Lab & pathology prices at Hurley Medical Center
Flint, MI · every code in this section with a posted price and a Medicare benchmark.
1261 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $22 | $22 | 1.4× |
| 17-Hydroxypregnenolone (84143) range across 2 matching MRF lines |
$27–$206.25 | $27–$206.25 | varies |
| 5 Nucleotidase (83915) range across 3 matching MRF lines |
$16–$205.50 | $16–$205.50 | varies |
| Acetylcholine receptor binding antibody (86041) | $37 | $37 | 2.0× |
| Acetylcholinesterase Assay (82013) range across 2 matching MRF lines |
$16–$61 | $16–$61 | varies |
| Acth (82024) range across 2 matching MRF lines |
$48–$411.75 | $48–$411.75 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $43 | $43 | 1.3× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $101 | $101 | 1.2× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $96 | $96 | 1.2× |
| Actin smooth muscle antibody each (86015) | $37.25 | $37.25 | 3.1× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$59–$439 | $59–$439 | varies |
| Acylcarnitines Quant (82017) range across 3 matching MRF lines |
$22–$305.25 | $22–$305.25 | varies |
| Acylcarnitines; qualitative, each specimen Facility (82016) range across 2 matching MRF lines |
$22–$87 | $22–$87 | varies |
| Adenovirus antibody (86603) range across 3 matching MRF lines |
$16–$182.50 | $16–$182.50 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) range across 2 matching MRF lines |
$80–$114 | $80–$114 | varies |
| Agglutinins Febrile Each Antigen (86000) range across 3 matching MRF lines |
$11–$79.50 | $11–$79.50 | varies |
| Albumin Fluid (82042) range across 4 matching MRF lines |
$9.13–$25.25 | $9.13–$25.25 | varies |
| Albumin ischemia modified (82045) | $43 | $43 | 1.3× |
| Albumin serum (82040) range across 2 matching MRF lines |
$6–$17.50 | $6–$17.50 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$16–$116 | $16–$116 | varies |
| Aldosterone Suppression Evaluation Panel (80408) | $150 | $150 | 1.2× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$37.10–$296.25 | $37.10–$296.25 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$22–$91 | $22–$91 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $6 | $6 | 0.8× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$11–$17.25 | $11–$17.25 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$11–$30.50 | $11–$30.50 | varies |
| Allg Spec Ige Recomb Ea (86008) | $5.14 | $5.14 | 0.3× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$22–$32.75 | $22–$32.75 | varies |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$16–$125.50 | $16–$125.50 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) range across 2 matching MRF lines |
$22–$65 | $22–$65 | varies |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$7.75–$26.75 | $7.75–$26.75 | varies |
| Alt (sgpt) (84460) range across 4 matching MRF lines |
$6–$41.50 | $6–$41.50 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$22–$73 | $22–$73 | varies |
| Amikacin trough (80150) range across 2 matching MRF lines |
$22–$88 | $22–$88 | varies |
| Amines vaginal fluid qualitative (82120) | $11 | $11 | 1.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 7 matching MRF lines |
$22–$782 | $22–$782 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$22–$890.50 | $22–$890.50 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$22–$125.50 | $22–$125.50 | varies |
| Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines |
$22–$340.80 | $22–$340.80 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $22 | $22 | 1.6× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$22–$185.25 | $22–$185.25 | varies |
| Ammonia (82140) range across 3 matching MRF lines |
$22–$149.70 | $22–$149.70 | varies |
| Amniotic fluid scan (82143) range across 3 matching MRF lines |
$11–$112.50 | $11–$112.50 | varies |
| Amylase urine (82150) range across 3 matching MRF lines |
$11–$148 | $11–$148 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$16–$63 | $16–$63 | varies |
| Analysis skeletal muscle (88355) range across 3 matching MRF lines |
$160–$353 | $160–$353 | varies |
| Anca screen each antibody (86036) range across 3 matching MRF lines |
$37.25–$38.75 | $37.25–$38.75 | varies |
| Anca Titer Each Antibody (86037) | $36.25 | $36.25 | 3.0× |
| Androstanediol Glucuronide (82154) range across 2 matching MRF lines |
$38–$316 | $38–$316 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$38–$278.75 | $38–$278.75 | varies |
| Androsterone (hormone) level (82160) range across 2 matching MRF lines |
$33–$201 | $33–$201 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$22–$176 | $22–$176 | varies |
| Angiotensin II (82163) | $27 | $27 | 1.3× |
| Animal inoculation, small animal, with observation and dissection Facility (87003) | $22 | $22 | 1.3× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$22–$70.75 | $22–$70.75 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$22–$45.25 | $22–$45.25 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$16–$50.75 | $16–$50.75 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$22–$294.50 | $22–$294.50 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$17.25–$132.75 | $17.25–$132.75 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$16–$43.75 | $16–$43.75 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 3 matching MRF lines |
$16–$179.25 | $16–$179.25 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$22–$24.50 | $22–$24.50 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$22–$203 | $22–$203 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$16–$39.75 | $16–$39.75 | varies |
| Antibody haemophilus influenza (86684) range across 2 matching MRF lines |
$22–$25.25 | $22–$25.25 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$22–$58 | $22–$58 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 5 matching MRF lines |
$15–$36.50 | $15–$36.50 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$13.75–$95.25 | $13.75–$95.25 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$16–$48.75 | $16–$48.75 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$16–$21.25 | $16–$21.25 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 3 matching MRF lines |
$150–$369.25 | $150–$369.25 | varies |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $96 | $96 | 1.0× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $86 | $86 | 1.1× |
| Antibody hla class ii semiquantitative panel (86835) | $379 | $379 | 1.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$27–$65 | $27–$65 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$22–$89.25 | $22–$89.25 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$16–$69.50 | $16–$69.50 | varies |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$22–$1,556.50 | $22–$1,556.50 | varies |
| Antibody leishmania (86717) | $16 | $16 | 1.3× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 3 matching MRF lines |
$16–$30.10 | $16–$30.10 | varies |
| Antibody neisseria meningitidis (86741) | $16 | $16 | 1.2× |
| Antibody nocardia (86744) | $16 | $16 | 1.0× |
| Antibody plasmodium malaria (86750) | $16 | $16 | 1.2× |
| Antibody Protozoa Nes (86753) range across 6 matching MRF lines |
$16–$267.75 | $16–$267.75 | varies |
| Antibody rotavirus (86759) | $16 | $16 | 0.9× |
| Antibody Titer (86886) range across 4 matching MRF lines |
$11–$506 | $11–$506 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$16–$70.50 | $16–$70.50 | varies |
| Antibody yersinia (86793) range across 2 matching MRF lines |
$16–$23 | $16–$23 | varies |
| Antibody; campylobacter (86625) | $16 | $16 | 1.2× |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$16–$43.75 | $16–$43.75 | varies |
| Antibody; influenza virus (86710) range across 3 matching MRF lines |
$16–$171.25 | $16–$171.25 | varies |
| Antibody; mucormycosis Facility (86732) | $16 | $16 | 1.1× |
| Antigen typing (86905) range across 4 matching MRF lines |
$6–$987.75 | $6–$987.75 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $11 | $11 | 1.9× |
| Antinomyces antibody (86602) | $16 | $16 | 1.6× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$16–$59.75 | $16–$59.75 | varies |
| Antistreptolysin O Screen (86063) | $11 | $11 | 1.9× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$11–$71.75 | $11–$71.75 | varies |
| Antithrombin iii activity (85300) range across 4 matching MRF lines |
$16–$185 | $16–$185 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$16–$125.75 | $16–$125.75 | varies |
| Apc Gene Analysis Known Familial Variants (81202) | $353 | $353 | 1.3× |
| Apc gene dup/delet variants (81203) range across 2 matching MRF lines |
$868.75–$3,081 | $868.75–$3,081 | varies |
| Apc gene full sequence (81201) range across 2 matching MRF lines |
$139–$868.75 | $139–$868.75 | varies |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$22–$59.25 | $22–$59.25 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $217.75 | $217.75 | 5.8× |
| Arsenic (82175) range across 3 matching MRF lines |
$27–$193.25 | $27–$193.25 | varies |
| Ashkenazi Jewish Assoc Dis (81412) | $655 | $655 | 0.3× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$16–$21.50 | $16–$21.50 | varies |
| Assay activated protein c (85307) range across 3 matching MRF lines |
$22–$199.50 | $22–$199.50 | varies |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$6–$17.50 | $6–$17.50 | varies |
| Assay Blood Catecholamines (82383) | $33 | $33 | 1.1× |
| Assay myeloperoxidase (83876) | $43 | $43 | 0.8× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$16–$52.75 | $16–$52.75 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$16–$79.75 | $16–$79.75 | varies |
| Assay of anti-mullerian hormone (82166) | $269.75 | $269.75 | 7.0× |
| Assay of b-hexosaminidase each assay (83080) range across 4 matching MRF lines |
$22–$208 | $22–$208 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$6–$25.50 | $6–$25.50 | varies |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$11–$36.75 | $11–$36.75 | varies |
| Assay of corticosterone (82528) range across 2 matching MRF lines |
$27–$84.50 | $27–$84.50 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$16–$20.50 | $16–$20.50 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$33–$94.25 | $33–$94.25 | varies |
| Assay of feces for trypsin (84490) | $11 | $11 | 1.1× |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
$16–$205.50 | $16–$205.50 | varies |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$11–$140.75 | $11–$140.75 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$16–$130.89 | $16–$130.89 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$33–$152 | $33–$152 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$22–$101.50 | $22–$101.50 | varies |
| Assay of phosphatase acid total (84060) | $11 | $11 | 1.4× |
| Assay of phosphatase alkaline heat stable (84078) | $11 | $11 | 1.3× |
| Assay of procainamide (80190) range across 2 matching MRF lines |
$22–$78.75 | $22–$78.75 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$22–$54.75 | $22–$54.75 | varies |
| Assay of prostate specific antigen complexed (84152) | $27 | $27 | 1.5× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$16–$87.50 | $16–$87.50 | varies |
| Assay of semen fructose (82757) | $22 | $22 | 1.3× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$38–$307.25 | $38–$307.25 | varies |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$6–$63.44 | $6–$63.44 | varies |
| Assay of Sialic Acid (84275) range across 2 matching MRF lines |
$16–$39 | $16–$39 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$11–$39.75 | $11–$39.75 | varies |
| Assay of transcortin (84449) range across 2 matching MRF lines |
$22–$28.75 | $22–$28.75 | varies |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
$12.25–$16 | $12.25–$16 | varies |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$6–$14 | $6–$14 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$22–$139.75 | $22–$139.75 | varies |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$43–$476 | $43–$476 | varies |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$27–$192 | $27–$192 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$6–$17.75 | $6–$17.75 | varies |
| Assay Phosphohexose Enzymes (84087) range across 2 matching MRF lines |
$17.75–$205.50 | $17.75–$205.50 | varies |
| Assay spec xcp ur&breath ia (82077) | $55.50 | $55.50 | 3.2× |
| Asstd Fertilization Microtq > 10 Oocytes (89281) | $2,020 | $2,020 | 11.9× |
| Asstd oocyte fert 10 or less (89280) | $1,615 | $1,615 | 2.0× |
| Asy carbamazepin 10,11-epxid (80161) | $59.75 | $59.75 | 3.2× |
| Atomic Absorption (82190) range across 2 matching MRF lines |
$22–$80.50 | $22–$80.50 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$16–$293.25 | $16–$293.25 | varies |
| Autol bld/component collj storage salvage (86891) | $3,099.75 | $3,099.75 | 3.9× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$6–$40.75 | $6–$40.75 | varies |
| B cells total count (86355) range across 2 matching MRF lines |
$48–$52 | $48–$52 | varies |
| Bacterial antigens 87802 (87802) range across 3 matching MRF lines |
$16–$103.25 | $16–$103.25 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$16–$234.25 | $16–$234.25 | varies |
