Lab & pathology prices at Hays Medical Center
Hays, KS · every code in this section with a posted price and a Medicare benchmark.
590 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $107.25 | $325 | 2.8× |
| 5 Hiaa (83497) | $36.30 | $110 | 2.8× |
| 5 Nucleotidase (83915) | $29.70 | $90 | 2.7× |
| Acetaminophen level (80143) | $29.70 | $90 | 1.6× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $46.20 | $140 | 2.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $29.70 | $90 | 2.5× |
| Actin smooth muscle antibody each (86015) | $19.80 | $60 | 1.6× |
| Activated protein c resistance (85307) | $69.30 | $210 | 4.5× |
| Acute hepatitis panel (80074) | $141.90 | $430 | 3.0× |
| Adamts13 activity (85397) | $85.80 | $260 | 2.8× |
| Adenovirus ag, if (87260) | $29.70 | $90 | 2.1× |
| Afb culture (87116) | $74.25 | $225 | 6.9× |
| Albumin Fluid (82042) | $26.40 | $80 | 3.4× |
| Albumin serum (82040) | $28.05 | $85 | 5.7× |
| Aldolase (82085) | $34.65 | $105 | 3.6× |
| Aldosterone urine (82088) | $90.75 | $275 | 2.2× |
| Alkaline phosphatase isoenzymes (84080) | $36.30 | $110 | 2.5× |
| Allergen specific ige (86003) | $224.40 | $680 | 43.0× |
| Allg Spec Ige Recomb Ea (86008) | $217.80 | $660 | 12.1× |
| Alpha-1-antitrypsin phenotype (82104) | $52.80 | $160 | 3.7× |
| Alpha-1-antitrypsin, total (82103) | $49.50 | $150 | 3.7× |
| Alpha-fetoprotein, serum (82105) | $62.70 | $190 | 3.7× |
| Alt (sgpt) (84460) | $24.75 | $75 | 4.7× |
| Amikacin trough (80150) | $46.20 | $140 | 3.1× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $442.20 | $1,340 | 26.2× |
| Ammonia (82140) | $51.15 | $155 | 3.5× |
| Amylase urine (82150) | $33 | $100 | 5.1× |
| Ana Titer (86039) | $42.90 | $130 | 3.8× |
| Angiotensin i enzyme test (82164) | $49.50 | $150 | 3.4× |
| Antibody Absorption (86978) | $99 | $300 | 1.7× |
| Antibody aspergillus (86606) | $69.30 | $210 | 4.6× |
| Antibody coxiella burnetii q fever (86638) | $23.10 | $70 | 1.9× |
| Antibody cytomegalovirus cmv (86644) | $69.30 | $210 | 4.8× |
| Antibody cytomegalovirus cmv igm (86645) | $79.20 | $240 | 4.7× |
| Antibody Encephalitis Eastern Equine (86652) | $26.40 | $80 | 2.0× |
| Antibody Encephalitis St. Louis (86653) | $26.40 | $80 | 2.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $36.30 | $110 | 2.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $36.30 | $110 | 2.5× |
| Antibody herpes smplx type 1 (86695) | $42.90 | $130 | 3.3× |
| Antibody HIV-2 (86702) | $49.50 | $150 | 3.7× |
| Antibody identification (86870) | $603.90 | $1,830 | 1.7× |
| Antibody identification leukocyte antibodies (86021) | $127.05 | $385 | 8.4× |
| Antibody mumps (86735) | $36.30 | $110 | 2.8× |
| Antibody Protozoa Nes (86753) | $33 | $100 | 2.7× |
| Antibody rubeola (86765) | $29.70 | $90 | 2.3× |
| Antibody screen (86850) | $62.70 | $190 | 6.4× |
| Antibody treponema pallidum (86780) | $49.50 | $150 | 3.7× |
| Antibody; Coccidioides (86635) | $39.60 | $120 | 3.5× |
| Antigen typing (86905) | $303.60 | $920 | 79.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $105.60 | $320 | 20.4× |
| Antinuclear antibodies (86038) | $42.90 | $130 | 3.5× |
| Antistreptolysin o titer (86060) | $42.90 | $130 | 5.9× |
| Antithrombin iii activity (85300) | $82.50 | $250 | 7.0× |
| Antithrombin iii antigen (85301) | $59.40 | $180 | 5.5× |
| Apolipoprotein b (82172) | $29.70 | $90 | 1.4× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $23.10 | $70 | 1.9× |
| Arsenic Urine (82175) | $49.50 | $150 | 2.6× |
| Assay direct measurement free estradiol (82681) | $31.35 | $95 | 1.1× |
| Assay Nephelometry Not Spec (83883) | $69.30 | $210 | 5.1× |
| Assay of acth (82024) | $99 | $300 | 2.6× |
| Assay of androstenedione (82157) | $46.20 | $140 | 1.6× |
| Assay of c-peptide (84681) | $49.50 | $150 | 2.4× |
| Assay of calcitonin (82308) | $59.40 | $180 | 2.2× |
| Assay of ceruloplasmin (82390) | $31.35 | $95 | 2.9× |
| Assay of cyclosporine (80158) | $99 | $300 | 5.5× |
| Assay of erythropoietin (82668) | $61.05 | $185 | 3.2× |
| Assay of ferritin (82728) | $59.40 | $180 | 4.4× |
| Assay of g6pd enzyme (82955) | $42.90 | $130 | 4.4× |
| Assay of gammaglobulin igm (82784) | $74.25 | $225 | 8.0× |
| Assay of gastrin (82941) | $47.85 | $145 | 2.7× |
| Assay of gentamicin (80170) | $62.70 | $190 | 3.8× |
| Assay of glucagon (82943) | $105.60 | $320 | 7.4× |
