| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$49 |
— |
| 5 Nucleotidase (83915) |
— |
$14 |
— |
| Acetaminophen level (80143) |
— |
$24 |
— |
| Acetone serum qual (82009) |
— |
$6 |
— |
| Activated protein c resistance (85307) |
— |
$20 |
— |
| Acute hepatitis panel (80074) |
— |
$60 |
— |
| Acylcarnitine Plasma (82017) |
— |
$22 |
— |
| Adrenocorticotropic hormone (82024) |
— |
$49 |
— |
| Afp maternal serum (82105) |
— |
$21 |
— |
| Agglutinins febrile ea antigen (86000) |
— |
$9 |
— |
| Albumin serum (82040) |
— |
$7 |
— |
| Aldolase (82085) |
— |
$13 |
— |
| Aldosterone urine (82088) |
— |
$51 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$19 |
— |
| Allergen peanut (86003) |
— |
$7 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$19 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$17 |
— |
| Alpha-Fetoprotein L3 (82107) |
— |
$81 |
— |
| Alpha-Fetoprotein; Amniotic (82106) |
— |
$22 |
— |
| Alt (sgpt) (84460) |
— |
$7 |
— |
| Aluminum (82108) |
— |
$32 |
— |
| Amikacin trough (80150) |
— |
$19 |
— |
| Amino Acids 1 Quantitative Each Specimen (82131) |
— |
$29 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$22 |
— |
| Amino Acids Quant 2-5 (82136) |
— |
$25 |
— |
| Amino Acids, Multiple Qual (82128) |
— |
$18 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$21 |
— |
| Amylase urine (82150) |
— |
$9 |
— |
| Ana titer (86039) |
— |
$14 |
— |
| Angiotensin i enzyme test (82164) |
— |
$19 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$21 |
— |
| Antibody aspergillus (86606) |
— |
$19 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$20 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$18 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$17 |
— |
| Antibody haemophilus influenza (86684) |
— |
$20 |
— |
| Antibody helicobacter pylori (86677) |
— |
$22 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$18 |
— |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
— |
$18 |
— |
| Antibody HIV-2 (86702) |
— |
$17 |
— |
| Antibody Identification Platelet Immunogl Assay (86023) |
— |
$16 |
— |
| Antibody mumps (86735) |
— |
$17 |
— |
| Antibody neisseria meningitidis (86741) |
— |
$17 |
— |
| Antibody Protozoa Nes (86753) |
— |
$16 |
— |
| Antibody screen (86850) |
— |
$13 |
— |
| Antibody treponema pallidum (86780) |
— |
$17 |
— |
| Antibody; Coccidioides (86635) |
— |
$15 |
— |
| Antibody; HTLV-II Facility (86688) |
— |
$18 |
— |
| Antigen typing (86905) |
— |
$5 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$7 |
— |
| Antinuclear antibodies (86038) |
— |
$16 |
— |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
— |
$8 |
— |
| Antistreptolysin o titer (86060) |
— |
$10 |
— |
| Antithrombin iii activity (85300) |
— |
$15 |
— |
| Antithrombin iii antigen (85301) |
— |
$14 |
— |
| Apolipoprotein each (82172) |
— |
$27 |
— |
| Arsenic Urine (82175) |
— |
$24 |
— |
| Aspergillus ag eia (87305) |
— |
$15 |
— |
| Assay 17-(17-Ks)Ketosteroids (83586) |
— |
$16 |
— |
| Assay Biovlbl Testosterone Direct Measurement (84410) |
— |
$65 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$17 |
— |
| Assay of 5-hiaa (83497) |
— |
$17 |
— |
| Assay of ammonia (82140) |
— |
$19 |
— |
| Assay of androstenedione (82157) |
— |
$37 |
— |
| Assay of c-peptide (84681) |
— |
$27 |
— |
| Assay of ceruloplasmin (82390) |
— |
$14 |
— |
| Assay of citrate (82507) |
— |
$35 |
— |
| Assay of cpk in blood (82552) |
— |
$17 |
— |
| Assay of creatine (82540) |
— |
$6 |
— |
| Assay of cyclosporine (80158) |
— |
$23 |
— |
| Assay of erythropoietin (82668) |
— |
$24 |
— |
| Assay of ethosuximide (80168) |
— |
$21 |
— |
| Assay of ferritin (82728) |
— |
$18 |
— |
| Assay of g6pd enzyme (82955) |
— |
$13 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$12 |
— |
| Assay of gastrin (82941) |
— |
$23 |
— |
| Assay of gentamicin (80170) |
