Lab & pathology prices at HCA Florida Twin Cities Hospital
Niceville, FL · every code in this section with a posted price and a Medicare benchmark.
611 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) | $12 | $12 | 0.3× |
| 5 Nucleotidase (83915) | $5 | $5 | 0.4× |
| Acetaminophen level (80143) | $1,791 | $1,791 | 96.1× |
| Acetone serum qual (82009) | $460 | $460 | 101.8× |
| Acetylcholine receptor binding antibody (86041) | $13 | $13 | 0.7× |
| Actin smooth muscle antibody each (86015) | $6 | $6 | 0.5× |
| Activated protein c resistance (85307) | $171 | $171 | 11.2× |
| Acute hepatitis panel (80074) | $1,790 | $1,790 | 37.6× |
| Adenovirus ag, if (87260) | $51 | $51 | 3.5× |
| Adenovirus antibody (86603) | $14 | $14 | 1.1× |
| Adrenocorticotropic hormone (82024) | $6 | $6 | 0.2× |
| Afp maternal serum (82105) | $145.50 | $145.50 | 8.7× |
| Albumin body fluid (82042) | $35.50 | $35.50 | 4.6× |
| Albumin serum (82040) | $200.50 | $200.50 | 40.5× |
| Aldolase (82085) | $2 | $2 | 0.2× |
| Aldosterone urine (82088) | $36.50 | $36.50 | 0.9× |
| Alkaline phosphatase isoenzymes (84080) | $5 | $5 | 0.3× |
| Allergen peanut (86003) | $12 | $12 | 2.3× |
| Alpha-1-antitrypsin, total (82103) | $141.50 | $141.50 | 10.5× |
| Alt (sgpt) (84460) | $439.50 | $439.50 | 82.9× |
| Amikacin trough (80150) | $57 | $57 | 3.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $16 | $16 | 0.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $109 | $109 | 6.5× |
| Amylase urine (82150) | $1,020 | $1,020 | 157.4× |
| Ana titer (86039) | $569 | $569 | 51.0× |
| Angiotensin i enzyme test (82164) | $4 | $4 | 0.3× |
| Anti-phosphatidylserine antibody (86148) | $8 | $8 | 0.5× |
| Antibody aspergillus (86606) | $26 | $26 | 1.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $18 | $18 | 1.2× |
| Antibody coxiella burnetii q fever (86638) | $16 | $16 | 1.3× |
| Antibody cytomegalovirus cmv (86644) | $204 | $204 | 14.2× |
| Antibody Encephalitis Eastern Equine (86652) | $6.50 | $6.50 | 0.5× |
| Antibody encephalitis st. louis (86653) | $6.50 | $6.50 | 0.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $8 | $8 | 0.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $36.75 | $36.75 | 3.0× |
| Antibody helicobacter pylori (86677) | $21 | $21 | 1.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $6 | $6 | 0.4× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $30.50 | $30.50 | 2.2× |
| Antibody HIV-2 (86702) | $44 | $44 | 3.3× |
| Antibody identification (86870) | $166 | $166 | 0.4× |
| Antibody identification leukocyte antibodies (86021) | $95 | $95 | 6.3× |
| Antibody mumps (86735) | $189 | $189 | 14.5× |
| Antibody screen (86850) | $361 | $361 | 36.9× |
| Antibody treponema pallidum (86780) | $5 | $5 | 0.4× |
| Antibody; Coccidioides (86635) | $13 | $13 | 1.1× |
| Antigen typing (86905) | $173.50 | $173.50 | 45.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $17 | $17 | 3.3× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $175 | $175 | 14.5× |
| Antinomyces antibody (86602) | $30.54 | $30.54 | 3.0× |
| Antinuclear antibodies (86038) | $348.94 | $348.94 | 28.9× |
| Antistreptolysin o titer (86060) | $701 | $701 | 96.0× |
| Antithrombin iii activity (85300) | $75.50 | $75.50 | 6.4× |
| Antithrombin iii antigen (85301) | $10 | $10 | 0.9× |
| Apolipoprotein each (82172) | $13 | $13 | 0.6× |
| Arsenic Urine (82175) | $11 | $11 | 0.6× |
| Aspergillus ag eia (87305) | $133 | $133 | 11.1× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $10 | $10 | 0.8× |
| Assay Lipoprotein Pla2 (83698) | $71 | $71 | 1.5× |
| Assay Nephelometry Not Spec (83883) | $19 | $19 | 1.4× |
| Assay of 5-hiaa (83497) | $14 | $14 | 1.1× |
| Assay of ammonia (82140) | $690 | $690 | 47.4× |
| Assay of androstenedione (82157) | $12 | $12 | 0.4× |
| Assay of c-peptide (84681) | $274 | $274 | 13.2× |
| Assay of ceruloplasmin (82390) | $5 | $5 | 0.5× |
| Assay of citrate (82507) | $29 | $29 | 1.0× |
| Assay of cpk in blood (82552) | $6 | $6 | 0.4× |
| Assay of cyclosporine (80158) | $893 | $893 | 49.5× |
| Assay of erythropoietin (82668) | $9 | $9 | 0.5× |
| Assay of estrone (82679) | $12 | $12 | 0.5× |
| Assay of ferritin (82728) | $664 | $664 | 48.7× |
| Assay of g6pd enzyme (82955) | $9 | $9 | 0.9× |
| Assay of gammaglobulin igm (82784) | $40 | $40 | 4.3× |
| Assay of gastrin (82941) | $12 | $12 | 0.7× |