| Assay of homocystine (83090) | $77.55 | $235 | 4.3× |
| Assay of lipoprotein(a) (83695) | $33 | $100 | 2.3× |
| Assay of manganese (83785) | $29.70 | $90 | 1.1× |
| Assay of metanephrines (83835) | $80.85 | $245 | 4.8× |
| Assay of parathormone (83970) | $110.55 | $335 | 2.7× |
| Assay of phenobarbital (80184) | $52.80 | $160 | 3.5× |
| Assay of prealbumin (84134) | $52.80 | $160 | 3.6× |
| Assay of proinsulin (84206) | $39.60 | $120 | 1.5× |
| Assay of selenium (84255) | $49.50 | $150 | 1.9× |
| Assay of somatomedin (84305) | $89.10 | $270 | 4.2× |
| Assay of tacrolimus (80197) | $82.50 | $250 | 6.0× |
| Assay of urine vma (84585) | $42.90 | $130 | 2.8× |
| Assay of vitamin k (84597) | $59.40 | $180 | 4.3× |
| Assay of volatiles (84600) | $49.50 | $150 | 2.9× |
| Assay Ph Body Fluid Nos (83986) | $24.75 | $75 | 6.9× |
| Ast (sgot) (84450) | $21.45 | $65 | 4.1× |
| Automated rbc count (85041) | $9.90 | $30 | 3.3× |
| Bartonella antibody (86611) | $34.65 | $105 | 3.4× |
| Bcr/abl1 gene major bp (81206) | $165 | $500 | 1.0× |
| Bcr/abl1 gene minor bp (81207) | $141.90 | $430 | 1.0× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $110.55 | $335 | 4.3× |
| Beta hydroxybutyrate (82010) | $42.90 | $130 | 5.3× |
| Beta Lactamase (87185) | $19.80 | $60 | 4.2× |
| Beta-2 microglobulin (82232) | $47.85 | $145 | 3.0× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $72.60 | $220 | 0.6× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $79.20 | $240 | 0.6× |
| Bilirubin direct (82248) | $23.10 | $70 | 4.6× |
| Bilirubin total (82247) | $23.10 | $70 | 4.6× |
| Bilirubin total transcutaneous (88720) | $14.85 | $45 | 3.0× |
| Bl Smear W/Diff Wbc Count (85007) | $16.83 | $51 | 4.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $19.80 | $60 | 5.8× |
| Blastomyces antibody (86612) | $29.70 | $90 | 2.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $145.20 | $440 | 0.9× |
| Blood count reticulocyte automated (85045) | $28.05 | $85 | 7.0× |
| Blood gases (82803) | $112.20 | $340 | 4.3× |
| Blood gases w/02 saturation (82805) | $148.50 | $450 | 1.9× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $57.75 | $175 | 5.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $18.15 | $55 | 1.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18.15 | $55 | 4.1× |
| Blood Ph - Ph Venous (82800) | $29.70 | $90 | 2.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $300.30 | $910 | 47.3× |
| Blood typing abo (86900) | $59.40 | $180 | 19.9× |
| Blood typing serologic rh (d) (86901) | $33 | $100 | 11.0× |
| Blood typing serologic rh phenotyping complete (86906) | $72.60 | $220 | 9.4× |
| Body fluid cell count (89051) | $57.75 | $175 | 10.3× |
| Body fluid cell count (89050) | $23.10 | $70 | 4.9× |
| Bordetella antibody (86615) | $49.50 | $150 | 3.8× |
| Borrelia miyamotoi amp prb (87478) | $29.70 | $90 | 0.8× |
| Brca1&2 seq & full dup/del (81162) | $1,303.50 | $3,950 | 0.7× |
| C diff amplified probe (87493) | $84.15 | $255 | 2.3× |
| C-reactive protein (86140) | $37.29 | $113 | 7.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $46.20 | $140 | 3.6× |
| Ca 125 (86304) | $79.20 | $240 | 3.8× |
| Ca 19-9 (86301) | $85.80 | $260 | 4.1× |
| Ca 27 29 (86300) | $108.90 | $330 | 5.2× |
| Cadmium level (82300) | $46.20 | $140 | 2.0× |
| Calcium ionized (82330) | $56.10 | $170 | 4.1× |
| Calcium total (82310) | $23.10 | $70 | 4.5× |
| Calcium urine (82340) | $31.35 | $95 | 5.2× |
| Calculus Spectroscopy (82365) | $57.75 | $175 | 4.5× |
| California encephalitis ab (86651) | $26.40 | $80 | 2.0× |
| Calprotectin, fecal (83993) | $102.30 | $310 | 5.2× |
| Calr gene com variants (81219) | $366.30 | $1,110 | 3.0× |
| Candida DNA dir probe (87480) | $33 | $100 | 1.6× |
| Carbamazepine (tegretol) total (80156) | $59.40 | $180 | 4.1× |
| Carbon dioxide (82374) | $24.75 | $75 | 5.1× |
| Carboxyhemoglobin Quantitative (82375) | $66 | $200 | 5.4× |
| Carcinoembryonic antigen (82378) | $79.20 | $240 | 4.2× |
| Cardiolipin ab igg (86147) | $117.15 | $355 | 4.6× |
| Carnitine (82379) | $59.40 | $180 | 3.5× |
| Catecholamines fraction plasma (82384) | $77.55 | $235 | 3.1× |
| Ccnd1/igh translocation alys (81168) | $336.60 | $1,020 | 1.6× |
| Cd4 absolute count (86361) | $69.30 | $210 | 2.6× |
| Chemiluminescent assay (82397) | $49.50 | $150 | 3.5× |
