Lab & pathology prices at Intermountain Health Good Samaritan Hospital

Lafayette, CO · every code in this section with a posted price and a Medicare benchmark.

1032 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $124.15
17-Hydroxypregnenolone (84143) $108.25
5-Hiaa (83497) $405.57
Abl1 gene (81170) $1,310.54
Acetaminophen (80143) $139.81
Acetone serum qual (82009) $142.60
Acetone, quantitative (82010) $77.76
Acetylcholine receptor binding antibody (86041) $55.20
Acetylcholn rcptr blckg antb (86042) $75
Acetylcholn rcptr modlg antb (86043) $117
Acth (82024) $536.82
Acth stim adrenal insuff (80400) $362.73
Actin smooth muscle antibody each (86015) $50.37
Activated protein c resistance (85307) $330.06
Acute hepatitis panel (80074) $672.18
Acylcarnitines quantitative (82017) $385.30
Acylcarnitines; qualitative, each specimen Other Outpatient (82016) $82.74
Adenovirus antibody (86603) $232.40
Afb concentration (87015) $175.09
Afb culture (87116) $298.24
Afb smear (87206) $92.52
Albumin body fluid (82042) $84.21
Albumin serum (82040) $99.54
Alcohol (82077) $125
Aldolase (82085) $267.79
Aldosterone (82088) $426.58
Alkaline phosphatase (84075) $74.10
Alkaline phosphatase isoenzymes (84080) $80.31
Allergen profile perennial allergen (86003) $125.68
Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient (86005) $39.74
Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) $67.20
Alpha 2 antiplasmin (85410) $122.71
Alpha-1-antitrypsin (82103) $193.58
Alpha-1-antitrypsin phenotype (82104) $66.44
Alpha-fetoprotein amniotic (82106) $300
Alpha-fetoprotein serum (82105) $246.62
Alt (84460) $104.22
Aluminum (82108) $703.76
Alzheimer disease eval tau total csf (84394) $995
Amikacin level (80150) $200.64
Amino acid screen urine (82128) $230.58
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $871.29
Amino acids; single, quantitative, each specimen Other Outpatient (82131) $450.39
Aminolevulinic acid delta (82135) $206.82
Ammonia (82140) $173.86
Amniotic fluid scan (82143) $115.61
Amylase (82150) $153.52
Ana (86038) $278.82
Ana titer (86039) $110.61
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $441.04
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $113.20
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $165.26
Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) $76.38
Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) $118.21
Analysis for antibody to Neisseria meningitidis (bacterial meningitis) (86741) $241.49
Androstenedione (82157) $94.05
Angiotensin converting enzyme (82164) $320.30
Anti-DNA (single-stranded) antibodies, quantitative, igg labcorp slc 161422 (86226) $702.06
Anti-mitochondrial antibody (86255) $347.80
Anti-phosphatidylserine antibody (86148) $213.97
Antibody identification platelet antibodies (86022) $244.63
Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) $501.72
Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry);… (86828) $340.69
Antibody west nile virus igm (86788) $61.77
Antibody; Helicobacter pylori (86677) $264.78
Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) $254.20
Antineutrophil cytoplasmic antb screen ea antb (86036) $42.11
Antistreptolysin o screen (86063) $164
Antistreptolysin o titer (86060) $173.70
Antithrombin iii activity (85300) $302.62
Antithrombin iii antigen (85301) $77.72
Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial… (81411) $4,718.61
Aortic dysfunction/dilation (81410) $1,761.37
APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis;… (81203) $1,050.88
Apc gene full sequence (81201) $2,058.95
Apc gene known fam variants (81202) $359.53
Apolipoprotein each (82172) $51.71
Aqaprn-4 antb flo cytmtry ea (86053) $256.69
Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Other Outpatient (86051) $305.79
Aquaporin-4 antibody cell-based imfluor assay ea (86052) $309.64
Arsenic (82175) $115.63
Aspergillus antibody (86606) $165.44
Aspergillus antigen (87305) $493.38
Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) $315.97
Assay anti-mullerian horm (82166) $150
Assay myeloperoxidase (83876) $158.44
Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) $302.92
Assay of feces porphyrins (84126) $365.85
Assay of interleukin-6 (il-6) (83529) $210
Assay of nickel (83885) $78.72
Assay of procainamide (80190) $306.14
Assay of vitamin b-2 (84252) $115.33
Assay of vitamin not otherwise specified (84591) $299.90
Ast (84450) $102.82
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81175) $2,536.88
Autoimmune rheumatoid arthr (81490) $3,068.25
Autologous blood or component, collection processing and storage; intra- or postoperative salvage (86891) $864.85
B cells total count (86355) $530.54
Bacterium antibody (86609) $314.34
Bartonella antibody (86611) $57.40
Basic metabolic panel calcium ionized (80047) $260.40
Bcr/abl 1 gene other bp (81208) $787.59
Bcr/abl1 gene major bp (81206) $1,265.15
Bcr/abl1 gene minor bp (81207) $1,269.15
Beta 2 glycoprotein i antibody (86146) $126.95
Beta lactamase (87185) $43.62
Beta-2 microglobulin (82232) $228.48
Beta-amyloid 1-42 (abeta 42) (82234) $995
Bile acids total (82239) $137.78
Bilirubin direct (82248) $91.20
Bilirubin total (82247) $100.95
Bilirubin total transcutaneous (88720) $194.80
Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) $213.09
Biotinidase (82261) $61.16
Blastomyces antibody (86612) $42.81
Bld count smear mcrscp w/o mnl difrntl wbc count (85008) $86.20
Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease,… (86078) $255.55
Blood clot lysis time (85175) $67.90
Blood count leukocyte wbc automated (85048) $125.30
Blood count reticulocyte automated (85045) $188.40
Blood count; red blood cell (RBC), automated Other Outpatient (85041) $57.85
Blood gases any combination (82803) $261.70
Blood gases ph only (82800) $273.38
Blood gases w/o2 saturation (82805) $299.68
Blood typing rbc antigens (86905) $413.42
