| 17-Ohcs (83491) |
$34.40 |
$43 |
1.9× |
| 5' Nucleotidase (83915) |
$15.20 |
$19 |
1.4× |
| 5-Hiaa (83497) |
$17.60 |
$22 |
1.4× |
| Ab; coxiella brunetii (86638) |
$21.60 |
$27 |
1.8× |
| Ab; encephalitis calif (86651) |
$12 |
$15 |
0.9× |
| Ab; encephalitis e equine (86652) |
$12 |
$15 |
0.9× |
| Ab; encephalitis w equine (86654) |
$11.20 |
$14 |
0.8× |
| Ab; htlv or HIV wb (86689) |
$57.60 |
$72 |
3.0× |
| Ab; rsv (86756) |
$34 |
$42.50 |
2.1× |
| Abl1 gene (81170) |
$420.40 |
$525.50 |
1.4× |
| Acetaminophen (80143) |
$306.40 |
$383 |
16.4× |
| Acetone serum qual (82009) |
$27.20 |
$34 |
6.0× |
| Acetylcholine receptor binding antibody (86041) |
$26.40 |
$33 |
1.4× |
| Acetylcholine receptor blocking antibody (86042) |
$68.80 |
$86 |
3.7× |
| Acetylcholine receptor modulating antibody (86043) |
$69.60 |
$87 |
5.8× |
| Acid fast smear only (87206) |
$58.40 |
$73 |
10.8× |
| Acid phosphatase (84060) |
$17.60 |
$22 |
2.3× |
| Actin smooth muscle antibody each (86015) |
$8 |
$10 |
0.7× |
| Activated protein c resistance (85307) |
$16.80 |
$21 |
1.1× |
| Acute hepatitis panel (80074) |
$203.60 |
$254.50 |
4.3× |
| Acylcarnitines quantitative (82017) |
$48.80 |
$61 |
2.9× |
| Acylcarnitines; qualitative, each specimen Other Outpatient (82016) |
$16 |
$20 |
1.0× |
| Adamts13 activity (85397) |
$129.20 |
$161.50 |
4.2× |
| Adenovirus antibody (86603) |
$80 |
$100 |
6.2× |
| Adrenocorticotropic hormone (82024) |
$21.60 |
$27 |
0.6× |
| Afb culture (87116) |
$77.60 |
$97 |
7.2× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$47.20 |
$59 |
0.7× |
| Albumin csf (82042) |
$8 |
$10 |
1.0× |
| Albumin serum (82040) |
$10.40 |
$13 |
2.1× |
| Aldolase (82085) |
$7.84 |
$9.80 |
0.8× |
| Aldosterone urine (82088) |
$27.60 |
$34.50 |
0.7× |
| Alkaline phosphatase (84075) |
$16 |
$20 |
3.1× |
| Alkaline phosphatase isoenzymes (84080) |
$14.40 |
$18 |
1.0× |
| Allergen specific ige (86003) |
$12 |
$15 |
2.3× |
| Alpha fetoprotein serum (82105) |
$20.80 |
$26 |
1.2× |
| Alpha-1 antitrypsin total (82103) |
$16.80 |
$21 |
1.3× |
| Alpha-1-antitrypsin phenotype (82104) |
$19.20 |
$24 |
1.3× |
| Alpha-fetoprotein amniotic (82106) |
$33.60 |
$42 |
2.0× |
| Alt/sgpt (84460) |
$38.40 |
$48 |
7.2× |
| Aluminum (82108) |
$14.40 |
$18 |
0.6× |
| Amikacin level (80150) |
$27.20 |
$34 |
1.8× |
| Amino acids quan 6 or more (82139) |
$156 |
$195 |
9.2× |
| Amino acids quant 2-5 (82136) |
$108 |
$135 |
5.5× |
| Amino acids; multi qual ea (82128) |
$61.60 |
$77 |
4.4× |
| Aminolevulinic acid delta (82135) |
$75.20 |
$94 |
4.6× |
| Amiodarone (80151) |
$16 |
$20 |
0.9× |
| Ammonia (82140) |
$71.40 |
$89.25 |
4.9× |
| Amylase (82150) |
$23.20 |
$29 |
3.6× |
| Ana titer (86039) |
$32 |
$40 |
2.9× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$28.80 |
$36 |
1.8× |
| Androstenedione (82157) |
$20.80 |
$26 |
0.7× |
| Angiotensin converting enzyme (82164) |
$12 |
$15 |
0.8× |
| Anti DNA (ss) igg ab qn (86226) |
$25.60 |
$32 |
2.1× |
| Anti-mitochondrial antibody (86255) |
$40 |
$50 |
3.3× |
| Anti-phosphatidylserine antibody (86148) |
$12 |
$15 |
0.7× |
| Antibody bacterium nos (86609) |
$4.40 |
$5.50 |
0.3× |
| Antibody elution (86860) |
$88.80 |
$111 |
0.5× |
| Antibody identification (86870) |
$455.20 |
$569 |
1.2× |
| Antibody screen rbc each (86850) |
$161.60 |
$202 |
16.5× |
| Antibody toxoplasma (86777) |
$28 |
$35 |
1.9× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$20.40 |
$25.50 |
1.7× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$62.40 |
$78 |
5.2× |
| Antinuclear antibodies (86038) |
$42 |
$52.50 |
3.5× |
| Antistreptolysin o titer (86060) |
$48 |
$60 |
6.6× |
| Antithrombin iii activity (85300) |
$9.60 |
$12 |
0.8× |
| Antithrombin iii antigen (85301) |
$9.60 |
$12 |
0.9× |
| Apc gene full sequence (81201) |
$552 |
$690 |
0.7× |
| Apolipoprotein b (82172) |
$20 |
$25 |
0.9× |
| Arsenic (82175) |
$20 |
$25 |
1.1× |
| Aspergillus antibody (86606) |
$9.60 |
$12 |
0.6× |
| Aspergillus antigen (87305) |
$70.40 |
$88 |
5.9× |
| Assay myeloperoxidase (83876) |
$16 |
$20 |
0.3× |
| Assay of g6pd enzyme (82955) |
$16 |
$20 |
1.6× |
| Assay of procainamide (80192) |
$51.20 |
$64 |
3.1× |
| Assay of procainamide (80190) |
$20 |
$25 |
0.3× |
| Assay of sialic acid - lipid associated sialic acid (lasa) (84275) |
$44.80 |
$56 |
3.3× |
| Assay of vitamin b-2 (84252) |
$36.40 |
$45.50 |
1.8× |
| Assay spec xcp ur&breath ia (82077) |
$253.60 |
$317 |
14.7× |
| Ast/sgot (84450) |
$49.60 |
$62 |
9.6× |
| Atomic absorption spectroscopy, each analyte Other Outpatient (82190) |
$32.80 |
$41 |
2.1× |
| Autolog blood predeposited (86890) |
$120 |
$150 |
0.7× |
| Automated rbc count (85041) |
$14.80 |
$18.50 |
4.9× |
| B cells total count (86355) |
$4.80 |
$6 |
0.1× |
| B-hexosaminidase ea assay (83080) |
$99.20 |
$124 |
5.9× |
| Bartonella henselae igm (86611) |
$13.60 |
$17 |
1.3× |
| Basic metabolic panel calcium ionized (80047) |
$133.60 |
$167 |
9.7× |
| Bc - anaerobe - addtl id (87076) |
$78.80 |
$98.50 |
9.8× |
| Bcr/abl1 gene major bp (81206) |
$129.60 |
$162 |
0.8× |
| Bcr/abl1 gene minor bp (81207) |
$116 |
$145 |
0.8× |
| Beta 2 glycoprotein i ab ea (86146) |
$16 |
$20 |
0.6× |
| Beta hydroxybutyrate (82010) |
$58 |
$72.50 |
7.1× |
| Beta-2 microglobulin (82232) |
$26.40 |
$33 |
1.6× |
| Bile acids total (82239) |
$20 |
$25 |
1.2× |
| Bilirubin direct (82248) |
$68.80 |
$86 |
13.7× |
| Bilirubin total (82247) |
$48.40 |
$60.50 |
9.6× |
| Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) |
$12 |
$15 |
1.6× |
| Biotinidase (82261) |
