| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$208.50 |
— |
| Acute hepatitis panel (80074) |
— |
$270 |
— |
| Afb culture (87116) |
— |
$61 |
— |
| Albumin serum (82040) |
— |
$27 |
— |
| Aldolase (82085) |
— |
$36 |
— |
| Aldosterone urine (82088) |
— |
$109 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$50 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$34 |
— |
| Alt (sgpt) (84460) |
— |
$48 |
— |
| Ammonia (82140) |
— |
$63 |
— |
| Amylase urine (82150) |
— |
$59.50 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$87.76 |
— |
| Antibody Absorption (86978) |
— |
$65 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$111.54 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$106 |
— |
| Antibody helicobacter pylori (86677) |
— |
$45 |
— |
| Antibody identification (86870) |
— |
$118 |
— |
| Antibody mumps (86735) |
— |
$103 |
— |
| Antibody Protozoa Nes (86753) |
— |
$76.51 |
— |
| Antibody rubeola (86765) |
— |
$108 |
— |
| Antigen typing (86905) |
— |
$12 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$45 |
— |
| Antinuclear antibodies (86038) |
— |
$85 |
— |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
— |
$16 |
— |
| Antistreptolysin o titer (86060) |
— |
$18 |
— |
| Antithrombin iii activity (85300) |
— |
$154 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$132.50 |
— |
| Assay of blood chloride (82435) |
— |
$30 |
— |
| Assay of c-peptide (84681) |
— |
$74 |
— |
| Assay of cyclosporine (80158) |
— |
$140 |
— |
| Assay of erythropoietin (82668) |
— |
$175.83 |
— |
| Assay of ferritin (82728) |
— |
$86 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$210 |
— |
| Assay of gastrin (82941) |
— |
$64 |
— |
| Assay of gentamicin (80170) |
— |
$125 |
— |
| Assay of metanephrines (83835) |
— |
$70 |
— |
| Assay of parathormone (83970) |
— |
$235 |
— |
| Assay of prealbumin (84134) |
— |
$35 |
— |
| Assay of selenium (84255) |
— |
$154 |
— |
| Assay of serotonin (84260) |
— |
$207 |
— |
| Assay of urine vma (84585) |
— |
$62 |
— |
| Ast (sgot) (84450) |
— |
$61 |
— |
| Autologous Blood Process (86890) |
— |
$53 |
— |
| Automated rbc count (85041) |
— |
$14 |
— |
| Bilirubin direct (82248) |
— |
$67 |
— |
| Bilirubin total (82247) |
— |
$30 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$27 |
— |
| Blood clot lysis time (85175) |
— |
$11 |
— |
| Blood gases (82803) |
— |
$147.50 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$150 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$68 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$250 |
— |
| Blood typing abo (86900) |
— |
$71 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$36 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$34 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$48 |
— |
| Body fluid cell count (89051) |
— |
$121 |
— |
| Body fluid cell count (89050) |
— |
$12 |
— |
| Bone Marrow Smear Interpretation (85097) |
— |
$410 |
— |
| Bordetella antibody (86615) |
— |
$244 |
— |
| C diff amplified probe (87493) |
— |
$167 |
— |
| C-reactive protein (86140) |
— |
$90 |
— |
| Ca 125 (86304) |
— |
$165 |
— |
| Ca 19-9 (86301) |
— |
$45.70 |
— |
| Ca 27 29 (86300) |
— |
$179.15 |
— |
| Calcium total (82310) |
— |
$51 |
— |
| Calculus Qualitative Analysis (82355) |
— |
$56 |
— |
| Calprotectin, fecal (83993) |
— |
$455 |
— |
| Candida DNA dir probe (87480) |
— |
$105 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$48 |
— |
| Carbon dioxide (82374) |
— |
$30 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$46 |
— |
| Carcinoembryonic antigen (82378) |
— |
$86.23 |
— |
| Carotene (82380) |
— |
$54 |
— |
| Catecholamines fraction plasma (82384) |
— |
$81 |
— |
| Chloride urine (82436) |
— |
$33 |
— |
| Cholesterol total (82465) |
— |
$60 |
— |
| Cholinesterase serum (82480) |
— |
$52 |
— |
| Chromium urine (82495) |
— |
$68 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$116 |
— |
| Ckmb (82553) |
— |
