Lab & pathology prices at Grant Memorial Hospital
Petersburg, WV · every code in this section with a posted price and a Medicare benchmark.
692 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) | $35.20 | $44 | 0.9× |
| 5 Nucleotidase (83915) | $47.20 | $59 | 4.2× |
| Acetaminophen level (80143) | $24.80 | $31 | 1.3× |
| Acetone serum qual (82009) | $4 | $5 | 0.9× |
| Acetylcholine receptor binding antibody (86041) | $63.20 | $79 | 3.4× |
| Acetylcholine receptor blocking antibody (86042) | $80 | $100 | 4.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $80 | $100 | 6.6× |
| Actin smooth muscle antibody each (86015) | $46.40 | $58 | 3.9× |
| Activated protein c resistance (85307) | $275.20 | $344 | 18.0× |
| Acute hepatitis panel (80074) | $60 | $75 | 1.3× |
| Acylcarnitine Plasma (82017) | $25.60 | $32 | 1.5× |
| Adamts13 activity (85397) | $221.60 | $277 | 7.2× |
| Adrenocorticotropic hormone (82024) | $48 | $60 | 1.2× |
| Afp maternal serum (82105) | $14.40 | $18 | 0.9× |
| Agglutinins febrile ea antigen (86000) | $720 | $900 | 103.2× |
| Albumin body fluid (82042) | $20 | $25 | 2.6× |
| Albumin serum (82040) | $11.20 | $14 | 2.3× |
| Aldolase (82085) | $24 | $30 | 2.5× |
| Aldosterone urine (82088) | $38 | $47.50 | 0.9× |
| Alkaline phosphatase isoenzymes (84080) | $12 | $15 | 0.8× |
| Allergen peanut (86003) | $80 | $100 | 15.3× |
| Allergen spec ige qual multiallergen screen (86005) | $26.40 | $33 | 3.3× |
| Allergen specific igg (86001) | $59.20 | $74 | 7.6× |
| Allg Spec Ige Recomb Ea (86008) | $70.40 | $88 | 3.9× |
| Alpha-1-antitrypsin phenotype (82104) | $38.40 | $48 | 2.7× |
| Alpha-1-antitrypsin, total (82103) | $100.40 | $125.50 | 7.5× |
| Alpha-Fetoprotein; Amniotic (82106) | $45.60 | $57 | 2.7× |
| Alt (sgpt) (84460) | $9.60 | $12 | 1.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $129.60 | $162 | 5.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $78 | $97.50 | 4.6× |
| Aminolevulinic acid (ala) (82135) | $40 | $50 | 2.4× |
| Amylase urine (82150) | $198.80 | $248.50 | 30.7× |
| Ana titer (86039) | $24 | $30 | 2.2× |
| Androsterone (hormone) level (82160) | $312 | $390 | 12.2× |
| Angiotensin i enzyme test (82164) | $18.40 | $23 | 1.3× |
| Anti-phosphatidylserine antibody (86148) | $275.20 | $344 | 17.1× |
| Antibody aspergillus (86606) | $20 | $25 | 1.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $40 | $50 | 2.6× |
| Antibody coxiella burnetii q fever (86638) | $47.20 | $59 | 3.9× |
| Antibody cytomegalovirus cmv (86644) | $45.60 | $57 | 3.2× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $38.40 | $48 | 2.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $342.40 | $428 | 28.0× |
| Antibody helicobacter pylori (86677) | $36 | $45 | 2.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $40 | $50 | 2.8× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $32 | $40 | 2.3× |
| Antibody HIV-2 (86702) | $52.80 | $66 | 3.9× |
| Antibody identification (86870) | $72 | $90 | 0.2× |
| Antibody identification leukocyte antibodies (86021) | $153.60 | $192 | 10.2× |
| Antibody influenza virus (86710) | $28.80 | $36 | 2.1× |
| Antibody mumps (86735) | $31.60 | $39.50 | 2.4× |
| Antibody Protozoa Nes (86753) | $52.80 | $66 | 4.3× |
| Antibody screen (86850) | $17.60 | $22 | 1.8× |
| Antibody treponema pallidum (86780) | $28.40 | $35.50 | 2.1× |
| Antibody; Coccidioides (86635) | $96 | $120 | 8.4× |
| Antigen typing (86905) | $274.40 | $343 | 71.6× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $10.40 | $13 | 2.0× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $176.80 | $221 | 14.7× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $13.60 | $17 | 1.1× |
| Antinomyces antibody (86602) | $41.60 | $52 | 4.1× |
| Antinuclear antibodies (86038) | $19.20 | $24 | 1.6× |
| Antistreptolysin o titer (86060) | $16.80 | $21 | 2.3× |
| Antithrombin iii activity (85300) | $52.80 | $66 | 4.5× |
| Antithrombin iii antigen (85301) | $48 | $60 | 4.4× |
| Apolipoprotein each (82172) | $37.20 | $46.50 | 1.8× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $214 | $267.50 | 17.8× |
| Aquaporin-4 antibody flow cytometry each (86053) | $405.60 | $507 | 10.8× |
| Arsenic Urine (82175) | $88.80 | $111 | 4.7× |
| Aspergillus ag eia (87305) | $104 | $130 | 8.7× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $630.40 | $788 | 12.3× |
| Assay galactose transferase (82775) | $25.60 | $32 | 1.2× |
| Assay Nephelometry Not Spec (83883) | $30.40 | $38 | 2.2× |
| Assay of 17-hydroxypregnenolone (84143) | $88.80 | $111 | 3.9× |
| Assay of 5-hiaa (83497) | $20.80 | $26 | 1.6× |
| Assay of ammonia (82140) | $47.20 | $59 | 3.2× |
| Assay of androstenedione (82157) | $75.20 | $94 | 2.6× |
| Assay of biotinidase (82261) | $215.20 | $269 | 12.8× |
| Assay of c-peptide (84681) | $16.80 | $21 | 0.8× |
| Assay of ceruloplasmin (82390) | $24 | $30 | 2.2× |
| Assay of citrate (82507) | $87.20 | $109 | 3.1× |
| Assay of corticosterone (82528) | $282.40 | $353 | 12.5× |
| Assay of cpk in blood (82552) | $20 | $25 | 1.5× |
| Assay of creatine (82540) | $110.80 | $138.50 | 23.9× |
