Lab & pathology prices at Intermountain Health Platte Valley Hospital

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

1017 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $106.81
17-Hydroxypregnenolone (84143) $90
5-Hiaa (83497) $60.56
Abl1 gene (81170) $1,310.54
Acetaminophen (80143) $128.06
Acetone serum qual (82009) $13.75
Acetone, quantitative (82010) $46.44
Acetylcholine receptor binding antibody (86041) $55.20
Acetylcholn rcptr blckg antb (86042) $75
Acetylcholn rcptr modlg antb (86043) $117
Acth (82024) $182.49
Acth stim adrenal insuff (80400) $362.73
Actin smooth muscle antibody each (86015) $50.37
Activated protein c resistance (85307) $72
Acute hepatitis panel (80074) $368.62
Acylcarnitines quantitative (82017) $290.46
Acylcarnitines; qualitative, each specimen Other Outpatient (82016) $480
Adenovirus antibody (86603) $42.45
Afb concentration (87015) $45.08
Afb culture (87116) $83.85
Afb smear (87206) $30.31
Albumin body fluid (82042) $37.96
Albumin serum (82040) $26.02
Alcohol (82077) $125
Aldolase (82085) $46.80
Aldosterone (82088) $199.13
Alkaline phosphatase (84075) $21.48
Alkaline phosphatase isoenzymes (84080) $73.04
Allergen profile perennial allergen (86003) $17.72
Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient (86005) $74.18
Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) $63.26
Alpha 2 antiplasmin (85410) $122.71
Alpha-1-antitrypsin (82103) $64.66
Alpha-1-antitrypsin phenotype (82104) $68.56
Alpha-fetoprotein amniotic (82106) $57.93
Alpha-fetoprotein serum (82105) $104.96
Alt (84460) $26.17
Aluminum (82108) $781.22
Alzheimer disease eval tau total csf (84394) $995
Amikacin level (80150) $40.10
Amino acid screen urine (82128) $230.58
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $223.84
Amino acids; single, quantitative, each specimen Other Outpatient (82131) $548.81
Aminolevulinic acid delta (82135) $206.82
Ammonia (82140) $97.44
Amniotic fluid scan (82143) $115.61
Amylase (82150) $50.29
Ana (86038) $93.85
Ana titer (86039) $44.47
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $43.28
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $71.39
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $89.69
Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) $54.74
Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) $137.61
Analysis for antibody to Neisseria meningitidis (bacterial meningitis) (86741) $241.49
Androstenedione (82157) $63.95
Angiotensin converting enzyme (82164) $68.63
Anti-DNA (single-stranded) antibodies, quantitative, igg labcorp slc 161422 (86226) $901.65
Anti-mitochondrial antibody (86255) $166.25
Anti-phosphatidylserine antibody (86148) $42.81
Antibody identification platelet antibodies (86022) $244.63
Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) $77.28
Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry);… (86828) $840
Antibody west nile virus igm (86788) $56.84
Antibody; Helicobacter pylori (86677) $157.15
Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) $251.80
Antineutrophil cytoplasmic antb screen ea antb (86036) $42.11
Antistreptolysin o screen (86063) $19.95
Antistreptolysin o titer (86060) $24.52
Antithrombin iii activity (85300) $66.08
Antithrombin iii antigen (85301) $37.35
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) $700
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) $88
Aspergillus antibody (86606) $57.38
Aspergillus antigen (87305) $60.88
Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) $44.21
Assay anti-mullerian horm (82166) $150
Assay myeloperoxidase (83876) $142.33
Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) $60.55
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) $167.88
Assay of vitamin b-2 (84252) $115.33
Assay of vitamin not otherwise specified (84591) $279.80
Ast (84450) $23.88
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81175) $2,536.88
Autoimmune rheumatoid arthr (81490) $3,068.25
B cells total count (86355) $176.85
Bacterium antibody (86609) $366.01
Bartonella antibody (86611) $43.25
Basic metabolic panel calcium ionized (80047) $75.40
Bcr/abl 1 gene other bp (81208) $571.92
Bcr/abl1 gene major bp (81206) $616.35
Bcr/abl1 gene minor bp (81207) $515.40
Beta 2 glycoprotein i antibody (86146) $86.36
Beta lactamase (87185) $39.92
Beta-2 microglobulin (82232) $86.12
Beta-amyloid 1-42 (abeta 42) (82234) $995
Bile acids total (82239) $56.22
Bilirubin direct (82248) $30.10
Bilirubin total (82247) $24.88
Bilirubin total transcutaneous (88720) $171.55
Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) $213.09
Biotinidase (82261) $61.16
Blastomyces antibody (86612) $36.52
Bld count smear mcrscp w/o mnl difrntl wbc count (85008) $14.25
Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease,… (86078) $253.85
Blood clot lysis time (85175) $81.35
Blood count leukocyte wbc automated (85048) $18.90
Blood count reticulocyte automated (85045) $30.85
Blood count; red blood cell (RBC), automated Other Outpatient (85041) $11.95
Blood gases any combination (82803) $148.95
Blood gases ph only (82800) $56.75
Blood gases w/o2 saturation (82805) $253.85
Blood typing rbc antigens (86905) $596.63
Blood typing serologic abo (86900) $27.74
