| 17 Hydroxyprogesterone (83498) |
$253.30 |
$298 |
9.3× |
| 5-Hiaa (83497) |
$147.05 |
$173 |
11.4× |
| Acetaminophen (80143) |
$218.45 |
$257 |
11.7× |
| Acetone, quantitative (82010) |
$85 |
$100 |
10.4× |
| Acetylcholine receptor binding antibody (86041) |
$348.50 |
$410 |
18.9× |
| Acth (82024) |
$211.65 |
$249 |
5.5× |
| Actin smooth muscle antibody each (86015) |
$83.30 |
$98 |
6.9× |
| Activated protein c resistance (85307) |
$133.45 |
$157 |
8.7× |
| Acute hepatitis panel (80074) |
$342.55 |
$403 |
7.2× |
| Afb concentration (87015) |
$82.45 |
$97 |
12.3× |
| Afb culture (87116) |
$124.10 |
$146 |
11.5× |
| Afb smear (87206) |
$71.40 |
$84 |
13.2× |
| Albumin serum (82040) |
$61.20 |
$72 |
12.4× |
| Alcohol (82077) |
$153 |
$180 |
8.9× |
| Aldolase (82085) |
$95.20 |
$112 |
9.8× |
| Aldosterone (82088) |
$275.40 |
$324 |
6.8× |
| Alkaline phosphatase (84075) |
$58.65 |
$69 |
11.3× |
| Alkaline phosphatase isoenzymes (84080) |
$149.60 |
$176 |
10.1× |
| Allergen profile perennial allergen (86003) |
$45.90 |
$54 |
8.8× |
| Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) |
$128.35 |
$151 |
7.2× |
| Alpha-1-antitrypsin (82103) |
$144.50 |
$170 |
10.8× |
| Alpha-fetoprotein serum (82105) |
$141.10 |
$166 |
8.4× |
| Alt (84460) |
$63.75 |
$75 |
12.0× |
| Ammonia (82140) |
$184.45 |
$217 |
12.7× |
| Amylase (82150) |
$97.75 |
$115 |
15.1× |
| Ana (86038) |
$122.40 |
$144 |
10.1× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$110.50 |
$130 |
7.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$136.85 |
$161 |
7.5× |
| Androstenedione (82157) |
$140.25 |
$165 |
4.8× |
| Angiotensin converting enzyme (82164) |
$175.10 |
$206 |
12.0× |
| Anti-mitochondrial antibody (86255) |
$128.78 |
$151.50 |
10.7× |
| Antibody identification platelet antibodies (86022) |
$124.95 |
$147 |
6.8× |
| Antibody west nile virus igm (86788) |
$139.40 |
$164 |
8.3× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$277.10 |
$326 |
23.0× |
| Antistreptolysin o titer (86060) |
$67.15 |
$79 |
9.2× |
| Antithrombin iii activity (85300) |
$83.72 |
$98.50 |
7.1× |
| Antithrombin iii antigen (85301) |
$105.40 |
$124 |
9.8× |
| Apolipoprotein each (82172) |
$154.70 |
$182 |
7.3× |
| Aqaprn-4 antb flo cytmtry ea (86053) |
$364.65 |
$429 |
9.7× |
| Arsenic (82175) |
$136 |
$160 |
7.2× |
| Assay anti-mullerian horm (82166) |
$150.45 |
$177 |
3.9× |
| Assay of interleukin-6 (il-6) (83529) |
$123.25 |
$145 |
7.1× |
| Ast (84450) |
$62.05 |
$73 |
12.0× |
| B cells total count (86355) |
$221 |
$260 |
5.9× |
| Basic metabolic panel calcium ionized (80047) |
$123.25 |
$145 |
9.0× |
| BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis,… (81205) |
$442.85 |
$521 |
4.7× |
| Bcr/abl 1 gene other bp (81208) |
$575.45 |
$677 |
2.7× |
| Bcr/abl1 gene major bp (81206) |
$673.20 |
$792 |
4.1× |
| Bcr/abl1 gene minor bp (81207) |
$388.45 |
$457 |
2.7× |
| Beta 2 glycoprotein i antibody (86146) |
$136.85 |
$161 |
5.4× |
| Beta-2 microglobulin (82232) |
$140.25 |
$165 |
8.7× |
| Bile acids total (82239) |
$235.45 |
$277 |
13.8× |
| Bilirubin direct (82248) |
$93.50 |
$110 |
18.6× |
