| 17-Ohcs (83491) |
$11 |
$11 |
0.6× |
| 5' Nucleotidase (83915) |
$33 |
$33 |
3.0× |
| 5-Hiaa (83497) |
$28 |
$28 |
2.2× |
| Ab; actinomyces (86602) |
$20.84 |
$20.84 |
2.0× |
| Ab; coxiella brunetii (86638) |
$29 |
$29 |
2.4× |
| Ab; encephalitis calif (86651) |
$22.50 |
$22.50 |
1.7× |
| Ab; encephalitis e equine (86652) |
$22.50 |
$22.50 |
1.7× |
| Ab; encephalitis w equine (86654) |
$22.50 |
$22.50 |
1.7× |
| Ab; htlv or HIV wb (86689) |
$26 |
$26 |
1.3× |
| Ab; htlv-ii (86688) |
$45 |
$45 |
3.2× |
| Ab; rsv (86756) |
$1,347 |
$1,347 |
84.8× |
| Acetaminophen (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× |
| Acetylcholine receptor modulating antibody (86043) |
$70.58 |
$70.58 |
5.9× |
| Acetylcholinesterase (82013) |
$11 |
$11 |
0.9× |
| Acid fast smear only (87206) |
$887 |
$887 |
164.6× |
| Acid phosphatase (84060) |
$5 |
$5 |
0.7× |
| Acth stimulation panel adrenal (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× |
| Afb culture (87116) |
$100 |
$100 |
9.3× |
| Albumin csf (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 (84075) |
$527 |
$527 |
101.7× |
| Alkaline phosphatase isoenzymes (84080) |
$22 |
$22 |
1.5× |
| Allergen specific ige (86003) |
$54.63 |
$54.63 |
10.5× |
| Alpha 2 antiplasmin (85410) |
$56 |
$56 |
7.3× |
| Alpha fetoprotein serum (82105) |
$42 |
$42 |
2.5× |
| Alpha-1 antitrypsin total (82103) |
$33 |
$33 |
2.5× |
| Alpha-1-antitrypsin phenotype (82104) |
$84 |
$84 |
5.8× |
| 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 level (80150) |
$176 |
$176 |
11.7× |
| Amino acids; sgl quan ea (82131) |
$40 |
$40 |
1.7× |
| Amino acids; single, qualitative, each specimen Other Outpatient (82127) |
$42 |
$42 |
3.0× |
| Aminolevulinic acid delta (82135) |
$8 |
$8 |
0.5× |
| Amiodarone (80151) |
$17 |
$17 |
0.9× |
| Ammonia (82140) |
$1,109 |
$1,109 |
76.1× |
| Amylase (82150) |
$1,022 |
$1,022 |
157.7× |
| Ana titer (86039) |
$19 |
$19 |
1.7× |
| Analysis for antibody to Borrelia (relapsing fever bacteria) (86619) |
$248 |
$248 |
18.5× |
| Androstenedione (82157) |
$15 |
$15 |
0.5× |
| Angiotensin converting enzyme (82164) |
$13 |
$13 |
0.9× |
| Anti DNA (ss) igg ab qn (86226) |
$27 |
$27 |
2.2× |
| Anti-mitochondrial antibody (86255) |
$582.24 |
$582.24 |
48.3× |
| Anti-phosphatidylserine antibody (86148) |
$72 |
$72 |
4.5× |
| Antibody elution (86860) |
$1,231 |
$1,231 |
6.9× |
| Antibody identification (86870) |
$1,549 |
$1,549 |
4.1× |
| Antibody screen rbc each (86850) |
$1,401 |
$1,401 |
143.4× |
| Antibody toxoplasma (86777) |
$41 |
$41 |
2.8× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$190.50 |
$190.50 |
15.8× |
| Antinuclear antibodies (86038) |
$23.91 |
$23.91 |
2.0× |
| Antistreptolysin o screen (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 b (82172) |
$7 |
$7 |
0.3× |
| Arsenic (82175) |
$33 |
$33 |
1.7× |
| Aspergillus antibody (86606) |
$27.42 |
$27.42 |
1.8× |
| Aspergillus antigen (87305) |
$202.50 |
$202.50 |
16.9× |
| Assay of anti-mullerian hormone (82166) |
$45.50 |
$45.50 |
1.2× |
| Assay of corticosterone (82528) |
$45 |
$45 |
2.0× |
| Assay of feces porphyrins (84126) |
$48 |
$48 |
1.2× |
| Assay of fluoride (82735) |
$25 |
$25 |
1.3× |
| Assay of g6pd enzyme (82955) |
$7 |
$7 |
0.7× |
| Assay of procainamide (80192) |
$1,297 |
$1,297 |
77.4× |
| Assay of procainamide (80190) |
$686 |
$686 |
11.4× |
| Assay of vitamin b-2 (84252) |
$25 |
$25 |
1.2× |
| Assay spec xcp ur&breath ia (82077) |
$854.50 |
$854.50 |
49.5× |
| Assay, free hydroxyproline - hydroxyproline, free (83500) |
$65 |
$65 |
2.9× |
| Ast/sgot (84450) |
$987 |
$987 |
190.5× |
| Autolog blood predeposited (86890) |
$795 |
$795 |
4.5× |
| B cells total count (86355) |
$18 |
$18 |
0.5× |
| Bartonella henselae igm (86611) |
$9 |
$9 |
0.9× |
| Basic metabolic panel calcium ionized (80047) |
$1,477 |
$1,477 |
107.6× |
| Beta 2 glycoprotein i ab ea (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 - bile acids, cholylglycine (82240) |
$122 |
$122 |
4.6× |
| Bilirubin direct (82248) |
$918 |
$918 |
182.9× |
| Bilirubin total (82247) |
$918 |
$918 |
182.9× |
| Biotinidase (82261) |
$42 |
$42 |
2.5× |
| Blastomyces antibody (86612) |
$21 |
$21 |
1.6× |
| Blood count reticulocyte automated (85044) |
$612 |
$612 |
142.0× |
| Blood gases w/o2 saturation (82805) |
$154 |
$154 |
2.0× |
| Blood Smear,Micro Exam,Manual Diff Wbc - Manual Differential (85007) |
$82 |
$82 |
21.6× |
| Blood type antigen donor ea (86902) |
$185 |
$185 |
29.1× |
| Blood typing abo (86900) |
$431.50 |
$431.50 |
144.3× |
| Blood typing rbc antigens oth/thn abo/rh d each (86905) |
$245 |
$245 |
64.0× |
| Blood typing serologic rh (d) (86901) |
$430.50 |
$430.50 |
144.0× |
| Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff (89051) |