| Chloride urine (82436) | $23.10 | $70 | 4.0× |
| Cholesterol total (82465) | $26.40 | $80 | 6.1× |
| Cholinesterase serum (82480) | $23.10 | $70 | 2.9× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $132 | $400 | 2.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $259.05 | $785 | 2.1× |
| Chromium urine (82495) | $20.46 | $62 | 1.0× |
| Chromogranin a (86316) | $90.75 | $275 | 4.4× |
| Chromosome analysis 20-25 cells (88264) | $250.80 | $760 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $89.10 | $270 | 2.5× |
| Ck isoenzymes (82552) | $42.90 | $130 | 3.2× |
| Ckmb (82553) | $57.75 | $175 | 5.0× |
| Clot factor viii vw antigen (85246) | $112.20 | $340 | 4.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $112.20 | $340 | 6.3× |
| Clozapine level (80159) | $52.80 | $160 | 2.6× |
| Cmv PCR (87496) | $102.30 | $310 | 2.9× |
| Cns DNA amp probe type 12-25 (87483) | $323.40 | $980 | 0.8× |
| Coagulation time activated (85347) | $66 | $200 | 15.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $77.55 | $235 | 3.2× |
| Cold agglutinin titer (86157) | $26.40 | $80 | 3.3× |
| Collagen cross links (82523) | $39.60 | $120 | 2.1× |
| Compatibility test antiglob (86922) | $107.25 | $325 | 0.6× |
| Compatibility Test Incubate (86921) | $99 | $300 | 0.6× |
| Complement c3 (86160) | $82.50 | $250 | 6.9× |
| Complement total ch50 (86162) | $49.50 | $150 | 2.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $54.45 | $165 | 4.5× |
| Concentration Infectious Agent (87015) | $33 | $100 | 4.9× |
| Coombs direct (86880) | $41.25 | $125 | 7.7× |
| Coombs Test Indirect Qual (86885) | $158.40 | $480 | 27.7× |
| Copper urine (82525) | $49.50 | $150 | 4.0× |
| Cortisol free (82530) | $57.75 | $175 | 3.5× |
| Cortisol total (82533) | $66 | $200 | 4.0× |
| Creatine kinase total (82550) | $33 | $100 | 5.1× |
| Creatinine blood (82565) | $26.40 | $80 | 5.2× |
| Creatinine clearance (82575) | $42.90 | $130 | 4.5× |
| Creatinine other source (82570) | $29.70 | $90 | 5.7× |
| Crossmatch immediate spin (86920) | $138.60 | $420 | 0.8× |
| Cryoglobulin (82595) | $33 | $100 | 5.1× |
| Cryptococcus antibody (86641) | $56.10 | $170 | 3.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $46.20 | $140 | 5.7× |
| Culture Aerobic Identify (87077) | $26.40 | $80 | 3.3× |
| Culture anaerobic (87075) | $56.10 | $170 | 5.9× |
| Culture blood (87040) | $112.20 | $340 | 10.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $49.50 | $150 | 6.4× |
| Culture fungus blood (87103) | $61.05 | $185 | 3.0× |
| Culture fungus id yeast (87106) | $37.95 | $115 | 3.7× |
| Culture fungus other (87102) | $49.50 | $150 | 5.9× |
| Culture genital (87070) | $56.10 | $170 | 6.5× |
| Culture screen only (87081) | $36.30 | $110 | 5.5× |
| Culture stool (87045) | $57.75 | $175 | 6.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $39.60 | $120 | 7.6× |
| Culture urine (87086) | $52.80 | $160 | 6.5× |
| Culture urine id ea isolate (87088) | $36.30 | $110 | 4.5× |
| Cyanide (82600) | $39.60 | $120 | 2.0× |
| Cyclic Citrullinated Peptide (86200) | $51.15 | $155 | 3.9× |
| Cyp2c19 gene com variants (81225) | $181.50 | $550 | 0.6× |
| Cystatin c (82610) | $42.90 | $130 | 2.3× |
| Cytogenetics DNA probe (88271) | $66 | $200 | 3.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,339.80 | $4,060 | 1.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $181.50 | $550 | 4.2× |
| Cytopath cell enhance tech (88112) | $66 | $200 | 1.3× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $49.50 | $150 | 1.9× |
| Cytp concentration smears & interpretation (88108) | $59.40 | $180 | 1.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $79.20 | $240 | 1.5× |
| Cytp fna eval dx 1st each site (88172) | $115.50 | $350 | 0.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $277.20 | $840 | 1.6× |
| D-Dimer (85379) | $74.25 | $225 | 7.3× |
| Deoxyribonuclease antibody (86215) | $52.80 | $160 | 4.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $52.80 | $160 | 3.2× |
| Detect agnt mult DNA ampli (87801) | $178.20 | $540 | 2.5× |
| Dhea sulfate (82627) | $74.25 | $225 | 3.3× |
| Digoxin (80162) | $52.80 | $160 | 4.0× |
| Dilantin (80185) | $52.80 | $160 | 4.0× |
| Diphtheria antitoxoid (86648) | $39.60 | $120 | 2.6× |
| Dipropylacetic acid free (80165) | $52.80 | $160 | 3.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $47.85 | $145 | 3.5× |