$42.40 |
$53 |
2.5× |
| Blastomyces antibody (86612) |
$19.60 |
$24.50 |
1.5× |
| Bleeding time (85002) |
$122.40 |
$153 |
25.4× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
$73.60 |
$92 |
2.4× |
| Blood count reticulocyte automated (85044) |
$48.80 |
$61 |
11.3× |
| Blood gas ph only (82800) |
$62.40 |
$78 |
5.7× |
| Blood gases 02 sat only (82810) |
$126.40 |
$158 |
12.9× |
| Blood gases w/o2 saturation (82805) |
$243.20 |
$304 |
3.1× |
| Blood Smear,Micro Exam,Manual Diff Wbc - Manual Differential (85007) |
$26.40 |
$33 |
6.9× |
| Blood type antigen donor ea (86902) |
$44.40 |
$55.50 |
7.0× |
| Blood typing abo (86900) |
$104 |
$130 |
34.8× |
| Blood typing serologic rh (d) (86901) |
$92.80 |
$116 |
31.0× |
| Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff (89051) |
$201.60 |
$252 |
36.0× |
| Bone marrow smear interpretation (85097) |
$94.40 |
$118 |
0.1× |
| Bordetella pertussis igm (86615) |
$20 |
$25 |
1.5× |
| Braf gene analysis (81210) |
$140 |
$175 |
0.8× |
| Brca1&2 seq & full dup/del (81162) |
$160 |
$200 |
0.1× |
| Brucella antibody (86622) |
$20 |
$25 |
2.2× |
| C diff amplified probe (87493) |
$196 |
$245 |
5.3× |
| C-peptide (84681) |
$12.80 |
$16 |
0.6× |
| C-reactive protein (86140) |
$101.60 |
$127 |
19.6× |
| Ca 125 (86304) |
$92 |
$115 |
4.4× |
| Ca 15-3 (86300) |
$64.80 |
$81 |
3.1× |
| Cadmium blood (82300) |
$10.40 |
$13 |
0.4× |
| Caffeine level (80155) |
$102 |
$127.50 |
2.6× |
| Calcitonin (82308) |
$18.40 |
$23 |
0.7× |
| Calcium ionized (82330) |
$12.80 |
$16 |
0.9× |
| Calcium total (82310) |
$57.60 |
$72 |
11.2× |
| Calcium urine (82340) |
$27.20 |
$34 |
4.5× |
| Calculus; X-ray diffraction Other Outpatient (82370) |
$21.60 |
$27 |
1.7× |
| Calprotectin, stool (83993) |
$64.80 |
$81 |
3.3× |
| Calr gene com variants (81219) |
$280 |
$350 |
2.3× |
| Campylobacter antibody (86625) |
$89.60 |
$112 |
6.8× |
| Cancer antigen 19-9 (86301) |
$57.20 |
$71.50 |
2.7× |
| Candida antibody (86628) |
$12.80 |
$16 |
1.1× |
| Carbamazepine total (80156) |
$132.80 |
$166 |
9.1× |
| Carbohydrate def transferrin (82373) |
$30 |
$37.50 |
1.7× |
| Carbon dioxide (82374) |
$31.20 |
$39 |
6.4× |
| Carboxyhemoglobin quant (82375) |
$72.80 |
$91 |
5.9× |
| Carcinoembryonic antigen (cea) (82378) |
$143.20 |
$179 |
7.6× |
| Cardiolipin ab ea ig class (86147) |
$19.20 |
$24 |
0.8× |
| Carnitine quant ea specimen (82379) |
$20 |
$25 |
1.2× |
| Carotene (82380) |
$10.80 |
$13.50 |
1.2× |
| Catecholamines fraction plasma (82384) |
$24 |
$30 |
1.0× |
| Ccp antibody (86200) |
$12 |
$15 |
0.9× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$16.40 |
$20.50 |
0.3× |
| Cebpa gene full sequence (81218) |
$300 |
$375 |
1.2× |
| Cell Count,Misc Body Fluids - Body Fluid Cell Count (89050) |
$56 |
$70 |
11.9× |
| Cell function assay w/stim (86352) |
$100 |
$125 |
0.7× |
| Ceruloplasmin (82390) |
$8.80 |
$11 |
0.8× |
| Cftr gene com variants (81220) |
$263.60 |
$329.50 |
0.5× |
| Chemiluminescent assay (82397) |
$44.80 |
$56 |
3.2× |
| Chlamydia antibody (86631) |
$8 |
$10 |
0.7× |
| Chlamydia trachomatis igm (86632) |
$8 |
$10 |
0.6× |
| Chloride blood (82435) |
$22.40 |
$28 |
4.9× |
| Chloride fluid (82438) |
$34.40 |
$43 |
6.9× |
| Chloride urine (82436) |
$45.60 |
$57 |
7.9× |
| Cholesterol total (82465) |
$23.20 |
$29 |
5.3× |
| Cholinesterase serum (82480) |
$18 |
$22.50 |
2.3× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$160 |
$200 |
1.3× |
| Chromogranin a (86316) |
$32 |
$40 |
1.5× |
| Chromosome analys amniotic (88269) |
$168 |
$210 |
1.0× |
| Chromosome analysis 20-25 cells (88264) |
$160 |
$200 |
1.1× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$20 |
$25 |
0.7× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$32 |
$40 |
1.0× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) |
$106.40 |
$133 |
0.6× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$100 |
$125 |
0.4× |
| Chylmd Pneum, Dna, Amp Probe - Chlamydia Pneumoniae Dna Probe, Amp (87486) |
$20 |
$25 |
0.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$109.60 |
$137 |
3.1× |
| Citrate (82507) |
$21.60 |
$27 |
0.8× |
| Ck isoenzymes (82552) |
$44 |
$55 |
3.3× |
| Clot factor xiii fibrin stab (85290) |
$39.20 |
$49 |
2.4× |
| Clotting factor viii multimetric analysis (85247) |
$32.80 |
$41 |
1.4× |
| Cmv Antibody - Cmv Igg (86644) |
$8.80 |
$11 |
0.6× |
| Cmv PCR quant (87497) |
$110.40 |
$138 |
2.6× |
| Coagulation time activated (85347) |
$84.80 |
$106 |
19.8× |
| Coccidioides antibody (86635) |
$20 |
$25 |
1.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$56 |
$70 |
2.3× |
| Cold agglutinins titer (86157) |
$19.60 |
$24.50 |
2.4× |
| Collagen cross links (82523) |
$33.20 |
$41.50 |
1.8× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) |
$208 |
$260 |
0.7× |
| Compatibility each unit immediate spin technique (86920) |
$207.20 |
$259 |
1.2× |
| Compatibility test antiglob (86922) |
$168 |
$210 |
0.9× |
| Compatibility test incubate (86921) |
$68 |
$85 |
0.4× |
| Complement c3 (86160) |
$51.20 |
$64 |
4.3× |
| Complement total (ch50) (86162) |
$20 |
$25 |
1.0× |
| Concentration infectious agents (87015) |
$45.60 |
$57 |
6.8× |
| Coombs test indirect titer (86886) |
$87.20 |
$109 |
16.8× |
| Copper liver tissue (82525) |
$31.20 |
$39 |
2.5× |
| Cortisol free (82530) |
$30.40 |
$38 |
1.8× |
| Cortisol serum (82533) |
$50.40 |
$63 |
3.1× |
| Coxsackie a9 virus antibodies (86658) |
$20 |
$25 |
1.5× |
| Cp concentr tech smear (88108) |
$115.20 |
$144 |
3.0× |
| Cp smr othr; prep scrn int (88161) |