| Bilirubin total (82247) |
$64.60 |
$76 |
12.9× |
| Bilirubin total transcutaneous (88720) |
$41.65 |
$49 |
8.3× |
| Blood count leukocyte wbc automated (85048) |
$32.30 |
$38 |
12.7× |
| Blood count reticulocyte automated (85045) |
$74.80 |
$88 |
18.7× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$14.45 |
$17 |
4.8× |
| Blood gases any combination (82803) |
$236.30 |
$278 |
9.1× |
| Blood gases w/o2 saturation (82805) |
$281.35 |
$331 |
3.6× |
| Blood typing rbc antigens (86905) |
$370.18 |
$435.50 |
96.7× |
| Blood typing serologic abo (86900) |
$140.25 |
$165 |
46.9× |
| Blood typing serologic rh (d) (86901) |
$66.30 |
$78 |
22.2× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$303.45 |
$357 |
47.8× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$139.98 |
$164.68 |
8.8× |
| Bone marrow smear interpretation (85097) |
$782 |
$920 |
0.9× |
| Borrelia miyamotoi amp prb (87478) |
$120.70 |
$142 |
3.4× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) |
$2,850.90 |
$3,354 |
1.6× |
| C diff amplified probe (87493) |
$240.55 |
$283 |
6.5× |
| C-peptide (84681) |
$160.65 |
$189 |
7.7× |
| C-reactive protein (86140) |
$76.50 |
$90 |
14.8× |
| C-reactive protein high sensitivity (86141) |
$147.90 |
$174 |
11.4× |
| Ca 125 (86304) |
$164.05 |
$193 |
7.9× |
| Ca 15-3 (86300) |
$178.50 |
$210 |
8.6× |
| Cadmium (82300) |
$169.15 |
$199 |
7.2× |
| Calcium ionized (82330) |
$130.05 |
$153 |
9.5× |
| Calcium total (82310) |
$65.45 |
$77 |
12.7× |
| Calcium, random urine (82340) |
$95.20 |
$112 |
15.8× |
| Calprotectin fecal (83993) |
$253.30 |
$298 |
12.9× |
| Cancer antigen 19-9 (86301) |
$172.55 |
$203 |
8.3× |
| Carbamazepine total (80156) |
$162.35 |
$191 |
11.1× |
| Carbon dioxide (82374) |
$71.40 |
$84 |
14.6× |
| Carbon monoxide (82375) |
$168.30 |
$198 |
13.7× |
| Cardiolipin antibody ea ig class (86147) |
$113.05 |
$133 |
4.4× |
| Catecholamines fractionated (82384) |
$206.55 |
$243 |
8.2× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$169.58 |
$199.50 |
3.6× |
| Cea (82378) |
$181.90 |
$214 |
9.6× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$109.65 |
$129 |
19.6× |
| Ceruloplasmin (82390) |
$121.55 |
$143 |
11.3× |
| Cftr gene com variants (81220) |
$993.65 |
$1,169 |
1.8× |
| Chemiluminescent assay (82397) |
$164.90 |
$194 |
11.7× |
| Chlamydia culture (87110) |
$107.10 |
$126 |
5.5× |
| Chloride blood (82435) |
$56.95 |
$67 |
12.4× |
| Cholesterol total (82465) |
$78.20 |
$92 |
18.0× |
| Chorionic gonadotropin test (84702) |
$155.98 |
$183.50 |
10.4× |
| Chromium (82495) |
$190.40 |
$224 |
9.4× |
| Chromogranin a (86316) |
$204 |
$240 |
9.8× |
| Clotting funct activity (85397) |
$234.60 |
$276 |
7.6× |
| Cmv antibody (86644) |
$144.08 |
$169.50 |
10.0× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$930.75 |
$1,095 |
2.2× |
| Coccidioides antibody (86635) |
$82.45 |
$97 |
7.2× |
| Collagen cross links (82523) |
$158.10 |
$186 |
8.5× |
| Complement antigen ea component (86160) |
$158.10 |
$186 |
13.2× |
| Complement total (ch50) (86162) |
$190.40 |
$224 |
9.4× |
| Coombs test indirect titer (86886) |
$192.95 |
$227 |
37.2× |