| Dna/Rna Amplified Probe (87150) | $97.35 | $295 | 2.8× |
| Drug assay itraconazole (80189) | $148.50 | $450 | 5.5× |
| Drug Assay Lacosamide (80235) | $36.30 | $110 | 1.3× |
| Drug assay voriconazole (80285) | $143.55 | $435 | 5.3× |
| Drug screen quant zonisamide (80203) | $49.50 | $150 | 3.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $64.35 | $195 | 4.9× |
| Drug Scrn Quan Levetiracetam (80177) | $70.95 | $215 | 5.4× |
| Drug scrn quant oxcarbazepin (80183) | $52.80 | $160 | 4.0× |
| Drug test prsmv chem anlyzr (80307) | $77.55 | $235 | 1.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $56.10 | $170 | 4.5× |
| Ebv viral capsid (86665) | $84.15 | $255 | 4.6× |
| Echinococcus ab igg (86682) | $72.60 | $220 | 5.6× |
| Ehrlichia antibody (86666) | $59.40 | $180 | 5.8× |
| Elastase pancreatic fecal quantitative (82653) | $138.60 | $420 | 6.0× |
| Electrolyte panel (80051) | $64.35 | $195 | 9.2× |
| Encephalitis Western Equine (86654) | $26.40 | $80 | 2.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $13.20 | $40 | 1.1× |
| Endomysial antibody iga (86255) | $284.62 | $862.50 | 23.6× |
| Entamoeba histolytica antigen (87337) | $28.71 | $87 | 2.4× |
| Enterovirus antibody (86658) | $26.40 | $80 | 2.0× |
| Enterovirus Pcr (87498) | $118.80 | $360 | 3.4× |
| Enzyme histochemistry (88319) | $1,897.50 | $5,750 | 2.3× |
| Eosinophil count (85048) | $13.20 | $40 | 5.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $47.85 | $145 | 3.1× |
| Estradiol (82670) | $80.85 | $245 | 2.9× |
| Estriol (82677) | $39.60 | $120 | 1.6× |
| Estrogens total (82672) | $57.75 | $175 | 2.7× |
| Estrone (82679) | $36.30 | $110 | 1.5× |
| Ethylene glycol (82693) | $52.80 | $160 | 3.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $161.70 | $490 | 1.6× |
| Everolimus (80169) | $64.35 | $195 | 4.7× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $42.90 | $130 | 5.9× |
| F2 gene analysis 20210g >a variant (81240) | $112.20 | $340 | 1.7× |
| F5 gene (81241) | $148.50 | $450 | 2.0× |
| Factor ii activity (85210) | $59.40 | $180 | 4.6× |
| Factor inhibitor test (85335) | $66 | $200 | 5.1× |
| Factor ix activity (85250) | $84.15 | $255 | 4.4× |
| Factor v activity (85220) | $122.10 | $370 | 6.9× |
| Factor viii ahg (85240) | $95.70 | $290 | 5.3× |
| Factor viii vw multimetric (85247) | $82.50 | $250 | 3.6× |
| Factor xi assay (85270) | $89.10 | $270 | 5.0× |
| Fecal fat qual (82705) | $29.70 | $90 | 5.8× |
| Fecal fat quant (82710) | $66 | $200 | 3.9× |
| Fetal bleed screen (85461) | $46.20 | $140 | 4.9× |
| Fetal fibronectin (82731) | $221.10 | $670 | 3.4× |
| Fibrinogen activity (85384) | $61.05 | $185 | 6.3× |
| Flow cytometry first marker (88184) | $184.80 | $560 | 0.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $56.10 | $170 | 4.7× |
| Folate serum (82746) | $54.45 | $165 | 3.7× |
| Folic acid rbc (82747) | $49.50 | $150 | 2.8× |
| Follicle Stimulating Hormone (83001) | $70.95 | $215 | 3.8× |
| Francisella Tularensis (86668) | $80.85 | $245 | 5.7× |
| Fresh frozen plasma thawing each unit (86927) | $102.30 | $310 | 0.6× |
| Frozen Section (88331) | $102.30 | $310 | 0.6× |
| Fructosamine (82985) | $34.65 | $105 | 2.1× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $36.30 | $110 | 3.5× |
| Galectin-3 serum (82777) | $28.05 | $85 | 0.6× |
| Gammaglobulin ige (82785) | $62.70 | $190 | 3.8× |
| Gardner vag DNA dir probe (87510) | $33 | $100 | 1.6× |
| Gastric Occult Blood (82271) | $19.80 | $60 | 3.7× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $1,511.40 | $4,580 | 2.0× |
| Ggt (82977) | $33 | $100 | 4.6× |
| Giardia antigen eia stool (87329) | $33 | $100 | 2.8× |
| Gliadin antibody each immunoglobulin class (86258) | $29.70 | $90 | 2.5× |
| Glucose (82947) | $14.02 | $42.50 | 3.6× |
| Glucose Blood Test (82962) | $4.95 | $15 | 1.5× |
| Glucose body fluid (82945) | $31.35 | $95 | 8.0× |
| Glucose post dose (82950) | $24.75 | $75 | 5.2× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $16.50 | $50 | 4.2× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $49.50 | $150 | 3.8× |
| Growth hormone (83003) | $36.30 | $110 | 2.2× |
| Haptoglobin (83010) | $54.45 | $165 | 4.3× |
| Hba1/hba2 gene (81257) | $128.70 | $390 | 1.3× |
| Hcg qualitative (84703) | $57.75 | $175 | 7.7× |