| Assay of cyclosporine (80158) | $33.60 | $42 | 1.9× |
| Assay of erythropoietin (82668) | $28 | $35 | 1.5× |
| Assay of estrone (82679) | $55.20 | $69 | 2.2× |
| Assay of ethosuximide (80168) | $14.40 | $18 | 0.9× |
| Assay of ferritin (82728) | $17.60 | $22 | 1.3× |
| Assay of g6pd enzyme (82955) | $17.60 | $22 | 1.8× |
| Assay of gammaglobulin igm (82784) | $44.40 | $55.50 | 4.8× |
| Assay of gastrin (82941) | $19.20 | $24 | 1.1× |
| Assay of gentamicin (80170) | $40 | $50 | 2.4× |
| Assay of homocystine (83090) | $54.40 | $68 | 3.0× |
| Assay of lactic acid (83605) | $46 | $57.50 | 4.0× |
| Assay of lipoprotein(a) (83695) | $36.80 | $46 | 2.6× |
| Assay of manganese (83785) | $86.40 | $108 | 3.2× |
| Assay of metanephrines (83835) | $46.80 | $58.50 | 2.8× |
| Assay of phenobarbital (80184) | $20.80 | $26 | 1.4× |
| Assay of prealbumin (84134) | $19.20 | $24 | 1.3× |
| Assay of proinsulin (84206) | $306.40 | $383 | 11.5× |
| Assay of prolactin (84146) | $17.60 | $22 | 0.9× |
| Assay of serotonin (84260) | $43.20 | $54 | 1.4× |
| Assay of tacrolimus (80197) | $58.40 | $73 | 4.3× |
| Assay of topiramate (80201) | $44.80 | $56 | 3.8× |
| Assay of Tyrosine (84510) | $128.80 | $161 | 12.1× |
| Assay of urine vma (84585) | $56.80 | $71 | 3.7× |
| Assay of vasopressin anti-diuretic hormone (84588) | $110.80 | $138.50 | 3.3× |
| Assay of vitamin k (84597) | $339.20 | $424 | 24.7× |
| Assay spec xcp ur&breath ia (82077) | $44.80 | $56 | 2.6× |
| Ast (sgot) (84450) | $9.60 | $12 | 1.9× |
| Atomic Absorption (82190) | $361.60 | $452 | 22.7× |
| B cells total count (86355) | $47.20 | $59 | 1.3× |
| Bartonella antibody (86611) | $36.80 | $46 | 3.6× |
| Bartonella PCR (87471) | $410.40 | $513 | 11.7× |
| Bcr/abl1 gene major bp (81206) | $388 | $485 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $388 | $485 | 2.7× |
| Beta 2 glycoprotein 1 igm (86146) | $30.80 | $38.50 | 1.2× |
| Beta hydroxybutyrate (82010) | $98.40 | $123 | 12.0× |
| Beta-2 microglobulin (82232) | $232.80 | $291 | 14.4× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $160 | $200 | 1.2× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $424.80 | $531 | 3.3× |
| Bile acids, total (82239) | $23.20 | $29 | 1.4× |
| Bilirubin direct (82248) | $10.40 | $13 | 2.1× |
| Bilirubin total (82247) | $27.60 | $34.50 | 5.5× |
| Bilirubin total transcutaneous (88720) | $18.40 | $23 | 3.7× |
| Bl Smear W/Diff Wbc Count (85007) | $9.60 | $12 | 2.5× |
| Blastomyces antibody (86612) | $11.20 | $14 | 0.9× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $18 | $22.50 | 3.2× |
| Blood gas (82803) | $315.20 | $394 | 12.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $70.40 | $88 | 4.4× |
| Blood Sulfhemoglobin Assay (83060) | $118.40 | $148 | 13.5× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $13.60 | $17 | 2.1× |
| Blood typing abo (86900) | $31.60 | $39.50 | 10.6× |
| Blood typing serologic rh (d) (86901) | $31.60 | $39.50 | 10.6× |
| Body fluid cell count (89051) | $32 | $40 | 5.7× |
| Bordetella antibody (86615) | $150.80 | $188.50 | 11.4× |
| Borrelia miyamotoi amp prb (87478) | $233.60 | $292 | 6.7× |
| Brca1&2 seq & full dup/del (81162) | $1,920 | $2,400 | 1.1× |
| Breath Alcohol Test (82075) | $30.40 | $38 | 1.0× |
| Brucella antibody (86622) | $170.80 | $213.50 | 19.1× |
| C diff amplified probe (87493) | $84 | $105 | 2.3× |
| C-reactive protein (86140) | $38.40 | $48 | 7.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $12.80 | $16 | 1.0× |
| Ca 125 (86304) | $28.80 | $36 | 1.4× |
| Ca 19-9 (86301) | $33.60 | $42 | 1.6× |
| Ca 27 29 (86300) | $40.40 | $50.50 | 1.9× |
| Cadmium level (82300) | $85.20 | $106.50 | 3.6× |
| Calcitonin (82308) | $64 | $80 | 2.4× |
| Calcium ionized (82330) | $35.60 | $44.50 | 2.6× |
| Calcium total (82310) | $9.60 | $12 | 1.9× |
| Calcium urine (82340) | $15.20 | $19 | 2.5× |
| Calculus spectroscopy (82365) | $28.80 | $36 | 2.2× |
| California encephalitis ab (86651) | $28.80 | $36 | 2.2× |
| Calprotectin, fecal (83993) | $340 | $425 | 17.3× |
| Calr gene com variants (81219) | $594.40 | $743 | 4.9× |
| Candida antibody (86628) | $122.80 | $153.50 | 10.2× |
| Carbamazepine free (80157) | $116 | $145 | 8.8× |
| Carbamazepine total (80156) | $25.60 | $32 | 1.8× |
| Carbon dioxide (82374) | $9.60 | $12 | 2.0× |
| Carboxyhemoglobin (82375) | $36 | $45 | 2.9× |
| Carcinoembryonic antigen (82378) | $125.20 | $156.50 | 6.6× |
| Cardiolipin ab igg (86147) | $91.20 | $114 | 3.6× |
| Carnitine (82379) | $17.60 | $22 | 1.0× |
| Catecholamines fraction plasma (82384) | $32.80 | $41 | 1.3× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $272 | $340 | 2.0× |
| Cftr gene com variants (81220) | $445.60 | $557 | 0.8× |
| Cftr gene full sequence (81223) | $2,400 | $3,000 | 4.8× |
| Chemiluminescent assay (82397) | $242 | $302.50 | 17.1× |
| Chlamydia antibody (86631) | $44.80 | $56 | 3.8× |
| Chlamydia Igm Antibody (86632) | $111.20 | $139 | 8.8× |
| Chloride blood (82435) | $9.60 | $12 | 2.1× |
| Chloride urine (82436) | $21.60 | $27 | 3.8× |
| Cholesterol HDL (83718) | $18.40 | $23 | 2.2× |