| Copper (82525) |
$121.55 |
$143 |
9.8× |
| Cortisol free (82530) |
$146.20 |
$172 |
8.7× |
| Cortisol saliva (82533) |
$126.65 |
$149 |
7.8× |
| Creatine kinase total (82550) |
$92.65 |
$109 |
14.2× |
| Creatinine (82565) |
$57.80 |
$68 |
11.3× |
| Creatinine clearance (82575) |
$69.70 |
$82 |
7.4× |
| Creatinine other source (82570) |
$78.20 |
$92 |
15.1× |
| Crossmatch ahg (86922) |
$253.72 |
$298.50 |
1.4× |
| Cryofibrinogen (82585) |
$88.40 |
$104 |
6.3× |
| Cryoglobulins (82595) |
$88.40 |
$104 |
13.7× |
| Crystals fluid (89060) |
$85.85 |
$101 |
11.7× |
| Culture anaerobic (87075) |
$145.35 |
$171 |
15.3× |
| Culture blood (87040) |
$166.60 |
$196 |
16.1× |
| Culture fungus skin hair nail (87101) |
$109.65 |
$129 |
14.2× |
| Culture stool (87045) |
$113.05 |
$133 |
12.0× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$78.20 |
$92 |
9.7× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$124.95 |
$147 |
15.5× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$78.20 |
$92 |
15.1× |
| Cyclic citrullinated peptide ab (86200) |
$159.80 |
$188 |
12.3× |
| Cystatin c (82610) |
$138.55 |
$163 |
7.5× |
| Cytomeg DNA amp probe (87496) |
$192.95 |
$227 |
5.5× |
| Cytomegalovirus antibody igm (86645) |
$147.90 |
$174 |
8.8× |
| Cytopath cell enhance tech (88112) |
$241.82 |
$284.50 |
4.4× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$130.90 |
$154 |
6.5× |
| Cytopathology, smears, any other source; preparation, screening and interpretation (88161) |
$193.80 |
$228 |
6.4× |
| Cytp eval fine needle aspirate interp & report (88173) |
$221.85 |
$261 |
4.0× |
| D-dimer quantitative (85379) |
$152.15 |
$179 |
14.9× |
| Deoxycortisol (82634) |
$114.75 |
$135 |
3.9× |
| Deoxyribonuclease antibody (86215) |
$110.50 |
$130 |
8.3× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$119.85 |
$141 |
8.7× |
| Desoxycorticosterone (82633) |
$251.60 |
$296 |
8.1× |
| Dhea (82626) |
$235.45 |
$277 |
9.3× |
| Dhea sulfate (82627) |
$187.85 |
$221 |
8.5× |
| Digoxin (80162) |
$154.70 |
$182 |
11.6× |
| Dihydrotestosterone (82642) |
$149.60 |
$176 |
5.1× |
| Direct antiglobulin test (86880) |
$103.70 |
$122 |
19.2× |
| DNA/RNA sequencing (87153) |
$294.10 |
$346 |
2.5× |
| Drug assay infliximab (80230) |
$464.10 |
$546 |
12.0× |
| Drug screen quant levetiracetam (80177) |
$141.10 |
$166 |
10.6× |
| Drug test prsmv chem anlyzr (80307) |
$211.65 |
$249 |
3.4× |
| Drug test prsmv dir opt obs (80305) |
$121.12 |
$142.50 |
9.6× |
| Ear culture (87070) |
$131.75 |
$155 |
15.3× |
| Ehrlichia antibody (86666) |
$86.70 |
$102 |
8.5× |
| Elastase pancreatic fecal quantitative (82653) |
$171.70 |
$202 |
7.5× |
| Electrolytes panel (80051) |
$97.75 |
$115 |
13.9× |
| Endomysial antibody each immunoglobulin class (86231) |
$86.70 |
$102 |
7.2× |
| Eosinophils urine (87205) |
$69.70 |
$82 |
16.3× |
| Erythropoietin (82668) |
$181.90 |
$214 |
9.7× |
| Estradiol (82670) |
$181.05 |
$213 |
6.5× |
| Estriol (82677) |
$5.10 |
$6 |
0.2× |
| Estrone (82679) |
$212.50 |
$250 |
8.5× |
| Eval amniotic fluid protein (84112) |
$263.50 |
$310 |
2.7× |
| Extractable nuclear antigen antibody any method (86235) |