$67.20 |
$84 |
2.2× |
| Creatine kinase total (82550) |
$52 |
$65 |
8.0× |
| Creatinine clearance (82575) |
$152 |
$190 |
16.1× |
| Creatinine other source (82570) |
$12 |
$15 |
2.3× |
| Creatinine serum (82565) |
$58.40 |
$73 |
11.4× |
| Crp-high sensitivity (86141) |
$22.80 |
$28.50 |
1.8× |
| Cryoglobulins (82595) |
$9.60 |
$12 |
1.5× |
| Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) |
$32.80 |
$41 |
2.5× |
| Cryptococcal Antigen (87899) |
$36 |
$45 |
2.2× |
| Cryptococcus antibody (86641) |
$53.20 |
$66.50 |
3.7× |
| Cryptosporidium antigen (87328) |
$71.20 |
$89 |
5.2× |
| Cult aerobic defin id ea isol (87077) |
$44 |
$55 |
5.4× |
| Culture aerobic quant other (87071) |
$158.80 |
$198.50 |
16.1× |
| Culture blood (87040) |
$290.40 |
$363 |
28.1× |
| Culture chlamydia (87110) |
$18.40 |
$23 |
0.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$72 |
$90 |
9.3× |
| Culture fungus blood (87103) |
$170.40 |
$213 |
8.3× |
| Culture fungus id (87106) |
$71.20 |
$89 |
6.9× |
| Culture fungus other (87102) |
$63.20 |
$79 |
7.5× |
| Culture genital (87070) |
$190 |
$237.50 |
22.0× |
| Culture mycobacterial definitive id ea isol (87118) |
$123.20 |
$154 |
8.4× |
| Culture mycoplasma (87109) |
$23.20 |
$29 |
1.5× |
| Culture stool (87045) |
$8 |
$10 |
0.8× |
| Culture typing if ea antiserum (87140) |
$16.80 |
$21 |
3.0× |
| Culture typing nucleic acid probe dir ea organsm (87149) |
$50.80 |
$63.50 |
2.5× |
| Culture typing serologic (87147) |
$37.60 |
$47 |
7.3× |
| Culture urine (87086) |
$160.80 |
$201 |
19.9× |
| Cyanide (82600) |
$36.80 |
$46 |
1.9× |
| Cyclic amp (82030) |
$61.60 |
$77 |
2.4× |
| Cyclosporine (80158) |
$55.20 |
$69 |
3.1× |
| Cystatin c (82610) |
$20 |
$25 |
1.1× |
| Cytomegalov amplif na probe (87496) |
$89.60 |
$112 |
2.6× |
| Cytomegalovirus antibody igm (86645) |
$18.80 |
$23.50 |
1.1× |
| Cytopath cell enhance technique (88112) |
$94 |
$117.50 |
1.7× |
| Cytp dx eval fna 1st ea site (88172) |
$173.20 |
$216.50 |
1.0× |
| Cytp eval fine needle aspirate interp & report (88173) |
$341.60 |
$427 |
6.3× |
| D-dimer quant (85379) |
$235.20 |
$294 |
23.1× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Other Outpatient (87164) |
$29.60 |
$37 |
2.8× |
| Deoxyribonuclease antibody (86215) |
$11.20 |
$14 |
0.8× |
| Detect agent nos DNA amp (87798) |
$60 |
$75 |
1.7× |
| Detect agent nos DNA quant (87799) |
$122.80 |
$153.50 |
2.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$106.40 |
$133 |
6.4× |
| Dhea (82626) |
$46 |
$57.50 |
1.8× |
| Dhea-s (82627) |
$13.60 |
$17 |
0.6× |
| Digoxin (80162) |
$120 |
$150 |
9.0× |
| Dihydrotestosterone (82642) |
$53.60 |
$67 |
1.8× |
| Diphtheria antibody (86648) |
$23.20 |
$29 |
1.5× |
| Direct antiglobulin test (86880) |
$98.40 |
$123 |
18.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$17.60 |
$22 |
1.3× |
| DNA/RNA amplified probe (87150) |
$72.80 |
$91 |
2.1× |
| DNA/RNA sequencing (87153) |
$121.60 |
$152 |
1.1× |
| Drug assay felbamate (80167) |
$35.20 |
$44 |
1.9× |
| Drug assay methotrexate (80204) |
$102.40 |
$128 |
2.7× |
| Drug assay salicylate (80179) |
$267.20 |
$334 |
14.3× |
| Drug screen quant clozapine (80159) |
$31.20 |
$39 |
1.5× |
| Drug screen quant gabapentin (80171) |
$21.60 |
$27 |
1.0× |
| Drug screen quant tiagabine (80199) |
$51.20 |
$64 |
1.9× |
| Drug screen quantitative oxcarbazepine (80183) |
$27.20 |
$34 |
2.1× |
| Drug test prsmv chem anlyzr (80307) |
$49.60 |
$62 |
0.8× |
| Drug test prsmv dir opt obs (80305) |
$668 |
$835 |
53.0× |
| Echinococcus ab igg (86682) |
$64.80 |
$81 |
5.0× |
| Egfr gene analysis common variants (81235) |
$352.40 |
$440.50 |
1.1× |
| Electrolytes panel (80051) |
$190.40 |
$238 |
27.2× |
| Electron microscopy diagnostic (88348) |
$409.60 |
$512 |
0.5× |
| Electronic crossmatch (86923) |
$240.80 |
$301 |
1.4× |
| Electrophoretic test (82664) |
$39.20 |
$49 |
0.6× |
| Encephalitis st louis ab (86653) |
$11.20 |
$14 |
0.8× |
| Endomysial antibody each immunoglobulin class (86231) |
$20 |
$25 |
1.7× |
| Enterovirus by PCR (87498) |
$24 |
$30 |
0.7× |
| Enzyme cell activity (82657) |
$80.40 |
$100.50 |
3.6× |
| Enzyme histochemistry (88319) |
$126.40 |
$158 |
0.2× |
| Eosinophil smear (89190) |
$27.20 |
$34 |
4.7× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$20 |
$25 |
1.3× |
| Erythropoietin (82668) |
$16 |
$20 |
0.9× |
| Estradiol (82670) |
$20.80 |
$26 |
0.7× |
| Estriol serum (82677) |
$16 |
$20 |
0.7× |
| Estrogen serum fractionated (82671) |
$64 |
$80 |
2.0× |
| Estrogens total (82672) |
$18.40 |
$23 |
0.8× |
| Estrone (82679) |
$30.80 |
$38.50 |
1.2× |
| Ethosuximide (80168) |
$18.40 |
$23 |
1.1× |
| Eval amniotic fluid protein (84112) |
$280.80 |
$351 |
2.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$110.40 |
$138 |
15.1× |
| F2 gene (81240) |
$170 |
$212.50 |
2.6× |
| Factor ii activity (85210) |
$84 |
$105 |
6.5× |
| Factor ix assay (85250) |
$46.40 |
$58 |
2.4× |
| Factor v activity (85220) |
$39.20 |
$49 |
2.2× |
| Factor v leiden (81241) |
$105.60 |
$132 |
1.4× |
| Factor vii activity (85230) |
$48.80 |
$61 |
2.7× |
| Factor viii assay (85240) |
$34.40 |
$43 |
1.9× |
| Factor viii inhibitor (85335) |
$90.40 |
$113 |
7.0× |
| Factor viii vw antigen (85246) |
$45.60 |
$57 |
2.0× |
| Factor x (stuart-prower) (85260) |
$84 |
$105 |
4.7× |
| Factor xi activity (85270) |
$39.20 |
$49 |
2.2× |
| Factor xii (hageman) (85280) |
$50.40 |
$63 |
2.6× |
| Fatty acids very long chain (82726) |
$84 |
$105 |
4.3× |
| Fecal fat (82710) |
$20 |
$25 |
1.2× |
| Fecal fat qual (82705) |