| Bckdhb Gene Analysis Common Variants (81205) | $180.75 | $180.75 | 1.9× |
| Bcr/abl1 gene major bp (81206) | $180.75 | $180.75 | 1.1× |
| Bcr/abl1 gene minor bp (81207) | $245.75 | $245.75 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$25–$33 | $25–$33 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$11–$84.50 | $11–$84.50 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$5.75–$6 | $5.75–$6 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$22–$180 | $22–$180 | varies |
| Beta-amyloid 1-40 (abeta 40) (82233) | $205 | $205 | 1.6× |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$205–$289 | $205–$289 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$22–$166.25 | $22–$166.25 | varies |
| Bile acids, cholylglycine (82240) | $33 | $33 | 1.2× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$6–$26.50 | $6–$26.50 | varies |
| Bilirubin total (82247) range across 4 matching MRF lines |
$5.02–$40.75 | $5.02–$40.75 | varies |
| Bilirubin total transcutaneous (88720) | $11 | $11 | 2.2× |
| Bilirubin; feces, qualitative Facility (82252) | $6 | $6 | 1.3× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) | $2,020 | $2,020 | 11.9× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) | $1,456 | $1,456 | 8.6× |
| Biotinidase (82261) range across 2 matching MRF lines |
$22–$125.50 | $22–$125.50 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $6 | $6 | 1.7× |
| Blastomyces antibody (86612) range across 4 matching MRF lines |
$14.61–$43.75 | $14.61–$43.75 | varies |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $96 | $96 | 1.8× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $96 | $96 | 3.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $96 | $96 | 0.6× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$11–$80 | $11–$80 | varies |
| Bleeding time test (85002) | $6 | $6 | 1.2× |
| Blood Count Automated Differential Wbc Count (85004) | $11 | $11 | 1.7× |
| Blood Count Manual Cell Count Each (85032) range across 2 matching MRF lines |
$6–$23.25 | $6–$23.25 | varies |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) range across 2 matching MRF lines |
$6–$11.50 | $6–$11.50 | varies |
| Blood Count Red Blood Cell Automated (85041) | $6 | $6 | 2.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$6–$35 | $6–$35 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$6–$21.75 | $6–$21.75 | varies |
| Blood count spun microhematocrit (85013) | $6 | $6 | 0.9× |
| Blood gas (82803) range across 3 matching MRF lines |
$27–$130.50 | $27–$130.50 | varies |
| Blood gases w/02 saturation (82805) | $38 | $38 | 0.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$33–$48.25 | $33–$48.25 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$11–$18.50 | $11–$18.50 | varies |
| Blood Sulfhemoglobin Assay (83060) range across 2 matching MRF lines |
$11–$192.75 | $11–$192.75 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $987.75 | $987.75 | 155.6× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $11 | $11 | 0.7× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$6–$382.50 | $6–$382.50 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$11–$66.75 | $11–$66.75 | varies |
| Bone marrow smear interpretation (85097) range across 2 matching MRF lines |
$96–$2,221.75 | $96–$2,221.75 | varies |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$16–$120.50 | $16–$120.50 | varies |
| Borrelia Antibody (86619) range across 2 matching MRF lines |
$16–$23.75 | $16–$23.75 | varies |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$135–$404 | $135–$404 | varies |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$2,500–$3,202.50 | $2,500–$3,202.50 | varies |
| Brca2 gene analysis full sequence analysis (81216) | $219 | $219 | 1.2× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$11–$13 | $11–$13 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$42.50–$43 | $42.50–$43 | varies |
| C-Peptide (84681) range across 3 matching MRF lines |
$27–$172.50 | $27–$172.50 | varies |
| C-reactive protein (86140) range across 3 matching MRF lines |
$11–$103.75 | $11–$103.75 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$27–$193 | $27–$193 | varies |
| Cadmium (82300) range across 3 matching MRF lines |
$33–$110.50 | $33–$110.50 | varies |
| Caffeine (80155) | $100.50 | $100.50 | 2.6× |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) | $128 | $128 | 0.8× |
| Calcitonin (82308) range across 2 matching MRF lines |
$33–$42.50 | $33–$42.50 | varies |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) | $96 | $96 | 1.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$16–$59.75 | $16–$59.75 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$6–$26.50 | $6–$26.50 | varies |
| Calcium; after calcium infusion test (82331) | $11 | $11 | 0.8× |
| Calculus assay quant (82360) | $16 | $16 | 1.2× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$11–$22.25 | $11–$22.25 | varies |
| Calculus Xray Diffraction (82370) | $16 | $16 | 1.3× |
| Calprotectin Fecal (83993) | $24.50 | $24.50 | 1.2× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$262.50–$280 | $262.50–$280 | varies |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$27–$152.50 | $27–$152.50 | varies |
| Cancer Antigen 27.29 (86300) range across 4 matching MRF lines |
$14.90–$145 | $14.90–$145 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$16–$126.75 | $16–$126.75 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$27–$51.25 | $27–$51.25 | varies |
| Carbamazepine free (80157) range across 2 matching MRF lines |
$16–$18.25 | $16–$18.25 | varies |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$22–$114.75 | $22–$114.75 | varies |
| Carbohydrate Deficient Transferrin (82373) range across 4 matching MRF lines |
$22–$277.50 | $22–$277.50 | varies |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $11 | $11 | 0.8× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$16–$79.50 | $16–$79.50 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$27–$97.75 | $27–$97.75 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$33–$208 | $33–$208 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$22–$29.75 | $22–$29.75 | varies |
| Carotene (82380) range across 2 matching MRF lines |
$16–$93.50 | $16–$93.50 | varies |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$33–$228 | $33–$228 | varies |
| Catecholamines total urine (82382) range across 2 matching MRF lines |
$22–$130.75 | $22–$130.75 | varies |
| Cathepsin-d (82387) | $27 | $27 | 1.5× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$16–$158.75 | $16–$158.75 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $373.25 | $373.25 | 1.5× |
| Cell count csf (89051) range across 2 matching MRF lines |
$11–$57.25 | $11–$57.25 | varies |
| Cell enumeration & id (86152) | $264 | $264 | 1.1× |
| Cell marker study (88182) range across 5 matching MRF lines |
$65–$213 | $65–$213 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 5 matching MRF lines |
$205–$239 | $205–$239 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$16–$160.50 | $16–$160.50 | varies |
| Cftr gene com variants (81220) range across 3 matching MRF lines |
$75–$240 | $75–$240 | varies |
| Cftr gene full sequence (81223) range across 3 matching MRF lines |
$230–$1,284.75 | $230–$1,284.75 | varies |
| Chemiluminescent assay (82397) range across 12 matching MRF lines |
$16–$339 | $16–$339 | varies |
| Chemotaxis Assay (86155) | $22 | $22 | 1.4× |
| Chlamydia antibody (86631) range across 11 matching MRF lines |
$7.50–$217.50 | $7.50–$217.50 | varies |
| Chlamydia Igm Antibody (86632) range across 7 matching MRF lines |
$7.50–$237.50 | $7.50–$237.50 | varies |
| Chlamydia trachomatis ag if (87270) | $16 | $16 | 1.3× |
| Chloramphenicol level (82415) range across 2 matching MRF lines |
$16–$122 | $16–$122 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$11–$35 | $11–$35 | varies |
| Chloride Serum (82435) range across 3 matching MRF lines |
$6–$14 | $6–$14 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$11–$25.50 | $11–$25.50 | varies |
| Chlorinated Hydrocarbons Screen (82441) range across 3 matching MRF lines |
$11–$107 | $11–$107 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$6–$15.75 | $6–$15.75 | varies |
| Cholinesterase rbc (82482) range across 2 matching MRF lines |
$11–$177.75 | $11–$177.75 | varies |
| Cholinesterase Serum (82480) range across 3 matching MRF lines |
$11–$69.50 | $11–$69.50 | varies |
| Chondroitin B sulfate, quantitative Facility (82485) | $27 | $27 | 1.3× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $70 | $70 | 1.3× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $65 | $65 | 1.3× |
| Chorionic gonadotropin test (84702) range across 6 matching MRF lines |
$22–$47.75 | $22–$47.75 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 2 matching MRF lines |
$213–$1,366.25 | $213–$1,366.25 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$27–$152 | $27–$152 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 2 matching MRF lines |
$16–$152 | $16–$152 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$33–$278.75 | $33–$278.75 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) | $43 | $43 | 0.6× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) range across 2 matching MRF lines |
$151–$203 | $151–$203 | varies |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $133 | $133 | 0.8× |
| Chrmsm Breakage Synds Score 100 Cll (88249) range across 4 matching MRF lines |
$203–$683.50 | $203–$683.50 | varies |
| Chromium serum (82495) range across 2 matching MRF lines |
$27–$154.50 | $27–$154.50 | varies |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$16–$147.50 | $16–$147.50 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$45.85–$85.50 | $45.85–$85.50 | varies |
| Chromosome analys amniotic (88269) | $198 | $198 | 1.1× |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
$150–$960 | $150–$960 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$150–$211.50 | $150–$211.50 | varies |
| Chromosome analysis 45 cells (88263) | $176 | $176 | 1.2× |
| Chromosome analysis, 5 (88261) range across 3 matching MRF lines |
$208–$1,600.25 | $208–$1,600.25 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$12.12–$188.25 | $12.12–$188.25 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$38–$397.75 | $38–$397.75 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$16–$86.50 | $16–$86.50 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$16–$114.50 | $16–$114.50 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$27–$459.75 | $27–$459.75 | varies |
| Clot factor xiii fibrin stab (85290) range across 3 matching MRF lines |
$22–$117.50 | $22–$117.50 | varies |
| Clot retraction (85170) | $6 | $6 | 0.4× |
| Clotting factor viii related antigen (85244) range across 2 matching MRF lines |
$27–$148.21 | $27–$148.21 | varies |
| Clotting factor xii hageman (85280) range across 3 matching MRF lines |
$27–$233.50 | $27–$233.50 | varies |
| Clotting Funct Activity (85397) range across 4 matching MRF lines |
$27–$1,681.90 | $27–$1,681.90 | varies |
| Clotting hi molec weight kininogen assay (85293) | $27 | $27 | 1.4× |
| Clotting prekallikrein assay fletcher fact assay (85292) range across 2 matching MRF lines |
$27–$168 | $27–$168 | varies |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $1,385 | $1,385 | 10.1× |
| Cns DNA amp probe type 12-25 (87483) | $520 | $520 | 1.2× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$4.75–$6 | $4.75–$6 | varies |
| Coagulation time other methods (85348) | $6 | $6 | 1.3× |
| Coagulation time; Lee and White Facility (85345) | $6 | $6 | 1.3× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$16–$43.75 | $16–$43.75 | varies |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$11–$65.25 | $11–$65.25 | varies |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$11–$38 | $11–$38 | varies |
| Collagen crosslinks (82523) range across 5 matching MRF lines |
$27–$80 | $27–$80 | varies |
| Column Chromotography Quant (82542) range across 34 matching MRF lines |
$14.30–$992.50 | $14.30–$992.50 | varies |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) | $678 | $678 | 1.2× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$11–$506 | $11–$506 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$22–$506 | $22–$506 | varies |
| Complement Antigen Each Component (86160) range across 11 matching MRF lines |
$16–$284.25 | $16–$284.25 | varies |
| Complement Fixation Tests Each Antigen (86171) range across 3 matching MRF lines |
$16–$449.25 | $16–$449.25 | varies |
| Complement Total (Ch50) (86162) range across 3 matching MRF lines |
$27–$368.04 | $27–$368.04 | varies |
| Complement/Function Activity (86161) range across 7 matching MRF lines |
$16–$219.39 | $16–$219.39 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$251–$275 | $251–$275 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 6 matching MRF lines |
$80–$273 | $80–$273 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 4 matching MRF lines |
$125–$200 | $125–$200 | varies |
| Coombs direct (86880) range across 4 matching MRF lines |
$11–$189 | $11–$189 | varies |
