Lab & pathology prices at Grand River Medical Center
Rifle, CO · every code in this section with a posted price and a Medicare benchmark.
713 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) | $144.75 | $289.50 | 3.8× |
| 5 Hiaa (83497) | $81.50 | $163 | 6.3× |
| 5 Nucleotidase (83915) | $146.75 | $293.50 | 13.2× |
| Abl1 gene (81170) | $456.50 | $913 | 1.5× |
| Activated protein c resistance (85307) | $199 | $398 | 13.0× |
| Acute hepatitis panel (80074) | $144.75 | $289.50 | 3.0× |
| Acylcarnitine Plasma (82017) | $93 | $186 | 5.5× |
| Adamts13 activity (85397) | $146.75 | $293.50 | 4.8× |
| Adenovirus antibody (86603) | $200.50 | $401 | 15.6× |
| Afb culture (87116) | $122.50 | $245 | 11.3× |
| Albumin Fluid (82042) | $62.50 | $125 | 8.0× |
| Albumin serum (82040) | $60 | $120 | 12.1× |
| Aldolase (82085) | $65.25 | $130.50 | 6.7× |
| Aldosterone urine (82088) | $229.50 | $459 | 5.6× |
| Alkaline phosphatase isoenzymes (84080) | $52 | $104 | 3.5× |
| Allerg sp igg quan or semiquan (86001) | $130.50 | $261 | 16.7× |
| Allergen specific ige (86003) | $63 | $126 | 12.1× |
| Allg Spec Ige Recomb Ea (86008) | $76.75 | $153.50 | 4.3× |
| Alpha-1-antitrypsin, total (82103) | $100.75 | $201.50 | 7.5× |
| Alpha-Fetoprotein L3 (82107) | $179 | $358 | 2.8× |
| Alpha-fetoprotein, serum (82105) | $135 | $270 | 8.1× |
| Alt (sgpt) (84460) | $60 | $120 | 11.3× |
| Aluminum (82108) | $173 | $346 | 6.8× |
| Amikacin trough (80150) | $104.75 | $209.50 | 6.9× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $275 | $550 | 16.3× |
| Amino Acids Quant 2-5 (82136) | $275 | $550 | 14.0× |
| Amino Acids, Single Quantitation (82131) | $122 | $244 | 5.3× |
| Aminolevulinic acid (ala) (82135) | $175.75 | $351.50 | 10.7× |
| Ammonia (82140) | $137.75 | $275.50 | 9.5× |
| Amylase urine (82150) | $84.25 | $168.50 | 13.0× |
| Ana Titer (86039) | $32.50 | $65 | 2.9× |
| Androstanediol glucuronide (82154) | $139 | $278 | 4.8× |
| Angiotensin i enzyme test (82164) | $124 | $248 | 8.5× |
| Anti-phosphatidylserine antibody (86148) | $395 | $790 | 24.6× |
| Antibody aspergillus (86606) | $112.25 | $224.50 | 7.5× |
| Antibody coxiella burnetii q fever (86638) | $58 | $116 | 4.8× |
| Antibody cytomegalovirus cmv (86644) | $108 | $216 | 7.5× |
| Antibody cytomegalovirus cmv igm (86645) | $97.50 | $195 | 5.8× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $102.50 | $205 | 7.8× |
| Antibody haemophilus influenza (86684) | $98.50 | $197 | 6.2× |
| Antibody helicobacter pylori (86677) | $89.50 | $179 | 5.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $83.25 | $166.50 | 5.8× |
| Antibody herpes smplx type 1 (86695) | $78.50 | $157 | 6.0× |
| Antibody HIV-2 (86702) | $116.50 | $233 | 8.6× |
| Antibody identification (86870) | $583.50 | $1,167 | 1.5× |
| Antibody influenza virus (86710) | $125 | $250 | 9.2× |
| Antibody john cunningham virus (86711) | $1,448 | $2,896 | 85.7× |
| Antibody mumps (86735) | $90 | $180 | 6.9× |
| Antibody Protozoa Nes (86753) | $102.75 | $205.50 | 8.3× |
| Antibody rubeola (86765) | $52 | $104 | 4.0× |
| Antibody screen (86850) | $76 | $152 | 7.8× |
| Antibody treponema pallidum (86780) | $60.50 | $121 | 4.6× |
| Antibody; Coccidioides (86635) | $52.25 | $104.50 | 4.6× |
| Antigen typing (86905) | $212.50 | $425 | 55.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $77.28 | $154.55 | 6.4× |
| Antinuclear antibodies (86038) | $94 | $188 | 7.8× |
| 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 genomic seq analysis (81410) | $2,049 | $4,098 | 4.1× |
| Apolipoprotein b (82172) | $112.50 | $225 | 5.3× |
| Arsenic Urine (82175) | $65.50 | $131 | 3.5× |
| Aspergillus ag eia (87305) | $115.75 | $231.50 | 9.7× |
| Assay Lipoprotein Pla2 (83698) | $154.50 | $309 | 3.3× |
| Assay Nephelometry Not Spec (83883) | $161.50 | $323 | 11.9× |
| Assay of acth (82024) | $234 | $468 | 6.1× |
| Assay of androstenedione (82157) | $179.50 | $359 | 6.1× |
| Assay of blood chloride (82435) | $68.50 | $137 | 14.9× |
| Assay of blood fatty acids (82725) | $98 | $196 | 5.2× |
| Assay of c-peptide (84681) | $118.25 | $236.50 | 5.7× |
| Assay of calcitonin (82308) | $192.50 | $385 | 7.2× |
| Assay of ceruloplasmin (82390) | $66.75 | $133.50 | 6.2× |
| Assay of creatine (82540) | $30.50 | $61 | 6.6× |
| Assay of cyclosporine (80158) | $202.50 | $405 | 11.2× |
| Assay of dibucaine number (82638) | $104 | $208 | 8.5× |
| Assay of erythropoietin (82668) | $137.75 | $275.50 | 7.3× |
| Assay of ethosuximide (80168) | $77.50 | $155 | 4.7× |
| Assay of ferritin (82728) | $61 | $122 | 4.5× |
| Assay of fluoride (82735) | $319 | $638 | 17.2× |
| Assay of g6pd enzyme (82955) | $123.50 | $247 | 12.7× |
| Assay of gammaglobulin igm (82784) | $61 | $122 | 6.6× |
| Assay of gastrin (82941) | $99 | $198 | 5.6× |
| Assay of gentamicin (80170) | $169.50 | $339 | 10.3× |
