| 17 Hydroxyprogesterone (83498) |
$148.50 |
$297 |
5.5× |
| 5-Hiaa (83497) |
$81.50 |
$163 |
6.3× |
| Abl1 gene (81170) |
$456.50 |
$913 |
1.5× |
| Acetone serum qual (82009) |
$35.50 |
$71 |
7.9× |
| Acetone, quantitative (82010) |
$247.25 |
$494.50 |
30.3× |
| Acth (82024) |
$234 |
$468 |
6.1× |
| Activated protein c resistance (85307) |
$199 |
$398 |
13.0× |
| Acute hepatitis panel (80074) |
$144.75 |
$289.50 |
3.0× |
| Acylcarnitines quantitative (82017) |
$93 |
$186 |
5.5× |
| Adenovirus antibody (86603) |
$200.50 |
$401 |
15.6× |
| Afb concentration (87015) |
$48.25 |
$96.50 |
7.2× |
| Afb culture (87116) |
$122.50 |
$245 |
11.3× |
| Afb smear (87206) |
$54.50 |
$109 |
10.1× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$179 |
$358 |
2.8× |
| Albumin body fluid (82042) |
$62.50 |
$125 |
8.0× |
| Albumin serum (82040) |
$60 |
$120 |
12.1× |
| Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) |
$46 |
$92 |
7.4× |
| Aldolase (82085) |
$65.25 |
$130.50 |
6.7× |
| Aldosterone (82088) |
$229.50 |
$459 |
5.6× |
| Alkaline phosphatase (84075) |
$49.50 |
$99 |
9.6× |
| Alkaline phosphatase isoenzymes (84080) |
$52 |
$104 |
3.5× |
| Allergen profile perennial allergen (86003) |
$63 |
$126 |
12.1× |
| Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) |
$76.75 |
$153.50 |
4.3× |
| Alpha-1-antitrypsin (82103) |
$100.75 |
$201.50 |
7.5× |
| Alpha-fetoprotein serum (82105) |
$135 |
$270 |
8.1× |
| Alt (84460) |
$60 |
$120 |
11.3× |
| Aluminum (82108) |
$173 |
$346 |
6.8× |
| Amikacin level (80150) |
$104.75 |
$209.50 |
6.9× |
| Amino acids quant 2-5 (82136) |
$275 |
$550 |
14.0× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$275 |
$550 |
16.3× |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
$122 |
$244 |
5.3× |
| Aminolevulinic acid delta (82135) |
$175.75 |
$351.50 |
10.7× |
| Ammonia (82140) |
$137.75 |
$275.50 |
9.5× |
| Amylase (82150) |
$84.25 |
$168.50 |
13.0× |
| Ana (86038) |
$94 |
$188 |
7.8× |
| Ana titer (86039) |
$32.50 |
$65 |
2.9× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$102.50 |
$205 |
7.8× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$27.50 |
$55 |
1.8× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$150 |
$300 |
8.3× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$98.50 |
$197 |
6.2× |
| Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) |
$312 |
$624 |
23.7× |
| Analysis for antibody to respiratory syncytial virus (RSV) (86756) |
$142 |
$284 |
8.9× |
| Androstanediol glucuronide (82154) |
$139 |
$278 |
4.8× |
| Androstenedione (82157) |
$179.50 |
$359 |
6.1× |
| Angiotensin converting enzyme (82164) |
$124 |
$248 |
8.5× |
| Anti-DNA (single-stranded) antibodies, quantitative, igg labcorp slc 161422 (86226) |
$96 |
$192 |
7.9× |
| Anti-mitochondrial antibody (86255) |
$122 |
$244 |
10.1× |
| Anti-phosphatidylserine antibody (86148) |
$395 |
$790 |
24.6× |
| Antibody identification platelet antibodies (86022) |
$162.50 |
$325 |
8.8× |
| Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) |
$137.75 |
$275.50 |
11.1× |
| Antibody west nile virus igm (86788) |
$59.25 |
$118.50 |
3.5× |
| Antibody; Helicobacter pylori (86677) |
$89.50 |
$179 |
5.3× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$77.28 |
$154.55 |
6.4× |
| Antistreptolysin o titer (86060) |
$83 |
$166 |
11.4× |
| Antithrombin iii activity (85300) |
$117.75 |
$235.50 |
9.9× |
| Antithrombin iii antigen (85301) |
$168 |
$336 |
15.5× |
| Aortic dysfunction/dilation (81410) |
$2,049 |
$4,098 |
4.1× |
| Apolipoprotein each (82172) |
$112.50 |
$225 |
5.3× |
| Arsenic (82175) |
$65.50 |
$131 |
3.5× |
| Aspergillus antibody (86606) |
$112.25 |
$224.50 |
7.5× |
| Aspergillus antigen (87305) |
$115.75 |
$231.50 |
9.7× |
| Assay of feces porphyrins (84126) |
$181.50 |
$363 |
4.6× |
| Assay of fluoride (82735) |
$319 |
$638 |
17.2× |
| Assay of interleukin-6 (il-6) (83529) |
$146.25 |
$292.50 |
8.5× |
| Assay of nickel (83885) |
$116.50 |
$233 |
4.8× |
| Assay of vitamin b-2 (84252) |
$102.50 |
$205 |
5.1× |
| Assay of vitamin not otherwise specified (84591) |
$229 |
$458 |
13.4× |
| Ast (84450) |
$61.25 |
$122.50 |
11.8× |
| ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg,… (81177) |
$642.50 |
$1,285 |
4.7× |
| Autologous blood or component, collection processing and storage; intra- or postoperative salvage (86891) |
$815.50 |
$1,631 |
1.0× |
| B cells total count (86355) |
$229 |
$458 |
6.1× |
| Bacterium antibody (86609) |
$50 |
$100 |
3.9× |
| Bartonella antibody (86611) |
$158.50 |
$317 |
15.6× |
| Basic metabolic panel calcium ionized (80047) |
$136 |
$272 |
9.9× |
| Bcr/abl 1 gene other bp (81208) |
$335.75 |
$671.50 |
1.6× |
| Bcr/abl1 gene major bp (81206) |
$445.50 |
$891 |
2.7× |
| Bcr/abl1 gene minor bp (81207) |
$545 |
$1,090 |
3.8× |
| Beta 2 glycoprotein i antibody (86146) |
$81.50 |
$163 |
3.2× |
| Beta lactamase (87185) |
$117.50 |
$235 |
24.7× |
| Beta-2 microglobulin (82232) |
$80.50 |
$161 |
5.0× |
| Bile acids total (82239) |
$98 |
$196 |
5.7× |
| Bilirubin direct (82248) |
$61 |
$122 |
12.2× |
| Bilirubin total (82247) |
$60 |
$120 |
12.0× |
| Biotinidase (82261) |
$124.25 |
$248.50 |
7.4× |
| Blastomyces antibody (86612) |
$221 |
$442 |
17.1× |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
$35.75 |
$71.50 |
10.4× |
| Bleeding time (85002) |
$55.50 |
$111 |
11.5× |
| Blood count reticulocyte automated (85045) |
