 | 5.2× |
| Leukocyte Assessment Fecal (89055) | $38.75 | $143 | 9.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $62.60 | $231 | 2.0× |
| Level ii surg pathology grossµscopic exam (88302) | $85.91 | $317 | 2.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $326.28 | $1,204 | 0.9× |
| Lidocaine (80176) | $127.91 | $472 | 8.7× |
| Lipase (83690) | $38.75 | $143 | 5.6× |
| Lipoprotein A (83695) | $210.03 | $775 | 14.7× |
| Lipoprotein Bld Quan Part (83704) | $85.91 | $317 | 2.5× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $155.55 | $574 | 13.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $93.50 | $345 | 2.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $69.92 | $258 | 1.5× |
| Listeria Monocytogenes (86723) | $144.44 | $533 | 11.0× |
| Lithium (80178) | $35.50 | $131 | 5.4× |
| Liver ds alys 3 bmrk srm alg (81517) | $362.06 | $1,336 | 2.1× |
| Luteinizing Hormone (Lh) (83002) | $69.92 | $258 | 3.8× |
| Lyme disease antibody (86618) | $50.68 | $187 | 3.0× |
| Lysozyme serum (85549) | $186.45 | $688 | 9.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $210.03 | $775 | 1.2× |
| M/phmtrc alys ishquant/semiq (88374) | $194.04 | $716 | 1.1× |
| Macroscopic exam arthropod (87168) | $10.84 | $40 | 2.5× |
| Macroscopic Exam Parasite (87169) | $82.11 | $303 | 19.1× |
| Magnesium Urine (83735) | $43.36 | $160 | 6.5× |
| Mass Spectrometry Quant (83789) | $127.91 | $472 | 5.3× |
| Meat fibers, feces (89160) | $6.78 | $25 | 1.4× |
| Mercury urine (83825) | $124.66 | $460 | 7.7× |
| Metabolic panel ionized ca (80047) | $124.66 | $460 | 9.1× |
| Methotrexate (80204) | $108.94 | $402 | 2.8× |
| Methylmalonic acid serum (83921) | $97.02 | $358 | 4.6× |
| Microalbumin, quantitative (82043) | $69.92 | $258 | 12.1× |
| Microbe Suscept Macrobroth (87188) | $16.26 | $60 | 2.4× |
| Microsatellite instability (81301) | $318.70 | $1,176 | 0.9× |
| Microsomal Antibodies Each (86376) | $82.11 | $303 | 5.6× |
| Mitochondrial Antibody Each (86381) | $56.91 | $210 | 2.2× |
| Mlh1 Gene (81288) | $138.21 | $510 | 0.7× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $387.80 | $1,431 | 1.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $387.80 | $1,431 | 0.6× |
| Mog-Igg1 Antb Cba Each (86362) | $92.14 | $340 | 7.6× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $31.17 | $115 | 0.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $38.75 | $143 | 1.8× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $504.33 | $1,861 | 11.9× |
| Molecular Pathology Procedure Level 3 (81402) | $465.85 | $1,719 | 3.1× |
| Molecular Pathology Procedure Level 6 (81405) | $155.55 | $574 | 0.5× |
| Mononuclear cell antigen (86356) | $38.75 | $143 | 1.4× |
| Mopath procedure level 1 (81400) | $69.92 | $258 | 1.1× |
| Mopath procedure level 2 (81401) | $125.74 | $464 | 0.9× |
| Mopath procedure level 4 (81403) | $329.81 | $1,217 | 1.8× |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$69.92–$1,125.19 | $258–$4,152 | varies |
| Mopath procedure level 7 (81406) | $69.92 | $258 | 0.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $133.06 | $491 | 0.7× |
| Mpl gene common variants (81338) | $465.58 | $1,718 | 3.1× |