$16 |
$20 |
3.1× |
| Fecal occult blood immunochemical (82274) |
$29.60 |
$37 |
1.9× |
| Ferritin (82728) |
$91.20 |
$114 |
6.7× |
| Fetal aneuploidy trisom risk (81507) |
$452 |
$565 |
0.6× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$1,162 |
$1,452.50 |
1.5× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) |
$24.80 |
$31 |
0.4× |
| Fetal fibronectin (82731) |
$625.20 |
$781.50 |
9.7× |
| Ffp thawing ea unit (86927) |
$184 |
$230 |
1.0× |
| Fibrinogen activity (85384) |
$100 |
$125 |
10.3× |
| Fibrinolysins or coag screen (85390) |
$72 |
$90 |
4.7× |
| Flow cytometry first marker (88184) |
$57.20 |
$71.50 |
0.2× |
| Flt3 gene analysis (81246) |
$90.40 |
$113 |
1.1× |
| Flt3 gene analysis (81245) |
$210.40 |
$263 |
1.3× |
| Fluorescent antibody titer (86256) |
$27.20 |
$34 |
2.3× |
| FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) |
$75.20 |
$94 |
1.7× |
| Fmr1 gene detection (81243) |
$210 |
$262.50 |
3.7× |
| Folate rbc (82747) |
$8 |
$10 |
0.5× |
| Folate serum (82746) |
$94.40 |
$118 |
6.4× |
| Francisella tularensis ab (86668) |
$46.40 |
$58 |
3.3× |
| Free t4 (84439) |
$55.60 |
$69.50 |
6.2× |
| Fructosamine (82985) |
$24 |
$30 |
1.4× |
| Fructose semen (82757) |
$64 |
$80 |
3.7× |
| Fsh (83001) |
$148 |
$185 |
8.0× |
| Ftl cgen abnor four anal (81511) |
$82.40 |
$103 |
0.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$60.80 |
$76 |
5.9× |
| Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) |
$75.20 |
$94 |
3.6× |
| Gamma glutamyl transferase (82977) |
$44 |
$55 |
6.1× |
| Gammaglobulin ige (82785) |
$9.60 |
$12 |
0.6× |
| Gardnerella vaginalis amp probe (87511) |
$20 |
$25 |
0.6× |
| Gases blood (82803) |
$304 |
$380 |
11.7× |
| Gastrin (82941) |
$16 |
$20 |
0.9× |
| Genet virus isolate hsv (87255) |
$11.20 |
$14 |
0.3× |
| Genotype cytomegalovirus (87910) |
$500 |
$625 |
1.9× |
| Genotype DNA HIV other region (87906) |
$128 |
$160 |
1.0× |
| Gentamicin (80170) |
$150.40 |
$188 |
9.2× |
| Giardia antigen eia stool (87329) |
$68.80 |
$86 |
5.7× |
| Gliadin antibody each immunoglobulin class (86258) |
$14.40 |
$18 |
1.2× |
| Glucagon (82943) |
$22.40 |
$28 |
1.6× |
| Glucose (82947) |
$46.40 |
$58 |
11.8× |
| Glucose body fluid (82945) |
$64 |
$80 |
16.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$150.40 |
$188 |
11.7× |
| Glutathione reductase, RBC Other Outpatient (82979) |
$97.60 |
$122 |
10.3× |
| Glycomark (84378) |
$110.80 |
$138.50 |
9.6× |
| Gram stain smear (87205) |
$89.60 |
$112 |
21.0× |
| Gross & micro level ii (88302) |
$287.20 |
$359 |
7.4× |
| Gross & micro level iii (88304) |
$361.60 |
$452 |
6.6× |
| Group a strep PCR (87651) |
$20 |
$25 |
0.6× |
| Growth hormone (83003) |
$17.60 |
$22 |
1.1× |
| Gtt-added samples (82952) |
$27.20 |
$34 |
6.9× |
| Haptoglobin (83010) |
$60.40 |
$75.50 |
4.8× |
| Hba1/hba2 gene (81257) |
$280 |
$350 |
2.7× |
| Hbsag neutralization (87341) |
$33.60 |
$42 |
3.3× |
| Hcg quant (84702) |
$196 |
$245 |
13.0× |
| Heavy metal quan each nes (83018) |
$83.20 |
$104 |
3.8× |
| Helicobacter Pylori Antibody Igg (86677) |
$13.20 |
$16.50 |
0.8× |
| Hematocrit (85014) |
$15.20 |
$19 |
6.4× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) |
$2,040 |
$2,550 |
2.7× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81451) |
$3,256 |
$4,070 |
4.3× |
| Hemoglobin (85018) |
$39.20 |
$49 |
16.5× |
| Hemoglobin a1c (83036) |
$82.40 |
$103 |
8.5× |
| Hemoglobin electrophoresis (83020) |
$45.60 |
$57 |
3.5× |
| Hemoglobin fetal ql (83033) |
$48.80 |
$61 |
6.1× |
| Hemoglobin Fetal,Rosette - Fetal Bleed Screen (85461) |
$94.40 |
$118 |
10.1× |
| Hemoglobin fractj/quantj chromotography (83021) |
$28 |
$35 |
1.6× |
| Hemoglobin plasma (83051) |
$26.40 |
$33 |
3.6× |
| Hemoglobin stability screen (83068) |
$39.20 |
$49 |
4.1× |
| Hemosiderin urine (83070) |
$18.40 |
$23 |
3.9× |
| Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm (86705) |
$32.80 |
$41 |
2.8× |
| Heparin assay (85520) |
$111.20 |
$139 |
8.5× |
| Heparin induced platelet ab (86022) |
$88.80 |
$111 |
4.8× |
| Hepatitis a antibody (haab) total (86708) |
$6.40 |
$8 |
0.5× |
| Hepatitis a igm (86709) |
$20 |
$25 |
1.8× |
| Hepatitis b core antibody total (86704) |
$8 |
$10 |
0.7× |
| Hepatitis B Surface Antigen (87340) |
$13.20 |
$16.50 |
1.3× |
| Hepatitis b virus DNA, quantitative, real-time PCR (87517) |
$40 |
$50 |
0.9× |
| Hepatitis be antibody (86707) |
$11.20 |
$14 |
1.0× |
| Hepatitis be antigen (87350) |
$11.20 |
$14 |
1.0× |
| Hepatitis c antibody (86803) |
$12.80 |
$16 |
0.9× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$53.60 |
$67 |
3.5× |
| Hepatitis c RNA quantitative (87522) |
$104.40 |
$130.50 |
2.4× |
| Hepatitis c virus genotype (87902) |
$136 |
$170 |
0.5× |
| Hepatitis delta antibody (86692) |
$19.20 |
$24 |
1.1× |
| Herpes simplex type 1 ab (86695) |
$11.20 |
$14 |
0.8× |
| Herpes simplex type 2 antibody (86696) |
$11.20 |
$14 |
0.6× |
| Herpes simplex virus igm ab (86694) |
$21.60 |
$27 |
1.5× |
| Heterophile ab screen (86308) |
$170.40 |
$213 |
32.9× |
| Hexa gene analysis common variants (81255) |
$218.40 |
$273 |
4.2× |
| Hexagnal phosph pltlt neutrl (85598) |
$64 |
$80 |
3.6× |
| Hfe gene (81256) |
$30.40 |
$38 |
0.5× |
| Hgb; fetal chemical (83030) |
$63.20 |
$79 |
5.9× |
| High density lipoprotein (83718) |
$89.60 |
$112 |
10.9× |
| Histoplasma antibody (86698) |
$13.60 |
$17 |
1.0× |
| Histoplasma antigen by eia (87385) |
$76.80 |
$96 |
5.8× |
| HIV genotype (87901) |
$80 |
$100 |
0.3× |
| HIV p24 antigen (87390) |
$37.60 |