| Assay of gentamicin (80170) | $1,687 | $1,687 | 103.0× |
| Assay of homocystine (83090) | $240 | $240 | 13.4× |
| Assay of lactic acid (83605) | $417 | $417 | 36.0× |
| Assay of lipoprotein(a) (83695) | $97 | $97 | 6.8× |
| Assay of manganese (83785) | $39 | $39 | 1.5× |
| Assay of metanephrines (83835) | $31 | $31 | 1.8× |
| Assay of phenobarbital (80184) | $1,658 | $1,658 | 108.4× |
| Assay of phosphatase acid total (84060) | $106 | $106 | 13.9× |
| Assay of prealbumin (84134) | $847 | $847 | 58.1× |
| Assay of proinsulin (84206) | $33 | $33 | 1.2× |
| Assay of prolactin (84146) | $1,171 | $1,171 | 60.4× |
| Assay of serotonin (84260) | $14 | $14 | 0.5× |
| Assay of tacrolimus (80197) | $117 | $117 | 8.5× |
| Assay of urine vma (84585) | $6 | $6 | 0.4× |
| Assay of vasopressin anti-diuretic hormone (84588) | $28 | $28 | 0.8× |
| Assay of vitamin k (84597) | $67 | $67 | 4.9× |
| Assay Phosphatase Acid Prostatic (84066) | $6 | $6 | 0.6× |
| Assay spec xcp ur&breath ia (82077) | $602.50 | $602.50 | 34.9× |
| Ast (sgot) (84450) | $1,024 | $1,024 | 197.7× |
| B cells total count (86355) | $122 | $122 | 3.2× |
| Bartonella antibody (86611) | $17 | $17 | 1.7× |
| Bcr/abl1 gene major bp (81206) | $190 | $190 | 1.2× |
| Bcr/abl1 gene minor bp (81207) | $469 | $469 | 3.2× |
| Beta 2 glycoprotein 1 igm (86146) | $5 | $5 | 0.2× |
| Beta lactamase (87185) | $723.50 | $723.50 | 152.3× |
| Beta-2 microglobulin (82232) | $240 | $240 | 14.8× |
| Bile acids, total (82239) | $11 | $11 | 0.6× |
| Bilirubin direct (82248) | $980 | $980 | 195.2× |
| Bilirubin total (82247) | $270.50 | $270.50 | 53.9× |
| Bl Smear W/Diff Wbc Count (85007) | $548 | $548 | 144.2× |
| Bld Typing Serologic Rh Phnt (86906) | $25 | $25 | 3.2× |
| Bleeding time (85002) | $927 | $927 | 192.3× |
| Blood gas (82803) | $615 | $615 | 23.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $215 | $215 | 49.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $21 | $21 | 3.3× |
| Blood typing abo (86900) | $349 | $349 | 116.7× |
| Blood typing serologic rh (d) (86901) | $433 | $433 | 144.8× |
| Body fluid cell count (89051) | $655.50 | $655.50 | 117.1× |
| Body fluid cell count (89050) | $655.50 | $655.50 | 138.9× |
| Bone Marrow Smear Interpretation (85097) | $257 | $257 | 0.3× |
| Bordetella antibody (86615) | $19 | $19 | 1.4× |
| Braf gene (81210) | $568 | $568 | 3.2× |
| Brucella antibody (86622) | $16 | $16 | 1.8× |
| C diff amplified probe (87493) | $121 | $121 | 3.2× |
| C-reactive protein (86140) | $130 | $130 | 25.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $257 | $257 | 19.8× |
| C1q binding assay (86332) | $15 | $15 | 0.6× |
| Ca 125 (86304) | $1,335 | $1,335 | 64.2× |
| Ca 19-9 (86301) | $288 | $288 | 13.8× |
| Ca 27 29 (86300) | $267 | $267 | 12.8× |
| Calcitonin (82308) | $10 | $10 | 0.4× |
| Calcium ionized (82330) | $211.50 | $211.50 | 15.5× |
| Calcium total (82310) | $17 | $17 | 3.3× |
| Calcium urine (82340) | $417 | $417 | 69.2× |
| Calculus Quantitative Chemical (82360) | $14 | $14 | 1.1× |
| Calculus spectroscopy (82365) | $42 | $42 | 3.3× |
| California encephalitis ab (86651) | $6.50 | $6.50 | 0.5× |
| Calprotectin, fecal (83993) | $107 | $107 | 5.5× |
| Candida antibody (86628) | $29.50 | $29.50 | 2.5× |
| Carbamazepine total (80156) | $1,668 | $1,668 | 114.5× |
| Carbon dioxide (82374) | $334 | $334 | 68.4× |
| Carboxyhemoglobin (82375) | $40 | $40 | 3.2× |
| Carcinoembryonic antigen (82378) | $1,233 | $1,233 | 65.0× |
| Cardiolipin ab igg (86147) | $237 | $237 | 9.3× |
| Carnitine (82379) | $24 | $24 | 1.4× |
| Carotene (82380) | $9 | $9 | 1.0× |
| Catecholamines fraction plasma (82384) | $24 | $24 | 1.0× |
| Cell marker study (88182) | $469 | $469 | 8.6× |
| Chemiluminescent assay (82397) | $26.50 | $26.50 | 1.9× |
| Chlamydia antibody (86631) | $58 | $58 | 4.9× |
| Chlamydia Igm Antibody (86632) | $58 | $58 | 4.6× |
| Chloride blood (82435) | $122 | $122 | 26.5× |
| Chloride feces (82438) | $182 | $182 | 36.4× |
| Chloride urine (82436) | $95.50 | $95.50 | 16.6× |
| Cholesterol HDL (83718) | $1,229 | $1,229 | 150.1× |
| Cholesterol total (82465) | $312 | $312 | 71.7× |
| Cholinesterase rbc (82482) | $9 | $9 | 0.9× |
| Cholinesterase serum (82480) | $103 | $103 | 13.1× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $94 | $94 | 3.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $117 | $117 | 3.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $539 | $539 | 4.3× |