| Cholesterol total (82465) | $10.40 | $13 | 2.4× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $100 | $125 | 3.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $248.40 | $310.50 | 2.0× |
| Chromium urine (82495) | $81.60 | $102 | 4.0× |
| Chromogranin a (86316) | $35.20 | $44 | 1.7× |
| Chromosome analysis 20-25 cells (88264) | $391.20 | $489 | 2.7× |
| Chromosome Banding Study (88283) | $118.40 | $148 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $59.20 | $74 | 1.7× |
| Ckmb (82553) | $26.40 | $33 | 2.3× |
| Clot Factor VIII Multimetric (85247) | $384 | $480 | 16.7× |
| Clot factor viii vw antigen (85246) | $198.40 | $248 | 8.6× |
| Clotting Inhibitors Protein S Free (85306) | $127.20 | $159 | 8.3× |
| Cmv ab igm (86645) | $45.60 | $57 | 2.7× |
| Cmv PCR (87496) | $102.40 | $128 | 2.9× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $496 | $620 | 3.6× |
| Cns DNA amp probe type 12-25 (87483) | $683.20 | $854 | 1.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $302 | $377.50 | 12.5× |
| Collagen cross links (82523) | $45.60 | $57 | 2.4× |
| Comparative anal str markers patient&comp spec (81265) | $794.80 | $993.50 | 3.4× |
| Compatibility test antiglob (86922) | $24 | $30 | 0.1× |
| Complement c3 (86160) | $19.20 | $24 | 1.6× |
| Complement total (ch50) (86162) | $16.80 | $21 | 0.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $241.60 | $302 | 20.1× |
| Concentration Infectious Agent (87015) | $18.40 | $23 | 2.8× |
| Coombs direct (86880) | $15.20 | $19 | 2.8× |
| Copper urine (82525) | $32.80 | $41 | 2.6× |
| Cortisol free (82530) | $23.20 | $29 | 1.4× |
| Cortisol total (82533) | $22.40 | $28 | 1.4× |
| Creatine kinase total (82550) | $15.20 | $19 | 2.3× |
| Creatinine blood (82565) | $81.60 | $102 | 15.9× |
| Creatinine clearance (82575) | $24.80 | $31 | 2.6× |
| Creatinine other source (82570) | $20.80 | $26 | 4.0× |
| Crossmatch immediate spin (86920) | $287.20 | $359 | 1.8× |
| Cryofibrinogen (82585) | $176 | $220 | 12.4× |
| Cryoglobulin (82595) | $60.80 | $76 | 9.4× |
| Crystals body fluid (89060) | $8 | $10 | 1.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $83.60 | $104.50 | 10.3× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $563.20 | $704 | 2.6× |
| Culture Aerobic Identify (87077) | $33.60 | $42 | 4.2× |
| Culture afb (87116) | $188 | $235 | 17.4× |
| Culture anaerobic (87075) | $12 | $15 | 1.3× |
| Culture blood (87040) | $24 | $30 | 2.3× |
| Culture chlamydia (87110) | $20.80 | $26 | 1.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $19.20 | $24 | 2.5× |
| Culture fungus blood (87103) | $192 | $240 | 9.4× |
| Culture fungus id yeast (87106) | $88.80 | $111 | 8.6× |
| Culture fungus other (87102) | $36.80 | $46 | 4.4× |
| Culture genital (87070) | $23.60 | $29.50 | 2.7× |
| Culture screen only (87081) | $18.40 | $23 | 2.8× |
| Culture stool (87045) | $24 | $30 | 2.5× |
| Culture typing if ea antiserum (87140) | $20 | $25 | 3.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $16.80 | $21 | 3.2× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $323.20 | $404 | 9.2× |
| Culture urine (87086) | $20 | $25 | 2.5× |
| Culture virus (87252) | $67.60 | $84.50 | 2.6× |
| Cyanide (82600) | $22.40 | $28 | 1.2× |
| Cyclic Citrullinated Peptide (86200) | $41.60 | $52 | 3.2× |
| Cystatin c (82610) | $106.80 | $133.50 | 5.8× |
| Cysticercosis Antibody (86682) | $137.60 | $172 | 10.6× |
| Cytogenetics 10-30 (88273) | $70.40 | $88 | 2.0× |
| Cytogenetics 100-300 (88275) | $492.80 | $616 | 9.6× |
| Cytogenetics DNA probe (88271) | $163.60 | $204.50 | 7.6× |
| Cytogenom const microarray copy number&snp var (81229) | $2,298 | $2,872.50 | 2.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $365.60 | $457 | 8.5× |
| Cytopath cell enhance tech (88112) | $72 | $90 | 1.4× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $62.40 | $78 | 2.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $76 | $95 | 1.5× |
| Deoxyribonuclease antibody (86215) | $27.20 | $34 | 2.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $59.20 | $74 | 3.6× |
| Detect agnt mult DNA ampli (87801) | $80 | $100 | 1.1× |
| Dgp antibody each ig class (86258) | $152 | $190 | 12.6× |
| Dhea (82626) | $56 | $70 | 2.2× |
| Dhea-sulfate (82627) | $68 | $85 | 3.1× |
| Digoxin (80162) | $25.60 | $32 | 1.9× |
| Dihydrotestosterone (82642) | $41.60 | $52 | 1.4× |
| Dilantin (80185) | $25.60 | $32 | 1.9× |
| Diphtheria antitoxoid (86648) | $28 | $35 | 1.8× |
| Dipropylacetic acid free (80165) | $81.60 | $102 | 6.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $36 | $45 | 2.6× |
| DNA/RNA direct probe (87149) | $232 | $290 | 11.6× |
| Dpyd gene common variants (81232) | $1,016 | $1,270 | 5.8× |
| Drug assay adalimumab (80145) | $423.20 | $529 | 11.0× |
| Drug Assay Amiodarone (80151) | $32.80 | $41 | 1.8× |
| Drug assay felbamate (80167) | $54.40 | $68 | 2.9× |
| Drug assay flecainide (80181) | $22.40 | $28 | 1.2× |
| Drug Assay Infliximab (80230) | $388 | $485 | 10.1× |
| Drug assay itraconazole (80189) | $830.40 | $1,038 | 30.6× |
| Drug Assay Lacosamide (80235) | $128 | $160 | 4.7× |