| Hcg quant (84702) | $74.25 | $225 | 4.9× |
| Hdl Cholesterol (83718) | $19.80 | $60 | 2.4× |
| Heavy metal quant each (83018) | $62.70 | $190 | 2.9× |
| Hematocrit (85014) | $21.45 | $65 | 9.1× |
| Hemoglobin (85018) | $18.15 | $55 | 7.7× |
| Hemoglobin a1c (83036) | $36.30 | $110 | 3.7× |
| Hemoglobin electrophoresis (83020) | $42.90 | $130 | 3.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $49.50 | $150 | 6.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $42.90 | $130 | 5.2× |
| Hemoglobin plasma (83051) | $39.60 | $120 | 5.4× |
| Heparin assay (85520) | $108.90 | $330 | 8.3× |
| Hepatitis a antibody total (86708) | $44.55 | $135 | 3.6× |
| Hepatitis a igm (86709) | $51.15 | $155 | 4.5× |
| Hepatitis b core ab igm (86705) | $47.85 | $145 | 4.1× |
| Hepatitis b core antibody total (86704) | $52.80 | $160 | 4.4× |
| Hepatitis B Surface Ab (86706) | $69.30 | $210 | 6.5× |
| Hepatitis B Surface Antigen (87340) | $42.90 | $130 | 4.2× |
| Hepatitis be antibody (86707) | $26.40 | $80 | 2.3× |
| Hepatitis Be Antigen (87350) | $29.70 | $90 | 2.6× |
| Hepatitis c antibody (86803) | $54.45 | $165 | 3.8× |
| Hepatitis C Genotype (87902) | $270.60 | $820 | 1.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $95.70 | $290 | 2.7× |
| Herpes simplex type 2 (86696) | $49.50 | $150 | 2.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $39.60 | $120 | 7.6× |
| Hfe gene (81256) | $156.75 | $475 | 2.4× |
| Hgb quant transcutaneous (88738) | $21.45 | $65 | 4.3× |
| Histamine plasma (83088) | $56.92 | $172.50 | 1.9× |
| Histoplasma antibody (86698) | $34.65 | $105 | 2.5× |
| Histoplasma antigen urine (87385) | $128.70 | $390 | 9.7× |
| HIV-1 antibody (86701) | $56.10 | $170 | 6.3× |
| HIV-2 probe&revrse trnscripj (87538) | $29.04 | $88 | 0.8× |
| Hla b 27 disease association lc (81374) | $99 | $300 | 1.3× |
| Hla class i high defin qual (86832) | $231 | $700 | 0.7× |
| Hla class i typing high resolution one allele or allele group (81381) | $125.40 | $380 | 0.7× |
| Hla class ii typing high resolution one locus ea (81382) | $282.15 | $855 | 2.3× |
| Hla I Typing 1 Locus Lr (81373) | $267.30 | $810 | 2.1× |
| Hla ii typing 1 locus lr (81376) | $207.90 | $630 | 1.7× |
| Hla-b27 (86812) | $64.35 | $195 | 2.5× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $75.90 | $230 | 1.1× |
| Hpylori Drug Administration (83014) | $56.10 | $170 | 7.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $173.25 | $525 | 4.9× |
| Hydroxyprogesterone 17-d (83498) | $49.50 | $150 | 1.8× |
| Iaad ia clostridium difficile toxin (87324) | $54.45 | $165 | 4.5× |
| Iaad ia cryptosporidium (87328) | $37.95 | $115 | 2.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $44.55 | $135 | 1.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $57.75 | $175 | 4.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $42.90 | $130 | 3.1× |
| Iaad ia rotavirus (87425) | $52.80 | $160 | 4.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $29.37 | $89 | 0.8× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $42.90 | $130 | 3.6× |
| Iaad Ia Streptococcus Group A (87430) | $42.90 | $130 | 2.6× |
| Iaadi inffluenza a virus (87276) | $29.70 | $90 | 1.8× |
| Iaadi influenza b virus (87275) | $29.70 | $90 | 2.4× |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) | $49.50 | $150 | 4.1× |
| Iaadi respiratory synctial virus (87280) | $36.30 | $110 | 2.7× |
| Iaadiadoo not otherwise specified (87899) | $85.80 | $260 | 5.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $36.30 | $110 | 1.0× |
| Iadna babesia microti amplified probe technique (87469) | $36.30 | $110 | 1.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $66 | $200 | 1.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $33 | $100 | 0.9× |
| Iadna hepatitis b virus quantification (87517) | $161.70 | $490 | 3.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $82.50 | $250 | 1.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $135.30 | $410 | 3.9× |
| Iadna HIV-1 quant & reverse transcription (87536) | $207.90 | $630 | 2.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $75.90 | $230 | 2.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $89.10 | $270 | 2.5× |
| Iadna nos amplified probe tq each organism (87798) | $328.35 | $995 | 9.4× |