— |
$21 |
— |
| Assay of homocystine (83090) |
— |
$23 |
— |
| Assay of lactic acid (83605) |
— |
$15 |
— |
| Assay of manganese (83785) |
— |
$34 |
— |
| Assay of metanephrines (83835) |
— |
$22 |
— |
| Assay of osteocalcin (83937) |
— |
$38 |
— |
| Assay of phenobarbital (80184) |
— |
$20 |
— |
| Assay of phosphatase acid total (84060) |
— |
$10 |
— |
| Assay of prealbumin (84134) |
— |
$19 |
— |
| Assay of procainamide (80190) |
— |
$75 |
— |
| Assay of prolactin (84146) |
— |
$25 |
— |
| Assay of prostate specific antigen complexed (84152) |
— |
$23 |
— |
| Assay of pyruvate (84210) |
— |
$19 |
— |
| Assay of serotonin (84260) |
— |
$39 |
— |
| Assay of sialic acid (84275) |
— |
$17 |
— |
| Assay of tacrolimus (80197) |
— |
$18 |
— |
| Assay of topiramate (80201) |
— |
$15 |
— |
| Assay of Tyrosine (84510) |
— |
$14 |
— |
| Assay of urine vma (84585) |
— |
$20 |
— |
| Assay of vasopressin anti-diuretic hormone (84588) |
— |
$43 |
— |
| Assay of vitamin k (84597) |
— |
$18 |
— |
| Assay of volatiles (84600) |
— |
$22 |
— |
| Assay Phosphatase Acid Prostatic (84066) |
— |
$13 |
— |
| Ast (sgot) (84450) |
— |
$7 |
— |
| Atomic Absorption (82190) |
— |
$20 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$205 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$182 |
— |
| Beta 2 glycoprotein 1 igm (86146) |
— |
$32 |
— |
| Beta hydroxybutyrate (82010) |
— |
$11 |
— |
| Beta lactamase (87185) |
— |
$6 |
— |
| Beta-2 microglobulin (82232) |
— |
$21 |
— |
| Bile acids, total (82239) |
— |
$22 |
— |
| Bilirubin direct (82248) |
— |
$7 |
— |
| Bilirubin total (82247) |
— |
$7 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$5 |
— |
| Bl Smear W/O Diff Wbc Count (85008) |
— |
$5 |
— |
| Blastomyces antibody (86612) |
— |
$17 |
— |
| Bleeding time (85002) |
— |
$7 |
— |
| Blood Count Automated Differential Wbc Count (85004) |
— |
$9 |
— |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) |
— |
$7 |
— |
| Blood gas (82803) |
— |
$33 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$20 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$6 |
— |
| Blood typing abo (86900) |
— |
$4 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$4 |
— |
| Body fluid cell count (89051) |
— |
$7 |
— |
| Body fluid cell count (89050) |
— |
$6 |
— |
| Bordetella antibody (86615) |
— |
$17 |
— |
| Breath Alcohol Test (82075) |
— |
$38 |
— |
| C-reactive protein (86140) |
— |
$7 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$17 |
— |
| C1q binding assay (86332) |
— |
$31 |
— |
| Ca 125 (86304) |
— |
$27 |
— |
| Ca 19-9 (86301) |
— |
$27 |
— |
| Ca 27 29 (86300) |
— |
$27 |
— |
| Cadmium level (82300) |
— |
$30 |
— |
| Calcitonin (82308) |
— |
$34 |
— |
| Calcium ionized (82330) |
— |
$18 |
— |
| Calcium total (82310) |
— |
$7 |
— |
| Calcium urine (82340) |
— |
$8 |
— |
| Calculus Quantitative Chemical (82360) |
— |
$17 |
— |
| Calculus; qualitative analysis Facility (82355) |
— |
$15 |
— |
| Calculus; X-ray diffraction Facility (82370) |
— |
$16 |
— |
| Calprotectin, fecal (83993) |
— |
$25 |
— |
| Carb deficient transferrin (82373) |
— |
$23 |
— |
| Carbamazepine free (80157) |
— |
$17 |
— |
| Carbamazepine total (80156) |
— |
$19 |
— |
| Carbon dioxide (82374) |
— |
$7 |
— |
| Carboxyhemoglobin (82375) |
— |
$16 |
— |
| Carboxyhemoglobin; qualitative Facility (82376) |
— |
$18 |
— |
| Carcinoembryonic antigen (82378) |
— |
$24 |
— |
| Cardiolipin ab igg (86147) |
— |
$32 |
— |
| Carnitine (82379) |
— |
$22 |
— |
| Carotene (82380) |
— |
$12 |
— |
| Catecholamines fraction plasma (82384) |
— |
$32 |
— |
| Catecholamines organic nitrogen blood level (82383) |
— |
$37 |
— |
| Catecholamines Total Urine (82382) |
— |
$35 |
— |
| Cftr gene com variants (81220) |
— |
$696 |
— |
| Chlamydia antibody (86631) |
— |
$15 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$16 |