| Drug assay methotrexate (80204) | $516 | $645 | 13.4× |
| Drug assay vedolizumab (80280) | $514 | $642.50 | 13.3× |
| Drug assay voriconazole (80285) | $191.20 | $239 | 7.1× |
| Drug quant nes (80299) | $280 | $350 | 15.0× |
| Drug screen quant zonisamide (80203) | $162.40 | $203 | 12.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $60.80 | $76 | 4.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $42.40 | $53 | 3.2× |
| Drug Scrn Quan Levetiracetam (80177) | $35.20 | $44 | 2.7× |
| Drug test prsmv chem anlyzr (80307) | $177.60 | $222 | 2.9× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $35.20 | $44 | 2.1× |
| E test (87181) | $4.80 | $6 | 1.0× |
| Ebv viral capsid (86665) | $40 | $50 | 2.2× |
| Ehrlichia antibody (86666) | $78.40 | $98 | 7.7× |
| Elastase pancreatic fecal quantitative (82653) | $56 | $70 | 2.4× |
| Electrolyte panel (80051) | $18.40 | $23 | 2.6× |
| Electron microscopy diagnostic (88348) | $1,792 | $2,240 | 2.3× |
| Electronic crossmatch (86923) | $27.20 | $34 | 0.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $111.20 | $139 | 1.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $58 | $72.50 | 4.8× |
| Entamoeba histolytica antigen (87337) | $72.80 | $91 | 6.1× |
| Enterovirus antibody (86658) | $21.20 | $26.50 | 1.6× |
| Enzyme cell activity (82657) | $299.20 | $374 | 13.5× |
| Eosinophil count (85048) | $18.40 | $23 | 7.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $64 | $80 | 4.2× |
| Estradiol (82670) | $46 | $57.50 | 1.6× |
| Estriol serum (82677) | $20 | $25 | 0.8× |
| Estrogens fractionated (82671) | $72 | $90 | 2.2× |
| Estrogens total (82672) | $49.20 | $61.50 | 2.3× |
| Ethylene glycol (82693) | $10.24 | $12.80 | 0.7× |
| Euglobulin lysis (85360) | $105.60 | $132 | 12.6× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $120 | $150 | 1.2× |
| Everolimus (80169) | $220 | $275 | 16.0× |
| F2 gene analysis 20210g >a variant (81240) | $173.60 | $217 | 2.6× |
| F5 gene analysis, leiden variant (81241) | $128.80 | $161 | 1.8× |
| Factor ii activity (85210) | $51.20 | $64 | 3.9× |
| Factor ix activity (85250) | $88.40 | $110.50 | 4.6× |
| Factor v activity (85220) | $140.80 | $176 | 8.0× |
| Factor vii assay (85230) | $160.80 | $201 | 9.0× |
| Factor viii ahg (85240) | $201.20 | $251.50 | 11.2× |
| Factor xi assay (85270) | $157.60 | $197 | 8.8× |
| Factor xii assay (85280) | $157.60 | $197 | 8.1× |
| Fatty acids free (82725) | $252 | $315 | 13.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $305.60 | $382 | 17.8× |
| Fecal fat qual (82705) | $28.40 | $35.50 | 5.6× |
| Fecal fat quant (82710) | $30.40 | $38 | 1.8× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $1,390.40 | $1,738 | 1.8× |
| Fibrin degradation products (85362) | $36 | $45 | 5.2× |
| Fibrin Degradation Quant (85379) | $26.40 | $33 | 2.6× |
| Fibrinogen activity (85384) | $18.40 | $23 | 1.9× |
| Flow cytometry first marker (88184) | $184 | $230 | 0.5× |
| Fluorescent Antibody Screen (86255) | $122.40 | $153 | 10.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $35.20 | $44 | 2.9× |
| Folate serum (82746) | $12 | $15 | 0.8× |
| Folic acid rbc (82747) | $112.80 | $141 | 6.4× |
| Follicle Stimulating Hormone (83001) | $20 | $25 | 1.1× |
| Francisella tularensis (86668) | $142 | $177.50 | 10.0× |
| Fructosamine (82985) | $13.60 | $17 | 0.8× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $84.80 | $106 | 8.2× |
| Gabapentin (80171) | $72 | $90 | 3.3× |
| Gammaglobulin ige (82785) | $53.60 | $67 | 3.3× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $157.60 | $197 | 2.0× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $3,026 | $3,782.50 | 4.0× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $1,416.80 | $1,771 | 2.4× |
| Ggt (82977) | $32 | $40 | 4.4× |
| Giardia antigen eia stool (87329) | $49.20 | $61.50 | 4.1× |
| Glucose (82947) | $9.60 | $12 | 2.4× |
| Glucose Blood Test (82962) | $8.80 | $11 | 2.7× |
| Glucose body fluid (82945) | $19.20 | $24 | 4.9× |
| Glucose post dose (82950) | $9.60 | $12 | 2.0× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $8 | $10 | 2.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $28 | $35 | 2.2× |
| Growth hormone (83003) | $42.40 | $53 | 2.5× |
| H pylori breath test (83013) | $415.20 | $519 | 6.2× |
| Haptoglobin (83010) | $37.20 | $46.50 | 3.0× |
| Hba1/hba2 full gene sequence (81259) | $1,324 | $1,655 | 2.2× |
| Hbb duplication/deletion variants (81363) | $1,080 | $1,350 | 5.3× |
| Hbb Full Gene Sequence (81364) | $1,131.20 | $1,414 | 3.5× |
| Hcg qualitative (84703) | $16 | $20 | 2.1× |
| Hcg quant (84702) | $16 | $20 | 1.1× |
| Heavy metal quant each (83018) | $142.40 | $178 | 6.5× |
| Hematocrit (85014) | $25.60 | $32 | 10.8× |
| Hemoglobin (85018) | $19.20 | $24 | 8.1× |
| Hemoglobin a1c (83036) | $20 | $25 | 2.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $46.40 | $58 | 2.6× |
| Hemoglobin electrophoresis (83020) | $97.60 | $122 | 7.6× |
| Hemolysins/agglutinins auto screen (86940) | $14.40 | $18 | 1.6× |
| Heparin assay (85520) | $148.80 | $186 | 11.4× |