| Iadna nos quantification each organism (87799) | $260.70 | $790 | 6.1× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $64.35 | $195 | 1.8× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $376.20 | $1,140 | 0.9× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $262.35 | $795 | 1.0× |
| Igg subclasses (82787) | $87.45 | $265 | 10.9× |
| Igvh somatic hypermutation (81263) | $237.60 | $720 | 0.8× |
| Immunfix e-phorsis/urine/csf (86335) | $72.60 | $220 | 2.5× |
| Immunoassay infectious agent antibody quan nos (86317) | $198 | $600 | 13.2× |
| Immunoassay nonantibody (83516) | $59.40 | $180 | 5.2× |
| Immunodiffusion Ouchterlony (86331) | $26.40 | $80 | 2.2× |
| Immunofixj Electrophoresis Serum (86334) | $59.40 | $180 | 2.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $23.76 | $72 | 0.1× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $59.40 | $180 | 5.0× |
| Immunoglobulin assay (86023) | $49.50 | $150 | 4.0× |
| Immunoglobulin light chains free each (83521) | $14.19 | $43 | 0.8× |
| Immunohistochemistry (88342) | $128.70 | $390 | 0.8× |
| India ink prep (87210) | $13.20 | $40 | 2.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) | $57.75 | $175 | 0.8× |
| Influenza a/b ag eia (87400) | $42.90 | $130 | 3.0× |
| Inhibin b (83520) | $145.20 | $440 | 8.4× |
| Insulin antibodies (86337) | $62.70 | $190 | 2.9× |
| Insulin free (83527) | $29.70 | $90 | 2.3× |
| Insulin total (83525) | $36.30 | $110 | 3.2× |
| Intraop cyto path consult 1 (88333) | $99 | $300 | 0.1× |
| Intrinsic factor antibody (86340) | $69.30 | $210 | 4.6× |
| Iron (83540) | $23.10 | $70 | 3.6× |
| Iron binding capacity (83550) | $29.70 | $90 | 3.4× |
| Islet cell antibody (86341) | $69.30 | $210 | 2.9× |
| Jak2 gene analysis (81270) | $250.80 | $760 | 2.7× |
| Jak2 Targeted Sequence Analysis (81279) | $125.40 | $380 | 0.7× |
| Koh Prep (87220) | $28.05 | $85 | 6.6× |
| Lactic acid (83605) | $64.35 | $195 | 5.6× |
| Ldh (83615) | $26.40 | $80 | 4.4× |
| Ldh isoenzymes (83625) | $36.30 | $110 | 2.8× |
| LDL cholesterol direct (83721) | $26.40 | $80 | 2.5× |
| Lead (83655) | $36.30 | $110 | 3.0× |
| Legion pneumo, DNA, amp prob (87541) | $82.50 | $250 | 2.4× |
| Legionella antigen urine (87449) | $62.70 | $190 | 5.2× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $19.47 | $59 | 4.6× |
| Leukocyte histamine release test (86343) | $46.20 | $140 | 3.7× |
| Level ii surg pathology grossµscopic exam (88302) | $59.40 | $180 | 1.6× |
| Level v surg pathology grossµscopic exam (88307) | $280.50 | $850 | 0.8× |
| Level vi surg pathology grossµscopic exam (88309) | $435.60 | $1,320 | 0.5× |
| Lh (83002) | $61.05 | $185 | 3.3× |
| Lidocaine level (80176) | $46.20 | $140 | 3.1× |
| Lipase (83690) | $42.90 | $130 | 6.2× |
| Listeria ab (86609) | $90.75 | $275 | 7.0× |
| Lithium (80178) | $47.85 | $145 | 7.2× |
| Lyme disease antibody (86618) | $66 | $200 | 3.9× |
| Lyme disease antibody confirm (86617) | $59.40 | $180 | 3.8× |
| Lymph Choriomeningitis Ab (86727) | $39.60 | $120 | 3.1× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $250.80 | $760 | 1.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $155.10 | $470 | 0.9× |
| Magnesium (83735) | $36.30 | $110 | 5.4× |
| Malaria smear (87207) | $36.30 | $110 | 6.1× |
| Mass spectrometry qual/quan (83789) | $72.60 | $220 | 3.0× |
| Mcg interphase insitu 25 (88274) | $99 | $300 | 2.3× |
| Mercury (83825) | $44.55 | $135 | 2.7× |
| Methotrexate (80299) | $115.50 | $350 | 6.2× |
| Methylmalonic acid serum (83921) | $102.30 | $310 | 4.8× |
| Microalbumin urine (82043) | $41.25 | $125 | 7.1× |
| Microbe susceptible diffuse (87181) | $92.40 | $280 | 19.5× |
| Microsomal antibodies (86376) | $47.85 | $145 | 3.3× |
| Mitochondrial antibody each (86381) | $36.30 | $110 | 1.4× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $9.90 | $30 | 0.8× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $99 | $300 | 1.9× |
| Molecular pathology procedure level 7 (81406) | $462 | $1,400 | 1.6× |
| Mononuclear cell antigen (86356) | $26.40 | $80 | 1.0× |
| Mopath procedure level 4 (81403) | $316.80 | $960 | 1.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $122.10 | $370 | 0.7× |
| Mrsa amp probe (87641) | $57.75 | $175 | 1.6× |
| Mthfr Gene Analysis Common Variants (81291) | $181.50 | $550 | 2.8× |
| Mycobacteric Identification (87118) | $42.90 | $130 | 2.9× |
| Mycoplasma antibody (86738) | $46.20 | $140 | 3.5× |