Blood typing serologic rh (d) (86901) $27.74
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) $524.46
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) $54.92
Bone marrow smear interpretation (85097) $1,876.64
Bordetella pertussis igm (86615) $78
Braf gene (81210) $621.60
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $5,993.73
Breath alcohol test (82075) $100.05
Brucella antibody (86622) $32.98
C diff amplified probe (87493) $526.32
C-peptide (84681) $68.41
C-reactive protein (86140) $90.61
C-reactive protein high sensitivity (86141) $62.96
C2 complement functional (86161) $67.10
Ca 125 (86304) $129.59
Ca 15-3 (86300) $103.60
Cadmium (82300) $79.97
Calcitonin (82308) $102.16
Calcium ionized (82330) $120.05
Calcium total (82310) $28.48
Calcium, random urine (82340) $37.13
Calculus; quantitative analysis, chemical Other Outpatient (82360) $225.17
Calprotectin fecal (83993) $154.62
Calr gene com variants (81219) $420.14
Campylobacter antibody (86625) $509.75
Cancer antigen 19-9 (86301) $129.50
Candida antibody (86628) $34.07
Candida DNA amp probe (87481) $256.99
Car ion chnnlpath inc 2 gns (81414) $1,754.70
Carbamazepine total (80156) $131.74
Carbamazepine; -10,11-epoxide Other Outpatient (80161) $77.06
Carbohydrate deficient transferrin (82373) $479.35
Carbon dioxide (82374) $19.30
Carbon monoxide (82375) $67.92
Cardiolipin antibody ea ig class (86147) $121.11
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $173.21
Carotene (82380) $31.87
Casein igg (86001) $40.71
Catecholamines (organic nitrogen) urine level (82382) $76.36
Catecholamines fractionated (82384) $121.10
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) $154.34
Cea (82378) $147.15
Cebpa gene full sequence (81218) $710.55
Cell count body fluid (89050) $25.72
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $49.15
Cell enumeration & id (86152) $1,062.72
Cell function assay w/stim (86352) $356.12
Ceruloplasmin (82390) $49.64
CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T… (81224) $199.07
Cftr gene com variants (81220) $1,557.36
Cftr gene dup/delet variants (81222) $1,211.05
Cftr gene full sequence (81223) $2,311.28
Cftr gene known fam variants (81221) $164.04
Chemiluminescent assay (82397) $53.85
Chg fresh frozen plasma thawing each unit (86927) $468.35
Chimerism anal no cell selec (81267) $925.20
Chlamydia antibody (86631) $67.54
Chlamydia antibody igm (86632) $135.12
Chlamydia culture (87110) $67.67
Chlamydia pneumoniae PCR (87486) $118.24
Chlamydia trachomatis ag if (87270) $307.58
Chloride blood (82435) $26.35
Chloride other source (82438) $138.42
Chloride urine (82436) $30.85
Chlorinated hydrocarbons screen (82441) $366
Cholesterol total (82465) $22.98
Cholinesterase rbc (82482) $309.99
Cholinesterase serum (82480) $495.04
Chorionic gonadotropin test (84702) $97.40
Chrmsm count 45 cell mosaicism 2karyotype (88263) $790.10
Chromium (82495) $77.31
Chromogenic substrate assay (85130) $710.15
Chromogranin a (86316) $97.88
Chromosome analys amniotic (88269) $1,324.94
Chromosome analysis 15-20 cells (88262) $430.54
Chromosome analysis 20-25 cells (88264) $724.56
Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) $519.50
Chromosome analysis for genetic defects, additional cells counted, each study (88285) $75.30
Chromosome analysis for genetic defects, additional high resolution study (88289) $565.43
Chromosome analysis for genetic defects, additional karyotypes, each study (88280) $133.98
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) $205.80
Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) $1,109.98
Citrate (82507) $91.34
Ck mb fraction (82553) $76.69
Clostridium ag eia (87324) $65.90
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) $40.10
Clotting funct activity (85397) $82.13
Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) $75.36
Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) $225.59
Cmv antibody (86644) $68.55
Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) $1,189.89
Coagulation time activated (85347) $32.95
Coccidioides antibody (86635) $241.53
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $96.44
Cold agglutinin screen (86156) $314.57
Cold agglutinins titer (86157) $53.50
Collagen cross links (82523) $87.81
Compatibility each unit electronic (86923) $267.20
Complement antigen ea component (86160) $71.40
Complement total (ch50) (86162) $73.95
Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) $665.41
Coombs test indirect titer (86886) $474.16
Copper (82525) $59.35
Cortisol free (82530) $52.23
Cortisol saliva (82533) $126.54
COVID-19 antibody (86769) $81.21
Coxsackie a9 virus antibody (86658) $128.82
Creatine kinase isoenzymes (82552) $116.99
Creatine kinase total (82550) $46.84
Creatinine (82565) $27.55
Creatinine clearance (82575) $62.20
Creatinine other source (82570) $40.20
Crossmatch ahg (86922) $880.28
Cryofibrinogen (82585) $37.68
Cryoglobulins (82595) $31.98
Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) $36.56
Cryptococcal antigen (87327) $64.04
Cryptococcus antibody (86641) $49.80
Cryptosporidium ag eia (87328) $76.83
Cryptosporidium ag if (87272) $125.15
Crystals fluid (89060) $52.99
Culture anaerobic (87075) $63.86