$1,023 |
$1,023 |
182.7× |
| Bordetella pertussis igm (86615) |
$22 |
$22 |
1.7× |
| Brucella antibody (86622) |
$49 |
$49 |
5.5× |
| C diff amplified probe (87493) |
$319 |
$319 |
8.6× |
| C-peptide (84681) |
$117 |
$117 |
5.6× |
| C-reactive protein (86140) |
$379 |
$379 |
73.2× |
| C1 esterase inhibitor functional (86161) |
$55.50 |
$55.50 |
4.6× |
| Ca 125 (86304) |
$42 |
$42 |
2.0× |
| Ca 15-3 (86300) |
$41 |
$41 |
2.0× |
| Cadmium blood (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× |
| Calprotectin, stool (83993) |
$21.53 |
$21.53 |
1.1× |
| Cancer antigen 19-9 (86301) |
$48 |
$48 |
2.3× |
| Candida antibody (86628) |
$7 |
$7 |
0.6× |
| Carbamazepine total (80156) |
$1,513 |
$1,513 |
103.8× |
| Carbon dioxide (82374) |
$680 |
$680 |
139.3× |
| Carboxyhemoglobin quant (82375) |
$9 |
$9 |
0.7× |
| Carcinoembryonic antigen (cea) (82378) |
$828 |
$828 |
43.7× |
| Cardiolipin ab ea ig class (86147) |
$85 |
$85 |
3.3× |
| Carnitine quant ea specimen (82379) |
$136 |
$136 |
8.1× |
| Carotene (82380) |
$12.50 |
$12.50 |
1.4× |
| Catecholamines blood (82383) |
$92 |
$92 |
3.2× |
| Catecholamines fraction plasma (82384) |
$26 |
$26 |
1.0× |
| Catecholamines total urine (82382) |
$15 |
$15 |
0.5× |
| Ccp antibody (86200) |
$61 |
$61 |
4.7× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$158.50 |
$158.50 |
3.4× |
| Cell Count,Misc Body Fluids - Body Fluid Cell Count (89050) |
$686 |
$686 |
145.3× |
| Ceruloplasmin (82390) |
$12.50 |
$12.50 |
1.2× |
| Chlamydia antibody (86631) |
$105 |
$105 |
8.9× |
| Chlamydia trachomatis igm (86632) |
$105 |
$105 |
8.3× |
| Chloramphenicol (82415) |
$16 |
$16 |
1.3× |
| Chloride blood (82435) |
$530 |
$530 |
115.2× |
| Chloride fluid (82438) |
$192 |
$192 |
38.4× |
| Chloride urine (82436) |
$530 |
$530 |
92.2× |
| Cholesterol total (82465) |
$866 |
$866 |
199.1× |
| Cholinesterase rbc (82482) |
$14 |
$14 |
1.4× |
| Cholinesterase serum (82480) |
$14 |
$14 |
1.8× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$494.50 |
$494.50 |
3.9× |
| Chromium (82495) |
$19 |
$19 |
0.9× |
| Chromogranin a (86316) |
$79 |
$79 |
3.8× |
| Chromosome analys amniotic (88269) |
$602 |
$602 |
3.5× |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
$828 |
$828 |
4.8× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$85 |
$85 |
3.2× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$116 |
$116 |
3.5× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) |
$264 |
$264 |
1.4× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$423 |
$423 |
1.6× |
| Chromosome study additional (88289) |
$135 |
$135 |
3.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$771 |
$771 |
22.0× |
| Citrate (82507) |
$11 |
$11 |
0.4× |
| Ck isoenzymes (82552) |
$53 |
$53 |
4.0× |
| Clot factor xiii fibrin stab (85290) |
$126 |
$126 |
7.7× |
| Clotting factor viii multimetric analysis (85247) |
$45 |
$45 |
2.0× |
| Cmv Antibody - Cmv Igg (86644) |
$28 |
$28 |
1.9× |
| Cmv PCR quant (87497) |
$53 |
$53 |
1.2× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$550 |
$550 |
1.3× |
| Coagulation time activated (85347) |
$157 |
$157 |
36.7× |
| Coccidioides antibody (86635) |
$26.58 |
$26.58 |
2.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$446 |
$446 |
18.5× |
| Cold agglutinins titer (86157) |
$17 |
$17 |
2.1× |
| Compatibility each unit immediate spin technique (86920) |
$1,052 |
$1,052 |
5.9× |
| 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× |
| Concentration infectious agents (87015) |
$400 |
$400 |
59.9× |
| Coombs test indirect titer (86886) |
$144 |
$144 |
27.8× |
| Copper liver tissue (82525) |
$15 |
$15 |
1.2× |
| Cortisol free (82530) |
$16 |
$16 |
1.0× |
| Cortisol serum (82533) |
$648 |
$648 |
39.8× |
| Coxsackie a9 virus antibodies (86658) |
$22.50 |
$22.50 |
1.7× |
| Cp concentr tech smear (88108) |
$42 |
$42 |
1.1× |
| Cp smr othr; > 5 slides (88162) |
$53 |
$53 |
1.0× |
| Cp smr othr; prep scrn int (88161) |
$36 |
$36 |
1.2× |
| Creatine (82540) |
$421 |
$421 |
90.7× |
| Creatine kinase mb fraction only (82553) |
$1,513 |
$1,513 |
131.0× |
| Creatine kinase total (82550) |
$943 |
$943 |
144.9× |
| Creatinine clearance (82575) |
$1,651 |
$1,651 |
174.5× |
| Creatinine other source (82570) |
$330 |
$330 |
63.7× |
| Creatinine serum (82565) |
$645 |
$645 |
126.0× |
| Crp-high sensitivity (86141) |
$725 |
$725 |
56.0× |
| Cryofibrinogen (82585) |
$23 |
$23 |
1.6× |
| Cryoglobulins (82595) |
$33 |
$33 |
5.1× |
| Cryptococcal Antigen (87899) |
$866 |
$866 |
53.9× |
| Cryptococcus antibody (86641) |
$16 |
$16 |
1.1× |
| Cryptococcus neoform ag eia (87327) |
$11 |
$11 |
0.8× |
| Cryptosporidium antigen (87328) |
$482 |
$482 |
34.9× |
| Cult aerobic defin id ea isol (87077) |
$692.50 |
$692.50 |
85.7× |