$103.70 |
$122 |
5.8× |
| F2 gene analysis (81240) |
$220.15 |
$259 |
3.4× |
| F5 gene (81241) |
$247.35 |
$291 |
3.4× |
| Factor ii activity (85210) |
$93.50 |
$110 |
7.2× |
| Factor ix activity (85250) |
$103.70 |
$122 |
5.4× |
| Factor viii activity (85240) |
$141.10 |
$166 |
7.9× |
| Factor viii vw antigen (85246) |
$221.85 |
$261 |
9.7× |
| Factor x (stuart-prower) (85260) |
$93.50 |
$110 |
5.2× |
| Factor xi activity (85270) |
$374.85 |
$441 |
20.9× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$153.85 |
$181 |
9.2× |
| Fatty acids nonesterified (82725) |
$190.40 |
$224 |
10.1× |
| Ferritin (82728) |
$142.80 |
$168 |
10.5× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$57.80 |
$68 |
6.2× |
| Fibrinogen, activity (85384) |
$137.70 |
$162 |
14.2× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$300.90 |
$354 |
19.4× |
| Flow cytometry first marker (88184) |
$453.48 |
$533.50 |
1.2× |
| Folate serum (82746) |
$137.70 |
$162 |
9.4× |
| Follicle stimulating hormone (fsh) (83001) |
$140.25 |
$165 |
7.5× |
| Ftl cgen abnor four anal (81511) |
$209.10 |
$246 |
1.4× |
| Fungus isolation culture (87102) |
$99.45 |
$117 |
11.8× |
| Gamma glutamyl transferase (82977) |
$81.60 |
$96 |
11.3× |
| Gammaglobulin ige (82785) |
$111.35 |
$131 |
6.8× |
| Gastrin (82941) |
$140.25 |
$165 |
8.0× |
| Gliadin antibody each immunoglobulin class (86258) |
$82.45 |
$97 |
6.8× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$32.30 |
$38 |
9.8× |
| Glucose Fasting (82947) |
$28.90 |
$34 |
7.4× |
| Glucose other fluid (82945) |
$84.58 |
$99.50 |
21.5× |
| Glucose post glucose dose (82950) |
$98.60 |
$116 |
20.8× |
| Glucose tolerance test (gtt) (82951) |
$204 |
$240 |
15.9× |
| Glucose-6-pd (82955) |
$90.95 |
$107 |
9.4× |
| Glycated hemoglobin (83036) |
$116.45 |
$137 |
12.0× |
| Growth hormone (hgh) (83003) |
$119 |
$140 |
7.1× |
| Gtt-added samples (82952) |
$48.45 |
$57 |
12.4× |
| H pylori breath test (83013) |
$306.85 |
$361 |
4.6× |
| H pylri clrthmcn rst amp prb (87513) |
$923.95 |
$1,087 |
26.3× |
| Haptoglobin (83010) |
$129.20 |
$152 |
10.3× |
| Hcg ql (84703) |
$86.70 |
$102 |
11.5× |
| HDL cholesterol (83718) |
$124.10 |
$146 |
15.2× |
| Heavy metal quan each nes (83018) |
$214.20 |
$252 |
9.8× |
| Hematocrit (hct) (85014) |
$31.45 |
$37 |
13.3× |
| Hematocrit spun (85013) |
$12.75 |
$15 |
1.8× |
| Hemoglobin (85018) |
$28.90 |
$34 |
12.2× |
| Hemoglobin electrophoresis (83020) |
$60.35 |
$71 |
4.7× |
| Hemoglobin fractj/quantj chromotography (83021) |
$83.30 |
$98 |
4.6× |
| Hep a ab total (86708) |
$104.55 |
$123 |
8.4× |
| Heparin assay (85520) |
$93.50 |
$110 |
7.1× |
| Hepatitis a antibody igm (86709) |
$121.55 |
$143 |
10.8× |
| Hepatitis b core antibody igm (86705) |
$118.15 |
$139 |
10.0× |
| Hepatitis b core antibody total (86704) |
$108.80 |
$128 |
9.0× |
| Hepatitis b DNA quant (87517) |
$338.30 |
$398 |
7.9× |
| Hepatitis b surface ab (86706) |
$112.20 |
$132 |
10.4× |
| Hepatitis b surface antigen (87340) |
$101.15 |
$119 |
9.8× |
| Hepatitis be antigen (87350) |
$100.30 |
$118 |
8.7× |
| Hepatitis c antibody (86803) |
$151.72 |
