| 17 Ketogenic steroids (83582) |
— |
$20 |
— |
| 5 Nucleotidase (83915) |
— |
$14 |
— |
| Acth (82024) |
— |
$49 |
— |
| Acute hepatitis panel (80074) |
— |
$60 |
— |
| Acylcarnitines Quant (82017) |
— |
$22 |
— |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
— |
$81 |
— |
| Agglutinins Febrile Each Antigen (86000) |
— |
$9 |
— |
| Albumin serum (82040) |
— |
$7 |
— |
| Aldolase (82085) |
— |
$13 |
— |
| Aldosterone urine (82088) |
— |
$51 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$19 |
— |
| Allergen specific ige (86003) |
— |
$7 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$19 |
— |
| Alpha-1-antitrypsin total (82103) |
— |
$17 |
— |
| Alpha-Fetoprotein Amniotic Fluid (82106) |
— |
$22 |
— |
| Alpha-Fetoprotein Serum (82105) |
— |
$21 |
— |
| 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 Multiple Qualitative Each Specimen (82128) |
— |
$18 |
— |
| Amino Acids Quant 2-5 (82136) |
— |
$25 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$21 |
— |
| Ammonia (82140) |
— |
$19 |
— |
| Amylase urine (82150) |
— |
$9 |
— |
| Ana Titer (86039) |
— |
$14 |
— |
| Androstenedione (82157) |
— |
$37 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$19 |
— |
| Anti-Phospholipid Antibody (86148) |
— |
$21 |
— |
| Antibody aspergillus (86606) |
— |
$19 |
— |
| Antibody Bacterium Not Elsewhere Specified (86609) |
— |
$17 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$20 |
— |
| Antibody Cytomegalovirus Cmv Igm (86645) |
— |
$22 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$17 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$20 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$23 |
— |
| Antibody haemophilus influenza (86684) |
— |
$20 |
— |
| Antibody helicobacter pylori (86677) |
— |
$22 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$18 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$17 |
— |
| Antibody HIV-1&HIV-2 single result (86703) |
— |
$18 |
— |
| Antibody HIV-2 (86702) |
— |
$17 |
— |
| Antibody htlv/HIV antibody confirmatory test (86689) |
— |
$25 |
— |
| Antibody Identification Platelet Immunogl Assay (86023) |
— |
$16 |
— |
| Antibody neisseria meningitidis (86741) |
— |
$17 |
— |
| Antibody Protozoa Nes (86753) |
— |
$16 |
— |
| Antibody Titer (86886) |
— |
$7 |
— |
| Antibody Treponema Pallidum (86780) |
— |
$17 |
— |
| Antigen typing (86905) |
— |
$5 |
— |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
— |
$8 |
— |
| Antinuclear antibodies (86038) |
— |
$16 |
— |
| Antistreptolysin O Screen (86063) |
— |
$8 |
— |
| Antistreptolysin o titer (86060) |
— |
$10 |
— |
| Antithrombin iii activity (85300) |
— |
$15 |
— |
| Antithrombin iii antigen (85301) |
— |
$14 |
— |
| Apolipoprotein a1 (82172) |
— |
$27 |
— |
| Arsenic (82175) |
— |
$24 |
— |
| Aspergillus ag eia (87305) |
— |
$15 |
— |
| Assay activated protein c (85307) |
— |
$20 |
— |
| Assay Blood Carbon Dioxide (82374) |
— |
$7 |
— |
| Assay Blood Catecholamines (82383) |
— |
$37 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$17 |
— |
| Assay of 5-hiaa (83497) |
— |
$17 |
— |
| Assay of blood/uric acid (84550) |
— |
$6 |
— |
| Assay of calcium in urine (82340) |
— |
$8 |
— |
| Assay of cpk in blood (82552) |
— |
$17 |
— |
| Assay of g6pd enzyme (82955) |
— |
$13 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$12 |
— |
| Assay of lactic acid (83605) |
