| 1 25 Dihydroxy includes fractions if performed (82652) |
$38 |
$192.50 |
1.0× |
| 17-Hydroxycorticosteroids (83491) |
$17 |
$163.93 |
0.9× |
| 5 Hiaa (83497) |
$12 |
$83.74 |
0.9× |
| 5 Nucleotidase (83915) |
$11 |
$55.75 |
1.0× |
| Acetylcholinesterase (82013) |
$12 |
$159.50 |
1.0× |
| Acth stimulation panel (80402) |
$86 |
$787.25 |
1.0× |
| Acth stimulation panel adrenal (80400) |
$32 |
$163.10 |
1.0× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) |
$78 |
$708.50 |
1.0× |
| Actin smooth muscle antibody each (86015) |
$12 |
$60.25 |
1.0× |
| Actinomyces antibody (86602) |
$10 |
$92 |
1.0× |
| Activated protein c resistance (85307) |
$15 |
$183.25 |
1.0× |
| Acute hepatitis panel (80074) |
$47 |
$238.15 |
1.0× |
| Additional high resolution study (88289) |
$34 |
$200.50 |
1.0× |
| Adenovirus Ag Ia (87301) |
$11 |
$109.25 |
0.9× |
| Adenovirus ag, if (87260) |
$14 |
$127.12 |
1.0× |
| Adenovirus antibody (86603) |
$12 |
$97.70 |
0.9× |
| Afb culture (87116) |
$10 |
$125.61 |
0.9× |
| Agglutinins febrile (86000) |
$6 |
$350.97 |
0.9× |
| Albumin Fluid (82042) |
$7 |
$46.20 |
0.9× |
| Albumin serum (82040) |
$4 |
$163.22 |
0.8× |
| Aldolase (82085) |
$9 |
$48.55 |
0.9× |
| Aldosterone suppression evaluation panel (80408) |
$125 |
$719.25 |
1.0× |
| Aldosterone urine (82088) |
$40 |
$203.75 |
1.0× |
| Alkaline phosphatase isoenzymes (84080) |
$14 |
$241.75 |
0.9× |
| Allerg sp igg quan or semiquan (86001) |
$7 |
$53.22 |
0.9× |
| Allergen specific ige (86003) |
$5 |
$33.50 |
1.0× |
| Allergen specific ige; qualitative, multiallergen screen (86005) |
$7 |
$32.60 |
0.9× |
| Allg Spec Ige Recomb Ea (86008) |
$17 |
$16.30 |
0.9× |
| Alpha-1-antitrypsin phenotype (82104) |
$14 |
$134.60 |
1.0× |
| Alpha-1-antitrypsin, total (82103) |
$13 |
$67.20 |
1.0× |
| Alpha-fetoprotein amniotic (82106) |
$17 |
$136.75 |
1.0× |
| Alpha-fetoprotein, serum (82105) |
$16 |
$138.26 |
1.0× |
| Alt (sgpt) (84460) |
$5 |
$167.09 |
0.9× |
| Amikacin trough (80150) |
$15 |
$50 |
1.0× |
| Amines vaginal fluid qual (82120) |
$5 |
$29.95 |
0.8× |
| Amino acid screen urine (82128) |
$13 |
$217.66 |
0.9× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$16 |
$296.38 |
0.9× |
| Amino Acids Quant 2-5 (82136) |
$19 |
$184.50 |
1.0× |
| Amino Acids, Single Quantitation (82131) |
$22 |
$320.32 |
1.0× |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) |
$14 |
$126 |
1.0× |
| Aminolevulinic acid (ala) (82135) |
$16 |
$131.15 |
1.0× |
| Ammonia (82140) |
$14 |
$396 |
1.0× |
| Amniotic fluid scan (82143) |
$9 |
$62.25 |
1.0× |
| Amylase urine (82150) |
$6 |
$250.71 |
0.9× |
| Ana Titer (86039) |
$11 |
$237 |
1.0× |
| Analysis for antibody to borrelia (relapsing fever bacteria) (86619) |
$13 |
$121.50 |
1.0× |
| Analysis for antibody to shigella (intestinal bacteria) (86771) |
$24 |
$185 |
1.0× |
| Analysis nerve (88356) |
$52 |
$132.25 |
1.0× |
| Analysis skeletal muscle (88355) |
$170 |
$126 |
1.0× |
| Androsterone (hormone) level (82160) |
$25 |
$227 |
1.0× |
| Angiotensin i enzyme test (82164) |
$14 |
$171.50 |
1.0× |
| Angiotensin ll (protein) level (82163) |
$20 |
$117.75 |
1.0× |
| Anti-phosphatidylserine antibody (86148) |
$16 |
$115.38 |
1.0× |
| Antibody Absorption (86978) |
$58 |
$269.65 |
1.0× |
| Antibody aspergillus (86606) |
$15 |
$75.25 |
1.0× |
| Antibody coxiella burnetii q fever (86638) |
$12 |
$66.08 |
1.0× |
| Antibody cytomegalovirus cmv (86644) |
$14 |
$117.45 |
1.0× |
| Antibody cytomegalovirus cmv igm (86645) |
$16 |
$84.25 |
0.9× |
| Antibody Detection Nos If (87299) |
$16 |
$133.25 |
1.0× |
| Antibody Encephalitis Eastern Equine (86652) |
$13 |
$120 |
1.0× |
| Antibody Encephalitis St. Louis (86653) |
$13 |
$120 |
1.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$13 |
$61.10 |
1.0× |
| Antibody haemophilus influenza (86684) |
$15 |
$131 |
0.9× |
| Antibody helicobacter pylori (86677) |
$16 |
$132.88 |
0.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$14 |
$71.95 |
1.0× |
| Antibody herpes smplx type 1 (86695) |
$13 |
$102.75 |
1.0× |
| Antibody HIV-2 (86702) |
$13 |
$195.25 |
1.0× |
| Antibody identification (86870) |
$358 |
$1,584.75 |
1.0× |
| Antibody identification leukocyte antibodies (86021) |
$15 |
$230.10 |
1.0× |
| Antibody influenza virus (86710) |
$13 |
$98.90 |
1.0× |
| Antibody Listeria Monocytogenes (86723) |
$13 |
$411 |
1.0× |
| Antibody mumps (86735) |
$13 |
$65.25 |
1.0× |
| Antibody neisseria meningitidis (86741) |
$13 |
$120 |
1.0× |
| Antibody Protozoa Nes (86753) |
$12 |
$215.80 |
1.0× |
| Antibody rubeola (86765) |
$12 |
$129.23 |
0.9× |
| Antibody screen (86850) |
$52 |
$231.95 |
5.3× |
| Antibody treponema pallidum (86780) |
$13 |
$98.98 |
1.0× |
| Antibody; campylobacter (86625) |
$13 |
$462.10 |
1.0× |
| Antibody; Coccidioides (86635) |
$11 |
$98.90 |
1.0× |
| Antigen typing (86905) |
$358 |
$851.92 |
93.5× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$170 |
$163 |
32.8× |
| Antinuclear antibodies (86038) |
$12 |
$60.45 |
1.0× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$5 |
$104.50 |
0.9× |
| Antistreptolysin o titer (86060) |
$7 |
$37.71 |
1.0× |
| Antithrombin iii activity (85300) |
$11 |
$116.36 |
0.9× |
| Apolipoprotein b (82172) |
$21 |
$119.47 |
1.0× |
| Arsenic Urine (82175) |
$18 |
$172 |
0.9× |
| Assay carboxyhb qual (82376) |
$14 |
$248 |
1.0× |
| Assay Lipoprotein Pla2 (83698) |
$46 |
$55 |
1.0× |
| Assay Nephelometry Not Spec (83883) |
$13 |
$148.99 |
1.0× |
| Assay of 17-hydroxypregnenolone (84143) |
$22 |
$206.25 |
1.0× |
| Assay of androstenedione (82157) |
$29 |
$146.40 |
1.0× |
| Assay of blood chloride (82435) |
$4 |
$174.68 |
0.9× |
| Assay of blood fatty acids (82725) |
$18 |
$120 |
1.0× |
| Assay of c-peptide (84681) |
$20 |
$104.05 |
1.0× |
| Assay of calcitonin (82308) |
$26 |
$133.95 |
1.0× |
| Assay of ceruloplasmin (82390) |
$10 |
$53.70 |
0.9× |
| Assay of creatine (82540) |
$4 |
$38.25 |
0.9× |
| Assay of cyclosporine (80158) |
$18 |
$330.34 |
1.0× |
| Assay of erythropoietin (82668) |
$18 |
$93.95 |
1.0× |
| Assay of ethosuximide (80168) |
$16 |
$148 |
1.0× |
| Assay of ferritin (82728) |
$13 |
$486 |
1.0× |
| Assay of fluoride (82735) |
$18 |
$168.50 |
1.0× |
| Assay of g6pd enzyme (82955) |
$9 |
$127.75 |
0.9× |
| Assay of gammaglobulin igm (82784) |
$9 |
$105.74 |
1.0× |
| Assay of gastrin (82941) |
$17 |
$88.15 |
1.0× |
| Assay of gentamicin (80170) |
$16 |
$564.10 |
1.0× |
| Assay of glucagon (82943) |
$14 |
$158.36 |
1.0× |
| Assay of homocystine (83090) |
$17 |
$89.60 |
0.9× |
| Assay of homovanillic acid (83150) |
$22 |
$180.58 |
1.0× |
| Assay of ketogenic steroids (83582) |
$15 |
$128.75 |
1.0× |
| Assay of metanephrines (83835) |
$16 |
$84.70 |
0.9× |
| Assay of osteocalcin (83937) |
$29 |
$258.50 |
1.0× |
| Assay of parathormone (83970) |
$41 |
$206.40 |