Culture blood (87040) $205.34
Culture fungus blood (87103) $81.88
Culture mycoplasma (87109) $114.59
Culture stool (87045) $53.90
Culture typing glc/hplc (87143) $76.16
Culture typing if ea antiserum (87140) $141.62
Culture urine (87086) $39.21
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $62.72
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $127.52
Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) $60.20
Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) $698.95
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $149.71
Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) $328.78
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) $66.81
Cyanide (82600) $696.64
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Other Outpatient (82608) $210.94
Cyclic citrullinated peptide ab (86200) $82.28
Cyclosporine (80158) $115.38
Cyp2c19 gene analysis common variants (81225) $874.10
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) $72.35
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) $120.29
Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for… (81228) $2,752.14
Cytogenomic neoplasia microarray analysis (81277) $3,547.21
Cytomeg DNA amp probe (87496) $172.71
Cytomegalovirus antibody igm (86645) $76.01
Cytopath cell enhance tech (88112) $179.13
Cytopath tbs c/v manual (88164) $41.02
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) $91.06
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $199.38
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) $295.01
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) $90.98
Cytopathology, smears, any other source; screening and interpretation (88160) $74.82
Cytp eval fine needle aspirate interp & report (88173) $223.66
Cytp urine 3-5 probes cmptr (88121) $635.75
Cytp urne 3-5 probes ea spec (88120) $623
D-dimer quantitative (85379) $100.57
Deoxycortisol (82634) $92.25
Deoxyribonuclease antibody (86215) $46.46
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $65.90
Desoxycorticosterone (82633) $264.52
Dhea (82626) $96.63
Dhea sulfate (82627) $91.15
Dibucaine number (82638) $175.39
Digoxin (80162) $80.20
Dihydrotestosterone (82642) $115.29
Diphtheria antibody (86648) $52.51
Direct antiglobulin test (86880) $59.80
DNA/RNA amplified probe (87150) $97.20
DNA/RNA sequencing (87153) $358.63
Dpyd gene analysis common variants (81232) $610.93
Drug assay adalimumab (80145) $572.93
Drug assay amiodarone (80151) $54.74
Drug assay felbamate (80167) $67.62
Drug assay flecainide (80181) $100.13
Drug assay infliximab (80230) $572.93
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) $129.50
Drug screen quant clozapine (80159) $60.57
Drug screen quant everolimus (80169) $266.88
Drug screen quant gabapentin (80171) $60.63
Drug screen quant levetiracetam (80177) $53.78
Drug screen quant mycophenolate (80180) $63.95
Drug screen quant zonisamide (80203) $52.49
Drug screen quantitative oxcarbazepine (80183) $83.88
Drug test prsmv chem anlyzr (80307) $244.33
Drug test prsmv dir opt obs (80305) $255.03
Drug test prsmv instrmnt (80306) $189.86
Ear culture (87070) $75.65
Egfr gene analysis common variants (81235) $1,039.48
Ehrlichia antibody (86666) $31.98
Elastase pancreatic fecal quantitative (82653) $180.64
Electrolytes panel (80051) $61.55
Electron microscopy diagnostic (88348) $1,439.20
Electrophoretic test (82664) $174.90
Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) $137.61
Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) $150.28
Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) $150.28
Endomysial antibody each immunoglobulin class (86231) $128.08
Enterovirus by PCR (87498) $121.25
Enzyme cell activity ra (82658) $928.39
Enzyme histochemistry (88319) $2,035.30
Eosinophils urine (87205) $30.72
Erythropoietin (82668) $88.78
Estradiol (82670) $138.38
Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient (82681) $369
Estriol (82677) $83.53
Estrogen fractionated (82671) $89.46
Estrogens total (82672) $241.85
Estrone (82679) $87.19
Ethosuximide (80168) $45.39
Ethylene glycol (82693) $96.06
Euglobulin lysis (85360) $297.80
Eval amniotic fluid protein (84112) $166.75
Exhaled breath condensate (83987) $135.25
Extractable nuclear antigen antibody any method (86235) $84.25
F2 gene analysis (81240) $174.78
F5 gene (81241) $200.73
Factor ii activity (85210) $47.05
Factor inhibitor test (85335) $44.47
Factor ix activity (85250) $69.02
Factor v activity (85220) $64.09
Factor vii activity (85230) $58.80
Factor viii activity (85240) $99.92
Factor viii vw antigen (85246) $107.81
Factor x (stuart-prower) (85260) $88.48
Factor xi activity (85270) $61.84
Factor xii (hageman) (85280) $66.84
Fat stain (89125) $81.28
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $55.17
Fatty acids nonesterified (82725) $211.83
Fbrnlyc factors&inhibitors plsmng activator (85415) $171.44
Fecal fat qualitative (82705) $48.10
Ferritin (82728) $92.30
Fetal aneuploidy trisom risk (81507) $2,374
Fetal chrmoml microdeltj (81422) $4,897.76
Fetal chromosomal aneuploidy genomic seq analys (81420) $2,022.56
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $199.95
Fetal fibronectin (82731) $220.04