| Assay of glucagon (82943) | $180.50 | $361 | 12.6× |
| Assay of homocystine (83090) | $62 | $124 | 3.5× |
| Assay of homovanillic acid (83150) | $194 | $388 | 8.7× |
| Assay of lipoprotein(a) (83695) | $85.25 | $170.50 | 6.0× |
| Assay of manganese (83785) | $151 | $302 | 5.7× |
| Assay of metanephrines (83835) | $137 | $274 | 8.1× |
| Assay of osteocalcin (83937) | $264.50 | $529 | 8.9× |
| Assay of parathormone (83970) | $181.50 | $363 | 4.4× |
| Assay of phenobarbital (80184) | $104.50 | $209 | 6.8× |
| Assay of prealbumin (84134) | $57.75 | $115.50 | 4.0× |
| Assay of proinsulin (84206) | $384 | $768 | 14.4× |
| Assay of pyruvate (84210) | $98 | $196 | 6.8× |
| Assay of selenium (84255) | $147.50 | $295 | 5.8× |
| Assay of serotonin (84260) | $186.75 | $373.50 | 6.0× |
| Assay of somatomedin (84305) | $98.50 | $197 | 4.6× |
| Assay of tacrolimus (80197) | $137.75 | $275.50 | 10.0× |
| Assay of urine vma (84585) | $89.50 | $179 | 5.8× |
| Assay of vitamin k (84597) | $97.50 | $195 | 7.1× |
| Assay of volatiles (84600) | $131.25 | $262.50 | 7.7× |
| Assay Ph Body Fluid Nos (83986) | $37 | $74 | 10.3× |
| Assay Phosphohexose Enzymes (84087) | $174.50 | $349 | 16.3× |
| Ast (sgot) (84450) | $61.25 | $122.50 | 11.8× |
| Atn1 gene analysis eval detect abnormal alleles (81177) | $642.50 | $1,285 | 4.7× |
| Automated rbc count (85041) | $36 | $72 | 11.9× |
| B cells total count (86355) | $229 | $458 | 6.1× |
| B-hexosaminidase ea assay (83080) | $153.25 | $306.50 | 9.1× |
| Bartonella antibody (86611) | $158.50 | $317 | 15.6× |
| 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,Ea (86146) | $81.50 | $163 | 3.2× |
| Beta hydroxybutyrate (82010) | $247.25 | $494.50 | 30.3× |
| 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 ea specimen (82261) | $124.25 | $248.50 | 7.4× |
| Bl Smear W/Diff Wbc Count (85007) | $35.75 | $71.50 | 9.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $35.75 | $71.50 | 10.4× |
| Blastomyces antibody (86612) | $221 | $442 | 17.1× |
| Bleeding time (85002) | $55.50 | $111 | 11.5× |
| Blood Count Automated Differential Wbc Count (85004) | $51.50 | $103 | 8.0× |
| Blood count reticulocyte automated (85045) | $51.50 | $103 | 12.9× |
| Blood gases (82803) | $161.75 | $323.50 | 6.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $92 | $184 | 5.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35 | $70 | 8.0× |
| Blood Ph - Ph Venous (82800) | $50 | $100 | 4.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $212.50 | $425 | 33.5× |
| Blood typing abo (86900) | $67.50 | $135 | 22.6× |
| Blood typing serologic rh (d) (86901) | $63.50 | $127 | 21.2× |
| Body fluid cell count (89051) | $70.50 | $141 | 12.6× |
| Bordetella antibody (86615) | $219 | $438 | 16.6× |
| Brca1&2 seq & full dup/del (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-reactive protein (86140) | $61.25 | $122.50 | 11.8× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $73 | $146 | 5.6× |
| C1q binding assay (86332) | $444 | $888 | 18.2× |
| Ca 125 (86304) | $173.25 | $346.50 | 8.3× |
| Ca 19-9 (86301) | $118.25 | $236.50 | 5.7× |
| Ca 27 29 (86300) | $192.25 | $384.50 | 9.2× |
| Cadmium level (82300) | $27.50 | $55 | 1.2× |
| Calcium ionized (82330) | $96.50 | $193 | 7.1× |
| Calcium total (82310) | $58.50 | $117 | 11.3× |
| Calcium urine (82340) | $73 | $146 | 12.1× |
| Calculus Spectroscopy (82365) | $82 | $164 | 6.4× |
| California encephalitis ab (86651) | $312 | $624 | 23.7× |
| Calprotectin, fecal (83993) | $183.50 | $367 | 9.3× |
| Calr gene com variants (81219) | $504 | $1,008 | 4.1× |
| Candida antibody (86628) | $168 | $336 | 14.0× |
| Carb deficient transferrin (82373) | $75 | $150 | 4.2× |
| Carbamazepine (tegretol) total (80156) | $120.25 | $240.50 | 8.3× |
| Carbamazepine free (80157) | $153 | $306 | 11.5× |
| Carbon dioxide (82374) | $68.50 | $137 | 14.0× |
| Carboxyhemoglobin Quantitative (82375) | $105.50 | $211 | 8.6× |
| Carcinoembryonic antigen (82378) | $120.50 | $241 | 6.4× |
| Cardiolipin ab igg (86147) | $98.50 | $197 | 3.9× |
| Carnitine (82379) | $202.50 | $405 | 12.0× |
| Carotene (82380) | $154 | $308 | 16.7× |
| Catecholamines fraction plasma (82384) | $195.25 | $390.50 | 7.7× |
| Cell saver (86891) | $815.50 | $1,631 | 1.0× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $289.50 | $579 | 2.1× |
| 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× |
| Chlamydia antibody (86631) | $36 | $72 | 3.0× |
| Chlamydia Igm Antibody (86632) | $116.50 | $233 | 9.2× |
| Chloramphenicol (82415) | $93 | $186 | 7.3× |
| 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× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $725.25 | $1,450.50 | 5.8× |
| Chromium urine (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 20-25 cells (88264) | $655.50 | $1,311 | 4.5× |
