Lab & pathology prices at Intermountain Health Platte Valley Hospital

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

1015 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $127.71
17-Hydroxycorticosteroids (83491) $60.55
5 Hiaa (83497) $60.56
5 Nucleotidase (83915) $193.75
Abl1 gene (81170) $1,310.54
Acetaminophen level (80143) $128.06
Acetylcholine receptor (achr); blocking antibody (86042) $75
Acetylcholine receptor binding antibody (86041) $55.20
Acetylcholn Rcptr Modlg Antb (86043) $117
Acth stimulation panel adrenal (80400) $362.73
Actin smooth muscle antibody each (86015) $50.37
Activated protein c resistance (85307) $72
Acute hepatitis panel (80074) $368.62
Acylcarnitine Plasma (82017) $290.46
Adamts13 activity (85397) $82.13
Additional high resolution study (88289) $565.43
Adenovirus Ag Ia (87301) $357.73
Adenovirus antibody (86603) $42.45
Afb culture (87116) $83.85
Agglutinins febrile (86000) $144.14
Albumin Fluid (82042) $37.96
Albumin serum (82040) $26.02
Aldolase (82085) $46.80
Aldosterone urine (82088) $199.13
Alkaline phosphatase isoenzymes (84080) $73.04
Allerg sp igg quan or semiquan (86001) $40.71
Allergen specific ige (86003) $17.72
Allergen specific ige; qualitative, multiallergen screen (86005) $74.18
Allg Spec Ige Recomb Ea (86008) $63.26
Alpha-1-antitrypsin phenotype (82104) $68.56
Alpha-1-antitrypsin, total (82103) $64.66
Alpha-fetoprotein amniotic (82106) $57.93
Alpha-fetoprotein, serum (82105) $104.96
Alt (sgpt) (84460) $26.17
Aluminum (82108) $781.22
Amikacin trough (80150) $40.10
Amino acid screen urine (82128) $230.58
Amino acids 6/> amino acids quantitative ea spe (82139) $223.84
Amino Acids, Single Quantitation (82131) $548.81
Aminolevulinic acid (ala) (82135) $206.82
Ammonia (82140) $97.44
Amniotic fluid enzyme test (84081) $826.73
Amniotic fluid scan (82143) $115.61
Amylase urine (82150) $50.29
Ana Titer (86039) $44.47
Angiotensin i enzyme test (82164) $68.63
Anti-phosphatidylserine antibody (86148) $42.81
Antibody Absorption (86978) $178.28
Antibody aspergillus (86606) $57.38
Antibody coxiella burnetii q fever (86638) $101.26
Antibody cytomegalovirus cmv (86644) $68.55
Antibody cytomegalovirus cmv igm (86645) $76.01
Antibody Encephalitis Eastern Equine (86652) $137.61
Antibody Encephalitis St. Louis (86653) $150.28
Antibody epstein-barr eb virus early antigen ea (86663) $43.28
Antibody haemophilus influenza (86684) $54.74
Antibody helicobacter pylori (86677) $157.15
Antibody Herpes Smplx Non-Specific Type Test (86694) $71.16
Antibody herpes smplx type 1 (86695) $62.19
Antibody HIV-2 (86702) $44.38
Antibody hla class ii semiquantitative panel (86835) $2,998.51
Antibody identification (86870) $865.46
Antibody identification leukocyte antibodies (86021) $386.57
Antibody influenza virus (86710) $192
Antibody john cunningham virus (86711) $112.48
Antibody mumps (86735) $53.26
Antibody neisseria meningitidis (86741) $241.49
Antibody Protozoa Nes (86753) $40.85
Antibody rubeola (86765) $63.66
Antibody screen (86850) $68.19
Antibody treponema pallidum (86780) $72.39
Antibody; campylobacter (86625) $509.75
Antibody; Coccidioides (86635) $241.53
Antigen typing (86905) $596.63
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $474.16
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $42.11
Antinuclear antibodies (86038) $93.85
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $19.95
Antistreptolysin o titer (86060) $24.52
Antithrombin iii activity (85300) $66.08
Antithrombin iii antigen (85301) $37.35
Aortic dysfunction/dilation dup/del analysis (81411) $4,718.61
Aortic dysfunction/dilation genomic seq analysis (81410) $1,761.37
Apc gene analysis known familial variants (81202) $700