— |
$15 |
— |
| Assay of manganese (83785) |
— |
$34 |
— |
| Assay of metanephrines (83835) |
— |
$22 |
— |
| Assay of phosphatase acid total (84060) |
— |
$10 |
— |
| Assay of procainamide (80190) |
— |
$75 |
— |
| Assay of prostate specific antigen complexed (84152) |
— |
$23 |
— |
| Assay of pyruvate (84210) |
— |
$19 |
— |
| Assay of serotonin (84260) |
— |
$39 |
— |
| Assay of serum potassium (84132) |
— |
$6 |
— |
| Assay of Sialic Acid (84275) |
— |
$17 |
— |
| Assay of Tyrosine (84510) |
— |
$14 |
— |
| Assay of urea nitrogen (84520) |
— |
$5 |
— |
| Assay of urine vma (84585) |
— |
$20 |
— |
| Assay of vasoactive intestinal peptide (84586) |
— |
$45 |
— |
| Assay of vitamin b-1 (84425) |
— |
$27 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$5 |
— |
| Atomic Absorption (82190) |
— |
$20 |
— |
| Automated Leukocyte Count (85048) |
— |
$4 |
— |
| Bacterial antigens 87802 (87802) |
— |
$16 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$205 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$182 |
— |
| Beta 2 glycoprotein i antibody each (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/O Diff Wbc Count (85008) |
— |
$5 |
— |
| Blastomyces antibody (86612) |
— |
$17 |
— |
| Bleeding time test (85002) |
— |
$7 |
— |
| Blood Count Automated Differential Wbc Count (85004) |
— |
$9 |
— |
| Blood Count Red Blood Cell Automated (85041) |
— |
$4 |
— |
| Blood count reticulocyte automated (85045) |
— |
$5 |
— |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
— |
$5 |
— |
| Blood count spun microhematocrit (85013) |
— |
$9 |
— |
| 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 serologic abo (86900) |
— |
$4 |
— |
| Body fluid cell count (89050) |
— |
$6 |
— |
| Bordetella antibody (86615) |
— |
$17 |
— |
| Breath Alcohol Test (82075) |
— |
$38 |
— |
| C-Peptide (84681) |
— |
$27 |
— |
| C-reactive protein (86140) |
— |
$7 |
— |
| Ca 19-9 (86301) |
— |
$27 |
— |
| Cadmium (82300) |
— |
$30 |
— |
| Calcitonin (82308) |
— |
$34 |
— |
| Calcium ionized (82330) |
— |
$18 |
— |
| Calcium total (82310) |
— |
$7 |
— |
| Calculus assay quant (82360) |
— |
$17 |
— |
| Calculus Xray Diffraction (82370) |
— |
$16 |
— |
| Calprotectin Fecal (83993) |
— |
$25 |
— |
| Cancer Antigen 125 (86304) |
— |
$27 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$27 |
— |
| Carbamazepine free (80157) |
— |
$17 |
— |
| Carbamazepine total (80156) |
— |
$19 |
— |
| Carbohydrate Deficient Transferrin (82373) |
— |
$23 |
— |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) |
— |
$18 |
— |
| Carboxyhemoglobin (82375) |
— |
$16 |
— |
| Carcinoembryonic antigen (82378) |
— |
$24 |
— |
| Cardiolipin ab iga (86147) |
— |
$32 |
— |
| Carnitine Quantitative Each Specimen (82379) |
— |
$22 |
— |
| Carotene (82380) |
— |
$12 |
— |
| Catecholamines fractionated (82384) |
— |
$32 |
— |
| Catecholamines total urine (82382) |
— |
$35 |
— |
| Ccp antibody (86200) |
— |
$17 |
— |
| Cell count csf (89051) |
— |
$7 |
— |
| Ceruloplasmin (82390) |
— |
$14 |
— |
| Cftr gene com variants (81220) |
— |
$696 |
— |
| Chlamydia antibody (86631) |
— |
$15 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$16 |
— |
| Chlamydia trachomatis ag if (87270) |
— |
$15 |
— |
| Chloride Serum (82435) |
— |
$6 |
— |
| Chloride urine (82436) |
— |
$8 |
— |
| Cholesterol total (82465) |
— |
$6 |
— |
| Cholinesterase rbc (82482) |