$178.50 |
10.6× |
| Hepatitis c genotype (87902) |
$952.85 |
$1,121 |
3.7× |
| Hepatitis c RNA quantitative (87522) |
$313.65 |
$369 |
7.3× |
| Herpes simplex virus by PCR (87529) |
$226.95 |
$267 |
6.5× |
| Heterophile antibody screen (86308) |
$50.58 |
$59.50 |
9.8× |
| Hfe gene (81256) |
$318.75 |
$375 |
4.9× |
| Histamine (83088) |
$158.10 |
$186 |
5.4× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$147.90 |
$174 |
6.1× |
| Hla b27 (86812) |
$192.10 |
$226 |
7.4× |
| Homocysteine level (83090) |
$177.65 |
$209 |
9.9× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$62.90 |
$74 |
0.9× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$31.45 |
$37 |
0.9× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$249.90 |
$294 |
4.9× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,126.25 |
$1,325 |
2.7× |
| Igg subclass 1 (82787) |
$147.05 |
$173 |
18.3× |
| Immunoassay analyte quantitative nos (83520) |
$169.15 |
$199 |
9.8× |
| Immunoassay infectious agent antibody quan nos (86317) |
$107.10 |
$126 |
7.1× |
| Immunofixation electrophoresis (86334) |
$193.80 |
$228 |
8.7× |
| Immunofixation urine (86335) |
$158.10 |
$186 |
5.4× |
| Immunoglobulin d (82784) |
$94.35 |
$111 |
10.1× |
| Immunoglobulin light chains free each (83521) |
$148.75 |
$175 |
8.6× |
| Immunoperoxidase (88342) |
$369.75 |
$435 |
2.1× |
| In situ hybridization 1st probe stain (88365) |
$457.30 |
$538 |
2.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$34.85 |
$41 |
2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$300.05 |
$353 |
4.3× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$229.50 |
$270 |
5.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) |
$26.35 |
$31 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) |
$29.75 |
$35 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) |
$58.65 |
$69 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$147.90 |
$174 |
4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$145.78 |
$171.50 |
3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) |
$26.35 |
$31 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$431.80 |
$508 |
5.1× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) |
$267.75 |
$315 |
0.5× |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) |
$587.35 |
$691 |
2.2× |
| Influenza assay w/optic (87804) |
$59.92 |
$70.50 |
3.6× |
| Influenza DNA amp probe (87502) |
$198.48 |
$233.50 |
2.1× |
| Inhibin a (86336) |
$167.45 |
$197 |
10.7× |
| Insulin antibody (86337) |
$172.98 |
$203.50 |
8.1× |
| Insulin total (83525) |
$105.40 |
$124 |
9.2× |
| Iron (83540) |
$92.65 |
$109 |
14.3× |
| Iron binding capacity (83550) |
$96.90 |
$114 |
11.1× |
| Islet cell antibody (86341) |
$164.90 |
$194 |
7.0× |
| Jak2 gene (81270) |
$651.95 |
$767 |
7.1× |
| Koh prep (87220) |
$68.85 |
$81 |
16.1× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$195.50 |
$230 |
5.0× |
| Lactate (83605) |
$120.70 |
$142 |
10.4× |
| Lactate dehydrogenase (83615) |
$71.40 |
$84 |
11.8× |
| Lamotrigine (80175) |
$136.85 |
$161 |
10.3× |
| LDL direct (83721) |
$79.90 |
$94 |
7.6× |
| Lead (83655) |
$64.18 |
$75.50 |
5.3× |
