| 1 25 Dihydroxy includes fractions if performed (82652) |
$31.50 |
$31.50 |
0.8× |
| 5 Nucleotidase (83915) |
$33 |
$33 |
3.0× |
| Acetaminophen level (80143) |
$992.50 |
$992.50 |
53.2× |
| Acetone serum qual (82009) |
$473 |
$473 |
104.6× |
| Acetylcholine receptor binding antibody (86041) |
$12.20 |
$12.20 |
0.7× |
| Acetylcholine receptor blocking antibody (86042) |
$32.50 |
$32.50 |
1.8× |
| Acetylcholinesterase (82013) |
$11 |
$11 |
0.9× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$70.58 |
$70.58 |
5.9× |
| Acth stimulation panel adrenal insufficiency (80400) |
$186 |
$186 |
5.7× |
| Actin smooth muscle antibody each (86015) |
$39 |
$39 |
3.2× |
| Activated protein c resistance (85307) |
$823 |
$823 |
53.7× |
| Acute hepatitis panel (80074) |
$104 |
$104 |
2.2× |
| Adamts13 activity (85397) |
$155 |
$155 |
5.0× |
| Adenovirus ag, if (87260) |
$446 |
$446 |
30.9× |
| Adenovirus antibody (86603) |
$10 |
$10 |
0.8× |
| Adrenocorticotropic hormone (82024) |
$16 |
$16 |
0.4× |
| Afp maternal serum (82105) |
$42 |
$42 |
2.5× |
| Agglutinins febrile ea antigen (86000) |
$56 |
$56 |
8.0× |
| Albumin body fluid (82042) |
$645 |
$645 |
82.9× |
| Albumin serum (82040) |
$305 |
$305 |
61.6× |
| Aldolase (82085) |
$7 |
$7 |
0.7× |
| Aldosterone urine (82088) |
$14 |
$14 |
0.3× |
| Alk phos heat stable (84078) |
$52 |
$52 |
6.3× |
| Alkaline phosphatase isoenzymes (84080) |
$22 |
$22 |
1.5× |
| Allergen peanut (86003) |
$54.63 |
$54.63 |
10.5× |
| Allg Spec Ige Recomb Ea (86008) |
$3.26 |
$3.26 |
0.2× |
| Alpha-1-antitrypsin phenotype (82104) |
$84 |
$84 |
5.8× |
| Alpha-1-antitrypsin, total (82103) |
$33 |
$33 |
2.5× |
| Alpha-Fetoprotein; Amniotic (82106) |
$84.50 |
$84.50 |
5.0× |
| Alt (sgpt) (84460) |
$1,027 |
$1,027 |
193.8× |
| Aluminum (82108) |
$11 |
$11 |
0.4× |
| Amikacin trough (80150) |
$176 |
$176 |
11.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$40 |
$40 |
1.7× |
| Amino acids; single, qualitative, each specimen Facility (82127) |
$42 |
$42 |
3.0× |
| Aminolevulinic acid (ala) (82135) |
$8 |
$8 |
0.5× |
| Amniotic fluid enzyme test (84081) |
$33 |
$33 |
2.0× |
| Amylase urine (82150) |
$1,022 |
$1,022 |
157.7× |
| Ana titer (86039) |
$19 |
$19 |
1.7× |
| Angiotensin i enzyme test (82164) |
$13 |
$13 |
0.9× |
| Anti-phosphatidylserine antibody (86148) |
$72 |
$72 |
4.5× |
| Antibody aspergillus (86606) |
$27.42 |
$27.42 |
1.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$46 |
$46 |
3.0× |
| Antibody coxiella burnetii q fever (86638) |
$29 |
$29 |
2.4× |
| Antibody cytomegalovirus cmv (86644) |
$28 |
$28 |
1.9× |
| Antibody Encephalitis Eastern Equine (86652) |
$22.50 |
$22.50 |
1.7× |
| Antibody encephalitis st. louis (86653) |
$22.50 |
$22.50 |
1.7× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$274 |
$274 |
20.9× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$80 |
$80 |
6.5× |
| Antibody helicobacter pylori (86677) |
$140 |
$140 |
8.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$29 |
$29 |
2.0× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$479 |
$479 |
34.9× |
| Antibody HIV-2 (86702) |
$222 |
$222 |
16.4× |
| Antibody identification (86870) |
$1,549 |
$1,549 |
4.1× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$61 |
$61 |
4.9× |
| Antibody influenza virus (86710) |
$15 |
$15 |
1.1× |
| Antibody mumps (86735) |
$99 |
$99 |
7.6× |
| Antibody Protozoa Nes (86753) |
$38.42 |
$38.42 |
3.1× |
| Antibody screen (86850) |
$1,401 |
$1,401 |
143.4× |
| Antibody treponema pallidum (86780) |
$117 |
$117 |
8.8× |
| Antibody; Coccidioides (86635) |
$26.58 |
$26.58 |
2.3× |
| Antibody; HTLV-II Facility (86688) |
$45 |
$45 |
3.2× |
| Antigen typing (86905) |
$245 |
$245 |
64.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$144 |
$144 |
27.8× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$190.50 |
$190.50 |
15.8× |
| Antinomyces antibody (86602) |
$20.84 |
$20.84 |
2.0× |
| Antinuclear antibodies (86038) |
$23.91 |
$23.91 |
2.0× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$36 |
$36 |
6.2× |
| Antistreptolysin o titer (86060) |
$45 |
$45 |
6.2× |
| Antithrombin iii activity (85300) |
$162 |
$162 |
13.7× |
| Antithrombin iii antigen (85301) |
$74 |
$74 |
6.8× |
| Apolipoprotein each (82172) |
$7 |
$7 |
0.3× |
| Arsenic Urine (82175) |
$33 |
$33 |
1.7× |
| Aspergillus ag eia (87305) |
$202.50 |
$202.50 |
16.9× |
| Assay 17-(17-Ks)Ketosteroids (83586) |
$41 |
$41 |
3.2× |
| Assay Lipoprotein Pla2 (83698) |
$12 |
$12 |
0.3× |
| Assay of 5-hiaa (83497) |
$28 |
$28 |
2.2× |
| Assay of ammonia (82140) |
$1,109 |
$1,109 |
76.1× |
| Assay of androstenedione (82157) |
$15 |
$15 |
0.5× |
| Assay of anti-mullerian hormone (82166) |
$45.50 |
$45.50 |
1.2× |
| Assay of biotinidase (82261) |
$42 |
$42 |
2.5× |
| Assay of c-peptide (84681) |
$117 |
$117 |
5.6× |
| Assay of ceruloplasmin (82390) |
$12.50 |
$12.50 |
1.2× |
| Assay of citrate (82507) |
$11 |
$11 |
0.4× |
| Assay of corticosterone (82528) |
$45 |
$45 |
2.0× |
| Assay of cpk in blood (82552) |
$53 |
$53 |
4.0× |
| Assay of creatine (82540) |
$421 |
$421 |
90.7× |
| Assay of cyclosporine (80158) |
$28 |
$28 |
1.6× |
| Assay of dibucaine number (82638) |
$14 |
$14 |
1.1× |