| 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 (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 mycobacterial definitive id ea isol (87118) |
$176 |
$176 |
12.0× |
| Culture mycoplasma (87109) |
$208 |
$208 |
13.5× |
| Culture stool (87045) |
$1,588 |
$1,588 |
168.2× |
| Culture typing nucleic acid probe dir ea organsm (87149) |
$347 |
$347 |
17.3× |
| Culture typing serologic (87147) |
$509 |
$509 |
98.3× |
| Culture urine (87086) |
$257 |
$257 |
31.8× |
| Cyanide (82600) |
$21 |
$21 |
1.1× |
| Cyclic amp (82030) |
$29 |
$29 |
1.1× |
| Cyclosporine (80158) |
$28 |
$28 |
1.6× |
| Cystatin c (82610) |
$793 |
$793 |
42.8× |
| Cytomegalov amplif na probe (87496) |
$310.90 |
$310.90 |
8.9× |
| Cytomegalovirus antibody igm (86645) |
$42 |
$42 |
2.5× |
| Cytopath cell enhance technique (88112) |
$67 |
$67 |
1.2× |
| Cytopath fl nongyn filter (88106) |
$85 |
$85 |
2.8× |
| Cytopath fl nongyn smears (88104) |
$65.50 |
$65.50 |
1.7× |
| Cytp dx eval fna 1st ea site (88172) |
$19 |
$19 |
0.1× |
| Cytp eval fine needle aspirate interp & report (88173) |
$68 |
$68 |
1.2× |
| D-dimer quant (85379) |
$654 |
$654 |
64.2× |
| Deoxycortisol (82634) |
$18 |
$18 |
0.6× |
| Deoxyribonuclease antibody (86215) |
$23.50 |
$23.50 |
1.8× |
| Desoxycorticosterone (82633) |
$62 |
$62 |
2.0× |
| Detect agent nos DNA amp (87798) |
$233 |
$233 |
6.6× |
| Detect agent nos DNA quant (87799) |
$236.81 |
$236.81 |
5.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$577 |
$577 |
34.9× |
| Dhea (82626) |
$14 |
$14 |
0.6× |
| Dhea-s (82627) |
$116 |
$116 |
5.2× |
| Dibucaine number (82638) |
$14 |
$14 |
1.1× |
| Digoxin (80162) |
$846 |
$846 |
63.7× |
| Diphtheria antibody (86648) |
$24 |
$24 |
1.6× |
| Direct antiglobulin test (86880) |
$582 |
$582 |
108.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$67 |
$67 |
4.9× |
| Drug assay methotrexate (80204) |
$35.50 |
$35.50 |
0.9× |
| Drug screen quant clozapine (80159) |
$18 |
$18 |
0.9× |
| Drug screen quant gabapentin (80171) |
$15 |
$15 |
0.7× |
| Drug screen quantitative oxcarbazepine (80183) |
$30.50 |
$30.50 |
2.3× |
| Drug test prsmv chem anlyzr (80307) |
$160.89 |
$160.89 |
2.6× |
| E coli 0157 ag eia (87335) |
$247.50 |
$247.50 |
19.5× |
| Echinococcus ab igg (86682) |
$46.50 |
$46.50 |
3.6× |
| Ehrlichia antibody (86666) |
$155 |
$155 |
15.2× |
| Electrolytes 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 (82664) |
$36 |
$36 |
0.6× |
| Encephalitis st louis ab (86653) |
$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 by PCR (87498) |
$667 |
$667 |
19.0× |
| Enzyme cell activity (82657) |
$61 |
$61 |
2.8× |
| Enzyme histochemistry (88319) |
$119.50 |
$119.50 |
0.1× |
| Eosinophil smear (89190) |
$378 |
$378 |
65.3× |
| Epstein-Barr Antibody - Epstein-Barr Virus Early Igg (86663) |
$274 |
$274 |
20.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$84 |
$84 |
5.5× |
| Erythropoietin (82668) |
$26 |
$26 |
1.4× |
| Estradiol (82670) |
$18 |
$18 |
0.6× |
| Estriol serum (82677) |
$16 |
$16 |
0.7× |
| Estrogen receptor assay (84233) |
$64 |
$64 |
0.7× |
| Estrogen serum fractionated (82671) |
$43 |
$43 |
1.3× |
| Estrogens total (82672) |
$67 |
$67 |
3.1× |
| Estrone (82679) |
$33 |
$33 |
1.3× |
| Ethosuximide (80168) |
$12 |
$12 |
0.7× |
| Ethylene glycol (82693) |
$15 |
$15 |
1.0× |
| Euglobulin lysis (85360) |
$75 |
$75 |
8.9× |
| Eval amniotic fluid protein (84112) |
$531 |
$531 |
5.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$436 |
$436 |
59.5× |
| F2 gene (81240) |
$41.76 |
$41.76 |
0.6× |
| Factor ii activity (85210) |
$91 |
$91 |
7.0× |
| Factor ix assay (85250) |
$84 |
$84 |
4.4× |
| Factor v activity (85220) |
$84 |
$84 |
4.8× |
| Factor v leiden (81241) |
$51.14 |
$51.14 |
0.7× |
| Factor vii activity (85230) |
$84 |
$84 |
4.7× |
| Factor viii assay (85240) |
$161.50 |
$161.50 |
9.0× |
| Factor viii inhibitor (85335) |
$131 |
$131 |
10.2× |
| Factor viii vw antigen (85246) |
$343 |
$343 |
15.0× |
| Factor x (stuart-prower) (85260) |
$84 |
$84 |
4.7× |
| Factor xi activity (85270) |
$28 |
$28 |
1.6× |
| Factor xii (hageman) (85280) |
$84 |
$84 |
4.3× |
| Fat stain urine (89125) |
$650 |
$650 |
110.5× |
| Fatty acids nonesterified (82725) |
$10 |
$10 |
0.5× |
| Fatty acids very long chain (82726) |
$139 |
$139 |
7.0× |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
$249.50 |
$249.50 |
14.5× |
| Fecal fat (82710) |
$110 |
$110 |
6.5× |
| Fecal fat qual (82705) |
$41 |
$41 |
8.0× |
| Ferritin (82728) |
$1,032 |
$1,032 |
75.7× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$325 |
$325 |
0.4× |
| Fetal fibronectin (82731) |
$1,023 |
$1,023 |
15.9× |
| Ffp thawing ea unit (86927) |
$41 |
$41 |
0.2× |
| Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) |
$1,049 |
$1,049 |
107.9× |