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) $27.80
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) $31.40
Fetal lung maturity assessment; fluorescence polarization Other Outpatient (83663) $65.34
Fetal lung maturity assessment; lamellar body density Other Outpatient (83664) $108.21
Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Other Outpatient (83661) $75.95
Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) $43.70
Fibrin split products (85362) $106.94
Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) $214.06
Fibrinogen antigen (85385) $127.12
Fibrinogen, activity (85384) $70.82
Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) $54.16
Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Other Outpatient (85421) $762.74
Flow cytometry first marker (88184) $495.94
Flt3 gene analysis (81246) $290.07
Flt3 gene analysis internal tandem dup variants (81245) $496.53
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) $249
Folate serum (82746) $153.72
Folic acid rbc (82747) $67.31
Follicle stimulating hormone (fsh) (83001) $116.56
Forensic (investigation) examination of specimen (88125) $144.36
Francisella tularensis ab (86668) $53.30
Fructosamine (82985) $63.91
Ftl cgen abnor four anal (81511) $429.49
Fungus isolation culture (87102) $99.83
Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) $423.02
Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) $294.52
Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) $33.38
Galectin-3 (82777) $303
Gamma glutamyl transferase (82977) $55.90
Gammaglobulin ige (82785) $60.12
Gardnerella vaginalis amp probe (87511) $93.66
Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) $34.40
Gastrin (82941) $82.88
Gba gene (81251) $1,301.59
Genet virus isolate hsv (87255) $103.53
Genetic testing for severe inherited conditions (81443) $7,345.70
Genotype cytomegalovirus (87910) $1,643.10
Genotype DNA hepatitis b (87912) $777.79
Genotype DNA HIV reverse t (87901) $823.41
Genotype DNA/RNA HIV (87906) $449.87
Gentamicin (80170) $52.18
Giardia antigen (87329) $66.82
Giardia lamblia antibody (86674) $50.85
Gjb2 gene full sequence (81252) $652.46
Gjb2 gene known fam variants (81253) $485.93
Gjb6 gene com variants (81254) $485.93
Gliadin antibody each immunoglobulin class (86258) $50.37
Glucagon (82943) $79.33
Glucose Fasting (82947) $19.50
Glucose other fluid (82945) $30.52
Glucose post glucose dose (82950) $19.65
Glucose tolerance test (gtt) (82951) $50.80
Glucose-6-pd (82955) $47.91
Glutathione (82978) $140.19
Glycated hemoglobin (83036) $75.38
Growth hormone (hgh) (83003) $44.99
Gtt-added samples (82952) $15.50
H pylori breath test (83013) $220.28
H pylori stool (87338) $104.45
Haloperidol (80173) $291.42
Haptoglobin (83010) $77.38
Hba1/hba2 full gene sequence (81259) $2,358.98
Hba1/hba2 gene (81257) $286.14
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) $58.73
Hcg free betachain test (84704) $37.31
Hcg ql (84703) $46.72
HDL cholesterol (83718) $49.90
Heavy metal quan each nes (83018) $83.73
Hematocrit (hct) (85014) $20.80
Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) $2,120
Hemoglobin (85018) $20.80
Hemoglobin electrophoresis (83020) $66.75
Hemoglobin fetal ql (83033) $99.14
Hemoglobin fractj/quantj chromotography (83021) $109.79
Hemoglobin plasma (83051) $37.08
Hemoglobin stability screen (83068) $29.23
Hemolysin acid (85475) $314.57
Hemolysins and agglutinins; incubated Other Outpatient (86941) $138.08
Hemosiderin qual (83070) $100.91
Hep a ab total (86708) $51.35
Heparin assay (85520) $114.85
Heparin neutralization (85525) $41.28
Heparin-protamine tolerance test Other Outpatient (85530) $96.85
Hepatitis a antibody igm (86709) $159.60
Hepatitis b core antibody igm (86705) $230.70
Hepatitis b core antibody total (86704) $75.70
Hepatitis b DNA quant (87517) $247.70
Hepatitis b surface ab (86706) $76.86
Hepatitis b surface antigen (87340) $80.22
Hepatitis be antibody (86707) $30.75
Hepatitis be antigen (87350) $41.85
Hepatitis c antibody (86803) $110.75
Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) $53.54
Hepatitis c genotype (87902) $845.61
Hepatitis c RNA quantitative (87522) $210.48
Hepatitis delta antibody (86692) $85.80
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) $4,213.50
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) $71.16
Herpes simplex virus by PCR (87529) $235.76
Heterophile antibody screen (86308) $20.28
Hexagonal phospholipid neutralization (85598) $59.02
Hfe gene (81256) $216.37
Hhv-6 DNA amp probe (87532) $153.17
Histamine (83088) $452.09
Histoplasma antibody (86698) $61.79
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $148.72
HIV-1 antibody (86701) $33.04
Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) $84.54
HIV-2 antibody (86702) $44.38
Hla b27 (86812) $94.54
Hla class i high defin qual (86832) $1,177.92
Hla class i phenotype qual (86830) $749.66
Hla class i semiquant panel (86834) $3,319.34
HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) $365.42
Hla class i/ii antibody qual (86829) $277.70
Hla class ii high defin qual (86833) $1,070.93
Hla class ii phenotype qual (86831) $642.24
Hla class ii semiquant panel (86835) $2,998.51
Hla i typing 1 allele hr (81381) $639.55