Blood typing serologic abo (86900) $86.42
Blood typing serologic rh (d) (86901) $56.28
Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient (86904) $321.50
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $413.42
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) $89.66
Bone marrow smear interpretation (85097) $1,029.62
Bordetella pertussis igm (86615) $78
Braf gene (81210) $705.60
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $5,993.73
Breath alcohol test (82075) $101
Brucella antibody (86622) $283.43
C diff amplified probe (87493) $749.49
C-peptide (84681) $333.34
C-reactive protein (86140) $134.88
C-reactive protein high sensitivity (86141) $121.72
C2 complement functional (86161) $388.31
Ca 125 (86304) $347.76
Ca 15-3 (86300) $409.26
Cadmium (82300) $115.63
Calcitonin (82308) $137
Calcium ionized (82330) $391.75
Calcium total (82310) $101.48
Calcium, random urine (82340) $92.38
Calculus; quantitative analysis, chemical Other Outpatient (82360) $225.17
Calprotectin fecal (83993) $167.28
Calr gene com variants (81219) $838.05
Campylobacter antibody (86625) $509.75
Cancer antigen 19-9 (86301) $308.05
Candida antibody (86628) $34.07
Candida DNA amp probe (87481) $256.24
Car ion chnnlpath inc 2 gns (81414) $1,754.70
Carbamazepine total (80156) $189.16
Carbamazepine; -10,11-epoxide Other Outpatient (80161) $77.06
Carbohydrate deficient transferrin (82373) $479.35
Carbon dioxide (82374) $207.40
Carbon monoxide (82375) $121.30
Cardiolipin antibody ea ig class (86147) $346.42
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $904.45
Carotene (82380) $342.36
Casein igg (86001) $40.71
Catecholamines (organic nitrogen) urine level (82382) $425.10
Catecholamines fractionated (82384) $413.30
CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative,… (81168) $497.54
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $226.49
Cea (82378) $427.66
Cebpa gene full sequence (81218) $864.35
Cell count body fluid (89050) $31.32
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $206.72
Cell enumeration & id (86152) $762.90
Cell function assay w/stim (86352) $790.13
Ceruloplasmin (82390) $202.27
CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T… (81224) $199.07
Cftr gene com variants (81220) $2,349.37
Cftr gene dup/delet variants (81222) $1,136.55
Cftr gene full sequence (81223) $6,135.92
Cftr gene known fam variants (81221) $162.03
Chemiluminescent assay (82397) $349.26
Chimerism anal no cell selec (81267) $925.20
Chlamydia antibody (86631) $145.34
Chlamydia antibody igm (86632) $105.98
Chlamydia culture (87110) $410.10
Chlamydia pneumoniae PCR (87486) $165.07
Chlamydia trachomatis ag if (87270) $303.74
Chloride blood (82435) $92.35
Chloride other source (82438) $138.56
Chloride urine (82436) $157.93
Chlorinated hydrocarbons screen (82441) $478.74
Cholesterol total (82465) $58.76
Cholinesterase rbc (82482) $298.15
Cholinesterase serum (82480) $404.48
Chorionic gonadotropin test (84702) $424.20
Chrmsm count 45 cell mosaicism 2karyotype (88263) $790.10
Chromium (82495) $93.19
Chromogenic substrate assay (85130) $710.15
Chromogranin a (86316) $109.06
Chromosome analys amniotic (88269) $686.33
Chromosome analysis 15-20 cells (88262) $982.91
Chromosome analysis 20-25 cells (88264) $1,256.63
Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) $532.50
Chromosome analysis for genetic defects, additional cells counted, each study (88285) $65.75
Chromosome analysis for genetic defects, additional high resolution study (88289) $279.45
Chromosome analysis for genetic defects, additional karyotypes, each study (88280) $226
Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) $2,721.13
Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Other Outpatient (88283) $210.95
Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) $726.96
Citrate (82507) $555.23
Ck mb fraction (82553) $152.22
Clostridium ag eia (87324) $180
Clot factor viii reltd antgn - von willebrand multimeric (85244) $70.53
Clot factor xiii fibrin stab (85290) $534.61
Clot inhibit prot s total (85305) $839.49
Clotting funct activity (85397) $326.54
Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) $659.95
Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) $196.23
Cmv antibody (86644) $211.52
Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) $1,303.98
Coagulation time activated (85347) $156.20
Coccidioides antibody (86635) $145.34
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $383.13
Cold agglutinin screen (86156) $219.37
Cold agglutinins titer (86157) $169.61
Collagen cross links (82523) $226.49
Compatibility each unit electronic (86923) $261.55
Complement antigen ea component (86160) $263.95
Complement total (ch50) (86162) $507
Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) $412.17
Coombs test indirect titer (86886) $588.48
Copper (82525) $469.96
Cortisol free (82530) $447.23
Cortisol saliva (82533) $366.56
COVID-19 antibody (86769) $81.61
Coxsackie a9 virus antibody (86658) $122.40
Creatine kinase isoenzymes (82552) $116.99
Creatine kinase total (82550) $87.12
Creatinine (82565) $86.20
Creatinine clearance (82575) $487.60
Creatinine other source (82570) $138.86
Crossmatch ahg (86922) $884.50
Cryofibrinogen (82585) $88.20
Cryoglobulins (82595) $85.32
Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) $442.50
Cryptococcal antigen (87327) $160.88
Cryptococcus antibody (86641) $247.10
Cryptosporidium ag eia (87328) $148.78
Cryptosporidium ag if (87272) $132.65
Crystals fluid (89060) $177.76
Culture anaerobic (87075) $165.50
Culture blood (87040) $328.09
Culture fungus blood (87103) $310.58
Culture fungus skin hair nail (87101) $166.55
Culture mycoplasma (87109) $125.16
Culture stool (87045) $343.65
Culture typing glc/hplc (87143) $76.16
Culture typing if ea antiserum (87140) $86.56
Culture urine (87086) $124.26