| Chromium urine (82495) | $33 | $33 | 1.6× |
| Chromogenic Substrate Assay (85130) | $129 | $129 | 10.8× |
| Chromogranin a (86316) | $38 | $38 | 1.8× |
| Chromosome Analysis 5 (88261) | $924 | $924 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $1,493 | $1,493 | 42.5× |
| Ckmb (82553) | $725 | $725 | 62.8× |
| Clot Factor VIII Multimetric (85247) | $70 | $70 | 3.1× |
| Clot factor viii vw antigen (85246) | $67 | $67 | 2.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $252 | $252 | 14.1× |
| Clotting Inhibitors Protein S Free (85306) | $18 | $18 | 1.2× |
| Cmv ab igm (86645) | $240 | $240 | 14.2× |
| Cmv PCR (87496) | $105.27 | $105.27 | 3.0× |
| Cns DNA amp probe type 12-25 (87483) | $1,250.34 | $1,250.34 | 3.0× |
| Cold agglutinin titer (86157) | $4 | $4 | 0.5× |
| Collagen cross links (82523) | $66 | $66 | 3.5× |
| Compatibility test antiglob (86922) | $1,074 | $1,074 | 6.0× |
| Compatibility Test Incubate (86921) | $62 | $62 | 0.3× |
| Complement c3 (86160) | $15.50 | $15.50 | 1.3× |
| Complement total (ch50) (86162) | $4 | $4 | 0.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $23 | $23 | 1.9× |
| Concentration Infectious Agent (87015) | $27.50 | $27.50 | 4.1× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $526 | $526 | 13.5× |
| Coombs direct (86880) | $288 | $288 | 53.4× |
| Copper urine (82525) | $16 | $16 | 1.3× |
| Cortisol free (82530) | $35 | $35 | 2.1× |
| Cortisol total (82533) | $971 | $971 | 59.6× |
| Creatine kinase total (82550) | $1,070 | $1,070 | 164.4× |
| Creatinine blood (82565) | $697 | $697 | 136.1× |
| Creatinine clearance (82575) | $1,244 | $1,244 | 131.5× |
| Creatinine other source (82570) | $856 | $856 | 165.3× |
| Crossmatch immediate spin (86920) | $1,426 | $1,426 | 8.0× |
| Cryoglobulin (82595) | $3 | $3 | 0.5× |
| Crystals body fluid (89060) | $561 | $561 | 76.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $70 | $70 | 8.7× |
| Culture Aerobic Identify (87077) | $76 | $76 | 9.4× |
| Culture aerobic quant other (87071) | $35 | $35 | 3.5× |
| Culture afb (87116) | $1,669 | $1,669 | 154.5× |
| Culture anaerobic (87075) | $2,185 | $2,185 | 230.7× |
| Culture blood (87040) | $2,206 | $2,206 | 213.8× |
| Culture chlamydia (87110) | $13 | $13 | 0.7× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $25 | $25 | 3.2× |
| Culture fungus blood (87103) | $1,389 | $1,389 | 67.9× |
| Culture fungus id yeast (87106) | $70 | $70 | 6.8× |
| Culture fungus other (87102) | $1,533 | $1,533 | 182.3× |
| Culture genital (87070) | $1,228 | $1,228 | 142.5× |
| Culture screen only (87081) | $719 | $719 | 108.4× |
| Culture stool (87045) | $1,919 | $1,919 | 203.3× |
| Culture typing if ea antiserum (87140) | $42 | $42 | 7.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $419 | $419 | 80.9× |
| Culture typing other methods (87158) | $27 | $27 | 3.5× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $69 | $69 | 2.0× |
| Culture urine (87086) | $1,327 | $1,327 | 164.4× |
| Culture virus (87252) | $375 | $375 | 14.4× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $237 | $237 | 2.1× |
| Cyanide (82600) | $48 | $48 | 2.5× |
| Cyclic Citrullinated Peptide (86200) | $86.50 | $86.50 | 6.7× |
| Cystatin c (82610) | $12 | $12 | 0.6× |
| Cysticercosis Antibody (86682) | $187 | $187 | 14.4× |
| Cytogenetics 100-300 (88275) | $179 | $179 | 3.5× |
| Cytogenetics DNA probe (88271) | $93 | $93 | 4.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $91 | $91 | 2.1× |
| Cytopath cell enhance tech (88112) | $351 | $351 | 6.4× |
| Cytopath Fl Nongyn Filter (88106) | $329 | $329 | 10.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $1,457 | $1,457 | 37.4× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $73 | $73 | 3.9× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) | $73 | $73 | 5.0× |
| Cytp concentration smears & interpretation (88108) | $441 | $441 | 11.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $2,321 | $2,321 | 42.6× |
| Cytp fna eval dx 1st each site (88172) | $1,704 | $1,704 | 9.6× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $1,045 | $1,045 | 19.2× |
| D-Dimer (85378) | $361 | $361 | 37.1× |
| Deoxyribonuclease antibody (86215) | $17 | $17 | 1.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $529 | $529 | 32.0× |