1.0× |
| Assay of phenobarbital (80184) |
$15 |
$399.42 |
1.0× |
| Assay of phosphatase acid total (84060) |
$7 |
$66.75 |
0.9× |
| Assay of prealbumin (84134) |
$14 |
$72.95 |
1.0× |
| Assay of procainamide (80190) |
$60 |
$300 |
1.0× |
| Assay of proinsulin (84206) |
$26 |
$142.35 |
1.0× |
| Assay of prostate specific antigen complexed (84152) |
$18 |
$174.25 |
1.0× |
| Assay of pyruvate (84210) |
$14 |
$98.25 |
1.0× |
| Assay of selenium (84255) |
$25 |
$146.47 |
1.0× |
| Assay of serotonin (84260) |
$30 |
$154.90 |
1.0× |
| Assay of sialic acid (84275) |
$13 |
$121.50 |
1.0× |
| Assay of tacrolimus (80197) |
$13 |
$179.56 |
0.9× |
| Assay of urine vma (84585) |
$15 |
$119.18 |
1.0× |
| Assay of vitamin k (84597) |
$13 |
$80.66 |
0.9× |
| Assay of volatiles (84600) |
$17 |
$145.25 |
1.0× |
| Assay Ph Body Fluid Nos (83986) |
$3 |
$783.91 |
0.8× |
| Ast (sgot) (84450) |
$5 |
$250.71 |
1.0× |
| Automated rbc count (85041) |
$3 |
$73 |
1.0× |
| Bartonella antibody (86611) |
$10 |
$93.66 |
1.0× |
| Bartonella DNA amp probe (87471) |
$35 |
$205 |
1.0× |
| Bcr/abl1 gene major bp (81206) |
$163 |
$819.80 |
1.0× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
$25 |
$127.25 |
1.0× |
| Beta hydroxybutyrate (82010) |
$8 |
$213.98 |
1.0× |
| Beta Lactamase (87185) |
$4 |
$43.75 |
0.8× |
| Beta-2 microglobulin (82232) |
$16 |
$80.90 |
1.0× |
| Bilirubin direct (82248) |
$5 |
$116 |
1.0× |
| Bilirubin total (82247) |
$5 |
$116 |
1.0× |
| Bilirubin total transcutaneous (88720) |
$5 |
$337.84 |
1.0× |
| Biotinidase ea specimen (82261) |
$16 |
$51.31 |
0.9× |
| Bl Smear W/Diff Wbc Count (85007) |
$3 |
$114 |
0.8× |
| Bl Smear W/O Diff Wbc Count (85008) |
$3 |
$2.60 |
0.9× |
| Blastomyces antibody (86612) |
$12 |
$115.08 |
0.9× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$170 |
$753.05 |
1.0× |
| Bleeding time (85002) |
$4 |
$167 |
0.8× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
$28 |
$139.50 |
1.0× |
| Blood count reticulocyte automated (85045) |
$3 |
$102.59 |
0.8× |
| Blood gases (82803) |
$26 |
$350 |
1.0× |
| Blood gases w/02 saturation (82805) |
$78 |
$450 |
1.0× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
$9 |
$119.94 |
0.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$15 |
$108.25 |
0.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$4 |
$75.46 |
0.9× |
| Blood Ph - Ph Venous (82800) |
$11 |
$81.75 |
1.0× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$358 |
$481.30 |
56.4× |
| Blood typing abo (86900) |
$133 |
$232 |
44.5× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
$58 |
$346 |
3.5× |
| Blood typing serologic rh (d) (86901) |
$37 |
$100.60 |
12.4× |
| Blood typing serologic rh phenotyping complete (86906) |
$37 |
$176.80 |
4.8× |
| Body fluid cell count (89051) |
$5 |
$149.02 |
0.9× |
| Body fluid cell count (89050) |
$4 |
$156.50 |
0.8× |
| Bone Marrow Smear Interpretation (85097) |
$805 |
$2,500.60 |
1.0× |
| Bordetella antibody (86615) |
$13 |
$120 |
1.0× |
| Bradykinin (82286) |
$5 |
$63.25 |
1.0× |
| Braf gene (81210) |
$175 |
$389.80 |
1.0× |
| Breath Alcohol Test (82075) |
$30 |
$109.25 |
1.0× |
| Brucella antibody (86622) |
$8 |
$75.32 |
0.9× |
| C diff amplified probe (87493) |
$37 |
$186.35 |
1.0× |
| C-reactive protein (86140) |
$5 |
$32.67 |
1.0× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$12 |
$71.10 |
0.9× |
| C1q binding assay (86332) |
$24 |
$220.75 |
1.0× |
| Ca 125 (86304) |
$20 |
$176.02 |
1.0× |
| Ca 19-9 (86301) |
$20 |
$248 |
1.0× |
| Ca 27 29 (86300) |
$20 |
$104.05 |
1.0× |
| Cadmium level (82300) |
$23 |
$209.75 |
1.0× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) |
$80 |
$727.75 |
1.0× |
| Calcium infusion test (82331) |
$13 |
$30.75 |
1.0× |
| Calcium ionized (82330) |
$13 |
$191.12 |
1.0× |
| Calcium total (82310) |
$5 |
$231.19 |
1.0× |
| Calcium urine (82340) |
$6 |
$26.20 |
1.0× |
| Calculus Qualitative Analysis (82355) |
$11 |
$93.50 |
0.9× |
| Calculus Quantitative Chemical (82360) |
$12 |
$104.50 |
0.9× |
| Calculus Spectroscopy (82365) |
$12 |
$104.50 |
0.9× |
| California encephalitis ab (86651) |
$13 |
$120 |
1.0× |
| Calprotectin, fecal (83993) |
$19 |
$308.25 |
1.0× |
| Candida antibody (86628) |
$12 |
$83 |
1.0× |
| Candida DNA dir probe (87480) |
$20 |
$132 |
1.0× |
| Carb deficient transferrin (82373) |
$18 |
$163.75 |
1.0× |
| Carbamazepine (tegretol) total (80156) |
$14 |
$399.42 |
1.0× |
| Carbamazepine free (80157) |
$13 |
$96.23 |
1.0× |
| Carbon dioxide (82374) |
$4 |
$225 |
0.8× |
| Carboxyhemoglobin Quantitative (82375) |
$12 |
$175.81 |
1.0× |
| Carcinoembryonic antigen (82378) |
$18 |
$326.90 |
0.9× |
| Cardiolipin ab igg (86147) |
$25 |
$127.25 |
1.0× |
| Carotene (82380) |
$9 |
$75.20 |
1.0× |
| Catecholamines fraction plasma (82384) |
$25 |
$259.75 |
1.0× |
| Catecholamines organic nitrogen blood level (82383) |
$29 |
$101.80 |
1.0× |
| Catecholamines Total Urine (82382) |
$27 |
$136.50 |
1.0× |
| Cd4 absolute count (86361) |
$26 |
$249.17 |
1.0× |
| Cell marker study (88182) |
$52 |
$111.75 |
1.0× |
| Cell saver (86891) |
$805 |
$1,674.36 |
1.0× |
| Cftr gene com variants (81220) |
$556 |
$171.06 |
1.0× |
| Cftr gene full sequence (81223) |
$499 |
$1,785 |
1.0× |
| Chemiluminescent assay (82397) |
$14 |
$215.78 |
1.0× |
| Chlamydia antibody (86631) |
$11 |
$93.75 |
0.9× |
| Chlamydia antigen gilm (87320) |
$15 |
$61.50 |
1.0× |
| Chlamydia Igm Antibody (86632) |
$12 |
$82.25 |
0.9× |
| Chlamydia trachomatis ag if (87270) |
$11 |
$125.76 |
0.9× |
| Chloramphenicol (82415) |
$12 |
$115.25 |
0.9× |
| Chloride other source (82438) |
$5 |
$141 |
1.0× |
| Chloride urine (82436) |
$5 |
$172.34 |
0.9× |
| Chlorinated hydrocarbons screen (82441) |
$6 |
$54.75 |
1.0× |
| Cholesterol total (82465) |
$4 |
$170 |
0.9× |
| Cholinesterase rbc (82482) |
$9 |
$95.25 |
0.9× |
| Cholinesterase serum (82480) |
$7 |
$26.60 |
0.9× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) |
$55 |
$431.75 |
1.0× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) |
$51 |
$467 |
1.0× |
| Chrmsm analysis addl cells counted each study (88285) |
$26 |
$112.50 |
1.0× |
| Chrmsm breakage synds score 100 cll (88249) |
$173 |
$1,021.75 |
1.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$125 |
$1,769.52 |
1.0× |
| Chrom count break 50-100/20/2 (88248) |
$173 |
$1,021.75 |
1.0× |
| Chromium urine (82495) |
$20 |
$183 |
1.0× |
| Chromogranin a (86316) |
$20 |
$198.50 |
1.0× |
| Chromosome analys amniotic (88269) |
$173 |
$981.25 |
1.0× |
| Chromosome analysis 20-25 cells (88264) |
$144 |
$756.24 |
1.0× |
| Chromosome analysis 45 cells (88263) |
$150 |
$887 |
1.0× |
| Chromosome Analysis 5 (88261) |
$264 |
$1,042.75 |
1.0× |
| Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) |
$173 |
$878.25 |
1.0× |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) |