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $233
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $196.64
Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) $998.50
Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) $705.65
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $146.64
Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) $158.40
Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate,… (87149) $101.67
Culture, typing; identification by pulse field gel typing Other Outpatient (87152) $315.46
Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) $106.44
Cyanide (82600) $569.69
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Other Outpatient (82608) $210.94
Cyclic citrullinated peptide ab (86200) $263.06
Cyclosporine (80158) $346.38
Cyp2c19 gene analysis common variants (81225) $692.42
Cyp2c9 gene com variants (81227) $521.81
Cyp2d6 gene analysis common variants (81226) $1,352.75
CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2,… (81230) $524.45
Cyp3a5 gene common variants (81231) $524.45
Cystatin c (82610) $135.56
Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) $182.54
Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) $3,450.36
Cytogenetics 25-99 (88274) $368.74
Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for… (81228) $6,514.28
Cytogenomic neoplasia microarray analysis (81277) $3,547.21
Cytomeg DNA amp probe (87496) $619.16
Cytomegalovirus antibody igm (86645) $211.52
Cytopath cell enhance tech (88112) $289.37
Cytopath tbs c/v manual (88164) $187.45
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $119.75
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) $188.76
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $154.30
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) $200.30
Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) $243.38
Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Other Outpatient (88150) $41.02
Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (88162) $177.06
Cytopathology, smears, any other source; preparation, screening and interpretation (88161) $270
Cytopathology, smears, any other source; screening and interpretation (88160) $122.23
Cytp eval fine needle aspirate interp & report (88173) $1,149.43
Cytp urine 3-5 probes cmptr (88121) $436.48
Cytp urne 3-5 probes ea spec (88120) $623
D-dimer quantitative (85379) $208.92
Deoxycortisol (82634) $92.25
Deoxyribonuclease antibody (86215) $158.71
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $64.19
Desoxycorticosterone (82633) $264.52
Dhea (82626) $804.67
Dhea sulfate (82627) $347.04
Dibucaine number (82638) $149.66
Digoxin (80162) $139.15
Dihydrotestosterone (82642) $285.17
Diphtheria antibody (86648) $73.31
Direct antiglobulin test (86880) $108.65
DNA/RNA amplified probe (87150) $257.21
DNA/RNA sequencing (87153) $356.25
Dpyd gene analysis common variants (81232) $610.93
Drug assay adalimumab (80145) $690.35
Drug assay amiodarone (80151) $194.44
Drug assay felbamate (80167) $67.62
Drug assay flecainide (80181) $100.13
Drug assay infliximab (80230) $690.35
Drug assay itraconazole (80189) $165.78
Drug assay methotrexate (80204) $249
Drug assay salicylate (80179) $139.81
Drug assay vedolizumab (80280) $505.48
Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes,… (81418) $3,898.12
Drug screen quant caffeine (80155) $97.11
Drug screen quant clozapine (80159) $127.17
Drug screen quant everolimus (80169) $306.12
Drug screen quant gabapentin (80171) $90.86
Drug screen quant levetiracetam (80177) $90.86
Drug screen quant mycophenolate (80180) $98.42
Drug screen quant zonisamide (80203) $156.04
Drug screen quantitative oxcarbazepine (80183) $130
Drug test prsmv chem anlyzr (80307) $271.46
Drug test prsmv dir opt obs (80305) $255.48
Drug test prsmv instrmnt (80306) $200.72
Ear culture (87070) $271.55
Egfr gene analysis common variants (81235) $580.25
Ehrlichia antibody (86666) $45.08
Elastase pancreatic fecal quantitative (82653) $180.64
Electrolytes panel (80051) $106
Electron microscopy diagnostic (88348) $1,566.14
Electrophoretic test (82664) $177.71
Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) $118.21
Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) $118.21
Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) $118.21
Endomysial antibody each immunoglobulin class (86231) $128.08
Enterovirus by PCR (87498) $656.73
Enzyme cell activity ra (82658) $928.39
Enzyme histochemistry (88319) $823.69
Eosinophils urine (87205) $134.50
Erythropoietin (82668) $439.02
Estradiol (82670) $549.48
Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient (82681) $369
Estriol (82677) $205.80
Estrogen fractionated (82671) $404.40
Estrogens total (82672) $241.85
Estrone (82679) $87.19
Ethosuximide (80168) $173.47
Ethylene glycol (82693) $441.04
Euglobulin lysis (85360) $316.28
Eval amniotic fluid protein (84112) $275.02
Exhaled breath condensate (83987) $116.25
Extractable nuclear antigen antibody any method (86235) $291.33
F2 gene analysis (81240) $215.76
F5 gene (81241) $271.76
Factor ii activity (85210) $666.72
Factor inhibitor test (85335) $505.70
Factor ix activity (85250) $614.30
Factor v activity (85220) $69.37
Factor vii activity (85230) $666.72
Factor viii activity (85240) $454.05
Factor viii vw antigen (85246) $619.58
Factor x (stuart-prower) (85260) $666.72
Factor xi activity (85270) $644.53
Factor xii (hageman) (85280) $644.53
Fat stain (89125) $66.46
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $443.93
Fatty acids nonesterified (82725) $151.72
Fbrnlyc factors&inhibitors plsmng activator (85415) $171.44
Fecal fat qualitative (82705) $381.08
Ferritin (82728) $282.14
Fetal aneuploidy trisom risk (81507) $2,374
Fetal chrmoml microdeltj (81422) $2,193.46
Fetal chromosomal aneuploidy genomic seq analys (81420) $2,193.46
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $199.95