| Dgp antibody each ig class (86258) | $9 | $9 | 0.7× |
| Dhea (82626) | $6 | $6 | 0.2× |
| Dhea-sulfate (82627) | $311 | $311 | 14.0× |
| Digoxin (80162) | $406 | $406 | 30.6× |
| Dihydrotestosterone (82642) | $95 | $95 | 3.2× |
| Dilantin (80185) | $1,609 | $1,609 | 121.4× |
| Dna Antibody Single Stranded (86226) | $16 | $16 | 1.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $204 | $204 | 14.8× |
| DNA/RNA direct probe (87149) | $123 | $123 | 6.1× |
| Drug Assay Amiodarone (80151) | $10 | $10 | 0.5× |
| Drug quant nes (80299) | $67 | $67 | 3.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $11 | $11 | 0.8× |
| Drug Scrn Quan Levetiracetam (80177) | $12 | $12 | 0.9× |
| Drug test prsmv chem anlyzr (80307) | $1,791 | $1,791 | 28.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $18 | $18 | 1.4× |
| E test (87181) | $723.50 | $723.50 | 152.3× |
| Ebv viral capsid (86665) | $59 | $59 | 3.3× |
| Egfr Gene Analysis Common Variants (81235) | $1,052 | $1,052 | 3.2× |
| Ehrlichia antibody (86666) | $14 | $14 | 1.4× |
| Elastase pancreatic fecal quantitative (82653) | $192 | $192 | 8.4× |
| Electrolyte panel (80051) | $864 | $864 | 123.3× |
| Electronic crossmatch (86923) | $62 | $62 | 0.3× |
| Encephalitis Western Equine (86654) | $6.50 | $6.50 | 0.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $6 | $6 | 0.5× |
| Enterovirus antibody (86658) | $23 | $23 | 1.8× |
| Enterovirus Pcr (87498) | $98 | $98 | 2.8× |
| Enzyme histochemistry (88319) | $450 | $450 | 0.5× |
| Eosinophil count (85048) | $394.50 | $394.50 | 155.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $50 | $50 | 3.3× |
| Estradiol (82670) | $1,809 | $1,809 | 64.7× |
| Estriol serum (82677) | $6 | $6 | 0.2× |
| Estrogens total (82672) | $19 | $19 | 0.9× |
| Ethylene glycol (82693) | $14 | $14 | 0.9× |
| Everolimus (80169) | $137 | $137 | 10.0× |
| Exam & Select Archive Tissue Molecular Analysis (88363) | $122 | $122 | 4.0× |
| F2 gene analysis 20210g >a variant (81240) | $32 | $32 | 0.5× |
| F5 gene analysis, leiden variant (81241) | $922.25 | $922.25 | 12.6× |
| Factor ii activity (85210) | $85 | $85 | 6.5× |
| Factor inhibitor test (85335) | $89 | $89 | 6.9× |
| Factor ix activity (85250) | $273 | $273 | 14.3× |
| Factor v activity (85220) | $251 | $251 | 14.2× |
| Factor vii assay (85230) | $218 | $218 | 12.2× |
| Factor viii ahg (85240) | $133 | $133 | 7.4× |
| Factor xi assay (85270) | $218 | $218 | 12.2× |
| Factor xii assay (85280) | $234 | $234 | 12.1× |
| Factor xiii solubility screen (85291) | $67 | $67 | 7.4× |
| Fatty acids free (82725) | $35.91 | $35.91 | 1.9× |
| Fecal fat qual (82705) | $5 | $5 | 1.0× |
| Fecal fat quant (82710) | $14 | $14 | 0.8× |
| Fibrin degradation products (85362) | $361 | $361 | 52.4× |
| Fibrin Degradation Quant (85379) | $361 | $361 | 35.5× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $361 | $361 | 29.0× |
| Fibrinogen activity (85384) | $1,325 | $1,325 | 136.3× |
| Flow cytometry first marker (88184) | $238 | $238 | 0.6× |
| Fluorescent Antibody Screen (86255) | $11 | $11 | 0.9× |
| Folate serum (82746) | $688 | $688 | 46.8× |
| Folic acid rbc (82747) | $6 | $6 | 0.3× |
| Follicle Stimulating Hormone (83001) | $1,282 | $1,282 | 69.0× |
| Fresh frozen plasma thawing each unit (86927) | $202 | $202 | 1.1× |
| Frozen Section (88331) | $2,011 | $2,011 | 11.3× |
| Fructosamine (82985) | $5 | $5 | 0.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $56 | $56 | 5.4× |
| Gabapentin (80171) | $10 | $10 | 0.5× |
| Gammaglobulin ige (82785) | $234 | $234 | 14.2× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $2,367 | $2,367 | 30.0× |
| Ggt (82977) | $248.50 | $248.50 | 34.5× |
| Giardia antigen eia stool (87329) | $129 | $129 | 10.8× |
| Glucagon (82943) | $10 | $10 | 0.7× |
| Glucose (82947) | $724 | $724 | 184.2× |
| Glucose body fluid (82945) | $724 | $724 | 184.2× |
| Glucose post dose (82950) | $470 | $470 | 98.9× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $460 | $460 | 117.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $1,372 | $1,372 | 106.6× |
| Growth hormone (83003) | $237 | $237 | 14.2× |
| H pylori breath test (83013) | $57 | $57 | 0.8× |
| Haptoglobin (83010) | $294 | $294 | 23.4× |
| Hcg qualitative (84703) | $1,191 | $1,191 | 158.4× |
| Hcg quant (84702) | $1,631 | $1,631 | 108.4× |