| Fibrin split products (85362) |
$16 |
$16 |
2.3× |
| Fibrinogen activity (85384) |
$1,109 |
$1,109 |
114.1× |
| Flecainide (80181) |
$14 |
$14 |
0.8× |
| Flow cytometry first marker (88184) |
$141 |
$141 |
0.4× |
| Fluorescent antibody titer (86256) |
$23 |
$23 |
1.9× |
| FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) |
$325 |
$325 |
7.2× |
| Fmr1 gene detection (81243) |
$247.59 |
$247.59 |
4.3× |
| Folate rbc (82747) |
$59 |
$59 |
3.3× |
| Folate serum (82746) |
$744 |
$744 |
50.6× |
| Fractionation ketosteroids - 17-ketosteroids, fractionation (83593) |
$148 |
$148 |
5.2× |
| Francisella tularensis ab (86668) |
$50 |
$50 |
3.5× |
| Free t4 (84439) |
$910 |
$910 |
100.9× |
| Frozen blood thaw (86931) |
$1,624 |
$1,624 |
9.1× |
| Fructosamine (82985) |
$23 |
$23 |
1.4× |
| Fructose semen (82757) |
$6 |
$6 |
0.3× |
| Fsh (83001) |
$17 |
$17 |
0.9× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$204 |
$204 |
17.4× |
| Gamma glutamyl transferase (82977) |
$910 |
$910 |
126.4× |
| Gammaglobulin ige (82785) |
$19.76 |
$19.76 |
1.2× |
| Gases blood (82803) |
$392.50 |
$392.50 |
15.1× |
| Gastric analy w/ph ea spec (82930) |
$70 |
$70 |
10.4× |
| Gastric occult blood (82271) |
$359 |
$359 |
67.5× |
| Gastrin (82941) |
$8 |
$8 |
0.5× |
| Gastrin (GI tract hormone) level, after secretin stimulation (82938) |
$105 |
$105 |
5.9× |
| Gentamicin (80170) |
$1,321 |
$1,321 |
80.6× |
| Giardia ag by if (87269) |
$217 |
$217 |
15.9× |
| Giardia antigen eia stool (87329) |
$778 |
$778 |
64.9× |
| Gliadin antibody each immunoglobulin class (86258) |
$92 |
$92 |
7.6× |
| Glucagon (82943) |
$23 |
$23 |
1.6× |
| Glucose (82947) |
$771 |
$771 |
196.2× |
| Glucose body fluid (82945) |
$793 |
$793 |
201.8× |
| Glucose post glucose dose (82950) |
$844.50 |
$844.50 |
177.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$1,231 |
$1,231 |
95.6× |
| Gram stain smear (87205) |
$787 |
$787 |
184.3× |
| Gross & micro level ii (88302) |
$42 |
$42 |
1.1× |
| Gross & micro level iii (88304) |
$49 |
$49 |
0.9× |
| Growth hormone (83003) |
$502 |
$502 |
30.1× |
| Gtt-added samples (82952) |
$572 |
$572 |
145.9× |
| Haloperidol (80173) |
$17 |
$17 |
1.1× |
| Haptoglobin (83010) |
$33 |
$33 |
2.6× |
| Hcg quant (84702) |
$15 |
$15 |
1.0× |
| Heavy metal quan each nes (83018) |
$43.50 |
$43.50 |
2.0× |
| Heavy metal screen (83015) |
$51.50 |
$51.50 |
2.5× |
| Heinz bodies direct (85441) |
$21.32 |
$21.32 |
5.1× |
| Helicobacter Pylori Antibody Igg (86677) |
$140 |
$140 |
8.3× |
| Hematocrit (85014) |
$702 |
$702 |
296.2× |
| Hemoglobin (85018) |
$702 |
$702 |
296.2× |
| Hemoglobin a1c (83036) |
$39 |
$39 |
4.0× |
| Hemoglobin electrophoresis (83020) |
$65 |
$65 |
5.1× |
| Hemoglobin fetal ql (83033) |
$40.50 |
$40.50 |
5.1× |
| Hemoglobin Fetal,Rosette - Fetal Bleed Screen (85461) |
$561 |
$561 |
59.9× |
| Hemoglobin fractj/quantj chromotography (83021) |
$12.53 |
$12.53 |
0.7× |
| Hemoglobin plasma (83051) |
$15 |
$15 |
2.1× |
| Hemoglobin urine (83069) |
$33 |
$33 |
8.4× |
| Hemosiderin urine (83070) |
$38.25 |
$38.25 |
8.1× |
| Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm (86705) |
$41 |
$41 |
3.5× |
| Heparin assay (85520) |
$787 |
$787 |
60.1× |
| Heparin induced platelet ab (86022) |
$22.54 |
$22.54 |
1.2× |
| Heparin-protamine tolerance - poct heparin dose response (85530) |
$84 |
$84 |
6.4× |
| Hepatitis a antibody (haab) total (86708) |
$29 |
$29 |
2.3× |
| Hepatitis a igm (86709) |
$33 |
$33 |
2.9× |
| Hepatitis b core antibody total (86704) |
$36 |
$36 |
3.0× |
| Hepatitis b surface antibody (86706) |
$17 |
$17 |
1.6× |
| Hepatitis B Surface Antigen (87340) |
$11 |
$11 |
1.1× |
| Hepatitis b virus DNA, quantitative, real-time PCR (87517) |
$90 |
$90 |
2.1× |
| 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 (eg, immunoblot) Other Outpatient (86804) |
$28 |
$28 |
1.8× |
| Hepatitis c direct probe (87520) |
$35 |
$35 |
1.1× |
| Hepatitis c RNA quantitative (87522) |
$333 |
$333 |
7.8× |
| Hepatitis c virus genotype (87902) |
$1,032 |
$1,032 |
4.0× |
| Hepatitis delta antibody (86692) |
$13 |
$13 |
0.8× |
| Herpes simplex type 1 ab (86695) |
$23 |
$23 |
1.7× |
| Herpes simplex type 2 antibody (86696) |
$44 |
$44 |
2.3× |
| Herpes simplex virus igm ab (86694) |
$29 |
$29 |
2.0× |
| Heterophile ab screen (86308) |
$878 |
$878 |
169.5× |
| Hfe gene (81256) |
$91.54 |
$91.54 |
1.4× |
| Hgb; fetal chemical (83030) |
$30.50 |
$30.50 |
2.8× |
| High density lipoprotein (83718) |
$473 |
$473 |
57.8× |
| Histamine plasma (83088) |
$18.28 |
$18.28 |
0.6× |
| Histoplasma antibody (86698) |
$17 |
$17 |
1.2× |
| Histoplasma antigen by eia (87385) |
$155.88 |
$155.88 |
11.8× |
| HIV genotype (87901) |
$447 |
$447 |
1.7× |
| HIV p24 antigen (87390) |
$98.50 |