| Assay of erythropoietin (82668) |
$26 |
$26 |
1.4× |
| Assay of estrone (82679) |
$33 |
$33 |
1.3× |
| Assay of ethosuximide (80168) |
$12 |
$12 |
0.7× |
| Assay of ferritin (82728) |
$1,032 |
$1,032 |
75.7× |
| Assay of g6pd enzyme (82955) |
$7 |
$7 |
0.7× |
| Assay of gammaglobulin igm (82784) |
$16.50 |
$16.50 |
1.8× |
| Assay of gastrin (82941) |
$8 |
$8 |
0.5× |
| Assay of gentamicin (80170) |
$1,321 |
$1,321 |
80.6× |
| Assay of homocystine (83090) |
$415 |
$415 |
23.2× |
| Assay of lactic acid (83605) |
$483 |
$483 |
41.7× |
| Assay of lipoprotein(a) (83695) |
$32.61 |
$32.61 |
2.3× |
| Assay of manganese (83785) |
$37 |
$37 |
1.4× |
| Assay of metanephrines (83835) |
$18 |
$18 |
1.1× |
| Assay of phenobarbital (80184) |
$1,637 |
$1,637 |
107.0× |
| Assay of phosphatase acid total (84060) |
$5 |
$5 |
0.7× |
| Assay of prealbumin (84134) |
$771 |
$771 |
52.8× |
| Assay of procainamide (80190) |
$686 |
$686 |
11.4× |
| Assay of proinsulin (84206) |
$58 |
$58 |
2.2× |
| Assay of prolactin (84146) |
$29 |
$29 |
1.5× |
| Assay of pyruvate (84210) |
$19 |
$19 |
1.3× |
| Assay of semen fructose (82757) |
$6 |
$6 |
0.3× |
| Assay of serotonin (84260) |
$18 |
$18 |
0.6× |
| Assay of tacrolimus (80197) |
$407 |
$407 |
29.6× |
| Assay of topiramate (80201) |
$13 |
$13 |
1.1× |
| Assay of Tyrosine (84510) |
$9 |
$9 |
0.8× |
| Assay of urine vma (84585) |
$19 |
$19 |
1.2× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$84 |
$84 |
2.5× |
| Assay of volatiles (84600) |
$25.86 |
$25.86 |
1.5× |
| Assay spec xcp ur&breath ia (82077) |
$854.50 |
$854.50 |
49.5× |
| Ast (sgot) (84450) |
$987 |
$987 |
190.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) |
$795 |
$795 |
4.5× |
| B cells total count (86355) |
$18 |
$18 |
0.5× |
| Bartonella antibody (86611) |
$9 |
$9 |
0.9× |
| Beta 2 glycoprotein 1 igm (86146) |
$12.21 |
$12.21 |
0.5× |
| Beta hydroxybutyrate (82010) |
$43.50 |
$43.50 |
5.3× |
| Beta-2 microglobulin (82232) |
$39 |
$39 |
2.4× |
| Bile acids, total (82239) |
$122 |
$122 |
7.1× |
| Bile acids; cholylglycine Facility (82240) |
$122 |
$122 |
4.6× |
| Bilirubin direct (82248) |
$918 |
$918 |
182.9× |
| Bilirubin total (82247) |
$918 |
$918 |
182.9× |
| Bl Smear W/Diff Wbc Count (85007) |
$82 |
$82 |
21.6× |
| Blastomyces antibody (86612) |
$21 |
$21 |
1.6× |
| Bld Typing Serologic Rh Phnt (86906) |
$319 |
$319 |
41.2× |
| Blood gas (82803) |
$392.50 |
$392.50 |
15.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$16 |
$16 |
3.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$185 |
$185 |
29.1× |
| Blood typing abo (86900) |
$431.50 |
$431.50 |
144.3× |
| Blood typing serologic rh (d) (86901) |
$430.50 |
$430.50 |
144.0× |
| Body fluid cell count (89051) |
$1,023 |
$1,023 |
182.7× |
| Body fluid cell count (89050) |
$686 |
$686 |
145.3× |
| Bordetella antibody (86615) |
$22 |
$22 |
1.7× |
| Bordetella pertussis dfa (87265) |
$96.50 |
$96.50 |
8.1× |
| Borrelia Antibody (86619) |
$248 |
$248 |
18.5× |
| Brucella antibody (86622) |
$49 |
$49 |
5.5× |
| C diff amplified probe (87493) |
$319 |
$319 |
8.6× |
| C-reactive protein (86140) |
$379 |
$379 |
73.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$725 |
$725 |
56.0× |
| C1q binding assay (86332) |
$84.50 |
$84.50 |
3.5× |
| Ca 125 (86304) |
$42 |
$42 |
2.0× |
| Ca 19-9 (86301) |
$48 |
$48 |
2.3× |
| Ca 27 29 (86300) |
$41 |
$41 |
2.0× |
| Cadmium level (82300) |
$15 |
$15 |
0.6× |
| Calcitonin (82308) |
$22 |
$22 |
0.8× |
| Calcium ionized (82330) |
$39 |
$39 |
2.9× |
| Calcium total (82310) |
$846 |
$846 |
164.0× |
| Calcium urine (82340) |
$280 |
$280 |
46.4× |
| Calculus Quantitative Chemical (82360) |
$17.50 |
$17.50 |
1.4× |
| California encephalitis ab (86651) |
$22.50 |
$22.50 |
1.7× |
| Calprotectin, fecal (83993) |
$21.53 |
$21.53 |
1.1× |
| Candida antibody (86628) |
$7 |
$7 |
0.6× |
| Carbamazepine total (80156) |
$1,513 |
$1,513 |
103.8× |
| Carbon dioxide (82374) |
$680 |
$680 |
139.3× |
| Carboxyhemoglobin (82375) |
$9 |
$9 |
0.7× |
| Carcinoembryonic antigen (82378) |
$828 |
$828 |
43.7× |
| Cardiolipin ab igg (86147) |
$85 |
$85 |
3.3× |
| Carnitine (82379) |
$136 |
$136 |
8.1× |
| Carotene (82380) |
$12.50 |
$12.50 |
1.4× |
| Catecholamines fraction plasma (82384) |
$26 |
$26 |
1.0× |
| Catecholamines organic nitrogen blood level (82383) |
$92 |
$92 |
3.2× |
| Catecholamines Total Urine (82382) |
$15 |
$15 |
0.5× |
| Cell marker study (88182) |
$175 |
$175 |
3.2× |
| Chlamydia antibody (86631) |
$105 |
$105 |
8.9× |
| Chlamydia Igm Antibody (86632) |
$105 |
$105 |
8.3× |
| Chloramphenicol (82415) |
$16 |
$16 |
1.3× |
| Chloride blood (82435) |
$530 |
$530 |
115.2× |
| Chloride feces (82438) |
$192 |
$192 |
38.4× |
| Chloride urine (82436) |
$530 |
$530 |
92.2× |
| Cholesterol HDL (83718) |
$473 |
$473 |
57.8× |
| Cholesterol total (82465) |
$866 |
$866 |
199.1× |
| Cholinesterase rbc (82482) |
$14 |
$14 |
1.4× |
| Cholinesterase serum (82480) |
$14 |
$14 |
1.8× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) |
$85 |
$85 |
3.2× |
| Chrmsm analysis addl high resolution study (88289) |
$135 |
$135 |
3.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$116 |
$116 |
3.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$494.50 |