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) $290.81
Hla ii typing 1 loc hr (81382) $432.26
Hla ii typing 1 locus lr (81376) $401.46
Hla typing a/b/c multiple antigens (86813) $1,798.63
Homocysteine level (83090) $86.67
Homogenization tissue (87176) $263.92
Homovanillic acid urine (83150) $59.72
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) $136.07
Hrdtry brst ca-rlatd dsordrs (81432) $1,779.85
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) $66.88
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) $448.21
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution… (86825) $1,356.41
Hydroxychloroquine (80220) $756.90
Iaad ia severe aqt respir synd coronavirus (87426) $66.15
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) $409.80
Iadna-DNA/RNA probe tq 12-25 (87507) $1,657.13
Idh1 common variants (81120) $540.71
Idh2 common variants (81121) $540.71
Igg subclass 1 (82787) $31.65
Igh gene rearrang dir probe (81262) $204.75
Igh gene rearrange amp meth (81261) $553.53
Igh vari regional mutation (81263) $965.55
IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis,… (81264) $712.06
Ikbkap gene (81260) $1,301.59
Immune complex assay (86332) $203.22
Immunoassay analyte quantitative nos (83520) $131.44
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) $116.39
Immunoassay infectious agent antibody quan nos (86317) $242.93
Immunodiffusion ouchterlony (86331) $76.25
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Other Outpatient (86325) $175.10
Immunofixation electrophoresis (86334) $107.18
Immunofixation urine (86335) $140.74
Immunofluor antb 1st stain (88346) $505.72
Immunoglobulin d (82784) $62.78
Immunoglobulin light chains free each (83521) $60.37
Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) $602.79
Immunoperoxidase (88342) $451.35
In situ hybridization 1st probe stain (88365) $354.34
In situ hybridization ea multiplex probe stain (88366) $1,249.67
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) $49.07
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) $261.66
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $128.96
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87301) $357.73
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) $117.85
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) $81.50
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $208.39
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) $97.94
Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) $79.56
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $318.94
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) $290.27
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) $191.86
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) $191.34
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $197.78
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) $155.13
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) $197.83
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) $426.95
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) $566.74
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) $177.26
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) $257.32
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Other Outpatient (87590) $75.21
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) $302.45
Influenza antibody (86710) $192
Influenza assay w/optic (87804) $95.85
Influenza DNA amp probe (87502) $251.32
Inhibin a (86336) $77.04
Insulin antibody (86337) $57.05
Insulin free (83527) $34.51
Insulin total (83525) $51.47
Intrinsic factor antibody (86340) $76.25
Iron (83540) $50.20
Iron binding capacity (83550) $65.54
Irradiation of blood product, each unit (86945) $86.40
Islet cell antibody (86341) $93
Jak2 gene (81270) $345.87
Jak2 gene trgt sequence alys (81279) $740.80
John cunningham antibody (86711) $112.48
Ketogenic steroids, fractionation Other Outpatient (83582) $386.44
Kit gene analys d816 variant (81273) $978.54
Kit gene targeted seq analys (81272) $916.35
Koh prep (87220) $16.05
Kras gene (81275) $530.68
Kras gene addl variants (81276) $477.80
Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) $105.49
Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) $90.98
Lacosamide (80235) $237.16
Lactate (83605) $101.50
Lactate dehydrogenase (83615) $31.27
Lactoferrin fecal (qual) (83630) $124.70
Lamotrigine (80175) $43.95
Ldh isoenzymes (83625) $55.17
LDL direct (83721) $174.80
Lead (83655) $44.99
Leflunomide (80193) $229.75
Legion pneumo DNA amp prob (87541) $168.02
Legionella antibody (86713) $132.14
Legionella culture (87081) $58.20
Legionella urine antigen (87449) $87.30
Leptospira antibody (86720) $43.19
Leucine aminopeptidase (83670) $127.72
Leukocyte alkaline phosphatase (85540) $29.73
Leukocyte antibody id (86021) $386.57
Leukocyte assessment fecal (89055) $17.86
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $89.59
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $223.66
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $230
Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) $783.41
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $1,565.71
Lidocaine (80176) $50.76