| Copper urine (82525) range across 4 matching MRF lines |
$13.06–$171.25 | $13.06–$171.25 | varies |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) | $384 | $384 | 0.5× |
| Cortisol free (82530) range across 3 matching MRF lines |
$22–$123 | $22–$123 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$22–$205.20 | $22–$205.20 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$7.75–$11 | $7.75–$11 | varies |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) | $16 | $16 | 1.3× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$6–$33.75 | $6–$33.75 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$6–$16.50 | $6–$16.50 | varies |
| Creatinine clearance (82575) range across 3 matching MRF lines |
$16–$56 | $16–$56 | varies |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$11–$75.52 | $11–$75.52 | varies |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$11–$499.75 | $11–$499.75 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$11–$506 | $11–$506 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$16–$37.25 | $16–$37.25 | varies |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$11–$15 | $11–$15 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$11–$35 | $11–$35 | varies |
| Cryopreservation; embryo(s) (89258) | $331 | $331 | 0.4× |
| Cryopreservation; sperm (89259) | $331 | $331 | 1.9× |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
$16–$85.50 | $16–$85.50 | varies |
| Cryptococcus ab (86641) | $22 | $22 | 1.5× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$16–$33 | $16–$33 | varies |
| Cryptosporidium (87272) range across 2 matching MRF lines |
$16–$100 | $16–$100 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$16–$42.25 | $16–$42.25 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$11–$32 | $11–$32 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$11–$46 | $11–$46 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$7.50–$11 | $7.50–$11 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $697.75 | $697.75 | 3.2× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$16–$51.25 | $16–$51.25 | varies |
| Culture afb (87116) range across 6 matching MRF lines |
$5.50–$101.46 | $5.50–$101.46 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$16–$62.25 | $16–$62.25 | varies |
| Culture bacteria anaerobic (87073) | $16 | $16 | 1.7× |
| Culture blood (87040) range across 2 matching MRF lines |
$16–$66 | $16–$66 | varies |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$27–$57.25 | $27–$57.25 | varies |
| Culture csf (87070) range across 7 matching MRF lines |
$11–$86.25 | $11–$86.25 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$11–$73.50 | $11–$73.50 | varies |
| Culture fungus blood (87103) range across 3 matching MRF lines |
$8.69–$64.75 | $8.69–$64.75 | varies |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) | $293 | $293 | 1.7× |
| Culture oocyte/embryos<4day (89250) | $293 | $293 | 1.7× |
| Culture screen only (87081) range across 3 matching MRF lines |
$11–$44.25 | $11–$44.25 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$16–$66.75 | $16–$66.75 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $16 | $16 | 1.3× |
| Culture typing if ea antiserum (87140) | $11 | $11 | 2.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$6.25–$11 | $6.25–$11 | varies |
| Culture typing other methods (87158) range across 2 matching MRF lines |
$11–$91.75 | $11–$91.75 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$11–$28.75 | $11–$28.75 | varies |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $11 | $11 | 0.4× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $11 | $11 | 1.4× |
| Cyanide (82600) range across 2 matching MRF lines |
$27–$241.75 | $27–$241.75 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) range across 2 matching MRF lines |
$15.25–$22 | $15.25–$22 | varies |
| Cyclic amp (82030) range across 3 matching MRF lines |
$33–$298 | $33–$298 | varies |
| Cyclosporine (80158) range across 2 matching MRF lines |
$22–$84.50 | $22–$84.50 | varies |
| Cyp2d6 gene com variants (81226) | $226.25 | $226.25 | 0.5× |
| Cystatin C (82610) range across 2 matching MRF lines |
$16–$38.25 | $16–$38.25 | varies |
| Cytogenetics 10-30 (88273) range across 5 matching MRF lines |
$38–$138.33 | $38–$138.33 | varies |
| Cytogenetics 100-300 (88275) range across 20 matching MRF lines |
$48–$225.70 | $48–$225.70 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,197 | $1,197 | 1.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $180.75 | $180.75 | 0.2× |
| Cytogenomic neo microra alys (81277) | $938 | $938 | 0.8× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$15–$96.50 | $15–$96.50 | varies |
| Cytopath C/V Index Add-On (88155) range across 2 matching MRF lines |
$11–$28.25 | $11–$28.25 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$33–$76.50 | $33–$76.50 | varies |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$101–$213 | $101–$213 | varies |
| Cytopath Fl Nongyn Filter (88106) range across 3 matching MRF lines |
$38–$166 | $38–$166 | varies |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $16 | $16 | 0.3× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $22 | $22 | 1.2× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) range across 2 matching MRF lines |
$33–$54.25 | $33–$54.25 | varies |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) | $16 | $16 | 0.9× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) | $16 | $16 | 0.9× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) range across 2 matching MRF lines |
$16–$41 | $16–$41 | varies |
| Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) | $16 | $16 | 0.6× |
| Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) | $16 | $16 | 0.7× |
| Cytotoxic Antibody Screen Std (86807) | $43 | $43 | 0.5× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$38–$89.25 | $38–$89.25 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$38–$76.50 | $38–$76.50 | varies |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) range across 2 matching MRF lines |
$33–$64.50 | $33–$64.50 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 4 matching MRF lines |
$43–$155 | $43–$155 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 5 matching MRF lines |
$139–$288 | $139–$288 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 3 matching MRF lines |
$38–$107 | $38–$107 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 7 matching MRF lines |
$59–$150 | $59–$150 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $199.75 | $199.75 | 1.2× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $16 | $16 | 0.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 2 matching MRF lines |
$16–$51.25 | $16–$51.25 | varies |
| Cytp smrs any oth src extnd std > 5 slides (88162) range across 3 matching MRF lines |
$80–$187 | $80–$187 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 4 matching MRF lines |
$46.50–$123 | $46.50–$123 | varies |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) range across 2 matching MRF lines |
$38–$53 | $38–$53 | varies |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $16 | $16 | 1.4× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$38–$210.25 | $38–$210.25 | varies |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$16–$109 | $16–$109 | varies |
| Desoxycorticosterone (82633) range across 3 matching MRF lines |
$38–$279.25 | $38–$279.25 | varies |
| Detect Agent Nos Dna Amp (87798) range across 37 matching MRF lines |
$42.50–$457.75 | $42.50–$457.75 | varies |
| Detect Agent Nos Dna Quant (87799) range across 14 matching MRF lines |
$34.44–$298.75 | $34.44–$298.75 | varies |
| Detect agnt mult DNA ampli (87801) range across 10 matching MRF lines |
$86–$485.50 | $86–$485.50 | varies |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $86 | $86 | 0.5× |
| Dgp Antibody Each Ig Class (86258) | $34.75 | $34.75 | 2.9× |
| Dhea (82626) range across 2 matching MRF lines |
$33–$43 | $33–$43 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$27–$158.75 | $27–$158.75 | varies |
| Dibucaine number (82638) range across 2 matching MRF lines |
$16–$114.25 | $16–$114.25 | varies |
| Digoxin (80162) range across 2 matching MRF lines |
$16–$66.75 | $16–$66.75 | varies |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$22–$120.50 | $22–$120.50 | varies |
| Dipropylacetic Acid Free (80165) | $37.50 | $37.50 | 2.8× |
| Dmd Duplication/Deletion Analysis (81161) | $600 | $600 | 2.2× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $740 | $740 | 5.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$16–$113.25 | $16–$113.25 | varies |
| Dna Antibody Single Stranded (86226) range across 2 matching MRF lines |
$16–$195.75 | $16–$195.75 | varies |
| Dna/Rna Amplified Probe (87150) range across 25 matching MRF lines |
$5.50–$43 | $5.50–$43 | varies |
| DNA/RNA direct probe (87149) | $27 | $27 | 1.3× |
| Dna/Rna Sequencing (87153) | $139 | $139 | 1.2× |
| Drug assay acetaminophen (80143) | $59.75 | $59.75 | 3.2× |
| Drug Assay Everolimus (80169) | $49 | $49 | 3.6× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$246–$306.20 | $246–$306.20 | varies |
| Drug Assay Itraconazole (80189) | $80.01 | $80.01 | 3.0× |
| Drug Assay Lacosamide (80235) | $205.50 | $205.50 | 7.6× |
| Drug Assay Leflunomide (80193) | $221 | $221 | 5.7× |
| Drug Assay Posaconazole (80187) | $80.01 | $80.01 | 3.0× |
| Drug Screen Quant Clozapine (80159) | $49 | $49 | 2.4× |
| Drug Screen Quant Zonisamide (80203) | $49 | $49 | 3.7× |
| Drug Screen Quantitative Gabapentin (80171) | $49 | $49 | 2.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $49 | $49 | 3.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $49 | $49 | 3.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $49 | $49 | 3.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) range across 2 matching MRF lines |
$22–$75.50 | $22–$75.50 | varies |
| Drug Screen Quantitative Tiagabine (80199) | $145 | $145 | 5.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 28 matching MRF lines |
$11.80–$359.50 | $11.80–$359.50 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$365–$421.25 | $365–$421.25 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$16–$45.25 | $16–$45.25 | varies |
| El-1 Fecal Quantitative (82653) | $71.75 | $71.75 | 3.1× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$11–$64.50 | $11–$64.50 | varies |
| Electron Microscopy (88348) range across 8 matching MRF lines |
$145–$2,760.50 | $145–$2,760.50 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 5 matching MRF lines |
$43–$129.25 | $43–$129.25 | varies |
| Embryo hatching microtechnique (89253) | $373 | $373 | 2.2× |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$16–$43.75 | $16–$43.75 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$16–$43.75 | $16–$43.75 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $39 | $39 | 3.2× |
| Enterovirus Antibody (86658) range across 6 matching MRF lines |
$16–$607.25 | $16–$607.25 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$43–$59.50 | $43–$59.50 | varies |
| Enzyme cell activity (82657) range across 23 matching MRF lines |
$22–$800 | $22–$800 | varies |
| Enzyme histochemistry (88319) range across 5 matching MRF lines |
$53–$2,221.75 | $53–$2,221.75 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$11–$33.75 | $11–$33.75 | varies |
| Erythropoietin (82668) range across 2 matching MRF lines |
$27–$29.75 | $27–$29.75 | varies |
| Estradiol serum (82670) range across 3 matching MRF lines |
$16.42–$145.25 | $16.42–$145.25 | varies |
| Estriol (82677) range across 4 matching MRF lines |
$33–$38.50 | $33–$38.50 | varies |
| Estrogen total (82672) range across 2 matching MRF lines |
$27–$240.25 | $27–$240.25 | varies |
| Estrogens fractionated (82671) range across 2 matching MRF lines |
$43–$315.75 | $43–$315.75 | varies |
| Ethosuximide (80168) range across 2 matching MRF lines |
$22–$153.50 | $22–$153.50 | varies |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$22–$191 | $22–$191 | varies |
| Euglobulin lysis (85360) | $11 | $11 | 1.3× |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
$8.75–$48 | $8.75–$48 | varies |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) | $346 | $346 | 0.4× |
| F2 Gene (81240) range across 2 matching MRF lines |
$54.73–$180.75 | $54.73–$180.75 | varies |
| Factor ii activity (85210) range across 2 matching MRF lines |
$16–$129.25 | $16–$129.25 | varies |
| Factor Inhibitor Test (85335) range across 7 matching MRF lines |
$16–$205 | $16–$205 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$27–$228.25 | $27–$228.25 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$22–$171.75 | $22–$171.75 | varies |
| Factor v leiden mutation (81241) | $180.75 | $180.75 | 2.5× |
| Factor vii assay (85230) range across 3 matching MRF lines |
$22–$362 | $22–$362 | varies |
| Factor viii assay (85240) range across 7 matching MRF lines |
$21.20–$187.50 | $21.20–$187.50 | varies |
| Factor X (85260) range across 3 matching MRF lines |
$22–$195.75 | $22–$195.75 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$22–$112.50 | $22–$112.50 | varies |
| Factor xiii screen (85291) range across 2 matching MRF lines |