$51.50 |
$103 |
12.9× |
| Blood count; automated differential WBC count Other Outpatient (85004) |
$51.50 |
$103 |
8.0× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$36 |
$72 |
11.9× |
| Blood gases any combination (82803) |
$161.75 |
$323.50 |
6.2× |
| Blood gases ph only (82800) |
$50 |
$100 |
4.5× |
| Blood typing rbc antigens (86905) |
$212.50 |
$425 |
55.5× |
| Blood typing serologic abo (86900) |
$67.50 |
$135 |
22.6× |
| Blood typing serologic rh (d) (86901) |
$63.50 |
$127 |
21.2× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$212.50 |
$425 |
33.5× |
| Blood unit compatibility test, incubation technique (86921) |
$176.25 |
$352.50 |
1.0× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$92 |
$184 |
5.8× |
| Bordetella pertussis igm (86615) |
$219 |
$438 |
16.6× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) |
$1,754.50 |
$3,509 |
1.0× |
| Breath alcohol test (82075) |
$16 |
$32 |
0.5× |
| Brucella antibody (86622) |
$118.75 |
$237.50 |
13.3× |
| C-peptide (84681) |
$118.25 |
$236.50 |
5.7× |
| C-reactive protein (86140) |
$61.25 |
$122.50 |
11.8× |
| C-reactive protein high sensitivity (86141) |
$73 |
$146 |
5.6× |
| C2 complement functional (86161) |
$119.50 |
$239 |
10.0× |
| Ca 125 (86304) |
$173.25 |
$346.50 |
8.3× |
| Ca 15-3 (86300) |
$192.25 |
$384.50 |
9.2× |
| Cadmium (82300) |
$27.50 |
$55 |
1.2× |
| Calcitonin (82308) |
$192.50 |
$385 |
7.2× |
| Calcium ionized (82330) |
$96.50 |
$193 |
7.1× |
| Calcium total (82310) |
$58.50 |
$117 |
11.3× |
| Calcium, random urine (82340) |
$73 |
$146 |
12.1× |
| Calprotectin fecal (83993) |
$183.50 |
$367 |
9.3× |
| Calr gene com variants (81219) |
$504 |
$1,008 |
4.1× |
| Cancer antigen 19-9 (86301) |
$118.25 |
$236.50 |
5.7× |
| Candida antibody (86628) |
$168 |
$336 |
14.0× |
| Carbamazepine total (80156) |
$120.25 |
$240.50 |
8.3× |
| Carbamazepine, free (80157) |
$153 |
$306 |
11.5× |
| Carbohydrate deficient transferrin (82373) |
$75 |
$150 |
4.2× |
| Carbon dioxide (82374) |
$68.50 |
$137 |
14.0× |
| Carbon monoxide (82375) |
$105.50 |
$211 |
8.6× |
| Cardiolipin antibody ea ig class (86147) |
$98.50 |
$197 |
3.9× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$202.50 |
$405 |
12.0× |
| Carotene (82380) |
$154 |
$308 |
16.7× |
| Casein igg (86001) |
$130.50 |
$261 |
16.7× |
| Catecholamines fractionated (82384) |
$195.25 |
$390.50 |
7.7× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$51 |
$102 |
1.1× |
| Cea (82378) |
$120.50 |
$241 |
6.4× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$70.50 |
$141 |
12.6× |
| Cell function assay w/stim (86352) |
$289.50 |
$579 |
2.1× |
| Ceruloplasmin (82390) |
$66.75 |
$133.50 |
6.2× |
| Cftr gene com variants (81220) |
$319.75 |
$639.50 |
0.6× |
| Cftr gene dup/delet variants (81222) |
$989 |
$1,978 |
2.3× |
| Cftr gene full sequence (81223) |
$989 |
$1,978 |
2.0× |
| Chemiluminescent assay (82397) |
$145 |
$290 |
10.3× |
| Chg fresh frozen plasma thawing each unit (86927) |
$77.50 |
$155 |
0.4× |
| Chlamydia antibody (86631) |
$36 |
$72 |
3.0× |
| Chlamydia antibody igm (86632) |
$116.50 |
$233 |
9.2× |
| Chlamydia pneumoniae PCR (87486) |
$39.75 |
$79.50 |
1.1× |
| Chloramphenicol (82415) |
$93 |
$186 |
7.3× |
| Chloride blood (82435) |
$68.50 |
$137 |
14.9× |
| Chloride other source (82438) |
$64.25 |
$128.50 |
12.9× |
| Chloride urine (82436) |
$34.50 |
$69 |
6.0× |
| Cholesterol total (82465) |
$38.25 |
$76.50 |
8.8× |
| Cholinesterase rbc (82482) |
$51 |
$102 |
5.2× |
| Cholinesterase serum (82480) |
$62.50 |
$125 |
7.9× |
| Chorionic gonadotropin test (84702) |
$140.50 |
$281 |
9.3× |
| Chromium (82495) |
$146.25 |
$292.50 |
7.2× |
| Chromogenic substrate assay (85130) |
$200.75 |
$401.50 |
16.9× |
| Chromogranin a (86316) |
$186 |
$372 |
8.9× |
| Chromosome analys amniotic (88269) |
$2,340.75 |
$4,681.50 |
13.5× |
| Chromosome analysis 15-20 cells (88262) |
$725.25 |
$1,450.50 |
5.8× |
| Chromosome analysis 20-25 cells (88264) |
$655.50 |
$1,311 |
4.5× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$480 |
$960 |
1.8× |
| Citrate (82507) |
$162 |
$324 |
5.8× |
| Ck mb fraction (82553) |
$120.75 |
$241.50 |
10.5× |
| Clostridium ag eia (87324) |
$102.50 |
$205 |
8.6× |
| Clot inhibit prot s total (85305) |
$54 |
$108 |
4.7× |
| Clotting funct activity (85397) |
$146.75 |
$293.50 |
4.8× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$189 |
$378 |
8.2× |
| Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) |
$131.25 |
$262.50 |
14.4× |
| Clotting; prekallikrein assay (Fletcher factor assay) Other Outpatient (85292) |
$414 |
$828 |
21.9× |
| Cmv antibody (86644) |
$108 |
$216 |
7.5× |
| Coccidioides antibody (86635) |
$52.25 |
$104.50 |
4.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$127 |
$254 |
5.3× |
| Cold agglutinin screen (86156) |
$46.50 |
$93 |
5.8× |
| Cold agglutinins titer (86157) |
$69.50 |
$139 |
8.6× |
| Collagen cross links (82523) |
$134 |
$268 |
7.2× |
| Complement antigen ea component (86160) |
$82 |
$164 |
6.8× |
| Complement total (ch50) (86162) |
$124 |
$248 |
6.1× |
| Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) |
$350.50 |
$701 |
2.0× |
| Copper (82525) |
$111.75 |
$223.50 |
9.0× |
| Cortisol free (82530) |
$150 |
$300 |
9.0× |
| Cortisol saliva (82533) |
$142.25 |
$284.50 |
8.7× |
| COVID-19 antibody (86769) |
$74.50 |
$149 |
1.8× |
| Coxsackie a9 virus antibody (86658) |
