| 5 Nucleotidase (83915) |
— |
$97.50 |
— |
| Acute hepatitis panel (80074) |
— |
$231 |
— |
| Afb culture (87116) |
— |
$20.80 |
— |
| Agglutinins febrile (86000) |
— |
$96.85 |
— |
| Albumin serum (82040) |
— |
$62 |
— |
| Aldolase (82085) |
— |
$92.30 |
— |
| Aldosterone urine (82088) |
— |
$327.60 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$106.60 |
— |
| Allergen specific ige (86003) |
— |
$1,298.70 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$116 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$107 |
— |
| Alt (sgpt) (84460) |
— |
$68 |
— |
| Amikacin trough (80150) |
— |
$261.30 |
— |
| Ammonia (82140) |
— |
$98 |
— |
| Amylase urine (82150) |
— |
$67.80 |
— |
| Androsterone (hormone) level (82160) |
— |
$261 |
— |
| Angiotensin i enzyme test (82164) |
— |
$213 |
— |
| Antibody aspergillus (86606) |
— |
$106.60 |
— |
| Antibody helicobacter pylori (86677) |
— |
$76 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$50.85 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$51 |
— |
| Antibody identification (86870) |
— |
$115.70 |
— |
| Antibody influenza virus (86710) |
— |
$97 |
— |
| Antibody mumps (86735) |
— |
$139.10 |
— |
| Antibody rubeola (86765) |
— |
$65 |
— |
| Antibody screen (86850) |
— |
$77 |
— |
| Antinuclear antibodies (86038) |
— |
$98 |
— |
| Antistreptolysin o titer (86060) |
— |
$70.20 |
— |
| Antithrombin iii activity (85300) |
— |
$326.30 |
— |
| Arsenic Urine (82175) |
— |
$156 |
— |
| Assay of acth (82024) |
— |
$289.90 |
— |
| Assay of androstenedione (82157) |
— |
$122.20 |
— |
| Assay of blood chloride (82435) |
— |
$53.50 |
— |
| Assay of c-peptide (84681) |
— |
$196.30 |
— |
| Assay of calcitonin (82308) |
— |
$111.80 |
— |
| Assay of ceruloplasmin (82390) |
— |
$83.85 |
— |
| Assay of ethosuximide (80168) |
— |
$97.50 |
— |
| Assay of ferritin (82728) |
— |
$138 |
— |
| Assay of g6pd enzyme (82955) |
— |
$61.10 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$115.70 |
— |
| Assay of gastrin (82941) |
— |
$176.80 |
— |
| Assay of gentamicin (80170) |
— |
$192.40 |
— |
| Assay of glucagon (82943) |
— |
$149.50 |
— |
| Assay of homocystine (83090) |
— |
$745 |
— |
| Assay of ketogenic steroids (83582) |
— |
$76.70 |
— |
| Assay of metanephrines (83835) |
— |
$97.50 |
— |
| Assay of parathormone (83970) |
— |
$539.50 |
— |
| Assay of phenobarbital (80184) |
— |
$98 |
— |
| Assay of phosphatase acid total (84060) |
— |
$67 |
— |
| Assay of prealbumin (84134) |
— |
$140 |
— |
| Assay of proinsulin (84206) |
— |
$97.50 |
— |
| Assay of serotonin (84260) |
— |
$261.30 |
— |
| Assay of somatomedin (84305) |
— |
$293.80 |
— |
| Assay of urine vma (84585) |
— |
$97.50 |
— |
| Assay of volatiles (84600) |
— |
$146.90 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$32.50 |
— |
| Ast (sgot) (84450) |
— |
$68 |
— |
| Automated rbc count (85041) |
— |
$20.80 |
— |
| Beta hydroxybutyrate (82010) |
— |
$98 |
— |
| Bilirubin direct (82248) |
— |
$62 |
— |
| Bilirubin total (82247) |
— |
$61.55 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$36.40 |
— |
| Bl Smear W/O Diff Wbc Count (85008) |
— |
$42.90 |
— |
| Bleeding time (85002) |
— |
$29.90 |
— |
| Blood count reticulocyte automated (85045) |
— |
$39 |
— |
| Blood gases (82803) |
— |
$234 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$25 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$68.42 |
— |
| Blood typing abo (86900) |
— |
$25 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$9 |
— |
| Body fluid cell count (89051) |