| Mrsa Pcr (87641) | $89.43 | $330 | 2.5× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $387.80 | $1,431 | 1.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $387.80 | $1,431 | 1.0× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $217.88 | $804 | 0.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $587.53 | $2,168 | 0.9× |
| Msh6 Gene Known Variants (81299) | $174.80 | $645 | 0.6× |
| Mthfr Gene Analysis Common Variants (81291) | $120.60 | $445 | 1.8× |
| Mucin Clot Body Fluid (83872) | $38.75 | $143 | 6.6× |
| Mumps antibody (86735) | $163.41 | $603 | 12.5× |
| Muscle-Specific Kinase Antb (86366) | $13.01 | $48 | 0.7× |
| Mycobacteric Identification (87118) | $349.32 | $1,289 | 23.9× |
| Mycophenolic Acid (80180) | $31.17 | $115 | 1.7× |
| Mycoplasma antibody (86738) | $159.35 | $588 | 12.0× |
| Mycoplasma culture (87109) | $163.41 | $603 | 10.6× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $165.04 | $609 | 0.9× |
| Myelin basic protein csf (83873) | $334.14 | $1,233 | 19.4× |
| Myoglobin urine (83874) | $147.70 | $545 | 11.4× |
| Natriuretic peptide (83880) | $124.66 | $460 | 3.2× |
| Neisseria Dir Na Probe (87590) | $66.40 | $245 | 2.5× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $171.27 | $632 | 1.3× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $47.15 | $174 | 1.6× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $226.83 | $837 | 0.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $51.76 | $191 | 0.7× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $853.38 | $3,149 | 6.6× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $27.64 | $102 | 1.1× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $737.39 | $2,721 | 1.5× |
| Niacin (84591) | $62.60 | $231 | 3.7× |
| Nk cells total count (86357) | $113.01 | $417 | 3.0× |
| Nras gene variants exon 2&3 (81311) | $198.10 | $731 | 0.7× |
| Nuclear antigen antibody (86235) | $77.78 | $287 | 4.3× |
| Obstetric panel (80081) | $127.91 | $472 | 1.7× |
| Occult blood feces (82272) | $16.26 | $60 | 3.8× |
| Occult Blood Other Sources (82271) | $19.78 | $73 | 3.7× |
| Oligoclonal bands (83916) | $147.70 | $545 | 5.4× |
| Oncology Prostate Prob Score (81539) | $448.51 | $1,655 | 0.6× |
| Oncoprotein dcp (83951) | $58.81 | $217 | 0.9× |
| Organic Acids Qualitative Each Specimen (83919) | $224.93 | $830 | 13.7× |
| Organic acids urine (83918) | $221.41 | $817 | 9.4× |
| Osmolality serum (83930) | $35.50 | $131 | 5.4× |
| Osmolality Urine (83935) | $35.50 | $131 | 5.2× |
| Osmotic fragility rbc incubated (85557) | $12.47 | $46 | 0.9× |
| Osmotic Fragility RBC Unincubated (85555) | $236.85 | $874 | 31.7× |
| Osteocalcin (83937) | $368.83 | $1,361 | 12.4× |
| Ova and parasites smears (87177) | $31.17 | $115 | 3.5× |
| Ova1 (81503) | $582.38 | $2,149 | 0.6× |
| Oxalate urine (83945) | $155.55 | $574 | 10.8× |
| Pancreatic Elastase Fecal (82656) | $229.27 | $846 | 19.9× |
| Particle Agglutination Screen Each Antibody (86403) | $82.11 | $303 | 7.1× |
| Parvovirus antibody (86747) | $147.70 | $545 | 9.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $140.11 | $517 | 0.2× |
| Pathology Consultation During Surgery (88329) | $27.64 | $102 | 0.4× |
| Ph urine (81003) | $14.63 | $54 | 6.5× |
| Phenobarbital Level (80184) | $47.15 | $174 | 3.1× |
| Phenotype Infect Agent Drug (87900) | $131.98 | $487 | 1.0× |
| Phenylalanine (84030) | $113.01 | $417 | 20.5× |
| Phenytoin (Dilantin) (80185) | $62.60 | $231 | 4.7× |
| Phenytoin free (80186) | $221.41 | $817 | 16.1× |