| Heavy metal quant each (83018) | $43 | $43 | 2.0× |
| Hematocrit (85014) | $490 | $490 | 206.8× |
| Hemoglobin (85018) | $437 | $437 | 184.4× |
| Hemoglobin a1c (83036) | $936 | $936 | 96.4× |
| Hemoglobin electrophoresis (83020) | $1,290 | $1,290 | 100.2× |
| Hemolysins and agglutinins; incubated Facility (86941) | $39 | $39 | 3.2× |
| Hemolysins/agglutinins auto screen (86940) | $28 | $28 | 3.2× |
| Hemosiderin urine (83070) | $27 | $27 | 5.7× |
| Heparin assay (85520) | $42 | $42 | 3.2× |
| Hepatitis a antibody total (86708) | $178 | $178 | 14.4× |
| Hepatitis a igm (86709) | $1,226 | $1,226 | 108.9× |
| Hepatitis b core ab igm (86705) | $1,335 | $1,335 | 113.4× |
| Hepatitis b core antibody total (86704) | $1,335 | $1,335 | 110.8× |
| Hepatitis B Surface Ab (86706) | $1,335 | $1,335 | 124.3× |
| Hepatitis B Surface Antigen (87340) | $1,335 | $1,335 | 129.2× |
| Hepatitis be antibody (86707) | $3 | $3 | 0.3× |
| Hepatitis Be Antigen (87350) | $3 | $3 | 0.3× |
| Hepatitis c antibody (86803) | $923 | $923 | 64.7× |
| Hepatitis C Genotype (87902) | $92 | $92 | 0.4× |
| Hepatitis delta ab (86692) | $76 | $76 | 4.4× |
| Herpes simplex type i (86695) | $43.50 | $43.50 | 3.3× |
| Herpes simplex type ii (86696) | $40.50 | $40.50 | 2.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $783 | $783 | 151.2× |
| Hfe gene (81256) | $71 | $71 | 1.1× |
| Histoplasma antibody (86698) | $9 | $9 | 0.7× |
| Histoplasma antigen urine (87385) | $64 | $64 | 4.8× |
| HIV confirmation (86689) | $274 | $274 | 14.2× |
| HIV-1 antibody (86701) | $1,133 | $1,133 | 127.4× |
| HIV-1 genotype (87901) | $262 | $262 | 1.0× |
| HIV-1 p24 antigen (87390) | $78 | $78 | 3.2× |
| HIV-2 probe&revrse trnscripj (87538) | $114 | $114 | 3.2× |
| Hla class i typing high resolution one allele or allele group (81381) | $343.62 | $343.62 | 2.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $241 | $241 | 3.2× |
| Hla ii typing ag equiv lr (81375) | $184 | $184 | 0.8× |
| Hla-b27 (86812) | $22 | $22 | 0.9× |
| Homogenization tissue (87176) | $21 | $21 | 3.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $203 | $203 | 5.8× |
| Htlv-I Antibody (86687) | $40.56 | $40.56 | 4.5× |
| Hydroxycorticosteroids 17 (83491) | $19 | $19 | 1.1× |
| Iaad ia clostridium difficile toxin (87324) | $364 | $364 | 30.4× |
| Iaad ia cryptosporidium (87328) | $178 | $178 | 12.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $78 | $78 | 3.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $138.50 | $138.50 | 9.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $45 | $45 | 3.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $127 | $127 | 3.6× |
| Iaad ia shiga-like toxin (87427) | $127 | $127 | 10.6× |
| Iaad Ia Streptococcus Group A (87430) | $54 | $54 | 3.2× |
| Iaadi inffluenza a virus (87276) | $56 | $56 | 3.5× |
| Iaadi influenza b virus (87275) | $43 | $43 | 3.5× |
| Iaadi Legionella Pneumophila (87278) | $55 | $55 | 3.5× |
| Iaadi parainfluenza virus each type (87279) | $53 | $53 | 3.2× |
| Iaadi Pneumocustis Carinii (87281) | $35.94 | $35.94 | 3.0× |
| Iaadi respiratory synctial virus (87280) | $46 | $46 | 3.4× |
| Iaadiadoo not otherwise specified (87899) | $56 | $56 | 3.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $93 | $93 | 2.7× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $87 | $87 | 2.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $117 | $117 | 2.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $114 | $114 | 3.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $539 | $539 | 6.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $1,493 | $1,493 | 42.5× |
| Iadna nos amplified probe tq each organism (87798) | $123 | $123 | 3.5× |
| Iadna nos quantification each organism (87799) | $124 | $124 | 2.9× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $105.27 | $105.27 | 3.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $228 | $228 | 0.5× |
| If cryptosporidium antigen (87272) | $42 | $42 | 3.5× |
| If varicella-zoster antigen (87290) | $46 | $46 | 3.4× |
| Igg subclasses (82787) | $12 | $12 | 1.5× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $688 | $688 | 1.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $29.50 | $29.50 | 2.0× |
| Immunoassay nonantibody (83516) | $73 | $73 | 6.3× |
| Immunodiffusion Ouchterlony (86331) | $30 | $30 | 2.5× |
| Immunofixation (86334) | $724 | $724 | 32.4× |