$329 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$314.59 |
— |
| Cold agglutinin titer (86157) |
— |
$72 |
— |
| Compatibility test antiglob (86922) |
— |
$177 |
— |
| Complement c3 (86160) |
— |
$49 |
— |
| Complement total ch50 (86162) |
— |
$168 |
— |
| Coombs direct (86880) |
— |
$36 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$41 |
— |
| Copper urine (82525) |
— |
$46 |
— |
| Cortisol total (82533) |
— |
$84 |
— |
| Creatine kinase total (82550) |
— |
$63 |
— |
| Creatinine blood (82565) |
— |
$55 |
— |
| Creatinine clearance (82575) |
— |
$25 |
— |
| Creatinine other source (82570) |
— |
$72 |
— |
| Crossmatch immediate spin (86920) |
— |
$20 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$60 |
— |
| Culture Aerobic Identify (87077) |
— |
$67 |
— |
| Culture anaerobic (87075) |
— |
$90 |
— |
| Culture Bacteria Anaerobic (87073) |
— |
$131 |
— |
| Culture blood (87040) |
— |
$190 |
— |
| Culture chlamydia (87110) |
— |
$34 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$25 |
— |
| Culture fungus id yeast (87106) |
— |
$17 |
— |
| Culture fungus other (87102) |
— |
$135 |
— |
| Culture genital (87070) |
— |
$44.75 |
— |
| Culture screen only (87081) |
— |
$26 |
— |
| Culture stool (87045) |
— |
$120 |
— |
| Culture urine (87086) |
— |
$97 |
— |
| Culture urine id ea isolate (87088) |
— |
$110 |
— |
| Cytopath cell enhance tech (88112) |
— |
$170 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$125 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$180 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$17 |
— |
| D-Dimer (85379) |
— |
$312 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$47.50 |
— |
| Dhea (82626) |
— |
$175 |
— |
| Dhea sulfate (82627) |
— |
$171 |
— |
| Digoxin (80162) |
— |
$118 |
— |
| Dilantin (80185) |
— |
$125 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$58 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$163.80 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$208 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$132 |
— |
| Ebv viral capsid (86665) |
— |
$104 |
— |
| Ehrlichia antibody (86666) |
— |
$312.19 |
— |
| Electrolyte panel (80051) |
— |
$130 |
— |
| Endomysial antibody iga (86255) |
— |
$58 |
— |
| Eosinophil count (85048) |
— |
$15 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$104 |
— |
| Estradiol (82670) |
— |
$175 |
— |
| Estriol (82677) |
— |
$69 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$332 |
— |
| F5 gene (81241) |
— |
$312 |
— |
| Factor viii ahg (85240) |
— |
$77 |
— |
| Fecal fat quant (82710) |
— |
$94 |
— |
| Fibrinogen activity (85384) |
— |
$95 |
— |
| Folate serum (82746) |
— |
$36 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$69 |
— |
| Francisella Tularensis (86668) |
— |
$191 |
— |
| Fresh frozen plasma thawing each unit (86927) |
— |
$50 |
— |
| Gammaglobulin ige (82785) |
— |
$119 |
— |
| Gardner vag DNA dir probe (87510) |
— |
$105 |
— |
| Ggt (82977) |
— |
$16 |
— |
| Giardia antigen eia stool (87329) |
— |
$118 |
— |
| Glucose (82947) |
— |
$51 |
— |
| Glucose Blood Test (82962) |
— |
$40 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$20 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$73 |
— |
| Haptoglobin (83010) |
— |
$54 |
— |
| Hcg qualitative (84703) |
— |
$60 |
— |
| Hcg quant (84702) |
— |
$107 |
— |
| Hdl Cholesterol (83718) |
— |
$40 |
— |
| Hemagglutination inhibition (86280) |
— |
$40 |
— |
| Hematocrit (85014) |
— |
$36 |
— |
| Hemoglobin (85018) |
— |
$35 |
— |
| Hemoglobin a1c (83036) |
— |
$85 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$101 |
— |
| Heparin assay (85520) |
— |
$105 |
— |
| Hepatitis b core ab igm (86705) |
— |
$44.50 |
— |
| Hepatitis b core antibody total (86704) |
— |
$95 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$100 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$90 |
— |
| Hepatitis c antibody (86803) |
— |
$100 |
— |
| Herpes culture (87252) |
— |