$188 |
$1,060.25 |
1.0× |
| Chromosome banding study (88283) |
$68 |
$118.75 |
1.0× |
| Chromosome karyotype study (88280) |
$33 |
$167.35 |
1.0× |
| Chylmd trach assay w/optic (87810) |
$35 |
$59 |
1.0× |
| Chylmd Trach Dna Quant (87492) |
$53 |
$372.75 |
1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$35 |
$175.45 |
1.0× |
| Ck isoenzymes (82552) |
$13 |
$56.40 |
1.0× |
| Ckmb (82553) |
$11 |
$244 |
1.0× |
| Clot factor viii vw antigen (85246) |
$22 |
$269 |
1.0× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$17 |
$102.75 |
0.9× |
| Clot factor xiii fibrin stab (85290) |
$16 |
$100 |
1.0× |
| Clotting prekallikrein assay fletcher fact assay (85292) |
$18 |
$171 |
1.0× |
| Cmv PCR (87496) |
$35 |
$205.50 |
1.0× |
| Cns DNA amp probe type 12-25 (87483) |
$416 |
$2,083.90 |
1.0× |
| Coagulation time activated (85347) |
$4 |
$108.68 |
0.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$24 |
$190.62 |
1.0× |
| Cold agglutinin screen (86156) |
$8 |
$102.49 |
1.0× |
| Cold agglutinin titer (86157) |
$8 |
$97.22 |
1.0× |
| Collagen cross links (82523) |
$18 |
$81.45 |
1.0× |
| Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone… (80418) |
$579 |
$5,228.25 |
1.0× |
| Compatibility test antiglob (86922) |
$170 |
$753.05 |
1.0× |
| Complement c3 (86160) |
$12 |
$87.85 |
1.0× |
| Complement total ch50 (86162) |
$20 |
$101.60 |
1.0× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$12 |
$99.36 |
1.0× |
| Comprehensive review of data (88325) |
$170 |
$488.75 |
1.0× |
| Concentration Infectious Agent (87015) |
$6 |
$58.68 |
0.9× |
| Coombs direct (86880) |
$58 |
$269.65 |
10.8× |
| Coombs Test Indirect Qual (86885) |
$170 |
$50.50 |
29.7× |
| Copper urine (82525) |
$12 |
$87.22 |
1.0× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) |
$801 |
$2,984 |
1.0× |
| Cortisol free (82530) |
$16 |
$106.96 |
1.0× |
| Cortisol total (82533) |
$16 |
$473 |
1.0× |
| Creatine kinase (CK), (CPK); isoforms Other Outpatient (82554) |
$11 |
$97.25 |
0.9× |
| Creatine kinase total (82550) |
$6 |
$316.47 |
0.9× |
| Creatinine blood (82565) |
$5 |
$210.86 |
1.0× |
| Creatinine clearance (82575) |
$9 |
$355.52 |
1.0× |
| Creatinine other source (82570) |
$5 |
$159.26 |
1.0× |
| Crossmatch immediate spin (86920) |
$170 |
$717.50 |
1.0× |
| Cryoglobulin (82595) |
$6 |
$47 |
0.9× |
| Cryptococcal Antigen (87327) |
$13 |
$154 |
1.0× |
| Cryptococcus antibody (86641) |
$14 |
$163.42 |
1.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$8 |
$144.88 |
1.0× |
| Culture Aerobic Identify (87077) |
$8 |
$155.43 |
1.0× |
| Culture aerobic quant other (87071) |
$9 |
$184.95 |
0.9× |
| Culture anaerobic (87075) |
$9 |
$254 |
1.0× |
| Culture Bacteria Anaerobic (87073) |
$9 |
$82.75 |
0.9× |
| Culture blood (87040) |
$10 |
$227.82 |
1.0× |
| Culture chlamydia (87110) |
$19 |
$187 |
1.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$7 |
$172.36 |
0.9× |
| Culture fungus blood (87103) |
$20 |
$196 |
1.0× |
| Culture fungus id yeast (87106) |
$10 |
$65.98 |
1.0× |
| Culture fungus other (87102) |
$8 |
$254 |
1.0× |
| Culture genital (87070) |
$8 |
$216.78 |
0.9× |
| Culture herpes (87250) |
$19 |
$112 |
1.0× |
| Culture screen only (87081) |
$6 |
$243 |
0.9× |
| Culture stool (87045) |
$9 |
$346 |
1.0× |
| Culture typing if ea antiserum (87140) |
$5 |
$50.75 |
0.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$5 |
$117.19 |
1.0× |
| Culture typing other methods (87158) |
$7 |
$47.50 |
0.9× |
| Culture Typing, Glc Method (87143) |
$12 |
$114 |
1.0× |
| Culture urine (87086) |
$8 |
$307.22 |
1.0× |
| Culture urine id ea isolate (87088) |
$8 |
$117.65 |
1.0× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Other Outpatient (87084) |
$27 |
$168.50 |
1.0× |
| Culture, typing; identification by pulse field gel typing Other Outpatient (87152) |
$7 |
$47.50 |
0.9× |
| Cyanide (82600) |
$19 |
$175.75 |
1.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
$14 |
$105.62 |
1.0× |
| Cyclic amp (82030) |
$25 |
$234.25 |
1.0× |
| Cyclic Citrullinated Peptide (86200) |
$12 |
$103.98 |
0.9× |
| Cytogenetics DNA probe (88271) |
$21 |
$692 |
1.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
$1,160 |
$3,750 |
1.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$42 |
$265.50 |
1.0× |
| Cytopath cell enhance tech (88112) |
$52 |
$238.90 |
1.0× |
| Cytopath Fl Nongyn Filter (88106) |
$28 |
$238.66 |
1.0× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$37 |
$213 |
1.0× |
| Cytopath Smear Other Source (88160) |
$28 |
$131.25 |
1.0× |
| Cytotoxic pra quick (86808) |
$29 |
$269.25 |
1.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$26 |
$133.05 |
1.0× |
| Cytp concentration smears & interpretation (88108) |
$37 |
$176.80 |
1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$52 |
$335.55 |
1.0× |
| Cytp fna eval dx 1st each site (88172) |
$170 |
$577.28 |
1.0× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$52 |
$30.50 |
1.0× |
| Cytp urine 3-5 probes cmptr (88121) |
$170 |
$995.90 |
1.0× |
| D-Dimer (85379) |
$10 |
$198 |
1.0× |
| D-Dimer (85378) |
$9 |
$207.04 |
0.9× |
| Dark field (87164) |
$10 |
$57 |
0.9× |
| Dark field exam w/o collection (87166) |
$11 |
$102 |
1.0× |
| Deoxycortisol (82634) |
$29 |
$265.75 |
1.0× |
| Deoxyribonuclease antibody (86215) |
$13 |
$75.32 |
1.0× |
| Desoxycorticosterone (82633) |
$30 |
$280.25 |
1.0× |
| Detect agent nos DNA dir (87797) |
$30 |
$198.58 |
1.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$16 |
$91.25 |
1.0× |
| Detection test by immunoassay technique for cytomegalovirus (87332) |
$11 |
$94 |
0.9× |
| Detection test by immunoassay technique for HIV-2 antigen (87391) |
$21 |
$199.75 |
1.0× |
| Dhea (82626) |
$25 |
$235.30 |
1.0× |
| Dhea sulfate (82627) |
$22 |
$167.38 |
1.0× |
| Digoxin (80162) |
$13 |
$375.04 |
1.0× |
| Dilantin (80185) |
$13 |
$394 |
1.0× |
| Diphtheria antitoxoid (86648) |
$15 |
$131 |
1.0× |
| Dna/Rna Amplified Probe (87150) |
$35 |
$538.98 |
1.0× |
| DNA/RNA direct probe (87149) |
$20 |
$198 |
1.0× |
| Drug Assay Amiodarone (80151) |
$18 |
$93.20 |
1.0× |
| Drug Assay Lacosamide (80235) |
$27 |
$250 |
1.0× |
| Drug assay voriconazole (80285) |
$27 |
$320 |
1.0× |
| Drug screen quant zonisamide (80203) |
$13 |
$66.25 |
1.0× |
| Drug Scrn Quan Levetiracetam (80177) |
$13 |
$108.81 |
1.0× |
| Drug test prsmv chem anlyzr (80307) |
$62 |
$264.25 |
1.0× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$12 |
$101.77 |
1.0× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
$17 |
$227.50 |
1.0× |
| Ebv viral capsid (86665) |
$18 |
$226.72 |
1.0× |
| Echinococcus ab igg (86682) |
$13 |
$198.54 |
1.0× |
| Egfr Gene Analysis Common Variants (81235) |
$324 |
$900 |
1.0× |
| Ehrlichia antibody (86666) |
$10 |
$241.50 |
1.0× |
| Electrolyte panel (80051) |
$7 |
$508.61 |
1.0× |
