Lab & pathology prices at Frisbie Memorial Hospital
Rochester, NH · every code in this section with a posted price and a Medicare benchmark.
677 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $464 | $464 | 12.1× |
| 5 Nucleotidase (83915) | $111 | $111 | 10.0× |
| Acetaminophen level (80143) | $129 | $129 | 6.9× |
| Acetone serum qual (82009) | $137 | $137 | 30.3× |
| Acetylcholine receptor binding antibody (86041) | $1,014 | $1,014 | 55.1× |
| Acetylcholine receptor blocking antibody (86042) | $1,014 | $1,014 | 55.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $60 | $60 | 5.0× |
| Actin smooth muscle antibody each (86015) | $462 | $462 | 38.3× |
| Activated protein c resistance (85307) | $570 | $570 | 37.2× |
| Acute hepatitis panel (80074) | $1,114 | $1,114 | 23.4× |
| Adamts13 activity (85397) | $983 | $983 | 31.9× |
| Adenovirus antibody (86603) | $437 | $437 | 34.0× |
| Adrenocorticotropic hormone (82024) | $711 | $711 | 18.4× |
| Afp maternal serum (82105) | $371 | $371 | 22.1× |
| Albumin body fluid (82042) | $253 | $253 | 32.5× |
| Albumin serum (82040) | $47 | $47 | 9.5× |
| Aldolase (82085) | $238 | $238 | 24.5× |
| Aldosterone urine (82088) | $583 | $583 | 14.3× |
| Alkaline phosphatase isoenzymes (84080) | $218 | $218 | 14.7× |
| Allergen peanut (86003) | $713 | $713 | 136.6× |
| Allergen spec ige qual multiallergen screen (86005) | $233 | $233 | 29.2× |
| Allg Spec Ige Recomb Ea (86008) | $75 | $75 | 4.2× |
| Alpha-1-antitrypsin phenotype (82104) | $291 | $291 | 20.1× |
| Alpha-1-antitrypsin, total (82103) | $251 | $251 | 18.7× |
| Alt (sgpt) (84460) | $56 | $56 | 10.6× |
| Aluminum (82108) | $426 | $426 | 16.7× |
| Amikacin trough (80150) | $292 | $292 | 19.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $377 | $377 | 16.4× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $494 | $494 | 29.3× |
| Amylase urine (82150) | $216 | $216 | 33.3× |
| Ana titer (86039) | $644 | $644 | 57.7× |
| Angiotensin i enzyme test (82164) | $443 | $443 | 30.3× |
| Anti-phosphatidylserine antibody (86148) | $592 | $592 | 36.8× |
| Antibody aspergillus (86606) | $259 | $259 | 17.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $680 | $680 | 43.9× |
| Antibody coxiella burnetii q fever (86638) | $170 | $170 | 14.0× |
| Antibody cytomegalovirus cmv (86644) | $382 | $382 | 26.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $388 | $388 | 29.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $277 | $277 | 22.6× |
| Antibody haemophilus influenza (86684) | $1,009 | $1,009 | 63.7× |
| Antibody helicobacter pylori (86677) | $235 | $235 | 13.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $395 | $395 | 27.4× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $241 | $241 | 17.6× |
| Antibody HIV-2 (86702) | $146 | $146 | 10.8× |
| Antibody identification (86870) | $1,644 | $1,644 | 4.3× |
| Antibody mumps (86735) | $431 | $431 | 33.0× |
| Antibody Protozoa Nes (86753) | $750 | $750 | 60.5× |
| Antibody screen (86850) | $259 | $259 | 26.5× |
| Antibody treponema pallidum (86780) | $221 | $221 | 16.7× |
| Antibody; Coccidioides (86635) | $313 | $313 | 27.3× |
| Antigen typing (86905) | $1,146 | $1,146 | 299.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $671.50 | $671.50 | 129.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $901 | $901 | 74.8× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $547 | $547 | 45.4× |
| Antinomyces antibody (86602) | $192 | $192 | 18.9× |
| Antinuclear antibodies (86038) | $227 | $227 | 18.8× |
| Antistreptolysin o titer (86060) | $210 | $210 | 28.8× |
| Antithrombin iii activity (85300) | $620 | $620 | 52.3× |
| Antithrombin iii antigen (85301) | $87 | $87 | 8.0× |
| Apolipoprotein each (82172) | $192 | $192 | 9.1× |
| Aquaporin-4 Antb Elisa (86051) | $197 | $197 | 17.1× |
| Arsenic Urine (82175) | $520 | $520 | 27.4× |
| Aspa gene analysis common variants (81200) | $481 | $481 | 10.2× |
| Aspergillus ag eia (87305) | $574 | $574 | 47.9× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $336 | $336 | 6.6× |
| Assay direct measurement free estradiol (82681) | $221 | $221 | 7.9× |
| Assay Lipoprotein Pla2 (83698) | $280 | $280 | 6.0× |
| Assay Nephelometry Not Spec (83883) | $238 | $238 | 17.5× |
| Assay of 17-hydroxypregnenolone (84143) | $818 | $818 | 35.9× |
| Assay of 5-hiaa (83497) | $305 | $305 | 23.6× |
| Assay of ammonia (82140) | $259 | $259 | 17.8× |
| Assay of androstenedione (82157) | $675 | $675 | 23.1× |
| Assay of anti-mullerian hormone (82166) | $401 | $401 | 10.4× |
| Assay of c-peptide (84681) | $292 | $292 | 14.0× |
| Assay of ceruloplasmin (82390) | $247 | $247 | 23.0× |
| Assay of citrate (82507) | $358 | $358 | 12.9× |
| Assay of cpk in blood (82552) | $312 | $312 | 23.3× |
| Assay of creatine (82540) | $191 | $191 | 41.2× |
| Assay of cyclosporine (80158) | $560 | $560 | 31.0× |
| Assay of erythropoietin (82668) | $423 | $423 | 22.5× |