| Legionella culture (87081) |
$82.45 |
$97 |
12.4× |
| Leukocyte assessment fecal (89055) |
$61.20 |
$72 |
14.3× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$190.40 |
$224 |
4.8× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$228.65 |
$269 |
4.2× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$252.45 |
$297 |
4.6× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$566.10 |
$666 |
1.5× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$953.70 |
$1,122 |
1.1× |
| Lipase (83690) |
$101.15 |
$119 |
14.7× |
| Lipoprotein (a) (83695) |
$112.20 |
$132 |
7.8× |
| Lithium (80178) |
$80.75 |
$95 |
12.2× |
| Luteinizing hormone (lh) (83002) |
$153 |
$180 |
8.3× |
| Lyme disease antibody (86617) |
$126.65 |
$149 |
8.2× |
| Lyme disease antibody (86618) |
$154.70 |
$182 |
9.1× |
| Magnesium (83735) |
$84.15 |
$99 |
12.6× |
| Malaria smear (87207) |
$128.35 |
$151 |
21.4× |
| Manual differential (85007) |
$39.95 |
$47 |
10.5× |
| Mercury (83825) |
$112.20 |
$132 |
6.9× |
| Metanephrines (83835) |
$221.85 |
$261 |
13.1× |
| Methylmalonic acid serum (83921) |
$180.20 |
$212 |
8.5× |
| Microalbumin urine (82043) |
$89.25 |
$105 |
15.4× |
| Mitochondrial antibody each (86381) |
$136.85 |
$161 |
5.4× |
| Mononuclear cell antigen (86356) |
$214.20 |
$252 |
8.0× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$350.62 |
$412.50 |
2.0× |
| Mrsa PCR (87641) |
$230.35 |
$271 |
6.6× |
| Mumps antibody (86735) |
$28.05 |
$33 |
2.1× |
| Muscle-specific kinase antb (86366) |
$1,160.25 |
$1,365 |
63.1× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$100.72 |
$118.50 |
8.7× |
| N.gonorrhoeae DNA amp prob (87591) |
$147.90 |
$174 |
4.2× |
| Natriuretic peptide (83880) |
$272 |
$320 |
6.9× |
| Nk cells total count (86357) |
$196.35 |
$231 |
5.2× |
| Occult bld feces 1-3 tests (82272) |
$37.40 |
$44 |
8.8× |
| Occult blood other sources (82271) |
$55.25 |
$65 |
10.4× |
| Oligoclonal bands (83916) |
$139.40 |
$164 |
5.1× |
| Osmolality serum (83930) |
$53.55 |
$63 |
8.1× |
| Osmolality urine (83935) |
$34 |
$40 |
5.0× |
| Osteocalcin (83937) |
$175.10 |
$206 |
5.9× |
| Ova and parasite exam (87177) |
$130.05 |
$153 |
14.6× |
| Pancreatic polypeptide (83519) |
$247.35 |
$291 |
13.4× |
| Parathyroid hormone (83970) |
$288.15 |
$339 |
7.0× |
| Parvovirus antibody (86747) |
$107.10 |
$126 |
7.1× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$309.40 |
$364 |
0.8× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$287.30 |
$338 |
1.6× |
| Pertussis by PCR (87798) |
$541.45 |
$637 |
15.4× |
| Phenobarbital (80184) |
$67.15 |
$79 |
4.4× |
| Phenytoin level total (80185) |
$156.40 |
$184 |
11.8× |
| Phosphorus (84100) |
$50.15 |
$59 |
10.6× |
| Pinworm exam (87172) |
$65.45 |
$77 |
15.3× |
| Platelet count automated (85049) |
$52.70 |
$62 |
11.8× |
| Potassium (84132) |
$62.05 |
$73 |
13.0× |
| Prealbumin (84134) |
$95.20 |
$112 |
6.5× |
| Pregnenolone (84140) |
$226.95 |
$267 |
11.0× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with drugs (86975) |
$345.95 |
$407 |
0.7× |
| Procalcitonin (pct) (84145) |
$169.15 |
$199 |
6.2× |
| Progesterone (84144) |
$146.20 |