— |
| Chlamydia trachomatis ag if (87270) |
— |
$15 |
— |
| Chloride blood (82435) |
— |
$6 |
— |
| Chloride urine (82436) |
— |
$8 |
— |
| Cholesterol HDL (83718) |
— |
$11 |
— |
| Cholesterol total (82465) |
— |
$6 |
— |
| Cholinesterase rbc (82482) |
— |
$13 |
— |
| Cholinesterase serum (82480) |
— |
$10 |
— |
| Chrmsm analysis addl high resolution study (88289) |
— |
$44 |
— |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
— |
$42 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$157 |
— |
| Chromium urine (82495) |
— |
$26 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$181 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$44 |
— |
| Ckmb (82553) |
— |
$15 |
— |
| Clot factor viii vw antigen (85246) |
— |
$29 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$21 |
— |
| Clot retraction (85170) |
— |
$21 |
— |
| Clotting Inhibitors Protein S Free (85306) |
— |
$20 |
— |
| Clozapine level (80159) |
— |
$26 |
— |
| Cmv ab igm (86645) |
— |
$22 |
— |
| Coagulation time activated (85347) |
— |
$6 |
— |
| Coagulation time; Lee and White Facility (85345) |
— |
$6 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$31 |
— |
| Cold agglutinin screen (86156) |
— |
$11 |
— |
| Cold agglutinin titer (86157) |
— |
$11 |
— |
| Collagen cross links (82523) |
— |
$24 |
— |
| Complement c3 (86160) |
— |
$15 |
— |
| Complement total (ch50) (86162) |
— |
$26 |
— |
| Concentration Infectious Agent (87015) |
— |
$9 |
— |
| Coombs direct (86880) |
— |
$7 |
— |
| Copper urine (82525) |
— |
$16 |
— |
| Cortisol free (82530) |
— |
$21 |
— |
| Cortisol total (82533) |
— |
$21 |
— |
| Creatine kinase total (82550) |
— |
$9 |
— |
| Creatinine blood (82565) |
— |
$7 |
— |
| Creatinine clearance (82575) |
— |
$12 |
— |
| Creatinine other source (82570) |
— |
$7 |
— |
| Cryoglobulin (82595) |
— |
$9 |
— |
| Cryptococcus antibody (86641) |
— |
$19 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$11 |
— |
| Culture Aerobic Identify (87077) |
— |
$11 |
— |
| Culture afb (87116) |
— |
$14 |
— |
| Culture anaerobic (87075) |
— |
$12 |
— |
| Culture Bacteria Anaerobic (87073) |
— |
$13 |
— |
| Culture blood (87040) |
— |
$13 |
— |
| Culture chlamydia (87110) |
— |
$25 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$10 |
— |
| Culture fungus id yeast (87106) |
— |
$13 |
— |
| Culture fungus other (87102) |
— |
$11 |
— |
| Culture genital (87070) |
— |
$11 |
— |
| Culture screen only (87081) |
— |
$9 |
— |
| Culture stool (87045) |
— |
$12 |
— |
| Culture typing if ea antiserum (87140) |
— |
$7 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$7 |
— |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) |
— |
$44 |
— |
| Culture urine (87086) |
— |
$11 |
— |
| Culture virus (87252) |
— |
$33 |
— |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
— |
$18 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$17 |
— |
| Cyp2d6 gene com variants (81226) |
— |
$564 |
— |
| Cystatin c (82610) |
— |
$24 |
— |
| Cysticercosis Antibody (86682) |
— |
$17 |
— |
| Cytogenetics 10-30 (88273) |
— |
$44 |
— |
| Cytogenetics DNA probe (88271) |
— |
$27 |
— |
| Cytopath Tbs Cerv/Vag Manual (88164) |
— |
$20 |
— |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
— |
$34 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$20 |
— |
| D-Dimer (85378) |
— |
$13 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$17 |
— |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
— |
$55 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$21 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$88 |
— |
| Dgp antibody each ig class (86258) |
— |
$15 |
— |
| Dhea (82626) |
— |
$32 |
— |
| Dhea-sulfate (82627) |
— |
$28 |
— |
| Digoxin (80162) |
— |
$17 |
— |
| Dilantin (80185) |
— |
$17 |
— |
| Dipropylacetic acid free (80165) |
— |