| Assay of estrone (82679) | $352 | $352 | 14.1× |
| Assay of ferritin (82728) | $387 | $387 | 28.4× |
| Assay of g6pd enzyme (82955) | $235 | $235 | 24.2× |
| Assay of gammaglobulin igm (82784) | $411 | $411 | 44.2× |
| Assay of gastrin (82941) | $332 | $332 | 18.8× |
| Assay of gentamicin (80170) | $713 | $713 | 43.5× |
| Assay of homocystine (83090) | $391 | $391 | 21.8× |
| Assay of lactic acid (83605) | $187 | $187 | 16.2× |
| Assay of lipoprotein(a) (83695) | $217 | $217 | 15.2× |
| Assay of manganese (83785) | $437 | $437 | 16.4× |
| Assay of metanephrines (83835) | $665 | $665 | 39.3× |
| Assay of osteocalcin (83937) | $292 | $292 | 9.8× |
| Assay of phenobarbital (80184) | $342 | $342 | 22.4× |
| Assay of prealbumin (84134) | $205 | $205 | 14.1× |
| Assay of proinsulin (84206) | $377 | $377 | 14.1× |
| Assay of prolactin (84146) | $292 | $292 | 15.1× |
| Assay of prostate specific antigen complexed (84152) | $261 | $261 | 14.2× |
| Assay of pyruvate (84210) | $270 | $270 | 18.6× |
| Assay of semen fructose (82757) | $269 | $269 | 15.5× |
| Assay of serotonin (84260) | $692 | $692 | 22.3× |
| Assay of tacrolimus (80197) | $620 | $620 | 45.2× |
| Assay of topiramate (80201) | $226 | $226 | 19.0× |
| Assay of transcortin (84449) | $219 | $219 | 12.2× |
| Assay of urine vma (84585) | $423 | $423 | 27.3× |
| Assay of vasopressin anti-diuretic hormone (84588) | $542 | $542 | 16.0× |
| Assay of vitamin k (84597) | $1,076 | $1,076 | 78.4× |
| Assay spec xcp ur&breath ia (82077) | $428 | $428 | 24.8× |
| Ast (sgot) (84450) | $38 | $38 | 7.3× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $4,120 | $4,120 | 4.9× |
| B cells total count (86355) | $256 | $256 | 6.8× |
| Bartonella antibody (86611) | $647 | $647 | 63.6× |
| Bartonella PCR (87471) | $238 | $238 | 6.8× |
| Bcr/abl1 gene major bp (81206) | $1,396 | $1,396 | 8.5× |
| Bcr/abl1 gene minor bp (81207) | $1,365 | $1,365 | 9.4× |
| Beta 2 glycoprotein 1 igm (86146) | $343 | $343 | 13.5× |
| Beta hydroxybutyrate (82010) | $259 | $259 | 31.7× |
| Beta lactamase (87185) | $799 | $799 | 168.2× |
| Beta-2 microglobulin (82232) | $496 | $496 | 30.7× |
| Bile acids, total (82239) | $281 | $281 | 16.4× |
| Bilirubin direct (82248) | $149 | $149 | 29.7× |
| Bilirubin total (82247) | $109.50 | $109.50 | 21.8× |
| Bilirubin total transcutaneous (88720) | $87 | $87 | 17.3× |
| Bl Smear W/Diff Wbc Count (85007) | $113 | $113 | 29.7× |
| Blastomyces antibody (86612) | $193 | $193 | 15.0× |
| Bld Typing Serologic Rh Phnt (86906) | $462 | $462 | 59.6× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $117 | $117 | 21.0× |
| Blood gas (82803) | $650 | $650 | 24.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $70 | $70 | 4.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $114 | $114 | 26.0× |
| Blood Ph (82800) | $59 | $59 | 5.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $1,146 | $1,146 | 180.5× |
| Blood typing abo (86900) | $559 | $559 | 187.0× |
| Blood typing serologic rh (d) (86901) | $168 | $168 | 56.2× |
| Body fluid cell count (89051) | $214 | $214 | 38.2× |
| Body fluid cell count (89050) | $241 | $241 | 51.1× |
| Bone Marrow Smear Interpretation (85097) | $2,878 | $2,878 | 3.3× |
| Bordetella antibody (86615) | $898 | $898 | 68.1× |
| Braf gene (81210) | $525 | $525 | 3.0× |
| Brca1&2 seq & full dup/del (81162) | $3,924 | $3,924 | 2.2× |
| Brucella antibody (86622) | $650 | $650 | 72.8× |
| C diff amplified probe (87493) | $395 | $395 | 10.6× |
| C-reactive protein (86140) | $162 | $162 | 31.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $213 | $213 | 16.4× |
| C1q binding assay (86332) | $428 | $428 | 17.6× |
| Ca 125 (86304) | $364 | $364 | 17.5× |
| Ca 19-9 (86301) | $467 | $467 | 22.4× |
| Ca 27 29 (86300) | $426 | $426 | 20.5× |
| Cadmium level (82300) | $719 | $719 | 30.4× |
| Calcitonin (82308) | $944 | $944 | 35.2× |
| Calcium ionized (82330) | $219 | $219 | 16.0× |
| Calcium total (82310) | $34 | $34 | 6.6× |
| Calcium urine (82340) | $109 | $109 | 18.1× |
| Calculus Quantitative Chemical (82360) | $474 | $474 | 36.8× |
| Calculus spectroscopy (82365) | $130 | $130 | 10.1× |
| Calprotectin, fecal (83993) | $635 | $635 | 32.3× |
| Carbamazepine free (80157) | $78 | $78 | 5.9× |
| Carbamazepine total (80156) | $370 | $370 | 25.4× |
| Carbon dioxide (82374) | $53 | $53 | 10.9× |
| Carboxyhemoglobin (82375) | $207.50 | $207.50 | 16.8× |
| Carcinoembryonic antigen (82378) | $411 | $411 | 21.7× |
| Cardiolipin ab igg (86147) | $332 | $332 | 13.0× |
| Carnitine (82379) | $180 | $180 | 10.7× |
| Carotene (82380) | $265 | $265 | 28.7× |
| Catecholamines fraction plasma (82384) | $467 | $467 | 18.5× |
| Cftr gene com variants (81220) | $2,717 | $2,717 | 4.9× |
| Chemiluminescent assay (82397) | $1,019 | $1,019 | 72.2× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $2,163 | $2,163 | 8.3× |
| Chlamydia antibody (86631) | $487 | $487 | 41.2× |