Fetal fibronectin (82731) $501.20
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) $231.88
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) $183.10
Fetal lung maturity assessment; fluorescence polarization Other Outpatient (83663) $463.32
Fetal lung maturity assessment; lamellar body density Other Outpatient (83664) $81.60
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Other Outpatient (83661) $675.98
Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) $267.60
Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or… (85380) $135.70
Fibrin split products (85362) $254.74
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) $241.40
Fibrinogen antigen (85385) $153.16
Fibrinogen, activity (85384) $183.70
Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) $55.71
Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Other Outpatient (85421) $644.53
Flow cytometry first marker (88184) $378.18
Flt3 gene analysis (81246) $290.07
Flt3 gene analysis internal tandem dup variants (81245) $359.53
FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) $570
Fmr1 gene alys eval to detect abnormal alleles (81243) $285.20
Folate serum (82746) $273.34
Folic acid rbc (82747) $505.35
Follicle stimulating hormone (fsh) (83001) $384.60
Forensic (investigation) examination of specimen (88125) $144.36
Francisella tularensis ab (86668) $435.93
Frozen blood thaw (86931) $400.90
Fructosamine (82985) $77
Ftl cgen abnor four anal (81511) $1,029.61
Fungus isolation culture (87102) $188.50
Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) $406.38
Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) $294.52
Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) $37.50
Galectin-3 (82777) $303
Gamma glutamyl transferase (82977) $193.56
Gammaglobulin ige (82785) $171.26
Gardnerella vaginalis amp probe (87511) $93.66
Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) $290.42
Gastrin (82941) $447.55
Gba gene (81251) $1,285.51
Genet virus isolate hsv (87255) $103.53
Genetic testing for severe inherited conditions (81443) $7,345.70
Genotype cytomegalovirus (87910) $795.19
Genotype DNA hepatitis b (87912) $1,077.14
Genotype DNA HIV reverse t (87901) $1,509.44
Genotype DNA/RNA HIV (87906) $449.87
Gentamicin (80170) $107.15
Giardia antigen (87329) $161.17
Giardia lamblia antibody (86674) $50.85
Gjb2 gene full sequence (81252) $359.53
Gjb2 gene known fam variants (81253) $359.53
Gjb6 gene com variants (81254) $485.93
Gliadin antibody each immunoglobulin class (86258) $50.37
Glucagon (82943) $79.33
Glucose Fasting (82947) $30.60
Glucose other fluid (82945) $111.46
Glucose post glucose dose (82950) $207.40
Glucose tolerance test (gtt) (82951) $339.05
Glucose-6-pd (82955) $146.34
Glutathione (82978) $140.19
Glycated hemoglobin (83036) $229.60
Growth hormone (hgh) (83003) $207.53
Gtt-added samples (82952) $104.65
H pylori breath test (83013) $220.28
H pylori stool (87338) $331.88
Haloperidol (80173) $203.79
Haptoglobin (83010) $182.40
Hba1/hba2 full gene sequence (81259) $2,358.98
Hba1/hba2 gene (81257) $2,340
Hba1/hba2 gene analysis dup/del variants (81269) $795.76
Hbb full gene sequence (81364) $1,276.12
Hbb gene dup/del variants (81363) $795.76
Hbsag neutralization (87341) $167.54
Hcg free betachain test (84704) $51.37
Hcg ql (84703) $236.90
HDL cholesterol (83718) $85.30
Heavy metal quan each nes (83018) $107.44
Hematocrit (hct) (85014) $71.65
Hematocrit spun (85013) $70.20
Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) $2,278.50
Hemoglobin (85018) $74.65
Hemoglobin electrophoresis (83020) $433.13
Hemoglobin fetal ql (83033) $145.02
Hemoglobin fractj/quantj chromotography (83021) $717.34
Hemoglobin plasma (83051) $177.08
Hemoglobin stability screen (83068) $29.23
Hemoglobin; by copper sulfate method, non-automated f(fetal), chemical (83030) $168.05
Hemolysin acid (85475) $265.60
Hemolysins and agglutinins; incubated Other Outpatient (86941) $138.56
Hemosiderin qual (83070) $100.91
Hep a ab total (86708) $77.28
Heparin assay (85520) $412.35
Heparin neutralization (85525) $41.28
Heparin-protamine tolerance test Other Outpatient (85530) $758.05
Hepatitis a antibody igm (86709) $245.32
Hepatitis b core antibody igm (86705) $318.28
Hepatitis b core antibody total (86704) $92.62
Hepatitis b DNA quant (87517) $347.81
Hepatitis b surface ab (86706) $223.28
Hepatitis b surface antigen (87340) $291.58
Hepatitis be antibody (86707) $282.33
Hepatitis be antigen (87350) $431.56
Hepatitis c antibody (86803) $332.42
Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) $698.13
Hepatitis c genotype (87902) $795.19
Hepatitis c RNA quantitative (87522) $678.28
Hepatitis delta antibody (86692) $303.78
Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial… (81435) $2,133.81
Hereditary peripheral neuropathy gen seq pnl (81448) $4,312.50
Heredtry nurondcrn tum dsrdr (81437) $1,533.95
Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) $753.98
Herpes simplex virus by PCR (87529) $587.90
Heterophile antibody screen (86308) $252.92
Hexagonal phospholipid neutralization (85598) $364.78
Hfe gene (81256) $734.39
Hhv-6 DNA amp probe (87532) $153.17
Histamine (83088) $369.88
Histoplasma antibody (86698) $236.42
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $186.58
HIV-1 antibody (86701) $73.04
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $269.90
HIV-2 antibody (86702) $192.08
Hla b27 (86812) $155.36
Hla class i high defin qual (86832) $1,303.50
Hla class i phenotype qual (86830) $482.06
Hla class i semiquant panel (86834) $2,134.75
HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) $365.42
HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Other Outpatient (81373) $448.45
Hla class i/ii antibody qual (86829) $637.26
Hla class ii high defin qual (86833) $591.26
Hla class ii phenotype qual (86831) $412.65