$172 |
7.0× |
| Prolactin (84146) |
$153 |
$180 |
7.9× |
| Protein c activity (85303) |
$95.20 |
$112 |
6.9× |
| Protein c antigen (85302) |
$117.30 |
$138 |
9.8× |
| Protein electrophoresis serum (84165) |
$104.55 |
$123 |
9.7× |
| Protein electrophoresis urine (84166) |
$121.55 |
$143 |
6.8× |
| Protein s antigen, free (85306) |
$103.70 |
$122 |
6.8× |
| Protein total other source (84157) |
$78.62 |
$92.50 |
19.7× |
| Protein total serum (84155) |
$37.82 |
$44.50 |
10.3× |
| Protein total urine (84156) |
$80.32 |
$94.50 |
21.9× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$240.55 |
$283 |
8.2× |
| Protozoa antibody nos (86753) |
$96.05 |
$113 |
7.8× |
| PSA free (84154) |
$148.75 |
$175 |
8.1× |
| Rbc antibody elution (86860) |
$312.80 |
$368 |
1.7× |
| Rbc antibody identification (86870) |
$583.95 |
$687 |
1.5× |
| Rbc antibody screen (86850) |
$217.60 |
$256 |
22.3× |
| Reagent strip/blood glucose (82948) |
$10.20 |
$12 |
2.0× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$116.45 |
$137 |
8.8× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$138.12 |
$162.50 |
7.1× |
| Renin (84244) |
$193.80 |
$228 |
8.8× |
| Resp virus 12-25 targets (87633) |
$987.70 |
$1,162 |
2.4× |
| Reticyte/hgb concentrate (85046) |
$74.80 |
$88 |
13.4× |
| Rheumatoid factor quant (86431) |
$102 |
$120 |
18.0× |
| Rickettsia antibody (86757) |
$124.95 |
$147 |
6.5× |
| Rl immediate spin crossmatch (86920) |
$209.95 |
$247 |
1.2× |
| Rpr qual (86592) |
$48.02 |
$56.50 |
11.2× |
| Rpr titer (86593) |
$31.88 |
$37.50 |
7.2× |
| Rsv DNA/RNA amp probe (87634) |
$182.32 |
$214.50 |
2.6× |
| Rubella antibody (86762) |
$80.32 |
$94.50 |
5.6× |
| Rubeola antibody (86765) |
$124.10 |
$146 |
9.6× |
| Russell viper venom diluted (85613) |
$40.80 |
$48 |
4.3× |
| Sedimentation rate rbc automated (85652) |
$92.65 |
$109 |
34.3× |
| Sedimentation rate rbc non-automated (85651) |
$30.60 |
$36 |
7.2× |
| Selenium (84255) |
$136.85 |
$161 |
5.4× |
| Semen analysis post vasectomy (89321) |
$77.35 |
$91 |
6.4× |
| Serotonin (84260) |
$230.35 |
$271 |
7.4× |
| Sex hormone binding globulin (84270) |
$150.45 |
$177 |
6.9× |
| Sickle cell screen (85660) |
$47.60 |
$56 |
8.6× |
| Sirolimus (80195) |
$187.85 |
$221 |
13.7× |
| Skin test tuberculosis intradermal (86580) |
$41.65 |
$49 |
1.4× |
| Smear wet mount (87210) |
$82.45 |
$97 |
14.2× |
| Sodium (84295) |
$68 |
$80 |
14.1× |
| Sodium urine (84300) |
$71.40 |
$84 |
14.1× |
| Somatomedin (84305) |
$181.05 |
$213 |
8.5× |
| Special stains group i (88312) |
$203.15 |
$239 |
3.7× |
| Special stains group ii (88313) |
$187.85 |
$221 |
1.3× |
| Staph a DNA amp probe (87640) |
$230.35 |
$271 |
6.6× |
| Stone analysis (82365) |
$138.55 |
$163 |
10.7× |
| Strep a ag ia (87430) |
$73.10 |
$86 |
4.3× |
| Strep a assay w/optic (87880) |
$42.08 |
$49.50 |
2.5× |
| Strep a DNA amp probe (87651) |
$63.75 |
$75 |
1.8× |
| Strep b DNA amp probe (87653) |
$153.85 |
$181 |
4.4× |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
$74.80 |
$88 |
0.8× |
| Surg path level 1 (88300) |
$113.90 |
$134 |
3.7× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$292.40 |