| Immunofixation urine (86335) | $1,967 | $1,967 | 67.0× |
| Immunoglobulin light chains free each (83521) | $33 | $33 | 1.9× |
| Immunohistochemistry (88342) | $462 | $462 | 2.6× |
| In situ hybridization (88365) | $456 | $456 | 2.6× |
| Indirect coombs (86885) | $361 | $361 | 63.1× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) | $6 | $6 | 0.5× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) | $48 | $48 | 3.5× |
| Influenza a/b ag eia (87400) | $53 | $53 | 3.8× |
| Influenza DNA amp probe (87502) | $214 | $214 | 2.2× |
| Inhibin b (83520) | $28 | $28 | 1.6× |
| Insitu hybridization auto (88367) | $264 | $264 | 0.7× |
| Insitu hybridization manual (88368) | $371 | $371 | 1.0× |
| Insulin antibodies (86337) | $22 | $22 | 1.0× |
| Insulin free (83527) | $5 | $5 | 0.4× |
| Insulin total (83525) | $83.50 | $83.50 | 7.3× |
| Intrinsic factor antibody (86340) | $5 | $5 | 0.3× |
| Iron (83540) | $691 | $691 | 106.8× |
| Iron binding capacity (83550) | $691 | $691 | 79.1× |
| Irradiation Blood Product Each Unit (86945) | $58 | $58 | 1.5× |
| Islet cell antibody (86341) | $48.50 | $48.50 | 2.1× |
| Jak2 gene analysis (81270) | $126 | $126 | 1.4× |
| Kras gene analysis (81275) | $626 | $626 | 3.2× |
| Lactoferrin fecal qual (83630) | $64 | $64 | 3.2× |
| Ldh body fluid (83615) | $8 | $8 | 1.3× |
| Ldh isoenzymes (83625) | $8 | $8 | 0.6× |
| Lead (83655) | $4 | $4 | 0.3× |
| Legionella antibody (86713) | $117 | $117 | 7.6× |
| Legionella antigen urine (87449) | $192.50 | $192.50 | 16.1× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $537 | $537 | 125.8× |
| Leukocyte Histamine Release (86343) | $76 | $76 | 6.1× |
| Level ii surg pathology grossµscopic exam (88302) | $1,251 | $1,251 | 32.1× |
| Level v surg pathology grossµscopic exam (88307) | $3,968 | $3,968 | 10.6× |
| Level vi surg pathology grossµscopic exam (88309) | $4,591 | $4,591 | 5.5× |
| Lh (83002) | $1,540 | $1,540 | 83.2× |
| Lipase (83690) | $893 | $893 | 129.6× |
| Lipoprotein Bld Hr Fraction (83701) | $43 | $43 | 1.3× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $35 | $35 | 1.0× |
| Listeria ab (86609) | $23 | $23 | 1.8× |
| Lithium (80178) | $1,007 | $1,007 | 152.3× |
| Lyme disease antibody (86618) | $19 | $19 | 1.1× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $797 | $797 | 4.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $1,023 | $1,023 | 5.8× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $449 | $449 | 2.5× |
| Macroscopic exam parasite (87169) | $12.93 | $12.93 | 3.0× |
| Magnesium (83735) | $86 | $86 | 12.8× |
| Malaria smear (87207) | $186.50 | $186.50 | 31.1× |
| Manual reticulocyte count (85044) | $273 | $273 | 63.3× |
| Mass spectrometry qual/quan (83789) | $53 | $53 | 2.2× |
| Mercury urine (83825) | $11 | $11 | 0.7× |
| Metabolic Panel Ionized Ca (80047) | $2,294 | $2,294 | 167.1× |
| Methemoglobin (83050) | $27 | $27 | 3.3× |
| Methylmalonic acid serum (83921) | $13.50 | $13.50 | 0.6× |
| Microalbumin urine (82043) | $11.41 | $11.41 | 2.0× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $625 | $625 | 11.5× |
| Microsomal antibodies (86376) | $31 | $31 | 2.1× |
| Mitochondrial antibody each (86381) | $199 | $199 | 7.8× |
| Mrsa PCR (87641) | $105.27 | $105.27 | 3.0× |
| Mtb PCR (87556) | $146 | $146 | 3.5× |
| Mtb rifampin rst amp prb tq (87564) | $230.31 | $230.31 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $67 | $67 | 1.0× |
| Mycobacteric identification (87118) | $63.50 | $63.50 | 4.3× |
| Mycoplasma antibody (86738) | $189 | $189 | 14.3× |
| Myelin basic protein csf (83873) | $40 | $40 | 2.3× |
| Myoglobin urine (83874) | $97 | $97 | 7.5× |
| Natriuretic peptide (83880) | $944 | $944 | 24.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $234 | $234 | 3.2× |
| Nk cells total count (86357) | $79 | $79 | 2.1× |
| Nuclear antigen antibody (86235) | $239.75 | $239.75 | 13.4× |
| Occult blood gastric (82271) | $312 | $312 | 58.6× |
| Occult blood stool (82272) | $215 | $215 | 50.8× |
| Oligoclonal bands (83916) | $33 | $33 | 1.2× |
| Organic Acids Qualitative Each Specimen (83919) | $70 | $70 | 4.3× |
| Orthopoxvirus Amp Prb Each (87593) | $90 | $90 | 1.8× |
| Osmolality serum (83930) | $828 | $828 | 125.3× |
| Osmolality urine (83935) | $856 | $856 | 125.5× |
| Ova and parasite direct-id lca (87177) | $885 | $885 | 99.4× |