Lipase (83690) $53.48
Lipopro bld electrophoretic (83700) $38.91
Lipoprotein (a) (83695) $63.98
Lipoprotein bld by nmr (83704) $91.11
Lipoprotein bld hr fraction (83701) $94.73
Lipoprotein-associated phospholipase a2 (83698) $177.83
Lithium (80178) $61.95
Luteinizing hormone (lh) (83002) $103.02
Lyme disease antibody (86617) $52.24
Lyme disease antibody (86618) $80
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) $776.50
M/phmtrc alys ishquant/semiq (88377) $1,092.66
Macroscopic exam parasite (87169) $65.10
Magnesium (83735) $45.23
Malaria smear (87207) $60.30
Manganese (83785) $71.03
Manual differential (85007) $21.52
Maternal serum screening, integrated, specimen #1, papp-a, nt arup 3000147 (84163) $135
Meat fibers, feces Other Outpatient (89160) $60.72
Mercury (83825) $74.98
Metanephrines (83835) $73.69
Methemoglobin quant (83050) $48.36
Methylmalonic acid serum (83921) $82.54
Mgmt methylation analysis (81287) $290.30
Microalbumin urine (82043) $44.85
Microsatellite instability analysis (81301) $928.83
Mitochondrial antibody each (86381) $111.18
Mlh1 gene analysis promoter methylation analysis (81288) $967.84
Mlh1 gene dup/delete variant (81294) $618.93
Mlh1 gene full seq (81292) $2,065.33
Mlh1 gene known variants (81293) $593.89
Mog-igg1 antb flo cytmtry ea (86363) $256.69
Mog-igg1 antibody cell-based imfluor assay each (86362) $380.06
Mold id (87107) $65.28
Molecular cytogenetics DNA probe each (88271) $757.13
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) $545.54
Mononuclear cell antigen (86356) $423.03
Mopath procedure level 1 (81400) $170.44
Mopath procedure level 2 (81401) $383.32
Mopath procedure level 3 (81402) $1,078.24
Mopath procedure level 4 (81403) $1,250.50
Mopath procedure level 5 (81404) $1,281
Mopath procedure level 6 (81405) $1,332.39
Mopath procedure level 7 (81406) $1,417.50
Mopath procedure level 8 (81407) $2,185.11
Mopath procedure level 9 (81408) $5,242.18
Morphometric analysis tumor (88358) $776.50
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) $728.15
Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) $385.04
Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) $451.35
Mpl gene analysis common variants (81338) $1,135.80
Mpl gene seq alys exon 10 (81339) $660.51
Mrsa PCR (87641) $349.48
Msh2 gene dup/delete variant (81297) $652.26
Msh2 gene full seq (81295) $1,167.21
Msh2 gene known variants (81296) $499.42
Msh6 gene dup/delete variant (81300) $727.79
Msh6 gene full seq (81298) $1,962.74
Mtb rifampin rst amp prb tq (87564) $480
Mthfr gene (81291) $173.82
Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (83864) $308.33
Mumps antibody (86735) $53.26
Muramidase (85549) $60.68
Muscle-specific kinase antb (86366) $885
Mycobacteria DNA amp probe (87551) $168.58
Mycoplasma antibody (86738) $45.72
Mycoplasma pneumoniae by PCR (87581) $120.23
Myd88 gene p.leu265pro vrnt (81305) $875.65
Myelin associated glycoprotein (mag) antibody (83516) $64.88
Myelin basic protein (83873) $77.92
Myoglobin (83874) $46.54
N.gonorrhoeae DNA amp prob (87591) $185.18
Nasal smear for eosinophils (89190) $16.41
Natriuretic peptide (83880) $239.68
Nephelometry ea analyte (83883) $76.50
Neutralization test viral (86382) $173.21
Nfct ds bv RNA vag flu alg (81513) $534.86
Nfct ds bv&vaginitis DNA alg (81515) $996.42
Nfct ds chrnc hcv 6 assays (81596) $608.67
Nk cells total count (86357) $186.48
Npm1 gene (81310) $706.08
Nras gene variants exon 2&3 (81311) $1,037.30
Ntrk translocation analysis (81194) $905.64
Nucleotidase 5 (83915) $193.75
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) $1,043.29
Occult bld feces 1-3 tests (82272) $14.58
Occult blood other sources (82271) $16.20
Occult blood screening (82270) $22.70
Oligoclonal bands (83916) $107.85
Oncology breast mrna (81519) $10,151.47
Oncology prostate prob score (81539) $2,269
Oncoprotein dcp (83951) $300
Organic acids qual each (83919) $273.24
Organic acids total quant (83918) $301.12
Orthopoxvirus amp prb each (87593) $480.62
Osmolality serum (83930) $43.12
Osmolality urine (83935) $65.92
Osmotic fragility rbc unincubated (85555) $404.30
Osteocalcin (83937) $249.18
Ova and parasite exam (87177) $53.62
Ovulation tests, by visual color comparison methods for human luteinizing hormone Other Outpatient (84830) $38.10
Oxalate urine (83945) $42.29
Pancreatic elastase fecal (82656) $37.87
Pancreatic polypeptide (83519) $73.66
Parathyroid hormone (83970) $237.35
Particle agglut antbdy titr arup to palo alto medical foundation (86406) $44
Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) $49.14
Parvovirus antibody (86747) $74.29
Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) $602.79
Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) $1,266.10
Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) $648.82
Pathology examination of specimen during surgery (88329) $88.97
Pca3/klk3 antigen (81313) $761.32
PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene… (81314) $906.85
Pertussis by PCR (87798) $202.88
Ph body fluid (83986) $32.85
Phenobarbital (80184) $74.60
Phenotype infect agent drug (87900) $455.55
Phenytoin (dilantin) free (80186) $43.64
Phenytoin level total (80185) $69.53