— |
$71.50 |
— |
| Body fluid cell count (89050) |
— |
$45.50 |
— |
| C-reactive protein (86140) |
— |
$61 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$70 |
— |
| Calcium ionized (82330) |
— |
$144.30 |
— |
| Calcium total (82310) |
— |
$62 |
— |
| Calcium urine (82340) |
— |
$77 |
— |
| Calculus Quantitative Chemical (82360) |
— |
$62 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$116 |
— |
| Carbon dioxide (82374) |
— |
$52 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$88.40 |
— |
| Carcinoembryonic antigen (82378) |
— |
$138 |
— |
| Cardiolipin ab igg (86147) |
— |
$391.30 |
— |
| Catecholamines fraction plasma (82384) |
— |
$328.90 |
— |
| Chloride other source (82438) |
— |
$58.05 |
— |
| Cholesterol total (82465) |
— |
$61 |
— |
| Cholinesterase serum (82480) |
— |
$67.60 |
— |
| Chrom count break 50-100/20/2 (88248) |
— |
$1,149.20 |
— |
| Chromogranin a (86316) |
— |
$209 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$161 |
— |
| Ckmb (82553) |
— |
$123 |
— |
| Clotting time (85345) |
— |
$34.45 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$195.75 |
— |
| Cold agglutinin screen (86156) |
— |
$61.10 |
— |
| Compatibility test antiglob (86922) |
— |
$138.90 |
— |
| Compatibility Test Incubate (86921) |
— |
$140 |
— |
| Complement c3 (86160) |
— |
$261 |
— |
| Complement total ch50 (86162) |
— |
$88.40 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$196.30 |
— |
| Coombs direct (86880) |
— |
$61.10 |
— |
| Copper urine (82525) |
— |
$832 |
— |
| Cortisol free (82530) |
— |
$96.20 |
— |
| Cortisol total (82533) |
— |
$116 |
— |
| Creatine kinase total (82550) |
— |
$68 |
— |
| Creatinine blood (82565) |
— |
$62 |
— |
| Creatinine clearance (82575) |
— |
$98 |
— |
| Creatinine other source (82570) |
— |
$59 |
— |
| Crossmatch immediate spin (86920) |
— |
$52 |
— |
| Cryoglobulin (82595) |
— |
$76.70 |
— |
| Culture anaerobic (87075) |
— |
$85.80 |
— |
| Culture blood (87040) |
— |
$86 |
— |
| Culture chlamydia (87110) |
— |
$143 |
— |
| Culture genital (87070) |
— |
$86 |
— |
| Culture herpes (87250) |
— |
$991.90 |
— |
| Culture screen only (87081) |
— |
$46 |
— |
| Culture stool (87045) |
— |
$39 |
— |
| Culture urine (87086) |
— |
$86 |
— |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
— |
$156 |
— |
| Cytopath cell enhance tech (88112) |
— |
$76.70 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$39 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$20.80 |
— |
| D-Dimer (85378) |
— |
$197 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$196.30 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$97 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$161 |
— |
| Dhea (82626) |
— |
$162.50 |
— |
| Dhea sulfate (82627) |
— |
$175.50 |
— |
| Digoxin (80162) |
— |
$116 |
— |
| Dilantin (80185) |
— |
$98 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$98 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$204.50 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$80 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$182 |
— |
| Electrolyte panel (80051) |
— |
$130 |
— |
| Endomysial antibody iga (86255) |
— |
$162.50 |
— |
| Enterovirus Pcr (87498) |
— |
$260 |
— |
| Eosinophil count (85048) |
— |
$21 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$122 |
— |
| Estrogens total (82672) |
— |
$176.80 |
— |
| Ethylene glycol (82693) |
— |
$162.50 |
— |
| Fat stain (89125) |
— |
$39 |
— |
| Fecal fat qual (82705) |
— |
$97.50 |