Hla class ii semiquant panel (86835) $1,928.16
Hla i typing 1 allele hr (81381) $689.96
Hla i typing 1 locus hr (81380) $1,065
Hla ii type 1 ag equiv lr (81377) $1,112.91
Hla ii typing 1 allele hr (81383) $838.05
Hla ii typing 1 loc hr (81382) $1,314.19
Hla ii typing 1 locus lr (81376) $838.05
Hla typing a/b/c multiple antigens (86813) $1,471.04
Homocysteine level (83090) $130.90
Homogenization tissue (87176) $304.77
Homovanillic acid urine (83150) $131.23
Hpv high-risk types (87624) $138.43
Hpv low-risk types (87623) $154.80
Hpv sep hi-rsk typ&pool rslt (87626) $210.60
Hpv types 16 & 18 only (87625) $162.03
Hrdtry brst ca-rlatd dsordrs (81432) $2,373.13
Hrdtry cardmypy gene panel (81439) $3,066.15
Htt gene analysis detect abnormal alleles (81271) $642.75
Human epididymis protein 4 (86305) $274.91
Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) $376.65
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) $87.85
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution… (86825) $263.90
Hydroxychloroquine (80220) $756.90
Iaad ia sarscov & influenza virus types a&b (87428) $157.75
Iaad ia severe aqt respir synd coronavirus (87426) $66.75
Iaadi herpes smplx virus type 1 (87274) $65.90
Iaadi herpes smplx virus type 2 (87273) $65.90
Iadna HIV-2 amplified probe & reverse transcripj (87538) $214.62
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $0.01
Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) $413.75
Iadna-DNA/RNA probe tq 12-25 (87507) $1,664.38
Idh1 common variants (81120) $651.52
Idh2 common variants (81121) $651.52
Igg subclass 1 (82787) $22.37
Igh gene rearrang dir probe (81262) $202.22
Igh gene rearrange amp meth (81261) $611.54
Igh vari regional mutation (81263) $1,041.20
IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis,… (81264) $461.31
Ikbkap gene (81260) $1,285.51
Immune complex assay (86332) $203.22
Immunoassay analyte quantitative nos (83520) $185.25
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) $116.94
Immunoassay infectious agent antibody quan nos (86317) $56.88
Immunodiffusion ouchterlony (86331) $128.39
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient (86325) $175.10
Immunofixation electrophoresis (86334) $74
Immunofixation urine (86335) $661.77
Immunofluor antb 1st stain (88346) $756.79
Immunoglobulin d (82784) $243.76
Immunoglobulin light chains free each (83521) $60.37
Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) $792.44
Immunoperoxidase (88342) $1,722.75
In situ hybridization 1st probe stain (88365) $280.63
In situ hybridization ea multiplex probe stain (88366) $1,418.53
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $156.80
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $220.84
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) $636.84
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $190.52
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87301) $336.72
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) $123.50
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $116.25
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $299.77
Infectious agent antigen detection by immunofluorescent technique; giardia Other Outpatient (87269) $91.97
Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient (87278) $118.04
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) $258.55
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $223.39
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $539.90
Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) $153.29
Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) $153.29
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) $500.67
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) $220.18
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $198.76
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient (87490) $88.74
Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) $619.16
Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) $153.29
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) $220.18
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) $804.24
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) $431.10
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) $802.07
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient (87533) $692.32
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) $214.62
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $1,105.85
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) $66.75
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) $823.68
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) $495.74
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient (87590) $98.91
Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1;… (87903) $1,950.60
Influenza a ag eia (87400) $305.35
Influenza antibody (86710) $192
Influenza assay w/optic (87804) $264.90
Influenza DNA amp probe (87502) $259.20
Inhibin a (86336) $123.85
Insulin antibody (86337) $68.76
Insulin free (83527) $60.68
Insulin total (83525) $199.30
Intrinsic factor antibody (86340) $174.78
Iron (83540) $186.69
Iron binding capacity (83550) $186.54
Irradiation of blood product, each unit (86945) $214.40
Islet cell antibody (86341) $118.25
Jak2 gene (81270) $1,343
Jak2 gene trgt sequence alys (81279) $740.80
John cunningham antibody (86711) $86.76
Ketogenic steroids, fractionation Other Outpatient (83582) $315.97
Kit gene analys d816 variant (81273) $978.54
Kit gene targeted seq analys (81272) $919.68
Koh prep (87220) $139.65
Kras gene (81275) $512.05
Kras gene addl variants (81276) $492.80
Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) $310.29
Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) $310.29
Lacosamide (80235) $300.95
Lactate (83605) $267.95
Lactate dehydrogenase (83615) $121.48
Lactoferrin fecal (qual) (83630) $135.58
Lamotrigine (80175) $90.86