| Chromosome Analysis 5 (88261) | $480 | $960 | 1.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $75 | $150 | 2.1× |
| Citrate (82507) | $162 | $324 | 5.8× |
| Ck isoenzymes (82552) | $64 | $128 | 4.8× |
| Ckmb (82553) | $120.75 | $241.50 | 10.5× |
| Clot factor viii vw antigen (85246) | $185 | $370 | 8.1× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $187.25 | $374.50 | 10.5× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $414 | $828 | 21.9× |
| Clozapine level (80159) | $38.75 | $77.50 | 1.9× |
| Cmv PCR (87496) | $115 | $230 | 3.3× |
| 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 agglutinin titer (86157) | $69.50 | $139 | 8.6× |
| Collagen cross links (82523) | $134 | $268 | 7.2× |
| Compatibility test antiglob (86922) | $233.50 | $467 | 1.3× |
| Compatibility Test Incubate (86921) | $176.25 | $352.50 | 1.0× |
| Complement c3 (86160) | $82 | $164 | 6.8× |
| Complement total ch50 (86162) | $124 | $248 | 6.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $119.50 | $239 | 10.0× |
| Comprehensive review of data (88325) | $350.50 | $701 | 2.0× |
| Concentration Infectious Agent (87015) | $48.25 | $96.50 | 7.2× |
| Coombs direct (86880) | $65.50 | $131 | 12.2× |
| Copper urine (82525) | $111.75 | $223.50 | 9.0× |
| Cortisol free (82530) | $150 | $300 | 9.0× |
| Cortisol total (82533) | $142.25 | $284.50 | 8.7× |
| Creatine kinase total (82550) | $82 | $164 | 12.6× |
| Creatinine blood (82565) | $43.50 | $87 | 8.5× |
| Creatinine clearance (82575) | $97 | $194 | 10.3× |
| Creatinine other source (82570) | $59 | $118 | 11.4× |
| Crossmatch immediate spin (86920) | $178.50 | $357 | 1.0× |
| Cryofibrinogen (82585) | $64 | $128 | 4.5× |
| Cryoglobulin (82595) | $65.50 | $131 | 10.1× |
| Cryptococcus antibody (86641) | $101.50 | $203 | 7.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $52.50 | $105 | 6.5× |
| Culture Aerobic Identify (87077) | $40 | $80 | 5.0× |
| Culture anaerobic (87075) | $205.50 | $411 | 21.7× |
| Culture blood (87040) | $146.25 | $292.50 | 14.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $110.75 | $221.50 | 14.4× |
| Culture fungus blood (87103) | $113 | $226 | 5.5× |
| Culture fungus id yeast (87106) | $71.75 | $143.50 | 7.0× |
| Culture fungus other (87102) | $89 | $178 | 10.6× |
| Culture genital (87070) | $106.25 | $212.50 | 12.3× |
| Culture screen only (87081) | $107.50 | $215 | 16.2× |
| Culture stool (87045) | $126 | $252 | 13.3× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $27.50 | $55 | 5.3× |
| Culture urine id ea isolate (87088) | $89.25 | $178.50 | 11.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $133.25 | $266.50 | 1.2× |
| Cyanide (82600) | $119.50 | $239 | 6.2× |
| Cyclic amp (82030) | $236 | $472 | 9.1× |
| Cyclic Citrullinated Peptide (86200) | $110.25 | $220.50 | 8.5× |
| Cyp2c19 gene com variants (81225) | $850 | $1,700 | 2.9× |
| Cyp2c9 gene com variants (81227) | $456.50 | $913 | 2.6× |
| Cyp2d6 gene com variants (81226) | $540.50 | $1,081 | 1.2× |
| Cystatin c (82610) | $61.25 | $122.50 | 3.3× |
| Cytogenetics DNA probe (88271) | $115.75 | $231.50 | 5.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,552 | $3,104 | 1.3× |
| Cytogenomic neoplasia microarray analysis (81277) | $2,184 | $4,368 | 1.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $318.25 | $636.50 | 7.4× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $114.50 | $229 | 2.9× |
| Cytp concentration smears & interpretation (88108) | $116.75 | $233.50 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $178 | $356 | 3.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $369 | $738 | 2.1× |
| Cytp urine 3-5 probes cmptr (88121) | $137 | $274 | 0.8× |
| D-Dimer (85379) | $119 | $238 | 11.7× |
| Deoxycortisol (82634) | $163.50 | $327 | 5.6× |
| Deoxyribonuclease antibody (86215) | $85 | $170 | 6.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $12.75 | $25.50 | 0.8× |
| Dhea (82626) | $137.75 | $275.50 | 5.5× |
| Dhea sulfate (82627) | $40.75 | $81.50 | 1.8× |
| Digoxin (80162) | $120.25 | $240.50 | 9.1× |
| Dihydrotestosterone (82642) | $196.75 | $393.50 | 6.7× |
| Dilantin (80185) | $122.50 | $245 | 9.2× |
| Diphtheria antitoxoid (86648) | $250.50 | $501 | 16.5× |
| Dipropylacetic acid free (80165) | $51.50 | $103 | 3.8× |
| Dmpk Gene Detc Abnor Allele (81234) | $1,110.50 | $2,221 | 8.1× |
| Dna Antibody Single Stranded (86226) | $96 | $192 | 7.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $22.50 | $45 | 1.6× |
| Dna/Rna Amplified Probe (87150) | $308 | $616 | 8.8× |
| Dpyd gene 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 Quantitative Lamotrigine (80175) | $92.25 | $184.50 | 7.0× |
| Drug Scrn Quan Levetiracetam (80177) | $137.75 | $275.50 | 10.4× |
| Drug scrn quant oxcarbazepin (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 Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $105.75 | $211.50 | 6.2× |