$344 |
5.3× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$380.80 |
$448 |
9.7× |
| Susceptibility mic per plate (87186) |
$117.30 |
$138 |
13.6× |
| T3 free (84481) |
$183.60 |
$216 |
10.8× |
| T3 reverse (84482) |
$186.15 |
$219 |
11.8× |
| T3 uptake (84479) |
$84.15 |
$99 |
13.0× |
| T4 (thyroxine) total (84436) |
$90.95 |
$107 |
13.2× |
| Tacrolimus (80197) |
$215.90 |
$254 |
15.7× |
| Tb test cell immun measure (86480) |
$278.80 |
$328 |
4.5× |
| Testosterone bioavailable (84410) |
$130.90 |
$154 |
2.6× |
| Testosterone free (84402) |
$154.70 |
$182 |
6.1× |
| Testosterone total (84403) |
$202.30 |
$238 |
7.8× |
| Thiopurine metabolites (80299) |
$251.60 |
$296 |
13.5× |
| Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) |
$298.35 |
$351 |
13.5× |
| Thrombin time plasma (85670) |
$34.85 |
$41 |
6.0× |
| Thyroglobulin (84432) |
$156.40 |
$184 |
9.7× |
| Thyroglobulin antibody (86800) |
$141.10 |
$166 |
8.9× |
| Thyroid peroxidase antibody (86376) |
$120.70 |
$142 |
8.3× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$438.60 |
$516 |
8.6× |
| Thyroxine free (ft4) (84439) |
$124.10 |
$146 |
13.8× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$129.20 |
$152 |
11.2× |
| Toxoplasma antibody igg (86777) |
$102.85 |
$121 |
7.1× |
| Toxoplasma antibody igm (86778) |
$102.85 |
$121 |
7.1× |
| Transferrin (84466) |
$117.30 |
$138 |
9.2× |
| Treponema pallidum antibody (86780) |
$107.49 |
$126.46 |
8.1× |
| Trichomonas vaginalis amplif (87661) |
$128.35 |
$151 |
3.7× |
| Trichrome stain (87209) |
$130.05 |
$153 |
7.2× |
| Triglycerides (84478) |
$87.55 |
$103 |
15.3× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$143.22 |
$168.50 |
10.1× |
| Troponin t (84484) |
$160.65 |
$189 |
12.9× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$278.80 |
$328 |
2.8× |
| Urea nitrogen quantitative (84520) |
$62.05 |
$73 |
15.7× |
| Urea nitrogen urine (84540) |
$76.50 |
$90 |
13.8× |
| Uric acid blood (84550) |
$67.15 |
$79 |
14.9× |
| Urinalysis auto w/micro (81001) |
$66.30 |
$78 |
20.9× |
| Urinalysis microscopic only (81015) |
$66.30 |
$78 |
21.7× |
| Urinalysis volume measure (81050) |
$38.25 |
$45 |
10.5× |
| Urine bacteria culture (87088) |
$61.20 |
$72 |
7.6× |
| Urine Pregnancy Test POC (81025) |
$24.22 |
$28.50 |
2.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$34 |
$40 |
15.1× |
| Valproic acid (80164) |
$142.80 |
$168 |
10.5× |
| Vancomycin (80202) |
$184.45 |
$217 |
13.6× |
| Varicella zoster antibody igg (86787) |
$123.68 |
$145.50 |
9.6× |
| Virus antibody nos (86790) |
$92.65 |
$109 |
7.2× |
| Viscosity (85810) |
$83.30 |
$98 |
7.1× |
| Vitamin a (84590) |
$104.55 |
$123 |
9.0× |
| Vitamin b-12 (82607) |
$135.15 |
$159 |
9.0× |
| Vitamin b1 whole blood (84425) |
$208.25 |
$245 |
9.8× |
| Vitamin d 25 hydroxy (82306) |
$190.40 |
$224 |
6.4× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$206.55 |
$243 |
5.4× |
| Vitamin e (84446) |
$116.45 |
$137 |
8.2× |
| West nile virus antibody (86789) |
$118.15 |
$139 |
8.2× |
| Z t cells total count (86359) |
$135.15 |
$159 |
3.6× |
| Zinc (84630) |
$112.20 |
$132 |
9.9× |