$11–$30.25 | $11–$30.25 | varies |
| Fancc Gene (81242) | $320 | $320 | 8.7× |
| Fat differential, feces, quantitative Facility (82715) | $22 | $22 | 1.0× |
| Fat stain feces urine/respir secretions (89125) | $6 | $6 | 1.0× |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$22–$160.75 | $22–$160.75 | varies |
| Fatty acids free (82725) range across 2 matching MRF lines |
$16–$80.25 | $16–$80.25 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $11 | $11 | 1.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 3 matching MRF lines |
$22–$194.25 | $22–$194.25 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) range across 2 matching MRF lines |
$16–$124.75 | $16–$124.75 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$11–$259 | $11–$259 | varies |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$11–$36.75 | $11–$36.75 | varies |
| Ferritin (82728) range across 2 matching MRF lines |
$16–$58.75 | $16–$58.75 | varies |
| Fetal Aneuploidy Trisom Risk (81507) | $1,695 | $1,695 | 2.1× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$197.50–$282.50 | $197.50–$282.50 | varies |
| Fetal Chrmoml Microdeltj (81422) range across 2 matching MRF lines |
$197.50–$282.50 | $197.50–$282.50 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$75–$180.75 | $75–$180.75 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) range across 2 matching MRF lines |
$80–$180.75 | $80–$180.75 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$80–$392.50 | $80–$392.50 | varies |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$11–$42.75 | $11–$42.75 | varies |
| Fetal lung maturity assessment; foam stability test Facility (83662) range across 2 matching MRF lines |
$27–$76.75 | $27–$76.75 | varies |
| Fetal Lung Maturity Fluorescence Polarization (83663) range across 2 matching MRF lines |
$27–$154.25 | $27–$154.25 | varies |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$11–$68 | $11–$68 | varies |
| Fibrin degradation products (85362) | $11 | $11 | 1.6× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$16–$63.75 | $16–$63.75 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $11 | $11 | 1.1× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $16 | $16 | 1.6× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $16 | $16 | 1.3× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$11–$54.73 | $11–$54.73 | varies |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$11–$86.50 | $11–$86.50 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 6 matching MRF lines |
$43–$1,098.25 | $43–$1,098.25 | varies |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) | $11 | $11 | 1.4× |
| Flecainide level (80181) | $18.32 | $18.32 | 1.0× |
| Flow cytometry first marker (88184) range across 22 matching MRF lines |
$39.81–$987.75 | $39.81–$987.75 | varies |
| Flt3 Gene (81245) range across 3 matching MRF lines |
$141.25–$339.25 | $141.25–$339.25 | varies |
| Flt3 gene analysis (81246) | $165.50 | $165.50 | 2.0× |
| Fluorescent antibody screen (86255) range across 78 matching MRF lines |
$20–$491.75 | $20–$491.75 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 18 matching MRF lines |
$8.50–$402.25 | $8.50–$402.25 | varies |
| Fluoride serum (82735) range across 2 matching MRF lines |
$27–$85.50 | $27–$85.50 | varies |
| Fmr1 Gene Charac Alleles (81244) range across 2 matching MRF lines |
$160–$475 | $160–$475 | varies |
| Fmr1 gene detection (81243) | $169.50 | $169.50 | 3.0× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$22–$98.75 | $22–$98.75 | varies |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$22–$76.50 | $22–$76.50 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$27–$242.25 | $27–$242.25 | varies |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) range across 2 matching MRF lines |
$33–$199 | $33–$199 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$16–$17.75 | $16–$17.75 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $155.50 | $155.50 | 0.9× |
| Frozen Blood Each Unit Freezing (86930) | $6 | $6 | 0.0× |
| Frozen Blood Each Unit Thawing (86931) | $6 | $6 | 0.0× |
| Frozen blood freeze/thaw (86932) | $11 | $11 | 0.3× |
| Frozen Section (88331) range across 4 matching MRF lines |
$75–$506 | $75–$506 | varies |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$16–$51.25 | $16–$51.25 | varies |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$16–$76.50 | $16–$76.50 | varies |
| Galactokinase rbc (82759) | $27 | $27 | 1.3× |
| Galactose (82760) range across 2 matching MRF lines |
$16–$74.75 | $16–$74.75 | varies |
| Galactose transferase test (82776) | $11 | $11 | 0.9× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 2 matching MRF lines |
$27–$154.50 | $27–$154.50 | varies |
| Galectin-3 (82777) range across 2 matching MRF lines |
$16–$117.10 | $16–$117.10 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$22–$155.75 | $22–$155.75 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$27–$51.25 | $27–$51.25 | varies |
| Gardner Vag Dna Quant (87512) range across 2 matching MRF lines |
$34.44–$53 | $34.44–$53 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $11 | $11 | 1.1× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$11–$58 | $11–$58 | varies |
| Gastrin (82941) range across 2 matching MRF lines |
$22–$179 | $22–$179 | varies |
| Gastrin after secretin stim (82938) | $22 | $22 | 1.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$405–$699.10 | $405–$699.10 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$1,005–$2,405 | $1,005–$2,405 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,132 | $2,132 | 0.7× |
| Genet Virus Isolate Hsv (87255) | $38 | $38 | 1.1× |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$2,367.50–$3,305 | $2,367.50–$3,305 | varies |
| Gentamicin (80170) range across 2 matching MRF lines |
$22–$94.50 | $22–$94.50 | varies |
| Ggt (82977) range across 4 matching MRF lines |
$6–$45 | $6–$45 | varies |
| Gh suppression panel (80430) | $96 | $96 | 0.7× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$16–$42.25 | $16–$42.25 | varies |
| Giardia lamblia antibody (86674) | $22 | $22 | 1.5× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) range across 2 matching MRF lines |
$520–$642.50 | $520–$642.50 | varies |
| Gjb6 Gene Analysis Common Variants (81254) | $642.50 | $642.50 | 18.4× |
| Gluc-6-phosphate dehydrogenase screen (82960) range across 2 matching MRF lines |
$11–$60.50 | $11–$60.50 | varies |
| Glucagon (82943) range across 2 matching MRF lines |
$22–$151 | $22–$151 | varies |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) | $59 | $59 | 1.3× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) | $59 | $59 | 1.2× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$11–$22.50 | $11–$22.50 | varies |
| Glucose Blood Test (82962) | $6 | $6 | 1.8× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$6–$23.75 | $6–$23.75 | varies |
| Glucose Serum (82947) range across 4 matching MRF lines |
$6–$14 | $6–$14 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$16–$168.50 | $16–$168.50 | varies |
| Glucosidase beta (82963) | $217.75 | $217.75 | 10.1× |
| Glutamate dehydrogenase Facility (82965) | $11 | $11 | 0.8× |
| Glutathione (82978) range across 3 matching MRF lines |
$22–$205.50 | $22–$205.50 | varies |
| Glutathione reductase, RBC Facility (82979) range across 2 matching MRF lines |
$11–$100.75 | $11–$100.75 | varies |
| Glycated Protein (82985) range across 2 matching MRF lines |
$22–$38.75 | $22–$38.75 | varies |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $48 | $48 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $11 | $11 | 1.5× |
| Gonadotropin releasing hormone (83727) range across 2 matching MRF lines |
$22–$54.75 | $22–$54.75 | varies |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) | $176 | $176 | 1.2× |
| Growth hormone (83003) range across 2 matching MRF lines |
$22–$221.75 | $22–$221.75 | varies |
| Growth hormone antibody (86277) range across 2 matching MRF lines |
$22–$66.25 | $22–$66.25 | varies |
| Growth Hormone Stimulation Panel (80428) | $80 | $80 | 1.2× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$6–$26.50 | $6–$26.50 | varies |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$60–$80 | $60–$80 | varies |
| H Pylori Drug Admin (83014) range across 2 matching MRF lines |
$11–$16 | $11–$16 | varies |
| Haloperidol (80173) range across 2 matching MRF lines |
$22–$131.50 | $22–$131.50 | varies |
| Haptoglobin (83010) range across 3 matching MRF lines |
$16–$59.75 | $16–$59.75 | varies |
| Haptoglobin; phenotypes Facility (83012) | $22 | $22 | 0.8× |
| Hba1/hba2 full gene sequence (81259) | $739.30 | $739.30 | 1.2× |
| Hba1/Hba2 Gene (81257) | $367.75 | $367.75 | 3.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$431.25–$856.20 | $431.25–$856.20 | varies |
| Hbb duplication/deletion variants (81363) | $535 | $535 | 2.6× |
| Hbb Full Gene Sequence (81364) | $525 | $525 | 1.6× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$11–$38 | $11–$38 | varies |
| Heavy metal qualitative any analytes (83015) | $22 | $22 | 1.1× |
| Heinz Bodies Direct (85441) range across 2 matching MRF lines |
$6–$41 | $6–$41 | varies |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $11 | $11 | 1.6× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$16–$46 | $16–$46 | varies |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $80 | $80 | 1.2× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$16–$150.75 | $16–$150.75 | varies |
| Hemagglutination Inhibition (86280) | $11 | $11 | 1.3× |
| Hematocrit (85014) range across 2 matching MRF lines |
$6–$8.50 | $6–$8.50 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$6–$8.50 | $6–$8.50 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$9.80–$33.50 | $9.80–$33.50 | varies |
| Hemoglobin Chromotography (83021) range across 4 matching MRF lines |
$19.75–$261.45 | $19.75–$261.45 | varies |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $6 | $6 | 1.5× |
| Hemoglobin electrophoresis (83020) range across 8 matching MRF lines |
$37.72–$261.45 | $37.72–$261.45 | varies |
| Hemoglobin F Fetal Chemical (83030) range across 2 matching MRF lines |
$11–$47.75 | $11–$47.75 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$11–$50.25 | $11–$50.25 | varies |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$11–$45.50 | $11–$45.50 | varies |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $11 | $11 | 1.2× |
| Hemoglobin stability screen (83068) range across 4 matching MRF lines |
$11–$72.92 | $11–$72.92 | varies |
| Hemoglobin Thermolabile (83065) | $11 | $11 | 1.2× |
| Hemoglobin urine (83069) range across 2 matching MRF lines |
$6–$22.50 | $6–$22.50 | varies |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) | $11 | $11 | 1.2× |
| Hemoglobin-Oxygen Affinity (82820) range across 3 matching MRF lines |
$16–$261.45 | $16–$261.45 | varies |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $16 | $16 | 1.6× |
| Hemoglobin; methemoglobin, qualitative Facility (83045) | $11 | $11 | 1.7× |
| Hemolysin Acid (85475) range across 2 matching MRF lines |
$11–$48.25 | $11–$48.25 | varies |
| Hemolysins&Agglutinins Auto Screen Each (86940) range across 2 matching MRF lines |
$6–$11 | $6–$11 | varies |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$11–$16 | $11–$16 | varies |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
$5.25–$11 | $5.25–$11 | varies |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$16–$131 | $16–$131 | varies |
| Heparin assay (85520) range across 3 matching MRF lines |
$13.50–$22.50 | $13.50–$22.50 | varies |
| Heparin Neutralization (85525) | $16 | $16 | 1.4× |
| Heparin-Protamine Tolerance Tst (85530) | $22 | $22 | 1.7× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$16–$148 | $16–$148 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$16–$120.25 | $16–$120.25 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$16–$68.25 | $16–$68.25 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$16–$137 | $16–$137 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$16–$35.25 | $16–$35.25 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$16–$228.75 | $16–$228.75 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$16–$237 | $16–$237 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$22–$152.75 | $22–$152.75 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$22–$166.50 | $22–$166.50 | varies |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$304–$628.25 | $304–$628.25 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$43–$71.75 | $43–$71.75 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$53–$156.25 | $53–$156.25 | varies |
| Hepatitis delta ag (87380) range across 3 matching MRF lines |
$22–$130 | $22–$130 | varies |
| Hepatitis Delta Agent Antibody (86692) range across 3 matching MRF lines |
$22–$250.25 | $22–$250.25 | varies |
| Hepatitis G Dna Quant (87527) | $53 | $53 | 1.3× |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$19.50–$138 | $19.50–$138 | varies |
| Heterophile antibodies titer (86309) range across 2 matching MRF lines |