| Chlamydia Igm Antibody (86632) | $408 | $408 | 32.2× |
| Chloride blood (82435) | $45.50 | $45.50 | 9.9× |
| Chloride urine (82436) | $70 | $70 | 12.2× |
| Cholesterol HDL (83718) | $124 | $124 | 15.1× |
| Cholesterol total (82465) | $44 | $44 | 10.1× |
| Cholinesterase serum (82480) | $268 | $268 | 34.1× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $1,884 | $1,884 | 15.0× |
| Chromium urine (82495) | $111 | $111 | 5.5× |
| Chromogenic Substrate Assay (85130) | $813 | $813 | 68.4× |
| Chromogranin a (86316) | $394.50 | $394.50 | 19.0× |
| Chromosome analysis 20-25 cells (88264) | $1,592 | $1,592 | 11.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $348 | $348 | 9.9× |
| Ckmb (82553) | $114 | $114 | 9.9× |
| Clot factor viii vw antigen (85246) | $577 | $577 | 25.2× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $803 | $803 | 44.9× |
| Clot factor xiii fibrin stab (85290) | $89 | $89 | 5.4× |
| Clotting Inhibitors Protein S Free (85306) | $496 | $496 | 32.4× |
| Clozapine level (80159) | $608 | $608 | 30.2× |
| Cmv ab igm (86645) | $370 | $370 | 22.0× |
| Cmv PCR (87496) | $1,707 | $1,707 | 48.6× |
| Cns DNA amp probe type 12-25 (87483) | $2,720 | $2,720 | 6.5× |
| Coagulation time activated (85347) | $120 | $120 | 28.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $233 | $233 | 9.7× |
| Cold agglutinin screen (86156) | $171 | $171 | 21.2× |
| Cold agglutinin titer (86157) | $223 | $223 | 27.7× |
| Collagen cross links (82523) | $320 | $320 | 17.1× |
| Compatibility test antiglob (86922) | $686 | $686 | 3.8× |
| Compatibility Test Incubate (86921) | $746 | $746 | 4.1× |
| Complement c3 (86160) | $585 | $585 | 48.8× |
| Complement total (ch50) (86162) | $703 | $703 | 34.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $371 | $371 | 30.9× |
| Concentration Infectious Agent (87015) | $137 | $137 | 20.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $204 | $204 | 5.1× |
| Coombs direct (86880) | $195 | $195 | 36.2× |
| Copper urine (82525) | $322 | $322 | 25.9× |
| Cortisol free (82530) | $307 | $307 | 18.4× |
| Cortisol total (82533) | $359 | $359 | 22.0× |
| Creatine kinase total (82550) | $181 | $181 | 27.8× |
| Creatinine blood (82565) | $55.50 | $55.50 | 10.8× |
| Creatinine clearance (82575) | $279 | $279 | 29.5× |
| Creatinine other source (82570) | $137 | $137 | 26.4× |
| Crossmatch immediate spin (86920) | $686 | $686 | 3.8× |
| Cryofibrinogen (82585) | $166 | $166 | 11.7× |
| Cryoglobulin (82595) | $207 | $207 | 32.0× |
| Cryptococcus antibody (86641) | $82 | $82 | 5.7× |
| Crystals body fluid (89060) | $59 | $59 | 8.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $141 | $141 | 17.5× |
| Culture Aerobic Identify (87077) | $231 | $231 | 28.6× |
| Culture afb (87116) | $318 | $318 | 29.4× |
| Culture anaerobic (87075) | $603 | $603 | 63.7× |
| Culture blood (87040) | $395 | $395 | 38.3× |
| Culture chlamydia (87110) | $307 | $307 | 15.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $233 | $233 | 30.2× |
| Culture fungus blood (87103) | $233 | $233 | 11.4× |
| Culture fungus id yeast (87106) | $215 | $215 | 20.8× |
| Culture fungus other (87102) | $233 | $233 | 27.7× |
| Culture genital (87070) | $265 | $265 | 30.7× |
| Culture screen only (87081) | $148 | $148 | 22.3× |
| Culture stool (87045) | $189 | $189 | 20.0× |
| Culture typing if ea antiserum (87140) | $109 | $109 | 19.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $120 | $120 | 23.2× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $339.50 | $339.50 | 9.7× |
| Culture urine (87086) | $222 | $222 | 27.5× |
| Culture virus (87252) | $592 | $592 | 22.7× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $931 | $931 | 8.1× |
| Cyanide (82600) | $230 | $230 | 11.9× |
| Cyclic Citrullinated Peptide (86200) | $192 | $192 | 14.8× |
| Cystatin c (82610) | $65 | $65 | 3.5× |
| Cysticercosis Antibody (86682) | $724 | $724 | 55.6× |
| Cytogenetics 100-300 (88275) | $790 | $790 | 15.4× |
| Cytogenetics DNA probe (88271) | $245 | $245 | 11.4× |
| Cytogenom const microarray copy number&snp var (81229) | $5,405 | $5,405 | 4.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $1,655 | $1,655 | 38.6× |
| Cytopath cell enhance tech (88112) | $354 | $354 | 6.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $344 | $344 | 8.6× |
| Cytopath Smear Other Source (88160) | $149 | $149 | 4.8× |
| Cytotoxic pra quick (86808) | $586 | $586 | 19.7× |
| Cytp concentration smears & interpretation (88108) | $313 | $313 | 7.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $190 | $190 | 3.4× |
| Cytp fna eval dx 1st each site (88172) | $968 | $968 | 5.3× |
| Deoxyribonuclease antibody (86215) | $462 | $462 | 34.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $246 | $246 | 14.9× |
| Detect agnt mult DNA ampli (87801) | $384 | $384 | 5.5× |
| Dgp antibody each ig class (86258) | $452.50 | $452.50 | 37.6× |