$494.50 |
3.9× |
| Chromium urine (82495) |
$19 |
$19 |
0.9× |
| Chromogranin a (86316) |
$79 |
$79 |
3.8× |
| Chromosome analys amniotic (88269) |
$602 |
$602 |
3.5× |
| Chromosome Analysis 5 (88261) |
$423 |
$423 |
1.6× |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
$828 |
$828 |
4.8× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) |
$264 |
$264 |
1.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$771 |
$771 |
22.0× |
| Ckmb (82553) |
$1,513 |
$1,513 |
131.0× |
| Clot Factor VIII Multimetric (85247) |
$45 |
$45 |
2.0× |
| Clot factor viii vw antigen (85246) |
$343 |
$343 |
15.0× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$84 |
$84 |
4.7× |
| Clot factor xiii fibrin stab (85290) |
$126 |
$126 |
7.7× |
| Clotting Inhibitors Protein S Free (85306) |
$175 |
$175 |
11.4× |
| Clozapine level (80159) |
$18 |
$18 |
0.9× |
| Cmv ab igm (86645) |
$42 |
$42 |
2.5× |
| Cmv PCR (87496) |
$310.90 |
$310.90 |
8.9× |
| Cns DNA amp probe type 12-25 (87483) |
$550 |
$550 |
1.3× |
| Coagulation time activated (85347) |
$157 |
$157 |
36.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$446 |
$446 |
18.5× |
| Cold agglutinin titer (86157) |
$17 |
$17 |
2.1× |
| Compatibility test antiglob (86922) |
$304 |
$304 |
1.7× |
| Compatibility Test Incubate (86921) |
$444 |
$444 |
2.5× |
| Complement c3 (86160) |
$44 |
$44 |
3.7× |
| Complement total (ch50) (86162) |
$25 |
$25 |
1.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$55.50 |
$55.50 |
4.6× |
| Concentration Infectious Agent (87015) |
$400 |
$400 |
59.9× |
| Coombs direct (86880) |
$582 |
$582 |
108.0× |
| Copper urine (82525) |
$15 |
$15 |
1.2× |
| Cortisol free (82530) |
$16 |
$16 |
1.0× |
| Cortisol total (82533) |
$648 |
$648 |
39.8× |
| Creatine kinase total (82550) |
$943 |
$943 |
144.9× |
| Creatinine blood (82565) |
$645 |
$645 |
126.0× |
| Creatinine clearance (82575) |
$1,651 |
$1,651 |
174.5× |
| Creatinine other source (82570) |
$330 |
$330 |
63.7× |
| Crossmatch immediate spin (86920) |
$1,052 |
$1,052 |
5.9× |
| Cryofibrinogen (82585) |
$23 |
$23 |
1.6× |
| Cryoglobulin (82595) |
$33 |
$33 |
5.1× |
| Cryptococcus antibody (86641) |
$16 |
$16 |
1.1× |
| Crystals body fluid (89060) |
$436 |
$436 |
59.5× |
| Culture Aerobic Identify (87077) |
$692.50 |
$692.50 |
85.7× |
| Culture afb (87116) |
$100 |
$100 |
9.3× |
| Culture anaerobic (87075) |
$1,939 |
$1,939 |
204.8× |
| Culture blood (87040) |
$1,768 |
$1,768 |
171.3× |
| Culture chlamydia (87110) |
$39 |
$39 |
2.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$76 |
$76 |
9.9× |
| Culture fungus blood (87103) |
$76 |
$76 |
3.7× |
| Culture fungus id yeast (87106) |
$126.50 |
$126.50 |
12.3× |
| Culture fungus other (87102) |
$52 |
$52 |
6.2× |
| Culture genital (87070) |
$1,635 |
$1,635 |
189.7× |
| Culture screen only (87081) |
$205 |
$205 |
30.9× |
| Culture stool (87045) |
$1,588 |
$1,588 |
168.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$509 |
$509 |
98.3× |
| Culture urine (87086) |
$257 |
$257 |
31.8× |
| Culture virus (87252) |
$207 |
$207 |
7.9× |
| Cyanide (82600) |
$21 |
$21 |
1.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
$13 |
$13 |
0.9× |
| Cyclic amp (82030) |
$29 |
$29 |
1.1× |
| Cyclic Citrullinated Peptide (86200) |
$61 |
$61 |
4.7× |
| Cystatin c (82610) |
$793 |
$793 |
42.8× |
| Cysticercosis Antibody (86682) |
$46.50 |
$46.50 |
3.6× |
| Cytogenetics 100-300 (88275) |
$179 |
$179 |
3.5× |
| Cytogenetics DNA probe (88271) |
$68 |
$68 |
3.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$53 |
$53 |
1.2× |
| Cytopath cell enhance tech (88112) |
$67 |
$67 |
1.2× |
| Cytopath Fl Nongyn Filter (88106) |
$85 |
$85 |
2.8× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$65.50 |
$65.50 |
1.7× |
| Cytopath Smear Other Source (88160) |
$29 |
$29 |
1.0× |
| Cytp concentration smears & interpretation (88108) |
$42 |
$42 |
1.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$68 |
$68 |
1.2× |
| Cytp fna eval dx 1st each site (88172) |
$19 |
$19 |
0.1× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$53 |
$53 |
1.0× |
| D-Dimer (85378) |
$1,049 |
$1,049 |
107.9× |
| Deoxycortisol (82634) |
$18 |
$18 |
0.6× |
| Deoxyribonuclease antibody (86215) |
$23.50 |
$23.50 |
1.8× |
| Desoxycorticosterone (82633) |
$62 |
$62 |
2.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$577 |
$577 |
34.9× |
| Dgp antibody each ig class (86258) |
$92 |
$92 |
7.6× |
| Dhea (82626) |
$14 |
$14 |
0.6× |
| Dhea-sulfate (82627) |
$116 |
$116 |
5.2× |
| Digoxin (80162) |
$846 |
$846 |
63.7× |
| Dilantin (80185) |
$1,401 |
$1,401 |
105.7× |
| Diphtheria antitoxoid (86648) |
$24 |
$24 |
1.6× |
| Dna Antibody Single Stranded (86226) |
$27 |
$27 |
2.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$67 |
$67 |
4.9× |
| DNA/RNA direct probe (87149) |
$347 |
$347 |
17.3× |
| Drug Assay Amiodarone (80151) |
$17 |
$17 |
0.9× |
| Drug assay flecainide (80181) |
$14 |
$14 |
0.8× |
| Drug assay methotrexate (80204) |
$35.50 |
$35.50 |
0.9× |
| Drug assay voriconazole (80285) |
$64 |
$64 |
2.4× |
| Drug quant nes (80299) |
$68.50 |
$68.50 |
3.7× |
| Drug Screen Quantitative Lamotrigine (80175) |
$20 |
$20 |
1.5× |