| Hepatitis a antibody total (86708) | $12 | $15 | 1.0× |
| Hepatitis a igm (86709) | $12.80 | $16 | 1.1× |
| Hepatitis b core ab igm (86705) | $41.60 | $52 | 3.5× |
| Hepatitis b core antibody total (86704) | $16.80 | $21 | 1.4× |
| Hepatitis B Surface Ab (86706) | $18.40 | $23 | 1.7× |
| Hepatitis B Surface Antigen (87340) | $13.60 | $17 | 1.3× |
| Hepatitis b virus genotyping (87912) | $368 | $460 | 1.4× |
| Hepatitis be antibody (86707) | $32 | $40 | 2.8× |
| Hepatitis Be Antigen (87350) | $13.60 | $17 | 1.2× |
| Hepatitis c antibody (86803) | $12.40 | $15.50 | 0.9× |
| Hepatitis C Genotype (87902) | $1,006 | $1,257.50 | 3.9× |
| Hepatitis delta ab (86692) | $58 | $72.50 | 3.4× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,144.80 | $1,431 | 0.9× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $475.20 | $594 | 0.4× |
| Herpes simplex type i (86695) | $32.80 | $41 | 2.5× |
| Herpes simplex type ii (86696) | $36.40 | $45.50 | 1.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $21.60 | $27 | 4.2× |
| Hfe gene (81256) | $279.20 | $349 | 4.3× |
| Histamine plasma (83088) | $108.80 | $136 | 3.7× |
| Histoplasma antibody (86698) | $78.80 | $98.50 | 5.7× |
| Histoplasma antigen urine (87385) | $88 | $110 | 6.6× |
| HIV-1 antibody (86701) | $35.20 | $44 | 4.0× |
| HIV-1 genotype (87901) | $281.60 | $352 | 1.1× |
| HIV-1 integrase genotype (87906) | $198 | $247.50 | 1.5× |
| HIV-2 probe&revrse trnscripj (87538) | $240 | $300 | 6.8× |
| Hla class i high defin qual (86832) | $687.20 | $859 | 2.1× |
| Hla class i typing high resolution one allele or allele group (81381) | $200 | $250 | 1.2× |
| Hla class ii high defin qual (86833) | $690.40 | $863 | 2.1× |
| Hla class ii typing high resolution one locus ea (81382) | $395.20 | $494 | 3.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $62.40 | $78 | 0.8× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $892.80 | $1,116 | 2.6× |
| Hla ii typing 1 locus lr (81376) | $46.40 | $58 | 0.4× |
| Hla-b27 (86812) | $92.80 | $116 | 3.6× |
| Homogenization tissue (87176) | $12.80 | $16 | 2.2× |
| Homovanillic acid urine (83150) | $136 | $170 | 6.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $204 | $255 | 5.8× |
| Human epididymis protein 4 (86305) | $409.60 | $512 | 19.7× |
| Hydroxyprogesterone 17-d (83498) | $25.60 | $32 | 0.9× |
| Iaad ia clostridium difficile toxin (87324) | $110.80 | $138.50 | 9.2× |
| Iaad ia cryptosporidium (87328) | $67.20 | $84 | 4.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $40 | $50 | 3.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $71.20 | $89 | 3.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $60 | $75 | 4.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $91.20 | $114 | 2.6× |
| Iaad ia shiga-like toxin (87427) | $45.60 | $57 | 3.8× |
| Iaad Ia Streptococcus Group A (87430) | $50 | $62.50 | 3.0× |
| Iaadiadoo not otherwise specified (87899) | $60.80 | $76 | 3.8× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $176 | $220 | 5.0× |
| Iadna babesia microti amplified probe technique (87469) | $212.80 | $266 | 6.1× |
| Iadna candida species amplified probe tq (87481) | $121.60 | $152 | 3.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $233.60 | $292 | 6.7× |
| Iadna hepatitis b virus quantification (87517) | $414.40 | $518 | 9.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $266 | $332.50 | 6.2× |
| Iadna herpes virus-6 amplified probe tq (87532) | $178.40 | $223 | 5.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $118 | $147.50 | 3.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $174.40 | $218 | 2.0× |
| Iadna human papillomavirus high-risk types (87624) | $59.20 | $74 | 1.7× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $86.40 | $108 | 2.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $72.80 | $91 | 2.1× |
| Iadna nos amplified probe tq each organism (87798) | $256 | $320 | 7.3× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $316.80 | $396 | 10.5× |
| Iadna nos quantification each organism (87799) | $136 | $170 | 3.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $96 | $120 | 2.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,376 | $1,720 | 3.3× |
| If varicella-zoster antigen (87290) | $123.20 | $154 | 9.2× |
| Igg subclasses (82787) | $16.80 | $21 | 2.1× |
| Igh gene rearrange amp meth (81261) | $1,140 | $1,425 | 5.8× |
| Igk rearrangeabn clonal pop (81264) | $1,140 | $1,425 | 6.6× |
| Igvh somatic hypermutation (81263) | $557.20 | $696.50 | 1.9× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $64 | $80 | 0.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $73.60 | $92 | 4.9× |
| Immunoassay nonantibody (83516) | $57.60 | $72 | 5.0× |
| Immunodiffusion Ouchterlony (86331) | $26.40 | $33 | 2.2× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) | $182.83 | $228.54 | 7.9× |
| Immunofixation (86334) | $204.80 | $256 | 9.2× |
| Immunofixation urine (86335) | $115.20 | $144 | 3.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $204.80 | $256 | 1.3× |
| Immunoglobulin light chains free each (83521) | $152.80 | $191 | 8.8× |