$47 |
1.6× |
| HIV-1 antibody (86701) |
$30.40 |
$38 |
3.4× |
| HIV-1 DNA by PCR (87535) |
$170 |
$212.50 |
4.8× |
| HIV-1 quant&revrse trnscrpj (87536) |
$99.20 |
$124 |
1.2× |
| HIV-1/HIV-2 single result (86703) |
$7.60 |
$9.50 |
0.6× |
| HIV-2 antibody (86702) |
$19.20 |
$24 |
1.4× |
| Hla b27 (86812) |
$22.40 |
$28 |
0.9× |
| HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing)… (81371) |
$125.60 |
$157 |
0.3× |
| Hla class i typing low resolution complete (81372) |
$192.80 |
$241 |
0.5× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) |
$180 |
$225 |
0.8× |
| Homocystine (83090) |
$18.40 |
$23 |
1.0× |
| Homogenization tissue (87176) |
$20.80 |
$26 |
3.5× |
| Hpv high-risk types (87624) |
$29.60 |
$37 |
0.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$31.60 |
$39.50 |
0.9× |
| Htlv-i antibody (86687) |
$36.80 |
$46 |
4.0× |
| Hydroxyprogesterone 17-d (83498) |
$20.80 |
$26 |
0.8× |
| Iaad ia clostridium difficile toxin (87324) |
$84 |
$105 |
7.0× |
| Iaad ia hepatitis delta antigen (87380) |
$24.80 |
$31 |
1.4× |
| Iaad ia HIV-1 ag w/HIV-1 & HIV-2 antbdy single (87389) |
$80.80 |
$101 |
3.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$20 |
$25 |
1.4× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$196 |
$245 |
2.8× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$67.20 |
$84 |
1.9× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
$17.60 |
$22 |
1.5× |
| Iadna multiple organisms amplified probe tq (87801) |
$71.20 |
$89 |
1.0× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$100 |
$125 |
1.9× |
| Iadna sarscov2& inf a&b mult amplified probe tq (87636) |
$220 |
$275 |
1.5× |
| Idh1 common variants (81120) |
$155.20 |
$194 |
0.8× |
| Idh2 common variants (81121) |
$236 |
$295 |
0.8× |
| Igg subclass 4 (82787) |
$4 |
$5 |
0.5× |
| Igh gene rearrange amp meth (81261) |
$266.40 |
$333 |
1.3× |
| Igh vari regional mutation (81263) |
$410.40 |
$513 |
1.4× |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) |
$275.20 |
$344 |
1.3× |
| Igk rearrangeabn clonal pop (81264) |
$266.40 |
$333 |
1.5× |
| Immune complex assay (86332) |
$37.60 |
$47 |
1.5× |
| Immunoassay infectious agent antibody quan nos (86317) |
$8 |
$10 |
0.5× |
| Immunofixation Electrophoresis Serum (86334) |
$24 |
$30 |
1.1× |
| Immunofixation urine (86335) |
$95.20 |
$119 |
3.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$148 |
$185 |
0.8× |
| Immunoglobulin assay (86023) |
$47.60 |
$59.50 |
3.8× |
| Immunoglobulin d (82784) |
$17.60 |
$22 |
1.9× |
| Immunoglobulin light chains free each (83521) |
$24.80 |
$31 |
1.4× |
| Immunohisto antibody slide (88344) |
$372 |
$465 |
1.0× |
| Immunoperoxidase (88342) |
$76 |
$95 |
0.4× |
| In situ hybridization 1st probe stain (88365) |
$110.40 |
$138 |
0.6× |
| Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient (87278) |
$22.40 |
$28 |
1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) |
$632 |
$790 |
2.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$62.40 |
$78 |
1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) |
$160 |
$200 |
3.7× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87904) |
$40.40 |
$50.50 |
1.5× |
| Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) |
$676 |
$845 |
1.4× |
| Influenza DNA amp probe (87502) |
$220 |
$275 |
2.3× |
| Influenza virus antibody (86710) |
$20 |
$25 |
1.5× |
| Inhibin a (86336) |
$8 |
$10 |
0.5× |
| Inhibin b (83520) |
$39.20 |
$49 |
2.3× |
| Insitu hybridization auto (88367) |
$150.40 |
$188 |
0.4× |
| Insitu hybridization manual (88368) |
$150.40 |
$188 |
0.4× |
| Insulin antibody (86337) |
$50 |
$62.50 |
2.3× |
| Insulin total (83525) |
$13.60 |
$17 |
1.2× |
| Interleukin 6 (83529) |
$89.60 |
$112 |
5.2× |
| Intraop cyto path consult 1 (88333) |
$108.80 |
$136 |
0.1× |
| Intrinsic factor ab (86340) |
$12.80 |
$16 |
0.8× |
| Ip stain (87253) |
$52.80 |
$66 |
2.6× |
| Iron (83540) |
$48.80 |
$61 |
7.5× |
| Iron binding capacity total (83550) |
$65.60 |
$82 |
7.5× |
| Irradiate bld product ea unit (86945) |
$60 |
$75 |
1.5× |
| Islet cell antibody (86341) |
$46.40 |
$58 |
2.0× |
| Itraconazole (80189) |
$68.60 |
$85.75 |
2.5× |
| Jak2 gene (81270) |
$200.80 |
$251 |
2.2× |
| Jak2 targeted sequence analysis (81279) |
$295.20 |
$369 |
1.6× |
| Ketosteroids 17 total (83586) |
$28 |
$35 |
2.2× |
| Kit gene targeted seq analys (81272) |
$263.20 |
$329 |
0.8× |
| Koh for fungi/parasites/mites (87220) |
$20 |
$25 |
4.7× |
| Kras gene (81275) |
$284.40 |
$355.50 |
1.5× |
| Kras gene addl variants (81276) |
$156 |
$195 |
0.8× |
| L216655epst-barr vca (86665) |
$20 |
$25 |
1.1× |
| Lacosamide (80235) |
$80 |
$100 |
3.0× |
| Lactate dehydrogenase (83615) |
$11.20 |
$14 |
1.9× |
| Lactic acid (83605) |
$119.20 |
$149 |
10.3× |
| Lactoferrin fecal qual (83630) |
$44 |
$55 |
2.2× |
| Lamellar body count (83664) |
$92 |
$115 |
4.8× |
| Lamotrigine (80175) |
$26.40 |
$33 |
2.0× |
| Ldh isoenzymes (83625) |
$9.60 |
$12 |
0.8× |
| LDL direct (83721) |
$20 |
$25 |
1.9× |
| Lead (83655) |
$12 |
$15 |
1.0× |
| Leflunomide (80193) |
$171.20 |
$214 |
4.4× |
| Legionella antibody (86713) |
$12 |
$15 |
0.8× |
| Legionella antigen urine (87449) |
$84.80 |
$106 |
7.1× |
| Legionella culture (87081) |
$39.20 |
$49 |
5.9× |
| Leptospira antibody (86720) |
$118.40 |
$148 |
7.3× |
| Leukocyte (Wbc) Count - White Blood Count (85048) |
$29.60 |
$37 |
11.7× |
| Leukocyte alkaline phosphatase (85540) |
$40 |
$50 |
4.7× |
| Leukocyte histamine release test (86343) |
$15 |
$18.75 |
1.2× |
| Levetiracetam (keppra) (80177) |