| Drug Screen Quantitative Lidocaine (80176) |
$41 |
$41 |
2.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$30.50 |
$30.50 |
2.3× |
| Drug Scrn Quan Levetiracetam (80177) |
$65.16 |
$65.16 |
4.9× |
| Drug test prsmv chem anlyzr (80307) |
$160.89 |
$160.89 |
2.6× |
| E test (87181) |
$942 |
$942 |
198.3× |
| Ebv viral capsid (86665) |
$858 |
$858 |
47.3× |
| Ehrlichia antibody (86666) |
$155 |
$155 |
15.2× |
| Electrolyte panel (80051) |
$1,418 |
$1,418 |
202.3× |
| Electron microscopy diagnostic (88348) |
$931 |
$931 |
1.1× |
| Electronic crossmatch (86923) |
$973 |
$973 |
5.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$36 |
$36 |
0.6× |
| Encephalitis Western Equine (86654) |
$22.50 |
$22.50 |
1.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$39 |
$39 |
3.2× |
| Entamoeba histolytica antigen (87337) |
$72 |
$72 |
6.0× |
| Enterovirus antibody (86658) |
$22.50 |
$22.50 |
1.7× |
| Enterovirus Pcr (87498) |
$667 |
$667 |
19.0× |
| Enzyme cell activity (82657) |
$61 |
$61 |
2.8× |
| Enzyme histochemistry (88319) |
$119.50 |
$119.50 |
0.1× |
| Eosinophil count (85048) |
$462 |
$462 |
181.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$84 |
$84 |
5.5× |
| Estradiol (82670) |
$18 |
$18 |
0.6× |
| Estriol serum (82677) |
$16 |
$16 |
0.7× |
| Estrogens fractionated (82671) |
$43 |
$43 |
1.3× |
| Estrogens total (82672) |
$67 |
$67 |
3.1× |
| Ethylene glycol (82693) |
$15 |
$15 |
1.0× |
| Euglobulin lysis (85360) |
$75 |
$75 |
8.9× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$531 |
$531 |
5.4× |
| F2 gene analysis 20210g >a variant (81240) |
$41.76 |
$41.76 |
0.6× |
| F5 gene analysis, leiden variant (81241) |
$51.14 |
$51.14 |
0.7× |
| Factor ii activity (85210) |
$91 |
$91 |
7.0× |
| Factor inhibitor test (85335) |
$131 |
$131 |
10.2× |
| Factor ix activity (85250) |
$84 |
$84 |
4.4× |
| Factor v activity (85220) |
$84 |
$84 |
4.8× |
| Factor vii assay (85230) |
$84 |
$84 |
4.7× |
| Factor viii ahg (85240) |
$161.50 |
$161.50 |
9.0× |
| Factor xi assay (85270) |
$28 |
$28 |
1.6× |
| Factor xii assay (85280) |
$84 |
$84 |
4.3× |
| Fatty acids free (82725) |
$10 |
$10 |
0.5× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$56 |
$56 |
7.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$249.50 |
$249.50 |
14.5× |
| Fecal fat qual (82705) |
$41 |
$41 |
8.0× |
| Fecal fat quant (82710) |
$110 |
$110 |
6.5× |
| Fetal bleed screen (85461) |
$561 |
$561 |
59.9× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) |
$325 |
$325 |
0.4× |
| Fetal fibronectin (82731) |
$1,023 |
$1,023 |
15.9× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) |
$168 |
$168 |
7.6× |
| Fetal screen (83030) |
$30.50 |
$30.50 |
2.8× |
| Fibrin degradation products (85362) |
$16 |
$16 |
2.3× |
| Fibrin Degradation Quant (85379) |
$654 |
$654 |
64.2× |
| Fibrinogen activity (85384) |
$1,109 |
$1,109 |
114.1× |
| Flow cytometry first marker (88184) |
$141 |
$141 |
0.4× |
| Fluorescent Antibody Screen (86255) |
$582.24 |
$582.24 |
48.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$23 |
$23 |
1.9× |
| Fluoride (82735) |
$25 |
$25 |
1.3× |
| Fmr1 gene charac alleles (81244) |
$325 |
$325 |
7.2× |
| Fmr1 gene detection (81243) |
$247.59 |
$247.59 |
4.3× |
| Folate serum (82746) |
$744 |
$744 |
50.6× |
| Folic acid rbc (82747) |
$59 |
$59 |
3.3× |
| Follicle Stimulating Hormone (83001) |
$17 |
$17 |
0.9× |
| Francisella tularensis (86668) |
$50 |
$50 |
3.5× |
| Fresh frozen plasma thawing each unit (86927) |
$41 |
$41 |
0.2× |
| Frozen blood each unit thawing (86931) |
$1,624 |
$1,624 |
9.1× |
| Frozen Section (88331) |
$154 |
$154 |
0.9× |
| Fructosamine (82985) |
$23 |
$23 |
1.4× |
| Gabapentin (80171) |
$15 |
$15 |
0.7× |
| Galactose transferase test (82776) |
$204 |
$204 |
17.4× |
| Gammaglobulin ige (82785) |
$19.76 |
$19.76 |
1.2× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) |
$154 |
$154 |
2.0× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) |
$70 |
$70 |
10.4× |
| Gastrin after secretin stim (82938) |
$105 |
$105 |
5.9× |
| Ggt (82977) |
$910 |
$910 |
126.4× |
| Giardia antigen eia stool (87329) |
$778 |
$778 |
64.9× |
| Glucagon (82943) |
$23 |
$23 |
1.6× |
| Glucose (82947) |
$771 |
$771 |
196.2× |
| Glucose body fluid (82945) |
$793 |
$793 |
201.8× |
| Glucose post dose (82950) |
$844.50 |
$844.50 |
177.8× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$572 |
$572 |
145.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$1,231 |
$1,231 |
95.6× |
| Growth hormone (83003) |
$502 |
$502 |
30.1× |
| Haloperidol (haldol) (80173) |
$17 |
$17 |
1.1× |
| Haptoglobin (83010) |
$33 |
$33 |
2.6× |
| Hcg qualitative (84703) |
$630.50 |
$630.50 |
83.8× |
| Hcg quant (84702) |
$15 |
$15 |
1.0× |
| Heavy Metal Qualitative Any Analytes (83015) |
$51.50 |
$51.50 |
2.5× |
| Heavy metal quant each (83018) |
$43.50 |
$43.50 |
2.0× |
| Heinz Bodies; Direct - Heinz Body Stain (85441) |
$21.32 |
$21.32 |
5.1× |
| Hematocrit (85014) |
$702 |
$702 |
296.2× |
| Hemoglobin (85018) |
$702 |
$702 |
296.2× |
| Hemoglobin a1c (83036) |
$39 |
$39 |
4.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$12.53 |
$12.53 |
0.7× |
| Hemoglobin electrophoresis (83020) |
$65 |
$65 |
5.1× |