Apc gene dup/delet variants (81203) $1,050.88
Apc gene full sequence (81201) $2,058.95
Apolipoprotein b (82172) $51.71
Aquaporin-4 Antb Elisa (86051) $305.79
Aquaporin-4 antibody cell-based imfluor assay ea (86052) $309.64
Aquaporin-4 antibody flow cytometry each (86053) $256.69
Arsenic Urine (82175) $88
Aspergillus ag eia (87305) $60.88
Assay direct measurement free estradiol (82681) $369
Assay galactose transferase (82775) $294.52
Assay Lipoprotein Pla2 (83698) $177.83
Assay myeloperoxidase (83876) $142.33
Assay Nephelometry Not Spec (83883) $76.50
Assay of 17-hydroxypregnenolone (84143) $90
Assay of acth (82024) $182.49
Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) $125
Assay of androstenedione (82157) $63.95
Assay of anti-mullerian hormone (82166) $150
Assay of blood chloride (82435) $26.35
Assay of blood fatty acids (82725) $211.83
Assay of c-peptide (84681) $68.41
Assay of calcitonin (82308) $102.16
Assay of ceruloplasmin (82390) $49.64
Assay of cyclosporine (80158) $115.38
Assay of dibucaine number (82638) $175.39
Assay of erythropoietin (82668) $88.78
Assay of ethosuximide (80168) $45.39
Assay of ferritin (82728) $92.30
Assay of g6pd enzyme (82955) $47.91
Assay of gammaglobulin igm (82784) $62.78
Assay of gastrin (82941) $82.88
Assay of gentamicin (80170) $52.18
Assay of glucagon (82943) $79.33
Assay of homocystine (83090) $86.67
Assay of homovanillic acid (83150) $59.72
Assay of ketogenic steroids (83582) $386.44
Assay of lipoprotein(a) (83695) $63.98
Assay of manganese (83785) $71.03
Assay of metanephrines (83835) $73.69
Assay of osteocalcin (83937) $249.18
Assay of parathormone (83970) $237.35
Assay of phenobarbital (80184) $74.60
Assay of phosphatase acid total (84060) $484.77
Assay of prealbumin (84134) $138.94
Assay of procainamide (80190) $167.88
Assay of proinsulin (84206) $85.75
Assay of pyruvate (84210) $122.31
Assay of selenium (84255) $97.35
Assay of semen fructose (82757) $387.13
Assay of serotonin (84260) $118.19
Assay of somatomedin (84305) $69.85
Assay of tacrolimus (80197) $106.60
Assay of urine vma (84585) $50.94
Assay of vitamin k (84597) $165.85
Assay of volatiles (84600) $351.75
Assay Ph Body Fluid Nos (83986) $32.85
Assay Thiopurine S-Methyltransferase (84433) $152.90
Ast (sgot) (84450) $23.88
Asxl1 gene analysis full gene sequence (81175) $2,536.88
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $3,068.25
Automated rbc count (85041) $11.95
B cells total count (86355) $176.85
Bartonella antibody (86611) $43.25
Bcr/abl1 gene major bp (81206) $616.35
Bcr/abl1 gene minor bp (81207) $515.40
Beta 2 Glycoprotein I Antibody,Ea (86146) $86.36
Beta hydroxybutyrate (82010) $46.44
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
Biotinidase ea specimen (82261) $61.16
Bl Smear W/Diff Wbc Count (85007) $21.52
Bl Smear W/O Diff Wbc Count (85008) $14.25
Blastomyces antibody (86612) $36.52
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $253.85
Blood clot lysis time (85175) $81.35
Blood count reticulocyte automated (85045) $30.85
Blood gases (82803) $148.95
Blood gases w/02 saturation (82805) $253.85
Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) $34.40
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $54.92
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $22.70
Blood Ph - Ph Venous (82800) $56.75
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $524.46
Blood typing abo (86900) $27.74
Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) $321.50
Blood typing serologic rh (d) (86901) $27.74
Blood typing serologic rh phenotyping complete (86906) $198.15
Body fluid cell count (89051) $49.15
Body fluid cell count (89050) $25.72
Bone Marrow Smear Interpretation (85097) $1,876.64
Bordetella antibody (86615) $78