$23.20 |
$29 |
1.8× |
| Lipase (83690) |
$98.80 |
$123.50 |
14.3× |
| Lipoprotein (a) (83695) |
$17.60 |
$22 |
1.2× |
| Lipoprotein bld hr fraction (83701) |
$60 |
$75 |
1.8× |
| Lipoprotein blood by nmr spect - lipoprotein (83704) |
$52 |
$65 |
1.5× |
| Lipoprotein electrophoresis (83700) |
$12 |
$15 |
1.1× |
| Lithium (80178) |
$93.60 |
$117 |
14.2× |
| Luteinizing hormone (lh) (83002) |
$140.80 |
$176 |
7.6× |
| Lyme ab igm western blot (86617) |
$35.20 |
$44 |
2.3× |
| Lyme disease antibody (86618) |
$8 |
$10 |
0.5× |
| Lymes amplified na probe (87476) |
$88 |
$110 |
2.5× |
| Lymph choriomeningitis ab (86727) |
$23.60 |
$29.50 |
1.8× |
| Lymphocyte transformation (86353) |
$120 |
$150 |
2.4× |
| M.Pneumon, Dna, Amp Probe - Mycoplasma Pneumoniae Pcr (87581) |
$62.40 |
$78 |
1.8× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$303.60 |
$379.50 |
1.7× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$300 |
$375 |
1.7× |
| M/phmtrc alys tumor imhchem ea antbdy cmptr asst (88361) |
$84.40 |
$105.50 |
0.2× |
| Macroscopic exam arthropod (87168) |
$19.60 |
$24.50 |
4.6× |
| Macroscopic exam parasite (87169) |
$20.80 |
$26 |
4.8× |
| Magnesium urine (83735) |
$14.40 |
$18 |
2.1× |
| Malaria smear (87207) |
$39.20 |
$49 |
6.5× |
| Manganese (83785) |
$30.40 |
$38 |
1.1× |
| Manual tumor im histochem ea ab (88360) |
$76 |
$95 |
0.4× |
| Mcg; ip situ 100-300 cells (88275) |
$110 |
$137.50 |
2.1× |
| Mercury urine (83825) |
$22 |
$27.50 |
1.4× |
| Metanephrines (83835) |
$32 |
$40 |
1.9× |
| Methemoglobin quant (83050) |
$41.60 |
$52 |
5.1× |
| Methylmalonic acid serum (83921) |
$34 |
$42.50 |
1.6× |
| Mgmt methylation analysis (81287) |
$320 |
$400 |
2.6× |
| Microalbumin urine (82043) |
$15.20 |
$19 |
2.6× |
| Microsatellite instability (81301) |
$499.20 |
$624 |
1.4× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$69.60 |
$87 |
1.3× |
| Microsomal Antibody - Thyroid Peroxidase Antibody (86376) |
$11.60 |
$14.50 |
0.8× |
| Mitochondrial antibody each (86381) |
$11.20 |
$14 |
0.4× |
| Molecular cytogenetics DNA probe each (88271) |
$37.60 |
$47 |
1.8× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other… (88272) |
$125.60 |
$157 |
3.1× |
| Mopath procedure level 1 (81400) |
$200 |
$250 |
3.1× |
| Mopath procedure level 2 (81401) |
$308.80 |
$386 |
2.3× |
| Mopath procedure level 4 (81403) |
$250 |
$312.50 |
1.3× |
| Mopath procedure level 5 (81404) |
$284.80 |
$356 |
1.0× |
| Mopath procedure level 6 (81405) |
$284.80 |
$356 |
0.9× |
| Morphometric analysis tumor (88358) |
$58.80 |
$73.50 |
0.3× |
| Mpl gene analysis common variants (81338) |
$375.20 |
$469 |
2.5× |
| Mpl gene seq alys exon 10 (81339) |
$320 |
$400 |
1.7× |
| Mrsa PCR (87641) |
$192 |
$240 |
5.5× |
| Mthfr gene analysis (81291) |
$197.20 |
$246.50 |
3.0× |
| Mumps igg antibody (86735) |
$12.80 |
$16 |
1.0× |
| Muramidase (85549) |
$34.40 |
$43 |
1.8× |
| Mycobacteria t amplif na probe (87556) |
$163.60 |
$204.50 |
3.9× |
| Mycophenolic Acid (80180) |
$25.60 |
$32 |
1.4× |
| Mycoplasma antibody (86738) |
$8.80 |
$11 |
0.7× |
| Myd88 gene p.leu265pro vrnt (81305) |
$290.40 |
$363 |
1.7× |
| Myelin basic protein csf (83873) |
$24 |
$30 |
1.4× |
| Myeloperoxidase antibody (86021) |
$150 |
$187.50 |
10.0× |
| Myoglobin (83874) |
$28 |
$35 |
2.2× |
| N.gonorrhoeae DNA amp prob (87591) |
$100 |
$125 |
2.8× |
| Natriuretic peptide (83880) |
$232 |
$290 |
5.9× |
| Neutralization test viral (86382) |
$64.80 |
$81 |
3.8× |
| Nfct agt drug suscept phenotype prediction (87900) |
$110.40 |
$138 |
0.8× |
| Nfct ds chrnc hcv 6 assays (81596) |
$225.60 |
$282 |
3.1× |
| Nk cells total count (86357) |
$4.80 |
$6 |
0.1× |
| Non gyn sputum nipple d/c (88160) |
$32.80 |
$41 |
1.1× |
| Npm1 gene (81310) |
$270.40 |
$338 |
1.1× |
| Nras gene variants exon 2&3 (81311) |
$272.40 |
$340.50 |
0.9× |
| Ntrk translocation analysis (81194) |
$800 |
$1,000 |
1.5× |
| NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis Other Outpatient (81191) |
$700 |
$875 |
3.4× |
| NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis Other Outpatient (81192) |
$700 |
$875 |
3.4× |
| NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis Other Outpatient (81193) |
$700 |
$875 |
3.4× |
| Occult bld feces 1-3 tests (82272) |
$58.40 |
$73 |
13.8× |
| Occult blood stool (82270) |
$56.80 |
$71 |
13.0× |
| Oligoclonal bands (83916) |
$23.20 |
$29 |
0.8× |
| Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed… (81504) |
$1,748 |
$2,185 |
3.4× |
| Oncoprotein her-2/neu (83950) |
$125.60 |
$157 |
2.0× |
| Orthopoxvirus amp prb each (87593) |
$45.60 |
$57 |
0.9× |
| Osmolality serum (83930) |
$108.80 |
$136 |
16.5× |
| Osmolality urine (83935) |
$92.80 |
$116 |
13.6× |
| Osmotic fragility rbc incubated (85557) |
$64.80 |
$81 |
4.9× |
| Ova and parasite exam (87177) |
$47.20 |
$59 |
5.3× |
| Oxalate urine (83945) |
$14 |
$17.50 |
1.0× |
| Pa; screen ea ab (86403) |
$122.40 |
$153 |
10.6× |
| Pa; titer ea ab (86406) |
$88 |
$110 |
8.3× |
| Pancreatic polypeptide (83519) |
$52 |
$65 |
2.8× |
| Pap smear (88150) |
$72 |
$90 |
3.9× |
| Parathyroid hormone (83970) |
$31.20 |
$39 |
0.8× |
| Parietal cell antibody (83516) |
$16 |
$20 |
1.4× |
| Parvovirus antibody (86747) |
$8.40 |
$10.50 |
0.6× |
| Path consult during surgery (88329) |
$109.60 |
$137 |
1.8× |
| Pdgfra mutation analysis (81314) |
$500 |
$625 |
1.5× |
| Pertussis ag if (87265) |
$21.60 |
$27 |
1.8× |
| Ph body fluid (83986) |
$25.60 |
$32 |
7.2× |
| Phenobarbital (80184) |
$28.80 |
$36 |
1.9× |
| Phenylalanine (84030) |