$17 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$16 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$18 |
— |
| DNA/RNA direct probe (87149) |
— |
$26 |
— |
| Drug quant nes (80299) |
— |
$24 |
— |
| Drug screen quant zonisamide (80203) |
— |
$17 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$17 |
— |
| Drug Screen Quantitative Lidocaine (80176) |
— |
$19 |
— |
| Drug Screen Quantitative Oxcarbazepine (80183) |
— |
$17 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$17 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$78 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$16 |
— |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) |
— |
$22 |
— |
| Ebv viral capsid (86665) |
— |
$23 |
— |
| Elastase pancreatic fecal quantitative (82653) |
— |
$29 |
— |
| Electrolyte panel (80051) |
— |
$9 |
— |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
— |
$77 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$16 |
— |
| Enterovirus Pcr (87498) |
— |
$44 |
— |
| Enzyme cell activity (82657) |
— |
$28 |
— |
| Eosinophil count (85048) |
— |
$4 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$20 |
— |
| Estradiol (82670) |
— |
$35 |
— |
| Estriol serum (82677) |
— |
$31 |
— |
| Estrogens total (82672) |
— |
$28 |
— |
| Everolimus (80169) |
— |
$18 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$83 |
— |
| F5 gene analysis, leiden variant (81241) |
— |
$92 |
— |
| Factor ix activity (85250) |
— |
$24 |
— |
| Factor viii ahg (85240) |
— |
$23 |
— |
| Factor viii related antigen (85244) |
— |
$26 |
— |
| Factor xi assay (85270) |
— |
$23 |
— |
| Factor xii assay (85280) |
— |
$25 |
— |
| Fatty acids free (82725) |
— |
$24 |
— |
| Fecal fat qual (82705) |
— |
$7 |
— |
| Fecal fat quant (82710) |
— |
$21 |
— |
| Fetal screen (83030) |
— |
$14 |
— |
| Fibrin degradation products (85362) |
— |
$9 |
— |
| Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or… (85380) |
— |
$13 |
— |
| Fibrin Degradation Quant (85379) |
— |
$13 |
— |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) |
— |
$16 |
— |
| Fibrinogen activity (85384) |
— |
$13 |
— |
| Fluorescent Antibody Screen (86255) |
— |
$16 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$16 |
— |
| Folate serum (82746) |
— |
$19 |
— |
| Folic acid rbc (82747) |
— |
$23 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$24 |
— |
| Fructosamine (82985) |
— |
$21 |
— |
| G6pd Screen (82960) |
— |
$8 |
— |
| Gabapentin (80171) |
— |
$28 |
— |
| Gammaglobulin ige (82785) |
— |
$21 |
— |
| Gc Dna Probe (87590) |
— |
$34 |
— |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
— |
$3,650 |
— |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) |
— |
$748 |
— |
| Ggt (82977) |
— |
$9 |
— |
| Giardia antigen eia stool (87329) |
— |
$15 |
— |
| Glucagon (82943) |
— |
$18 |
— |
| Glucose (82947) |
— |
$5 |
— |
| Glucose Blood Test (82962) |
— |
$5 |
— |
| Glucose body fluid (82945) |
— |
$5 |
— |
| Glucose post dose (82950) |
— |
$6 |
— |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
— |
$5 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$17 |
— |
| Growth hormone (83003) |
— |
$21 |
— |
| Growth hormone, human (HGH), antibody Facility (86277) |
— |
$20 |
— |
| H pylori breath test (83013) |
— |
$85 |
— |
| Haloperidol (haldol) (80173) |
— |
$20 |
— |
| Haptoglobin (83010) |
— |
$16 |
— |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) |
— |
$128 |
— |
| Hcg qualitative (84703) |
— |
$10 |
— |
| Hcg quant (84702) |
— |
$19 |
— |
| Heavy Metal Qualitative Any Analytes (83015) |
— |
$27 |
— |
| Heavy metal quant each (83018) |
— |
$28 |
— |
| Heinz Bodies; Direct - Heinz Body Stain (85441) |
— |
$6 |
— |
| Hemagglutination inhibition test (HAI) Facility (86280) |
— |
$11 |
— |
| Hematocrit (85014) |
— |
$3 |
— |
| Hematocrit spun (85013) |
— |
$9 |
— |
| Hemoglobin (85018) |
— |
$3 |