$213.50 |
$427 |
16.4× |
| Creatine kinase isoenzymes (82552) |
$64 |
$128 |
4.8× |
| Creatine kinase total (82550) |
$82 |
$164 |
12.6× |
| Creatine serum or plasma arup 2002340 (82540) |
$30.50 |
$61 |
6.6× |
| Creatinine (82565) |
$43.50 |
$87 |
8.5× |
| Creatinine clearance (82575) |
$97 |
$194 |
10.3× |
| Creatinine other source (82570) |
$59 |
$118 |
11.4× |
| Crossmatch ahg (86922) |
$233.50 |
$467 |
1.3× |
| Cryofibrinogen (82585) |
$64 |
$128 |
4.5× |
| Cryoglobulins (82595) |
$65.50 |
$131 |
10.1× |
| Cryptococcus antibody (86641) |
$101.50 |
$203 |
7.0× |
| Cryptosporidium ag eia (87328) |
$93.25 |
$186.50 |
6.7× |
| Crystals fluid (89060) |
$94.50 |
$189 |
12.9× |
| Culture anaerobic (87075) |
$205.50 |
$411 |
21.7× |
| Culture blood (87040) |
$146.25 |
$292.50 |
14.2× |
| Culture fungus blood (87103) |
$113 |
$226 |
5.5× |
| Culture fungus skin hair nail (87101) |
$110.75 |
$221.50 |
14.4× |
| Culture stool (87045) |
$126 |
$252 |
13.3× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$40 |
$80 |
5.0× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$52.50 |
$105 |
6.5× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$50 |
$100 |
5.3× |
| Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) |
$98 |
$196 |
6.7× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$27.50 |
$55 |
5.3× |
| Cyanide (82600) |
$119.50 |
$239 |
6.2× |
| Cyclic amp (82030) |
$236 |
$472 |
9.1× |
| Cyclic citrullinated peptide ab (86200) |
$110.25 |
$220.50 |
8.5× |
| Cyclosporine (80158) |
$202.50 |
$405 |
11.2× |
| Cyp2c19 gene analysis common variants (81225) |
$850 |
$1,700 |
2.9× |
| Cyp2c9 gene com variants (81227) |
$456.50 |
$913 |
2.6× |
| Cyp2d6 gene analysis common variants (81226) |
$540.50 |
$1,081 |
1.2× |
| Cystatin c (82610) |
$61.25 |
$122.50 |
3.3× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$114 |
$228 |
8.8× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$1,552 |
$3,104 |
1.3× |
| Cytogenomic neoplasia microarray analysis (81277) |
$2,184 |
$4,368 |
1.9× |
| Cytomeg DNA amp probe (87496) |
$115 |
$230 |
3.3× |
| Cytomegalovirus antibody igm (86645) |
$97.50 |
$195 |
5.8× |
| Cytopathology, smears, any other source; preparation, screening and interpretation (88161) |
$87 |
$174 |
2.9× |
| Cytp eval fine needle aspirate interp & report (88173) |
$178 |
$356 |
3.2× |
| Cytp urine 3-5 probes cmptr (88121) |
$137 |
$274 |
0.8× |
| Cytp urne 3-5 probes ea spec (88120) |
$369 |
$738 |
2.1× |
| D-dimer quantitative (85379) |
$119 |
$238 |
11.7× |
| Deoxycortisol (82634) |
$163.50 |
$327 |
5.6× |
| Deoxyribonuclease antibody (86215) |
$85 |
$170 |
6.4× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$22.50 |
$45 |
1.6× |
| Dhea (82626) |
$137.75 |
$275.50 |
5.5× |
| Dhea sulfate (82627) |
$40.75 |
$81.50 |
1.8× |
| Dibucaine number (82638) |
$104 |
$208 |
8.5× |
| Digoxin (80162) |
$120.25 |
$240.50 |
9.1× |
| Dihydrotestosterone (82642) |
$196.75 |
$393.50 |
6.7× |
| Diphtheria antibody (86648) |
$250.50 |
$501 |
16.5× |
| Direct antiglobulin test (86880) |
$65.50 |
$131 |
12.2× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded)… (81234) |
$1,110.50 |
$2,221 |
8.1× |
| DNA/RNA amplified probe (87150) |
$308 |
$616 |
8.8× |
| DNA/RNA sequencing (87153) |
$133.25 |
$266.50 |
1.2× |
| Dpyd gene analysis common variants (81232) |
$624 |
$1,248 |
3.6× |
| Drug assay amiodarone (80151) |
$36.75 |
$73.50 |
2.0× |
| Drug assay flecainide (80181) |
$69 |
$138 |
3.7× |
| Drug assay vedolizumab (80280) |
$256.50 |
$513 |
6.7× |
| Drug screen quant clozapine (80159) |
$38.75 |
$77.50 |
1.9× |
| Drug screen quant everolimus (80169) |
$223.50 |
$447 |
16.3× |
| Drug screen quant levetiracetam (80177) |
$137.75 |
$275.50 |
10.4× |
| Drug screen quant mycophenolate (80180) |
$184.50 |
$369 |
10.2× |
| Drug screen quantitative oxcarbazepine (80183) |
$118.50 |
$237 |
8.9× |
| Drug test prsmv chem anlyzr (80307) |
$123 |
$246 |
2.0× |
| Drug test prsmv dir opt obs (80305) |
$9.25 |
$18.50 |
0.7× |
| Drug test prsmv instrmnt (80306) |
$105.75 |
$211.50 |
6.2× |
| Ear culture (87070) |
$106.25 |
$212.50 |
12.3× |
| Ehrlichia antibody (86666) |
$143.75 |
$287.50 |
14.1× |
| Electrolytes panel (80051) |
$103.50 |
$207 |
14.8× |
| Electrophoretic test (82664) |
$55.50 |
$111 |
0.9× |
| Enterovirus by PCR (87498) |
$79.25 |
$158.50 |
2.3× |
| Enzyme histochemistry (88319) |
$202.75 |
$405.50 |
0.2× |
| Eosinophils urine (87205) |
$46.50 |
$93 |
10.9× |
| Erythropoietin (82668) |
$137.75 |
$275.50 |
7.3× |
| Estradiol (82670) |
$40.75 |
$81.50 |
1.5× |
| Estriol (82677) |
$144 |
$288 |
6.0× |
| Estrone (82679) |
$137.75 |
$275.50 |
5.5× |
| Ethosuximide (80168) |
$77.50 |
$155 |
4.7× |
| Ethylene glycol (82693) |
$107 |
$214 |
7.2× |
| Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Other Outpatient (81415) |
$4,914 |
$9,828 |
1.0× |
| Extractable nuclear antigen antibody any method (86235) |
$94.50 |
$189 |
5.3× |
| F2 gene analysis (81240) |
$288.75 |
$577.50 |
4.4× |
| F5 gene (81241) |
$159.75 |
$319.50 |
2.2× |
| Factor ii activity (85210) |
$200.50 |
$401 |
15.4× |
| Factor inhibitor test (85335) |
$98 |
$196 |
7.6× |
| Factor ix activity (85250) |
$207 |
$414 |
10.9× |
| Factor v activity (85220) |
$111.75 |
$223.50 |
6.3× |
| Factor vii activity (85230) |
$207 |
$414 |
11.6× |
| Factor viii activity (85240) |
$98.25 |
$196.50 |
5.5× |