| Ebv viral capsid (86665) | $150 | $300 | 8.3× |
| Echinococcus ab igg (86682) | $114 | $228 | 8.8× |
| Ehrlichia antibody (86666) | $143.75 | $287.50 | 14.1× |
| Electrolyte panel (80051) | $103.50 | $207 | 14.8× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $55.50 | $111 | 0.9× |
| Endomysial antibody iga (86255) | $122 | $244 | 10.1× |
| Entamoeb Hist Dispr Ag Eia (87336) | $220.50 | $441 | 13.8× |
| Entamoeba histolytica antigen (87337) | $193 | $386 | 16.1× |
| Enterovirus antibody (86658) | $213.50 | $427 | 16.4× |
| Enterovirus Pcr (87498) | $79.25 | $158.50 | 2.3× |
| Enzyme cell activity (82657) | $207 | $414 | 9.3× |
| Enzyme histochemistry (88319) | $202.75 | $405.50 | 0.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $27.50 | $55 | 1.8× |
| Estradiol (82670) | $40.75 | $81.50 | 1.5× |
| Estriol (82677) | $144 | $288 | 6.0× |
| Estrone (82679) | $137.75 | $275.50 | 5.5× |
| Ethylene glycol (82693) | $107 | $214 | 7.2× |
| Everolimus (80169) | $223.50 | $447 | 16.3× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $94.50 | $189 | 12.9× |
| Exome sequence analysis (81415) | $4,914 | $9,828 | 1.0× |
| F2 gene analysis 20210g >a variant (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 assay (85230) | $207 | $414 | 11.6× |
| Factor viii ahg (85240) | $98.25 | $196.50 | 5.5× |
| Factor viii vw multimetric (85247) | $189 | $378 | 8.2× |
| Factor xi assay (85270) | $207 | $414 | 11.6× |
| Factor xii assay (85280) | $207 | $414 | 10.7× |
| Factor xiii solubility screen (85291) | $131.25 | $262.50 | 14.4× |
| Fecal fat qual (82705) | $126.50 | $253 | 24.8× |
| Fecal fat quant (82710) | $152.50 | $305 | 9.1× |
| Fetal chrmoml aneuploidy (81420) | $1,811 | $3,622 | 2.4× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $166.50 | $333 | 3.1× |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) | $133.50 | $267 | 1.7× |
| Fibrinogen activity (85384) | $94.25 | $188.50 | 9.7× |
| Fibrinogen antigen (85385) | $89 | $178 | 6.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $77 | $154 | 5.0× |
| Flow cytometry first marker (88184) | $126.50 | $253 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $67.25 | $134.50 | 5.6× |
| Fmr1 gene charac alleles (81244) | $193 | $386 | 4.3× |
| Fmr1 gene detection (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 (83001) | $103 | $206 | 5.5× |
| Francisella Tularensis (86668) | $148 | $296 | 10.5× |
| Fresh frozen plasma thawing each unit (86927) | $77.50 | $155 | 0.4× |
| Frozen Section (88331) | $192.50 | $385 | 1.1× |
| Fructosamine (82985) | $85.25 | $170.50 | 5.1× |
| Ftl cgen abnor four anal (81511) | $237.50 | $475 | 1.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $75.50 | $151 | 7.3× |
| G6pd full gene sequence (81249) | $1,032 | $2,064 | 1.7× |
| Galectin-3 serum (82777) | $185 | $370 | 4.2× |
| Gammaglobulin ige (82785) | $116 | $232 | 7.0× |
| Gastric Occult Blood (82271) | $37 | $74 | 7.0× |
| Genetic testing for severe inherited conditions (81443) | $2,436.75 | $4,873.50 | 1.0× |
| Ggt (82977) | $67.50 | $135 | 9.4× |
| Giardia antigen eia stool (87329) | $139.50 | $279 | 11.6× |
| Giardia lamblia antibody (86674) | $129 | $258 | 8.8× |
| Glucagon tolerance test (82946) | $18.50 | $37 | 1.0× |
| Glucose (82947) | $60 | $120 | 15.3× |
| Glucose Blood Test (82962) | $26.75 | $53.50 | 8.2× |
| Glucose body fluid (82945) | $64.75 | $129.50 | 16.5× |
| Glucose post dose (82950) | $66.25 | $132.50 | 13.9× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $55 | $110 | 14.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $81 | $162 | 6.3× |
| Glucosidase beta (82963) | $507 | $1,014 | 23.6× |
| Glutathione (82978) | $251.50 | $503 | 16.3× |
| Gonadotropin releasing hormone (83727) | $233 | $466 | 13.6× |
| Growth hormone (83003) | $99 | $198 | 5.9× |
| Haloperidol (haldol) (80173) | $373 | $746 | 23.6× |
| Haptoglobin (83010) | $94 | $188 | 7.5× |
| Hba1/hba2 gene (81257) | $140.50 | $281 | 1.4× |
| Hba1/hba2 gene dup/del vrnts (81269) | $646 | $1,292 | 3.2× |
| Hbb duplication/deletion variants (81363) | $488 | $976 | 2.4× |
| Hbb Full Gene Sequence (81364) | $364 | $728 | 1.1× |
| Hcg qualitative (84703) | $72.50 | $145 | 9.6× |
| Hcg quant (84702) | $140.50 | $281 | 9.3× |
| Hdl Cholesterol (83718) | $48 | $96 | 5.9× |
| Heavy metal quant each (83018) | $156.50 | $313 | 7.1× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $200 | $400 | 9.6× |
| Hematocrit (85014) | $27 | $54 | 11.4× |
| Hemoglobin (85018) | $26.50 | $53 | 11.2× |
| Hemoglobin a1c (83036) | $57.50 | $115 | 5.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $65 | $130 | 3.6× |
| Hemoglobin electrophoresis (83020) | $101.75 | $203.50 | 7.9× |
| Hemoglobin fetal ql (83033) | $117 | $234 | 14.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $166.50 | $333 | 20.3× |