| Electron microscopy diagnostic (88348) |
$805 |
$1,768.50 |
1.0× |
| Electronic crossmatch (86923) |
$170 |
$593.62 |
1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$61 |
$871 |
1.0× |
| Encephalitis Western Equine (86654) |
$13 |
$120 |
1.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$12 |
$159.76 |
1.0× |
| Endomysial antibody iga (86255) |
$12 |
$146.25 |
1.0× |
| Entamoeb Hist Dispr Ag Eia (87336) |
$16 |
$104.50 |
1.0× |
| Entamoeba histolytica antigen (87337) |
$11 |
$104.50 |
0.9× |
| Enterovirus antibody (86658) |
$13 |
$144.82 |
1.0× |
| Enterovirus Pcr (87498) |
$35 |
$204 |
1.0× |
| Enzyme cell activity (82657) |
$22 |
$163.75 |
1.0× |
| Enzyme histochemistry (88319) |
$805 |
$3,791.15 |
1.0× |
| Eosinophil count (85048) |
$2 |
$36 |
0.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$15 |
$149.50 |
1.0× |
| Estradiol (82670) |
$27 |
$139.70 |
1.0× |
| Estriol (82677) |
$24 |
$140.08 |
1.0× |
| Estrogen fractionated (82671) |
$32 |
$292.25 |
1.0× |
| Estrogen receptor analysis (84233) |
$87 |
$583.50 |
1.0× |
| Estrogens total (82672) |
$21 |
$108.50 |
1.0× |
| Estrone (82679) |
$24 |
$124.75 |
1.0× |
| Ethylene glycol (82693) |
$14 |
$188.38 |
0.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$7 |
$121.65 |
1.0× |
| F5 gene (81241) |
$73 |
$1,525.92 |
1.0× |
| Factor ii activity (85210) |
$12 |
$141.33 |
0.9× |
| Factor inhibitor test (85335) |
$12 |
$116.50 |
0.9× |
| Factor ix activity (85250) |
$19 |
$320.09 |
1.0× |
| Factor v activity (85220) |
$17 |
$88.25 |
1.0× |
| Factor vii assay (85230) |
$17 |
$209.25 |
0.9× |
| Factor viii ahg (85240) |
$17 |
$89.50 |
0.9× |
| Factor viii related antigen (85244) |
$20 |
$171.06 |
1.0× |
| Factor viii vw multimetric (85247) |
$22 |
$180.81 |
1.0× |
| Factor xi assay (85270) |
$17 |
$150 |
0.9× |
| Factor xii assay (85280) |
$19 |
$171.06 |
1.0× |
| Factor xiii solubility screen (85291) |
$9 |
$145.25 |
1.0× |
| Fat differential feces quan (82715) |
$22 |
$156.50 |
1.0× |
| Fat stain (89125) |
$5 |
$98.06 |
0.9× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$7 |
$63.50 |
0.9× |
| Fecal fat qual (82705) |
$5 |
$92 |
1.0× |
| Fecal fat quant (82710) |
$16 |
$274 |
1.0× |
| Fetal chrmoml aneuploidy (81420) |
$759 |
$3,795.25 |
1.0× |
| Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) |
$759 |
$3,795.25 |
1.0× |
| Fetal fibronectin (82731) |
$64 |
$646 |
1.0× |
| Fibrin degradation products (85362) |
$6 |
$195.50 |
0.9× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) |
$12 |
$62.15 |
1.0× |
| Fibrinogen activity (85384) |
$9 |
$173.65 |
0.9× |
| Fibrinogen antigen (85385) |
$14 |
$83.69 |
1.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$15 |
$47.50 |
1.0× |
| Fibrinolytic factors and inhibitors; plasmin Other Outpatient (85400) |
$7 |
$80 |
0.9× |
| Fibrinolytic Plasminogen (85415) |
$17 |
$101.80 |
1.0× |
| Fitzgerald factor (clotting factor) measurement (85293) |
$18 |
$105.90 |
1.0× |
| Flow cytometry first marker (88184) |
$358 |
$945.62 |
1.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$12 |
$166.86 |
1.0× |
| Fmr1 gene detection (81243) |
$57 |
$450 |
1.0× |
| Folate serum (82746) |
$14 |
$273.25 |
1.0× |
| Folic acid rbc (82747) |
$17 |
$88.25 |
1.0× |
| Follicle Stimulating Hormone (83001) |
$18 |
$92.90 |
1.0× |
| Forensic (investigation) examination of specimen (88125) |
$52 |
$126 |
1.0× |
| Fractionation ketosteroids (83593) |
$28 |
$238 |
1.0× |
| Francisella Tularensis (86668) |
$14 |
$85 |
1.0× |
| Fresh frozen plasma thawing each unit (86927) |
$170 |
$753.05 |
1.0× |
| Frozen Section (88331) |
$170 |
$534.46 |
1.0× |
| Fructosamine (82985) |
$16 |
$83.80 |
1.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$10 |
$93.50 |
1.0× |
| G6pd Screen (82960) |
$6 |
$88.75 |
1.0× |
| Galactose (82760) |
$11 |
$102 |
1.0× |
| Gammaglobulin ige (82785) |
$16 |
$82.30 |
1.0× |
| Gardner vag DNA dir probe (87510) |
$20 |
$141 |
1.0× |
| Gardner Vag Dna Quant (87512) |
$41 |
$294.75 |
1.0× |
| Gastric Occult Blood (82271) |
$5 |
$66.91 |
0.9× |
| Gastrin after secretin stim (82938) |
$17 |
$168.75 |
1.0× |
| Ggt (82977) |
$7 |
$210.44 |
1.0× |
| Gh suppression panel (80430) |
$129 |
$711 |
1.0× |
| Giardia antigen eia stool (87329) |
$11 |
$83.74 |
0.9× |
| Giardia lamblia antibody (86674) |
$14 |
$117.75 |
1.0× |
| Gliadin antibody each immunoglobulin class (86258) |
$12 |
$150 |
1.0× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) |
$46 |
$417.25 |
1.0× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) |
$50 |
$457.25 |
1.0× |
| Glucagon tolerance test (82946) |
$17 |
$137 |
1.0× |
| Glucose (82947) |
$3 |
$341.13 |
0.8× |
| Glucose Blood Test (82962) |
$3 |
$108 |
0.9× |
| Glucose body fluid (82945) |
$3 |
$161 |
0.8× |
| Glucose post dose (82950) |
$4 |
$192.62 |
0.8× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
$3 |
$647 |
0.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$12 |
$412 |
0.9× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) |
$148 |
$1,344.25 |
1.0× |
| Growth hormone (83003) |
$16 |
$151.50 |
1.0× |
| Growth Hormone Antibody (86277) |
$15 |
$79.40 |
1.0× |
| Growth hormone stim panel (80428) |
$66 |
$604 |
1.0× |
| Haptoglobin (83010) |
$12 |
$104.92 |
1.0× |
| Haptoglobin; phenotypes Other Outpatient (83012) |
$26 |
$95.50 |
1.0× |
| Hcg qualitative (84703) |
$7 |
$210.86 |
0.9× |
| Hcg quant (84702) |
$15 |
$549 |
1.0× |
| Hdl Cholesterol (83718) |
$8 |
$233 |
1.0× |
| Heavy metal quant each (83018) |
$21 |
$439.75 |
1.0× |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
$20 |
$290.57 |
1.0× |
| Hemagglutination inhibition (86280) |
$8 |
$86 |
1.0× |
| Hematocrit (85014) |
$2 |
$63.35 |
0.8× |
| Hemoglobin (85018) |
$2 |
$94.12 |
0.8× |
| Hemoglobin a1c (83036) |
$9 |
$233 |
0.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$18 |
$91.60 |
1.0× |
| Hemoglobin electrophoresis (83020) |
$12 |
$94.12 |
0.9× |
| Hemoglobin fetal ql (83033) |
$8 |
$172.34 |
1.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$7 |
$620.38 |
0.9× |
| Hemoglobin level (83026) |
$4 |
$41.25 |
1.0× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$8 |
$41 |
1.0× |
| Hemoglobin plasma (83051) |
$7 |
$82.80 |
1.0× |
| Hemoglobin urine (83069) |
$3 |
$19.75 |
0.8× |
| Hemoglobin-oxygen affinity (82820) |
$13 |
$54 |
1.0× |
| Hemosiderin urine (83070) |
$4 |
$62.25 |
0.8× |
| Heparin assay (85520) |
$13 |
$209.25 |
1.0× |
| Heparin neutralization (85525) |
$11 |
$37.25 |
0.9× |
| Heparin-protamine tolerance test (85530) |
$13 |
$115.75 |
1.0× |
| Hepatitis a antibody total (86708) |
$12 |
$61.95 |
1.0× |
| Hepatitis a igm (86709) |
$11 |
$56.30 |
1.0× |
| Hepatitis b core ab igm (86705) |
$11 |
$58.85 |
0.9× |
| Hepatitis b core antibody total (86704) |
$12 |
$60.25 |
1.0× |
| Hepatitis B Surface Ab (86706) |
$10 |