$98.50 |
4.1× |
| HIV-1 antibody (86701) |
$1,729 |
$1,729 |
194.5× |
| HIV-1 DNA by PCR (87535) |
$233 |
$233 |
6.6× |
| HIV-1 quant&revrse trnscrpj (87536) |
$533.50 |
$533.50 |
6.3× |
| HIV-1/HIV-2 single result (86703) |
$479 |
$479 |
34.9× |
| HIV-2 antibody (86702) |
$222 |
$222 |
16.4× |
| Hla b27 (86812) |
$21 |
$21 |
0.8× |
| Hla b5701 (81381) |
$77.38 |
$77.38 |
0.5× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient (81373) |
$77.38 |
$77.38 |
0.6× |
| Hla i typing 1 antigen lr (81374) |
$17.92 |
$17.92 |
0.2× |
| Hla ii type 1 ag equiv lr (81377) |
$32.37 |
$32.37 |
0.3× |
| Hla ii typing 1 allele hr (81383) |
$32.37 |
$32.37 |
0.3× |
| Hla typing a/b/c multiple antigens (86813) |
$580 |
$580 |
10.0× |
| Hla typing dr/dq (86817) |
$240 |
$240 |
2.3× |
| Homocystine (83090) |
$415 |
$415 |
23.2× |
| Homogenization tissue (87176) |
$5 |
$5 |
0.9× |
| Homovanillic acid (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× |
| Human placental lactogen (83632) |
$112 |
$112 |
5.5× |
| Hydroxyprogesterone 17-d (83498) |
$21 |
$21 |
0.8× |
| Hydroxyproline total (83505) |
$43 |
$43 |
1.8× |
| Iaad ia clostridium difficile toxin (87324) |
$683 |
$683 |
57.0× |
| Iaad ia hepatitis delta antigen (87380) |
$38.65 |
$38.65 |
2.1× |
| 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 severe aqt respir synd coronavirus (87426) |
$43.50 |
$43.50 |
1.2× |
| Iaadi herpes smplx virus type 1 (87274) |
$25 |
$25 |
2.1× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$129 |
$129 |
2.5× |
| Igg subclass 4 (82787) |
$37 |
$37 |
4.6× |
| Immune complex assay (86332) |
$84.50 |
$84.50 |
3.5× |
| Immunoassay infectious agent antibody quan nos (86317) |
$45 |
$45 |
3.0× |
| Immunodiffusion ouchterlony (86331) |
$20.84 |
$20.84 |
1.7× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient (86325) |
$17.50 |
$17.50 |
0.8× |
| Immunofixation Electrophoresis Serum (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 assay (86023) |
$61 |
$61 |
4.9× |
| Immunoglobulin d (82784) |
$16.50 |
$16.50 |
1.8× |
| Immunoglobulin light chains free each (83521) |
$42 |
$42 |
2.4× |
| Immunoperoxidase (88342) |
$164 |
$164 |
0.9× |
| In situ hybridization 1st probe stain (88365) |
$125 |
$125 |
0.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent… (87320) |
$16 |
$16 |
1.1× |
| 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 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; Legionella pneumophila Other Outpatient (87278) |
$107 |
$107 |
6.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Other Outpatient (87485) |
$296 |
$296 |
14.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) |
$167 |
$167 |
4.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Other Outpatient (87516) |
$84 |
$84 |
2.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$222 |
$222 |
6.3× |
| 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 Other… (87555) |
$23 |
$23 |
0.9× |
| Influenza a ag if (87276) |
$446 |
$446 |
27.8× |
| Influenza a/b ag eia (87400) |
$315.50 |
$315.50 |
22.3× |
| Influenza b ag if (87275) |
$446 |
$446 |
36.4× |
| Influenza DNA amp probe (87502) |
$346 |
$346 |
3.6× |
| Influenza virus antibody (86710) |
$15 |
$15 |
1.1× |
| Inhibin b (83520) |
$50 |
$50 |
2.9× |
| Insitu hybridization auto (88367) |
$513 |
$513 |
1.4× |
| Insitu hybridization manual (88368) |
$223 |
$223 |
0.6× |
| Insulin antibody (86337) |
$76 |
$76 |
3.5× |
| Insulin total (83525) |
$100 |
$100 |
8.7× |
| Interleukin 6 (83529) |
$54 |
$54 |
3.1× |
| Intraop cyto path consult 1 (88333) |
$45 |
$45 |
0.1× |
| Intrinsic factor ab (86340) |
$8 |
$8 |
0.5× |
| Ip stain (87253) |
$343 |
$343 |
17.0× |
| Iron (83540) |
$770 |
$770 |
119.0× |
| Iron binding capacity total (83550) |
$887 |
$887 |
101.5× |
| Irradiate bld product ea unit (86945) |
$604 |
$604 |
15.5× |
| Islet cell antibody (86341) |
$23 |
$23 |
1.0× |
| Jak2 gene (81270) |
$162.90 |
$162.90 |
1.8× |
| Ketogenic steroids fract (83582) |
$45 |
$45 |
2.9× |
| Ketosteroids 17 total (83586) |
$41 |
$41 |
3.2× |
| Kleihauer betke stain (85460) |
$726 |
$726 |
93.9× |
| Koh for fungi/parasites/mites (87220) |
$686 |
$686 |
160.7× |
| L/s ratio fetal lung (83661) |
$168 |
$168 |
7.6× |
| L117054ptt substitut (85732) |
$541 |
$541 |
83.6× |
| L164657fungus ab nos (86671) |
$80 |
$80 |
6.5× |
| L216655epst-barr vca (86665) |
$858 |
$858 |
47.3× |
| Lactate dehydrogenase (83615) |
$828 |
$828 |
137.1× |
| Lactic acid (83605) |
$483 |
$483 |
41.7× |
| Lactoferrin fecal qual (83630) |
$151 |
$151 |
7.7× |
| Lamotrigine (80175) |
$20 |
$20 |
1.5× |
| 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× |
| Legionella culture (87081) |
$205 |
$205 |
30.9× |
| Leptospira antibody (86720) |
$50 |
$50 |
3.1× |