Ldh isoenzymes (83625) $485.82
LDL direct (83721) $217.35
Lead (83655) $115.63
Leflunomide (80193) $229.75
Legion pneumo DNA amp prob (87541) $773.65
Legionella antibody (86713) $67.62
Legionella culture (87081) $186.75
Legionella urine antigen (87449) $377.35
Leptospira antibody (86720) $356.82
Leucine aminopeptidase (83670) $127.72
Leukocyte alkaline phosphatase (85540) $311.96
Leukocyte antibody id (86021) $774.84
Leukocyte assessment fecal (89055) $17.94
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $288.75
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $544.06
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $819
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $2,466
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $2,715
Lidocaine (80176) $193.44
Lipase (83690) $165.90
Lipopro bld electrophoretic (83700) $295.05
Lipoprotein (a) (83695) $65.75
Lipoprotein bld by nmr (83704) $109.78
Lipoprotein bld hr fraction (83701) $117.91
Lipoprotein-associated phospholipase a2 (83698) $177.83
Lithium (80178) $139.72
Luteinizing hormone (lh) (83002) $273.36
Lyme disease antibody (86617) $166.22
Lyme disease antibody (86618) $344.06
Lymph choriomeningitis ab (86727) $269.80
Lymphocyte transformation (86353) $296.30
M genitalium amp probe (87563) $218.42
M/phmtrc alys in situ hybridization ea probe mnl (88368) $849.52
M/phmtrc alys ishquant/semiq (88377) $1,339.54
Macroscopic exam arthropod (87168) $36.45
Macroscopic exam parasite (87169) $65.37
Magnesium (83735) $175.61
Malaria smear (87207) $236.35
Manganese (83785) $205.45
Manual differential (85007) $58.52
Manual reticulocyte count (85044) $24.25
Maternal serum screening, integrated, specimen #1, papp-a, nt arup 3000147 (84163) $91.20
Meat fibers, feces Other Outpatient (89160) $52.16
Mercury (83825) $115.63
Metanephrines (83835) $226.35
Methemoglobin quant (83050) $156.49
Methylmalonic acid serum (83921) $420.04
Mgmt methylation analysis (81287) $334.60
Microalbumin urine (82043) $136.42
Microsatellite instability analysis (81301) $894.40
Mitochondrial antibody each (86381) $111.18
Mlh1 gene analysis promoter methylation analysis (81288) $878.50
Mlh1 gene dup/delete variant (81294) $431.74
Mlh1 gene full seq (81292) $1,463.14
Mlh1 gene known variants (81293) $586.47
Mog-igg1 antb flo cytmtry ea (86363) $256.69
Mog-igg1 antibody cell-based imfluor assay each (86362) $380.06
Mold id (87107) $204.60
Molecular cytogenetics DNA probe each (88271) $1,126
Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) $679.69
Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other… (88272) $462.01
Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) $601
Mononuclear cell antigen (86356) $499.52
Mopath procedure level 1 (81400) $124.15
Mopath procedure level 2 (81401) $300.60
Mopath procedure level 3 (81402) $510.58
Mopath procedure level 4 (81403) $705.38
Mopath procedure level 5 (81404) $621.20
Mopath procedure level 6 (81405) $756
Mopath procedure level 7 (81406) $959.22
Mopath procedure level 8 (81407) $2,185.11
Mopath procedure level 9 (81408) $5,242.18
Morphometric analysis tumor (88358) $456.33
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) $718.44
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) $453.06
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $1,722.75
Mpl gene analysis common variants (81338) $1,135.80
Mpl gene seq alys exon 10 (81339) $660.51
Mrsa PCR (87641) $398.25
Msh2 gene dup/delete variant (81297) $359.53
Msh2 gene full seq (81295) $450.35
Msh2 gene known variants (81296) $439.99
Msh6 gene dup/delete variant (81300) $662.31
Msh6 gene full seq (81298) $757.23
Msh6 gene known variants (81299) $547.65
Mtb rifampin rst amp prb tq (87564) $480
Mthfr gene (81291) $366.73
Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (83864) $308.33
Mumps antibody (86735) $289.54
Muramidase (85549) $60.68
Muscle-specific kinase antb (86366) $885
Mycobacteria DNA amp probe (87551) $168.58
Mycoplasma antibody (86738) $198.94
Mycoplasma pneumoniae by PCR (87581) $168.74
Myd88 gene p.leu265pro vrnt (81305) $657.12
Myelin associated glycoprotein (mag) antibody (83516) $117.69
Myelin basic protein (83873) $275.48
Myoglobin (83874) $470.93
N.gonorrhoeae DNA amp prob (87591) $186.05
Nasal smear for eosinophils (89190) $35.04
Natriuretic peptide (83880) $451.22
Nephelometry ea analyte (83883) $373.86
Neutralization test viral (86382) $208.73
Nfct ds bv RNA vag flu alg (81513) $534.86
Nfct ds bv&vaginitis DNA alg (81515) $1,003.95
Nfct ds chrnc hcv 6 assays (81596) $608.67
Nk cells total count (86357) $190.81
Npm1 gene (81310) $1,590.65
Nras gene variants exon 2&3 (81311) $1,177.48
Ntrk translocation analysis (81194) $905.64
Nucleotidase 5 (83915) $43.34
NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Other… (81306) $1,272.80
Obstetric panel includes HIV testing (80081) $1,294.24
Occult bld feces 1-3 tests (82272) $14.80
Occult blood other sources (82271) $64.15
Occult blood screening (82270) $61.80
Oligoclonal bands (83916) $664.69
Oncology breast mrna (81519) $10,151.47
Oncology prostate prob score (81539) $2,269
Oncoprotein dcp (83951) $312.87
Organic acids qual each (83919) $496.04
Organic acids total quant (83918) $426.25
Orthopoxvirus amp prb each (87593) $480.62
Osmolality serum (83930) $250.86
Osmolality urine (83935) $110.52
Osmotic fragility rbc unincubated (85555) $358.70
Osteocalcin (83937) $249.18
Ova and parasite exam (87177) $206.03
Ovulation tests, by visual color comparison methods for human luteinizing hormone Other Outpatient (84830) $39.05
Oxalate urine (83945) $386.04
Pancreatic elastase fecal (82656) $37.87
Pancreatic polypeptide (83519) $365.07
Parathyroid hormone (83970) $696.35
Particle agglut antbdy titr arup to palo alto medical foundation (86406) $68
Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) $179.37