Phosphatidylglycerol (84081) $826.73
Phosphorus (84100) $30.10
Phosphorus urine (84105) $20.01
Pik3ca gene trgt seq alys (81309) $732.36
Pinworm exam (87172) $43.34
Plasminogen activity (85420) $22.54
Platelet aggregation ea agent (85576) $510.79
Platelet count automated (85049) $35.80
Platelet neutralization (85597) $59.02
Pml/raralpha com breakpoints (81315) $871.38
Pmp22 gene dup/delet (81324) $982.90
Pmp22 gene full sequence (81325) $1,923.95
Pmp22 gene known fam variant (81326) $485.93
Pms2 gene dup/delet variants (81319) $622.29
Pms2 gene full seq analysis (81317) $2,068.69
Pneumcysts jirovecii amp prb (87594) $600
Porphobilinogen urine (84110) $29.14
Porphyrins total plasma (84311) $53.29
Porphyrins urine quantitation & fractionation (84120) $50.81
Posaconazole (80187) $153.06
Potassium (84132) $41.75
Potassium urine (84133) $34
Prealbumin (84134) $138.94
Pregnenolone (84140) $78.81
Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) $210.30
Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) $178.28
Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with inhibitors (86977) $275.08
Primidone (80188) $57.31
Procainamide; with metabolites (eg, n-acetyl procainamide) Other Outpatient (80192) $300.64
Procalcitonin (pct) (84145) $381.20
Progesterone (84144) $116.56
Progesterone (reproductive hormone) receptor analysis (84234) $224.10
Proinsulin (84206) $85.75
Prolactin (84146) $150.42
Prostaglandin (84150) $851.85
Prostatic acid phosphatase (84066) $152.58
Protein c activity (85303) $65.29
Protein c antigen (85302) $39.45
Protein electrophoresis serum (84165) $83.42
Protein electrophoresis urine (84166) $85.25
Protein s antigen, free (85306) $72.29
Protein total other source (84157) $31.05
Protein total serum (84155) $27.18
Protein total urine (84156) $28.48
Protein western blot (84181) $58.80
Protein, total, by refractometry, any source Other Outpatient (84160) $14.94
Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) $77.05
Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) $18.50
Protoporphyrin, RBC; screen Other Outpatient (84203) $38.46
Protozoa antibody nos (86753) $40.85
PSA free (84154) $88.50
Pten gene dup/delet variant (81323) $917.38
Pten gene full sequence (81321) $1,834.76
Pten gene known fam variant (81322) $485.93
Pyruvate (84210) $122.31
Pyruvate kinase (84220) $105
Q fever antibody (86638) $101.26
Quinidine (80194) $50.46
Rbc antibody elution (86860) $397.40
Rbc antibody identification (86870) $865.46
Rbc antibody screen (86850) $68.19
Receptor assay non-endocrine specify receptor (84238) $169.50
Receptor assay; estrogen Other Outpatient (84233) $245.88
Reducing substances fecal (84376) $36.11
Ref john hopkins telomere length measurement flow cytometry and fish (88182) $162.64
Ref labcorp, 451840, titrate resistant acid phosphate (trap) (84060) $484.77
Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) $92.52
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $62.19
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $82.91
Renin (84244) $85.84
Reptilase test (85635) $32.33
Resp virus 12-25 targets (87633) $1,452.80
Resp virus 3-5 targets (87631) $330.43
Resp virus 6-11 targets (87632) $381.18
Respiratory syncytial vi (87280) $47.30
Reticulated platelet assay (85055) $154.37
Reticyte/hgb concentrate (85046) $44.65
Rh phenotyping complete (86906) $198.15
Rheumatoid factor (86430) $55.80
Rheumatoid factor quant (86431) $43.98
Rickettsia antibody (86757) $51.55
Ristocetin cofactor (85245) $113.38
Rl immediate spin crossmatch (86920) $339.89
Rotavirus ag eia (87425) $46.58
Rpr qual (86592) $28.80
Rpr titer (86593) $21.79
Rsv DNA/RNA amp probe (87634) $280.35
Rubella antibody (86762) $93.10
Rubeola antibody (86765) $63.66
Russell viper venom diluted (85613) $45
Russell viper venom time (includes venom); undiluted Other Outpatient (85612) $191.47
Salmonella typhi and paratyphi antibodies (86768) $63.58
Sedimentation rate rbc automated (85652) $20.05
Selenium (84255) $97.35
Semen analysis complete (89320) $44.59
Semen analysis post vasectomy (89321) $45.25
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Other Outpatient (89300) $30.75
Semen fructose (carbohydrate) level (82757) $387.13
Serotonin (84260) $118.19
Serpina1 gene (81332) $116.33
Serum bactericidal titer (87197) $520.46
Serum immunoelectrophoresis (86320) $83.73
Sex hormone binding globulin (84270) $86.18
Shiga-like toxin ag eia (87427) $66.56
Sialidase enzyme assay (87905) $105.63
Sickle cell screen (85660) $34.16
Sirolimus (80195) $64.56
Smear wet mount (87210) $17.80
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) $42.20
Sodium other source (84302) $30.24
Sodium urine (84300) $39.24
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) $69.85
Somatostatin (84307) $440.69
Special stains group i (88312) $154.61
Special stains group ii (88313) $113.24
Specific gravity except urine (84315) $10.50
Sperm antibodies (89325) $92.64
Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $122
Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) $296.65
Staph a DNA amp probe (87640) $212.53
Stone analysis (82365) $60.56
Str markers specimen anal (81265) $742.84
Strep a assay w/optic (87880) $89