$53.70 |
0.9× |
| Hepatitis B Surface Antigen (87340) |
$10 |
$51.65 |
1.0× |
| Hepatitis be antibody (86707) |
$11 |
$144.62 |
1.0× |
| Hepatitis Be Antigen (87350) |
$11 |
$57.65 |
1.0× |
| Hepatitis c ab confirm (86804) |
$15 |
$129.75 |
1.0× |
| Hepatitis c antibody (86803) |
$14 |
$71.35 |
1.0× |
| Hepatitis C Genotype (87902) |
$257 |
$1,096.12 |
1.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
$35 |
$214.75 |
1.0× |
| Hepatitis C Rna Dir Probe (87520) |
$31 |
$109.15 |
1.0× |
| Hepatitis delta ab (86692) |
$17 |
$162.58 |
1.0× |
| Hepatitis delta ag (87380) |
$18 |
$149 |
1.0× |
| Hepatitis G Dna Dir Probe (87525) |
$29 |
$182 |
1.0× |
| Herpes culture (87252) |
$26 |
$261.80 |
1.0× |
| Herpes simplex type 2 (86696) |
$19 |
$102.75 |
1.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$5 |
$231.19 |
1.0× |
| Heterophile antibody titer (86309) |
$6 |
$58.50 |
0.9× |
| Hfe gene (81256) |
$65 |
$326.80 |
1.0× |
| Histamine plasma (83088) |
$29 |
$266.75 |
1.0× |
| Histoplasma antibody (86698) |
$13 |
$122.75 |
0.9× |
| Histoplasma antigen urine (87385) |
$13 |
$215.25 |
1.0× |
| HIV confirmation (86689) |
$19 |
$1,607.44 |
1.0× |
| HIV-1 antibody (86701) |
$8 |
$102.49 |
0.9× |
| HIV-1 genotype (87901) |
$257 |
$1,287.25 |
1.0× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
$13 |
$249.75 |
0.9× |
| HIV-2 probe&revrse trnscripj (87538) |
$35 |
$117.75 |
1.0× |
| Hla ii low resolution one antigen equivalent ea (81377) |
$94 |
$112.40 |
1.0× |
| Hla typing a/b/c multiple antigens (86813) |
$58 |
$891.52 |
1.0× |
| Hla typing dr/dq (86817) |
$106 |
$888.12 |
1.0× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$30 |
$332.25 |
1.0× |
| Hla-b27 (86812) |
$25 |
$129.05 |
1.0× |
| Homogenization tissue (87176) |
$5 |
$53.25 |
0.9× |
| Hpv low-risk types (87623) |
$35 |
$182 |
1.0× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
$67 |
$441.78 |
1.0× |
| Hsv Dna Quant (87530) |
$42 |
$326.25 |
1.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$35 |
$175.45 |
1.0× |
| Htlv-i antibody (86687) |
$9 |
$140 |
1.0× |
| Htlv-ii antibody (86688) |
$14 |
$96 |
1.0× |
| Human epididymis protein 4 (86305) |
$20 |
$554.85 |
1.0× |
| Hydroxyprogesterone 17-d (83498) |
$27 |
$253.02 |
1.0× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
$45 |
$90.45 |
1.0× |
| Iaad ia clostridium difficile toxin (87324) |
$11 |
$220.49 |
0.9× |
| Iaad ia cryptosporidium (87328) |
$13 |
$184.80 |
0.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$10 |
$84.75 |
1.0× |
| Iaad ia HIV-1 (87390) |
$24 |
$330.86 |
1.0× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$24 |
$120.40 |
1.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$14 |
$162.94 |
1.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$13 |
$210.15 |
0.9× |
| Iaad ia rotavirus (87425) |
$11 |
$81.40 |
0.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$35 |
$176.65 |
1.0× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
$11 |
$104.50 |
0.9× |
| Iaad Ia Streptococcus Group A (87430) |
$16 |
$128.02 |
1.0× |
| Iaadi herpes smplx virus type 2 (87273) |
$11 |
$119.50 |
0.9× |
| Iaadi inffluenza a virus (87276) |
$16 |
$142.63 |
1.0× |
| Iaadi influenza b virus (87275) |
$12 |
$28.25 |
1.0× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
$11 |
$52.25 |
0.9× |
| Iaadi respiratory synctial virus (87280) |
$13 |
$98 |
1.0× |
| Iaadiadoo not otherwise specified (87899) |
$16 |
$97.50 |
1.0× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$35 |
$270 |
1.0× |
| Iadna candida species amplified probe tq (87481) |
$35 |
$199.75 |
1.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$35 |
$175.45 |
1.0× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
$22 |
$230 |
1.0× |
| Iadna gardnerella vaginalis amplified probe tq (87511) |
$35 |
$222 |
1.0× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$35 |
$222 |
1.0× |
| Iadna hepatitis b virus quantification (87517) |
$42 |
$225.98 |
1.0× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$42 |
$251.07 |
1.0× |
| Iadna herpes virus-6 amplified probe tq (87532) |
$35 |
$345 |
1.0× |
| Iadna herpes virus-6 quantification (87533) |
$41 |
$345 |
1.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$35 |
$117.75 |
1.0× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$85 |
$425.50 |
1.0× |
| Iadna human papillomavirus high-risk types (87624) |
$35 |
$175.45 |
1.0× |
| Iadna mycobacteria tuberculosis amp prb (87556) |
$41 |
$441.40 |
1.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$35 |
$577.48 |
1.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$35 |
$175.45 |
1.0× |
| Iadna nos amplified probe tq each organism (87798) |
$35 |
$456.21 |
1.0× |
| Iadna nos quantification each organism (87799) |
$42 |
$465 |
1.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$35 |
$45.39 |
1.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$416 |
$2,083.90 |
1.0× |
| If cryptosporidium antigen (87272) |
$11 |
$104.50 |
0.9× |
| If varicella-zoster antigen (87290) |
$13 |
$69.25 |
1.0× |
| Igg subclasses (82787) |
$8 |
$108.09 |
1.0× |
| Immunoassay infectious agent antibody quan nos (86317) |
$14 |
$74.95 |
0.9× |
| Immunoassay nonantibody (83516) |
$11 |
$65.75 |
1.0× |
| Immunoassay technique for escherichia coli 0157 e. coli (87335) |
$12 |
$104.50 |
0.9× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) |
$16 |
$116.25 |
1.0× |
| Immunoassay tumor antigen qual/semiquantitative (86294) |
$25 |
$178.25 |
1.0× |
| Immunoassay with direct visual observation for clostridium (87803) |
$16 |
$88.25 |
1.0× |
| Immunoassay with direct visual observation for streptococcus (87802) |
$12 |
$120 |
0.9× |
| Immunodiffusion Ouchterlony (86331) |
$11 |
$109.25 |
0.9× |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
$23 |
$187.26 |
1.0× |
| Immunoelectrophoresis serum (86320) |
$29 |
$182.25 |
1.0× |
| Immunofixj Electrophoresis Serum (86334) |
$22 |
$223.35 |
1.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$170 |
$300.19 |
1.0× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) |
$11 |
$119.50 |
0.9× |
| Immunofluorescent technique for pneumocystis carinii (87281) |
$11 |
$162.90 |
0.9× |
| Immunofluorescent technique for treponema pallidum syphilis organism (87285) |
$12 |
$61 |
1.0× |
| Immunoglobulin assay (86023) |
$12 |
$140.75 |
1.0× |
| Immunoglobulin light chains free each (83521) |
$17 |
$143.85 |
1.0× |
| Immunohisto Antibody Slide (88344) |
$358 |
$1,584.75 |
1.0× |
| Immunohistochemistry (88342) |
$170 |
$678.91 |
1.0× |
| In situ hybridization ea multiplex probe stain (88366) |
$170 |
$2,300 |
1.0× |
| India ink prep (87210) |
$5 |
$107.89 |
0.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent… (87451) |
$10 |
$69.25 |
1.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) |
$24 |
$104.50 |