Parvovirus antibody (86747) $347.77
Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) $671.44
Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) $823.69
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $1,722.75
Pathology examination of specimen during surgery (88329) $177.41
Pca3/klk3 antigen (81313) $761.32
PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene… (81314) $952.24
Pertussis by PCR (87798) $482.50
Ph body fluid (83986) $49.12
Phenobarbital (80184) $388.94
Phenotype infect agent drug (87900) $455.55
Phenytoin (dilantin) free (80186) $204.62
Phenytoin level total (80185) $214.44
Phosphatidylglycerol (84081) $675.98
Phosphorus (84100) $89.60
Phosphorus urine (84105) $114.32
Pik3ca gene trgt seq alys (81309) $882.43
Pinworm exam (87172) $100
Plasminogen activity (85420) $61.55
Platelet aggregation ea agent (85576) $510.79
Platelet count automated (85049) $83.35
Platelet neutralization (85597) $473.17
Pml/raralpha com breakpoints (81315) $1,509.44
Pmp22 gene dup/delet (81324) $858.76
Pmp22 gene full sequence (81325) $907.95
Pmp22 gene known fam variant (81326) $359.53
Pms2 gene dup/delet variants (81319) $433.35
Pms2 gene full seq analysis (81317) $1,480.91
Pneumcysts jirovecii amp prb (87594) $600
Pooling of platelets or other blood products (86965) $187.45
Porphobilinogen urine (84110) $275.48
Porphyrins total plasma (84311) $51
Porphyrins urine quantitation & fractionation (84120) $510.76
Posaconazole (80187) $209.16
Potassium (84132) $89.95
Potassium urine (84133) $78.78
Prealbumin (84134) $220.52
Pregnenolone (84140) $113.67
Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) $530.95
Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) $1,246.80
Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with inhibitors (86977) $301.22
Primidone (80188) $503.64
Procainamide; with metabolites (eg, n-acetyl procainamide) Other Outpatient (80192) $258.18
Procalcitonin (pct) (84145) $547.38
Progesterone (84144) $410.25
Progesterone (reproductive hormone) receptor analysis (84234) $321.43
Proinsulin (84206) $623.51
Prolactin (84146) $467.14
Prostaglandin (84150) $851.85
Prostatic acid phosphatase (84066) $42.99
Protein c activity (85303) $596.47
Protein c antigen (85302) $380.10
Protein electrophoresis serum (84165) $309.90
Protein electrophoresis urine (84166) $377.09
Protein s antigen, free (85306) $642.45
Protein total other source (84157) $116
Protein total serum (84155) $77.34
Protein total urine (84156) $105.90
Protein western blot (84181) $562.57
Protein, total, by refractometry, any source Other Outpatient (84160) $342.36
Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) $231.14
Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) $100.65
Protoporphyrin, RBC; screen Other Outpatient (84203) $38.46
Protozoa antibody nos (86753) $318.79
PSA free (84154) $174.46
Pten gene dup/delet variant (81323) $359.53
Pten gene full sequence (81321) $1,360.04
Pten gene known fam variant (81322) $359.53
Pyruvate (84210) $126.88
Pyruvate kinase (84220) $105
Q fever antibody (86638) $393.11
Quinidine (80194) $154.66
Rbc antibody elution (86860) $664.45
Rbc antibody identification (86870) $3,854.76
Rbc antibody screen (86850) $175.28
Receptor assay non-endocrine specify receptor (84238) $169.50
Receptor assay; estrogen Other Outpatient (84233) $321.43
Reducing substances fecal (84376) $19
Ref john hopkins telomere length measurement flow cytometry and fish (88182) $400.24
Ref labcorp, 451840, titrate resistant acid phosphate (trap) (84060) $396.22
Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) $244.54
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $124.15
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $162.85
Renin (84244) $405.56
Reptilase test (85635) $89.55
Resp virus 12-25 targets (87633) $1,466.75
Resp virus 3-5 targets (87631) $376.57
Resp virus 6-11 targets (87632) $670.84
Reticulated platelet assay (85055) $154.37
Reticyte/hgb concentrate (85046) $83.35
Rh phenotyping complete (86906) $224.06
Rheumatoid factor (86430) $157
Rheumatoid factor quant (86431) $128.41
Rickettsia antibody (86757) $85.32
Ristocetin cofactor (85245) $458.56
Rl immediate spin crossmatch (86920) $280.32
Rotavirus ag eia (87425) $178.96
Rpr qual (86592) $91.31
Rpr titer (86593) $108.86
Rsv DNA/RNA amp probe (87634) $283.05
Rubella antibody (86762) $321.88
Rubeola antibody (86765) $199.08
Russell viper venom diluted (85613) $431.78
Russell viper venom time (includes venom); undiluted Other Outpatient (85612) $163.92
Salmonella typhi and paratyphi antibodies (86768) $39.57
Sedimentation rate rbc automated (85652) $101.30
Sedimentation rate rbc non-automated (85651) $76
Selenium (84255) $312.87
Semen analysis complete (89320) $140.19
Semen analysis post vasectomy (89321) $143.85
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Other Outpatient (89300) $31.05
Semen fructose (carbohydrate) level (82757) $332.40
Serotonin (84260) $650.77
Serpina1 gene (81332) $140.18
Serum bactericidal titer (87197) $488.92
Serum immunoelectrophoresis (86320) $362.94
Sex hormone binding globulin (84270) $109.38
Shiga-like toxin ag eia (87427) $158.38
Sialidase enzyme assay (87905) $35.60
Sickle cell screen (85660) $207.50
Sirolimus (80195) $293.87
Smear wet mount (87210) $153.85
SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) $687
Snrpn/ube3a methylation analysis (81331) $153.20
Sodium (84295) $97.45
Sodium other source (84302) $49.10
Sodium urine (84300) $123.82
Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number… (81445) $6,688.69
Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) $8,758.80
Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) $7,652.53
Somatomedin (84305) $414.56
Somatostatin (84307) $440.69
Special stains group i (88312) $142.78
Special stains group ii (88313) $205.36
Specific gravity except urine (84315) $27.45