| Oxalate urine (83945) | $11 | $11 | 0.8× |
| Pancreatic elastase, fecal (82656) | $192 | $192 | 16.7× |
| Pancreatic polypeptide (83519) | $51 | $51 | 2.8× |
| Particle Agglutination Screen Each Antibody (86403) | $445 | $445 | 38.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $140 | $140 | 0.2× |
| Pathology Consultation During Surgery (88329) | $266 | $266 | 4.3× |
| Ph body fluid (83986) | $261 | $261 | 72.9× |
| Ph urine (81003) | $470 | $470 | 208.9× |
| Phenotype Infect Agent Drug (87900) | $233 | $233 | 1.8× |
| Phenylalanine (84030) | $19 | $19 | 3.5× |
| Phosphatase alkaline (84075) | $878 | $878 | 169.5× |
| Phosphorus blood (84100) | $257 | $257 | 54.2× |
| Phosphorus urine (84105) | $257 | $257 | 44.5× |
| Platelet aggregation (85576) | $500 | $500 | 20.1× |
| Platelet count automated (85049) | $365 | $365 | 81.5× |
| Porphobilinogen urine quant (84110) | $8 | $8 | 0.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $11.50 | $11.50 | 0.8× |
| Potassium (84132) | $129 | $129 | 27.1× |
| Potassium urine (84133) | $406 | $406 | 85.8× |
| Pregnenolone (84140) | $30 | $30 | 1.5× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $68 | $68 | 0.4× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $93 | $93 | 0.5× |
| Pretx serum rbc antibody identification dilution (86976) | $68 | $68 | 2.3× |
| Primidone (80188) | $13 | $13 | 0.8× |
| Procainamide napa (80192) | $237 | $237 | 14.1× |
| Procalcitonin (pct) (84145) | $97 | $97 | 3.6× |
| Progesterone (84144) | $1,184 | $1,184 | 56.8× |
| Protein body fluid (84157) | $868.50 | $868.50 | 217.1× |
| Protein c activity (85303) | $15 | $15 | 1.1× |
| Protein c antigen (85302) | $12 | $12 | 1.0× |
| Protein electrophoresis serum (84165) | $934 | $934 | 87.0× |
| Protein Electrophoresis Urine (84166) | $452.50 | $452.50 | 25.4× |
| Protein s total (85305) | $21 | $21 | 1.8× |
| Protein total serum (84155) | $206 | $206 | 56.1× |
| Protein urine (84156) | $181 | $181 | 49.3× |
| Protein Western Blot (84182) | $743 | $743 | 25.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $670 | $670 | 170.1× |
| PSA free (84154) | $257 | $257 | 14.0× |
| Pth intact (83970) | $583 | $583 | 14.1× |
| Quinidine (80194) | $12 | $12 | 0.8× |
| Rbc (85041) | $189 | $189 | 62.6× |
| Rbc antibody elution (86860) | $86 | $86 | 0.5× |
| Rbc pretreatment serum (86978) | $186 | $186 | 3.0× |
| Rbc pretx incubatj w/chemicl (86970) | $74 | $74 | 1.2× |
| Renin activity plasma (84244) | $5 | $5 | 0.2× |
| Resp virus 12-25 targets (87633) | $175 | $175 | 0.4× |
| Respiratory Virus (86756) | $1,210 | $1,210 | 76.1× |
| Reticulocyte count auto (85045) | $273 | $273 | 68.4× |
| Reticulocyte separation (86972) | $68 | $68 | 0.4× |
| Rheumatoid Factor Qual (86430) | $323.50 | $323.50 | 52.7× |
| Rheumatoid factor quant (86431) | $592 | $592 | 104.4× |
| Rickettsia antibody (86757) | $13 | $13 | 0.7× |
| Ristocetin cofactor (85245) | $52 | $52 | 2.3× |
| Rotavirus ag eia (87425) | $13 | $13 | 1.1× |
| Rpr Titer (86593) | $14 | $14 | 3.2× |
| Rsv (87807) | $45 | $45 | 3.4× |
| Rubella antibody (86762) | $105 | $105 | 7.3× |
| Rubeola Antibody Igg (86765) | $38 | $38 | 3.0× |
| Russell viper venom time diluted (85613) | $28 | $28 | 2.9× |
| Salicylate Level (80179) | $1,791 | $1,791 | 96.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $179 | $179 | 3.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $98.73 | $98.73 | 2.3× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $194 | $194 | 29.2× |
| Sedimentation rate auto (85652) | $980 | $980 | 363.0× |
| Selenium (84255) | $33 | $33 | 1.3× |
| Sensitivity kb (87184) | $428 | $428 | 57.2× |
| Sensitivity mic (87186) | $65 | $65 | 7.5× |
| Serotonin Release Assay (86022) | $12 | $12 | 0.7× |
| Sex hormone binding globulin (84270) | $19 | $19 | 0.9× |
| Sickling of rbc reduction (85660) | $50 | $50 | 9.1× |
| Sirolimus (rapamycin) (80195) | $19 | $19 | 1.4× |
| Skin Test, Candida (86485) | $178 | $178 | 5.9× |
| Smear acid fast (87206) | $302 | $302 | 56.0× |
| Smear complex stain (87209) | $10 | $10 | 0.6× |
| Smear gram stain (87205) | $619 | $619 | 145.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $625 | $625 | 107.4× |
| Sodium (84295) | $334 | $334 | 69.4× |
| Sodium urine (84300) | $277.50 | $277.50 | 54.8× |
| Somatomedin (84305) | $8 | $8 | 0.4× |