| Factor viii vw antigen (85246) |
$185 |
$370 |
8.1× |
| Factor x (stuart-prower) (85260) |
$187.25 |
$374.50 |
10.5× |
| Factor xi activity (85270) |
$207 |
$414 |
11.6× |
| Factor xii (hageman) (85280) |
$207 |
$414 |
10.7× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$152.50 |
$305 |
9.1× |
| Fatty acids nonesterified (82725) |
$98 |
$196 |
5.2× |
| Fecal fat qualitative (82705) |
$126.50 |
$253 |
24.8× |
| Ferritin (82728) |
$61 |
$122 |
4.5× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$1,811 |
$3,622 |
2.4× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$133.50 |
$267 |
1.7× |
| Fibrinogen antigen (85385) |
$89 |
$178 |
6.2× |
| Fibrinogen, activity (85384) |
$94.25 |
$188.50 |
9.7× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$77 |
$154 |
5.0× |
| Flow cytometry first marker (88184) |
$126.50 |
$253 |
0.3× |
| FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) |
$193 |
$386 |
4.3× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$500 |
$1,000 |
8.8× |
| Folate serum (82746) |
$96.25 |
$192.50 |
6.5× |
| Folic acid rbc (82747) |
$147 |
$294 |
8.3× |
| Follicle stimulating hormone (fsh) (83001) |
$103 |
$206 |
5.5× |
| Francisella tularensis ab (86668) |
$148 |
$296 |
10.5× |
| Fructosamine (82985) |
$85.25 |
$170.50 |
5.1× |
| Ftl cgen abnor four anal (81511) |
$237.50 |
$475 |
1.5× |
| Ftl cgen abnor two proteins (81508) |
$166.50 |
$333 |
3.1× |
| Fungus isolation culture (87102) |
$89 |
$178 |
10.6× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$82.78 |
$165.55 |
6.8× |
| G6pd full gene sequence (81249) |
$1,032 |
$2,064 |
1.7× |
| Galectin-3 (82777) |
$185 |
$370 |
4.2× |
| Gamma glutamyl transferase (82977) |
$67.50 |
$135 |
9.4× |
| Gammaglobulin ige (82785) |
$116 |
$232 |
7.0× |
| Gastrin (82941) |
$99 |
$198 |
5.6× |
| Genetic testing for severe inherited conditions (81443) |
$2,436.75 |
$4,873.50 |
1.0× |
| Genotype DNA HIV reverse t (87901) |
$1,425 |
$2,850 |
5.5× |
| Genotype DNA/RNA HIV (87906) |
$358.50 |
$717 |
2.8× |
| Gentamicin (80170) |
$169.50 |
$339 |
10.3× |
| Giardia antigen (87329) |
$139.50 |
$279 |
11.6× |
| Giardia lamblia antibody (86674) |
$129 |
$258 |
8.8× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$26.75 |
$53.50 |
8.2× |
| Glucagon (82943) |
$180.50 |
$361 |
12.6× |
| Glucagon tolerance test Other Outpatient (82946) |
$18.50 |
$37 |
1.0× |
| Glucose Fasting (82947) |
$60 |
$120 |
15.3× |
| Glucose other fluid (82945) |
$64.75 |
$129.50 |
16.5× |
| Glucose post glucose dose (82950) |
$66.25 |
$132.50 |
13.9× |
| Glucose tolerance test (gtt) (82951) |
$81 |
$162 |
6.3× |
| Glucose-6-pd (82955) |
$123.50 |
$247 |
12.7× |
| Glucosidase (sugar enzyme) measurement (82963) |
$507 |
$1,014 |
23.6× |
| Glutathione (82978) |
$251.50 |
$503 |
16.3× |
| Glycated hemoglobin (83036) |
$57.50 |
$115 |
5.9× |
| Gonadotropin releasing hormone (83727) |
$233 |
$466 |
13.6× |
| Growth hormone (hgh) (83003) |
$99 |
$198 |
5.9× |
| Gtt-added samples (82952) |
$55 |
$110 |
14.0× |
| H pylori breath test (83013) |
$214.75 |
$429.50 |
3.2× |
| H pylori stool (87338) |
$169.50 |
$339 |
11.8× |
| Haloperidol (80173) |
$373 |
$746 |
23.6× |
| Haptoglobin (83010) |
$94 |
$188 |
7.5× |
| Hba1/hba2 gene (81257) |
$140.50 |
$281 |
1.4× |
| Hba1/hba2 gene analysis dup/del variants (81269) |
$646 |
$1,292 |
3.2× |
| Hbb full gene sequence (81364) |
$364 |
$728 |
1.1× |
| Hbb gene dup/del variants (81363) |
$488 |
$976 |
2.4× |
| Hbsag neutralization (87341) |
$85 |
$170 |
8.2× |
| Hcg ql (84703) |
$72.50 |
$145 |
9.6× |
| HDL cholesterol (83718) |
$48 |
$96 |
5.9× |
| Heavy metal quan each nes (83018) |
$156.50 |
$313 |
7.1× |
| Heavy metal screen (83015) |
$200 |
$400 |
9.6× |
| Hematocrit (hct) (85014) |
$27 |
$54 |
11.4× |
| Hemoglobin (85018) |
$26.50 |
$53 |
11.2× |
| Hemoglobin electrophoresis (83020) |
$101.75 |
$203.50 |
7.9× |
| Hemoglobin fetal ql (83033) |
$117 |
$234 |
14.6× |
| Hemoglobin fractj/quantj chromotography (83021) |
$65 |
$130 |
3.6× |
| Hemoglobin plasma (83051) |
$172 |
$344 |
23.5× |
| Hemoglobin stability screen (83068) |
$39 |
$78 |
4.1× |
| Hemoglobin urine (83069) |
$90 |
$180 |
22.8× |
| Hemolysin acid (85475) |
$284.50 |
$569 |
32.1× |
| Hemosiderin qual (83070) |
$80 |
$160 |
16.8× |
| Hep a ab total (86708) |
$79.75 |
$159.50 |
6.4× |
| Heparin assay (85520) |
$200 |
$400 |
15.3× |
| Hepatitis a antibody igm (86709) |
$88.75 |
$177.50 |
7.9× |
| Hepatitis b core antibody igm (86705) |
$119.75 |
$239.50 |
10.2× |
| Hepatitis b core antibody total (86704) |
$55.50 |
$111 |
4.6× |
| Hepatitis b DNA quant (87517) |
$331.50 |
$663 |
7.7× |
| Hepatitis b surface ab (86706) |
$81 |
$162 |
7.5× |
| Hepatitis b surface antigen (87340) |
$67.50 |
$135 |
6.5× |
| Hepatitis be antibody (86707) |
$67.50 |
$135 |
5.8× |
| Hepatitis be antigen (87350) |
$64.50 |
$129 |
5.6× |
| Hepatitis c antibody (86803) |
$46 |
$92 |
3.2× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$213.50 |
$427 |
13.8× |
| Hepatitis c genotype (87902) |
$705 |
$1,410 |
2.7× |
| Hepatitis c RNA quantitative (87522) |
$229.50 |
$459 |
5.4× |
| Hepatitis delta antibody (86692) |
$134.50 |
$269 |
7.8× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$83.25 |
$166.50 |
5.8× |
| Herpes simplex virus by PCR (87529) |
$171.75 |
$343.50 |
4.9× |
| Heterophile antibody screen (86308) |
$59 |
$118 |
11.4× |