Sperm antibodies (89325) $92.64
Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $123.20
Splitting of blood or blood products, each unit (86985) $324.20
Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) $317.25
Staph a DNA amp probe (87640) $301.22
Stone analysis (82365) $342.84
Str markers specimen anal (81265) $890.03
Strep a ag ia (87430) $142.45
Strep a assay w/optic (87880) $278.25
Strep a DNA amp probe (87651) $149.50
Strep b DNA amp probe (87653) $211.55
Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) $211.05
Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Other Outpatient (84378) $114
Sulfate urine (84392) $66.14
Surg path level 1 (88300) $284.93
Surgical pathology consultation and report on referred material requiring preparation of slides (88323) $281.90
Surgical pathology consultation and report on referred slides prepared elsewhere (88321) $279.58
Susceptibility mic per plate (87186) $277.75
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $85.35
Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) $158.80
Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) $138.57
Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) $404.52
Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient (87190) $46.31
T cells cd4 count (86361) $102.13
T3 free (84481) $366.40
T3 reverse (84482) $69.81
T3 uptake (84479) $240.48
T4 (thyroxine) total (84436) $130.58
Tacrolimus (80197) $297.67
Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) $995
Tb test cell immun measure (86480) $292.26
Tert gene targeted seq alys (81345) $647.23
Testosterone bioavailable (84410) $168.49
Testosterone free (84402) $221.99
Testosterone total (84403) $522.06
Tetanus antibody (86774) $71.33
Theophylline (80198) $156.24
Thiocyanate level (84430) $320.56
Thiopurine drug metabolites (83789) $107.54
Thiopurine metabolites (80299) $277.58
Thiopurine methyltransferase, rbc (82657) $422
Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) $152.90
Thrombin time plasma (85670) $125.74
Thromboplastin inhibition (circulating anticoagulant) measurement (85705) $210.37
Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) $61.81
Thyroglobulin (84432) $301.03
Thyroglobulin antibody (86800) $186.83
Thyroid peroxidase antibody (86376) $277.60
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $689
Thyroxine binding globulin (84442) $236.90
Thyroxine free (ft4) (84439) $113.04
Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) $23.46
Tissue culture bone marrow (88237) $1,160.50
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) $686.33
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) $854.78
Tissue culture lymphocyte (88230) $328.25
Tissue culture solid tumor (88239) $835.82
Tissue transglutaminase ea immunoglobulin class (86364) $60.46
Tobramycin (80200) $225.60
Topiramate (80201) $216.13
Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) $84.15
Toxoplasma antibody igg (86777) $183.69
Toxoplasma antibody igm (86778) $262.81
Tp53 gene analysis targeted sequence analysis (81352) $2,347.50
Tp53 gene full gene sequence (81351) $757.23
Tpmt gene com variants (81335) $643.30
Transferrin (84466) $256.46
TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81340) $730.15
Treponema pallidum antibody (86780) $234.60
Trg gene rearrangement anal (81342) $1,360.43
Trichomonas vagin dir probe (87660) $220.18
Trichomonas vaginalis amplif (87661) $132.73
Trichrome stain (87209) $173.27
Triglycerides (84478) $118.82
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $282.06
Troponin t (84484) $377.10
Troponin, qualitative Other Outpatient (84512) $257.55
Trypsin; feces, qualitative Other Outpatient (84488) $76.06
Tularemia antibody (86000) $144.14
Tyrosine (84510) $164.12
Unlisted molecular pathology (81479) $5,040
Urea nitrogen clearance (84545) $40.15
Urea nitrogen quantitative (84520) $66.50
Urea nitrogen urine (84540) $107.20
Uric acid blood (84550) $85.45
Uric acid other source (84560) $106.53
Urinalysis auto w/micro (81001) $78.10
Urinalysis microscopic only (81015) $40.86
Urinalysis volume measure (81050) $43.15
Urinalysis; 2 or 3 glass test Other Outpatient (81020) $14.45
Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) $92.20
Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) $7.50
Urine bacteria culture (87088) $234.45
Urine porphyrins (metabolism substance) analysis (84119) $37.39
Urine Pregnancy Test POC (81025) $183.10
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $55.54
Valproic acid (80164) $351.81
Valproic acid (dipropylacetic acid); free (80165) $157.81
Vancomycin (80202) $231.74
Varicella zoster ag if (87290) $205.50
Varicella zoster antibody igg (86787) $337.60
Vasoactive intestinal peptide (vip) (84586) $649.59
Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) $897.64
Very long chain fatty acids (82726) $363.60
Viral culture non-respiratory (87252) $383.88
Virus antibody nos (86790) $240.16
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $246.07
Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) $548.48
Viscosity (85810) $150.48
Vitamin a (84590) $397.92
Vitamin b-12 (82607) $211.84
Vitamin b1 whole blood (84425) $472.45
Vitamin b6 (84207) $333.27
Vitamin c (82180) $164.95
Vitamin d 25 hydroxy (82306) $595.25
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $556.69
Vitamin e (84446) $341.22
Vitamin k1 (84597) $242.13
Vma (84585) $405.57
Volatiles (84600) $502.55
Voltage-gated calcium channel antibody each (86596) $128.61
Voriconazole (80285) $194.48
West nile virus antibody (86789) $54.30
Xm archive tissue molec anal (88363) $55.09
Yeast id (87106) $173.60
Yersinia antibody (86793) $172.86
Z t cells total count (86359) $164.95
Zika virus DNA/RNA amp probe (87662) $313.79
Zika virus igm antibody (86794) $251.41
Zinc (84630) $316.32
Zinc protoporphyrins (84202) $197.50