1.0× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Other Outpatient (87283) |
$60 |
$304 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) |
$42 |
$272.25 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Other Outpatient (87475) |
$20 |
$221 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Other Outpatient (87482) |
$55 |
$265.25 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Other Outpatient (87485) |
$20 |
$230 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Other Outpatient (87487) |
$42 |
$372.75 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Other Outpatient (87495) |
$30 |
$163.75 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Other Outpatient (87526) |
$39 |
$222 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Other Outpatient (87527) |
$41 |
$294.75 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Other Outpatient (87528) |
$20 |
$201.25 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Other Outpatient (87531) |
$58 |
$201.25 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Other Outpatient (87534) |
$21 |
$431.06 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Other Outpatient (87537) |
$21 |
$96.25 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) |
$58 |
$161.50 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Other Outpatient (87542) |
$41 |
$173.50 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Other… (87562) |
$42 |
$294.75 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Other Outpatient (87550) |
$20 |
$182 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Other Outpatient (87557) |
$42 |
$294.75 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Other Outpatient (87582) |
$302 |
$337.50 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Other Outpatient (87650) |
$20 |
$68.40 |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Other Outpatient (87652) |
$41 |
$294.75 |
1.0× |
| Influenza DNA amp probe (87502) |
$95 |
$495 |
1.0× |
| Inhibin a (86336) |
$15 |
$161.32 |
1.0× |
| Inhibin b (83520) |
$17 |
$178.55 |
1.0× |
| Insitu hybridization (fish) (88365) |
$170 |
$753.05 |
1.0× |
| Insitu hybridization manual (88368) |
$358 |
$995.90 |
1.0× |
| Insulin antibodies (86337) |
$21 |
$146.10 |
1.0× |
| Insulin free (83527) |
$12 |
$153.50 |
0.9× |
| Insulin t panel; acth insuff (80434) |
$285 |
$1,262.50 |
1.0× |
| Insulin tolerance panel for growth hormone deficiency (80435) |
$103 |
$1,283.50 |
1.0× |
| Insulin total (83525) |
$11 |
$147.96 |
1.0× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) |
$165 |
$1,377 |
1.0× |
| Intraop cyto path consult 1 (88333) |
$805 |
$73 |
1.0× |
| Intrinsic factor (stomach protein) level (83528) |
$19 |
$90 |
1.0× |
| Intrinsic factor antibody (86340) |
$15 |
$75.40 |
1.0× |
| Iron (83540) |
$6 |
$206.53 |
0.9× |
| Iron binding capacity (83550) |
$8 |
$401.44 |
0.9× |
| Iron stain peripheral blood (85536) |
$6 |
$58.50 |
0.9× |
| Irradiation of blood product (86945) |
$37 |
$176.80 |
1.0× |
| Islet cell antibody (86341) |
$23 |
$156.80 |
1.0× |
| Ketosteroids 17; total (83586) |
$12 |
$305.75 |
0.9× |
| Kras gene analysis (81275) |
$193 |
$787.95 |
1.0× |
| L/s ratio, fetal lung (83661) |
$21 |
$375 |
1.0× |
| Lactic acid (83605) |
$11 |
$336.56 |
1.0× |
| Lactoferrin fecal qualitative (83630) |
$19 |
$137.38 |
1.0× |
| Ldh (83615) |
$6 |
$244 |
1.0× |
| Ldh isoenzymes (83625) |
$12 |
$139 |
0.9× |
| LDL cholesterol direct (83721) |
$10 |
$614.45 |
1.0× |
| Lead (83655) |
$12 |
$84.90 |
1.0× |
| Legion pneumo, DNA, amp prob (87541) |
$35 |
$130.75 |
1.0× |
| Legionella antibody (86713) |
$15 |
$155.06 |
1.0× |
| Legionella antigen urine (87449) |
$11 |
$321.25 |
0.9× |
| Legionella DNA probe (87540) |
$20 |
$107.50 |
1.0× |
| Legionella pneumophila dfa (87278) |
$15 |
$172.14 |
1.0× |
| Leishmania antibody (86717) |
$12 |
$28.20 |
1.0× |
| Leptospira antibody (86720) |
$16 |
$180 |
1.0× |
| Leukocyte histamine release test (86343) |
$12 |
$112.75 |
1.0× |
| Leukocyte phagocytosis (86344) |
$10 |
$36.50 |
1.0× |
| Level ii surg pathology grossµscopic exam (88302) |
$37 |
$195.92 |
1.0× |
| Level v surg pathology grossµscopic exam (88307) |
$358 |
$1,077.65 |
1.0× |
| Level vi surg pathology grossµscopic exam (88309) |
$805 |
$2,258.43 |
1.0× |
| Lh (83002) |
$18 |
$154.62 |
1.0× |
| Lidocaine level (80176) |
$14 |
$166.06 |
1.0× |
| Lipase (83690) |
$6 |
$257.50 |
0.9× |
| Listeria ab (86609) |
$12 |
$254.24 |
0.9× |
| Lithium (80178) |
$6 |
$34.63 |
0.9× |
| Lyme disease antibody (86618) |
$17 |
$187.25 |
1.0× |
| Lyme disease antibody confirm (86617) |
$15 |
$133.32 |
1.0× |
| Lymph Choriomeningitis Ab (86727) |
$12 |
$37 |
0.9× |
| Lymphocyte culture mixed (86821) |
$36 |
$459.75 |
1.0× |
| M avium probe (87560) |
$27 |
$182 |
1.0× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) |
$35 |
$222 |
1.0× |
| M.tuberculo DNA dir probe (87555) |
$26 |
$182 |
1.0× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
$170 |
$1,438.50 |
1.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$170 |
$753.05 |
1.0× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
$358 |
$1,584.75 |
1.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$170 |
$874.48 |
1.0× |
| Macroscopic exam arthropod (87168) |
$4 |
$35.25 |
0.9× |
| Macroscopic exam parasite (87169) |
$4 |
$57 |
0.9× |
| Magnesium (83735) |
$6 |
$33.50 |
0.9× |
| Malaria antibody (86750) |
$13 |
$120 |
1.0× |
| Malaria smear (87207) |
$5 |
$61.22 |
0.8× |
| Manual reticulocyte count (85044) |
$4 |
$95.75 |
0.9× |
| Mass spectrometry qual/quan (83789) |
$24 |
$231.19 |
1.0× |
| Measurement of complement fixation tests (immune system proteins) (86171) |
$10 |
$55 |
1.0× |
| Meat fibers, feces (89160) |
$4 |
$34 |
0.8× |
| Mercury (83825) |
$16 |
$147 |
1.0× |
| Methemalbumin (83857) |
$10 |
$97.25 |
0.9× |
| Methemoglobin Qualitative (83045) |
$6 |
$86.25 |
0.9× |
| Methotrexate (80299) |
$18 |
$219.38 |
1.0× |
| Methylmalonic acid serum (83921) |
$21 |
$106.05 |
1.0× |
| Microalbumin urine (82043) |
$5 |
$71.21 |
0.9× |
| Microbe suscept macrobroth (87188) |
$6 |
$60.50 |
0.9× |
| Microbe Suscept Mycobacteri (87190) |
$7 |
$112 |
1.0× |
| Microbe susceptible diffuse (87181) |
$4 |
$43.75 |
0.8× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$52 |
$834 |
1.0× |
| Microsomal antibodies (86376) |
$14 |
$150.47 |
1.0× |
| Mitochondrial antibody each (86381) |
$25 |
$127.25 |
1.0× |
| Molecular pathology procedure level 7 (81406) |
$282 |
$2,880 |
1.0× |
| Mopath procedure level 5 (81404) |
$274 |
$1,254 |
1.0× |
| Morphometric analysis tumor (88358) |
$170 |
$41.25 |
1.0× |
| Mrsa amp probe (87641) |
$35 |
$175.45 |
1.0× |
| Mthfr Gene Analysis Common Variants (81291) |
$65 |
$171.06 |
1.0× |
| Mucin synovial fluid ropes test (83872) |
$5 |
$100 |
0.9× |