| Mycoplasma culture (87109) | $72.60 | $220 | 4.7× |
| Mycoplasma genitalium PCR (87563) | $36.30 | $110 | 1.0× |
| Myelin basic protein csf (83873) | $89.10 | $270 | 5.2× |
| Myoglobin urine (83874) | $52.80 | $160 | 4.1× |
| Natriuretic peptide (83880) | $94.05 | $285 | 2.4× |
| Neutralization test, viral (86382) | $29.70 | $90 | 1.8× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $194.70 | $590 | 2.7× |
| Niacin (84591) | $52.80 | $160 | 3.1× |
| Nk cells total count (86357) | $49.50 | $150 | 1.3× |
| Nmr Lipoprofile (83704) | $52.80 | $160 | 1.5× |
| Nuclear antigen antibody (86235) | $275.55 | $835 | 15.4× |
| Occult blood stool (82272) | $24.75 | $75 | 5.9× |
| Oligoclonal bands (83916) | $74.25 | $225 | 2.7× |
| Osmolality serum (83930) | $44.55 | $135 | 6.7× |
| Osmolality urine (83935) | $44.55 | $135 | 6.5× |
| Ova and parasite direct-id lca (87177) | $44.55 | $135 | 5.0× |
| Pancreatic polypeptide (83519) | $184.80 | $560 | 10.0× |
| Parainfluenza ag if (87279) | $26.40 | $80 | 1.6× |
| Particle Agglutination Screen Each Antibody (86403) | $62.70 | $190 | 5.4× |
| Parvovirus antibody (86747) | $33 | $100 | 2.2× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $58.08 | $176 | 0.8× |
| Phosphatase acid prostatic (84066) | $19.80 | $60 | 2.0× |
| Phosphatase alkaline (84075) | $26.40 | $80 | 5.1× |
| Phosphorus blood (84100) | $25.74 | $78 | 5.4× |
| Phosphorus urine (84105) | $19.80 | $60 | 3.4× |
| Pinworm exam (87172) | $16.50 | $50 | 3.9× |
| Platelet aggregation (85576) | $46.20 | $140 | 1.9× |
| Platelet count (85049) | $29.70 | $90 | 6.6× |
| Platelet neutralization (85597) | $89.10 | $270 | 5.0× |
| Pml/raralpha com breakpoints (81315) | $214.50 | $650 | 1.0× |
| Pneumcysts jirovecii amp prb (87594) | $29.70 | $90 | 0.8× |
| Porphobilinogen urine quant (84110) | $29.70 | $90 | 3.5× |
| Porphyrins qn & fraction urine (84120) | $59.40 | $180 | 4.0× |
| Potassium (84132) | $23.10 | $70 | 4.9× |
| Potassium urine (84133) | $19.80 | $60 | 4.2× |
| Pregnenolone (84140) | $42.90 | $130 | 2.1× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $158.40 | $480 | 0.9× |
| Pretx serum rbc antibody identification dilution (86976) | $39.60 | $120 | 1.4× |
| Primidone (80188) | $33 | $100 | 2.0× |
| Procalcitonin (pct) (84145) | $132 | $400 | 4.8× |
| Progesterone (84144) | $62.70 | $190 | 3.0× |
| Prolactin (84146) | $72.60 | $220 | 3.7× |
| Prostaglandin Ea (84150) | $34.98 | $106 | 0.8× |
| Protein body fluid (84157) | $34.65 | $105 | 8.7× |
| Protein c activity (85303) | $132 | $400 | 9.5× |
| Protein c antigen (85302) | $56.10 | $170 | 4.7× |
| Protein electrophoresis serum (84165) | $29.70 | $90 | 2.8× |
| Protein Electrophoresis Urine (84166) | $49.50 | $150 | 2.8× |
| Protein S Functional (85306) | $122.10 | $370 | 8.0× |
| Protein s total (85305) | $29.70 | $90 | 2.6× |
| Protein Total Serum (84155) | $23.10 | $70 | 6.3× |
| Protein urine (84156) | $29.70 | $90 | 8.1× |
| Protein Western Blot (84182) | $89.10 | $270 | 3.1× |
| PSA free (84154) | $41.25 | $125 | 2.2× |
| Quantiferon tb gold (86480) | $113.85 | $345 | 1.8× |
| Rbc antibody elution (86860) | $95.70 | $290 | 0.6× |
| Rbc pretx incubatj w/chemicl (86970) | $920.70 | $2,790 | 15.6× |
| Reagent strip/blood glucose (82948) | $9.90 | $30 | 2.0× |
| Renin activity plasma (84244) | $66 | $200 | 3.0× |
| Resp virus 3-5 targets (87631) | $171.60 | $520 | 1.2× |
| Respiratory viral panel PCR (87633) | $349.80 | $1,060 | 0.8× |
| Reticulocyte separation (86972) | $85.80 | $260 | 0.5× |
| Rheumatoid factor quant (86431) | $37.95 | $115 | 6.7× |
| Rickettsia antibody (86757) | $62.70 | $190 | 3.2× |
| Rpr Titer (86593) | $9.90 | $30 | 2.3× |
| Rsv (87807) | $42.90 | $130 | 3.3× |
| Rubella antibody (86762) | $39.60 | $120 | 2.8× |
| Russell viper venom time diluted (85613) | $74.25 | $225 | 7.8× |
| Saccharomyces ab iga (86671) | $39.60 | $120 | 3.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $47.85 | $145 | 0.9× |
| Sarscov2 & inf a&b amp prb (87636) | $145.20 | $440 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $323.40 | $980 | 2.3× |
| Sed rate automated (85652) | $23.10 | $70 | 8.6× |
| Semen analysis (89322) | $66 | $200 | 4.3× |
| Semen analysis sperm presence&/motility sprm (89321) | $29.70 | $90 | 2.5× |
| Sensitivity mic (87186) | $41.25 | $125 | 4.8× |