| Hexagonal phospholipid neutralization (85598) |
$128.50 |
$257 |
7.1× |
| Hexosaminidase a percent & total hexosaminidase in leukocytes arup 2008125 (83080) |
$153.25 |
$306.50 |
9.1× |
| Hfe gene (81256) |
$521.25 |
$1,042.50 |
8.0× |
| Hhv-6 DNA amp probe (87532) |
$141 |
$282 |
4.0× |
| Histamine (83088) |
$164.75 |
$329.50 |
5.6× |
| Histoplasma antibody (86698) |
$110 |
$220 |
8.0× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$103.50 |
$207 |
4.3× |
| HIV-1 antibody (86701) |
$81.50 |
$163 |
9.2× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$57.50 |
$115 |
4.2× |
| HIV-2 antibody (86702) |
$116.50 |
$233 |
8.6× |
| Hla b27 (86812) |
$141.25 |
$282.50 |
5.5× |
| Hla class i typing low resolution complete (81372) |
$289.25 |
$578.50 |
0.7× |
| Hla i typing 1 allele hr (81381) |
$628.50 |
$1,257 |
3.7× |
| Hla i typing 1 locus hr (81380) |
$407 |
$814 |
2.3× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
$344 |
$688 |
1.6× |
| Hla ii typing 1 locus lr (81376) |
$336.50 |
$673 |
2.8× |
| Homocysteine level (83090) |
$62 |
$124 |
3.5× |
| Homogenization tissue (87176) |
$15.50 |
$31 |
2.6× |
| Homovanillic acid urine (83150) |
$194 |
$388 |
8.7× |
| Hpv high-risk types (87624) |
$95 |
$190 |
2.7× |
| Hrdtry brst ca-rlatd dsordrs (81432) |
$2,800 |
$5,600 |
2.1× |
| Hrdtry cardmypy gene panel (81439) |
$1,894 |
$3,788 |
3.2× |
| Htlv-i antibody (86687) |
$226 |
$452 |
24.9× |
| Htt gene analysis detect abnormal alleles (81271) |
$300.50 |
$601 |
2.2× |
| Human epididymis protein 4 (86305) |
$225 |
$450 |
10.8× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$218 |
$436 |
11.3× |
| Hydroxyproline total (83505) |
$218 |
$436 |
9.0× |
| Iaadi herpes smplx virus type 1 (87274) |
$114.50 |
$229 |
9.6× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$76.50 |
$153 |
1.5× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$182 |
$364 |
1.3× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$356.75 |
$713.50 |
0.9× |
| Igg subclass 1 (82787) |
$134 |
$268 |
16.7× |
| Immune complex assay (86332) |
$444 |
$888 |
18.2× |
| Immunoassay analyte quantitative nos (83520) |
$166 |
$332 |
9.6× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
$105.50 |
$211 |
5.8× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) |
$73.75 |
$147.50 |
1.6× |
| Immunoassay infectious agent antibody quan nos (86317) |
$172 |
$344 |
11.5× |
| Immunodiffusion nes (86329) |
$89 |
$178 |
6.3× |
| Immunodiffusion ouchterlony (86331) |
$132 |
$264 |
11.0× |
| Immunofixation electrophoresis (86334) |
$131 |
$262 |
5.9× |
| Immunofixation urine (86335) |
$215.25 |
$430.50 |
7.3× |
| Immunofluor antb 1st stain (88346) |
$128 |
$256 |
0.7× |
| Immunoglobulin d (82784) |
$61 |
$122 |
6.6× |
| Immunoglobulin light chains free each (83521) |
$120.50 |
$241 |
7.0× |
| Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) |
$662 |
$1,324 |
1.8× |
| Immunoperoxidase (88342) |
$348 |
$696 |
1.9× |
| In situ hybridization 1st probe stain (88365) |
$331.25 |
$662.50 |
1.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87337) |
$193 |
$386 |
16.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$43.25 |
$86.50 |
3.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
$160.75 |
$321.50 |
12.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) |
$220.50 |
$441 |
13.8× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$77.50 |
$155 |
4.8× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) |
$28 |
$56 |
0.7× |
| Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) |
$216 |
$432 |
18.0× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$191 |
$382 |
4.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$309.25 |
$618.50 |
8.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) |
$129 |
$258 |
1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$75 |
$150 |
2.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$318.25 |
$636.50 |
7.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient (87533) |
$500 |
$1,000 |
12.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$273 |
$546 |
7.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$165.75 |
$331.50 |
1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$272.50 |
$545 |
6.5× |
| Influenza a ag eia (87400) |
$86.75 |
$173.50 |
6.1× |
| Influenza antibody (86710) |
$125 |
$250 |
9.2× |
| Influenza assay w/optic (87804) |
$12.75 |
$25.50 |
0.8× |
| Inhibin a (86336) |
$59 |
$118 |
3.8× |
| Insulin antibody (86337) |
$64 |
$128 |
3.0× |
| Insulin free (83527) |
$30 |
$60 |
2.3× |
| Insulin total (83525) |
$87.50 |
$175 |
7.7× |
| Intrinsic factor antibody (86340) |
$109.25 |
$218.50 |
7.2× |
| Iron (83540) |
$61.25 |
$122.50 |
9.5× |
| Iron binding capacity (83550) |
$66.75 |
$133.50 |
7.6× |
| Islet cell antibody (86341) |
$143.75 |
$287.50 |
6.1× |
| Jak2 gene (81270) |
$500 |
$1,000 |
5.5× |
| John cunningham antibody (86711) |
$1,448 |
$2,896 |
85.7× |
| Kit gene analys d816 variant (81273) |
$702.75 |
$1,405.50 |
5.6× |
| Koh prep (87220) |
$49.50 |
$99 |
11.6× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$116.75 |
$233.50 |
3.0× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$114.50 |
$229 |
2.9× |
| Lactate (83605) |
$179.75 |
$359.50 |
15.5× |
| Lactate dehydrogenase (83615) |
$65 |
$130 |
10.8× |
| Lactoferrin fecal (qual) (83630) |
$92 |
$184 |
4.7× |
| Lamotrigine (80175) |
$92.25 |
$184.50 |
7.0× |
| Ldh isoenzymes (83625) |