| Muramidase (85549) |
$18 |
$50 |
1.0× |
| Mycobacteria Dna Amp Probe (87551) |
$48 |
$222 |
1.0× |
| Mycobacteric Identification (87118) |
$14 |
$153 |
1.0× |
| Mycobacterium avium complex and m.abscessus complex rt-PCR (viracor) - iadna mycobacteria species quantification (87552) |
$42 |
$294.75 |
1.0× |
| Mycoplasma antibody (86738) |
$13 |
$66.20 |
1.0× |
| Mycoplasma culture (87109) |
$15 |
$189 |
1.0× |
| Mycoplasma DNA probe (87580) |
$20 |
$208.25 |
1.0× |
| Mycoplasma pneumoniae antibodies, igg & igm - arup (86732) |
$15 |
$120 |
1.0× |
| Myelin basic protein csf (83873) |
$17 |
$65.80 |
1.0× |
| Myoglobin urine (83874) |
$12 |
$64.60 |
0.9× |
| Nasal smear for eosinophils (89190) |
$5 |
$94 |
0.9× |
| Natriuretic peptide (83880) |
$39 |
$276.40 |
1.0× |
| Nerve teasing preparations (88362) |
$805 |
$78.75 |
1.0× |
| Neutralization test, viral (86382) |
$16 |
$153 |
0.9× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$26 |
$204.25 |
1.0× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$488 |
$2,463.75 |
1.0× |
| Nickel level (83885) |
$24 |
$222 |
1.0× |
| Nmr Lipoprofile (83704) |
$34 |
$163.05 |
1.0× |
| Nocardia antibody (86744) |
$15 |
$120 |
0.9× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$246 |
$300 |
1.0× |
| Nras gene variants exon 2&3 (81311) |
$295 |
$1,183.15 |
1.0× |
| Nuclear antigen antibody (86235) |
$17 |
$117.95 |
0.9× |
| Occult blood stool (82272) |
$4 |
$304.65 |
0.9× |
| Oligoclonal bands (83916) |
$27 |
$219 |
1.0× |
| Organic Acids Qual Each (83919) |
$16 |
$81.62 |
1.0× |
| Organic Acids Total Quantitative Each Specimen (83918) |
$23 |
$419.51 |
1.0× |
| Orthopoxvirus Amp Prb Each (87593) |
$51 |
$385 |
1.0× |
| Osmolality serum (83930) |
$6 |
$174.68 |
0.9× |
| Osmolality urine (83935) |
$6 |
$195.23 |
0.9× |
| Osmotic fragility rbc incubated (85557) |
$13 |
$109.50 |
1.0× |
| Ova and parasite direct-id lca (87177) |
$8 |
$157.21 |
0.9× |
| Oxalate urine (83945) |
$14 |
$90 |
1.0× |
| Pancreatic elastase fecal (82656) |
$11 |
$539.44 |
1.0× |
| Pancreatic polypeptide (83519) |
$18 |
$194.56 |
1.0× |
| Parainfluenza ag if (87279) |
$16 |
$108.75 |
1.0× |
| Particle Agglutination Screen Each Antibody (86403) |
$11 |
$136 |
1.0× |
| Parvovirus antibody (86747) |
$15 |
$117.14 |
1.0× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Other… (80417) |
$43 |
$207.50 |
1.0× |
| Pertussis dfa (87265) |
$11 |
$122.81 |
0.9× |
| Phenotype Infect Agent Drug (87900) |
$130 |
$1,798.13 |
1.0× |
| Phenylalanine (84030) |
$5 |
$117.19 |
0.9× |
| Phenylketones (ketone) analysis (84035) |
$3 |
$62.93 |
0.8× |
| Phenytoin free (80186) |
$13 |
$140.25 |
0.9× |
| Phosphatase acid prostatic (84066) |
$9 |
$67.20 |
0.9× |
| Phosphatase alkaline (84075) |
$5 |
$364.95 |
1.0× |
| Phosphogluconate, 6-, dehydrogenase, RBC Other Outpatient (84085) |
$9 |
$60.50 |
1.0× |
| Phosphorus blood (84100) |
$4 |
$123.81 |
0.8× |
| Phosphorus urine (84105) |
$5 |
$28.90 |
0.9× |
| Pinworm exam (87172) |
$4 |
$35.25 |
0.9× |
| Plasminogen (85420) |
$6 |
$202.92 |
0.9× |
| Plasminogen (85421) |
$10 |
$215.04 |
1.0× |
| Platelet aggregation (85576) |
$24 |
$226.89 |
1.0× |
| Platelet count (85049) |
$4 |
$225 |
0.9× |
| Platelet neutralization (85597) |
$17 |
$162.50 |
0.9× |
| Pooling blood platelets (86965) |
$170 |
$158.80 |
1.0× |
| Porphobilinogen Urine Qual (84106) |
$5 |
$57 |
0.9× |
| Porphobilinogen urine quant (84110) |
$8 |
$63.70 |
0.9× |
| Porphyrins feces qn (84126) |
$39 |
$157.62 |
1.0× |
| Porphyrins qn & fraction urine (84120) |
$14 |
$86.50 |
1.0× |
| Porphyrins urine qual (84119) |
$13 |
$77.75 |
1.0× |
| Potassium (84132) |
$4 |
$172.34 |
0.8× |
| Potassium urine (84133) |
$4 |
$172.34 |
0.8× |
| Pregnenolone (84140) |
$20 |
$134.76 |
1.0× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$170 |
$184.10 |
1.0× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
$170 |
$165.06 |
1.0× |
| Primidone (80188) |
$16 |
$108.80 |
1.0× |
| Procainamide napa (80192) |
$16 |
$137 |
1.0× |
| Procalcitonin (pct) (84145) |
$27 |
$924.75 |
1.0× |
| Progesterone (84144) |
$20 |
$104.30 |
1.0× |
| Progesterone (reproductive hormone) receptor analysis (84234) |
$64 |
$587 |
1.0× |
| Prolactin (84146) |
$19 |
$311.70 |
1.0× |
| Prostaglandin Ea (84150) |
$41 |
$225.75 |
1.0× |
| Protein analysis of tissue by Western Blot, with interpretation and report; Other Outpatient (88371) |
$22 |
$131 |
1.0× |
| Protein body fluid (84157) |
$4 |
$161 |
1.0× |
| Protein c activity (85303) |
$13 |
$231.02 |
0.9× |
| Protein c antigen (85302) |
$12 |
$102.75 |
1.0× |
| Protein electrophoresis serum (84165) |
$10 |
$112.69 |
0.9× |
| Protein Electrophoresis Urine (84166) |
$17 |
$81.08 |
1.0× |
| Protein S Functional (85306) |
$15 |
$121.20 |
1.0× |
| Protein s total (85305) |
$11 |
$137.69 |
0.9× |
| Protein Total Serum (84155) |
$3 |
$161 |
0.8× |
| Protein urine (84156) |
$3 |
$136.92 |
0.8× |
| Protein Western Blot (84182) |
$29 |
$312.61 |
1.0× |
| Protein westrn blot i&r blood/other fluid (84181) |
$17 |
$287.18 |
1.0× |
| Prothrombin time substitution (85611) |
$3 |
$285 |
0.8× |
| Protoporphyrin rbc quantitative (84202) |
$14 |
$129.75 |
1.0× |
| PSA free (84154) |
$18 |
$192.78 |
1.0× |
| Pyruvate kinase (84220) |
$9 |
$86.25 |
1.0× |
| Quantiferon tb gold (86480) |
$61 |
$309.90 |
1.0× |
| Quinidine (80194) |
$14 |
$141.10 |
1.0× |
| Quinine (84228) |
$11 |
$105.50 |
0.9× |
| Rbc antibody elution (86860) |
$170 |
$753.05 |
1.0× |
| Rbc osmotic fragility (85555) |
$7 |
$367.50 |
0.9× |
| Rbc pretx incubatj w/chemicl (86970) |
$58 |
$134.28 |
1.0× |
| Reagent strip/blood glucose (82948) |
$5 |
$52.42 |
1.0× |
| Red blood cell fragility measurement (85547) |
$8 |
$308 |
0.9× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Other… (80416) |
$209 |
$623.25 |
1.0× |
| Renin activity plasma (84244) |
$21 |
$109.95 |
1.0× |
| Reptilase test (85635) |
$9 |
$90 |
0.9× |
| Respiratory viral panel PCR (87633) |
$416 |
$850 |
1.0× |
| Respiratory Virus (86756) |
$15 |
$229 |
0.9× |
| Reticulocyte Count (85046) |
$5 |
$46 |
0.9× |
| Rheumatoid Factor Qual (86430) |
$6 |
$45 |
1.0× |
| Rheumatoid factor quant (86431) |
$5 |
$142.42 |
0.9× |
| Rickettsia antibody (86757) |
$19 |
$193.35 |
1.0× |
| Rotavirus (86759) |
$18 |
$106.25 |
1.0× |
| Rpr Titer (86593) |
$4 |
$219 |
0.9× |
| Rsv (87807) |
$13 |
$83.74 |
1.0× |
| Rubella antibody (86762) |
$14 |
$71.95 |
1.0× |
| Russell viper venom time diluted (85613) |
$9 |
$125 |
0.9× |
| Russell Viper Venom Time Undiluted (85612) |
$17 |
$87.25 |
1.0× |
| Saccharomyces ab iga (86671) |
$12 |
$250 |
1.0× |
| Salmonella antibody (86768) |
$13 |
$74 |
1.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$51 |
$163.28 |
1.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$42 |
$67.75 |