| Somatostatin (84307) | $203 | $203 | 11.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $729 | $729 | 5.2× |
| Special stains group 1 (88312) | $695.50 | $695.50 | 12.8× |
| Specific gravity body fluid (84315) | $198 | $198 | 60.4× |
| Spectrophotometry (84311) | $67 | $67 | 8.3× |
| Splitting blood/blood products each unit (86985) | $25 | $25 | 0.1× |
| Stool Culture, Addl Pathogens (87046) | $79 | $79 | 8.4× |
| Strep a assay w/optic (87880) | $742 | $742 | 44.9× |
| Sugars mono di&oligos mlt qualitative each spe (84377) | $84 | $84 | 15.3× |
| Surg path level 1 (88300) | $944 | $944 | 31.3× |
| Surg path level iii (88304) | $1,772 | $1,772 | 32.6× |
| Surgical pathology level IV (88305) | $2,703 | $2,703 | 49.7× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $123 | $123 | 16.8× |
| T Cell Absolute Count (86361) | $86 | $86 | 3.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $58 | $58 | 1.2× |
| T cells total count (86359) | $122 | $122 | 3.2× |
| T3 free (84481) | $147 | $147 | 8.7× |
| T3 reverse (84482) | $6 | $6 | 0.4× |
| T3 total (84480) | $1,624 | $1,624 | 114.5× |
| T3 uptake (84479) | $446.50 | $446.50 | 69.0× |
| T4 free (84439) | $429 | $429 | 47.6× |
| T4 total (84436) | $1,005 | $1,005 | 146.3× |
| Tb intradermal test (86580) | $313 | $313 | 10.4× |
| Tb test, cell immun measure (86480) | $203.50 | $203.50 | 3.3× |
| Testosterone free (84402) | $15.50 | $15.50 | 0.6× |
| Testosterone total (84403) | $86 | $86 | 3.3× |
| Tetanus antibody (86774) | $9 | $9 | 0.6× |
| Theophylline (80198) | $561 | $561 | 39.7× |
| Thrombin time plasma (85670) | $137.50 | $137.50 | 23.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $27 | $27 | 4.2× |
| Thyroglobulin (84432) | $16 | $16 | 1.0× |
| Thyroglobulin antibody (86800) | $37 | $37 | 2.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $28 | $28 | 0.6× |
| Thyroxine binding globulin (84442) | $11 | $11 | 0.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $608 | $608 | 4.3× |
| Tissue culture bone marrow (88237) | $545 | $545 | 3.8× |
| Tissue culture solid tumor (88239) | $637 | $637 | 4.3× |
| Tissue transglutaminase ab iga (86364) | $10 | $10 | 0.9× |
| Tobramycin peak (80200) | $828 | $828 | 51.3× |
| Touch prep (88161) | $336 | $336 | 11.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $127 | $127 | 6.4× |
| Toxoplasma ab igm (86778) | $208 | $208 | 14.4× |
| Toxoplasma antibody igg (86777) | $208 | $208 | 14.5× |
| Transferrin (84466) | $701 | $701 | 54.9× |
| Triglycerides (84478) | $100 | $100 | 17.4× |
| Troponin (84484) | $995 | $995 | 79.8× |
| Tumor immunohistochem/comput (88361) | $494 | $494 | 1.3× |
| Urea nitrogen (84520) | $783 | $783 | 198.2× |
| Urea Nitrogen Clearance (84545) | $783 | $783 | 108.8× |
| Urea nitrogen urine (84540) | $783 | $783 | 140.8× |
| Uric acid blood (84550) | $257 | $257 | 56.9× |
| Uric acid other source (84560) | $257 | $257 | 50.6× |
| Urinalysis auto w/scope (81001) | $1,095 | $1,095 | 345.4× |
| Urine Bacteria Culture (87088) | $1,432 | $1,432 | 177.0× |
| Urine pregnancy test (81025) | $1,398 | $1,398 | 162.4× |
| Urine volume measurement (81050) | $252 | $252 | 69.2× |
| Valproic acid (80164) | $772 | $772 | 57.0× |
| Vancomycin trough (80202) | $1,352 | $1,352 | 99.9× |
| Varicella-zoster antibody (86787) | $16 | $16 | 1.2× |
| Vasoactive intestinal peptide (vip) (84586) | $41 | $41 | 1.2× |
| Vdrl csf (86592) | $312 | $312 | 73.1× |
| Virus antibody nos (86790) | $84.50 | $84.50 | 6.6× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $119 | $119 | 3.5× |
| Virus inoculate tissue addl (87253) | $70 | $70 | 3.5× |
| Virus inoculation, shell via (87254) | $63 | $63 | 3.2× |
| Viscosity serum (85810) | $12 | $12 | 1.0× |
| Vitamin A (84590) | $11 | $11 | 0.9× |
| Vitamin b-12 (82607) | $688 | $688 | 45.6× |
| Vitamin b1 (thiamine) (84425) | $14 | $14 | 0.7× |
| Vitamin b2 (84252) | $9 | $9 | 0.4× |
| Vitamin b3 niacin (84591) | $65 | $65 | 3.8× |
| Vitamin b6 (84207) | $9 | $9 | 0.3× |
| Vitamin c (82180) | $13 | $13 | 1.3× |
| Vitamin D 25-Hydroxy (82306) | $273 | $273 | 9.2× |
| Vitamin e serum (84446) | $21 | $21 | 1.5× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $2 | $2 | 0.2× |
| West nile virus antibody (86789) | $23.50 | $23.50 | 1.6× |
| West nile virus igm (86788) | $23.50 | $23.50 | 1.4× |
| Zinc (84630) | $11 | $11 | 1.0× |