— |
| Hemoglobin a1c (83036) |
— |
$13 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$23 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$17 |
— |
| Hemolysins/agglutinins auto screen (86940) |
— |
$11 |
— |
| Hepatitis a antibody total (86708) |
— |
$16 |
— |
| Hepatitis a igm (86709) |
— |
$15 |
— |
| Hepatitis b core ab igm (86705) |
— |
$15 |
— |
| Hepatitis b core antibody total (86704) |
— |
$16 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$14 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$13 |
— |
| Hepatitis b virus genotyping (87912) |
— |
$322 |
— |
| Hepatitis be antibody (86707) |
— |
$15 |
— |
| Hepatitis Be Antigen (87350) |
— |
$15 |
— |
| Hepatitis c antibody (86803) |
— |
$18 |
— |
| Hepatitis C Antibody Confirmatory Test (86804) |
— |
$20 |
— |
| Hepatitis C Genotype (87902) |
— |
$322 |
— |
| Hepatitis delta ab (86692) |
— |
$22 |
— |
| Hepatitis delta ag (87380) |
— |
$23 |
— |
| Herpes simplex type i (86695) |
— |
$17 |
— |
| Herpes simplex type ii (86696) |
— |
$25 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$7 |
— |
| Hfe gene (81256) |
— |
$82 |
— |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) |
— |
$17 |
— |
| Histamine plasma (83088) |
— |
$37 |
— |
| Histoplasma antibody (86698) |
— |
$18 |
— |
| HIV confirmation (86689) |
— |
$25 |
— |
| HIV-1 antibody (86701) |
— |
$12 |
— |
| HIV-1 genotype (87901) |
— |
$322 |
— |
| HIV-1 integrase genotype (87906) |
— |
$161 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$44 |
— |
| Hla class i typing high resolution one allele or allele group (81381) |
— |
$213 |
— |
| Hla class ii typing high resolution one locus ea (81382) |
— |
$155 |
— |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
— |
$93 |
— |
| Hla-b27 (86812) |
— |
$33 |
— |
| Homovanillic acid urine (83150) |
— |
$29 |
— |
| Hpylori Drug Administration (83014) |
— |
$10 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$44 |
— |
| Htlv-I Antibody (86687) |
— |
$12 |
— |
| Hydroxycorticosteroids 17 (83491) |
— |
$23 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$34 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$15 |
— |
| Iaad Ia Cryptococcus Neoformans (87327) |
— |
$17 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$18 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$31 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$18 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$18 |
— |
| Iaad ia shiga-like toxin (87427) |
— |
$15 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$22 |
— |
| Iaadi Legionella Pneumophila (87278) |
— |
$20 |
— |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
— |
$41 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$21 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$44 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$88 |
— |
| Iadna hepatitis b virus amplified probe tq (87516) |
— |
$44 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$54 |
— |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) |
— |
$44 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$54 |
— |
| Iadna herpes virus-6 amplified probe tq (87532) |
— |
$44 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$44 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$107 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$44 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$44 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$44 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$44 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$44 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$521 |
— |
| If varicella-zoster antigen (87290) |
— |
$17 |
— |
| Igg subclasses (82787) |
— |
$11 |
— |
| Immunoassay analyte qual/semiqual single step (83518) |
— |
$13 |
— |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