— |
$13 |
— |
| Cholinesterase Serum (82480) |
— |
$10 |
— |
| Chorionic gonadotropin test (84702) |
— |
$19 |
— |
| Chrmsm Analysis Addl High Resolution Study (88289) |
— |
$44 |
— |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
— |
$42 |
— |
| Chromium serum (82495) |
— |
$26 |
— |
| Chromosome Analysis 15-20 (88262) |
— |
$157 |
— |
| Chromosome Analysis 20-25 (88264) |
— |
$181 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$44 |
— |
| Citric acid urine (82507) |
— |
$35 |
— |
| Ckmb (82553) |
— |
$15 |
— |
| Clostridium Difficile (87324) |
— |
$15 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$21 |
— |
| Clot retraction (85170) |
— |
$21 |
— |
| Clotting factor viii related antigen (85244) |
— |
$26 |
— |
| Clotting factor xii hageman (85280) |
— |
$25 |
— |
| Coagulation time activated (85347) |
— |
$6 |
— |
| Coagulation time; Lee and White Facility (85345) |
— |
$6 |
— |
| Coccidioides antibody (86635) |
— |
$15 |
— |
| Cold agglutinin screen (86156) |
— |
$11 |
— |
| Cold agglutinin titer (86157) |
— |
$11 |
— |
| Collagen crosslinks (82523) |
— |
$24 |
— |
| Column Chromotography Quant (82542) |
— |
$31 |
— |
| Complement Antigen Each Component (86160) |
— |
$15 |
— |
| Complement Total (Ch50) (86162) |
— |
$26 |
— |
| Coombs direct (86880) |
— |
$7 |
— |
| Copper urine (82525) |
— |
$16 |
— |
| Cortisol free (82530) |
— |
$21 |
— |
| Cortisol saliva (82533) |
— |
$21 |
— |
| Creatine (82540) |
— |
$6 |
— |
| Creatine kinase total (82550) |
— |
$9 |
— |
| Creatinine blood (82565) |
— |
$7 |
— |
| Creatinine clearance (82575) |
— |
$12 |
— |
| Creatinine Urine (82570) |
— |
$7 |
— |
| Crp High Sensitivity (86141) |
— |
$17 |
— |
| Cryoglobulin (82595) |
— |
$9 |
— |
| Cryptococcal Antigen (87327) |
— |
$17 |
— |
| Cryptococcus ab (86641) |
— |
$19 |
— |
| Cryptococcus ag titer (87899) |
— |
$21 |
— |
| Cryptosporidium ag eia (87328) |
— |
$18 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$11 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$11 |
— |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
— |
$10 |
— |
| Culture afb (87116) |
— |
$14 |
— |
| Culture Anaerobic (87075) |
— |
$12 |
— |
| Culture bacteria anaerobic (87073) |
— |
$13 |
— |
| Culture blood (87040) |
— |
$13 |
— |
| Culture chlamydia (87110) |
— |
$25 |
— |
| Culture csf (87070) |
— |
$11 |
— |
| Culture fungus (87102) |
— |
$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 urine (87086) |
— |
$11 |
— |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
— |
$18 |
— |
| Cyclosporine (80158) |
— |
$23 |
— |
| Cyp2d6 gene com variants (81226) |
— |
$564 |
— |
| Cystatin C (82610) |
— |
$24 |
— |
| Cytogenetics 10-30 (88273) |
— |
$44 |
— |
| Cytomegalovirus igg (86644) |
— |
$18 |
— |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) |
— |
$26 |
— |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) |
— |
$34 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$20 |
— |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) |
— |
$20 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$17 |
— |
| Detect Agent Nos Dna Amp (87798) |
— |
$44 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$88 |
— |
| Dgp Antibody Each Ig Class (86258) |
— |
$15 |
— |
| Dhea (82626) |
— |
$32 |
— |
| Dhea-S (82627) |
— |
$28 |
— |
| Digoxin (80162) |
— |
$17 |
— |
| Dipropylacetic Acid Free (80165) |