| Immunohistochemistry (88342) | $92.40 | $115.50 | 0.6× |
| In situ hybridization (88365) | $140 | $175 | 0.9× |
| In situ hybridization ea multiplex probe stain (88366) | $131.20 | $164 | 0.8× |
| Indirect coombs (86885) | $17.60 | $22 | 3.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $136 | $170 | 1.9× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) | $48 | $60 | 4.0× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Facility (87273) | $94.40 | $118 | 7.9× |
| Influenza a/b ag eia (87400) | $41.20 | $51.50 | 2.9× |
| Influenza DNA amp probe (87502) | $84.80 | $106 | 0.9× |
| Inhibin a (86336) | $19.20 | $24 | 1.2× |
| Inhibin b (83520) | $152 | $190 | 8.8× |
| Insulin antibodies (86337) | $70.40 | $88 | 3.3× |
| Insulin free (83527) | $27.20 | $34 | 2.1× |
| Insulin total (83525) | $23.20 | $29 | 2.0× |
| Interleukin 6 (83529) | $164.80 | $206 | 9.5× |
| Intrinsic factor antibody (86340) | $38.40 | $48 | 2.5× |
| Iron (83540) | $22.80 | $28.50 | 3.5× |
| Islet cell antibody (86341) | $159.20 | $199 | 6.8× |
| Jak2 gene analysis (81270) | $540.80 | $676 | 5.9× |
| Kit gene analys d816 variant (81273) | $1,106.40 | $1,383 | 8.9× |
| Lactoferrin fecal qual (83630) | $71.20 | $89 | 3.6× |
| Lactoferrin Fecal Quantitative (83631) | $44 | $55 | 2.2× |
| Ldh body fluid (83615) | $10.40 | $13 | 1.7× |
| Ldh isoenzymes (83625) | $16.80 | $21 | 1.3× |
| LDL cholesterol direct (83721) | $14.40 | $18 | 1.4× |
| Lead (83655) | $48 | $60 | 4.0× |
| Legion pneumo, DNA, amp prob (87541) | $52 | $65 | 1.5× |
| Legionella antigen urine (87449) | $92.80 | $116 | 7.7× |
| Leptospira antibody (86720) | $200 | $250 | 12.3× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $8.80 | $11 | 2.1× |
| Leukocyte Histamine Release (86343) | $106.40 | $133 | 8.5× |
| Level ii surg pathology grossµscopic exam (88302) | $41.60 | $52 | 1.2× |
| Level v surg pathology grossµscopic exam (88307) | $95.60 | $119.50 | 0.3× |
| Level vi surg pathology grossµscopic exam (88309) | $201.60 | $252 | 0.3× |
| Lh (83002) | $32 | $40 | 1.7× |
| Lipase (83690) | $28.80 | $36 | 4.2× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $89.60 | $112 | 2.6× |
| Listeria ab (86609) | $96 | $120 | 7.5× |
| Lithium (80178) | $14.80 | $18.50 | 2.2× |
| Liver ds alys 3 bmrk srm alg (81517) | $544 | $680 | 3.1× |
| Lyme disease antibody (86618) | $145.60 | $182 | 8.5× |
| Lymphocyte transformation (86353) | $328 | $410 | 6.7× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $448 | $560 | 2.7× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $410.40 | $513 | 2.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $286.40 | $358 | 1.8× |
| Macroscopic exam parasite (87169) | $23.20 | $29 | 5.4× |
| Magnesium (83735) | $26.40 | $33 | 3.9× |
| Malaria smear (87207) | $80 | $100 | 13.4× |
| Manual cell count each (85032) | $11.20 | $14 | 2.6× |
| Manual reticulocyte count (85044) | $10.40 | $13 | 2.4× |
| Mass spectrometry qual/quan (83789) | $308.40 | $385.50 | 12.8× |
| Mercury urine (83825) | $48 | $60 | 3.0× |
| Methemoglobin (83050) | $110.40 | $138 | 13.5× |
| Methylmalonic acid serum (83921) | $39.20 | $49 | 1.8× |
| Microalbumin urine (82043) | $13.60 | $17 | 2.4× |
| Microsatellite instability (81301) | $296 | $370 | 0.8× |
| Microsomal antibodies (86376) | $27.60 | $34.50 | 1.9× |
| Mitochondrial antibody each (86381) | $40 | $50 | 1.6× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $472 | $590 | 2.5× |
| Mog-igg1 antibody flow cytometry each (86363) | $481.60 | $602 | 12.8× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $69.60 | $87 | 1.6× |
| Molecular pathology procedure level 2 (81401) | $267.20 | $334 | 2.0× |
| Molecular pathology procedure level 7 (81406) | $2,634.80 | $3,293.50 | 9.3× |
| Mononuclear cell antigen (86356) | $115.60 | $144.50 | 4.3× |
| Mopath procedure level 4 (81403) | $478.40 | $598 | 2.6× |
| Mopath procedure level 5 (81404) | $1,666.80 | $2,083.50 | 6.1× |
| Mopath procedure level 6 (81405) | $720 | $900 | 2.4× |
| Mopath procedure level 8 (81407) | $720 | $900 | 0.9× |
| Mopath procedure level 9 (81408) | $1,920 | $2,400 | 1.0× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $224 | $280 | 1.2× |
| Mpl gene common variants (81338) | $620.80 | $776 | 4.1× |
| Mrsa PCR (87641) | $126.40 | $158 | 3.6× |
| Mtb PCR (87556) | $371.20 | $464 | 8.9× |
| Mtb rifampin rst amp prb tq (87564) | $366.40 | $458 | 4.8× |
| Mthfr Gene Analysis Common Variants (81291) | $160.80 | $201 | 2.5× |
| Mucopolysaccharides acid quantitative (83864) | $754.40 | $943 | 26.5× |
| Muramidase (85549) | $23.20 | $29 | 1.2× |
| Mycobacteric identification (87118) | $224 | $280 | 15.3× |
| Mycophenolic acid (80180) | $67.20 | $84 | 3.7× |
| Mycoplasma antibody (86738) | $13.60 | $17 | 1.0× |
| Mycoplasma genitalium PCR (87563) | $116.80 | $146 | 3.3× |
| Myoglobin urine (83874) | $56 | $70 | 4.3× |
| Natriuretic peptide (83880) | $52.80 | $66 | 1.3× |
| Neutralization Test Viral (86382) | $124 | $155 | 7.3× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $252 | $315 | 1.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $236.80 | $296 | 3.3× |