| Hemoglobin plasma (83051) | $172 | $344 | 23.5× |
| Hemoglobin stability screen (83068) | $39 | $78 | 4.1× |
| Hemoglobin urine (83069) | $90 | $180 | 22.8× |
| Hemosiderin urine (83070) | $80 | $160 | 16.8× |
| Heparin assay (85520) | $200 | $400 | 15.3× |
| Hepatitis a antibody total (86708) | $79.75 | $159.50 | 6.4× |
| Hepatitis a igm (86709) | $88.75 | $177.50 | 7.9× |
| Hepatitis b core ab igm (86705) | $119.75 | $239.50 | 10.2× |
| Hepatitis b core antibody total (86704) | $55.50 | $111 | 4.6× |
| 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 ab confirm (86804) | $213.50 | $427 | 13.8× |
| Hepatitis c antibody (86803) | $46 | $92 | 3.2× |
| Hepatitis C Genotype (87902) | $705 | $1,410 | 2.7× |
| Hepatitis delta ab (86692) | $134.50 | $269 | 7.8× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $2,800 | $5,600 | 2.1× |
| Herpes culture (87252) | $242.50 | $485 | 9.3× |
| Herpes simplex type 2 (86696) | $78.75 | $157.50 | 4.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $59 | $118 | 11.4× |
| Hfe gene (81256) | $521.25 | $1,042.50 | 8.0× |
| Histamine plasma (83088) | $164.75 | $329.50 | 5.6× |
| Histoplasma antibody (86698) | $110 | $220 | 8.0× |
| Histoplasma antigen urine (87385) | $160.75 | $321.50 | 12.1× |
| HIV confirmation (86689) | $218 | $436 | 11.3× |
| HIV-1 antibody (86701) | $81.50 | $163 | 9.2× |
| HIV-1 genotype (87901) | $1,425 | $2,850 | 5.5× |
| HIV-1 integrase genotype (87906) | $358.50 | $717 | 2.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $57.50 | $115 | 4.2× |
| Hla class i typing high resolution one allele or allele group (81381) | $628.50 | $1,257 | 3.7× |
| Hla i typing 1 locus hr (81380) | $407 | $814 | 2.3× |
| Hla I Typing Complete Lr (81372) | $289.25 | $578.50 | 0.7× |
| Hla ii typing 1 locus lr (81376) | $336.50 | $673 | 2.8× |
| Hla ii typing ag equiv lr (81375) | $344 | $688 | 1.6× |
| Hla-b27 (86812) | $141.25 | $282.50 | 5.5× |
| Homogenization tissue (87176) | $15.50 | $31 | 2.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $214.75 | $429.50 | 3.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $171.75 | $343.50 | 4.9× |
| 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× |
| Hydroxyprogesterone 17-d (83498) | $148.50 | $297 | 5.5× |
| Hydroxyproline total (83505) | $218 | $436 | 9.0× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $105.50 | $211 | 5.8× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $73.75 | $147.50 | 1.6× |
| Iaad ia clostridium difficile toxin (87324) | $102.50 | $205 | 8.6× |
| Iaad ia cryptosporidium (87328) | $93.25 | $186.50 | 6.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $85 | $170 | 8.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $103.50 | $207 | 4.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $169.50 | $339 | 11.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $43.25 | $86.50 | 3.1× |
| Iaad ia rotavirus (87425) | $96 | $192 | 8.0× |
| Iaadi respiratory synctial virus (87280) | $87.25 | $174.50 | 6.5× |
| Iaadiadoo not otherwise specified (87899) | $77.50 | $155 | 4.8× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $309.25 | $618.50 | 8.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $39.75 | $79.50 | 1.1× |
| Iadna hepatitis b virus quantification (87517) | $331.50 | $663 | 7.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $229.50 | $459 | 5.4× |
| Iadna herpes virus-6 amplified probe tq (87532) | $141 | $282 | 4.0× |
| Iadna herpes virus-6 quantification (87533) | $500 | $1,000 | 12.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $273 | $546 | 7.8× |
| Iadna HIV-1 quant & reverse transcription (87536) | $165.75 | $331.50 | 1.9× |
| Iadna human papillomavirus high-risk types (87624) | $95 | $190 | 2.7× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $272.50 | $545 | 6.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $39.75 | $79.50 | 1.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $67 | $134 | 1.9× |
| Iadna nos amplified probe tq each organism (87798) | $215 | $430 | 6.1× |
| Iadna nos quantification each organism (87799) | $191 | $382 | 4.5× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $199.50 | $399 | 5.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $356.75 | $713.50 | 0.9× |
| Igg subclasses (82787) | $134 | $268 | 16.7× |
| Immunfix e-phorsis/urine/csf (86335) | $215.25 | $430.50 | 7.3× |
| Immunoassay infectious agent antibody quan nos (86317) | $172 | $344 | 11.5× |
| Immunoassay nonantibody (83516) | $140.25 | $280.50 | 12.2× |
| Immunodiffusion not elsewhere specified (86329) | $89 | $178 | 6.3× |
| Immunodiffusion Ouchterlony (86331) | $132 | $264 | 11.0× |