— |
$17 |
— |
| Dna Antibody Native/Double Stranded (86225) |
— |
$18 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$16 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$44 |
— |
| DNA/RNA direct probe (87149) |
— |
$26 |
— |
| Drug assay acetaminophen (80143) |
— |
$24 |
— |
| Drug Assay Everolimus (80169) |
— |
$18 |
— |
| Drug Screen Quant Clozapine (80159) |
— |
$26 |
— |
| Drug Screen Quant Zonisamide (80203) |
— |
$17 |
— |
| Drug Screen Quantitative Gabapentin (80171) |
— |
$28 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$17 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$17 |
— |
| Drug Screen Quantitative Oxcarbazepine (80183) |
— |
$17 |
— |
| Drug Screen Quantitative Procainamide Metabolite (80192) |
— |
$21 |
— |
| Drug Test Prsmv Chem Anlyzr (80307) |
— |
$78 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$16 |
— |
| Drug Test Prsmv Instrmnt (80306) |
— |
$22 |
— |
| El-1 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 |
— |
| Erythropoietin (82668) |
— |
$24 |
— |
| Estradiol serum (82670) |
— |
$35 |
— |
| Estriol (82677) |
— |
$31 |
— |
| Estrogen total (82672) |
— |
$28 |
— |
| Ethosuximide (80168) |
— |
$21 |
— |
| F2 Gene (81240) |
— |
$83 |
— |
| Factor ix activity (85250) |
— |
$24 |
— |
| Factor v leiden mutation (81241) |
— |
$92 |
— |
| Factor viii assay (85240) |
— |
$23 |
— |
| Factor xi activity (85270) |
— |
$23 |
— |
| Fat/Lipids Feces Quantitative (82710) |
— |
$21 |
— |
| Fatty acids free (82725) |
— |
$24 |
— |
| Fecal Fat Qualitative (82705) |
— |
$7 |
— |
| Ferritin (82728) |
— |
$18 |
— |
| Fibrin degradation products (85362) |
— |
$9 |
— |
| Fibrin Degradation Quant (85379) |
— |
$13 |
— |
| Fibrin dgradj products d-dimer qual/semiquan (85378) |
— |
$13 |
— |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) |
— |
$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 |
— |
| Folic acid rbc (82747) |
— |
$23 |
— |
| Folic Acid Serum (82746) |
— |
$19 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$24 |
— |
| Fungi Identification Yeast (87106) |
— |
$13 |
— |
| Gammaglobulin ige (82785) |
— |
$21 |
— |
| Gastrin (82941) |
— |
$23 |
— |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) |
— |
$521 |
— |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
— |
$3,650 |
— |
| Genet Virus Isolate Hsv (87255) |
— |
$43 |
— |
| Gentamicin (80170) |
— |
$21 |
— |
| Ggt (82977) |
— |
$9 |
— |
| Giardia antigen (87329) |
— |
$15 |
— |
| Gluc-6-phosphate dehydrogenase screen (82960) |
— |
$8 |
— |
| Glucagon (82943) |
— |
$18 |
— |
| Glucose 2 hr pp (82950) |
— |
$6 |
— |
| Glucose Blood Test (82962) |
— |
$5 |
— |
| Glucose body fluid (82945) |
— |
$5 |
— |
| Glucose Serum (82947) |
— |
$5 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$17 |
— |
| Glycated Protein (82985) |
— |
$21 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$10 |
— |
| Growth hormone (83003) |
— |
$21 |
— |
| Growth hormone antibody (86277) |
— |
$20 |
— |
| Gtt-added samples (82952) |
— |
$5 |
— |
| H Pylori (C-13) Breath (83013) |
— |
$85 |
— |
| H Pylori Drug Admin (83014) |
— |
$10 |
— |
| Haloperidol (80173) |
— |
$20 |
— |
| Haptoglobin (83010) |
— |
$16 |
— |
| Hba1/Hba2 Gene (81257) |
— |
$128 |
— |
| Hdl Cholesterol (83718) |
— |
$11 |
— |
| Heavy metal qualitative any analytes (83015) |
— |
$27 |
— |