| Phosphatase acid prostatic (84066) | $62.60 | $231 | 6.5× |
| Phosphatase alkaline (84075) | $27.64 | $102 | 5.3× |
| Phosphatidylglycerol (84081) | $127.91 | $472 | 7.7× |
| Phospholipid Neutralization Hexagonal (85598) | $97.02 | $358 | 5.4× |
| Phosphorus Serum (84100) | $27.64 | $102 | 5.8× |
| Phosphorus urine (84105) | $66.40 | $245 | 11.5× |
| Pinworm exam (87172) | $35.50 | $131 | 8.3× |
| Platelet Aggregation (85576) | $186.45 | $688 | 7.5× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$244.98–$264.50 | $904–$976 | varies |
| Platelet count automated (85049) | $54.74 | $202 | 12.2× |
| Platelet neutralization (85597) | $18.16 | $67 | 1.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $144.71 | $534 | 0.7× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $175.88 | $649 | 0.9× |
| Pms2 gene full seq analysis (81317) | $584.28 | $2,156 | 0.9× |
| Pneumcysts jirovecii amp prb (87594) | $73.44 | $271 | 2.1× |
| Porphobilinogen Urine Qualitative (84106) | $50.68 | $187 | 8.7× |
| Porphobilinogen, urine; quantitative (84110) | $116.80 | $431 | 13.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $233.33 | $861 | 15.9× |
| Porphyrins, urine; qualitative (84119) | $101.08 | $373 | 7.6× |
| Potassium Urine (84133) | $14.09 | $52 | 3.0× |
| Prealbumin (84134) | $66.40 | $245 | 4.6× |
| Pregnanediol (84135) | $198.10 | $731 | 9.3× |
| Pregnenolone (84140) | $155.55 | $574 | 7.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $299.18 | $1,104 | 4.8× |
| Primidone (80188) | $120.60 | $445 | 7.3× |
| Procalcitonin (Pct) (84145) | $105.42 | $389 | 3.9× |
| Progesterone (84144) | $108.94 | $402 | 5.2× |
| Prolactin (84146) | $89.43 | $330 | 4.6× |
| Protein body fluid (84157) | $27.64 | $102 | 6.9× |
| Protein C Activity (85303) | $82.11 | $303 | 5.9× |
| Protein c antigen (85302) | $213.55 | $788 | 17.8× |
| Protein Electrophoresis Urine (84166) | $66.40 | $245 | 3.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $54.74 | $202 | 5.1× |
| Protein S Free (85306) | $136.04 | $502 | 8.9× |
| Protein s total (85305) | $361.51 | $1,334 | 31.1× |
| Protein total serum (84155) | $19.78 | $73 | 5.4× |
| Protein Total Urine (84156) | $23.58 | $87 | 6.4× |
| Protein Western Blot Test (84182) | $504.33 | $1,861 | 17.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $13.55 | $50 | 3.4× |
| Protoporphyrin rbc quantitative (84202) | $105.42 | $389 | 7.3× |
| PSA free (84154) | $34.96 | $129 | 1.9× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $259.08 | $956 | 0.9× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $517.88 | $1,911 | 0.9× |
| Pth Intact (83970) | $166.94 | $616 | 4.0× |
| Pyruvate kinase (84220) | $127.91 | $472 | 13.5× |
| Q Fever Antibody (86638) | $101.08 | $373 | 8.3× |
| Quantiferon tb gold plus (86480) | $113.01 | $417 | 1.8× |
| Quantitative assay drug (80299) | $124.66 | $460 | 6.7× |
| Quantitative Screen Metals (83018) | $144.44 | $533 | 6.6× |
| Quinidine (80194) | $147.70 | $545 | 10.1× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$268.02–$290.78 | $989–$1,073 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$186.45–$276.15 | $688–$1,019 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$77.78–$82.11 | $287–$303 | varies |