| Hemoglobin fetal ql (83033) |
$40.50 |
$40.50 |
5.1× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$726 |
$726 |
93.9× |
| Hemoglobin plasma (83051) |
$15 |
$15 |
2.1× |
| Hemoglobin urine (83069) |
$33 |
$33 |
8.4× |
| Hemosiderin urine (83070) |
$38.25 |
$38.25 |
8.1× |
| Heparin assay (85520) |
$787 |
$787 |
60.1× |
| Heparin-protamine tolerance test Facility (85530) |
$84 |
$84 |
6.4× |
| Hepatitis a antibody total (86708) |
$29 |
$29 |
2.3× |
| Hepatitis a igm (86709) |
$33 |
$33 |
2.9× |
| Hepatitis b core ab igm (86705) |
$41 |
$41 |
3.5× |
| Hepatitis b core antibody total (86704) |
$36 |
$36 |
3.0× |
| Hepatitis B Surface Ab (86706) |
$17 |
$17 |
1.6× |
| Hepatitis B Surface Antigen (87340) |
$11 |
$11 |
1.1× |
| Hepatitis be antibody (86707) |
$33 |
$33 |
2.9× |
| Hepatitis Be Antigen (87350) |
$33 |
$33 |
2.9× |
| Hepatitis c antibody (86803) |
$39 |
$39 |
2.7× |
| Hepatitis C Antibody Confirmatory Test (86804) |
$28 |
$28 |
1.8× |
| Hepatitis C Genotype (87902) |
$1,032 |
$1,032 |
4.0× |
| Hepatitis delta ab (86692) |
$13 |
$13 |
0.8× |
| Hepatitis delta ag (87380) |
$38.65 |
$38.65 |
2.1× |
| Herpes simplex type i (86695) |
$23 |
$23 |
1.7× |
| Herpes simplex type ii (86696) |
$44 |
$44 |
2.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$878 |
$878 |
169.5× |
| Hfe gene (81256) |
$91.54 |
$91.54 |
1.4× |
| Histamine plasma (83088) |
$18.28 |
$18.28 |
0.6× |
| Histoplasma antibody (86698) |
$17 |
$17 |
1.2× |
| Histoplasma antigen urine (87385) |
$155.88 |
$155.88 |
11.8× |
| HIV confirmation (86689) |
$26 |
$26 |
1.3× |
| HIV-1 antibody (86701) |
$1,729 |
$1,729 |
194.5× |
| HIV-1 genotype (87901) |
$447 |
$447 |
1.7× |
| HIV-1 p24 antigen (87390) |
$98.50 |
$98.50 |
4.1× |
| Hla class i typing high resolution one allele or allele group (81381) |
$77.38 |
$77.38 |
0.5× |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
$77.38 |
$77.38 |
0.6× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) |
$32.37 |
$32.37 |
0.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$17.92 |
$17.92 |
0.2× |
| Hla ii typing 1 allele hr (81383) |
$32.37 |
$32.37 |
0.3× |
| Hla typing dr/dq (86817) |
$240 |
$240 |
2.3× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) |
$580 |
$580 |
10.0× |
| Hla-b27 (86812) |
$21 |
$21 |
0.8× |
| Homogenization tissue (87176) |
$5 |
$5 |
0.9× |
| Homovanillic acid urine (83150) |
$26 |
$26 |
1.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$184 |
$184 |
5.2× |
| Htlv-I Antibody (86687) |
$45 |
$45 |
5.0× |
| Human epididymis protein 4 (86305) |
$95 |
$95 |
4.6× |
| Hydroxycorticosteroids 17 (83491) |
$11 |
$11 |
0.6× |
| Hydroxyprogesterone 17-d (83498) |
$21 |
$21 |
0.8× |
| Hydroxyproline total (83505) |
$43 |
$43 |
1.8× |
| Hydroxyproline; free Facility (83500) |
$65 |
$65 |
2.9× |
| Iaad ia clostridium difficile toxin (87324) |
$683 |
$683 |
57.0× |
| Iaad Ia Cryptococcus Neoformans (87327) |
$11 |
$11 |
0.8× |
| Iaad ia cryptosporidium (87328) |
$482 |
$482 |
34.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$141.65 |
$141.65 |
5.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$991 |
$991 |
68.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$54 |
$54 |
3.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$43.50 |
$43.50 |
1.2× |
| Iaad Ia Streptococcus Group A (87430) |
$632 |
$632 |
37.6× |
| Iaadi inffluenza a virus (87276) |
$446 |
$446 |
27.8× |
| Iaadi influenza b virus (87275) |
$446 |
$446 |
36.4× |
| Iaadi Legionella Pneumophila (87278) |
$107 |
$107 |
6.9× |
| Iaadi parainfluenza virus each type (87279) |
$446 |
$446 |
27.1× |
| Iaadi Pneumocustis Carinii (87281) |
$333 |
$333 |
27.8× |
| Iaadi respiratory synctial virus (87280) |
$333 |
$333 |
24.8× |
| Iaadiadoo not otherwise specified (87899) |
$866 |
$866 |
53.9× |
| Iaadiadoo trichomonas vaginalis (87808) |
$44 |
$44 |
2.9× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$203.50 |
$203.50 |
5.8× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) |
$167 |
$167 |
4.8× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$84 |
$84 |
2.4× |
| Iadna hepatitis b virus quantification (87517) |
$90 |
$90 |
2.1× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) |
$222 |
$222 |
6.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$333 |
$333 |
7.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$233 |
$233 |
6.6× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$533.50 |
$533.50 |
6.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$771 |
$771 |
22.0× |
| Iadna nos amplified probe tq each organism (87798) |
$233 |
$233 |
6.6× |
| Iadna nos quantification each organism (87799) |
$236.81 |
$236.81 |
5.5× |
| If varicella-zoster antigen (87290) |
$119 |
$119 |
8.9× |
| Igg subclasses (82787) |
$37 |
$37 |
4.6× |
| Immunoassay infectious agent antibody quan nos (86317) |
$45 |
$45 |
3.0× |
| Immunoassay nonantibody (83516) |
$46 |
$46 |
4.0× |
| Immunodiffusion (86329) |
$8 |
$8 |
0.6× |
| Immunodiffusion Ouchterlony (86331) |
$20.84 |
$20.84 |
1.7× |
| Immunoelectrophoresis serum (86320) |
$18 |
$18 |
0.6× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) |
$17.50 |
$17.50 |
0.8× |
| Immunofixation (86334) |
$930 |
$930 |
41.6× |