| Dhea (82626) | $342 | $342 | 13.5× |
| Dhea-sulfate (82627) | $477 | $477 | 21.5× |
| Digoxin (80162) | $268 | $268 | 20.2× |
| Dihydrotestosterone (82642) | $317 | $317 | 10.8× |
| Dilantin (80185) | $268 | $268 | 20.2× |
| Dipropylacetic acid free (80165) | $221 | $221 | 16.3× |
| Dna Antibody Single Stranded (86226) | $175 | $175 | 14.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $310 | $310 | 22.6× |
| DNA/RNA direct probe (87149) | $989 | $989 | 49.3× |
| Drug assay adalimumab (80145) | $332 | $332 | 8.6× |
| Drug Assay Amiodarone (80151) | $324 | $324 | 17.4× |
| Drug assay felbamate (80167) | $392 | $392 | 21.0× |
| Drug assay flecainide (80181) | $373 | $373 | 20.0× |
| Drug Assay Infliximab (80230) | $332 | $332 | 8.6× |
| Drug Assay Lacosamide (80235) | $791 | $791 | 29.2× |
| Drug assay methotrexate (80204) | $492 | $492 | 12.8× |
| Drug assay posaconazole (80187) | $398 | $398 | 14.7× |
| Drug assay vedolizumab (80280) | $173 | $173 | 4.5× |
| Drug assay voriconazole (80285) | $247 | $247 | 9.1× |
| Drug quant nes (80299) | $374.50 | $374.50 | 20.1× |
| Drug screen quant zonisamide (80203) | $839 | $839 | 63.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $719 | $719 | 54.3× |
| Drug Screen Quantitative Lidocaine (80176) | $565 | $565 | 38.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $705 | $705 | 53.2× |
| Drug Scrn Quan Levetiracetam (80177) | $857 | $857 | 64.7× |
| Drug test prsmv chem anlyzr (80307) | $558 | $558 | 9.0× |
| E test (87181) | $120 | $120 | 25.3× |
| Ebv viral capsid (86665) | $280 | $280 | 15.4× |
| Egfr Gene Analysis Common Variants (81235) | $2,133 | $2,133 | 6.6× |
| Ehrlichia antibody (86666) | $1,198 | $1,198 | 117.7× |
| Elastase pancreatic fecal quantitative (82653) | $83 | $83 | 3.6× |
| Electrolyte panel (80051) | $237 | $237 | 33.8× |
| Electron microscopy diagnostic (88348) | $3,559 | $3,559 | 4.1× |
| Electronic crossmatch (86923) | $546.50 | $546.50 | 3.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $435 | $435 | 36.0× |
| Enterovirus antibody (86658) | $153 | $153 | 11.7× |
| Enterovirus Pcr (87498) | $359 | $359 | 10.2× |
| Enzyme cell activity (82657) | $709 | $709 | 32.0× |
| Eosinophil count (85048) | $122 | $122 | 48.0× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $298 | $298 | 19.5× |
| Estradiol (82670) | $1,020 | $1,020 | 36.5× |
| Estriol serum (82677) | $600 | $600 | 24.8× |
| Estrogens total (82672) | $585 | $585 | 27.0× |
| Ethylene glycol (82693) | $259 | $259 | 17.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $547 | $547 | 5.6× |
| Everolimus (80169) | $600 | $600 | 43.7× |
| Exam & Select Archive Tissue Molecular Analysis (88363) | $148 | $148 | 4.8× |
| F2 gene analysis 20210g >a variant (81240) | $426 | $426 | 6.5× |
| F5 gene analysis, leiden variant (81241) | $251 | $251 | 3.4× |
| Factor ii activity (85210) | $727 | $727 | 56.0× |
| Factor inhibitor test (85335) | $259 | $259 | 20.1× |
| Factor ix activity (85250) | $954 | $954 | 50.1× |
| Factor v activity (85220) | $542 | $542 | 30.7× |
| Factor vii assay (85230) | $547 | $547 | 30.6× |
| Factor viii ahg (85240) | $665 | $665 | 37.2× |
| Factor xi assay (85270) | $455 | $455 | 25.4× |
| Factor xii assay (85280) | $948 | $948 | 49.0× |
| Factor xiii solubility screen (85291) | $75 | $75 | 8.2× |
| Fecal fat qual (82705) | $189 | $189 | 37.1× |
| Fecal fat quant (82710) | $458 | $458 | 27.3× |
| Fetal bleed screen (85461) | $210 | $210 | 22.4× |
| Fetal fibronectin (82731) | $1,306 | $1,306 | 20.3× |
| Fibrin degradation products (85362) | $275 | $275 | 39.9× |
| Fibrin Degradation Quant (85379) | $399 | $399 | 39.2× |
| Fibrinogen activity (85384) | $189 | $189 | 19.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $314 | $314 | 20.3× |
| Flow cytometry first marker (88184) | $1,384.50 | $1,384.50 | 3.6× |
| Fluorescent Antibody Screen (86255) | $571 | $571 | 47.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $547 | $547 | 45.4× |
| Fmr1 gene charac alleles (81244) | $468 | $468 | 10.4× |
| Fmr1 gene detection (81243) | $258 | $258 | 4.5× |
| Folate serum (82746) | $216 | $216 | 14.7× |
| Folic acid rbc (82747) | $310 | $310 | 17.6× |
| Follicle Stimulating Hormone (83001) | $408 | $408 | 22.0× |
| Francisella tularensis (86668) | $371 | $371 | 26.2× |
| Frozen Section (88331) | $441 | $441 | 2.4× |
| Fructosamine (82985) | $291 | $291 | 17.4× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $628 | $628 | 60.9× |
| Gabapentin (80171) | $692 | $692 | 31.9× |
| Gammaglobulin ige (82785) | $289 | $289 | 17.6× |
| Gardner vag DNA dir probe (87510) | $230 | $230 | 11.5× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $665 | $665 | 8.4× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) | $419 | $419 | 62.4× |
| Ggt (82977) | $157 | $157 | 21.8× |
| Giardia antigen eia stool (87329) | $277 | $277 | 23.1× |
| Glucagon (82943) | $578 | $578 | 40.4× |