| Heinz Bodies Direct (85441) |
— |
$6 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$18 |
— |
| Helminth Antibody (86682) |
— |
$17 |
— |
| Hemagglutination Inhibition (86280) |
— |
$11 |
— |
| Hematocrit (85014) |
— |
$3 |
— |
| Hemoglobin (85018) |
— |
$3 |
— |
| Hemoglobin a1c (83036) |
— |
$13 |
— |
| Hemoglobin Chromotography (83021) |
— |
$23 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$17 |
— |
| Hemoglobin F Fetal Chemical (83030) |
— |
$14 |
— |
| Hemoglobin-Oxygen Affinity (82820) |
— |
$17 |
— |
| Hemolysins&Agglutinins Auto Screen Each (86940) |
— |
$11 |
— |
| Hep a ab igm (86709) |
— |
$15 |
— |
| Hepatitis a antibody total (86708) |
— |
$16 |
— |
| Hepatitis b core ab igm (86705) |
— |
$15 |
— |
| Hepatitis b core ab total (86704) |
— |
$16 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$14 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$13 |
— |
| 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 C Probe&Rvrs Trnsc (87521) |
— |
$44 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$54 |
— |
| Hepatitis delta ag (87380) |
— |
$23 |
— |
| Hepatitis Delta Agent Antibody (86692) |
— |
$22 |
— |
| Herpes simplex type 2 (86696) |
— |
$25 |
— |
| Heterophile Antibody Screen (86308) |
— |
$7 |
— |
| Hfe Gene (81256) |
— |
$82 |
— |
| Histamine urine (83088) |
— |
$37 |
— |
| Histoplasma antibody (86698) |
— |
$18 |
— |
| Hiv Antigen W/Hiv Antibodies (87806) |
— |
$41 |
— |
| Hiv Genotype (87901) |
— |
$322 |
— |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
— |
$31 |
— |
| Hiv-1 Antibody (86701) |
— |
$12 |
— |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
— |
$107 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$44 |
— |
| Hla class ii typing high resolution one locus ea (81382) |
— |
$155 |
— |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
— |
$93 |
— |
| Hla I Typing 1 Allele Hr (81381) |
— |
$213 |
— |
| Hla-b27 (86812) |
— |
$33 |
— |
| Homocysteine (83090) |
— |
$23 |
— |
| Homovanillic acid urine (83150) |
— |
$29 |
— |
| Hpv High-Risk Types (87624) |
— |
$44 |
— |
| Hsv Dna Amp Probe (87529) |
— |
$44 |
— |
| Htlv-I Antibody (86687) |
— |
$12 |
— |
| Htlv-ii antibody (86688) |
— |
$18 |
— |
| Hydroxycorticosteroids 17 (83491) |
— |
$23 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$34 |
— |
| 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 Varicella Zoster Virus (87290) |
— |
$17 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$44 |
— |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
— |
$29 |
— |
| 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 Herpes Virus-6 Amplified Probe Tq (87532) |
— |
$44 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$44 |
— |
| Iadna Multiple Organisms Direct Probe Tq (87800) |
— |
$55 |
— |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) |
— |
$53 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$44 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$44 |
— |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) |
— |
$179 |
— |
| Igg subclasses (82787) |
— |
$11 |
— |
| Immune Complex Assay (86332) |
— |
$31 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$37 |
— |
| Immunoassay analyte qual/semiqual single step (83518) |
— |
$13 |
— |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
— |
$23 |
— |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) |