— |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) |
— |
$97.50 |
— |
| Fibrinogen activity (85384) |
— |
$77 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$107.90 |
— |
| Folate serum (82746) |
— |
$116 |
— |
| Folic acid rbc (82747) |
— |
$156 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$156 |
— |
| Fractionation ketosteroids (83593) |
— |
$91 |
— |
| Gammaglobulin ige (82785) |
— |
$115.70 |
— |
| Ggt (82977) |
— |
$62 |
— |
| Glucose (82947) |
— |
$62 |
— |
| Glucose Blood Test (82962) |
— |
$10 |
— |
| Glucose post dose (82950) |
— |
$61.10 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$32.50 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$137.80 |
— |
| Growth hormone (83003) |
— |
$156 |
— |
| Haptoglobin (83010) |
— |
$97.50 |
— |
| Hcg quant (84702) |
— |
$113.20 |
— |
| Hdl Cholesterol (83718) |
— |
$61 |
— |
| Heavy metal quant each (83018) |
— |
$436.80 |
— |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
— |
$230.10 |
— |
| Hematocrit (85014) |
— |
$21 |
— |
| Hemoglobin (85018) |
— |
$21 |
— |
| Hemoglobin a1c (83036) |
— |
$103.50 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$106.85 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$88.40 |
— |
| Hemosiderin urine (83070) |
— |
$80 |
— |
| Hepatitis a antibody total (86708) |
— |
$106.60 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$72 |
— |
| Hepatitis c antibody (86803) |
— |
$116 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$150 |
— |
| Hepatitis delta ab (86692) |
— |
$293.80 |
— |
| Herpes culture (87252) |
— |
$107 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$46 |
— |
| Heterophile antibody titer (86309) |
— |
$61.10 |
— |
| Histamine plasma (83088) |
— |
$464.10 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$111 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$35 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$98 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$77 |
— |
| Iaad ia rotavirus (87425) |
— |
$77 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$52 |
— |
| Iaadi respiratory synctial virus (87280) |
— |
$136.50 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$932 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$65 |
— |
| Igg subclasses (82787) |
— |
$488.80 |
— |
| Immunoelectrophoresis serum (86320) |
— |
$176.80 |
— |
| India ink prep (87210) |
— |
$25.20 |
— |
| Inhibin b (83520) |
— |
$197 |
— |
| Insulin total (83525) |
— |
$97.50 |
— |
| Iron (83540) |
— |
$64 |
— |
| Iron binding capacity (83550) |
— |
$89 |
— |
| Ketosteroids 17; total (83586) |
— |
$137.80 |
— |
| Lactic acid (83605) |
— |
$116 |
— |
| Ldh (83615) |
— |
$68 |
— |
| Ldh isoenzymes (83625) |
— |
$122.20 |
— |
| LDL cholesterol direct (83721) |
— |
$399.10 |
— |
| Lead (83655) |
— |
$140 |
— |
| Legionella antibody (86713) |
— |
$261.30 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$79 |
— |
| Lh (83002) |
— |
$176.80 |
— |
| Lipase (83690) |
— |
$68 |
— |
| Lithium (80178) |
— |
$77 |
— |
| Magnesium (83735) |
— |
$77 |
— |
| Malaria smear (87207) |
— |
$70 |
— |
| Measurement of complement fixation tests (immune system proteins) (86171) |
— |
$71.50 |
— |
| Methotrexate (80299) |
— |
$156 |
— |
| Microalbumin urine (82043) |
— |
$26 |
— |
| Microsomal antibodies (86376) |
— |
$116 |
— |
| Myoglobin urine (83874) |
— |
$85 |
— |
| Nasal smear for eosinophils (89190) |
— |
$39 |
— |
| Nuclear antigen antibody (86235) |
— |
$196.30 |
— |
| Osmolality serum (83930) |
— |
$42 |
— |
| Osmolality urine (83935) |