| Glucose (82947) | $197 | $197 | 50.1× |
| Glucose body fluid (82945) | $113 | $113 | 28.8× |
| Glucose post dose (82950) | $166 | $166 | 34.9× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $60 | $60 | 15.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $1,173 | $1,173 | 91.1× |
| Glutathione (82978) | $395 | $395 | 25.6× |
| Growth hormone (83003) | $366 | $366 | 22.0× |
| Haloperidol (haldol) (80173) | $105 | $105 | 6.7× |
| Haptoglobin (83010) | $259 | $259 | 20.6× |
| Hcg qualitative (84703) | $218 | $218 | 29.0× |
| Hcg quant (84702) | $383 | $383 | 25.4× |
| Heavy metal quant each (83018) | $186 | $186 | 8.5× |
| Hematocrit (85014) | $41 | $41 | 17.3× |
| Hemoglobin (85018) | $94.50 | $94.50 | 39.9× |
| Hemoglobin a1c (83036) | $210 | $210 | 21.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $245 | $245 | 13.6× |
| Hemoglobin electrophoresis (83020) | $362 | $362 | 28.1× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $264 | $264 | 34.2× |
| Hemoglobin plasma (83051) | $107 | $107 | 14.6× |
| Hemosiderin urine (83070) | $431 | $431 | 90.7× |
| Heparin assay (85520) | $601 | $601 | 45.9× |
| Hepatitis a antibody total (86708) | $58 | $58 | 4.7× |
| Hepatitis a igm (86709) | $47 | $47 | 4.2× |
| Hepatitis b core ab igm (86705) | $237 | $237 | 20.1× |
| Hepatitis b core antibody total (86704) | $233 | $233 | 19.3× |
| Hepatitis B Surface Ab (86706) | $545 | $545 | 50.7× |
| Hepatitis B Surface Antigen (87340) | $161 | $161 | 15.6× |
| Hepatitis be antibody (86707) | $47 | $47 | 4.1× |
| Hepatitis Be Antigen (87350) | $49 | $49 | 4.2× |
| Hepatitis c antibody (86803) | $247 | $247 | 17.3× |
| Hepatitis C Antibody Confirmatory Test (86804) | $682 | $682 | 44.0× |
| Hepatitis C Genotype (87902) | $1,695 | $1,695 | 6.6× |
| Hepatitis delta ab (86692) | $798 | $798 | 46.5× |
| Herpes simplex type i (86695) | $496 | $496 | 37.6× |
| Herpes simplex type ii (86696) | $215.50 | $215.50 | 11.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $164 | $164 | 31.7× |
| Hexagonal phospholipid (85598) | $44 | $44 | 2.4× |
| Hfe gene (81256) | $416 | $416 | 6.4× |
| Histamine plasma (83088) | $1,173 | $1,173 | 39.7× |
| Histoplasma antibody (86698) | $243 | $243 | 17.6× |
| Histoplasma antigen urine (87385) | $784 | $784 | 59.2× |
| HIV-1 antibody (86701) | $186 | $186 | 20.9× |
| HIV-1 integrase genotype (87906) | $344 | $344 | 2.7× |
| HIV-2 probe&revrse trnscripj (87538) | $221 | $221 | 6.3× |
| Hla class i typing high resolution one allele or allele group (81381) | $2,123 | $2,123 | 12.5× |
| Hla class i&ii antibody qual (86828) | $667 | $667 | 10.4× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $778 | $778 | 8.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $1,271 | $1,271 | 17.1× |
| Hla ii typing 1 allele hr (81383) | $646 | $646 | 5.9× |
| Homogenization tissue (87176) | $531 | $531 | 90.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $649 | $649 | 18.5× |
| Htt gene analysis detect abnormal alleles (81271) | $650 | $650 | 4.7× |
| Hydroxyprogesterone 17-d (83498) | $462 | $462 | 17.0× |
| Iaad ia clostridium difficile toxin (87324) | $332 | $332 | 27.7× |
| Iaad ia cryptosporidium (87328) | $275 | $275 | 19.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $226 | $226 | 9.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $632 | $632 | 43.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $409 | $409 | 29.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $118 | $118 | 3.3× |
| Iaad ia shiga-like toxin (87427) | $197 | $197 | 16.4× |
| Iaadi Legionella Pneumophila (87278) | $258 | $258 | 16.5× |
| Iaadi Pneumocustis Carinii (87281) | $471 | $471 | 39.3× |
| Iaadi respiratory synctial virus (87280) | $252 | $252 | 18.8× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $772 | $772 | 23.6× |
| Iaadiadoo not otherwise specified (87899) | $258 | $258 | 16.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $178 | $178 | 11.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $1,305 | $1,305 | 37.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $1,206 | $1,206 | 34.4× |
| Iadna Candida Species Direct Probe Tq (87480) | $230 | $230 | 11.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $291 | $291 | 8.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $1,261 | $1,261 | 18.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $813 | $813 | 23.2× |
| Iadna hepatitis b virus quantification (87517) | $968 | $968 | 22.6× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $1,152 | $1,152 | 32.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $1,499 | $1,499 | 35.0× |
| Iadna herpes virus-6 amplified probe tq (87532) | $976 | $976 | 27.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $210 | $210 | 6.0× |
| Iadna HIV-1 quant & reverse transcription (87536) | $1,383 | $1,383 | 16.3× |