| Immunofixation urine (86335) |
$930 |
$930 |
31.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$69 |
$69 |
0.4× |
| Immunoglobulin light chains free each (83521) |
$42 |
$42 |
2.4× |
| Immunohistochemistry (88342) |
$164 |
$164 |
0.9× |
| In situ hybridization (88365) |
$125 |
$125 |
0.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) |
$29 |
$29 |
1.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) |
$16 |
$16 |
1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) |
$247.50 |
$247.50 |
19.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$866 |
$866 |
68.0× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
$446 |
$446 |
33.2× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) |
$217 |
$217 |
15.9× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) |
$25 |
$25 |
2.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) |
$296 |
$296 |
14.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) |
$35 |
$35 |
1.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) |
$23 |
$23 |
0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) |
$23 |
$23 |
0.9× |
| Influenza a/b ag eia (87400) |
$315.50 |
$315.50 |
22.3× |
| Influenza DNA amp probe (87502) |
$346 |
$346 |
3.6× |
| Inhibin b (83520) |
$50 |
$50 |
2.9× |
| Insitu hybridization auto (88367) |
$513 |
$513 |
1.4× |
| Insitu hybridization manual (88368) |
$223 |
$223 |
0.6× |
| Insulin antibodies (86337) |
$76 |
$76 |
3.5× |
| Insulin total (83525) |
$100 |
$100 |
8.7× |
| Interleukin 6 (83529) |
$54 |
$54 |
3.1× |
| Intrinsic factor antibody (86340) |
$8 |
$8 |
0.5× |
| Iron (83540) |
$770 |
$770 |
119.0× |
| Iron binding capacity (83550) |
$887 |
$887 |
101.5× |
| Irradiation Blood Product Each Unit (86945) |
$604 |
$604 |
15.5× |
| Islet cell antibody (86341) |
$23 |
$23 |
1.0× |
| Jak2 gene analysis (81270) |
$162.90 |
$162.90 |
1.8× |
| Ketogenic steroids, fractionation Facility (83582) |
$45 |
$45 |
2.9× |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) |
$148 |
$148 |
5.2× |
| Lactoferrin fecal qual (83630) |
$151 |
$151 |
7.7× |
| Lactogen placental (83632) |
$112 |
$112 |
5.5× |
| Ldh body fluid (83615) |
$828 |
$828 |
137.1× |
| Ldh isoenzymes (83625) |
$36 |
$36 |
2.8× |
| Lead (83655) |
$12 |
$12 |
1.0× |
| Legionella antibody (86713) |
$41 |
$41 |
2.7× |
| Legionella antigen urine (87449) |
$274 |
$274 |
22.9× |
| Leptospira antibody (86720) |
$50 |
$50 |
3.1× |
| Leucine aminopeptidase (lap) (83670) |
$5 |
$5 |
0.5× |
| Level ii surg pathology grossµscopic exam (88302) |
$42 |
$42 |
1.1× |
| Level v surg pathology grossµscopic exam (88307) |
$106 |
$106 |
0.3× |
| Level vi surg pathology grossµscopic exam (88309) |
$146 |
$146 |
0.2× |
| Lh (83002) |
$28 |
$28 |
1.5× |
| Lipase (83690) |
$491 |
$491 |
71.3× |
| Lipopro bld electrophoretic (83700) |
$10 |
$10 |
0.9× |
| Lipoprotein Bld Hr Fraction (83701) |
$21 |
$21 |
0.6× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) |
$32.61 |
$32.61 |
1.0× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) |
$473 |
$473 |
37.1× |
| Lithium (80178) |
$648 |
$648 |
98.0× |
| Lyme disease antibody (86618) |
$46 |
$46 |
2.7× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$583 |
$583 |
3.3× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$176 |
$176 |
1.0× |
| Macroscopic exam parasite (87169) |
$31 |
$31 |
7.2× |
| Magnesium (83735) |
$39 |
$39 |
5.8× |
| Malaria smear (87207) |
$217 |
$217 |
36.2× |
| Manual cell count each (85032) |
$812 |
$812 |
188.4× |
| Manual reticulocyte count (85044) |
$612 |
$612 |
142.0× |
| Mass spectrometry qual/quan (83789) |
$16.35 |
$16.35 |
0.7× |
| Mercury urine (83825) |
$32 |
$32 |
2.0× |
| Metabolic Panel Ionized Ca (80047) |
$1,477 |
$1,477 |
107.6× |
| Methemalbumin (83857) |
$50 |
$50 |
4.7× |
| Methylmalonic acid serum (83921) |
$57 |
$57 |
2.7× |
| Microalbumin urine (82043) |
$28 |
$28 |
4.8× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$92 |
$92 |
1.7× |
| Microsomal antibodies (86376) |
$60 |
$60 |
4.1× |
| Mitochondrial antibody each (86381) |
$39 |
$39 |
1.5× |
| Mopath procedure level 4 (81403) |
$350 |
$350 |
1.9× |
| Morphometric analysis tumor (88358) |
$42 |
$42 |
0.2× |
| Mtb PCR (87556) |
$511.50 |
$511.50 |
12.3× |
| Mthfr Gene Analysis Common Variants (81291) |
$86.51 |
$86.51 |
1.3× |
| Mucopolysaccharides acid quantitative (83864) |
$7 |
$7 |
0.2× |
| Muramidase (85549) |
$18 |
$18 |
1.0× |
| Muscle-specific kinase (musk) antibody (86366) |
$866.50 |
$866.50 |
47.1× |
| Mycobacteric identification (87118) |
$176 |
$176 |
12.0× |
| Mycoplasma antibody (86738) |
$39 |
$39 |
2.9× |
| Mycoplasma culture (87109) |
$208 |
$208 |
13.5× |
| Myelin basic protein csf (83873) |
$15 |
$15 |
0.9× |
| Myoglobin urine (83874) |
$1,398 |
$1,398 |
108.2× |
| Nasal smear for eosinophils (89190) |
$378 |
$378 |
65.3× |
| Natriuretic peptide (83880) |
$906 |
$906 |
23.1× |
| Nerve teasing preparations (88362) |
$295 |
$295 |
0.4× |
| Nuclear antigen antibody (86235) |
$415 |
$415 |
23.1× |
| Occult blood gastric (82271) |
$359 |
$359 |
67.5× |
| Occult blood stool (82272) |
$359 |
$359 |
84.9× |
| Oligoclonal bands (83916) |
$227 |
$227 |
8.3× |
| Organic Acids Qualitative Each Specimen (83919) |