$166 |
$332 |
13.0× |
| LDL direct (83721) |
$51.50 |
$103 |
4.9× |
| Lead (83655) |
$33.75 |
$67.50 |
2.8× |
| Legionella antibody (86713) |
$98 |
$196 |
6.4× |
| Legionella culture (87081) |
$107.50 |
$215 |
16.2× |
| Legionella urine antigen (87449) |
$143.25 |
$286.50 |
12.0× |
| Leishmania antibody (86717) |
$144 |
$288 |
11.8× |
| Leptospira antibody (86720) |
$95 |
$190 |
5.9× |
| Leukocyte assessment fecal (89055) |
$44 |
$88 |
10.3× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$104.50 |
$209 |
2.7× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$147.50 |
$295 |
2.7× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$190.50 |
$381 |
3.5× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$457.50 |
$915 |
1.2× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$917.50 |
$1,835 |
1.1× |
| Lipase (83690) |
$86.25 |
$172.50 |
12.5× |
| Lipopro bld electrophoretic (83700) |
$46.75 |
$93.50 |
4.2× |
| Lipoprotein (a) (83695) |
$85.25 |
$170.50 |
6.0× |
| Lipoprotein bld by nmr (83704) |
$81.50 |
$163 |
2.4× |
| Lipoprotein bld hr fraction (83701) |
$80.50 |
$161 |
2.4× |
| Lipoprotein-associated phospholipase a2 (83698) |
$154.50 |
$309 |
3.3× |
| Lithium (80178) |
$68.25 |
$136.50 |
10.3× |
| Luteinizing hormone (lh) (83002) |
$118.25 |
$236.50 |
6.4× |
| Lyme disease antibody (86617) |
$142 |
$284 |
9.2× |
| Lyme disease antibody (86618) |
$144.25 |
$288.50 |
8.5× |
| Lymphocyte transformation (86353) |
$392.50 |
$785 |
8.0× |
| M genitalium amp probe (87563) |
$130 |
$260 |
3.7× |
| M/phmtrc alys ishquant/semiq (88377) |
$252 |
$504 |
1.4× |
| Macroscopic exam arthropod (87168) |
$62 |
$124 |
14.5× |
| Macroscopic exam parasite (87169) |
$62 |
$124 |
14.4× |
| Magnesium (83735) |
$62.50 |
$125 |
9.3× |
| Malaria smear (87207) |
$65 |
$130 |
10.9× |
| Manganese (83785) |
$151 |
$302 |
5.7× |
| Manual differential (85007) |
$35.75 |
$71.50 |
9.4× |
| Mercury (83825) |
$29.50 |
$59 |
1.8× |
| Metanephrines (83835) |
$137 |
$274 |
8.1× |
| Methemoglobin quant (83050) |
$166.50 |
$333 |
20.3× |
| Methylmalonic acid serum (83921) |
$116.75 |
$233.50 |
5.5× |
| Microalbumin urine (82043) |
$101 |
$202 |
17.5× |
| Microsatellite instability analysis (81301) |
$570.50 |
$1,141 |
1.6× |
| Mitochondrial antibody each (86381) |
$71.50 |
$143 |
2.8× |
| Mlh1 gene full seq (81292) |
$511.50 |
$1,023 |
0.8× |
| Mold id (87107) |
$75.50 |
$151 |
7.3× |
| Molecular cytogenetics DNA probe each (88271) |
$115.75 |
$231.50 |
5.4× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$243.25 |
$486.50 |
4.8× |
| Mononuclear cell antigen (86356) |
$250 |
$500 |
9.3× |
| Mopath procedure level 1 (81400) |
$343.25 |
$686.50 |
5.4× |
| Mopath procedure level 2 (81401) |
$472 |
$944 |
3.4× |
| Mopath procedure level 4 (81403) |
$326.75 |
$653.50 |
1.8× |
| Mopath procedure level 5 (81404) |
$1,028 |
$2,056 |
3.7× |
| Mopath procedure level 6 (81405) |
$562 |
$1,124 |
1.9× |
| Mopath procedure level 7 (81406) |
$1,040.25 |
$2,080.50 |
3.7× |
| Mopath procedure level 8 (81407) |
$6 |
$12 |
0.0× |
| Mopath procedure level 9 (81408) |
$2,220.75 |
$4,441.50 |
1.1× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$583.50 |
$1,167 |
3.2× |
| Mrsa PCR (87641) |
$105.50 |
$211 |
3.0× |
| Msh2 gene full seq (81295) |
$314 |
$628 |
0.8× |
| Msh6 gene full seq (81298) |
$489.50 |
$979 |
0.8× |
| Mthfr gene (81291) |
$574.75 |
$1,149.50 |
8.8× |
| Mumps antibody (86735) |
$90 |
$180 |
6.9× |
| Muramidase (85549) |
$111.50 |
$223 |
5.9× |
| Mycoplasma antibody (86738) |
$152.50 |
$305 |
11.5× |
| Mycoplasma pneumoniae by PCR (87581) |
$39.75 |
$79.50 |
1.1× |
| Myd88 gene p.leu265pro vrnt (81305) |
$462.50 |
$925 |
2.6× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$140.25 |
$280.50 |
12.2× |
| Myoglobin (83874) |
$82 |
$164 |
6.3× |
| N.gonorrhoeae DNA amp prob (87591) |
$67 |
$134 |
1.9× |
| Nasal smear for eosinophils (89190) |
$31.50 |
$63 |
5.4× |
| Natriuretic peptide (83880) |
$154.50 |
$309 |
3.9× |
| Nephelometry ea analyte (83883) |
$161.50 |
$323 |
11.9× |
| Neutralization test viral (86382) |
$195.25 |
$390.50 |
11.5× |
| Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) |
$250.50 |
$501 |
3.1× |
| Nfct ds chrnc hcv 6 assays (81596) |
$351.50 |
$703 |
4.9× |
| Nk cells total count (86357) |
$68.75 |
$137.50 |
1.8× |
| Nucleotidase 5 (83915) |
$146.75 |
$293.50 |
13.2× |
| Occult blood other sources (82271) |
$37 |
$74 |
7.0× |
| Occult blood screening (82270) |
$35 |
$70 |
8.0× |
| Oligoclonal bands (83916) |
$46 |
$92 |
1.7× |
| Organic acids qual each (83919) |
$179 |
$358 |
10.9× |
| Organic acids total quant (83918) |
$344 |
$688 |
14.6× |
| Osmolality serum (83930) |
$64.25 |
$128.50 |
9.7× |
| Osmolality urine (83935) |
$68.75 |
$137.50 |
10.1× |
| Osteocalcin (83937) |
$264.50 |
$529 |
8.9× |
| Ova and parasite exam (87177) |
$101.50 |
$203 |
11.4× |
| Oxalate urine (83945) |
$108.50 |
$217 |
7.5× |
| Pancreatic polypeptide (83519) |
$187 |
$374 |
10.2× |
| Parathyroid hormone (83970) |
$181.50 |
$363 |
4.4× |
| Particle agglut antbdy titr arup to palo alto medical foundation (86406) |
$66.75 |
$133.50 |
6.3× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$88 |
$176 |
7.6× |
| Parvovirus antibody (86747) |
$102.50 |
$205 |
6.8× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$263 |
$526 |
0.7× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$192.50 |