| Leucine aminopeptidase (83670) |
$5 |
$5 |
0.5× |
| Leukocyte (Wbc) Count - White Blood Count (85048) |
$462 |
$462 |
181.9× |
| Leukocyte alkaline phosphatase (85540) |
$15 |
$15 |
1.7× |
| Levetiracetam (keppra) (80177) |
$65.16 |
$65.16 |
4.9× |
| Lidocaine (80176) |
$41 |
$41 |
2.8× |
| Lipase (83690) |
$491 |
$491 |
71.3× |
| Lipoprotein (a) (83695) |
$32.61 |
$32.61 |
2.3× |
| Lipoprotein bld hr fraction (83701) |
$21 |
$21 |
0.6× |
| Lipoprotein blood by nmr spect - lipoprotein (83704) |
$32.61 |
$32.61 |
1.0× |
| Lipoprotein electrophoresis (83700) |
$10 |
$10 |
0.9× |
| Lipoprotein, direct measurement; VLDL cholesterol Other Outpatient (83719) |
$473 |
$473 |
37.1× |
| Lipoprotein-associated phospholipase a2 (83698) |
$12 |
$12 |
0.3× |
| Lithium (80178) |
$648 |
$648 |
98.0× |
| Luteinizing hormone (lh) (83002) |
$28 |
$28 |
1.5× |
| Lyme ab igm western blot (86617) |
$46 |
$46 |
3.0× |
| Lyme disease antibody (86618) |
$46 |
$46 |
2.7× |
| Lymes amplified na probe (87476) |
$203.50 |
$203.50 |
5.8× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$583 |
$583 |
3.3× |
| M/phmtrc alys tumor imhchem ea antbdy cmptr asst (88361) |
$221.50 |
$221.50 |
0.6× |
| Macroscopic exam parasite (87169) |
$31 |
$31 |
7.2× |
| Magnesium urine (83735) |
$39 |
$39 |
5.8× |
| Malaria smear (87207) |
$217 |
$217 |
36.2× |
| Manganese (83785) |
$37 |
$37 |
1.4× |
| Manual cell count each (85032) |
$812 |
$812 |
188.4× |
| Manual tumor im histochem ea ab (88360) |
$176 |
$176 |
1.0× |
| Mcg; ip situ 100-300 cells (88275) |
$179 |
$179 |
3.5× |
| Mercury urine (83825) |
$32 |
$32 |
2.0× |
| Metanephrines (83835) |
$18 |
$18 |
1.1× |
| Methemalbumin (83857) |
$50 |
$50 |
4.7× |
| Methylmalonic acid serum (83921) |
$57 |
$57 |
2.7× |
| Microalbumin urine (82043) |
$28 |
$28 |
4.8× |
| Microalbumin; urine semiquan (82044) |
$12.50 |
$12.50 |
2.0× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$92 |
$92 |
1.7× |
| Microsomal Antibody - Thyroid Peroxidase Antibody (86376) |
$60 |
$60 |
4.1× |
| Mitochondrial antibody each (86381) |
$39 |
$39 |
1.5× |
| Molecular cytogenetics DNA probe each (88271) |
$68 |
$68 |
3.2× |
| Mopath procedure level 4 (81403) |
$350 |
$350 |
1.9× |
| Morphometric analysis tumor (88358) |
$42 |
$42 |
0.2× |
| Mthfr gene analysis (81291) |
$86.51 |
$86.51 |
1.3× |
| Mucopolysaccharides (83864) |
$7 |
$7 |
0.2× |
| Mumps igg antibody (86735) |
$99 |
$99 |
7.6× |
| Muramidase (85549) |
$18 |
$18 |
1.0× |
| Muscle-specific kinase antibody (86366) |
$866.50 |
$866.50 |
47.1× |
| Mycobacteria t amplif na probe (87556) |
$511.50 |
$511.50 |
12.3× |
| Mycoplasma antibody (86738) |
$39 |
$39 |
2.9× |
| Myelin basic protein csf (83873) |
$15 |
$15 |
0.9× |
| Myoglobin (83874) |
$1,398 |
$1,398 |
108.2× |
| N.gonorrhoeae DNA amp prob (87591) |
$771 |
$771 |
22.0× |
| Natriuretic peptide (83880) |
$906 |
$906 |
23.1× |
| Nerve teasing preparations (88362) |
$295 |
$295 |
0.4× |
| Non gyn sputum nipple d/c (88160) |
$29 |
$29 |
1.0× |
| Occult bld feces 1-3 tests (82272) |
$359 |
$359 |
84.9× |
| Occult blood stool (82270) |
$16 |
$16 |
3.7× |
| Oligoclonal bands (83916) |
$227 |
$227 |
8.3× |
| Organic acids total quant (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 exam (87177) |
$1,115 |
$1,115 |
125.3× |
| Oxalate urine (83945) |
$333 |
$333 |
23.0× |
| Pa; screen ea ab (86403) |
$76.50 |
$76.50 |
6.6× |
| Pancreatic Elastase, Fecal, Qual/Semi-Quant - Pancreatic Elastase (82656) |
$56.23 |
$56.23 |
4.9× |
| Pancreatic polypeptide (83519) |
$48 |
$48 |
2.6× |
| Parainfluenza ag if (87279) |
$446 |
$446 |
27.1× |
| Parathyroid hormone (83970) |
$86 |
$86 |
2.1× |
| Parietal cell antibody (83516) |
$46 |
$46 |
4.0× |
| Parvovirus antibody (86747) |
$30.50 |
$30.50 |
2.0× |
| Path consult during surgery (88329) |
$370 |
$370 |
6.0× |
| Pertussis ag if (87265) |
$96.50 |
$96.50 |
8.1× |
| Ph body fluid (83986) |
$400 |
$400 |
111.7× |
| Phenobarbital (80184) |
$1,637 |
$1,637 |
107.0× |
| Phenylalanine (84030) |
$220 |
$220 |
40.0× |
| Phenytoin free (80186) |
$12 |
$12 |
0.9× |
| Phenytoin total (80185) |
$1,401 |
$1,401 |
105.7× |
| Phosphatidylglycerol (84081) |
$33 |
$33 |
2.0× |
| Phospholipid pltlt neutraliz (85597) |
$22 |
$22 |
1.2× |
| Phosphorus blood (84100) |
$770 |
$770 |
162.4× |
| Phosphorus urine (84105) |
$17 |
$17 |
2.9× |
| Pinworm exam (87172) |
$234 |
$234 |
54.8× |
| Plasma renin activity (84244) |
$51 |
$51 |
2.3× |
| Plasminogen (85421) |
$87 |
$87 |
8.5× |
| Plasminogen activity (85420) |
$87 |
$87 |
13.3× |
| Platelet Aggregation (85576) |
$482 |
$482 |
19.3× |
| Platelet count automated (85049) |
$717 |
$717 |
160.0× |
| Pneumocystis c ag by if (87281) |
$333 |
$333 |
27.8× |
| Porphobilinogen urine qual (84106) |
$37 |