$49 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$35 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$60 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$228.56 |
— |
| Human epididymis protein 4 (86305) |
— |
$30 |
— |
| Hydroxyproline total (83505) |
— |
$65 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$99.80 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$203.75 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$204 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$94 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$26 |
— |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) |
— |
$95 |
— |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) |
— |
$105 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$481 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$116 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$193 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$1,023.21 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$59 |
— |
| Immunoassay nonantibody (83516) |
— |
$90 |
— |
| Immunoassay with direct visual observation for clostridium (87803) |
— |
$86 |
— |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
— |
$68 |
— |
| Immunoelectrophoresis serum (86320) |
— |
$68 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$155 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$225 |
— |
| Immunohistochemistry (88342) |
— |
$250 |
— |
| India ink prep (87210) |
— |
$21 |
— |
| Influenza a/b ag eia (87400) |
— |
$68.75 |
— |
| Inhibin b (83520) |
— |
$187 |
— |
| Insitu hybridization (fish) (88365) |
— |
$400 |
— |
| Insulin antibodies (86337) |
— |
$237 |
— |
| Insulin total (83525) |
— |
$71 |
— |
| Iron (83540) |
— |
$62 |
— |
| Iron binding capacity (83550) |
— |
$72 |
— |
| Irradiation of blood product (86945) |
— |
$16 |
— |
| Islet cell antibody (86341) |
— |
$175 |
— |
| Jak2 gene analysis (81270) |
— |
$409 |
— |
| Kit gene analys d816 variant (81273) |
— |
$771.75 |
— |
| Koh Prep (87220) |
— |
$28 |
— |
| L/s ratio, fetal lung (83661) |
— |
$74 |
— |
| Lactic acid (83605) |
— |
$114 |
— |
| Ldh (83615) |
— |
$64 |
— |
| Ldh isoenzymes (83625) |
— |
$60 |
— |
| LDL cholesterol direct (83721) |
— |
$37 |
— |
| Lead (83655) |
— |
$80 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$90 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$560 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$775 |
— |
| Lh (83002) |
— |
$115 |
— |
| Lipase (83690) |
— |
$24 |
— |
| Lipopro bld electrophoretic (83700) |
— |
$195 |
— |
| Lithium (80178) |
— |
$87 |
— |
| Lyme disease antibody (86618) |
— |
$172 |
— |
| Lyme disease antibody confirm (86617) |
— |
$160 |
— |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
— |
$350 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$250 |
— |
| Magnesium (83735) |
— |
$79 |
— |
| Manual reticulocyte count (85044) |
— |
$55 |
— |
| Microalbumin urine (82043) |
— |
$75 |
— |
| Microbe Suscept Mycobacteri (87190) |
— |
$2 |
— |
| Microsomal antibodies (86376) |
— |
$114 |
— |
| Mrsa amp probe (87641) |
— |
$118 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$220 |
— |
| Mycoplasma culture (87109) |
— |
$12 |
— |
| Myoglobin urine (83874) |
— |
$220 |
— |
| Natriuretic peptide (83880) |
— |
$178 |
— |
| Nuclear antigen antibody (86235) |
— |
$26 |
— |
| Occult blood stool (82272) |
— |
$37 |
— |
| Osmolality serum (83930) |
— |
$29 |
— |
| Osmolality urine (83935) |
— |
$26 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$90 |
— |
| Pancreatic elastase fecal (82656) |
— |
$298 |
— |
| Parvovirus antibody (86747) |
— |
$115 |
— |
| Phenylalanine (84030) |
— |
$17 |
— |
| Phosphatase acid prostatic (84066) |
— |
$27 |
— |
| Phosphatase alkaline (84075) |
— |
$50 |
— |
| Phosphorus blood (84100) |
— |
$56 |
— |
| Platelet count (85049) |
— |
$25 |
— |
| Potassium (84132) |
— |
$30 |
— |
| Potassium urine (84133) |
— |
$33 |
— |
| Procainamide napa (80192) |
— |
$43 |
— |