— |
$23 |
— |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) |
— |
$32 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$19 |
— |
| Immunoassay nonantibody (83516) |
— |
$15 |
— |
| Immunoelectrophoresis serum (86320) |
— |
$38 |
— |
| Immunofixation (86334) |
— |
$28 |
— |
| Immunofixation urine (86335) |
— |
$37 |
— |
| Indirect coombs (86885) |
— |
$8 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
— |
$16 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) |
— |
$29 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) |
— |
$26 |
— |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) |
— |
$16 |
— |
| Influenza a/b ag eia (87400) |
— |
$18 |
— |
| Influenza DNA amp probe (87502) |
— |
$120 |
— |
| Inhibin a (86336) |
— |
$20 |
— |
| Inhibin b (83520) |
— |
$22 |
— |
| Insulin antibodies (86337) |
— |
$27 |
— |
| Insulin free (83527) |
— |
$17 |
— |
| Insulin total (83525) |
— |
$15 |
— |
| Intrinsic factor antibody (86340) |
— |
$19 |
— |
| Iron (83540) |
— |
$9 |
— |
| Iron binding capacity (83550) |
— |
$11 |
— |
| Islet cell antibody (86341) |
— |
$30 |
— |
| Jak2 gene analysis (81270) |
— |
$115 |
— |
| Ketogenic steroids, fractionation Facility (83582) |
— |
$20 |
— |
| Kras gene analysis (81275) |
— |
$242 |
— |
| Lactoferrin Fecal Quantitative (83631) |
— |
$25 |
— |
| Ldh body fluid (83615) |
— |
$8 |
— |
| Ldh isoenzymes (83625) |
— |
$16 |
— |
| LDL cholesterol direct (83721) |
— |
$14 |
— |
| Lead (83655) |
— |
$16 |
— |
| Legionella antibody (86713) |
— |
$20 |
— |
| Legionella antigen urine (87449) |
— |
$15 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$6 |
— |
| Lh (83002) |
— |
$24 |
— |
| Lipase (83690) |
— |
$9 |
— |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) |
— |
$43 |
— |
| Listeria ab (86609) |
— |
$17 |
— |
| Lithium (80178) |
— |
$9 |
— |
| Lyme disease antibody (86618) |
— |
$22 |
— |
| Macroscopic exam parasite (87169) |
— |
$6 |
— |
| Magnesium (83735) |
— |
$9 |
— |
| Manual reticulocyte count (85044) |
— |
$6 |
— |
| Mercury urine (83825) |
— |
$21 |
— |
| Metabolic Panel Ionized Ca (80047) |
— |
$18 |
— |
| Methylmalonic acid serum (83921) |
— |
$27 |
— |
| Microalbumin urine (82043) |
— |
$8 |
— |
| Microsomal antibodies (86376) |
— |
$19 |
— |
| Mlh1 gene analysis duplication/deletion variants (81294) |
— |
$243 |
— |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
— |
$845 |
— |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
— |
$53 |
— |
| Mononuclear cell antigen (86356) |
— |
$34 |
— |
| Mopath procedure level 3 (81402) |
— |
$188 |
— |
| Mopath procedure level 4 (81403) |
— |
$232 |
— |
| Msh2 gene analysis duplication/deletion variants (81297) |
— |
$267 |
— |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
— |
$478 |
— |
| Msh6 gene analysis duplication/deletion varia (81300) |
— |
$298 |
— |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
— |
$803 |
— |
| Mtb PCR (87556) |
— |
$53 |
— |
| Mycobacteric identification (87118) |
— |
$19 |
— |
| Mycophenolic acid (80180) |
— |
$23 |
— |
| Mycoplasma antibody (86738) |
— |
$17 |
— |
| Mycoplasma culture (87109) |
— |
$20 |
— |
| Myelin basic protein csf (83873) |
— |
$22 |
— |
| Myoglobin urine (83874) |
— |
$17 |
— |
| Natriuretic peptide (83880) |
— |
$50 |
— |
| Neutralization Test Viral (86382) |
— |
$22 |
— |
| Nfct ds chrnc hcv 6 assays (81596) |
— |
$91 |
— |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
— |
$33 |
— |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
— |
$611 |
— |
| Nk cells total count (86357) |
— |
$48 |
— |
| Nuclear antigen antibody (86235) |
— |
$23 |
— |
| Occult blood gastric (82271) |
— |
$7 |
— |
| Occult blood stool (82272) |
— |
$6 |
— |
| Oligoclonal bands (83916) |
— |
$35 |
— |
| Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) |
— |
$637 |
— |