| Iadna human papillomavirus high-risk types (87624) | $354 | $354 | 10.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $742 | $742 | 21.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $348 | $348 | 9.9× |
| Iadna nos amplified probe tq each organism (87798) | $1,261 | $1,261 | 35.9× |
| Iadna nos quantification each organism (87799) | $776 | $776 | 18.1× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $180 | $180 | 5.1× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $2,277 | $2,277 | 5.5× |
| If varicella-zoster antigen (87290) | $235 | $235 | 17.5× |
| Igg subclasses (82787) | $857 | $857 | 106.9× |
| Igvh somatic hypermutation (81263) | $1,598 | $1,598 | 5.4× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $1,076 | $1,076 | 2.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $1,233 | $1,233 | 82.3× |
| Immunoassay nonantibody (83516) | $461 | $461 | 40.0× |
| Immunodiffusion Ouchterlony (86331) | $166 | $166 | 13.9× |
| Immunoelectrophoresis serum (86320) | $826 | $826 | 27.6× |
| Immunofixation (86334) | $494 | $494 | 22.1× |
| Immunofixation urine (86335) | $388 | $388 | 13.2× |
| Immunoglobulin light chains free each (83521) | $249 | $249 | 14.4× |
| Immunohistochemistry (88342) | $1,076 | $1,076 | 5.9× |
| In situ hybridization (88365) | $1,467 | $1,467 | 8.1× |
| Indirect coombs (86885) | $600 | $600 | 104.9× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) | $98.50 | $98.50 | 8.1× |
| Influenza a/b ag eia (87400) | $246 | $246 | 17.4× |
| Influenza DNA amp probe (87502) | $506 | $506 | 5.3× |
| Inhibin a (86336) | $354 | $354 | 22.7× |
| Inhibin b (83520) | $518 | $518 | 30.0× |
| Insitu hybridization auto (88367) | $1,576 | $1,576 | 4.1× |
| Insitu hybridization manual (88368) | $1,693 | $1,693 | 4.4× |
| Insulin antibodies (86337) | $475 | $475 | 22.2× |
| Insulin total (83525) | $367 | $367 | 32.1× |
| Interleukin 6 (83529) | $518 | $518 | 30.0× |
| Intrinsic factor antibody (86340) | $425 | $425 | 28.2× |
| Iron (83540) | $134 | $134 | 20.7× |
| Iron binding capacity (83550) | $157 | $157 | 18.0× |
| Irradiation Blood Product Each Unit (86945) | $1,019 | $1,019 | 25.6× |
| Islet cell antibody (86341) | $416 | $416 | 17.6× |
| Jak2 gene analysis (81270) | $501 | $501 | 5.5× |
| Jak2 targeted sequence analysis (81279) | $711 | $711 | 3.8× |
| Kras gene analysis (81275) | $1,751 | $1,751 | 9.1× |
| Lactoferrin fecal qual (83630) | $783 | $783 | 39.7× |
| Lactoferrin Fecal Quantitative (83631) | $342 | $342 | 17.4× |
| Ldh body fluid (83615) | $114 | $114 | 18.9× |
| Ldh isoenzymes (83625) | $379 | $379 | 29.6× |
| Lead (83655) | $127.50 | $127.50 | 10.5× |
| Legionella antibody (86713) | $755 | $755 | 49.3× |
| Legionella antigen urine (87449) | $616 | $616 | 51.4× |
| Leptospira antibody (86720) | $194 | $194 | 12.0× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $102 | $102 | 23.9× |
| Level ii surg pathology grossµscopic exam (88302) | $457 | $457 | 11.5× |
| Level v surg pathology grossµscopic exam (88307) | $723 | $723 | 1.9× |
| Level vi surg pathology grossµscopic exam (88309) | $2,702 | $2,702 | 3.1× |
| Lh (83002) | $393 | $393 | 21.2× |
| Lipase (83690) | $187 | $187 | 27.1× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $395 | $395 | 11.6× |
| Listeria ab (86609) | $90 | $90 | 7.0× |
| Lithium (80178) | $209 | $209 | 31.6× |
| Lyme disease antibody (86618) | $108 | $108 | 6.3× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $799 | $799 | 4.4× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $806 | $806 | 4.4× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $1,076 | $1,076 | 5.9× |
| Macroscopic exam parasite (87169) | $173 | $173 | 40.1× |
| Magnesium (83735) | $174 | $174 | 26.0× |
| Malaria smear (87207) | $233 | $233 | 38.9× |
| Mass spectrometry qual/quan (83789) | $1,318 | $1,318 | 54.7× |
| Mercury urine (83825) | $157 | $157 | 9.7× |
| Metabolic Panel Ionized Ca (80047) | $234 | $234 | 17.0× |
| Methemoglobin (83050) | $292 | $292 | 35.6× |
| Methylmalonic acid serum (83921) | $638 | $638 | 30.1× |
| Microalbumin urine (82043) | $157 | $157 | 27.2× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $1,365 | $1,365 | 24.5× |
| Microsomal antibodies (86376) | $686 | $686 | 47.1× |
| Mitochondrial antibody each (86381) | $462 | $462 | 18.2× |
| Mopath procedure level 4 (81403) | $1,263 | $1,263 | 6.8× |
| Mrsa PCR (87641) | $189 | $189 | 5.4× |
| Mtb PCR (87556) | $387 | $387 | 9.3× |
| Mthfr Gene Analysis Common Variants (81291) | $501 | $501 | 7.7× |
| Muramidase (85549) | $446 | $446 | 23.8× |
| Muscle-specific kinase (musk) antibody (86366) | $2,616 | $2,616 | 142.2× |
| Mycophenolic acid (80180) | $720 | $720 | 39.9× |
| Mycoplasma antibody (86738) | $467 | $467 | 35.3× |
| Mycoplasma culture (87109) | $543 | $543 | 35.3× |
| Mycoplasma genitalium PCR (87563) | $1,051 | $1,051 | 30.0× |
| Myoglobin urine (83874) | $217 | $217 | 16.8× |
| Nasal smear for eosinophils (89190) | $213 | $213 | 36.8× |