$37 |
6.4× |
| Porphobilinogen urine quant (84110) |
$51.13 |
$51.13 |
6.1× |
| Porphyrins total plasma (84311) |
$56 |
$56 |
6.9× |
| Porphyrins urine qual (84119) |
$7 |
$7 |
0.5× |
| Porphyrins urine quantitation & fractionation (84120) |
$18 |
$18 |
1.2× |
| Potassium serum (84132) |
$602 |
$602 |
126.5× |
| Potassium urine (84133) |
$602 |
$602 |
127.3× |
| Prealbumin (84134) |
$771 |
$771 |
52.8× |
| Pregnancy test serum (84703) |
$630.50 |
$630.50 |
83.8× |
| Pregnancy test urine (81025) |
$1,626 |
$1,626 |
188.9× |
| Pregnenolone (84140) |
$26.23 |
$26.23 |
1.3× |
| Pretx rbc antibody incubat w/chem agnts/drugs ea (86970) |
$121 |
$121 |
2.0× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$121 |
$121 |
0.7× |
| Pretx serum rbc antibody id diffial each absrpj (86978) |
$176 |
$176 |
2.9× |
| Primidone (80188) |
$48 |
$48 |
2.9× |
| Procalcitonin (pct) (84145) |
$367 |
$367 |
13.5× |
| Progesterone (84144) |
$9 |
$9 |
0.4× |
| Proinsulin (84206) |
$58 |
$58 |
2.2× |
| Prolactin (84146) |
$29 |
$29 |
1.5× |
| Protein c antigen (85302) |
$100 |
$100 |
8.3× |
| Protein c functional (85303) |
$60 |
$60 |
4.3× |
| Protein electrophoresis serum (84165) |
$484 |
$484 |
45.1× |
| Protein electrophoresis urine (84166) |
$614 |
$614 |
34.4× |
| Protein s free (85306) |
$175 |
$175 |
11.4× |
| Protein s total (85305) |
$50 |
$50 |
4.3× |
| Protein total other source (84157) |
$783 |
$783 |
195.8× |
| Protein total serum (84155) |
$783 |
$783 |
213.4× |
| Protein total urine (84156) |
$1,788 |
$1,788 |
487.2× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$1,361 |
$1,361 |
345.4× |
| PSA free (84154) |
$17 |
$17 |
0.9× |
| Pyruvate (84210) |
$19 |
$19 |
1.3× |
| Pyruvate kinase (84220) |
$71 |
$71 |
7.5× |
| Qual organic acids ea specim (83919) |
$79 |
$79 |
4.8× |
| Quinidine (80194) |
$624 |
$624 |
42.7× |
| Quinine Other Outpatient (84228) |
$47 |
$47 |
4.0× |
| Receptor assay progesterone (84234) |
$227 |
$227 |
3.5× |
| Reptilase test (85635) |
$674 |
$674 |
68.4× |
| Resp virus 12-25 targets (87633) |
$885 |
$885 |
2.1× |
| Respiratory syncytial vi (87280) |
$333 |
$333 |
24.8× |
| Reticulocyte count auto (85045) |
$612 |
$612 |
153.4× |
| Rh phenotyping complete (86906) |
$319 |
$319 |
41.2× |
| Rheumatoid factor qual (86430) |
$744 |
$744 |
121.2× |
| Rickettsia antibody (86757) |
$23.50 |
$23.50 |
1.2× |
| Rnp antibody (86235) |
$415 |
$415 |
23.1× |
| Rotavirus antibody (86759) |
$1,273 |
$1,273 |
69.8× |
| Rpr (86592) |
$624 |
$624 |
146.1× |
| Rpr titer (86593) |
$45 |
$45 |
10.2× |
| Rsv ag eia (87420) |
$54 |
$54 |
3.9× |
| Rsv ia w dir observ (87807) |
$333 |
$333 |
25.4× |
| Rubella antibody (86762) |
$729 |
$729 |
50.7× |
| Rubeola antibody (86765) |
$18 |
$18 |
1.4× |
| Russell viper venom diluted (85613) |
$104 |
$104 |
10.9× |
| Russell viper venom time (includes venom); undiluted Other Outpatient (85612) |
$734 |
$734 |
42.0× |
| Salmonella typhi and paratyphi antibodies (86768) |
$65 |
$65 |
4.9× |
| Sars-cov-2 COVID-19 antibody (86769) |
$52.56 |
$52.56 |
1.2× |
| Sed rate automated (85652) |
$833 |
$833 |
308.5× |
| Selenium serum (84255) |
$17 |
$17 |
0.7× |
| Serotonin (84260) |
$18 |
$18 |
0.6× |
| Serum bactericidal titer (87197) |
$222 |
$222 |
14.8× |
| Serum immunoelectrophoresis (86320) |
$18 |
$18 |
0.6× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Other Outpatient (86807) |
$148 |
$148 |
1.9× |
| Sex hormone binding globulin (84270) |
$112 |
$112 |
5.2× |
| Sickle cell screen (85660) |
$4 |
$4 |
0.7× |
| Sirolimus (rapamycin) (80195) |
$68 |
$68 |
5.0× |
| Smear wet mount (87210) |
$597 |
$597 |
102.6× |
| Sodium feces (84302) |
$686 |
$686 |
141.2× |
| Sodium serum (84295) |
$686 |
$686 |
142.6× |
| Sodium urine (84300) |
$294 |
$294 |
58.1× |
| Somatomedin-c (84305) |
$34.50 |
$34.50 |
1.6× |
| Sp consult; 1st tb w fs sgl sp (88331) |
$154 |
$154 |
0.9× |
| Special stains group i (88312) |
$104 |
$104 |
1.9× |
| Special stains group ii (88313) |
$139 |
$139 |
1.0× |
| Specific gravity except urine (84315) |
$310 |
$310 |
94.5× |
| Stone analysis qn chem (82360) |
$17.50 |
$17.50 |
1.4× |
| Stool cultr aerobic bact ea (87046) |
$92 |
$92 |
9.7× |
| Strep a ag eia (87430) |
$632 |
$632 |
37.6× |
| Strep. gr a immuno w optical (87880) |
$632 |
$632 |
38.2× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$19 |
$19 |
0.6× |
| Surg Path,Level V - Lab Surg Path,Level V (88307) |
$106 |
$106 |
0.3× |
| Surgical path level vi (88309) |
$146 |
$146 |
0.2× |
| Surgical pathology level IV (88305) |
$176 |
$176 |
3.2× |
| Susceptbilty stdy antimicrbial agnt agar dilutj (87181) |
$942 |
$942 |
198.3× |
| Susceptibility broth dilution panel (87186) |
$856 |
$856 |
99.0× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