| Nickel level (83885) | $96 | $120 | 3.9× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $732 | $915 | 3.0× |
| Ntrk translocation analysis (81194) | $796.80 | $996 | 1.5× |
| Nuclear antigen antibody (86235) | $112 | $140 | 6.2× |
| Nudt15 Gene Analysis Common Variants (81306) | $280 | $350 | 1.0× |
| Obstetric panel (80081) | $208.80 | $261 | 2.8× |
| Occult blood gastric (82271) | $11.20 | $14 | 2.1× |
| Occult blood stool (82272) | $39.20 | $49 | 9.3× |
| Organic Acids Qualitative Each Specimen (83919) | $182.40 | $228 | 11.1× |
| Organic acids total quantitative each specimen (83918) | $446.40 | $558 | 18.9× |
| Orthopoxvirus Amp Prb Each (87593) | $144 | $180 | 2.8× |
| Osmolality serum (83930) | $16 | $20 | 2.4× |
| Osmolality urine (83935) | $18.40 | $23 | 2.7× |
| Ova and parasite direct-id lca (87177) | $40.80 | $51 | 4.6× |
| Oxalate urine (83945) | $144.40 | $180.50 | 10.0× |
| Pancreatic polypeptide (83519) | $176 | $220 | 9.6× |
| Parvovirus antibody (86747) | $56.40 | $70.50 | 3.8× |
| Ph body fluid (83986) | $11.20 | $14 | 3.1× |
| Ph urine (81003) | $10.40 | $13 | 4.6× |
| Phenotype Infect Agent Drug (87900) | $101.60 | $127 | 0.8× |
| Phenylalanine (84030) | $280 | $350 | 50.9× |
| Phenytoin free (80186) | $62.40 | $78 | 4.5× |
| Phosphatase alkaline (84075) | $9.60 | $12 | 1.9× |
| Phosphorus blood (84100) | $10.40 | $13 | 2.2× |
| Phosphorus urine (84105) | $16.40 | $20.50 | 2.8× |
| Pinworm exam (87172) | $10.40 | $13 | 2.4× |
| Plasminogen (85420) | $275.20 | $344 | 42.1× |
| Platelet count automated (85049) | $30.40 | $38 | 6.8× |
| Pml/raralpha com breakpoints (81315) | $264 | $330 | 1.3× |
| Pmp22 gene dup/delet (81324) | $1,592 | $1,990 | 2.1× |
| Pneumcysts jirovecii amp prb (87594) | $201.60 | $252 | 5.7× |
| Potassium (84132) | $9.60 | $12 | 2.0× |
| Potassium urine (84133) | $14.40 | $18 | 3.0× |
| Pregnenolone (84140) | $60.80 | $76 | 2.9× |
| Primidone (80188) | $16 | $20 | 1.0× |
| Procalcitonin (pct) (84145) | $32.80 | $41 | 1.2× |
| Progesterone (84144) | $20.80 | $26 | 1.0× |
| Prostaglandin Ea (84150) | $341.60 | $427 | 8.2× |
| Protein body fluid (84157) | $18 | $22.50 | 4.5× |
| Protein c activity (85303) | $98.40 | $123 | 7.1× |
| Protein c antigen (85302) | $221.60 | $277 | 18.5× |
| Protein electrophoresis serum (84165) | $25.20 | $31.50 | 2.3× |
| Protein Electrophoresis Urine (84166) | $17.60 | $22 | 1.0× |
| Protein s total (85305) | $178.40 | $223 | 15.4× |
| Protein total serum (84155) | $24.80 | $31 | 6.8× |
| Protein urine (84156) | $12.80 | $16 | 3.5× |
| Protein Western Blot (84182) | $280 | $350 | 9.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $25.60 | $32 | 6.5× |
| Protoporphyrin rbc quantitative (84202) | $17.20 | $21.50 | 1.2× |
| PSA free (84154) | $24.80 | $31 | 1.3× |
| Pth intact (83970) | $20.40 | $25.50 | 0.5× |
| Quinidine (80194) | $268 | $335 | 18.4× |
| Rbc (85041) | $17.60 | $22 | 5.8× |
| Rbc antibody elution (86860) | $151.20 | $189 | 0.9× |
| Renin activity plasma (84244) | $54.40 | $68 | 2.5× |
| Resp virus 12-25 targets (87633) | $601.20 | $751.50 | 1.4× |
| Resp virus 3-5 targets (87631) | $187.20 | $234 | 1.3× |
| Reticulated platelet assay (85055) | $101.20 | $126.50 | 2.8× |
| Rheumatoid Factor Qual (86430) | $17.60 | $22 | 2.9× |
| Rheumatoid factor quant (86431) | $92.80 | $116 | 16.4× |
| Rickettsia antibody (86757) | $41.60 | $52 | 2.1× |
| Rotavirus ag eia (87425) | $89.60 | $112 | 7.5× |
| Rpr Titer (86593) | $16.80 | $21 | 3.8× |
| Rsv (87807) | $33.60 | $42 | 2.6× |
| Rubella antibody (86762) | $12 | $15 | 0.8× |
| Rubeola Antibody Igg (86765) | $25.20 | $31.50 | 2.0× |
| Rufinamide (80210) | $81.60 | $102 | 3.0× |
| Russell viper venom time diluted (85613) | $193.60 | $242 | 20.2× |
| Salicylate Level (80179) | $24.80 | $31 | 1.3× |
| Salmonella antibody (86768) | $60.80 | $76 | 4.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $108 | $135 | 2.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $84.80 | $106 | 2.0× |
| Sars-cov-2 covid19 w/optic (87811) | $107.20 | $134 | 2.6× |
| Sarscov2 & inf a&b amp prb (87636) | $200.40 | $250.50 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $408.80 | $511 | 2.9× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $112 | $140 | 16.9× |
| Sedimentation rate (85651) | $8.80 | $11 | 2.1× |
| Sedimentation rate auto (85652) | $8 | $10 | 3.0× |
| Selenium (84255) | $83.20 | $104 | 3.3× |
| Semen analysis complete (89320) | $25.60 | $32 | 2.1× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $25.60 | $32 | 2.1× |
| Sensitivity kb (87184) | $30.40 | $38 | 4.1× |
| Sensitivity mic (87186) | $156.80 | $196 | 18.1× |
| Serotonin Release Assay (86022) | $728 | $910 | 39.6× |
| Serpina1 gene (81332) | $376 | $470 | 8.6× |
| Sex hormone binding globulin (84270) | $40 | $50 | 1.8× |
| Sickling of rbc reduction (85660) | $35.20 | $44 | 6.4× |
| Sirolimus (rapamycin) (80195) | $44.80 | $56 | 3.3× |
| Smear acid fast (87206) | $41.20 | $51.50 | 7.6× |
| Smear complex stain (87209) | $34.80 | $43.50 | 1.9× |