| Natriuretic peptide (83880) | $383 | $383 | 9.8× |
| Nerve teasing preparations (88362) | $4,050 | $4,050 | 4.7× |
| Neutralization Test Viral (86382) | $251 | $251 | 14.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $620 | $620 | 8.6× |
| Nk cells total count (86357) | $296 | $296 | 7.8× |
| Nuclear antigen antibody (86235) | $376 | $376 | 21.0× |
| Occult blood gastric (82271) | $31 | $31 | 5.8× |
| Occult blood stool (82272) | $85 | $85 | 20.1× |
| Oligoclonal bands (83916) | $592 | $592 | 21.6× |
| Organic Acids Qualitative Each Specimen (83919) | $615 | $615 | 37.4× |
| Orthopoxvirus Amp Prb Each (87593) | $128 | $128 | 2.5× |
| Osmolality serum (83930) | $225 | $225 | 34.0× |
| Osmolality urine (83935) | $166 | $166 | 24.3× |
| Ova and parasite direct-id lca (87177) | $314 | $314 | 35.3× |
| Oxalate urine (83945) | $295 | $295 | 20.4× |
| Pancreatic elastase, fecal (82656) | $1,560 | $1,560 | 135.3× |
| Pancreatic polypeptide (83519) | $1,014 | $1,014 | 55.1× |
| Parvovirus antibody (86747) | $443 | $443 | 29.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $3,496 | $3,496 | 4.1× |
| Pathology Consultation During Surgery (88329) | $312 | $312 | 5.0× |
| Ph body fluid (83986) | $87 | $87 | 24.3× |
| Ph urine (81003) | $88 | $88 | 39.1× |
| Phenotype Infect Agent Drug (87900) | $2,426 | $2,426 | 18.6× |
| Phenylalanine (84030) | $352 | $352 | 64.0× |
| Phenytoin free (80186) | $70 | $70 | 5.1× |
| Phosphatase alkaline (84075) | $47 | $47 | 9.1× |
| Phosphorus blood (84100) | $82 | $82 | 17.3× |
| Phosphorus urine (84105) | $77 | $77 | 13.3× |
| Pinworm exam (87172) | $225 | $225 | 52.7× |
| Platelet aggregation (85576) | $441 | $441 | 17.7× |
| Platelet count automated (85049) | $101 | $101 | 22.5× |
| Platelet neutralization (85597) | $53 | $53 | 2.9× |
| Porphobilinogen urine quant (84110) | $178 | $178 | 21.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $602 | $602 | 40.9× |
| Potassium (84132) | $48.50 | $48.50 | 10.2× |
| Potassium urine (84133) | $65 | $65 | 13.7× |
| Pregnenolone (84140) | $90 | $90 | 4.4× |
| Primidone (80188) | $298 | $298 | 18.0× |
| Procainamide napa (80192) | $700 | $700 | 41.8× |
| Procalcitonin (pct) (84145) | $1,440 | $1,440 | 52.9× |
| Progesterone (84144) | $342 | $342 | 16.4× |
| Prostaglandin Ea (84150) | $893 | $893 | 21.4× |
| Protein body fluid (84157) | $132 | $132 | 33.0× |
| Protein c activity (85303) | $480 | $480 | 34.7× |
| Protein c antigen (85302) | $692 | $692 | 57.6× |
| Protein electrophoresis serum (84165) | $241 | $241 | 22.4× |
| Protein Electrophoresis Urine (84166) | $286 | $286 | 16.0× |
| Protein s total (85305) | $524 | $524 | 45.1× |
| Protein total serum (84155) | $53 | $53 | 14.4× |
| Protein urine (84156) | $117 | $117 | 31.9× |
| Protein westrn blot i&r blood/other fluid (84181) | $403 | $403 | 23.7× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $210 | $210 | 53.3× |
| Protoporphyrin rbc quantitative (84202) | $111 | $111 | 7.7× |
| PSA free (84154) | $245 | $245 | 13.3× |
| Pth intact (83970) | $719.50 | $719.50 | 17.4× |
| Rbc (85041) | $31 | $31 | 10.3× |
| Rbc antibody elution (86860) | $600 | $600 | 3.3× |
| Rbc pretreatment serum (86978) | $128 | $128 | 2.0× |
| Rbc pretx incubatj w/chemicl (86970) | $249 | $249 | 4.0× |
| Reagent strip/blood glucose (82948) | $44 | $44 | 8.7× |
| Renin activity plasma (84244) | $416 | $416 | 18.9× |
| Resp virus 12-25 targets (87633) | $6,054 | $6,054 | 14.5× |
| Reticulocyte count auto (85045) | $129 | $129 | 32.3× |
| Rheumatoid Factor Qual (86430) | $181 | $181 | 29.5× |
| Rheumatoid factor quant (86431) | $157 | $157 | 27.7× |
| Rickettsia antibody (86757) | $423 | $423 | 21.9× |
| Ristocetin cofactor (85245) | $520 | $520 | 22.7× |
| Rotavirus ag eia (87425) | $275 | $275 | 23.0× |
| Rpr Titer (86593) | $46 | $46 | 10.5× |
| Rsv (87807) | $282 | $282 | 21.5× |
| Rubella antibody (86762) | $205 | $205 | 14.2× |
| Rubeola Antibody Igg (86765) | $218 | $218 | 16.9× |
| Russell viper venom time diluted (85613) | $409 | $409 | 42.7× |
| Salicylate Level (80179) | $129 | $129 | 6.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $117 | $117 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $208 | $208 | 4.9× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $487 | $487 | 73.3× |
| Sedimentation rate auto (85652) | $19 | $19 | 7.0× |
| Selenium (84255) | $238 | $238 | 9.3× |
| Semen analysis complete (89322) | $1,122 | $1,122 | 72.4× |
| Semen analysis complete (89320) | $391 | $391 | 31.8× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $1,122 | $1,122 | 93.1× |
| Sensitivity kb (87184) | $432 | $432 | 57.8× |
| Sensitivity mic (87186) | $494 | $494 | 57.1× |
| Serotonin Release Assay (86022) | $932 | $932 | 50.7× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) | $780 | $780 | 9.9× |
| Sex hormone binding globulin (84270) | $261 | $261 | 12.0× |