$683 |
$683 |
17.0× |
| Susceptibility study antimicrobial disk method (87184) |
$287 |
$287 |
38.4× |
| Susceptiblty stdy antmcrb mycobact proporj mthd (87190) |
$76 |
$76 |
10.4× |
| 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× |
| Tacrolimus (80197) |
$407 |
$407 |
29.6× |
| Tb test cell immun measure (86480) |
$94 |
$94 |
1.5× |
| Teichoic acid antibodies (86329) |
$8 |
$8 |
0.6× |
| Telomere length testing (88182) |
$175 |
$175 |
3.2× |
| 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× |
| Thiamine (84425) |
$29 |
$29 |
1.4× |
| Thiocyanate level (84430) |
$12 |
$12 |
1.0× |
| Thiopurine drug metabolites (83789) |
$16.35 |
$16.35 |
0.7× |
| Thiopurine metabolites (80299) |
$68.50 |
$68.50 |
3.7× |
| Thrombin time plasma (85670) |
$889 |
$889 |
154.1× |
| Thyroglobulin (84432) |
$3 |
$3 |
0.2× |
| Thyroglobulin antibody (86800) |
$129 |
$129 |
8.1× |
| Thyroid stimulating immunoglob (84445) |
$224 |
$224 |
4.4× |
| Thyroxine binding globulin (84442) |
$29 |
$29 |
2.0× |
| Thyroxine t4 total (84436) |
$738 |
$738 |
107.4× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$738 |
$738 |
114.1× |
| Tissue culture bone marrow (88237) |
$377 |
$377 |
2.6× |
| Tissue culture lymphocyte (88230) |
$516 |
$516 |
4.4× |
| Tissue culture placenta (88235) |
$654 |
$654 |
4.4× |
| Tissue culture skin/biopsy (88233) |
$625 |
$625 |
4.4× |
| Tissue culture solid tumor (88239) |
$378.50 |
$378.50 |
2.6× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$92 |
$92 |
8.0× |
| Tobramycin (80200) |
$1,347 |
$1,347 |
83.5× |
| Topiramate (80201) |
$13 |
$13 |
1.1× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$431 |
$431 |
21.8× |
| Toxoplasma antibody igm (86778) |
$65 |
$65 |
4.5× |
| Tpmt3, thiopurine methyltransferase activity profile, erythrocytes mayo clinic (84433) |
$58.30 |
$58.30 |
2.6× |
| Transferrin (84466) |
$33 |
$33 |
2.6× |
| Treponema pallidum antibody (86780) |
$117 |
$117 |
8.8× |
| Trichinella antibody (86784) |
$69 |
$69 |
5.5× |
| Trichomonas assay w/optic (87808) |
$44 |
$44 |
2.9× |
| Triglycerides (84478) |
$942 |
$942 |
164.1× |
| Troponin i (84484) |
$1,555 |
$1,555 |
124.7× |
| Trypanosoma cruzi igg (86753) |
$38.42 |
$38.42 |
3.1× |
| Trypsin feces qual (84488) |
$45 |
$45 |
6.2× |
| Trypsin; feces, quantitative, 24-hour collection Other Outpatient (84490) |
$45 |
$45 |
4.5× |
| Tularemia agglutinins (86000) |
$56 |
$56 |
8.0× |
| Tyrosine (84510) |
$9 |
$9 |
0.8× |
| Uf hb allergen food alpha gal ige (86008) |
$3.26 |
$3.26 |
0.2× |
| Urea nitrogen clearance (84545) |
$771 |
$771 |
107.1× |
| Urea nitrogen quantitative (84520) |
$741 |
$741 |
187.6× |
| 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/micro (81001) |
$770 |
$770 |
242.9× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) |
$350 |
$350 |
11.7× |
| Urine bacteria culture (87088) |
$378 |
$378 |
46.7× |
| Urine volume measurement (81050) |
$191 |
$191 |
52.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$478 |
$478 |
212.4× |
| Urobilinogen, urine; quantitative, timed specimen Other Outpatient (84580) |
$45 |
$45 |
4.7× |
| Valproic acid (80164) |
$1,115 |
$1,115 |
82.3× |
| Vancomycin (80202) |
$1,128 |
$1,128 |
83.3× |
| Varicella zoster ag if (87290) |
$119 |
$119 |
8.9× |
| Varicella zoster antibody igg (86787) |
$33 |
$33 |
2.6× |
| Vasoactive intestinal polypeptide (84586) |
$90 |
$90 |
2.5× |
| Vasopressin (84588) |
$84 |
$84 |
2.5× |
| Viral culture non-respiratory (87252) |
$207 |
$207 |
7.9× |
| Virus antibody nos (86790) |
$72 |
$72 |
5.6× |
| Virus isol shell vial techn (87254) |
$144 |
$144 |
7.4× |
| Viscosity serum (85810) |
$39 |
$39 |
3.3× |
| Vitamin a (84590) |
$15 |
$15 |
1.3× |
| Vitamin b12 (82607) |
$744 |
$744 |
49.3× |
| Vitamin b12 binding capacity (82608) |
$13 |
$13 |
0.9× |
| Vitamin b5 (84591) |
$18.40 |
$18.40 |
1.1× |
| Vitamin b6 (84207) |
$23 |
$23 |
0.8× |
| Vitamin c (82180) |
$8 |
$8 |
0.8× |
| Vitamin d 1 25 dihydroxy (82652) |
$31.50 |
$31.50 |
0.8× |
| Vitamin d, 25-hydroxy, labcorp (82306) |
$22 |
$22 |
0.7× |
| Vitamin e (84446) |
$10 |
$10 |
0.7× |
| Vma (84585) |
$19 |
$19 |
1.2× |
| Volatiles (84600) |
$25.86 |
$25.86 |
1.5× |
| Voltage-gated calcium channel antibody each (86596) |
$158 |
$158 |
13.1× |
| Von willebrand factor activity (85245) |
$104.40 |
$104.40 |
4.6× |
| Voriconazole (80285) |
$64 |
$64 |
2.4× |
| West nile virus ab igm (86788) |
$20.36 |
$20.36 |
1.2× |
| West nile virus antibody (86789) |
$20.36 |
$20.36 |
1.4× |
| Xylose absorption urine (84620) |
$68 |
$68 |
5.3× |
| Zika virus DNA/RNA amp probe (87662) |
$120 |
$120 |
2.3× |
| Zika virus igm (86794) |
$45 |
$45 |
2.7× |
| Zinc (84630) |
$14 |
$14 |
1.2× |
| Zinc protoporphyrin blood (84202) |
$19 |
$19 |
1.3× |