1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$142 |
$715 |
1.0× |
| Sedimentation rate (85651) |
$4 |
$127.41 |
0.9× |
| Sensitivity - mlc ea plate (87187) |
$40 |
$94.75 |
1.0× |
| Sensitivity mic (87186) |
$8 |
$65.25 |
0.9× |
| Serotonin Release Assay (86022) |
$18 |
$115.50 |
1.0× |
| Serum bactericidal titer (87197) |
$15 |
$158.04 |
1.0× |
| Sex chromatin id barr bodies (88130) |
$17 |
$136 |
0.9× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Other Outpatient (88140) |
$7 |
$72.75 |
0.9× |
| Sex hormone binding globulin (84270) |
$21 |
$108.65 |
1.0× |
| Sickle cell screen (85660) |
$5 |
$33.70 |
0.9× |
| Silica (84285) |
$25 |
$213.50 |
1.0× |
| Sirolimus (rapamycin) (80195) |
$13 |
$84.30 |
0.9× |
| Smear acid fast (87206) |
$5 |
$205.50 |
0.9× |
| Smear gram stain (87205) |
$4 |
$124 |
0.9× |
| Sodium (84295) |
$4 |
$86.31 |
0.8× |
| Sodium urine (84300) |
$5 |
$174.68 |
1.0× |
| Soluble transferrin receptor (84238) |
$36 |
$152.52 |
1.0× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$133 |
$226.45 |
1.0× |
| Special stains group 1 (88312) |
$52 |
$216.45 |
1.0× |
| Specific gravity body fluid (84315) |
$3 |
$116 |
0.9× |
| Spectrophotometry (84311) |
$8 |
$400 |
1.0× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Other Outpatient (89330) |
$10 |
$90 |
1.0× |
| Sperm evaluation; hamster penetration test Other Outpatient (89329) |
$19 |
$190.25 |
1.0× |
| Stool analysis for bilirubin (82252) |
$4 |
$92.75 |
0.9× |
| Stool Cultr Aerobic Bact Ea (87046) |
$9 |
$87 |
1.0× |
| Storage (per year); embryo(s) 89342PK (89342) |
$170 |
$160 |
1.0× |
| Strep a assay w/optic (87880) |
$16 |
$103.23 |
1.0× |
| Strep a DNA amp probe (87651) |
$35 |
$198.72 |
1.0× |
| Strep b DNA amp probe (87653) |
$35 |
$175.45 |
1.0× |
| Streptozyme (86590) |
$12 |
$99.25 |
0.9× |
| Sulfate urine (84392) |
$5 |
$43.75 |
0.9× |
| Surg path level iii (88304) |
$52 |
$282.02 |
1.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$28 |
$128.12 |
1.0× |
| Surgical pathology level IV (88305) |
$52 |
$400.72 |
1.0× |
| Susceptibility study antimicrobial disk method (87184) |
$7 |
$63.25 |
0.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$46 |
$187.58 |
1.0× |
| T cells, total count (86359) |
$37 |
$323.39 |
1.0× |
| T3 free (84481) |
$16 |
$84.70 |
0.9× |
| T3 reverse (84482) |
$15 |
$78.80 |
1.0× |
| T3 total (84480) |
$14 |
$70.90 |
1.0× |
| T3 uptake (84479) |
$6 |
$160.03 |
0.9× |
| T4 Free (84439) |
$9 |
$45.10 |
1.0× |
| T4 total (84436) |
$6 |
$151.81 |
0.9× |
| Test for acetone/ketones (82009) |
$4 |
$217 |
0.9× |
| Test for urine cystines (82615) |
$9 |
$130.58 |
0.9× |
| Test rbc protoporphyrin (84203) |
$9 |
$60 |
0.9× |
| Testosterone free (84402) |
$25 |
$127.35 |
1.0× |
| Testosterone total (84403) |
$25 |
$129.05 |
1.0× |
| Tetanus antibody (86774) |
$14 |
$131 |
0.9× |
| Theophylline (80198) |
$14 |
$404.84 |
1.0× |
| Thrombin time plasma (85670) |
$5 |
$79 |
0.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$6 |
$251.74 |
0.9× |
| Thyroglobulin (84432) |
$16 |
$231.19 |
1.0× |
| Thyroglobulin Ab (86800) |
$15 |
$79.55 |
0.9× |
| Thyroid Stimulating Immunoglobulin (84445) |
$50 |
$254.30 |
1.0× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) |
$67 |
$590.75 |
1.0× |
| Thyroxine binding globulin (84442) |
$14 |
$93.70 |
0.9× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$140 |
$2,136.88 |
1.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
$11 |
$152.06 |
1.0× |
| Tissue culture bone marrow (88237) |
$143 |
$718.75 |
1.0× |
| Tissue Culture Lymphocyte (88230) |
$116 |
$1,055.25 |
1.0× |
| Tissue culture placenta (88235) |
$150 |
$1,333.25 |
1.0× |
| Tissue culture solid tumor (88239) |
$147 |
$1,335.25 |
1.0× |
| Tobramycin peak (80200) |
$16 |
$549 |
1.0× |
| Topiramate (80201) |
$11 |
$100.39 |
0.9× |
| Touch prep (88161) |
$28 |
$131.25 |
1.0× |
| Toxin or antitoxin assay (87230) |
$19 |
$207.75 |
1.0× |
| Toxoplasma ab igm (86778) |
$14 |
$75.32 |
1.0× |
| Toxoplasma antibody igg (86777) |
$14 |
$229.38 |
1.0× |
| Transferrin (84466) |
$12 |
$337 |
0.9× |
| Trh stimulation panel (80438) |
$50 |
$442.75 |
1.0× |
| Trichinella antibody (86784) |
$12 |
$168.27 |
1.0× |
| Trichomonas vagin dir probe (87660) |
$20 |
$100.25 |
1.0× |
| Triglycerides (84478) |
$5 |
$231.19 |
0.9× |
| Troponin (84484) |
$12 |
$332.91 |
1.0× |
| Troponin i qualitative (84512) |
$10 |
$60 |
1.0× |
| Trypsin feces qual (84488) |
$7 |
$66.75 |
1.0× |
| Trypsin feces quantitative 24-hr collection (84490) |
$9 |
$69.25 |
0.9× |
| Tyrosine (84510) |
$10 |
$94.75 |
0.9× |
| Unlisted transfusion medicine procedure (86999) |
$28 |
$206.25 |
1.0× |
| Urea nitrogen (84520) |
$3 |
$195.23 |
0.8× |
| Urea Nitrogen Clearance (84545) |
$7 |
$293 |
1.0× |
| Urea nitrogen urine (84540) |
$5 |
$27.80 |
0.9× |
| Uric acid blood (84550) |
$4 |
$195.23 |
0.9× |
| Uric acid other source (84560) |
$5 |
$217.25 |
1.0× |
| Urinalysis microscopic only (81015) |
$3 |
$110.75 |
1.0× |
| Urinalysis w/microscopic (81001) |
$3 |
$174.68 |
0.9× |
| Urine microalbumin (protein) analysis (82044) |
$6 |
$37.30 |
1.0× |
| Urine pregnancy test (81025) |
$8 |
$155.61 |
0.9× |
| Urine volume measurement (81050) |
$3 |
$26.75 |
0.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$2 |
$83.23 |
0.9× |
| Urobilinogen, feces, quantitative Other Outpatient (84577) |
$16 |
$112.75 |
1.0× |
| Valproic acid level (80164) |
$13 |
$278.78 |
1.0× |
| Vancomycin trough (80202) |
$13 |
$266.64 |
1.0× |
| Varicella-zoster antibody (86787) |
$12 |
$132.29 |
0.9× |
| Vasoactive intestinal peptide (vip) (84586) |
$35 |
$175 |
1.0× |
| Vasopressin (84588) |
$33 |
$315.19 |
1.0× |
| Vdrl csf (86592) |
$4 |
$80.99 |
0.9× |
| Very long chain fatty acids (82726) |
$19 |
$163.75 |
1.0× |
| Virus antibody nos (86790) |
$12 |
$182.50 |
0.9× |
| Virus inoculate tissue addl (87253) |
$20 |
$158.49 |
1.0× |
| Virus inoculation, shell via (87254) |
$19 |
$30.75 |
1.0× |
| Vitamin A (84590) |
$11 |
$97.61 |
0.9× |
| Vitamin b-12 (82607) |
$15 |
$75.40 |
1.0× |
| Vitamin b-2 (riboflavin) (84252) |
$20 |
$203.72 |
1.0× |
| Vitamin b1 (thiamine) (84425) |
$21 |
$106.15 |
1.0× |
| Vitamin b6 (84207) |
$28 |
$140.50 |
1.0× |
| Vitamin C (82180) |
$9 |
$57.75 |
0.9× |
| Vitamin D 25-Hydroxy (82306) |
$29 |
$164.40 |
1.0× |
| Vitamin e serum (84446) |
$14 |
$108.82 |
1.0× |
| Von willebrand factor activity (85245) |
$22 |
$305.47 |
1.0× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$8 |
$100 |
0.9× |
| West nile virus ab, igm (86788) |
$16 |
$195.23 |
0.9× |
| West nile virus antibody (86789) |
$14 |
$195.23 |
1.0× |
| Xylose Absorption Test (84620) |
$12 |
$108 |
0.9× |
| Yersinia antibody (86793) |
$13 |
$120 |
1.0× |
| Zika Virus Igm Antibody (86794) |
$16 |
$231.19 |
0.9× |
| Zinc (84630) |
$11 |
$128.44 |
1.0× |