| Rbc pretreatment serum (86978) | $85.91 | $317 | 1.4× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$58.27–$93.50 | $215–$345 | varies |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $178.86 | $660 | 2.5× |
| Receptor assay progesterone (84234) | $737.39 | $2,721 | 11.4× |
| Renin activity plasma (84244) | $221.41 | $817 | 10.1× |
| Reptilase test (85635) | $15.18 | $56 | 1.5× |
| Resp virus 12-25 targets (87633) | $853.38 | $3,149 | 2.0× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$35.50–$113.01 | $131–$417 | varies |
| Rh (86901) range across 2 matching MRF lines |
$38.75–$47.15 | $143–$174 | varies |
| Rheumatoid Factor Qualitative (86430) | $50.68 | $187 | 8.3× |
| Rheumatoid factor quant (86431) | $47.15 | $174 | 8.3× |
| Rickettsia antibody (86757) | $120.60 | $445 | 6.2× |
| Ristocetin cofactor (85245) | $82.11 | $303 | 3.6× |
| Rotavirus ag eia (87425) | $69.92 | $258 | 5.8× |
| Rpr qualitative (86592) | $31.17 | $115 | 7.3× |
| Rsv ab (86756) | $260.16 | $960 | 16.4× |
| Rsv Assay W/Optic (87807) | $147.70 | $545 | 11.3× |
| Rubella Antibody (86762) | $54.74 | $202 | 3.8× |
| Rubeola antibody (86765) | $89.43 | $330 | 6.9× |
| Rufinamide (80210) | $108.94 | $402 | 4.0× |
| Russell Viper Venom Time Diluted (85613) | $38.75 | $143 | 4.0× |
| Salicylate Level (80179) | $209.75 | $774 | 11.3× |
| Salmonella antibody (86768) | $105.42 | $389 | 8.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
$95.12–$100.81 | $351–$372 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $43.90 | $162 | 1.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $95.12 | $351 | 2.3× |
| Sarscov2 & inf a&b amp prb (87636) | $111.92 | $413 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $130.89 | $483 | 0.9× |
| Sedimentation rate (85651) | $47.15 | $174 | 11.0× |
| Sedimentation Rate, Automated (85652) | $23.58 | $87 | 8.7× |
| Selenium (84255) | $140.11 | $517 | 5.5× |
| Semen Anal Sperm Detection (89321) | $50.68 | $187 | 4.2× |
| Semen analysis complete (89320) | $116.80 | $431 | 9.5× |
| Semen analysis motility and count (89310) | $186.45 | $688 | 21.7× |
| Sensitivity mic (87186) | $58.27 | $215 | 6.7× |
| Sept9 Methylation Analysis (81327) | $85.91 | $317 | 0.4× |
| Serpina 1 gene (81332) | $69.92 | $258 | 1.6× |
| Serum Bactericidal Titer (87197) | $19.78 | $73 | 1.3× |
| Sex Hormone Binding Globulin (84270) | $124.66 | $460 | 5.7× |
| Sickling of rbc reduction (85660) | $19.78 | $73 | 3.6× |
| Sirolimus (80195) | $54.74 | $202 | 4.0× |
| Skin test tuberculosis intradermal (86580) | $19.78 | $73 | 0.6× |
| Smear acid fast (87206) | $38.75 | $143 | 7.2× |
| Smear complex stain (87209) | $50.68 | $187 | 2.8× |
| Smear gram stain (87205) | $23.58 | $87 | 5.5× |
| Smear Special Stain (87207) | $77.78 | $287 | 13.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $159.35 | $588 | 1.2× |
| Smpd1 Gene Analysis Common Variants (81330) | $244.98 | $904 | 5.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $19.78 | $73 | 3.4× |
| So neo gsap DNA/DNA&RNA (81459) | $1,507.84 | $5,564 | 0.5× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$12.47–$16.53 | $46–$61 | varies |
| Sodium Urine (84300) | $16.26 | $60 | 3.2× |
| Soluble Transferrin Receptor (84238) | $85.91 | $317 | 2.3× |
| Somatomedin (84305) | $43.36 | $160 | 2.0× |
| Special Stains Group 1 (88312) | $105.42 | $389 | 1.9× |
| Special Stains Group 2 (88313) | $105.42 | $389 | 0.7× |