— |
$32 |
— |
| Immunoassay infectious agent (86318) |
— |
$23 |
— |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
— |
$19 |
— |
| Immunoassay nonantibody (83516) |
— |
$15 |
— |
| Immunoelectrophoresis Serum (86320) |
— |
$38 |
— |
| Immunofixation electrophoresis (86334) |
— |
$28 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) |
— |
$26 |
— |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) |
— |
$16 |
— |
| Influenza a/b ag eia (87400) |
— |
$18 |
— |
| Influenza assay w/optic (87804) |
— |
$21 |
— |
| 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 p.val617phe variant (81270) |
— |
$115 |
— |
| Ketosteroids 17 total (83586) |
— |
$16 |
— |
| Koh Prep (87220) |
— |
$6 |
— |
| Kras Gene Variants Exon 2 (81275) |
— |
$242 |
— |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$8 |
— |
| Lactoferrin Fecal Quantitative (83631) |
— |
$25 |
— |
| Ldh Isoenzymes (83625) |
— |
$16 |
— |
| LDL direct (83721) |
— |
$14 |
— |
| Lead (83655) |
— |
$16 |
— |
| Legionella antibody (86713) |
— |
$20 |
— |
| Legionella antigen urine (87449) |
— |
$15 |
— |
| Legionella pneumophila dfa (87278) |
— |
$20 |
— |
| Leukocyte Assessment Fecal (89055) |
— |
$6 |
— |
| Lidocaine (80176) |
— |
$19 |
— |
| Lipase (83690) |
— |
$9 |
— |
| Lipoprotein Bld Quan Part (83704) |
— |
$43 |
— |
| Lithium (80178) |
— |
$9 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$24 |
— |
| Lyme disease antibody (86618) |
— |
$22 |
— |
| Macroscopic Exam Parasite (87169) |
— |
$6 |
— |
| Magnesium Urine (83735) |
— |
$9 |
— |
| Mercury urine (83825) |
— |
$21 |
— |
| Metabolic panel ionized ca (80047) |
— |
$18 |
— |
| Methylmalonic acid serum (83921) |
— |
$27 |
— |
| Microalbumin, quantitative (82043) |
— |
$8 |
— |
| Microsomal Antibodies Each (86376) |
— |
$19 |
— |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) |
— |
$243 |
— |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
— |
$845 |
— |
| Molecular Cytogenetics Dna Probe Each (88271) |
— |
$27 |
— |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
— |
$53 |
— |
| Molecular Pathology Procedure Level 3 (81402) |
— |
$188 |
— |
| Mononuclear cell antigen (86356) |
— |
$34 |
— |
| 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 |
— |
| Mumps antibody (86735) |
— |
$17 |
— |
| 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 |
— |
| Neisseria Dir Na Probe (87590) |
— |
$34 |
— |
| Neutralization Test Viral (86382) |
— |
$22 |
— |
| Nfct Agent Genotype Hepatitis B Virus (87912) |
— |
$322 |
— |
| Nfct ds chrnc hcv 6 assays (81596) |
— |
$91 |
— |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) |
— |
$161 |
— |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
— |
$33 |
— |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
— |
$611 |
— |
| Niacin (84591) |
— |
$22 |
— |
| Nk cells total count (86357) |
— |
$48 |
— |
| Nuclear antigen antibody (86235) |
— |
$23 |
— |
| Occult blood feces (82272) |
— |
$6 |
— |
| Occult Blood Other Sources (82271) |
— |
$7 |
— |
| 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 urine (83918) |
— |
$30 |
— |
| Osmolality serum (83930) |
— |
$9 |
— |
| Osmolality Urine (83935) |
— |
$9 |
— |
| Osteocalcin (83937) |
— |
$38 |
— |
| Ova and parasites smears (87177) |
— |
$12 |
— |
| Oxalate urine (83945) |
— |
$19 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$15 |
— |