| Serotonin Release Assay (86022) | $69.30 | $210 | 3.8× |
| Sex hormone binding globulin (84270) | $42.90 | $130 | 2.0× |
| Sickle cell screen (85660) | $23.10 | $70 | 4.2× |
| Sirolimus (rapamycin) (80195) | $46.20 | $140 | 3.4× |
| Smear acid fast (87206) | $36.30 | $110 | 6.7× |
| Smear complex stain (87209) | $42.90 | $130 | 2.4× |
| Smear gram stain (87205) | $28.05 | $85 | 6.6× |
| Sodium (84295) | $28.05 | $85 | 5.8× |
| Sodium other source (84302) | $16.50 | $50 | 3.4× |
| Sodium urine (84300) | $29.70 | $90 | 5.9× |
| Soluble transferrin receptor (84238) | $118.80 | $360 | 3.2× |
| Special stains group 1 (88312) | $56.10 | $170 | 1.1× |
| Spectrophotometry (84311) | $188.10 | $570 | 23.2× |
| Staph aureus amplified probe (87640) | $49.50 | $150 | 1.4× |
| Stool Cultr Aerobic Bact Ea (87046) | $29.70 | $90 | 3.1× |
| Strep a assay w/optic (87880) | $29.70 | $90 | 1.8× |
| Strep a DNA amp probe (87651) | $42.90 | $130 | 1.2× |
| Surg path level iii (88304) | $72.60 | $220 | 1.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $33 | $100 | 1.1× |
| Surgical pathology level IV (88305) | $112.20 | $340 | 2.1× |
| T3 free (84481) | $69.30 | $210 | 4.1× |
| T3 reverse (84482) | $49.50 | $150 | 3.1× |
| T3 total (84480) | $61.05 | $185 | 4.3× |
| T4 Free (84439) | $33 | $100 | 3.7× |
| T4 total (84436) | $37.95 | $115 | 5.5× |
| Tau phosphorylated each (84393) | $69.30 | $210 | 0.5× |
| Tb intradermal test (86580) | $6.60 | $20 | 0.2× |
| Test for acetone/ketones (82009) | $23.10 | $70 | 5.1× |
| Testosterone free (84402) | $74.25 | $225 | 2.9× |
| Testosterone total (84403) | $66 | $200 | 2.6× |
| Tetanus antibody (86774) | $36.30 | $110 | 2.5× |
| Thin prep pap (88142) | $41.25 | $125 | 2.0× |
| Thrombin time plasma (85670) | $42.90 | $130 | 7.4× |
| Thyroglobulin (84432) | $52.80 | $160 | 3.3× |
| Thyroglobulin Ab (86800) | $41.25 | $125 | 2.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $201.30 | $610 | 4.0× |
| Thyroxine binding globulin (84442) | $39.60 | $120 | 2.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $165 | $500 | 1.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $19.80 | $60 | 1.7× |
| Tissue culture bone marrow (88237) | $184.80 | $560 | 1.3× |
| Tissue Culture Lymphocyte (88230) | $178.20 | $540 | 1.5× |
| Tobramycin peak (80200) | $69.30 | $210 | 4.3× |
| Topiramate (80201) | $42.90 | $130 | 3.6× |
| Toxoplasma ab igm (86778) | $33 | $100 | 2.3× |
| Toxoplasma antibody igg (86777) | $36.30 | $110 | 2.5× |
| Transferrin (84466) | $49.50 | $150 | 3.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $214.50 | $650 | 1.0× |
| Trichomonas vagin dir probe (87660) | $33 | $100 | 1.6× |
| Triglycerides (84478) | $26.40 | $80 | 4.6× |
| Troponin (84484) | $82.50 | $250 | 6.6× |
| Urea nitrogen (84520) | $19.80 | $60 | 5.0× |
| Urea nitrogen urine (84540) | $26.40 | $80 | 4.7× |
| Uric acid blood (84550) | $27.06 | $82 | 6.0× |
| Uric acid other source (84560) | $36.30 | $110 | 7.1× |
| Urinalysis microscopic only (81015) | $13.20 | $40 | 4.3× |
| Urinalysis w/microscopic (81001) | $16.50 | $50 | 5.2× |
| Urine pregnancy test (81025) | $33 | $100 | 3.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $16.50 | $50 | 7.3× |
| Valproic acid level (80164) | $70.95 | $215 | 5.2× |
| Vancomycin trough (80202) | $74.25 | $225 | 5.5× |
| Varicella-zoster antibody (86787) | $41.25 | $125 | 3.2× |
| Vasoactive intestinal peptide (vip) (84586) | $62.70 | $190 | 1.8× |
| Vdrl csf (86592) | $39.60 | $120 | 9.3× |
| Virus antibody nos (86790) | $94.05 | $285 | 7.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $52.80 | $160 | 1.6× |
| Virus inoculation, shell via (87254) | $49.50 | $150 | 2.5× |
| Viscosity serum (85810) | $26.40 | $80 | 2.3× |
| Vitamin A (84590) | $59.40 | $180 | 5.1× |
| Vitamin b-12 (82607) | $47.85 | $145 | 3.2× |
| Vitamin b1 (thiamine) (84425) | $61.05 | $185 | 2.9× |
| Vitamin b6 (84207) | $66 | $200 | 2.3× |
| Vitamin C (82180) | $33 | $100 | 3.3× |
| Vitamin D 25-Hydroxy (82306) | $92.40 | $280 | 3.1× |
| Vitamin e serum (84446) | $46.20 | $140 | 3.3× |
| Von willebrand factor activity (85245) | $118.80 | $360 | 5.2× |
| West nile virus ab, igm (86788) | $49.50 | $150 | 2.9× |
| West nile virus antibody (86789) | $52.80 | $160 | 3.7× |
| Zinc (84630) | $52.80 | $160 | 4.6× |