— |
$70 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$52 |
— |
| Oxalate urine (83945) |
— |
$115.70 |
— |
| Pancreatic polypeptide (83519) |
— |
$137.80 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$138.45 |
— |
| Phenylalanine (84030) |
— |
$36.40 |
— |
| Phosphatase acid prostatic (84066) |
— |
$67.60 |
— |
| Phosphatase alkaline (84075) |
— |
$68 |
— |
| Phosphorus blood (84100) |
— |
$62 |
— |
| Platelet count (85049) |
— |
$39 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$88.40 |
— |
| Porphyrins urine qual (84119) |
— |
$97.50 |
— |
| Potassium (84132) |
— |
$52 |
— |
| Potassium urine (84133) |
— |
$55 |
— |
| Pregnanetriol (84138) |
— |
$175.50 |
— |
| Primidone (80188) |
— |
$122.20 |
— |
| Procainamide napa (80192) |
— |
$156 |
— |
| Progesterone (84144) |
— |
$149.50 |
— |
| Prolactin (84146) |
— |
$177 |
— |
| Protein c antigen (85302) |
— |
$358.80 |
— |
| Protein electrophoresis serum (84165) |
— |
$97.50 |
— |
| Protein s total (85305) |
— |
$488.80 |
— |
| Protein Total Serum (84155) |
— |
$61.55 |
— |
| Protein urine (84156) |
— |
$77 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$228.80 |
— |
| Quinidine (80194) |
— |
$115.70 |
— |
| Renin activity plasma (84244) |
— |
$176.80 |
— |
| Rheumatoid factor quant (86431) |
— |
$46 |
— |
| Rickettsia antibody (86757) |
— |
$76.70 |
— |
| Rpr Titer (86593) |
— |
$39 |
— |
| Rubella antibody (86762) |
— |
$76.70 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$140 |
— |
| Sedimentation rate (85651) |
— |
$30 |
— |
| Semen analysis complete (89320) |
— |
$63.70 |
— |
| Semen analysis w/count (89310) |
— |
$39 |
— |
| Smear acid fast (87206) |
— |
$76.70 |
— |
| Smear gram stain (87205) |
— |
$33 |
— |
| Sodium (84295) |
— |
$52 |
— |
| Sodium urine (84300) |
— |
$55 |
— |
| Surg path level iii (88304) |
— |
$61.10 |
— |
| Surgical pathology level IV (88305) |
— |
$61.10 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$36.40 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$196 |
— |
| T3 free (84481) |
— |
$156 |
— |
| T3 total (84480) |
— |
$156 |
— |
| T3 uptake (84479) |
— |
$116 |
— |
| T4 Free (84439) |
— |
$98 |
— |
| T4 total (84436) |
— |
$62 |
— |
| Testosterone free (84402) |
— |
$278.65 |
— |
| Testosterone total (84403) |
— |
$231 |
— |
| Theophylline (80198) |
— |
$116 |
— |
| Thiocyanate (84430) |
— |
$283.40 |
— |
| Thyroglobulin Ab (86800) |
— |
$176.80 |
— |
| Thyroxine binding globulin (84442) |
— |
$235.30 |
— |
| Tobramycin peak (80200) |
— |
$192.40 |
— |
| Toxoplasma antibody igg (86777) |
— |
$156 |
— |
| Transferrin (84466) |
— |
$97.50 |
— |
| Triglycerides (84478) |
— |
$77 |
— |
| Troponin (84484) |
— |
$120 |
— |
| Urea nitrogen (84520) |
— |
$79.75 |
— |
| Uric acid blood (84550) |
— |
$71 |
— |
| Urinalysis microscopic only (81015) |
— |
$15.60 |
— |
| Urine microalbumin (protein) analysis (82044) |
— |
$69 |
— |
| Urine pregnancy test (81025) |
— |
$62 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$9.10 |
— |
| Valproic acid level (80164) |
— |
$156 |
— |
| Vancomycin trough (80202) |
— |
$130 |
— |
| Varicella-zoster antibody (86787) |
— |
$98 |
— |
| Vdrl csf (86592) |
— |
$39 |
— |
| Vitamin A (84590) |
— |
$130 |
— |
| Vitamin b-12 (82607) |
— |
$223 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$163 |
— |
| Vitamin C (82180) |
— |
$387.40 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$387 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$52 |
— |
| Zinc (84630) |
— |
$50.10 |
— |