| Ph urine (81003) |
— |
$3 |
— |
| Phenobarbital Level (80184) |
— |
$20 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$163 |
— |
| Phenylalanine (84030) |
— |
$7 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$17 |
— |
| Phenytoin free (80186) |
— |
$18 |
— |
| Phosphatase acid prostatic (84066) |
— |
$13 |
— |
| Phosphatase alkaline (84075) |
— |
$7 |
— |
| Phosphorus Serum (84100) |
— |
$6 |
— |
| Phosphorus urine (84105) |
— |
$8 |
— |
| Pinworm exam (87172) |
— |
$6 |
— |
| Platelet Aggregation (85576) |
— |
$32 |
— |
| Platelet Antibodies (86022) |
— |
$23 |
— |
| Platelet count automated (85049) |
— |
$6 |
— |
| Platelet neutralization (85597) |
— |
$23 |
— |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) |
— |
$255 |
— |
| Pms2 gene full seq analysis (81317) |
— |
$846 |
— |
| Porphobilinogen, urine; quantitative (84110) |
— |
$11 |
— |
| Porphyrins Feces Quantitative (84126) |
— |
$49 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$19 |
— |
| Porphyrins, urine; qualitative (84119) |
— |
$17 |
— |
| Potassium Urine (84133) |
— |
$6 |
— |
| Prealbumin (84134) |
— |
$19 |
— |
| Pregnancy-Associated Plasma Protein-A (84163) |
— |
$19 |
— |
| Primidone (80188) |
— |
$21 |
— |
| Procalcitonin (Pct) (84145) |
— |
$35 |
— |
| Progesterone (84144) |
— |
$27 |
— |
| Prolactin (84146) |
— |
$25 |
— |
| Protein C Activity (85303) |
— |
$18 |
— |
| Protein c antigen (85302) |
— |
$16 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$23 |
— |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$14 |
— |
| Protein S Free (85306) |
— |
$20 |
— |
| Protein s total (85305) |
— |
$15 |
— |
| Protein Total Refractometry Any Src (84160) |
— |
$8 |
— |
| Protein total serum (84155) |
— |
$5 |
— |
| Protein Total Urine (84156) |
— |
$5 |
— |
| Protein Western Blot Test (84182) |
— |
$37 |
— |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
— |
$5 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$18 |
— |
| PSA free (84154) |
— |
$23 |
— |
| Pth Intact (83970) |
— |
$52 |
— |
| Quantiferon tb gold plus (86480) |
— |
$78 |
— |
| Quantitative assay drug (80299) |
— |
$24 |
— |
| Quantitative Screen Metals (83018) |
— |
$28 |
— |
| Quinidine (80194) |
— |
$19 |
— |
| Rbc antibody screen (86850) |
— |
$13 |
— |
| Reagent Strip/Blood Glucose (82948) |
— |
$7 |
— |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) |
— |
$90 |
— |
| Receptor assay estrogen (84233) |
— |
$110 |
— |
| Receptor assay progesterone (84234) |
— |
$82 |
— |
| Renin activity plasma (84244) |
— |
$28 |
— |
| Resp virus 12-25 targets (87633) |
— |
$521 |
— |
| Reticulocyte Count (85046) |
— |
$7 |
— |
| Reticulocyte Count Manual (85044) |
— |
$6 |
— |
| Rh (86901) |
— |
$4 |
— |
| Rheumatoid Factor Qualitative (86430) |
— |
$8 |
— |
| Rheumatoid factor quant (86431) |
— |
$8 |
— |
| Rickettsia antibody (86757) |
— |
$25 |
— |
| Ristocetin cofactor (85245) |
— |
$29 |
— |
| Rotavirus ag eia (87425) |
— |
$15 |
— |
| Rpr qualitative (86592) |
— |
$6 |
— |
| Rubella Antibody (86762) |
— |
$18 |
— |
| Rubeola antibody (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, Automated (85652) |
— |
$4 |
— |
| Selenium (84255) |
— |
$32 |
— |
| Sensitivity mic (87186) |
— |
$11 |
— |
| 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 Methylation Analysis (81331) |
— |
$64 |
— |
| Sodium Serum (84295) |
— |
$7 |
— |