| Procalcitonin (pct) (84145) |
— |
$233.65 |
— |
| Progesterone (84144) |
— |
$83 |
— |
| Prolactin (84146) |
— |
$53 |
— |
| Protein c activity (85303) |
— |
$200 |
— |
| Protein electrophoresis serum (84165) |
— |
$43 |
— |
| Protein S Functional (85306) |
— |
$237 |
— |
| Protein s total (85305) |
— |
$263 |
— |
| Protein Total Serum (84155) |
— |
$29 |
— |
| Protein urine (84156) |
— |
$23 |
— |
| Quantiferon tb gold (86480) |
— |
$203 |
— |
| Quinine (84228) |
— |
$37 |
— |
| Reagent strip/blood glucose (82948) |
— |
$23 |
— |
| Renin activity plasma (84244) |
— |
$90 |
— |
| Respiratory viral panel PCR (87633) |
— |
$612 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$18 |
— |
| Rheumatoid factor quant (86431) |
— |
$65 |
— |
| Rickettsia antibody (86757) |
— |
$108 |
— |
| Rubella antibody (86762) |
— |
$18 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$208 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$65 |
— |
| Sars-cov-2 covid19 w/optic (87811) |
— |
$86 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$182 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$420 |
— |
| Sedimentation rate (85651) |
— |
$52 |
— |
| Semen Analysis Presence and/or Motility of Sperm (89300) |
— |
$32 |
— |
| Semen analysis w/count (89310) |
— |
$68 |
— |
| Sensitivity mic (87186) |
— |
$93 |
— |
| Sex hormone binding globulin (84270) |
— |
$178.65 |
— |
| Smear gram stain (87205) |
— |
$75 |
— |
| Sodium (84295) |
— |
$33 |
— |
| Sodium urine (84300) |
— |
$33 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$200 |
— |
| Special stains group 1 (88312) |
— |
$250 |
— |
| Spectrophotometry (84311) |
— |
$268 |
— |
| Staph aureus amplified probe (87640) |
— |
$118 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$71 |
— |
| Strep a assay w/optic (87880) |
— |
$86 |
— |
| Surg path level iii (88304) |
— |
$185 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$90 |
— |
| Surgical pathology level IV (88305) |
— |
$237.50 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$65 |
— |
| T3 free (84481) |
— |
$85 |
— |
| T3 reverse (84482) |
— |
$170 |
— |
| T3 total (84480) |
— |
$106 |
— |
| T3 uptake (84479) |
— |
$85 |
— |
| T4 Free (84439) |
— |
$49 |
— |
| T4 total (84436) |
— |
$64 |
— |
| Tb intradermal test (86580) |
— |
$55 |
— |
| Testosterone total (84403) |
— |
$141 |
— |
| Theophylline (80198) |
— |
$68 |
— |
| Thyroglobulin (84432) |
— |
$137 |
— |
| Thyroglobulin Ab (86800) |
— |
$109 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$282 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$123 |
— |
| Tobramycin peak (80200) |
— |
$60 |
— |
| Topiramate (80201) |
— |
$87 |
— |
| Toxin or antitoxin assay (87230) |
— |
$468 |
— |
| Transferrin (84466) |
— |
$108 |
— |
| Trichomonas vagin dir probe (87660) |
— |
$105 |
— |
| Triglycerides (84478) |
— |
$32 |
— |
| Troponin (84484) |
— |
$186 |
— |
| Unlisted Surgical Pathology Procedure (88399) |
— |
$21 |
— |
| Unlisted transfusion medicine procedure (86999) |
— |
$125 |
— |
| Urea nitrogen (84520) |
— |
$50 |
— |
| Uric acid blood (84550) |
— |
$57 |
— |
| Urinalysis microscopic only (81015) |
— |
$28 |
— |
| Urinalysis w/microscopic (81001) |
— |
$42 |
— |
| Urine pregnancy test (81025) |
— |
$41 |
— |
| Urine volume measurement (81050) |
— |
$32 |
— |
| Valproic acid level (80164) |
— |
$100 |
— |
| Vancomycin trough (80202) |
— |
$200 |
— |
| Varicella-zoster antibody (86787) |
— |
$35 |
— |
| Vasopressin (84588) |
— |
$148 |
— |
| Vdrl csf (86592) |
— |
$21 |
— |
| Virus antibody nos (86790) |
— |
$65 |
— |
| Vitamin b-12 (82607) |
— |
$83 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$175 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$313 |
— |
| Vitamin e serum (84446) |
— |
$176 |
— |
| Vldl cholesterol level (83719) |
— |
$35 |
— |
| West nile virus ab, igm (86788) |
— |
$78.50 |
— |
| West nile virus antibody (86789) |
— |
$78.50 |
— |
| Zinc (84630) |
— |
$53 |
— |