| Immunofixj Electrophoresis Serum (86334) | $131 | $262 | 5.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $128 | $256 | 0.7× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) | $114.50 | $229 | 9.6× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $216 | $432 | 18.0× |
| Immunoglobulin assay (86023) | $137.75 | $275.50 | 11.1× |
| Immunoglobulin light chains free each (83521) | $120.50 | $241 | 7.0× |
| Immunohisto Antibody Slide (88344) | $662 | $1,324 | 1.8× |
| Immunohistochemistry (88342) | $348 | $696 | 1.9× |
| India ink prep (87210) | $45.50 | $91 | 7.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $129 | $258 | 1.8× |
| Influenza a/b ag eia (87400) | $86.75 | $173.50 | 6.1× |
| Inhibin a (86336) | $59 | $118 | 3.8× |
| Inhibin b (83520) | $166 | $332 | 9.6× |
| Insitu hybridization (fish) (88365) | $331.25 | $662.50 | 1.8× |
| Insulin antibodies (86337) | $64 | $128 | 3.0× |
| Insulin free (83527) | $30 | $60 | 2.3× |
| Insulin total (83525) | $87.50 | $175 | 7.7× |
| Interleukin 6 (83529) | $146.25 | $292.50 | 8.5× |
| 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 analysis (81270) | $500 | $1,000 | 5.5× |
| Kit gene analys d816 variant (81273) | $702.75 | $1,405.50 | 5.6× |
| Koh Prep (87220) | $49.50 | $99 | 11.6× |
| Lactic acid (83605) | $179.75 | $359.50 | 15.5× |
| Lactoferrin fecal qualitative (83630) | $92 | $184 | 4.7× |
| Ldh (83615) | $65 | $130 | 10.8× |
| Ldh isoenzymes (83625) | $166 | $332 | 13.0× |
| LDL cholesterol direct (83721) | $51.50 | $103 | 4.9× |
| Lead (83655) | $33.75 | $67.50 | 2.8× |
| Legionella antibody (86713) | $98 | $196 | 6.4× |
| Legionella antigen urine (87449) | $143.25 | $286.50 | 12.0× |
| Leishmania antibody (86717) | $144 | $288 | 11.8× |
| Leptospira antibody (86720) | $95 | $190 | 5.9× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $44 | $88 | 10.3× |
| Level ii surg pathology grossµscopic exam (88302) | $104.50 | $209 | 2.7× |
| Level v surg pathology grossµscopic exam (88307) | $457.50 | $915 | 1.2× |
| Level vi surg pathology grossµscopic exam (88309) | $917.50 | $1,835 | 1.1× |
| Lh (83002) | $118.25 | $236.50 | 6.4× |
| Lipase (83690) | $86.25 | $172.50 | 12.5× |
| Lipopro bld electrophoretic (83700) | $46.75 | $93.50 | 4.2× |
| Lipoprotein Bld Hr Fraction (83701) | $80.50 | $161 | 2.4× |
| Listeria ab (86609) | $50 | $100 | 3.9× |
| Lithium (80178) | $68.25 | $136.50 | 10.3× |
| Lyme disease antibody (86618) | $144.25 | $288.50 | 8.5× |
| Lyme disease antibody confirm (86617) | $142 | $284 | 9.2× |
| Lymphocyte transformation (86353) | $392.50 | $785 | 8.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $252 | $504 | 1.4× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $263 | $526 | 0.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $583.50 | $1,167 | 3.2× |
| 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× |
| Mass spectrometry qual/quan (83789) | $175 | $350 | 7.3× |
| Measurement of hemolysin (red blood cell destructive substance) (85475) | $284.50 | $569 | 32.1× |
| Mercury (83825) | $29.50 | $59 | 1.8× |
| Metabolic Panel Ionized Ca (80047) | $136 | $272 | 9.9× |
| Methotrexate (80299) | $144.25 | $288.50 | 7.7× |
| Methylmalonic acid serum (83921) | $116.75 | $233.50 | 5.5× |
| Microalbumin urine (82043) | $101 | $202 | 17.5× |
| Microbe suscept macrobroth (87188) | $177.50 | $355 | 26.7× |
| Microbe Suscept Mycobacteri (87190) | $378.50 | $757 | 51.8× |
| Microbe susceptible diffuse (87181) | $29 | $58 | 6.1× |
| Microsatellite instability (81301) | $570.50 | $1,141 | 1.6× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $457 | $914 | 8.3× |
| Microsomal antibodies (86376) | $80.50 | $161 | 5.5× |
| Mitochondrial antibody each (86381) | $71.50 | $143 | 2.8× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $511.50 | $1,023 | 0.8× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $243.25 | $486.50 | 4.8× |
| Molecular pathology procedure level 2 (81401) | $472 | $944 | 3.4× |
| Molecular pathology procedure level 7 (81406) | $1,040.25 | $2,080.50 | 3.7× |
| Mononuclear cell antigen (86356) | $250 | $500 | 9.3× |
| Mopath procedure level 1 (81400) | $343.25 | $686.50 | 5.4× |
| 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 8 (81407) | $6 | $12 | 0.0× |
| Mopath procedure level 9 (81408) | $2,220.75 | $4,441.50 | 1.1× |
| Mrsa amp probe (87641) | $105.50 | $211 | 3.0× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $314 | $628 | 0.8× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $489.50 | $979 | 0.8× |
| Mthfr Gene Analysis Common Variants (81291) | $574.75 | $1,149.50 | 8.8× |
| Muramidase (85549) | $111.50 | $223 | 5.9× |
| Mycobacteric Identification (87118) | $98 | $196 | 6.7× |
| Mycophenolic acid (80180) | $184.50 | $369 | 10.2× |
| Mycoplasma antibody (86738) | $152.50 | $305 | 11.5× |
| Mycoplasma genitalium PCR (87563) | $130 | $260 | 3.7× |
| Myd88 mutation analysis (81305) | $462.50 | $925 | 2.6× |