| Specific gravity body fluid (84315) | $19.78 | $73 | 6.0× |
| Specimen infect agnt concntj (87015) | $47.15 | $174 | 7.1× |
| Spectrophotometry (84311) | $74.53 | $275 | 9.2× |
| Splitting Blood/Blood Products Each Unit (86985) | $50.68 | $187 | 0.3× |
| Staph a DNA amp probe (87640) | $27.64 | $102 | 0.8× |
| Stool cultr aerobic bact ea (87046) | $35.50 | $131 | 3.8× |
| Strep a assay w/optic (87880) | $54.74 | $202 | 3.3× |
| Strep a DNA amp probe (87651) | $30.35 | $112 | 0.9× |
| Strep b DNA amp probe (87653) | $54.74 | $202 | 1.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 3 matching MRF lines |
$39.84–$55.83 | $147–$206 | varies |
| Sugars Single Qual (84376) | $10.57 | $39 | 1.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $93.50 | $345 | 2.4× |
| Sulfate urine (84392) | $7.32 | $27 | 1.3× |
| Surg path level iii (88304) | $131.98 | $487 | 2.4× |
| Surgical pathology level IV (88305) | $136.04 | $502 | 2.5× |
| Surgical pathology level vi (88309) | $260.16 | $960 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $17.62 | $65 | 3.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $19.51 | $72 | 2.6× |
| Syphilis Test Non-Trep Quant (86593) | $23.58 | $87 | 5.4× |
| T cells absolute cd4 count (86361) | $194.04 | $716 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $159.35 | $588 | 3.4× |
| T cells total count (86359) | $147.70 | $545 | 3.9× |
| T3 Free (84481) | $93.50 | $345 | 5.5× |
| T3 reverse (84482) | $171.27 | $632 | 10.9× |
| T3 Total (84480) | $69.92 | $258 | 4.9× |
| T3 Uptake (84479) | $54.74 | $202 | 8.5× |
| T4 Free (84439) | $50.68 | $187 | 5.6× |
| T4 total (84436) | $50.68 | $187 | 7.4× |
| T4-neonatal (84437) | $23.58 | $87 | 3.6× |
| Tacrolimus (80197) | $85.91 | $317 | 6.3× |
| Tau phosphorylated each (84393) | $188.35 | $695 | 1.5× |
| Tb ag response t-cell susp (86481) | $105.42 | $389 | 1.1× |
| Test for acetone/ketones (82009) | $43.36 | $160 | 9.6× |
| Test for urine cystines (82615) | $361.51 | $1,334 | 37.9× |
| Testosterone total (84403) | $127.91 | $472 | 5.0× |
| Testosterone, Free (84402) | $97.02 | $358 | 3.8× |
| Tetanus antibody (86774) | $127.91 | $472 | 8.6× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,125.19 | $4,152 | 1.9× |
| Theophylline (80198) | $108.94 | $402 | 7.7× |
| Thiocyanate (84430) | $147.70 | $545 | 12.7× |
| Thrombin Time (85670) | $116.80 | $431 | 20.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $43.36 | $160 | 6.7× |
| Thyroglobulin (84432) | $66.40 | $245 | 4.1× |
| Thyroglobulin Antibody (86800) | $66.40 | $245 | 4.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $233.33 | $861 | 4.6× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $543.36 | $2,005 | 10.8× |
| Thyroxine binding globulin (84442) | $178.86 | $660 | 12.1× |
| Tiss cul neo disorders solid tumor (88239) | $11.92 | $44 | 0.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $63.69 | $235 | 5.5× |
| Tissue Culture (88233) | $698.64 | $2,578 | 5.0× |
| Tissue Culture Amniotic Fluid (88235) | $1,008.66 | $3,722 | 6.7× |
| Tissue culture bone marrow (88237) | $353.38 | $1,304 | 2.5× |
| Tissue Culture Lymphocyte (88230) | $248.78 | $918 | 2.1× |
| Tobramycin peak (80200) | $147.70 | $545 | 9.2× |
| Topiramate (80201) | $47.15 | $174 | 4.0× |
| Touch prep (88161) | $31.17 | $115 | 1.0× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $35.50 | $131 | 1.8× |