| Oncoprotein dcp (83951) |
— |
$81 |
— |
| Organic acids total quantitative each specimen (83918) |
— |
$30 |
— |
| Osmolality serum (83930) |
— |
$9 |
— |
| Osmolality urine (83935) |
— |
$9 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$12 |
— |
| Oxalate urine (83945) |
— |
$19 |
— |
| Pancreatic polypeptide (83519) |
— |
$23 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$15 |
— |
| Ph body fluid (83986) |
— |
$5 |
— |
| Ph urine (81003) |
— |
$3 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$163 |
— |
| Phenylalanine (84030) |
— |
$7 |
— |
| Phenytoin free (80186) |
— |
$18 |
— |
| Phosphatase alkaline (84075) |
— |
$7 |
— |
| Phosphorus blood (84100) |
— |
$6 |
— |
| Phosphorus urine (84105) |
— |
$8 |
— |
| Pinworm exam (87172) |
— |
$6 |
— |
| Platelet aggregation (85576) |
— |
$32 |
— |
| Platelet count automated (85049) |
— |
$6 |
— |
| Platelet neutralization (85597) |
— |
$23 |
— |
| Pms2 gene analysis duplication/deletion variants (81319) |
— |
$255 |
— |
| Pms2 gene analysis full sequence (81317) |
— |
$846 |
— |
| Porphobilinogen urine quant (84110) |
— |
$11 |
— |
| Porphyrins feces qn (84126) |
— |
$49 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$19 |
— |
| Porphyrins, urine; qualitative Facility (84119) |
— |
$17 |
— |
| Potassium (84132) |
— |
$6 |
— |
| Potassium urine (84133) |
— |
$6 |
— |
| Pregnancy associated plasma protein-a (84163) |
— |
$19 |
— |
| Primidone (80188) |
— |
$21 |
— |
| Procainamide napa (80192) |
— |
$21 |
— |
| Procalcitonin (pct) (84145) |
— |
$35 |
— |
| Progesterone (84144) |
— |
$27 |
— |
| Progesterone (reproductive hormone) receptor analysis (84234) |
— |
$82 |
— |
| Protein c activity (85303) |
— |
$18 |
— |
| Protein c antigen (85302) |
— |
$16 |
— |
| Protein electrophoresis serum (84165) |
— |
$14 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$23 |
— |
| Protein s total (85305) |
— |
$15 |
— |
| Protein total serum (84155) |
— |
$5 |
— |
| Protein urine (84156) |
— |
$5 |
— |
| Protein Western Blot (84182) |
— |
$37 |
— |
| Protein westrn blot i&r blood/other fluid (84181) |
— |
$22 |
— |
| Protein, total, by refractometry, any source Facility (84160) |
— |
$8 |
— |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
— |
$5 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$18 |
— |
| PSA free (84154) |
— |
$23 |
— |
| Pth intact (83970) |
— |
$52 |
— |
| Quinidine (80194) |
— |
$19 |
— |
| Rbc (85041) |
— |
$4 |
— |
| Reagent strip/blood glucose (82948) |
— |
$7 |
— |
| Receptor Assay Estrogen (84233) |
— |
$110 |
— |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) |
— |
$90 |
— |
| Renin activity plasma (84244) |
— |
$28 |
— |
| Resp virus 12-25 targets (87633) |
— |
$521 |
— |
| Resp virus 3-5 targets (87631) |
— |
$179 |
— |
| Reticulocyte count auto (85045) |
— |
$5 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$8 |
— |
| Rheumatoid factor quant (86431) |
— |
$8 |
— |
| Rickettsia antibody (86757) |
— |
$25 |
— |
| Ristocetin cofactor (85245) |
— |
$29 |
— |
| Rotavirus ag eia (87425) |
— |
$15 |
— |
| Rpr Titer (86593) |
— |
$6 |
— |
| Rubella antibody (86762) |
— |
$18 |
— |
| Rubeola Antibody Igg (86765) |
— |
$17 |
— |
| Russell viper venom time diluted (85613) |
— |
$12 |
— |
| Salicylate Level (80179) |
— |
$24 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$53 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$179 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$179 |
— |
| Sedimentation rate (85651) |
— |
$6 |
— |
| Sedimentation rate auto (85652) |
— |
$4 |
— |
| Selenium (84255) |
— |
$32 |
— |
| Sensitivity kb (87184) |
— |
$10 |
— |
| Sensitivity mic (87186) |
— |
$11 |
— |
| Serotonin Release Assay (86022) |
— |
$23 |
— |
| Sex hormone binding globulin (84270) |
— |
$28 |
— |
| Sickling of rbc reduction (85660) |
— |
$7 |
— |