$37.60 |
$47 |
6.8× |
| Phenytoin free (80186) |
$12.80 |
$16 |
0.9× |
| Phenytoin total (80185) |
$94.40 |
$118 |
7.1× |
| Phosphatidylglycerol (84081) |
$151.20 |
$189 |
9.2× |
| Phospholipid pltlt neutraliz (85597) |
$43.20 |
$54 |
2.4× |
| Phosphorus blood (84100) |
$50 |
$62.50 |
10.5× |
| Phosphorus urine (84105) |
$5.44 |
$6.80 |
0.9× |
| Pik3ca gene trgt seq alys (81309) |
$406.40 |
$508 |
1.5× |
| Pinworm exam (87172) |
$15.20 |
$19 |
3.6× |
| Plasma renin activity (84244) |
$20 |
$25 |
0.9× |
| Platelet Aggregation (85576) |
$177.60 |
$222 |
7.1× |
| Platelet count automated (85049) |
$116.80 |
$146 |
26.1× |
| Pml/raralpha com breakpoints (81315) |
$406.40 |
$508 |
2.0× |
| Pooling platelets/other blood products (86965) |
$87.60 |
$109.50 |
0.5× |
| Porphobilinogen urine quant (84110) |
$43.60 |
$54.50 |
5.2× |
| Porphyrins total plasma (84311) |
$22 |
$27.50 |
2.7× |
| Porphyrins urine quantitation & fractionation (84120) |
$44 |
$55 |
3.0× |
| Potassium serum (84132) |
$53.60 |
$67 |
11.3× |
| Potassium urine (84133) |
$29.60 |
$37 |
6.3× |
| Prealbumin (84134) |
$56 |
$70 |
3.8× |
| Pregnancy test serum (84703) |
$232.80 |
$291 |
31.0× |
| Pregnenolone (84140) |
$38.40 |
$48 |
1.9× |
| Pretreat serum ab id incubate (86977) |
$48.80 |
$61 |
0.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$48.80 |
$61 |
0.3× |
| Primidone (80188) |
$19.20 |
$24 |
1.2× |
| Procalcitonin (pct) (84145) |
$218.40 |
$273 |
8.0× |
| Progesterone (84144) |
$12.80 |
$16 |
0.6× |
| Proinsulin (84206) |
$36.40 |
$45.50 |
1.4× |
| Prolactin (84146) |
$68.40 |
$85.50 |
3.5× |
| Prostatic acid phosphatase (84066) |
$13.60 |
$17 |
1.4× |
| Protein c antigen (85302) |
$20.80 |
$26 |
1.7× |
| Protein c functional (85303) |
$18.80 |
$23.50 |
1.4× |
| Protein electrophoresis serum (84165) |
$39.20 |
$49 |
3.6× |
| Protein electrophoresis urine (84166) |
$30.80 |
$38.50 |
1.7× |
| Protein s free (85306) |
$18.40 |
$23 |
1.2× |
| Protein s total (85305) |
$23.20 |
$29 |
2.0× |
| Protein total other source (84157) |
$17.60 |
$22 |
4.4× |
| Protein total serum (84155) |
$17.60 |
$22 |
4.8× |
| Protein total urine (84156) |
$32.40 |
$40.50 |
8.8× |
| Protein western blot (84181) |
$45.60 |
$57 |
2.7× |
| Protein western blot test (84182) |
$180.80 |
$226 |
6.2× |
| PSA free (84154) |
$8 |
$10 |
0.4× |
| Pyruvate (84210) |
$67.20 |
$84 |
4.6× |
| Qual organic acids ea specim (83919) |
$40.80 |
$51 |
2.5× |
| Quinidine (80194) |
$31.20 |
$39 |
2.1× |
| Quinine Other Outpatient (84228) |
$73.60 |
$92 |
6.3× |
| Reagent strip/blood glucose (82948) |
$23.60 |
$29.50 |
4.7× |
| Ref consult prep elsewhere (88321) |
$244 |
$305 |
6.3× |
| Reptilase test (85635) |
$39.20 |
$49 |
4.0× |
| Resp virus 12-25 targets (87633) |
$140 |
$175 |
0.3× |
| Retinol binding protein (83883) |
$48.80 |
$61 |
3.6× |
| Rheumatoid factor qual (86430) |
$110.40 |
$138 |
18.0× |
| Rheumatoid factor quant (86431) |
$29.60 |
$37 |
5.2× |
| Rickettsia antibody (86757) |
$41.20 |
$51.50 |
2.1× |
| Rnp antibody (86235) |
$16 |
$20 |
0.9× |
| Rotavirus antigen (87425) |
$84.40 |
$105.50 |
7.0× |
| Rpr (86592) |
$30.60 |
$38.25 |
7.2× |
| Rpr titer (86593) |
$84 |
$105 |
19.1× |
| Rsv ag eia (87420) |
$136.80 |
$171 |
9.8× |
| Rsv ia w dir observ (87807) |
$106.40 |
$133 |
8.1× |
| Rubella antibody (86762) |
$24 |
$30 |
1.7× |
| Rubeola antibody (86765) |
$10 |
$12.50 |
0.8× |
| Russell viper venom diluted (85613) |
$8.40 |
$10.50 |
0.9× |
| Sars-cov-2 COVID-19 antibody (86769) |
$43.20 |
$54 |
1.0× |
| Sed rate automated (85652) |
$77.60 |
$97 |
28.7× |
| Semen anal strict criteria (89322) |
$191.20 |
$239 |
12.3× |
| Semen analysis post vasectomy (89321) |
$85.60 |
$107 |
7.1× |
| Senstitivity - enzyme detect (87185) |
$34.40 |
$43 |
7.2× |
| Serotonin (84260) |
$37.60 |
$47 |
1.2× |
| Sex hormone binding globulin (84270) |
$16.80 |
$21 |
0.8× |
| Sickle cell screen (85660) |
$38.40 |
$48 |
7.0× |
| Sirolimus (rapamycin) (80195) |
$26.40 |
$33 |
1.9× |
| Skin test tuberculosis intradermal (86580) |
$11.20 |
$14 |
0.4× |
| Smear wet mount (87210) |
$43.20 |
$54 |
7.4× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$476 |
$595 |
3.5× |
| Snrpn/ube3a methylation analysis (81331) |
$291.20 |
$364 |
5.7× |
| Sodium feces (84302) |
$44.80 |
$56 |
9.2× |
| Sodium serum (84295) |
$54.40 |
$68 |
11.3× |
| Sodium urine (84300) |
$32.40 |
$40.50 |
6.4× |
| Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number… (81449) |
$2,676 |
$3,345 |
4.5× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) |
$3,676 |
$4,595 |
1.3× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) |
$3,500 |
$4,375 |
1.2× |
| Soluble transferrin receptor (84238) |
$28.80 |
$36 |
0.8× |
| Somatomedin-c (84305) |
$16.80 |
$21 |
0.8× |
| Somatostatin (84307) |
$164.80 |
$206 |
9.0× |
| Sp consult; 1st tb w fs sgl sp (88331) |
$447.20 |
$559 |
2.5× |
| Special stains group i (88312) |
$102 |
$127.50 |
1.9× |
| Special stains group ii (88313) |
$86.40 |
$108 |
0.6× |
| Specific gravity except urine (84315) |
$36.80 |
$46 |
11.2× |
| Splitting blood/blood products each unit (86985) |
$120 |
$150 |
0.7× |
| Staph aureus amplified probe (87640) |
$210.40 |
$263 |
6.0× |
| Stone analysis (82365) |
$21.60 |
$27 |
1.7× |
| Str markers specimen anal (81265) |
$425.20 |
$531.50 |
1.8× |
| Strep. gr a immuno w optical (87880) |
$154.40 |
$193 |
9.3× |
| Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient (84377) |
$34.40 |
$43 |
6.3× |
| Sugars; single qual ea specimen (84376) |
$36.40 |
$45.50 |
6.6× |