Strep a DNA amp probe (87651) $146.85
Strep b DNA amp probe (87653) $134.68
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) $54.89
Surg path level 1 (88300) $87.37
Surgical pathology consultation and report on referred material requiring preparation of slides (88323) $144.36
Surgical pathology consultation and report on referred slides prepared elsewhere (88321) $116.35
Susceptibility mic per plate (87186) $48.69
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $134.75
Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) $182.40
Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) $160.15
Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) $658.42
Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient (87190) $46.31
T cells cd4 count (86361) $102.10
T3 free (84481) $128.72
T3 reverse (84482) $69.81
T3 uptake (84479) $23.95
T4 (thyroxine) total (84436) $42.68
Tacrolimus (80197) $106.60
Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) $995
Tb test cell immun measure (86480) $245.78
Tert gene targeted seq alys (81345) $647.23
Testosterone bioavailable (84410) $168.49
Testosterone free (84402) $92.84
Testosterone total (84403) $158.78
Tetanus antibody (86774) $51.11
Theophylline (80198) $43.06
Thiocyanate level (84430) $392.42
Thiopurine drug metabolites (83789) $82.63
Thiopurine metabolites (80299) $303.44
Thiopurine methyltransferase, rbc (82657) $363.52
Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) $152.90
Thrombin time plasma (85670) $32.12
Thromboplastin inhibition (circulating anticoagulant) measurement (85705) $210.37
Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) $30.38
Thyroglobulin (84432) $75.50
Thyroglobulin antibody (86800) $94.38
Thyroid peroxidase antibody (86376) $81.88
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $238.94
Thyroxine binding globulin (84442) $51.05
Thyroxine free (ft4) (84439) $56.04
Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) $23.46
Tissue culture bone marrow (88237) $624.23
Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) $508.71
Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) $1,267.45
Tissue culture lymphocyte (88230) $382.64
Tissue culture solid tumor (88239) $758.72
Tissue transglutaminase ea immunoglobulin class (86364) $60.46
Tobramycin (80200) $49.08
Topiramate (80201) $58.94
Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) $84.15
Toxoplasma antibody igg (86777) $54.88
Toxoplasma antibody igm (86778) $54.94
Tp53 gene analysis targeted sequence analysis (81352) $2,342.55
Tp53 gene full gene sequence (81351) $1,962.74
Tpmt gene com variants (81335) $640.50
Transferrin (84466) $74.63
TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal… (81340) $730.15
Treponema pallidum antibody (86780) $72.39
Trg gene rearrangement anal (81342) $1,377.56
Trichomonas vagin dir probe (87660) $162.94
Trichomonas vaginalis amplif (87661) $117.72
Trichrome stain (87209) $115.33
Triglycerides (84478) $40.36
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $88.22
Troponin t (84484) $77.96
Troponin, qualitative Other Outpatient (84512) $483.30
Trypsin; feces, qualitative Other Outpatient (84488) $76.06
Tularemia antibody (86000) $144.14
Tyrosine (84510) $191.08
Unlisted molecular pathology (81479) $5,040
Urea nitrogen clearance (84545) $40.15
Urea nitrogen quantitative (84520) $19.18
Urea nitrogen urine (84540) $48.23
Uric acid blood (84550) $30.65
Uric acid other source (84560) $42.43
Urinalysis auto w/micro (81001) $27.80
Urinalysis microscopic only (81015) $14.06
Urinalysis volume measure (81050) $36.80
Urinalysis; 2 or 3 glass test Other Outpatient (81020) $14.10
Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) $89.95
Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) $7.50
Urine bacteria culture (87088) $71
Urine porphyrins (metabolism substance) analysis (84119) $37.39
Urine Pregnancy Test POC (81025) $75.55
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $17.52
Valproic acid (80164) $278.06
Valproic acid (dipropylacetic acid); free (80165) $113.44
Vancomycin (80202) $143.74
Varicella zoster ag if (87290) $205.50
Varicella zoster antibody igg (86787) $86.93
Vasoactive intestinal peptide (vip) (84586) $101.68
Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) $117.25
Very long chain fatty acids (82726) $363.60
Viral culture non-respiratory (87252) $90.03
Virus antibody nos (86790) $193.44
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $91.50
Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) $90.03
Viscosity (85810) $44.50
Vitamin a (84590) $44.25
Vitamin b-12 (82607) $135.48
Vitamin b1 whole blood (84425) $99.75
Vitamin b6 (84207) $107.13
Vitamin c (82180) $80.06
Vitamin d 25 hydroxy (82306) $167.21
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $127.71
Vitamin e (84446) $70.13
Vitamin k1 (84597) $165.85
Vma (84585) $50.94
Volatiles (84600) $351.75
Voltage-gated calcium channel antibody each (86596) $128.61
Voriconazole (80285) $215.93
West nile virus antibody (86789) $48.60
Xm archive tissue molec anal (88363) $51.07
Yeast id (87106) $111.04
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) $44.89
Zinc (84630) $53.96
Zinc protoporphyrins (84202) $42.64