| Sodium Urine (84300) |
— |
$7 |
— |
| Soluble Transferrin Receptor (84238) |
— |
$46 |
— |
| Somatomedin (84305) |
— |
$27 |
— |
| Specimen infect agnt concntj (87015) |
— |
$9 |
— |
| Spectrophotometry (84311) |
— |
$11 |
— |
| Stem cells total count (86367) |
— |
$98 |
— |
| Stone Analysis (82355) |
— |
$15 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$12 |
— |
| Strep a assay w/optic (87880) |
— |
$21 |
— |
| Sulfate urine (84392) |
— |
$7 |
— |
| Susceptibility Study Antimicrobial Disk Method (87184) |
— |
$10 |
— |
| Syphilis Test Non-Trep Quant (86593) |
— |
$6 |
— |
| T cells absolute cd4 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 |
— |
| Tacrolimus (80197) |
— |
$18 |
— |
| Tb ag response t-cell susp (86481) |
— |
$125 |
— |
| Test for acetone/ketones (82009) |
— |
$6 |
— |
| Test for urine cystines (82615) |
— |
$12 |
— |
| Testosterone Bioavailable (84410) |
— |
$65 |
— |
| Testosterone total (84403) |
— |
$33 |
— |
| Testosterone, Free (84402) |
— |
$32 |
— |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) |
— |
$748 |
— |
| Theophylline (80198) |
— |
$18 |
— |
| Thrombin Time (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 Immunoglobulin (84445) |
— |
$64 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$15 |
— |
| Tissue Culture (88233) |
— |
$176 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$146 |
— |
| Tobramycin peak (80200) |
— |
$21 |
— |
| Topiramate (80201) |
— |
$15 |
— |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
— |
$25 |
— |
| Toxoplasma ab igm (86778) |
— |
$19 |
— |
| Toxoplasma antibody (86777) |
— |
$18 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$7 |
— |
| Transferrin (84466) |
— |
$16 |
— |
| Trichomonas Vaginalis Amplif (87661) |
— |
$44 |
— |
| Triglycerides (84478) |
— |
$8 |
— |
| Troponin Quant (84484) |
— |
$16 |
— |
| Urea nitrogen urine (84540) |
— |
$7 |
— |
| Uric acid other source (84560) |
— |
$7 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$4 |
— |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) |
— |
$3 |
— |
| Urinalysis Volume Measure (81050) |
— |
$5 |
— |
| 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 |
— |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) |
— |
$4 |
— |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
— |
$12 |
— |
| Valproic acid (80164) |
— |
$17 |
— |
| Vancomycin (80202) |
— |
$17 |
— |
| Varicella-zoster antibody (86787) |
— |
$17 |
— |
| Vasopressin (84588) |
— |
$43 |
— |
| Very Long Chain Fatty Acids (82726) |
— |
$25 |
— |
| Viral Culture (87252) |
— |
$33 |
— |
| Virus antibody nos (86790) |
— |
$17 |
— |
| Virus inoculation, shell via (87254) |
— |
$25 |
— |
| Viscosity serum (85810) |
— |
$15 |
— |
| Vit D 1 25-Dihydroxy (82652) |
— |
$49 |
— |
| Vitamin A (84590) |
— |
$15 |
— |
| Vitamin b-12 (82607) |
— |
$19 |
— |
| Vitamin B2 (Riboflavin) (84252) |
— |
$26 |
— |
| Vitamin B6 (84207) |
— |
$36 |
— |
| Vitamin c (82180) |
— |
$13 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$37 |
— |
| Vitamin E (84446) |
— |
$18 |
— |
| Vitamin K (84597) |
— |
$18 |
— |
| Volatiles (84600) |
— |
$22 |
— |
| Von willebrand factor ag (85246) |
— |
$29 |
— |
| Wbc Alkaline Phosphatase Count (85540) |
— |
$11 |
— |
| Western Blot Test (84181) |
— |
$22 |
— |
| Xylose Absorption Test (84620) |
— |
$17 |
— |
| Zinc (84630) |
— |
$15 |
— |