| Smear gram stain (87205) | $25.20 | $31.50 | 5.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $13.20 | $16.50 | 2.3× |
| Sodium (84295) | $9.60 | $12 | 2.0× |
| Sodium urine (84300) | $22 | $27.50 | 4.3× |
| Somatomedin (84305) | $28 | $35 | 1.3× |
| Somatostatin (84307) | $184.80 | $231 | 10.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $264 | $330 | 2.1× |
| Special stains group 1 (88312) | $65.20 | $81.50 | 1.3× |
| Spectrophotometry (84311) | $93.60 | $117 | 11.6× |
| Stool Culture, Addl Pathogens (87046) | $37.20 | $46.50 | 3.9× |
| Strep a assay w/optic (87880) | $41.20 | $51.50 | 2.5× |
| Strep a DNA amp probe (87651) | $74.40 | $93 | 2.1× |
| Strep b DNA amp probe (87653) | $68 | $85 | 1.9× |
| Sugars mono di&oligos mlt qualitative each spe (84377) | $582.40 | $728 | 105.9× |
| Sugars Single Qualitative, Each Specimen (84376) | $10.40 | $13 | 1.9× |
| Sugars single quant (84378) | $730 | $912.50 | 63.3× |
| Sulfate urine (84392) | $17.60 | $22 | 3.2× |
| Surg path level 1 (88300) | $30.40 | $38 | 1.1× |
| Surg path level iii (88304) | $58.40 | $73 | 1.2× |
| Surgical pathology level IV (88305) | $252 | $315 | 5.0× |
| T Cell Absolute Count (86361) | $51.20 | $64 | 1.9× |
| T3 free (84481) | $47.20 | $59 | 2.8× |
| T3 reverse (84482) | $44 | $55 | 2.8× |
| T3 total (84480) | $24.80 | $31 | 1.7× |
| T3 uptake (84479) | $12 | $15 | 1.9× |
| T4 free (84439) | $56.80 | $71 | 6.3× |
| T4 total (84436) | $12 | $15 | 1.7× |
| T4-neonatal (84437) | $25.60 | $32 | 4.0× |
| Tau phosphorylated each (84393) | $320 | $400 | 2.5× |
| Tb ag response t-cell susp (86481) | $200 | $250 | 2.0× |
| Tb test, cell immun measure (86480) | $120 | $150 | 1.9× |
| Testosterone free (84402) | $82 | $102.50 | 3.2× |
| Testosterone total (84403) | $30 | $37.50 | 1.2× |
| Tetanus antibody (86774) | $20 | $25 | 1.4× |
| Theophylline (80198) | $25.60 | $32 | 1.8× |
| Thin prep pap (88142) | $80 | $100 | 3.9× |
| Thiopurine methyltransferase (84433) | $200 | $250 | 9.0× |
| Thrombin time plasma (85670) | $63.20 | $79 | 11.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $151.20 | $189 | 23.4× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $125.60 | $157 | 3.6× |
| Thyroglobulin (84432) | $53.20 | $66.50 | 3.3× |
| Thyroglobulin antibody (86800) | $51.20 | $64 | 3.2× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $303.20 | $379 | 6.0× |
| Thyroxine binding globulin (84442) | $54.40 | $68 | 3.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $329.20 | $411.50 | 2.3× |
| Tissue culture bone marrow (88237) | $298.40 | $373 | 2.1× |
| Tissue culture lymphocyte (88230) | $265.60 | $332 | 2.3× |
| Tissue transglutaminase ab iga (86364) | $152 | $190 | 13.2× |
| Tobramycin peak (80200) | $41.60 | $52 | 2.6× |
| Total tau (ttau) (84394) | $506.40 | $633 | 3.9× |
| Toxoplasma ab igm (86778) | $52 | $65 | 3.6× |
| Toxoplasma antibody igg (86777) | $31.60 | $39.50 | 2.2× |
| Tpmt gene com variants (81335) | $280 | $350 | 1.6× |
| Transferrin (84466) | $27.20 | $34 | 2.1× |
| Trg gene rearrangement analysis (81342) | $432 | $540 | 2.1× |
| Trichinella antibody (86784) | $62.40 | $78 | 5.0× |
| Triglycerides (84478) | $46 | $57.50 | 8.0× |
| Troponin (84484) | $14.40 | $18 | 1.2× |
| Ugt1a1 gene analysis common variants (81350) | $366.40 | $458 | 1.6× |
| Urea nitrogen (84520) | $9.60 | $12 | 2.4× |
| Urea nitrogen urine (84540) | $14.40 | $18 | 2.6× |
| Uric acid blood (84550) | $10.40 | $13 | 2.3× |
| Uric acid other source (84560) | $15.20 | $19 | 3.0× |
| Urinalysis auto w/scope (81001) | $19.20 | $24 | 6.1× |
| Urinalysis Microscopic Only (81015) | $4.80 | $6 | 1.6× |
| Urine Albumin Semiquantitative (82044) | $16 | $20 | 2.6× |
| Urine Bacteria Culture (87088) | $60.80 | $76 | 7.5× |
| Urine pregnancy test (81025) | $16.80 | $21 | 2.0× |
| Valproic acid (80164) | $20.40 | $25.50 | 1.5× |
| Vancomycin trough (80202) | $25.60 | $32 | 1.9× |
| Varicella-zoster antibody (86787) | $28 | $35 | 2.2× |
| Vasoactive intestinal peptide (vip) (84586) | $79.20 | $99 | 2.2× |
| Vdrl csf (86592) | $25.20 | $31.50 | 5.9× |
| Very long chain fatty acids (82726) | $252 | $315 | 12.8× |
| Virus antibody nos (86790) | $45.20 | $56.50 | 3.5× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $54 | $67.50 | 1.6× |
| Virus inoculation, shell via (87254) | $59.20 | $74 | 3.0× |
| Vitamin A (84590) | $44.80 | $56 | 3.9× |
| Vitamin b-12 (82607) | $16.80 | $21 | 1.1× |
| Vitamin b1 (thiamine) (84425) | $31.20 | $39 | 1.5× |
| Vitamin b2 (84252) | $44.80 | $56 | 2.2× |
| Vitamin b3 niacin (84591) | $152 | $190 | 8.9× |
| Vitamin b6 (84207) | $44.80 | $56 | 1.6× |
| Vitamin c (82180) | $20.80 | $26 | 2.1× |
| Vitamin D 25-Hydroxy (82306) | $24 | $30 | 0.8× |
| Vitamin e serum (84446) | $24.80 | $31 | 1.7× |
| Voltage-gated calcium channel antibody each (86596) | $20.80 | $26 | 1.7× |
| West nile virus antibody (86789) | $68.80 | $86 | 4.8× |
| West nile virus igm (86788) | $68.80 | $86 | 4.1× |
| Zika Virus Dna/Rna Amp Probe (87662) | $650.40 | $813 | 12.7× |
| Zinc (84630) | $32.40 | $40.50 | 2.8× |