$385 |
1.1× |
| Pertussis by PCR (87798) |
$215 |
$430 |
6.1× |
| Ph body fluid (83986) |
$37 |
$74 |
10.3× |
| Phenobarbital (80184) |
$104.50 |
$209 |
6.8× |
| Phenylalanine (84030) |
$13 |
$26 |
2.4× |
| Phenytoin (dilantin) free (80186) |
$154 |
$308 |
11.2× |
| Phenytoin level total (80185) |
$122.50 |
$245 |
9.2× |
| Phosphohexose isomerase (84087) |
$174.50 |
$349 |
16.3× |
| Phosphorus (84100) |
$61.25 |
$122.50 |
12.9× |
| Phosphorus urine (84105) |
$62.50 |
$125 |
10.8× |
| Pinworm exam (87172) |
$47.50 |
$95 |
11.1× |
| Plasminogen activity (85420) |
$165 |
$330 |
25.3× |
| Platelet count automated (85049) |
$45.50 |
$91 |
10.2× |
| Platelet neutralization (85597) |
$64 |
$128 |
3.6× |
| Pml/raralpha com breakpoints (81315) |
$681.50 |
$1,363 |
3.3× |
| Pmp22 gene dup/delet (81324) |
$582.50 |
$1,165 |
0.8× |
| Pms2 gene dup/delet variants (81319) |
$267.25 |
$534.50 |
1.3× |
| Porphobilinogen urine (84110) |
$101.50 |
$203 |
12.0× |
| Porphyrins total plasma (84311) |
$103 |
$206 |
12.7× |
| Porphyrins urine quantitation & fractionation (84120) |
$93.75 |
$187.50 |
6.4× |
| Potassium (84132) |
$61.25 |
$122.50 |
12.9× |
| Potassium urine (84133) |
$56.25 |
$112.50 |
11.9× |
| Prealbumin (84134) |
$57.75 |
$115.50 |
4.0× |
| Pregnenolone (84140) |
$53.25 |
$106.50 |
2.6× |
| Primidone (80188) |
$63.25 |
$126.50 |
3.8× |
| Procalcitonin (pct) (84145) |
$147 |
$294 |
5.4× |
| Progesterone (84144) |
$40.75 |
$81.50 |
2.0× |
| Proinsulin (84206) |
$384 |
$768 |
14.4× |
| Prolactin (84146) |
$111.50 |
$223 |
5.8× |
| Prostaglandin (84150) |
$245 |
$490 |
5.9× |
| Prostatic acid phosphatase (84066) |
$69.50 |
$139 |
7.2× |
| Protein c activity (85303) |
$154.50 |
$309 |
11.2× |
| Protein c antigen (85302) |
$125.50 |
$251 |
10.4× |
| Protein electrophoresis serum (84165) |
$85 |
$170 |
7.9× |
| Protein electrophoresis urine (84166) |
$37.50 |
$75 |
2.1× |
| Protein s antigen, free (85306) |
$114.75 |
$229.50 |
7.5× |
| Protein total other source (84157) |
$62.50 |
$125 |
15.6× |
| Protein total serum (84155) |
$62.50 |
$125 |
17.0× |
| Protein total urine (84156) |
$60 |
$120 |
16.3× |
| Protein western blot (84181) |
$138 |
$276 |
8.1× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$234.25 |
$468.50 |
8.0× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$58.25 |
$116.50 |
14.8× |
| Protozoa antibody nos (86753) |
$102.75 |
$205.50 |
8.3× |
| PSA free (84154) |
$87.75 |
$175.50 |
4.8× |
| Pyruvate (84210) |
$98 |
$196 |
6.8× |
| Pyruvate kinase (84220) |
$154 |
$308 |
16.3× |
| Q fever antibody (86638) |
$58 |
$116 |
4.8× |
| Quinidine (80194) |
$120.50 |
$241 |
8.3× |
| Rbc antibody identification (86870) |
$583.50 |
$1,167 |
1.5× |
| Rbc antibody screen (86850) |
$76 |
$152 |
7.8× |
| Reagent strip/blood glucose (82948) |
$12 |
$24 |
2.4× |
| Receptor assay non-endocrine specify receptor (84238) |
$137 |
$274 |
3.7× |
| Reducing substances fecal (84376) |
$104.50 |
$209 |
19.0× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$67.25 |
$134.50 |
5.6× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$78.50 |
$157 |
6.0× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$78.75 |
$157.50 |
4.1× |
| Renin (84244) |
$137.75 |
$275.50 |
6.3× |
| Reptilase test (85635) |
$67.50 |
$135 |
6.9× |
| Resp virus 12-25 targets (87633) |
$491.75 |
$983.50 |
1.2× |
| Respiratory syncytial vi (87280) |
$87.25 |
$174.50 |
6.5× |
| Rheumatoid factor quant (86431) |
$54 |
$108 |
9.5× |
| Rickettsia antibody (86757) |
$143.50 |
$287 |
7.4× |
| Ristocetin cofactor (85245) |
$154.50 |
$309 |
6.7× |
| Rl immediate spin crossmatch (86920) |
$178.50 |
$357 |
1.0× |
| Rotavirus ag eia (87425) |
$96 |
$192 |
8.0× |
| Rpr qual (86592) |
$64.50 |
$129 |
15.1× |
| Rpr titer (86593) |
$26.50 |
$53 |
6.0× |
| Rubella antibody (86762) |
$52 |
$104 |
3.6× |
| Rubeola antibody (86765) |
$52 |
$104 |
4.0× |
| Russell viper venom diluted (85613) |
$90.50 |
$181 |
9.4× |
| Sedimentation rate rbc non-automated (85651) |
$44.25 |
$88.50 |
10.4× |
| Selenium (84255) |
$147.50 |
$295 |
5.8× |
| Semen analysis complete (89320) |
$151.50 |
$303 |
12.3× |
| Semen analysis post vasectomy (89321) |
$62.50 |
$125 |
5.2× |
| Serotonin (84260) |
$186.75 |
$373.50 |
6.0× |
| Sex hormone binding globulin (84270) |
$61.25 |
$122.50 |
2.8× |
| Sickle cell screen (85660) |
$68.75 |
$137.50 |
12.5× |
| Sirolimus (80195) |
$162.25 |
$324.50 |
11.8× |
| Skin test tuberculosis intradermal (86580) |
$25 |
$50 |
0.8× |
| Smear wet mount (87210) |
$45.50 |
$91 |
7.8× |
| Snrpn/ube3a methylation analysis (81331) |
$600.50 |
$1,201 |
11.8× |
| So neo gsap DNA mcrstl ins (81457) |
$2,600 |
$5,200 |
2.9× |
| Sodium (84295) |
$61.25 |
$122.50 |
12.7× |
| Sodium other source (84302) |
$57 |
$114 |
11.7× |
| Sodium urine (84300) |
$58 |
$116 |
11.5× |
| Somatomedin (84305) |
$98.50 |
$197 |
4.6× |
| Somatostatin (84307) |
$381 |
$762 |
20.8× |
| Special stains group i (88312) |
$111.50 |
$223 |
2.0× |
| Special stains group ii (88313) |
$118.75 |
$237.50 |
0.8× |
| Specific gravity except urine (84315) |
$25.50 |
$51 |
7.8× |
| Sperm antibodies (89325) |
$668.50 |
$1,337 |
62.7× |
| Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) |
$13 |
$26 |
0.1× |
| Stone analysis (82365) |
$82 |
$164 |
6.4× |
| Strep a assay w/optic (87880) |
$13 |
$26 |
0.8× |
| Strep b DNA amp probe (87653) |
$49 |