$11–$43.75 | $11–$43.75 | varies |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $11 | $11 | 1.5× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$11–$36.75 | $11–$36.75 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$118.50–$452.25 | $118.50–$452.25 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$11–$80.25 | $11–$80.25 | varies |
| Histamine urine (83088) range across 2 matching MRF lines |
$38–$179.50 | $38–$179.50 | varies |
| Histoplasma antibody (86698) range across 5 matching MRF lines |
$16–$89.25 | $16–$89.25 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$16–$151 | $16–$151 | varies |
| Hiv Genotype (87901) range across 3 matching MRF lines |
$304–$1,278 | $304–$1,278 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$11–$21.25 | $11–$21.25 | varies |
| HIV-1 p24 antigen (87390) range across 2 matching MRF lines |
$22–$144.75 | $22–$144.75 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 4 matching MRF lines |
$101–$351.25 | $101–$351.25 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$43–$215.25 | $43–$215.25 | varies |
| Hla class i semiquant panel (86834) | $416 | $416 | 1.2× |
| Hla Class I Typing High Resolution Complete (81379) | $568.75 | $568.75 | 1.7× |
| Hla Class I Typing Low Resolution Complete (81372) | $169.50 | $169.50 | 0.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 2 matching MRF lines |
$48.38–$369.75 | $48.38–$369.75 | varies |
| Hla class i&ii antibody qual (86828) range across 2 matching MRF lines |
$43–$68.75 | $43–$68.75 | varies |
| Hla class i/ii antibody qual (86829) | $38 | $38 | 0.6× |
| Hla class ii high defin qual (86833) range across 2 matching MRF lines |
$139–$291.25 | $139–$291.25 | varies |
| Hla class ii typing high resolution one locus ea (81382) | $180.75 | $180.75 | 1.5× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $65 | $65 | 0.6× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $22 | $22 | 0.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 3 matching MRF lines |
$116.25–$223 | $116.25–$223 | varies |
| Hla I Typing 1 Allele Hr (81381) | $180.75 | $180.75 | 1.1× |
| Hla ii type 1 ag equiv lr (81377) | $156 | $156 | 1.6× |
| Hla ii typing 1 allele hr (81383) | $271.50 | $271.50 | 2.5× |
| Hla ii typing 1 locus lr (81376) | $169.50 | $169.50 | 1.4× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$70–$504.25 | $70–$504.25 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) range across 2 matching MRF lines |
$80–$504.25 | $80–$504.25 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) | $38 | $38 | 1.3× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$33–$251.50 | $33–$251.50 | varies |
| Homocysteine (83090) range across 3 matching MRF lines |
$22–$359.50 | $22–$359.50 | varies |
| Homogenization Tissue (87176) | $13 | $13 | 2.2× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$22–$174.75 | $22–$174.75 | varies |
| Hpa-1 genotyping gene analysis common variant (81105) range across 2 matching MRF lines |
$60.62–$80 | $60.62–$80 | varies |
| Hpa-15 genotyping gene analysis common variant (81112) range across 2 matching MRF lines |
$60.62–$80 | $60.62–$80 | varies |
| Hpa-2 genotyping gene analysis common variant (81106) range across 2 matching MRF lines |
$60.62–$80 | $60.62–$80 | varies |
| Hpa-3 genotyping gene analysis common variant (81107) range across 2 matching MRF lines |
$60.62–$80 | $60.62–$80 | varies |
| Hpa-4 genotyping gene analysis common variant (81108) range across 2 matching MRF lines |
$60.62–$80 | $60.62–$80 | varies |
| Hpa-5 genotyping gene analysis common variant (81109) range across 2 matching MRF lines |
$64.75–$80 | $64.75–$80 | varies |
| Hpa-6 genotyping gene analysis common variant (81110) range across 2 matching MRF lines |
$60.62–$80 | $60.62–$80 | varies |
| Hpa-9 Genotyping (81111) range across 2 matching MRF lines |
$60.62–$80 | $60.62–$80 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$81.75–$85 | $81.75–$85 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $216.25 | $216.25 | 3.1× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$43–$196.50 | $43–$196.50 | varies |
| Hsv Dna Quant (87530) | $53 | $53 | 1.2× |
| Htlv-I Antibody (86687) | $11 | $11 | 1.2× |
| Htlv-ii antibody (86688) | $22 | $22 | 1.6× |
| Htt Gene Detc Abnor Alleles (81271) | $287 | $287 | 2.1× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$22.75–$27 | $22.75–$27 | varies |
| Hydroxycorticosteroids 17 (83491) range across 3 matching MRF lines |
$22–$135.25 | $22–$135.25 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$33–$347.50 | $33–$347.50 | varies |
| Hydroxyproline free (83500) | $27 | $27 | 1.2× |
| Hydroxyproline total (83505) | $33 | $33 | 1.4× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $16 | $16 | 1.3× |
| Iaad Ia Cytomegalovirus (87332) range across 2 matching MRF lines |
$16–$155 | $16–$155 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 2 matching MRF lines |
$16–$41.75 | $16–$41.75 | varies |
| Iaad Ia Escherichia Coli 0157 (87335) | $16 | $16 | 1.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $16 | $16 | 1.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$16–$128.25 | $16–$128.25 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $48 | $48 | 1.4× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$16–$33.75 | $16–$33.75 | varies |
| Iaad Ia Streptococcus Group A (87430) | $16 | $16 | 1.0× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $16 | $16 | 1.3× |
| Iaadi giardia (87269) | $16 | $16 | 1.2× |
| Iaadi herpes smplx virus type 1 (87274) | $16 | $16 | 1.3× |
| Iaadi herpes smplx virus type 2 (87273) | $16 | $16 | 1.3× |
| Iaadi inffluenza a virus (87276) | $16 | $16 | 1.0× |
| Iaadi not otherwise specified each organism (87299) | $16 | $16 | 1.0× |
| Iaadi parainfluenza virus each type (87279) | $16 | $16 | 1.0× |
| Iaadi pneumocustis carinii (87281) range across 3 matching MRF lines |
$16–$124.25 | $16–$124.25 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $16 | $16 | 1.3× |
| Iaadi respiratory synctial virus (87280) | $16 | $16 | 1.2× |
| Iaadi Varicella Zoster Virus (87290) range across 2 matching MRF lines |
$16–$101.50 | $16–$101.50 | varies |
| Iaadiadoo trichomonas vaginalis (87808) | $16 | $16 | 1.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $58 | $58 | 1.7× |
| Iadna Bartonella Amplified Probe Technique (87471) range across 2 matching MRF lines |
$43–$53.75 | $43–$53.75 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$43–$109.25 | $43–$109.25 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 7 matching MRF lines |
$34.44–$80 | $34.44–$80 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 3 matching MRF lines |
$43–$209 | $43–$209 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $27 | $27 | 1.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$43–$108.25 | $43–$108.25 | varies |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $27 | $27 | 0.9× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$53–$292.82 | $53–$292.82 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $224.75 | $224.75 | 3.2× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $58 | $58 | 1.7× |
| Iadna hepatitis b virus amplified probe tq (87516) | $43 | $43 | 1.2× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$53–$155 | $53–$155 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$43–$315.75 | $43–$315.75 | varies |
| Iadna Herpes Virus-6 Quantification (87533) range across 4 matching MRF lines |
$53–$490 | $53–$490 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$43–$57.25 | $43–$57.25 | varies |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $53 | $53 | 0.9× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 2 matching MRF lines |
$43–$80 | $43–$80 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $236.50 | $236.50 | 3.1× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $48 | $48 | 1.1× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $27 | $27 | 1.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) range across 2 matching MRF lines |
$43–$331.75 | $43–$331.75 | varies |
| Iadna Mycobacteria Species Direct Probe Tq (87550) range across 3 matching MRF lines |
$27–$117.75 | $27–$117.75 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 4 matching MRF lines |
$43–$205.75 | $43–$205.75 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $27 | $27 | 1.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$43–$104.25 | $43–$104.25 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$12.12–$188.25 | $12.12–$188.25 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) range across 2 matching MRF lines |
$27–$181 | $27–$181 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 3 matching MRF lines |
$35.75–$456.25 | $35.75–$456.25 | varies |
| Ig Light Chains Free Each (83521) range across 3 matching MRF lines |
$55.50–$218 | $55.50–$218 | varies |
| Igg subclasses (82787) range across 5 matching MRF lines |
$11–$224.25 | $11–$224.25 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $405.25 | $405.25 | 1.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$105–$987.75 | $105–$987.75 | varies |
| Immune Complex Assay (86332) range across 3 matching MRF lines |
$33–$268.50 | $33–$268.50 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$43–$240.68 | $43–$240.68 | varies |
| Immunoassay analyte qual/semiqual single step (83518) range across 3 matching MRF lines |
$11–$461.80 | $11–$461.80 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 38 matching MRF lines |
$16–$1,156.75 | $16–$1,156.75 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $27 | $27 | 1.1× |
| Immunoassay infectious agent (86318) range across 2 matching MRF lines |
$21–$27 | $21–$27 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 12 matching MRF lines |
$11.20–$199 | $11.20–$199 | varies |
| Immunoassay nonantibody (83516) range across 49 matching MRF lines |
$12–$1,156.75 | $12–$1,156.75 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 3 matching MRF lines |
$18.75–$49.50 | $18.75–$49.50 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$16–$49 | $16–$49 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) range across 3 matching MRF lines |
$38–$160.75 | $38–$160.75 | varies |
| Immunoelectrophoresis Serum (86320) range across 3 matching MRF lines |
$38–$160.75 | $38–$160.75 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$33.25–$107 | $33.25–$107 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 16 matching MRF lines |
$86–$987.75 | $86–$987.75 | varies |
| Immunohistochemistry (88342) range across 11 matching MRF lines |
$55–$506 | $55–$506 | varies |
| In situ hybridization 1st probe stain (88365) range across 10 matching MRF lines |
$80–$506 | $80–$506 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $22 | $22 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) | $16 | $16 | 1.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $16 | $16 | 1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $16 | $16 | 1.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $16 | $16 | 1.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $16 | $16 | 0.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $16 | $16 | 0.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $16 | $16 | 1.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) | $16 | $16 | 0.7× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $16 | $16 | 1.1× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $16 | $16 | 1.2× |
| Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) | $16 | $16 | 1.2× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $16 | $16 | 1.3× |
| Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) | $16 | $16 | 0.3× |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | $16 | $16 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) | $53 | $53 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) | $27 | $27 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) | $53 | $53 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) | $27 | $27 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) | $53 | $53 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) | $43 | $43 | 0.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $43 | $43 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) | $27 | $27 | 0.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) range across 2 matching MRF lines |
$43–$231.25 | $43–$231.25 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) | $27 | $27 | 0.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) | $27 | $27 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) | $27 | $27 | 0.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $27 | $27 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $27 | $27 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) | $53 | $53 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) | $53 | $53 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) | $53 | $53 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) | $53 | $53 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) range across 2 matching MRF lines |