$79 |
$79 |
4.8× |
| Organic acids total quantitative each specimen (83918) |
$139 |
$139 |
5.9× |
| Orthopoxvirus Amp Prb Each (87593) |
$91 |
$91 |
1.8× |
| Osmolality serum (83930) |
$793 |
$793 |
120.0× |
| Osmolality urine (83935) |
$793 |
$793 |
116.3× |
| Ova and parasite direct-id lca (87177) |
$1,115 |
$1,115 |
125.3× |
| Oxalate urine (83945) |
$333 |
$333 |
23.0× |
| Pancreatic elastase, fecal (82656) |
$56.23 |
$56.23 |
4.9× |
| Pancreatic polypeptide (83519) |
$48 |
$48 |
2.6× |
| Particle Agglutination Screen Each Antibody (86403) |
$76.50 |
$76.50 |
6.6× |
| Parvovirus antibody (86747) |
$30.50 |
$30.50 |
2.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$45 |
$45 |
0.1× |
| Pathology Consultation During Surgery (88329) |
$370 |
$370 |
6.0× |
| Ph body fluid (83986) |
$400 |
$400 |
111.7× |
| Ph urine (81003) |
$478 |
$478 |
212.4× |
| Phenylalanine (84030) |
$220 |
$220 |
40.0× |
| Phenytoin free (80186) |
$12 |
$12 |
0.9× |
| Phosphatase alkaline (84075) |
$527 |
$527 |
101.7× |
| Phosphorus blood (84100) |
$770 |
$770 |
162.4× |
| Phosphorus urine (84105) |
$17 |
$17 |
2.9× |
| Pinworm exam (87172) |
$234 |
$234 |
54.8× |
| Plasminogen (85420) |
$87 |
$87 |
13.3× |
| Plasminogen (85421) |
$87 |
$87 |
8.5× |
| Platelet aggregation (85576) |
$482 |
$482 |
19.3× |
| Platelet count automated (85049) |
$717 |
$717 |
160.0× |
| Platelet neutralization (85597) |
$22 |
$22 |
1.2× |
| Porphobilinogen urine qual (84106) |
$37 |
$37 |
6.4× |
| Porphobilinogen urine quant (84110) |
$51.13 |
$51.13 |
6.1× |
| Porphyrins feces qn (84126) |
$48 |
$48 |
1.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$18 |
$18 |
1.2× |
| Porphyrins, urine; qualitative Facility (84119) |
$7 |
$7 |
0.5× |
| Potassium (84132) |
$602 |
$602 |
126.5× |
| Potassium urine (84133) |
$602 |
$602 |
127.3× |
| Pregnenolone (84140) |
$26.23 |
$26.23 |
1.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$121 |
$121 |
0.7× |
| Primidone (80188) |
$48 |
$48 |
2.9× |
| Procainamide napa (80192) |
$1,297 |
$1,297 |
77.4× |
| Procalcitonin (pct) (84145) |
$367 |
$367 |
13.5× |
| Progesterone (84144) |
$9 |
$9 |
0.4× |
| Progesterone (reproductive hormone) receptor analysis (84234) |
$227 |
$227 |
3.5× |
| Protein body fluid (84157) |
$783 |
$783 |
195.8× |
| Protein c activity (85303) |
$60 |
$60 |
4.3× |
| Protein c antigen (85302) |
$100 |
$100 |
8.3× |
| Protein electrophoresis serum (84165) |
$484 |
$484 |
45.1× |
| Protein Electrophoresis Urine (84166) |
$614 |
$614 |
34.4× |
| Protein s total (85305) |
$50 |
$50 |
4.3× |
| Protein total serum (84155) |
$783 |
$783 |
213.4× |
| Protein urine (84156) |
$1,788 |
$1,788 |
487.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$1,361 |
$1,361 |
345.4× |
| Protoporphyrin rbc quantitative (84202) |
$19 |
$19 |
1.3× |
| PSA free (84154) |
$17 |
$17 |
0.9× |
| Pth intact (83970) |
$86 |
$86 |
2.1× |
| Pyruvate kinase (84220) |
$71 |
$71 |
7.5× |
| Quinidine (80194) |
$624 |
$624 |
42.7× |
| Quinine (84228) |
$47 |
$47 |
4.0× |
| Rbc antibody elution (86860) |
$1,231 |
$1,231 |
6.9× |
| Rbc pretreatment serum (86978) |
$176 |
$176 |
2.9× |
| Rbc pretx incubatj w/chemicl (86970) |
$121 |
$121 |
2.0× |
| Receptor Assay Estrogen (84233) |
$64 |
$64 |
0.7× |
| Renin activity plasma (84244) |
$51 |
$51 |
2.3× |
| Reptilase test (85635) |
$674 |
$674 |
68.4× |
| Resp virus 12-25 targets (87633) |
$885 |
$885 |
2.1× |
| Respiratory Virus (86756) |
$1,347 |
$1,347 |
84.8× |
| Reticulocyte count auto (85045) |
$612 |
$612 |
153.4× |
| Rheumatoid Factor Qual (86430) |
$744 |
$744 |
121.2× |
| Rickettsia antibody (86757) |
$23.50 |
$23.50 |
1.2× |
| Ristocetin cofactor (85245) |
$104.40 |
$104.40 |
4.6× |
| Rotavirus (86759) |
$1,273 |
$1,273 |
69.8× |
| Rpr Titer (86593) |
$45 |
$45 |
10.2× |
| Rsv (87807) |
$333 |
$333 |
25.4× |
| Rubella antibody (86762) |
$729 |
$729 |
50.7× |
| Rubeola Antibody Igg (86765) |
$18 |
$18 |
1.4× |
| Russell viper venom time (includes venom); undiluted Facility (85612) |
$734 |
$734 |
42.0× |
| Russell viper venom time diluted (85613) |
$104 |
$104 |
10.9× |
| Salmonella antibody (86768) |
$65 |
$65 |
4.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$129 |
$129 |
2.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$52.56 |
$52.56 |
1.2× |
| Sedimentation rate auto (85652) |
$833 |
$833 |
308.5× |
| Selenium (84255) |
$17 |
$17 |
0.7× |
| Sensitivity kb (87184) |
$287 |
$287 |
38.4× |
| Sensitivity mic (87186) |
$856 |
$856 |
99.0× |
| Serotonin Release Assay (86022) |
$22.54 |
$22.54 |
1.2× |
| Serum bactericidal titer (87197) |
$222 |
$222 |
14.8× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) |
$148 |
$148 |
1.9× |
| Sex hormone binding globulin (84270) |
$112 |
$112 |
5.2× |
| Sickling of rbc reduction (85660) |
$4 |
$4 |
0.7× |
| Sirolimus (rapamycin) (80195) |
$68 |
$68 |
5.0× |
| Smear acid fast (87206) |
$887 |
$887 |
164.6× |
| Smear gram stain (87205) |
$787 |
$787 |
184.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$597 |
$597 |
102.6× |
| Sodium (84295) |
$686 |
$686 |
142.6× |
| Sodium feces (84302) |
$686 |
$686 |
141.2× |
| Sodium urine (84300) |
$294 |
$294 |
58.1× |
| Somatomedin (84305) |
$34.50 |