| Smear acid fast (87206) |
— |
$7 |
— |
| Smear complex stain (87209) |
— |
$23 |
— |
| Smear gram stain (87205) |
— |
$6 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$8 |
— |
| Snrpn/ube3a gene (81331) |
— |
$64 |
— |
| Sodium (84295) |
— |
$7 |
— |
| Sodium urine (84300) |
— |
$7 |
— |
| Soluble transferrin receptor (84238) |
— |
$46 |
— |
| Somatomedin (84305) |
— |
$27 |
— |
| Spectrophotometry (84311) |
— |
$11 |
— |
| Stem cells total count (86367) |
— |
$98 |
— |
| Stool Culture, Addl Pathogens (87046) |
— |
$12 |
— |
| Strep a assay w/optic (87880) |
— |
$21 |
— |
| Sulfate urine (84392) |
— |
$7 |
— |
| T Cell Absolute Count (86361) |
— |
$34 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$59 |
— |
| T cells total count (86359) |
— |
$48 |
— |
| T3 free (84481) |
— |
$22 |
— |
| T3 reverse (84482) |
— |
$20 |
— |
| T3 total (84480) |
— |
$18 |
— |
| T3 uptake (84479) |
— |
$9 |
— |
| T4 free (84439) |
— |
$12 |
— |
| T4 total (84436) |
— |
$9 |
— |
| Tb ag response t-cell susp (86481) |
— |
$125 |
— |
| Tb test, cell immun measure (86480) |
— |
$78 |
— |
| Test for urine cystines (82615) |
— |
$12 |
— |
| Testosterone free (84402) |
— |
$32 |
— |
| Testosterone total (84403) |
— |
$33 |
— |
| Theophylline (80198) |
— |
$18 |
— |
| Thin prep pap (88142) |
— |
$26 |
— |
| Thrombin time plasma (85670) |
— |
$8 |
— |
| Thromboplastin Inhibition Tissue (85705) |
— |
$13 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$9 |
— |
| Thyroglobulin (84432) |
— |
$21 |
— |
| Thyroglobulin antibody (86800) |
— |
$20 |
— |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
— |
$64 |
— |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
— |
$176 |
— |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
— |
$6 |
— |
| Tissue culture lymphocyte (88230) |
— |
$146 |
— |
| Tissue transglutaminase ab iga (86364) |
— |
$15 |
— |
| Tobramycin peak (80200) |
— |
$21 |
— |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
— |
$25 |
— |
| Toxoplasma ab igm (86778) |
— |
$19 |
— |
| Toxoplasma antibody igg (86777) |
— |
$18 |
— |
| Transferrin (84466) |
— |
$16 |
— |
| Triglycerides (84478) |
— |
$8 |
— |
| Troponin (84484) |
— |
$16 |
— |
| Urea nitrogen (84520) |
— |
$5 |
— |
| Urea nitrogen urine (84540) |
— |
$7 |
— |
| Uric acid blood (84550) |
— |
$6 |
— |
| Uric acid other source (84560) |
— |
$7 |
— |
| Urinalysis (81005) |
— |
$3 |
— |
| Urinalysis auto w/scope (81001) |
— |
$4 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$4 |
— |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) |
— |
$38 |
— |
| Urine Albumin Semiquantitative (82044) |
— |
$8 |
— |
| Urine Bacteria Culture (87088) |
— |
$11 |
— |
| Urine pregnancy test (81025) |
— |
$11 |
— |
| Urine volume measurement (81050) |
— |
$5 |
— |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
— |
$12 |
— |
| Valproic acid (80164) |
— |
$17 |
— |
| Vancomycin trough (80202) |
— |
$17 |
— |
| Varicella-zoster antibody (86787) |
— |
$17 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$45 |
— |
| Vdrl csf (86592) |
— |
$6 |
— |
| Very long chain fatty acids (82726) |
— |
$25 |
— |
| Virus antibody nos (86790) |
— |
$17 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$43 |
— |
| Virus inoculation, shell via (87254) |
— |
$25 |
— |
| Viscosity serum (85810) |
— |
$15 |
— |
| Vitamin A (84590) |
— |
$15 |
— |
| Vitamin b-12 (82607) |
— |
$19 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$27 |
— |
| Vitamin b2 (84252) |
— |
$26 |
— |
| Vitamin b3 niacin (84591) |
— |
$22 |
— |
| Vitamin b6 (84207) |
— |
$36 |
— |
| Vitamin c (82180) |
— |
$13 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$37 |
— |
| Vitamin e serum (84446) |
— |
$18 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$11 |
— |
| Xylose Absorption Test (84620) |
— |
$17 |
— |
| Zinc (84630) |
— |
$15 |
— |