$27–$280.75 | $27–$280.75 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) | $53 | $53 | 0.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) | $53 | $53 | 1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $27 | $27 | 1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $53 | $53 | 1.3× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $43 | $43 | 1.2× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $16 | $16 | 1.3× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$16–$74 | $16–$74 | varies |
| Influenza assay w/optic (87804) | $22 | $22 | 1.3× |
| Influenza DNA amp probe (87502) | $81 | $81 | 0.8× |
| Inhibin A (86336) range across 4 matching MRF lines |
$16–$25 | $16–$25 | varies |
| Inhibin b (83520) range across 90 matching MRF lines |
$16–$813.50 | $16–$813.50 | varies |
| Insemination of oocytes (89268) | $123 | $123 | 0.7× |
| Insitu hybridization auto (88367) range across 4 matching MRF lines |
$118–$496 | $118–$496 | varies |
| Insitu hybridization manual (88368) range across 4 matching MRF lines |
$123–$448 | $123–$448 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$27–$333.25 | $27–$333.25 | varies |
| Insulin free (83527) range across 2 matching MRF lines |
$16–$22.25 | $16–$22.25 | varies |
| Insulin tolerance panel growth horm defncy (80435) | $123 | $123 | 1.2× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) | $123 | $123 | 0.4× |
| Insulin total (83525) range across 3 matching MRF lines |
$16–$79.50 | $16–$79.50 | varies |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $160 | $160 | 1.0× |
| Interleukin-6 (83529) range across 3 matching MRF lines |
$27.88–$55.50 | $27.88–$55.50 | varies |
| Intrinsic factor (stomach protein) level (83528) | $22 | $22 | 1.1× |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$22–$119.25 | $22–$119.25 | varies |
| Iron (83540) range across 2 matching MRF lines |
$11–$22.50 | $11–$22.50 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$11–$29.50 | $11–$29.50 | varies |
| Iron stain peripheral blood (85536) | $11 | $11 | 1.6× |
| Irradiation Blood Product Each Unit (86945) range across 2 matching MRF lines |
$11–$115 | $11–$115 | varies |
| Islet cell antibody (86341) range across 10 matching MRF lines |
$22–$466.75 | $22–$466.75 | varies |
| Isocitric dehydrogenase (IDH) Facility (83570) range across 2 matching MRF lines |
$11–$60.50 | $11–$60.50 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$180.75–$280 | $180.75–$280 | varies |
| Ketosteroids 17 total (83586) range across 2 matching MRF lines |
$16–$22 | $16–$22 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $387.50 | $387.50 | 3.1× |
| Koh Prep (87220) range across 3 matching MRF lines |
$6–$26.25 | $6–$26.25 | varies |
| Kras Gene Analysis Additional Variant(S) (81276) | $54.50 | $54.50 | 0.3× |
| Kras Gene Variants Exon 2 (81275) | $180.75 | $180.75 | 0.9× |
| L/s ratio (83661) range across 3 matching MRF lines |
$27–$198.50 | $27–$198.50 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$6–$23.75 | $6–$23.75 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$24.50–$27 | $24.50–$27 | varies |
| Lactoferrin Fecal Quantitative (83631) | $27 | $27 | 1.4× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) range across 2 matching MRF lines |
$27–$95.50 | $27–$95.50 | varies |
| Lactose urine qual (83633) | $11 | $11 | 1.0× |
| Lamellar Body Count (83664) range across 2 matching MRF lines |
$23–$27 | $23–$27 | varies |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$16–$96.25 | $16–$96.25 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$16–$35.75 | $16–$35.75 | varies |
| Lead (83655) range across 3 matching MRF lines |
$16–$109 | $16–$109 | varies |
| Legionella antibody (86713) range across 4 matching MRF lines |
$11.84–$120.50 | $11.84–$120.50 | varies |
| Legionella antigen urine (87449) range across 10 matching MRF lines |
$21.50–$114.25 | $21.50–$114.25 | varies |
| Legionella DNA probe (87540) | $27 | $27 | 1.3× |
| Legionella pneumophila dfa (87278) | $16 | $16 | 1.0× |
| Leptospira antibody (86720) range across 4 matching MRF lines |
$16–$46 | $16–$46 | varies |
| Leucine Aminopeptidase Lap (83670) range across 2 matching MRF lines |
$11–$34.50 | $11–$34.50 | varies |
| Leukocyte Assessment Fecal (89055) | $6 | $6 | 1.4× |
| Leukocyte Histamine Release (86343) | $16 | $16 | 1.3× |
| Leukocyte transfusion (86950) | $11 | $11 | 0.1× |
| Level I Surg Pathology Gross Examination Only (88300) range across 4 matching MRF lines |
$11–$84.25 | $11–$84.25 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 5 matching MRF lines |
$16–$77.75 | $16–$77.75 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 4 matching MRF lines |
$160–$987.75 | $160–$987.75 | varies |
| Lidocaine (80176) range across 2 matching MRF lines |
$22–$78.25 | $22–$78.25 | varies |
| Lipase (83690) range across 3 matching MRF lines |
$11–$52.75 | $11–$52.75 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$16–$69.50 | $16–$69.50 | varies |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$38–$59.25 | $38–$59.25 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 2 matching MRF lines |
$16–$22.91 | $16–$22.91 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$33–$51.75 | $33–$51.75 | varies |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $16 | $16 | 1.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $52 | $52 | 1.1× |
| Listeria Monocytogenes (86723) range across 2 matching MRF lines |
$16–$145 | $16–$145 | varies |
| Lithium (80178) range across 2 matching MRF lines |
$11–$79.75 | $11–$79.75 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$27–$248.25 | $27–$248.25 | varies |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$22–$291.25 | $22–$291.25 | varies |
| Lymphocyte Culture Mixed (86821) | $70 | $70 | 1.9× |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$59–$171 | $59–$171 | varies |
| Lymphocytotoxicity Assay (86805) | $43 | $43 | 0.2× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $38 | $38 | 0.8× |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$27–$28 | $27–$28 | varies |
| M. Genitalium Amp Probe (87563) | $65 | $65 | 1.9× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) range across 3 matching MRF lines |
$43–$146 | $43–$146 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 12 matching MRF lines |
$212–$474.50 | $212–$474.50 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 4 matching MRF lines |
$275–$400 | $275–$400 | varies |
| Macroscopic exam arthropod (87168) range across 3 matching MRF lines |
$6–$43.75 | $6–$43.75 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$6–$38 | $6–$38 | varies |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$6.14–$24 | $6.14–$24 | varies |
| Malate dehydrogenase Facility (83775) | $11 | $11 | 1.5× |
| Mass Spectrometry Quant (83789) range across 12 matching MRF lines |
$22–$472.60 | $22–$472.60 | varies |
| Meat fibers, feces (89160) | $6 | $6 | 1.2× |
| Mechanical fragility rbc (85547) | $11 | $11 | 1.3× |
| Mecp2 gene dup/delet variant (81304) | $988.75 | $988.75 | 6.6× |
| Mecp2 gene full seq (81302) | $548 | $548 | 1.0× |
| Mercury urine (83825) range across 3 matching MRF lines |
$22–$104.75 | $22–$104.75 | varies |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$11–$168.25 | $11–$168.25 | varies |
| Methemalbumin (83857) | $16 | $16 | 1.5× |
| Methotrexate (80204) | $123.75 | $123.75 | 3.2× |
| Methylmalonic acid serum (83921) range across 7 matching MRF lines |
$22–$536.25 | $22–$536.25 | varies |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) | $107 | $107 | 1.2× |
| Mgmt methylation analysis (81287) range across 3 matching MRF lines |
$35–$429.25 | $35–$429.25 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$11–$44.25 | $11–$44.25 | varies |
| Microbe Suscept Macrobroth (87188) range across 3 matching MRF lines |
$11–$112.75 | $11–$112.75 | varies |
| Microsatellite instability (81301) range across 4 matching MRF lines |
$250–$504.50 | $250–$504.50 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$7.75–$137.75 | $7.75–$137.75 | varies |
| Mitochondrial Antibody Each (86381) | $78.50 | $78.50 | 3.1× |
| Mlh1 Gene (81288) | $155 | $155 | 0.8× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $245.25 | $245.25 | 1.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $831.75 | $831.75 | 1.2× |
| Mog-Igg1 Antb Cba Each (86362) range across 3 matching MRF lines |
$36.25–$594.64 | $36.25–$594.64 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 2 matching MRF lines |
$85–$555 | $85–$555 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) range across 2 matching MRF lines |
$33–$120.50 | $33–$120.50 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 30 matching MRF lines |
$27–$388.12 | $27–$388.12 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 4 matching MRF lines |
$43–$191.67 | $43–$191.67 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 3 matching MRF lines |
$180.75–$380 | $180.75–$380 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 14 matching MRF lines |
$199.25–$2,883.75 | $199.25–$2,883.75 | varies |
| Mononuclear cell antigen (86356) range across 6 matching MRF lines |
$22–$151.67 | $22–$151.67 | varies |
| Mopath procedure level 1 (81400) range across 5 matching MRF lines |
$101.54–$686.50 | $101.54–$686.50 | varies |
| Mopath procedure level 2 (81401) range across 15 matching MRF lines |
$52.50–$1,476.75 | $52.50–$1,476.75 | varies |
| Mopath procedure level 4 (81403) range across 27 matching MRF lines |
$35–$1,011 | $35–$1,011 | varies |
| Mopath procedure level 5 (81404) range across 16 matching MRF lines |
$199.25–$1,166 | $199.25–$1,166 | varies |
| Mopath procedure level 7 (81406) range across 23 matching MRF lines |
$50–$2,170 | $50–$2,170 | varies |
| Mopath procedure level 8 (81407) range across 8 matching MRF lines |
$180.75–$1,545.75 | $180.75–$1,545.75 | varies |
| Mopath procedure level 9 (81408) range across 8 matching MRF lines |
$171.60–$4,850.50 | $171.60–$4,850.50 | varies |
| Morphometric analysis nerve (88356) range across 3 matching MRF lines |
$251–$533 | $251–$533 | varies |
| Morphometric Analysis Tumor (88358) range across 3 matching MRF lines |
$75–$160 | $75–$160 | varies |
| Mrsa Pcr (87641) range across 3 matching MRF lines |
$42.50–$43 | $42.50–$43 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $195.25 | $195.25 | 0.9× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $195.25 | $195.25 | 0.5× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $208 | $208 | 0.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $370.25 | $370.25 | 0.6× |
| Mthfr Gene Analysis Common Variants (81291) | $180.75 | $180.75 | 2.8× |
| Mucin Clot Body Fluid (83872) range across 2 matching MRF lines |
$11–$23.75 | $11–$23.75 | varies |
| Mucopolysaccharides acid quantitative (83864) range across 4 matching MRF lines |
$27–$485.25 | $27–$485.25 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$9.60–$230 | $9.60–$230 | varies |
| Muscle-Specific Kinase Antb (86366) | $323 | $323 | 17.6× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$16–$47.75 | $16–$47.75 | varies |
| Mycophenolic Acid (80180) | $49 | $49 | 2.7× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$16–$95.25 | $16–$95.25 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$22–$138.25 | $22–$138.25 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $387.50 | $387.50 | 2.2× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$22–$76 | $22–$76 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$16–$76.50 | $16–$76.50 | varies |
| Natriuretic peptide (83880) range across 6 matching MRF lines |
$43–$242.75 | $43–$242.75 | varies |
| Neisseria Dir Na Probe (87590) range across 2 matching MRF lines |
$27–$109.25 | $27–$109.25 | varies |
| Nerve teasing preparations (88362) range across 3 matching MRF lines |
$213–$603 | $213–$603 | varies |
| Neutralization Test Viral (86382) range across 3 matching MRF lines |
$22–$1,055 | $22–$1,055 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $178.75 | $178.75 | 1.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) range across 3 matching MRF lines |
$304–$443.75 | $304–$443.75 | varies |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) range across 2 matching MRF lines |
$304–$778.25 | $304–$778.25 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $65 | $65 | 0.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $258.06 | $258.06 | 3.6× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 2 matching MRF lines |
$175.75–$675.80 | $175.75–$675.80 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) range across 2 matching MRF lines |
$33–$304.25 | $33–$304.25 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 2 matching MRF lines |
$571–$1,394 | $571–$1,394 | varies |
| Niacin (84591) range across 4 matching MRF lines |
$34.50–$92 | $34.50–$92 | varies |
| Nickel level (83885) range across 3 matching MRF lines |
$33–$142.75 | $33–$142.75 | varies |
| Nitroblue Tetrazolium Dye (86384) range across 2 matching MRF lines |
$16–$234.25 | $16–$234.25 | varies |
| Nk cells total count (86357) range across 2 matching MRF lines |
$48–$52 | $48–$52 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $339.25 | $339.25 | 1.4× |