| Myoglobin urine (83874) | $82 | $164 | 6.3× |
| Nasal smear for eosinophils (89190) | $31.50 | $63 | 5.4× |
| Natriuretic peptide (83880) | $154.50 | $309 | 3.9× |
| Neutralization test, viral (86382) | $195.25 | $390.50 | 11.5× |
| Neutralizing antibody sars-cov-2 titer (86409) | $250.50 | $501 | 3.1× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $351.50 | $703 | 4.9× |
| Niacin (84591) | $229 | $458 | 13.4× |
| Nickel level (83885) | $116.50 | $233 | 4.8× |
| Nk cells total count (86357) | $68.75 | $137.50 | 1.8× |
| Nmr Lipoprofile (83704) | $81.50 | $163 | 2.4× |
| Nuclear antigen antibody (86235) | $94.50 | $189 | 5.3× |
| Oligoclonal bands (83916) | $46 | $92 | 1.7× |
| Organic Acids Qual Each (83919) | $179 | $358 | 10.9× |
| Organic Acids Total Quantitative Each Specimen (83918) | $344 | $688 | 14.6× |
| Osmolality serum (83930) | $64.25 | $128.50 | 9.7× |
| Osmolality urine (83935) | $68.75 | $137.50 | 10.1× |
| Ova and parasite direct-id lca (87177) | $101.50 | $203 | 11.4× |
| Oxalate urine (83945) | $108.50 | $217 | 7.5× |
| Pancreatic polypeptide (83519) | $187 | $374 | 10.2× |
| Particle Agglutination Screen Each Antibody (86403) | $88 | $176 | 7.6× |
| Particle agglutination titer each antibody (86406) | $66.75 | $133.50 | 6.3× |
| Parvovirus antibody (86747) | $102.50 | $205 | 6.8× |
| Phenylalanine (84030) | $13 | $26 | 2.4× |
| Phenytoin free (80186) | $154 | $308 | 11.2× |
| Phosphatase acid prostatic (84066) | $69.50 | $139 | 7.2× |
| Phosphatase alkaline (84075) | $49.50 | $99 | 9.6× |
| Phospholipid Neutralization Hexagonal (85598) | $128.50 | $257 | 7.1× |
| Phosphorus blood (84100) | $61.25 | $122.50 | 12.9× |
| Phosphorus urine (84105) | $62.50 | $125 | 10.8× |
| Pinworm exam (87172) | $47.50 | $95 | 11.1× |
| Plasminogen (85420) | $165 | $330 | 25.3× |
| Platelet count (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 analysis duplication/deletion variants (81319) | $267.25 | $534.50 | 1.3× |
| Porphobilinogen urine quant (84110) | $101.50 | $203 | 12.0× |
| Porphyrins feces qn (84126) | $181.50 | $363 | 4.6× |
| Porphyrins qn & fraction urine (84120) | $93.75 | $187.50 | 6.4× |
| Potassium (84132) | $61.25 | $122.50 | 12.9× |
| Potassium urine (84133) | $56.25 | $112.50 | 11.9× |
| 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× |
| Prolactin (84146) | $111.50 | $223 | 5.8× |
| Prostaglandin Ea (84150) | $245 | $490 | 5.9× |
| Protein body fluid (84157) | $62.50 | $125 | 15.6× |
| 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 Functional (85306) | $114.75 | $229.50 | 7.5× |
| Protein s total (85305) | $54 | $108 | 4.7× |
| Protein Total Serum (84155) | $62.50 | $125 | 17.0× |
| Protein urine (84156) | $60 | $120 | 16.3× |
| Protein Western Blot (84182) | $234.25 | $468.50 | 8.0× |
| Protein westrn blot i&r blood/other fluid (84181) | $138 | $276 | 8.1× |
| Prothrombin time substitution (85611) | $58.25 | $116.50 | 14.8× |
| Protoporphyrin rbc quantitative (84202) | $89.50 | $179 | 6.2× |
| PSA free (84154) | $87.75 | $175.50 | 4.8× |
| Pyruvate kinase (84220) | $154 | $308 | 16.3× |
| Quantiferon tb gold (86480) | $195.25 | $390.50 | 3.2× |
| Quinidine (80194) | $120.50 | $241 | 8.3× |
| Reagent strip/blood glucose (82948) | $12 | $24 | 2.4× |
| Reducing substances, stool (84376) | $104.50 | $209 | 19.0× |
| Ref consult prep elsewhere (88321) | $312 | $624 | 7.9× |
| Renin activity plasma (84244) | $137.75 | $275.50 | 6.3× |
| Reptilase test (85635) | $67.50 | $135 | 6.9× |
| Respiratory viral panel PCR (87633) | $491.75 | $983.50 | 1.2× |
| Respiratory Virus (86756) | $142 | $284 | 8.9× |
| Rheumatoid factor quant (86431) | $54 | $108 | 9.5× |
| Rickettsia antibody (86757) | $143.50 | $287 | 7.4× |
| Rpr Titer (86593) | $26.50 | $53 | 6.0× |
| Rubella antibody (86762) | $52 | $104 | 3.6× |
| Russell viper venom time diluted (85613) | $90.50 | $181 | 9.4× |
| Saccharomyces ab iga (86671) | $82.78 | $165.55 | 6.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $76.50 | $153 | 1.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $74.50 | $149 | 1.8× |
| Sars-cov-2 covid19 w/optic (87811) | $28 | $56 | 0.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $182 | $364 | 1.3× |
| Sedimentation rate (85651) | $44.25 | $88.50 | 10.4× |
| Semen analysis complete (89320) | $151.50 | $303 | 12.3× |
| Semen analysis sperm presence&/motility sprm (89321) | $62.50 | $125 | 5.2× |
| Sensitivity mic (87186) | $69.50 | $139 | 8.0× |
| Serotonin Release Assay (86022) | $162.50 | $325 | 8.8× |
| Sex hormone binding globulin (84270) | $61.25 | $122.50 | 2.8× |
| Sickle cell screen (85660) | $68.75 | $137.50 | 12.5× |
| Sirolimus (rapamycin) (80195) | $162.25 | $324.50 | 11.8× |
| Smear acid fast (87206) | $54.50 | $109 | 10.1× |
| Smear gram stain (87205) | $46.50 | $93 | 10.9× |