$34.50 |
1.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$139 |
$139 |
1.0× |
| Special stains group 1 (88312) |
$104 |
$104 |
1.9× |
| Specific gravity body fluid (84315) |
$310 |
$310 |
94.5× |
| Specimen fat stain (89125) |
$650 |
$650 |
110.5× |
| Spectrophotometry (84311) |
$56 |
$56 |
6.9× |
| Stool Culture, Addl Pathogens (87046) |
$92 |
$92 |
9.7× |
| Strep a assay w/optic (87880) |
$632 |
$632 |
38.2× |
| Surg path level 1 (88300) |
$19 |
$19 |
0.6× |
| Surg path level iii (88304) |
$49 |
$49 |
0.9× |
| Surgical pathology level IV (88305) |
$176 |
$176 |
3.2× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
$683 |
$683 |
17.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
$76 |
$76 |
10.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$158.50 |
$158.50 |
3.4× |
| T cells total count (86359) |
$18 |
$18 |
0.5× |
| T3 free (84481) |
$572 |
$572 |
33.8× |
| T3 reverse (84482) |
$83 |
$83 |
5.3× |
| T3 total (84480) |
$738 |
$738 |
52.0× |
| T3 uptake (84479) |
$333 |
$333 |
51.5× |
| T4 free (84439) |
$910 |
$910 |
100.9× |
| T4 total (84436) |
$738 |
$738 |
107.4× |
| T4-neonatal (84437) |
$738 |
$738 |
114.1× |
| Tb test, cell immun measure (86480) |
$94 |
$94 |
1.5× |
| Testosterone free (84402) |
$8 |
$8 |
0.3× |
| Testosterone total (84403) |
$39.50 |
$39.50 |
1.5× |
| Tetanus antibody (86774) |
$24 |
$24 |
1.6× |
| Theophylline (80198) |
$1,297 |
$1,297 |
91.7× |
| Thiocyanate (84430) |
$12 |
$12 |
1.0× |
| Thiopurine methyltransferase (84433) |
$58.30 |
$58.30 |
2.6× |
| Thrombin time plasma (85670) |
$889 |
$889 |
154.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$541 |
$541 |
83.6× |
| Thyroglobulin (84432) |
$3 |
$3 |
0.2× |
| Thyroglobulin antibody (86800) |
$129 |
$129 |
8.1× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$224 |
$224 |
4.4× |
| Thyroxine binding globulin (84442) |
$29 |
$29 |
2.0× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) |
$654 |
$654 |
4.4× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$625 |
$625 |
4.4× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$686 |
$686 |
160.7× |
| Tissue culture bone marrow (88237) |
$377 |
$377 |
2.6× |
| Tissue culture lymphocyte (88230) |
$516 |
$516 |
4.4× |
| Tissue culture solid tumor (88239) |
$378.50 |
$378.50 |
2.6× |
| Tissue transglutaminase ab iga (86364) |
$92 |
$92 |
8.0× |
| Tobramycin peak (80200) |
$1,347 |
$1,347 |
83.5× |
| Touch prep (88161) |
$36 |
$36 |
1.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
$431 |
$431 |
21.8× |
| Toxoplasma ab igm (86778) |
$65 |
$65 |
4.5× |
| Toxoplasma antibody igg (86777) |
$41 |
$41 |
2.8× |
| Transferrin (84466) |
$33 |
$33 |
2.6× |
| Trichinella antibody (86784) |
$69 |
$69 |
5.5× |
| Triglycerides (84478) |
$942 |
$942 |
164.1× |
| Troponin (84484) |
$1,555 |
$1,555 |
124.7× |
| Trypsin feces qual (84488) |
$45 |
$45 |
6.2× |
| Trypsin; feces, quantitative, 24-hour collection Facility (84490) |
$45 |
$45 |
4.5× |
| Tumor immunohistochem/comput (88361) |
$221.50 |
$221.50 |
0.6× |
| Urea nitrogen (84520) |
$741 |
$741 |
187.6× |
| Urea Nitrogen Clearance (84545) |
$771 |
$771 |
107.1× |
| Urea nitrogen urine (84540) |
$598 |
$598 |
107.6× |
| Uric acid blood (84550) |
$846 |
$846 |
187.2× |
| Uric acid other source (84560) |
$808 |
$808 |
159.1× |
| Urinalysis auto w/scope (81001) |
$770 |
$770 |
242.9× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) |
$350 |
$350 |
11.7× |
| Urine Albumin Semiquantitative (82044) |
$12.50 |
$12.50 |
2.0× |
| Urine Bacteria Culture (87088) |
$378 |
$378 |
46.7× |
| Urine pregnancy test (81025) |
$1,626 |
$1,626 |
188.9× |
| Urine volume measurement (81050) |
$191 |
$191 |
52.5× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
$45 |
$45 |
4.7× |
| Valproic acid (80164) |
$1,115 |
$1,115 |
82.3× |
| Vancomycin trough (80202) |
$1,128 |
$1,128 |
83.3× |
| Varicella-zoster antibody (86787) |
$33 |
$33 |
2.6× |
| Vasoactive intestinal peptide (vip) (84586) |
$90 |
$90 |
2.5× |
| Vdrl csf (86592) |
$624 |
$624 |
146.1× |
| Very long chain fatty acids (82726) |
$139 |
$139 |
7.0× |
| Virus antibody nos (86790) |
$72 |
$72 |
5.6× |
| Virus inoculate tissue addl (87253) |
$343 |
$343 |
17.0× |
| Virus inoculation, shell via (87254) |
$144 |
$144 |
7.4× |
| Viscosity serum (85810) |
$39 |
$39 |
3.3× |
| Vitamin A (84590) |
$15 |
$15 |
1.3× |
| Vitamin b-12 (82607) |
$744 |
$744 |
49.3× |
| Vitamin b1 (thiamine) (84425) |
$29 |
$29 |
1.4× |
| Vitamin b2 (84252) |
$25 |
$25 |
1.2× |
| Vitamin b3 niacin (84591) |
$18.40 |
$18.40 |
1.1× |
| Vitamin b6 (84207) |
$23 |
$23 |
0.8× |
| Vitamin c (82180) |
$8 |
$8 |
0.8× |
| Vitamin D 25-Hydroxy (82306) |
$22 |
$22 |
0.7× |
| Vitamin e serum (84446) |
$10 |
$10 |
0.7× |
| Voltage-gated calcium channel antibody each (86596) |
$158 |
$158 |
13.1× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$15 |
$15 |
1.7× |
| West nile virus antibody (86789) |
$20.36 |
$20.36 |
1.4× |
| West nile virus igm (86788) |
$20.36 |
$20.36 |
1.2× |
| Xylose Absorption Test (84620) |
$68 |
$68 |
5.3× |
| Zika Virus Dna/Rna Amp Probe (87662) |
$120 |
$120 |
2.3× |
| Zika Virus Igm Antibody (86794) |
$45 |
$45 |
2.7× |
| Zinc (84630) |
$14 |
$14 |
1.2× |