| Nras gene variants exon 2&3 (81311) | $321 | $321 | 1.1× |
| Nuclear antigen antibody (86235) range across 24 matching MRF lines |
$22–$168.25 | $22–$168.25 | varies |
| Nudt15 Gene Common Variants (81306) | $187.50 | $187.50 | 0.6× |
| Nzym actv blood cells/tiss radact substrate ea (82658) range across 2 matching MRF lines |
$18.75–$22 | $18.75–$22 | varies |
| Obstetric panel (80081) | $299.50 | $299.50 | 4.0× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$11–$13.50 | $11–$13.50 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$5.50–$6 | $5.50–$6 | varies |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$27–$168 | $27–$168 | varies |
| Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) | $1,768.50 | $1,768.50 | 3.4× |
| Oncoprotein dcp (83951) | $80 | $80 | 1.2× |
| Oncoprotein Her-2/Neu (83950) range across 2 matching MRF lines |
$80–$418.75 | $80–$418.75 | varies |
| Oocyte identification from follicular fluid (89254) | $560 | $560 | 3.3× |
| Organic Acids Qualitative Each Specimen (83919) | $22 | $22 | 1.3× |
| Organic acids urine (83918) range across 3 matching MRF lines |
$22–$260 | $22–$260 | varies |
| Osmolality serum (83930) range across 2 matching MRF lines |
$11–$50.25 | $11–$50.25 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$11–$35.75 | $11–$35.75 | varies |
| Osmotic fragility rbc incubated (85557) range across 2 matching MRF lines |
$16–$146.75 | $16–$146.75 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $11 | $11 | 1.5× |
| Osteocalcin (83937) range across 2 matching MRF lines |
$38–$52.50 | $38–$52.50 | varies |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) | $193 | $193 | 1.1× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$11–$68.75 | $11–$68.75 | varies |
| Ova1 (81503) | $479.75 | $479.75 | 0.5× |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $16 | $16 | 1.3× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$16–$94.25 | $16–$94.25 | varies |
| Pancreatic Elastase Fecal (82656) | $16 | $16 | 1.4× |
| Particle Agglut Antbdy Titr (86406) range across 4 matching MRF lines |
$16–$70.75 | $16–$70.75 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 5 matching MRF lines |
$16–$66.25 | $16–$66.25 | varies |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
$22–$41.50 | $22–$41.50 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 4 matching MRF lines |
$86–$2,221.75 | $86–$2,221.75 | varies |
| Pathology Consultation During Surgery (88329) | $70 | $70 | 1.2× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) | $53 | $53 | 1.2× |
| Ph urine (81003) range across 3 matching MRF lines |
$6–$18.50 | $6–$18.50 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$16–$107.50 | $16–$107.50 | varies |
| Phenotype Infect Agent Drug (87900) range across 4 matching MRF lines |
$75.40–$307 | $75.40–$307 | varies |
| Phenylalanine (84030) range across 3 matching MRF lines |
$11–$123.75 | $11–$123.75 | varies |
| Phenylketones qual (84035) | $6 | $6 | 1.5× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$16–$75.75 | $16–$75.75 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$16–$85.50 | $16–$85.50 | varies |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
$16–$93.50 | $16–$93.50 | varies |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$6–$26.75 | $6–$26.75 | varies |
| Phosphatidylglycerol (84081) range across 2 matching MRF lines |
$22–$225.25 | $22–$225.25 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$32.25–$57.75 | $32.25–$57.75 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$6–$25.50 | $6–$25.50 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$11–$28.75 | $11–$28.75 | varies |
| Pinworm exam (87172) range across 2 matching MRF lines |
$6–$41 | $6–$41 | varies |
| Platelet Aggregation (85576) range across 7 matching MRF lines |
$43–$154.25 | $43–$154.25 | varies |
| Platelet Antibodies (86022) range across 15 matching MRF lines |
$25–$751.25 | $25–$751.25 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$6–$28.75 | $6–$28.75 | varies |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$22–$128 | $22–$128 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $632.75 | $632.75 | 3.1× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $535 | $535 | 0.7× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $285.25 | $285.25 | 1.4× |
| Pms2 gene full seq analysis (81317) | $1,005.50 | $1,005.50 | 1.5× |
| Pneumcysts jirovecii amp prb (87594) | $44.25 | $44.25 | 1.3× |
| Pooling blood platelets (86965) range across 2 matching MRF lines |
$16–$506 | $16–$506 | varies |
| Porphobilinogen Urine Qualitative (84106) range across 2 matching MRF lines |
$6–$28.75 | $6–$28.75 | varies |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$11–$14.75 | $11–$14.75 | varies |
| Porphyrins Feces Quantitative (84126) range across 2 matching MRF lines |
$33–$120.50 | $33–$120.50 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 3 matching MRF lines |
$22–$135.25 | $22–$135.25 | varies |
| Porphyrins, urine; qualitative (84119) | $11 | $11 | 0.8× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$6–$47.25 | $6–$47.25 | varies |
| Pr assay of etiocholanolone (82696) | $33 | $33 | 1.3× |
| Prealbumin (84134) range across 2 matching MRF lines |
$22–$46.25 | $22–$46.25 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
$22–$24.25 | $22–$24.25 | varies |
| Pregnanediol (84135) range across 2 matching MRF lines |
$27–$125.75 | $27–$125.75 | varies |
| Pregnanetriol (84138) range across 2 matching MRF lines |
$27–$142.50 | $27–$142.50 | varies |
| Pregnenolone (84140) range across 3 matching MRF lines |
$27–$135.50 | $27–$135.50 | varies |
| Preparation of embryo for transfer (89255) | $166 | $166 | 3.2× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $16 | $16 | 0.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$16–$69 | $16–$69 | varies |
| Pretx serum rbc antibody identification dilution (86976) range across 2 matching MRF lines |
$16–$33 | $16–$33 | varies |
| Primidone (80188) range across 2 matching MRF lines |
$22–$119.25 | $22–$119.25 | varies |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$32.22–$34.50 | $32.22–$34.50 | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$27–$195.25 | $27–$195.25 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$27–$175.50 | $27–$175.50 | varies |
| Prostaglandin (84150) range across 3 matching MRF lines |
$33–$325 | $33–$325 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$6–$28.75 | $6–$28.75 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$22–$98.75 | $22–$98.75 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$16–$259.50 | $16–$259.50 | varies |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$29.50–$80 | $29.50–$80 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$34.50–$80 | $34.50–$80 | varies |
| Protein S Free (85306) range across 4 matching MRF lines |
$22–$95.75 | $22–$95.75 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$16–$73.50 | $16–$73.50 | varies |
| Protein Total Refractometry Any Src (84160) | $6 | $6 | 1.1× |
| Protein total serum (84155) range across 3 matching MRF lines |
$6–$28.75 | $6–$28.75 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$6–$28.75 | $6–$28.75 | varies |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$38–$366.50 | $38–$366.50 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$6–$106.75 | $6–$106.75 | varies |
| Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines |
$22–$66.50 | $22–$66.50 | varies |
| Protoporphyrin, RBC; screen Facility (84203) | $11 | $11 | 1.1× |
| PSA free (84154) range across 2 matching MRF lines |
$27–$51 | $27–$51 | varies |
| Pten Gene Analysis Full Sequence Analysis (81321) | $702.50 | $702.50 | 1.2× |
| Pth Intact (83970) range across 2 matching MRF lines |
$48–$238.50 | $48–$238.50 | varies |
| Pyruvate kinase (84220) range across 3 matching MRF lines |
$16–$205.50 | $16–$205.50 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$16–$42.75 | $16–$42.75 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$75–$183 | $75–$183 | varies |
| Quantitative assay drug (80299) range across 68 matching MRF lines |
$16–$402.25 | $16–$402.25 | varies |
| Quantitative Screen Metals (83018) range across 7 matching MRF lines |
$27–$302.25 | $27–$302.25 | varies |
| Quinidine (80194) range across 2 matching MRF lines |
$22–$44.25 | $22–$44.25 | varies |
| Quinine (84228) | $16 | $16 | 1.4× |
| Rbc antibody elution (86860) range across 5 matching MRF lines |
$16–$506 | $16–$506 | varies |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$22–$987.75 | $22–$987.75 | varies |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$11–$168.75 | $11–$168.75 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$16–$135.75 | $16–$135.75 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 3 matching MRF lines |
$16–$124.50 | $16–$124.50 | varies |
| Rbc serum pretx incubj drugs (86975) | $16 | $16 | 0.0× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$6–$14 | $6–$14 | varies |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $65 | $65 | 0.9× |
| Receptor assay estrogen (84233) range across 2 matching MRF lines |
$80–$157.25 | $80–$157.25 | varies |
| Receptor assay progesterone (84234) range across 2 matching MRF lines |
$80–$165 | $80–$165 | varies |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) | $155 | $155 | 0.7× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$27–$187.25 | $27–$187.25 | varies |
| Reptilase test (85635) | $16 | $16 | 1.6× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$486–$577.75 | $486–$577.75 | varies |
| Resp Virus 6-11 Targets (87632) range across 2 matching MRF lines |
$251–$270 | $251–$270 | varies |
| Reticulated Platelet Assay (85055) | $22 | $22 | 0.6× |
| Reticulocyte Count (85046) | $11 | $11 | 2.0× |
| Reticulocyte Count Manual (85044) range across 2 matching MRF lines |
$6–$31.50 | $6–$31.50 | varies |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$16–$119 | $16–$119 | varies |
| Rh (86901) range across 4 matching MRF lines |
$6–$115 | $6–$115 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$11–$40.25 | $11–$40.25 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$7.25–$11 | $7.25–$11 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$27–$66.25 | $27–$66.25 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$27–$356.75 | $27–$356.75 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$16–$253.25 | $16–$253.25 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$6–$17 | $6–$17 | varies |
| Rsv ab (86756) range across 2 matching MRF lines |
$16–$287.75 | $16–$287.75 | varies |
| Rsv Assay W/Optic (87807) | $22 | $22 | 1.7× |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$15–$99 | $15–$99 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$16–$133.75 | $16–$133.75 | varies |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$16–$80.50 | $16–$80.50 | varies |
| Russell Viper Venon Time Undiluted (85612) | $16 | $16 | 0.9× |
| Salicylate Level (80179) | $59.75 | $59.75 | 3.2× |
| Salmonella antibody (86768) range across 2 matching MRF lines |
$16–$23 | $16–$23 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
$105–$164.50 | $105–$164.50 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $134.75 | $134.75 | 3.2× |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$6–$12.50 | $6–$12.50 | varies |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$6–$12.50 | $6–$12.50 | varies |
| Selenium (84255) range across 2 matching MRF lines |
$27–$33 | $27–$33 | varies |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$16–$86.25 | $16–$86.25 | varies |
| Semen analysis complete (89322) | $22 | $22 | 1.4× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$16–$271 | $16–$271 | varies |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
$11–$27.25 | $11–$27.25 | varies |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $11 | $11 | 1.1× |
| Sensitivity mic (87186) range across 15 matching MRF lines |
$10.27–$443 | $10.27–$443 | varies |
| Serpina 1 gene (81332) range across 2 matching MRF lines |
$87–$98.50 | $87–$98.50 | varies |
| Serum Bactericidal Titer (87197) | $16 | $16 | 1.1× |
| Sex Chromatin Identification Barr Bodies (88130) | $22 | $22 | 1.2× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $11 | $11 | 1.4× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$16–$58.75 | $16–$58.75 | varies |
| Shigella Antibody (86771) | $16 | $16 | 0.7× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$11–$21.25 | $11–$21.25 | varies |
| Silica (84285) range across 2 matching MRF lines |
$33–$113.25 | $33–$113.25 | varies |
| Sirolimus (80195) range across 2 matching MRF lines |
$16–$145.25 | $16–$145.25 | varies |
| Skin Test Candida (86485) | $11 | $11 | 0.4× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$16–$44.25 | $16–$44.25 | varies |
| Skin test; histoplasmosis (86510) | $16 | $16 | 0.4× |
| Smear acid fast (87206) range across 5 matching MRF lines |
$4.50–$101.47 | $4.50–$101.47 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$19.25–$22 | $19.25–$22 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$6–$21.25 | $6–$21.25 | varies |