| Sulfate urine (84392) |
$7.60 |
$9.50 |
1.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$131.20 |
$164 |
4.3× |
| Surg Path,Level V - Lab Surg Path,Level V (88307) |
$760 |
$950 |
2.0× |
| Surgical path level vi (88309) |
$844.80 |
$1,056 |
1.0× |
| Surgical pathology level IV (88305) |
$242.40 |
$303 |
4.5× |
| Susceptbilty stdy antimicrbial agnt agar dilutj (87181) |
$70.80 |
$88.50 |
14.9× |
| Susceptibility broth dilution panel (87186) |
$32 |
$40 |
3.7× |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
$32 |
$40 |
4.8× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
$9.60 |
$12 |
0.2× |
| Susceptibility study antimicrobial disk method (87184) |
$67.20 |
$84 |
9.0× |
| Susceptiblty stdy antmcrb mycobact proporj mthd (87190) |
$333.60 |
$417 |
45.6× |
| T cells cd4 count (86361) |
$17.60 |
$22 |
0.7× |
| T cells total count (86359) |
$31.60 |
$39.50 |
0.8× |
| T3 free (84481) |
$54.40 |
$68 |
3.2× |
| T3 reverse (84482) |
$24 |
$30 |
1.5× |
| T3 total (84480) |
$119.20 |
$149 |
8.4× |
| T3 uptake (84479) |
$34.80 |
$43.50 |
5.4× |
| Tacrolimus (80197) |
$57.60 |
$72 |
4.2× |
| Targeted genomic seq analys (81445) |
$1,494 |
$1,867.50 |
2.5× |
| Tb ag response t-cell susp (86481) |
$70.40 |
$88 |
0.7× |
| Tb test cell immun measure (86480) |
$50.40 |
$63 |
0.8× |
| Testosterone bioavailable (84410) |
$25.60 |
$32 |
0.5× |
| Testosterone free (84402) |
$17.60 |
$22 |
0.7× |
| Testosterone total (84403) |
$16.80 |
$21 |
0.7× |
| Tetanus antibody (86774) |
$22.40 |
$28 |
1.5× |
| Theophylline (80198) |
$64 |
$80 |
4.5× |
| Thiamine (84425) |
$18.80 |
$23.50 |
0.9× |
| Thiocyanate level (84430) |
$20 |
$25 |
1.7× |
| Thiopurine drug metabolites (83789) |
$69.60 |
$87 |
2.9× |
| Thiopurine metabolites (80299) |
$41.20 |
$51.50 |
2.2× |
| Thrombin time plasma (85670) |
$18.40 |
$23 |
3.2× |
| Thyroglobulin (84432) |
$12 |
$15 |
0.7× |
| Thyroglobulin antibody (86800) |
$8.80 |
$11 |
0.6× |
| Thyroid stimulating immunoglob (84445) |
$44 |
$55 |
0.9× |
| Thyroxine binding globulin (84442) |
$31.20 |
$39 |
2.1× |
| Thyroxine t4 total (84436) |
$108.80 |
$136 |
15.8× |
| Tissue culture bone marrow (88237) |
$128 |
$160 |
0.9× |
| Tissue culture lymphocyte (88230) |
$111.60 |
$139.50 |
1.0× |
| Tissue culture placenta (88235) |
$192.80 |
$241 |
1.3× |
| Tissue culture skin/biopsy (88233) |
$124 |
$155 |
0.9× |
| Tissue culture solid tumor (88239) |
$149.20 |
$186.50 |
1.0× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$19.60 |
$24.50 |
1.7× |
| Tobramycin (80200) |
$40 |
$50 |
2.5× |
| Topiramate (80201) |
$19.20 |
$24 |
1.6× |
| Toxoplasma antibody igm (86778) |
$28 |
$35 |
1.9× |
| Transferrin (84466) |
$80 |
$100 |
6.3× |
| Transfusion reaction - immediate (86078) |
$115.20 |
$144 |
0.6× |
| Trb gene rearrange amplify (81340) |
$250.40 |
$313 |
1.2× |
| Treponema pallidum antibody (86780) |
$44 |
$55 |
3.3× |
| Trg gene rearrangement anal (81342) |
$250.40 |
$313 |
1.2× |
| Triglycerides (84478) |
$32 |
$40 |
5.6× |
| Troponin i (84484) |
$282.40 |
$353 |
22.6× |
| Trypanosoma cruzi igg (86753) |
$12 |
$15 |
1.0× |
| Tyrosine (84510) |
$37.60 |
$47 |
3.5× |
| Uf hb allergen food alpha gal ige (86008) |
$10.40 |
$13 |
0.6× |
| Urea nitrogen quantitative (84520) |
$60 |
$75 |
15.2× |
| Urea nitrogen urine (84540) |
$21.60 |
$27 |
3.9× |
| Uric acid blood (84550) |
$43.20 |
$54 |
9.6× |
| Uric acid other source (84560) |
$36.80 |
$46 |
7.2× |
| Urinalysis auto w/micro (81001) |
$132 |
$165 |
41.6× |
| Urinalysis microscopic only (81015) |
$17.60 |
$22 |
5.8× |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
$39.20 |
$49 |
18.1× |
| Urine volume measurement (81050) |
$17.60 |
$22 |
4.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$35.20 |
$44 |
15.6× |
| Urobilinogen, urine; quantitative, timed specimen Other Outpatient (84580) |
$71.20 |
$89 |
7.5× |
| Valproic acid (80164) |
$113.60 |
$142 |
8.4× |
| Vancomycin (80202) |
$120 |
$150 |
8.9× |
| Vanomycin DNA amp probe (87500) |
$142.80 |
$178.50 |
4.1× |
| Varicella zoster antibody igg (86787) |
$10.80 |
$13.50 |
0.8× |
| Vasoactive intestinal polypeptide (84586) |
$92.80 |
$116 |
2.6× |
| Vasopressin (84588) |
$37.60 |
$47 |
1.1× |
| Viral culture non-respiratory (87252) |
$58 |
$72.50 |
2.2× |
| Virus antibody nos (86790) |
$42.40 |
$53 |
3.3× |
| Virus isol shell vial techn (87254) |
$47.60 |
$59.50 |
2.4× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Other Outpatient (87250) |
$65.60 |
$82 |
3.4× |
| Viscosity serum (85810) |
$12 |
$15 |
1.0× |
| Vitamin a (84590) |
$17.60 |
$22 |
1.5× |
| Vitamin b12 (82607) |
$119.20 |
$149 |
7.9× |
| Vitamin b6 (84207) |
$16.80 |
$21 |
0.6× |
| Vitamin c (82180) |
$71.20 |
$89 |
7.2× |
| Vitamin d 1 25 dihydroxy (82652) |
$21.60 |
$27 |
0.6× |
| Vitamin d, 25-hydroxy, labcorp (82306) |
$24 |
$30 |
0.8× |
| Vitamin e (84446) |
$12.80 |
$16 |
0.9× |
| Vitamin k1 (84597) |
$108 |
$135 |
7.9× |
| Vma (84585) |
$22.40 |
$28 |
1.4× |
| Volatiles (84600) |
$23.20 |
$29 |
1.4× |
| Voltage-gated calcium channel antibody each (86596) |
$87.20 |
$109 |
7.2× |
| Von willebrand factor activity (85245) |
$58.40 |
$73 |
2.5× |
| West nile virus ab igm (86788) |
$19.60 |
$24.50 |
1.2× |
| West nile virus antibody (86789) |
$20 |
$25 |
1.4× |
| Xylose absorption urine (84620) |
$41.60 |
$52 |
3.2× |
| Zika virus DNA/RNA amp probe (87662) |
$124.80 |
$156 |
2.4× |
| Zika virus igm (86794) |
$64.80 |
$81 |
3.8× |
| Zinc (84630) |
$8.80 |
$11 |
0.8× |
| Zinc protoporphyrin blood (84202) |
$20.80 |
$26 |
1.4× |