| Sickling of rbc reduction (85660) | $427 | $427 | 77.5× |
| Sirolimus (rapamycin) (80195) | $973 | $973 | 70.9× |
| Smear acid fast (87206) | $145 | $145 | 26.9× |
| Smear complex stain (87209) | $183 | $183 | 10.2× |
| Smear gram stain (87205) | $141 | $141 | 33.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $190 | $190 | 32.6× |
| Sodium (84295) | $34.50 | $34.50 | 7.2× |
| Sodium feces (84302) | $589 | $589 | 121.2× |
| Sodium urine (84300) | $95 | $95 | 18.8× |
| Soluble transferrin receptor (84238) | $837 | $837 | 22.9× |
| Somatomedin (84305) | $613 | $613 | 28.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $526 | $526 | 3.7× |
| Special stains group 1 (88312) | $313 | $313 | 5.6× |
| Specific gravity body fluid (84315) | $159 | $159 | 48.5× |
| Spectrophotometry (84311) | $298.50 | $298.50 | 36.9× |
| Staph a DNA amp probe (87640) | $280 | $280 | 8.0× |
| Stool Culture, Addl Pathogens (87046) | $148 | $148 | 15.7× |
| Strep a assay w/optic (87880) | $147 | $147 | 8.9× |
| Strep a DNA amp probe (87651) | $147.38 | $147.38 | 4.2× |
| Strep b DNA amp probe (87653) | $235 | $235 | 6.7× |
| Sugars single quant (84378) | $210 | $210 | 18.2× |
| Sulfate urine (84392) | $72 | $72 | 13.1× |
| Surg path level 1 (88300) | $122 | $122 | 4.0× |
| Surg path level iii (88304) | $441 | $441 | 7.9× |
| Surgical pathology level IV (88305) | $1,981.50 | $1,981.50 | 35.6× |
| T Cell Absolute Count (86361) | $341 | $341 | 12.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $555 | $555 | 11.8× |
| T cells total count (86359) | $256 | $256 | 6.8× |
| T3 free (84481) | $388 | $388 | 22.9× |
| T3 reverse (84482) | $352 | $352 | 22.3× |
| T3 total (84480) | $227 | $227 | 16.0× |
| T3 uptake (84479) | $138 | $138 | 21.3× |
| T4 free (84439) | $241 | $241 | 26.7× |
| T4 total (84436) | $162 | $162 | 23.6× |
| Tb intradermal test (86580) | $93 | $93 | 3.0× |
| Tb test, cell immun measure (86480) | $475 | $475 | 7.7× |
| Testosterone free (84402) | $455 | $455 | 17.9× |
| Testosterone total (84403) | $431 | $431 | 16.7× |
| Theophylline (80198) | $269 | $269 | 19.0× |
| Thiopurine methyltransferase (84433) | $709 | $709 | 32.0× |
| Thrombin time plasma (85670) | $192 | $192 | 33.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $313 | $313 | 48.4× |
| Thyroglobulin (84432) | $352 | $352 | 21.9× |
| Thyroglobulin antibody (86800) | $358 | $358 | 22.5× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $915 | $915 | 18.0× |
| Thyroxine binding globulin (84442) | $329 | $329 | 22.3× |
| Tissue culture bone marrow (88237) | $1,701 | $1,701 | 11.8× |
| Tissue culture lymphocyte (88230) | $2,279 | $2,279 | 19.6× |
| Tissue transglutaminase ab iga (86364) | $462 | $462 | 40.1× |
| Tobramycin peak (80200) | $435 | $435 | 27.0× |
| Touch prep (88161) | $280 | $280 | 9.1× |
| Toxoplasma ab igm (86778) | $347 | $347 | 24.1× |
| Toxoplasma antibody igg (86777) | $308 | $308 | 21.4× |
| Tpmt gene com variants (81335) | $943 | $943 | 5.4× |
| Transferrin (84466) | $247 | $247 | 19.4× |
| Trichomonas vagin dir probe (87660) | $230 | $230 | 11.5× |
| Triglycerides (84478) | $64 | $64 | 11.1× |
| Troponin (84484) | $405 | $405 | 32.5× |
| Tumor immunohistochem/comput (88361) | $1,076 | $1,076 | 2.8× |
| Unlisted Surgical Pathology Procedure (88399) | $299 | $299 | 5.4× |
| Urea nitrogen (84520) | $100 | $100 | 25.3× |
| Urea Nitrogen Clearance (84545) | $178 | $178 | 24.7× |
| Urea nitrogen urine (84540) | $23 | $23 | 4.1× |
| Uric acid blood (84550) | $82 | $82 | 18.1× |
| Uric acid other source (84560) | $126 | $126 | 24.8× |
| Urinalysis auto w/scope (81001) | $189 | $189 | 59.6× |
| Urinalysis Microscopic Only (81015) | $189 | $189 | 62.0× |
| Urine pregnancy test (81025) | $178 | $178 | 20.7× |
| Valproic acid (80164) | $221 | $221 | 16.3× |
| Vancomycin trough (80202) | $312 | $312 | 23.0× |
| Varicella-zoster antibody (86787) | $310 | $310 | 24.1× |
| Vasoactive intestinal peptide (vip) (84586) | $652 | $652 | 18.5× |
| Vdrl csf (86592) | $108 | $108 | 25.3× |
| Virus antibody nos (86790) | $352 | $352 | 27.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $446 | $446 | 13.2× |
| Virus inoculation, shell via (87254) | $178 | $178 | 9.1× |
| Viscosity serum (85810) | $160 | $160 | 13.7× |
| Vitamin A (84590) | $376 | $376 | 32.4× |
| Vitamin b-12 (82607) | $268 | $268 | 17.8× |
| Vitamin b1 (thiamine) (84425) | $280 | $280 | 13.2× |
| Vitamin b2 (84252) | $523 | $523 | 25.8× |
| Vitamin b3 niacin (84591) | $183 | $183 | 10.7× |
| Vitamin b6 (84207) | $707 | $707 | 25.2× |
| Vitamin c (82180) | $408 | $408 | 41.3× |
| Vitamin D 25-Hydroxy (82306) | $505 | $505 | 17.1× |
| Vitamin e serum (84446) | $388 | $388 | 27.4× |
| Voltage-gated calcium channel antibody each (86596) | $443 | $443 | 36.8× |
| West nile virus antibody (86789) | $239.50 | $239.50 | 16.6× |
| West nile virus igm (86788) | $266 | $266 | 15.8× |
| Zinc (84630) | $315 | $315 | 27.7× |