| Smear Special Stain (87207) range across 7 matching MRF lines |
$25–$113.50 | $25–$113.50 | varies |
| Smpd1 Gene Analysis Common Variants (81330) | $180.75 | $180.75 | 3.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$11–$59.75 | $11–$59.75 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $180.75 | $180.75 | 3.5× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$6–$16.50 | $6–$16.50 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$11–$28.75 | $11–$28.75 | varies |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$11–$48 | $11–$48 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$43–$137.25 | $43–$137.25 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$27–$83.25 | $27–$83.25 | varies |
| Somatostatin (84307) range across 2 matching MRF lines |
$22–$31.25 | $22–$31.25 | varies |
| Special Stains Group 1 (88312) range across 7 matching MRF lines |
$38–$193 | $38–$193 | varies |
| Special Stains Group 2 (88313) range across 12 matching MRF lines |
$27–$253 | $27–$253 | varies |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$3.75–$6 | $3.75–$6 | varies |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$2.90–$24 | $2.90–$24 | varies |
| Spectrophotometry (84311) range across 12 matching MRF lines |
$11–$207.50 | $11–$207.50 | varies |
| Sperm Antibodies (89325) range across 2 matching MRF lines |
$16–$386 | $16–$386 | varies |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | $27 | $27 | 1.4× |
| Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) | $16 | $16 | 1.5× |
| Sperm evaluation; hamster penetration test Facility (89329) | $27 | $27 | 1.4× |
| Sperm identification from aspiration (89257) | $27 | $27 | 0.5× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $22 | $22 | 0.4× |
| Splitting Blood/Blood Products Each Unit (86985) | $16 | $16 | 0.1× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) | $27 | $27 | 0.5× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $22 | $22 | 0.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $38 | $38 | 0.2× |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$42.50–$43 | $42.50–$43 | varies |
| Stem cells total count (86367) | $48 | $48 | 0.6× |
| Stone Analysis (82355) range across 2 matching MRF lines |
$16–$104.75 | $16–$104.75 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$16–$51.25 | $16–$51.25 | varies |
| Storage per Year Embryo (89342) | $310 | $310 | 1.8× |
| Storage per year sperm/semen (89343) | $193 | $193 | 1.1× |
| Strep a assay w/optic (87880) | $22 | $22 | 1.3× |
| Strep a DNA amp probe (87651) | $43 | $43 | 1.2× |
| Strep b DNA amp probe (87653) | $43 | $43 | 1.2× |
| Streptokinase, antibody Facility (86590) | $16 | $16 | 1.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $110 | $110 | 1.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 3 matching MRF lines |
$16–$476.25 | $16–$476.25 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 2 matching MRF lines |
$11–$330.85 | $11–$330.85 | varies |
| Sugars Multiple Quant (84379) | $16 | $16 | 1.4× |
| Sugars Single Qual (84376) range across 3 matching MRF lines |
$11–$158.75 | $11–$158.75 | varies |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) range across 2 matching MRF lines |
$27–$56 | $27–$56 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$8.50–$11 | $8.50–$11 | varies |
| Surg path level iii (88304) range across 4 matching MRF lines |
$27–$168.75 | $27–$168.75 | varies |
| Surgical pathology level IV (88305) range across 10 matching MRF lines |
$38–$250 | $38–$250 | varies |
| Surgical pathology level vi (88309) range across 4 matching MRF lines |
$283–$2,221.75 | $283–$2,221.75 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$6–$9 | $6–$9 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$11–$23 | $11–$23 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $16 | $16 | 0.4× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $11 | $11 | 1.5× |
| Sweat Collection Iontophoresis (89230) range across 2 matching MRF lines |
$6–$119.75 | $6–$119.75 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$6–$31.50 | $6–$31.50 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$22–$152 | $22–$152 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$59–$233.25 | $59–$233.25 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$48–$211.65 | $48–$211.65 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$22–$293.25 | $22–$293.25 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$22–$155.75 | $22–$155.75 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$22–$49.50 | $22–$49.50 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$11–$27.25 | $11–$27.25 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$11–$71.50 | $11–$71.50 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$11–$82 | $11–$82 | varies |
| T4-neonatal (84437) | $11 | $11 | 1.7× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$16–$16.75 | $16–$16.75 | varies |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$205–$289 | $205–$289 | varies |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$6–$36 | $6–$36 | varies |
| Test for urine cystines (82615) | $11 | $11 | 1.2× |
| Testosterone total (84403) range across 2 matching MRF lines |
$33–$204.25 | $33–$204.25 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$33–$270.75 | $33–$270.75 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$22–$74.75 | $22–$74.75 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 4 matching MRF lines |
$35–$1,960 | $35–$1,960 | varies |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) | $80 | $80 | 0.5× |
| Thawing Cryopresrved Sperm (89353) | $16 | $16 | 0.3× |
| Thawing of cryopreserved embryos (89352) | $384 | $384 | 2.3× |
| Theophylline (80198) range across 2 matching MRF lines |
$22–$79.50 | $22–$79.50 | varies |
| Thiocyanate (84430) range across 2 matching MRF lines |
$16–$132.50 | $16–$132.50 | varies |
| Thiopurine methyltransferase (84433) | $170 | $170 | 7.7× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$11–$54.73 | $11–$54.73 | varies |
| Thrombin time titer (85675) | $11 | $11 | 1.6× |
| Thrombomodulin Facility (85337) | $16 | $16 | 0.9× |
| Thromboplastin Inhibition Tissue (85705) range across 3 matching MRF lines |
$16–$415.50 | $16–$415.50 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$11–$21 | $11–$21 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$8–$22 | $8–$22 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$4.25–$22 | $4.25–$22 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$33–$162.50 | $33–$162.50 | varies |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $59 | $59 | 1.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) | $80 | $80 | 1.2× |
| Thyroxine binding globulin (84442) range across 2 matching MRF lines |
$22–$104.25 | $22–$104.25 | varies |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$176–$366.50 | $176–$366.50 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $37.25 | $37.25 | 3.2× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$166–$415 | $166–$415 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$176–$997.50 | $176–$997.50 | varies |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$150–$997.50 | $150–$997.50 | varies |
| Tissue Culture Lymphocyte (88230) range across 6 matching MRF lines |
$139–$997.50 | $139–$997.50 | varies |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$22–$55 | $22–$55 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$16–$35.75 | $16–$35.75 | varies |
| Total Tau (84394) range across 2 matching MRF lines |
$211.80–$289 | $211.80–$289 | varies |
| Touch prep (88161) range across 4 matching MRF lines |
$48–$118 | $48–$118 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $27 | $27 | 1.4× |
| Toxoplasma ab igm (86778) range across 6 matching MRF lines |
$15–$239 | $15–$239 | varies |
| Toxoplasma antibody (86777) range across 11 matching MRF lines |
$15–$478.75 | $15–$478.75 | varies |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$187.50–$301.25 | $187.50–$301.25 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$6–$17.50 | $6–$17.50 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$16–$68.75 | $16–$68.75 | varies |
| Trg gene rearrangement anal (81342) | $338 | $338 | 1.7× |
| Trichinella Antibody (86784) range across 3 matching MRF lines |
$16–$250.75 | $16–$250.75 | varies |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$27–$51.25 | $27–$51.25 | varies |
| Trichomonas Vaginalis Amplif (87661) | $105.50 | $105.50 | 3.0× |
| Triglycerides (84478) range across 3 matching MRF lines |
$6–$34.75 | $6–$34.75 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$16–$70.25 | $16–$70.25 | varies |
| Troponin, qualitative (84512) | $11 | $11 | 1.1× |
| Trypsin feces qual (84488) range across 2 matching MRF lines |
$11–$106.50 | $11–$106.50 | varies |
| Tumor immunohistochem/comput (88361) range across 14 matching MRF lines |
$97–$987.75 | $97–$987.75 | varies |
| Tumor Immunohistochem/Manual (88360) range across 24 matching MRF lines |
$65–$529 | $65–$529 | varies |
| Ugt1a1 gene analysis common variants (81350) range across 3 matching MRF lines |
$257.25–$317.75 | $257.25–$317.75 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $501 | $501 | 17.4× |
| Urea Nitrogen Clearance (84545) | $11 | $11 | 1.5× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$11–$33.75 | $11–$33.75 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$11–$33.75 | $11–$33.75 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$11–$12.25 | $11–$12.25 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $6 | $6 | 2.8× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$6–$9.50 | $6–$9.50 | varies |
| Urinalysis; 2 or 3 glass test Facility (81020) | $6 | $6 | 1.3× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) | $6 | $6 | 0.2× |
| Urine Albumin Semiquantitative (82044) | $6 | $6 | 1.0× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$11–$28.75 | $11–$28.75 | varies |
| Urine Pregnancy Test (81025) | $16 | $16 | 1.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$11–$30.50 | $11–$30.50 | varies |
| Urobilinogen urine qual (84578) | $6 | $6 | 1.3× |
| Urobilinogen, feces, quantitative Facility (84577) | $16 | $16 | 1.0× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) range across 2 matching MRF lines |
$11–$51.25 | $11–$51.25 | varies |
| Urobilinogen, urine; semiquantitative Facility (84583) | $11 | $11 | 1.8× |
| Valproic acid (80164) range across 2 matching MRF lines |
$16–$71.50 | $16–$71.50 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$16–$121.25 | $16–$121.25 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$16–$117.75 | $16–$117.75 | varies |
| Vasopressin (84588) range across 3 matching MRF lines |
$43–$373 | $43–$373 | varies |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$22–$426.75 | $22–$426.75 | varies |
| Viral Culture (87252) range across 6 matching MRF lines |
$33–$292.25 | $33–$292.25 | varies |
| Virus antibody nos (86790) range across 13 matching MRF lines |
$16–$150.25 | $16–$150.25 | varies |
| Virus inoculate tissue addl (87253) range across 3 matching MRF lines |
$11–$180 | $11–$180 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$27–$199.50 | $27–$199.50 | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $27 | $27 | 1.4× |
| Viscosity serum (85810) range across 2 matching MRF lines |
$16–$82.75 | $16–$82.75 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$48–$372.50 | $48–$372.50 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$16–$104.75 | $16–$104.75 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$22–$84.50 | $22–$84.50 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$27–$284.25 | $27–$284.25 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$27–$109 | $27–$109 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$16–$86.50 | $16–$86.50 | varies |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$38–$264.25 | $38–$264.25 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$22–$85 | $22–$85 | varies |
| Vitamin K (84597) | $145 | $145 | 10.6× |
| Volatiles (84600) range across 3 matching MRF lines |
$22–$144.50 | $22–$144.50 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $75 | $75 | 6.2× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $16 | $16 | 0.1× |
| Von willebrand factor ag (85246) range across 6 matching MRF lines |
$27–$187.50 | $27–$187.50 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$11–$56.25 | $11–$56.25 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$22–$41.50 | $22–$41.50 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$22–$41.50 | $22–$41.50 | varies |
| Western Blot Test (84181) range across 4 matching MRF lines |
$23.25–$100.35 | $23.25–$100.35 | varies |
| Xylose Absorption Test (84620) range across 2 matching MRF lines |
$16–$72.75 | $16–$72.75 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $190 | $190 | 3.7× |
| Zika Virus Igm Antibody (86794) | $92.80 | $92.80 | 5.5× |
| Zinc (84630) range across 2 matching MRF lines |
$16–$177.25 | $16–$177.25 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.