| Snrpn/ube3a gene (81331) | $600.50 | $1,201 | 11.8× |
| Sodium (84295) | $61.25 | $122.50 | 12.7× |
| Sodium other source (84302) | $57 | $114 | 11.7× |
| Sodium urine (84300) | $58 | $116 | 11.5× |
| Solid organ neoplasm genomic seq analysis panel (81457) | $2,600 | $5,200 | 2.9× |
| Soluble transferrin receptor (84238) | $137 | $274 | 3.7× |
| Somatostatin (84307) | $381 | $762 | 20.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $118.75 | $237.50 | 0.8× |
| Special stains group 1 (88312) | $111.50 | $223 | 2.0× |
| Specific gravity body fluid (84315) | $25.50 | $51 | 7.8× |
| Spectrophotometry (84311) | $103 | $206 | 12.7× |
| Sperm antibody measurement (89325) | $668.50 | $1,337 | 62.7× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $13 | $26 | 0.1× |
| Stool Cultr Aerobic Bact Ea (87046) | $50 | $100 | 5.3× |
| 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 iii (88304) | $147.50 | $295 | 2.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $63.25 | $126.50 | 2.1× |
| Surgical pathology level IV (88305) | $190.50 | $381 | 3.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $51 | $102 | 1.1× |
| T cells, total count (86359) | $95.50 | $191 | 2.5× |
| T3 free (84481) | $53 | $106 | 3.1× |
| T3 reverse (84482) | $71.50 | $143 | 4.5× |
| T3 total (84480) | $118.25 | $236.50 | 8.3× |
| T3 uptake (84479) | $74.50 | $149 | 11.5× |
| T4 Free (84439) | $60 | $120 | 6.7× |
| T4 total (84436) | $55 | $110 | 8.0× |
| Tau phosphorylated each (84393) | $606.25 | $1,212.50 | 4.7× |
| Tb intradermal test (86580) | $25 | $50 | 0.8× |
| Test for acetone/ketones (82009) | $35.50 | $71 | 7.9× |
| Test for detecting genes associated with inherited disease of heart muscle (81439) | $1,894 | $3,788 | 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× |
| Thrombin time plasma (85670) | $51 | $102 | 8.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $60.50 | $121 | 9.4× |
| Thyroglobulin (84432) | $129.25 | $258.50 | 8.0× |
| Thyroglobulin Ab (86800) | $75.25 | $150.50 | 4.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $195.25 | $390.50 | 3.8× |
| Thyroxine binding globulin (84442) | $129 | $258 | 8.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $592 | $1,184 | 4.2× |
| Tissue culture bone marrow (88237) | $831 | $1,662 | 5.8× |
| Tissue Culture Lymphocyte (88230) | $326 | $652 | 2.8× |
| Tissue culture solid tumor (88239) | $728.50 | $1,457 | 4.9× |
| Tobramycin peak (80200) | $360 | $720 | 22.3× |
| Topiramate (80201) | $93.75 | $187.50 | 7.9× |
| Touch prep (88161) | $87 | $174 | 2.9× |
| Toxoplasma ab igm (86778) | $90.75 | $181.50 | 6.3× |
| Toxoplasma antibody igg (86777) | $86 | $172 | 6.0× |
| Transferrin (84466) | $99 | $198 | 7.8× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) | $335.75 | $671.50 | 1.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $215.50 | $431 | 1.0× |
| Trg gene rearrangement analysis (81342) | $226 | $452 | 1.1× |
| Trichinella antibody (86784) | $194 | $388 | 15.4× |
| Triglycerides (84478) | $42.50 | $85 | 7.4× |
| Troponin (84484) | $111 | $222 | 8.9× |
| Urea nitrogen (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 microscopic only (81015) | $29 | $58 | 9.5× |
| Urinalysis w/microscopic (81001) | $30 | $60 | 9.5× |
| Urine microalbumin (protein) analysis (82044) | $46 | $92 | 7.4× |
| Urine pregnancy test (81025) | $71 | $142 | 8.2× |
| Urine volume measurement (81050) | $26.50 | $53 | 7.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $24.25 | $48.50 | 10.8× |
| Valproic acid level (80164) | $118 | $236 | 8.7× |
| Vancomycin trough (80202) | $168.25 | $336.50 | 12.4× |
| Varicella-zoster antibody (86787) | $62.50 | $125 | 4.9× |
| Vasoactive intestinal peptide (vip) (84586) | $267.50 | $535 | 7.6× |
| Vasopressin (84588) | $278 | $556 | 8.2× |
| Vdrl csf (86592) | $64.50 | $129 | 15.1× |
| Virus antibody nos (86790) | $218.25 | $436.50 | 16.9× |
| Viscosity serum (85810) | $86.50 | $173 | 7.4× |
| Vitamin A (84590) | $59 | $118 | 5.1× |
| Vitamin b-12 (82607) | $119.75 | $239.50 | 7.9× |
| Vitamin b-2 (riboflavin) (84252) | $102.50 | $205 | 5.1× |
| Vitamin b1 (thiamine) (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 e serum (84446) | $59 | $118 | 4.2× |
| Vkorc1 gene (81355) | $171.50 | $343 | 1.9× |
| Von willebrand factor activity (85245) | $154.50 | $309 | 6.7× |
| West nile virus ab, igm (86788) | $59.25 | $118.50 | 3.5× |
| West nile virus antibody (86789) | $30.50 | $61 | 2.1× |
| Whole mitochondrial genome (81460) | $1,340 | $2,680 | 1.0× |
| Whole mitochondrial genome analysis panel (81465) | $975 | $1,950 | 1.0× |
| Xylose Absorption Test (84620) | $207 | $414 | 16.0× |
| Yersinia antibody (86793) | $212.50 | $425 | 16.1× |
| Zika Virus Igm Antibody (86794) | $186 | $372 | 11.0× |
| Zinc (84630) | $94.50 | $189 | 8.3× |