| Toxoplasma ab igm (86778) | $27.64 | $102 | 1.9× |
| Toxoplasma antibody (86777) | $120.60 | $445 | 8.4× |
| Tp53 gene analysis full gene sequence (81351) | $554.47 | $2,046 | 0.9× |
| Tp53 gene analysis targeted sequence analysis (81352) | $628.18 | $2,318 | 1.9× |
| Tpmt gene com variants (81335) | $169.65 | $626 | 1.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $27.64 | $102 | 5.3× |
| Transferrin (84466) | $74.53 | $275 | 5.8× |
| Trg gene rearrangement anal (81342) | $299.18 | $1,104 | 1.5× |
| Trichomonas vagin dir probe (87660) | $35.50 | $131 | 1.8× |
| Trichomonas Vaginalis Amplif (87661) | $43.36 | $160 | 1.2× |
| Triglycerides (84478) | $27.64 | $102 | 4.8× |
| Troponin Quant (84484) | $85.91 | $317 | 6.9× |
| Trypsin feces qual (84488) | $82.11 | $303 | 11.2× |
| Tumor immunohistochem/comput (88361) | $147.70 | $545 | 0.4× |
| Tumor Immunohistochem/Manual (88360) | $318.43 | $1,175 | 1.8× |
| Ugt1a1 gene analysis common variants (81350) | $113.01 | $417 | 0.5× |
| Unlisted miscellaneous pathology test (89240) | $89.43 | $330 | 1.6× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$268.02–$380.76 | $989–$1,405 | varies |
| Urea Nitrogen Clearance (84545) | $120.60 | $445 | 16.8× |
| Urea nitrogen urine (84540) | $62.60 | $231 | 11.3× |
| Uric acid other source (84560) | $77.78 | $287 | 15.3× |
| Urinalysis Microscopic Only (81015) | $58.27 | $215 | 19.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $14.09 | $52 | 6.5× |
| Urinalysis Volume Measure (81050) | $9.49 | $35 | 2.6× |
| Urine Bacteria Culture (87088) | $27.64 | $102 | 3.4× |
| Urine Pregnancy Test (81025) | $31.17 | $115 | 3.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $18.97 | $70 | 6.0× |
| Urobilinogen, feces, quantitative Facility (84577) | $35.50 | $131 | 2.1× |
| Valproic acid (80164) | $82.11 | $303 | 6.1× |
| Vancomycin (80202) | $89.43 | $330 | 6.6× |
| Varicella-zoster antibody (86787) | $85.91 | $317 | 6.7× |
| Vasopressin (84588) | $113.01 | $417 | 3.3× |
| Viral Culture (87252) | $101.08 | $373 | 3.9× |
| Virus antibody nos (86790) | $93.50 | $345 | 7.3× |
| Virus inoculation, shell via (87254) | $127.91 | $472 | 6.5× |
| Viscosity serum (85810) | $116.80 | $431 | 10.0× |
| Vit D 1 25-Dihydroxy (82652) | $190.24 | $702 | 4.9× |
| Vitamin A (84590) | $47.15 | $174 | 4.1× |
| Vitamin b-12 (82607) | $66.40 | $245 | 4.4× |
| Vitamin B2 (Riboflavin) (84252) | $47.15 | $174 | 2.3× |
| Vitamin B6 (84207) | $144.44 | $533 | 5.1× |
| Vitamin c (82180) | $120.60 | $445 | 12.2× |
| Vitamin D 25-Hydroxy (82306) | $113.01 | $417 | 3.8× |
| Vitamin E (84446) | $54.74 | $202 | 3.9× |
| Vitamin K (84597) | $268.02 | $989 | 19.5× |
| Volatiles (84600) | $163.41 | $603 | 9.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $113.28 | $418 | 9.4× |
| Von willebrand factor ag (85246) | $271.81 | $1,003 | 11.8× |
| Wbc Alkaline Phosphatase Count (85540) | $120.60 | $445 | 14.0× |
| West nile virus ab igm (86788) | $163.41 | $603 | 9.7× |
| West Nile Virus Antibody (86789) | $50.68 | $187 | 3.5× |
| Western Blot Test (84181) | $341.73 | $1,261 | 20.1× |
| Xylose Absorption Test (84620) | $120.60 | $445 | 9.3× |
| Zika Virus Igm Antibody (86794) | $23.58 | $87 | 1.4× |
| Zinc (84630) | $66.40 | $245 | 5.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.