$98 |
1.4× |
| Sulfate urine (84392) |
$34.25 |
$68.50 |
6.2× |
| Surg path level 1 (88300) |
$63.25 |
$126.50 |
2.1× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$457 |
$914 |
8.3× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$312 |
$624 |
7.9× |
| Susceptibility mic per plate (87186) |
$69.50 |
$139 |
8.0× |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
$29 |
$58 |
6.1× |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
$177.50 |
$355 |
26.7× |
| Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient (87190) |
$378.50 |
$757 |
51.8× |
| T3 free (84481) |
$53 |
$106 |
3.1× |
| T3 reverse (84482) |
$71.50 |
$143 |
4.5× |
| T3 uptake (84479) |
$74.50 |
$149 |
11.5× |
| T4 (thyroxine) total (84436) |
$55 |
$110 |
8.0× |
| Tacrolimus (80197) |
$137.75 |
$275.50 |
10.0× |
| Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) |
$606.25 |
$1,212.50 |
4.7× |
| Tb test cell immun measure (86480) |
$195.25 |
$390.50 |
3.2× |
| Testosterone bioavailable (84410) |
$105.50 |
$211 |
2.1× |
| Testosterone free (84402) |
$27.50 |
$55 |
1.1× |
| Testosterone total (84403) |
$28.50 |
$57 |
1.1× |
| Theophylline (80198) |
$120.25 |
$240.50 |
8.5× |
| Thiopurine drug metabolites (83789) |
$175 |
$350 |
7.3× |
| Thiopurine metabolites (80299) |
$144.25 |
$288.50 |
7.7× |
| Thiopurine methyltransferase, rbc (82657) |
$207 |
$414 |
9.3× |
| Thrombin time plasma (85670) |
$51 |
$102 |
8.8× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$60.50 |
$121 |
9.4× |
| Thyroglobulin (84432) |
$129.25 |
$258.50 |
8.0× |
| Thyroglobulin antibody (86800) |
$75.25 |
$150.50 |
4.7× |
| Thyroid peroxidase antibody (86376) |
$80.50 |
$161 |
5.5× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$195.25 |
$390.50 |
3.8× |
| Thyroxine binding globulin (84442) |
$129 |
$258 |
8.7× |
| Thyroxine free (ft4) (84439) |
$60 |
$120 |
6.7× |
| Tissue culture bone marrow (88237) |
$831 |
$1,662 |
5.8× |
| Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) |
$592 |
$1,184 |
4.2× |
| Tissue culture lymphocyte (88230) |
$326 |
$652 |
2.8× |
| Tissue culture solid tumor (88239) |
$728.50 |
$1,457 |
4.9× |
| Tobramycin (80200) |
$360 |
$720 |
22.3× |
| Topiramate (80201) |
$93.75 |
$187.50 |
7.9× |
| Toxoplasma antibody igg (86777) |
$86 |
$172 |
6.0× |
| Toxoplasma antibody igm (86778) |
$90.75 |
$181.50 |
6.3× |
| Transferrin (84466) |
$99 |
$198 |
7.8× |
| TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81340) |
$215.50 |
$431 |
1.0× |
| Treponema pallidum antibody (86780) |
$60.50 |
$121 |
4.6× |
| Trg gene rearrangement anal (81342) |
$226 |
$452 |
1.1× |
| Trichinella antibody (86784) |
$194 |
$388 |
15.4× |
| Trichomonas vaginalis amplif (87661) |
$199.50 |
$399 |
5.7× |
| Triglycerides (84478) |
$42.50 |
$85 |
7.4× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$118.25 |
$236.50 |
8.3× |
| Troponin t (84484) |
$111 |
$222 |
8.9× |
| Unlisted molecular pathology (81479) |
$795.50 |
$1,591 |
— |
| Urea nitrogen quantitative (84520) |
$62.50 |
$125 |
15.8× |
| Urea nitrogen urine (84540) |
$35 |
$70 |
6.3× |
| Uric acid blood (84550) |
$61.25 |
$122.50 |
13.6× |
| Uric acid other source (84560) |
$62.50 |
$125 |
12.3× |
| Urinalysis auto w/micro (81001) |
$30 |
$60 |
9.5× |
| Urinalysis microscopic only (81015) |
$29 |
$58 |
9.5× |
| Urinalysis volume measure (81050) |
$26.50 |
$53 |
7.3× |
| Urine bacteria culture (87088) |
$89.25 |
$178.50 |
11.0× |
| Urine Pregnancy Test POC (81025) |
$71 |
$142 |
8.2× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$24.25 |
$48.50 |
10.8× |
| Valproic acid (80164) |
$118 |
$236 |
8.7× |
| Valproic acid (dipropylacetic acid); free (80165) |
$51.50 |
$103 |
3.8× |
| Vancomycin (80202) |
$168.25 |
$336.50 |
12.4× |
| Varicella zoster antibody igg (86787) |
$62.50 |
$125 |
4.9× |
| Vasoactive intestinal peptide (vip) (84586) |
$267.50 |
$535 |
7.6× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$278 |
$556 |
8.2× |
| Viral culture non-respiratory (87252) |
$242.50 |
$485 |
9.3× |
| Virus antibody nos (86790) |
$218.25 |
$436.50 |
16.9× |
| Viscosity (85810) |
$86.50 |
$173 |
7.4× |
| Vitamin a (84590) |
$59 |
$118 |
5.1× |
| Vitamin b-12 (82607) |
$119.75 |
$239.50 |
7.9× |
| Vitamin b1 whole blood (84425) |
$143.50 |
$287 |
6.8× |
| Vitamin b6 (84207) |
$187.25 |
$374.50 |
6.7× |
| Vitamin c (82180) |
$159.75 |
$319.50 |
16.2× |
| Vitamin d 25 hydroxy (82306) |
$115 |
$230 |
3.9× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$144.75 |
$289.50 |
3.8× |
| Vitamin e (84446) |
$59 |
$118 |
4.2× |
| Vitamin k1 (84597) |
$97.50 |
$195 |
7.1× |
| Vkorc1 gene (81355) |
$171.50 |
$343 |
1.9× |
| Vma (84585) |
$89.50 |
$179 |
5.8× |
| Volatiles (84600) |
$131.25 |
$262.50 |
7.7× |
| West nile virus antibody (86789) |
$30.50 |
$61 |
2.1× |
| Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like… (81460) |
$1,340 |
$2,680 |
1.0× |
| Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external… (81465) |
$975 |
$1,950 |
1.0× |
| Xylose absorption test, blood and/or urine Other Outpatient (84620) |
$207 |
$414 |
16.0× |
| Yeast id (87106) |
$71.75 |
$143.50 |
7.0× |
| Yersinia antibody (86793) |
$212.50 |
$425 |
16.1× |
| Z t cells total count (86359) |
$95.50 |
$191 |
2.5× |
| Zika virus igm antibody (86794) |
$186 |
$372 |
11.0× |
| Zinc (84630) |
$94.50 |
$189 |
8.3× |
| Zinc protoporphyrins (84202) |
$89.50 |
$179 |
6.2× |