Braf gene (81210) $621.60
Brca1&2 seq & full dup/del (81162) $5,993.73
Breath Alcohol Test (82075) $100.05
Brucella antibody (86622) $32.98
C diff amplified probe (87493) $526.32
C-reactive protein (86140) $90.61
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $62.96
C1q binding assay (86332) $203.22
Ca 125 (86304) $129.59
Ca 19-9 (86301) $129.50
Ca 27 29 (86300) $103.60
Cadmium level (82300) $79.97
Caffeine (80155) $129.50
Calcium ionized (82330) $120.05
Calcium total (82310) $28.48
Calcium urine (82340) $37.13
Calculus Quantitative Chemical (82360) $225.17
Calculus Spectroscopy (82365) $60.56
California encephalitis ab (86651) $137.61
Calprotectin, fecal (83993) $154.62
Calr gene com variants (81219) $420.14
Candida antibody (86628) $34.07
Candida DNA dir probe (87480) $191.34
Car Ion Chnnlpath Inc 2 Gns (81414) $1,754.70
Carb deficient transferrin (82373) $479.35
Carbamazepine (tegretol) total (80156) $131.74
Carbon dioxide (82374) $19.30
Carboxyhemoglobin Quantitative (82375) $67.92
Carcinoembryonic antigen (82378) $147.15
Cardiolipin ab igg (86147) $121.11
Carnitine (82379) $173.21
Carotene (82380) $31.87
Catecholamines fraction plasma (82384) $121.10
Catecholamines Total Urine (82382) $76.36
Ccnd1/igh translocation alys (81168) $497.54
Cd4 absolute count (86361) $102.10
Cebpa gene full sequence (81218) $710.55
Cell Cryopreserve/Storage (88240) $36.56
Cell enumeration & id (86152) $1,062.72
Cell marker study (88182) $162.64
Cellular Function Assay Stimul&Detect Biomarker (86352) $356.12
Cftr gene analysis known familial variants (81221) $164.04
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 Intron Poly T (81224) $199.07
Chemical analysis for genetic disorder (82016) $480
Chemiluminescent assay (82397) $53.85
Chimerism w/comp to baseline w/o cell selection (81267) $925.20
Chlamydia antibody (86631) $67.54
Chlamydia Igm Antibody (86632) $135.12
Chlamydia trachomatis ag if (87270) $307.58
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
Chrmsm analysis addl cells counted each study (88285) $75.30
Chrmsm count 15-20 cll 2karyotyp banding (88262) $430.54
Chromium urine (82495) $77.31
Chromogenic substrate assay (85130) $710.15
Chromogranin a (86316) $97.88
Chromosome analys amniotic (88269) $1,324.94
Chromosome analysis 20-25 cells (88264) $724.56
Chromosome analysis 45 cells (88263) $790.10
Chromosome Analysis 5 (88261) $1,109.98
Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Other Outpatient (88245) $519.50
Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) $2,721.13
Chromosome banding study (88283) $205.80
Chromosome karyotype study (88280) $133.98
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $197.78
Citrate (82507) $91.34
Ck isoenzymes (82552) $116.99
Ckmb (82553) $76.69
Clot factor viii vw antigen (85246) $107.81
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $88.48
Clot factor xiii fibrin stab (85290) $534.61
Clozapine level (80159) $60.57
Cmv PCR (87496) $172.71
Cns DNA amp probe type 12-25 (87483) $1,189.89
Coagulation time activated (85347) $32.95
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $96.44
Cold agglutinin screen (86156) $314.57
Cold agglutinin titer (86157) $53.50
Collagen cross links (82523) $87.81
Comparative anal str markers patient&comp spec (81265) $742.84
Compatibility test antiglob (86922) $880.28
Complement c3 (86160) $71.40
Complement total ch50 (86162) $73.95
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $67.10
Comprehensive review of data (88325) $665.41
Concentration Infectious Agent (87015) $45.08
Coombs direct (86880) $59.80
Coombs Test Indirect Qual (86885) $251.80
Copper urine (82525) $59.35
Cortisol free (82530) $52.23
Cortisol total (82533) $126.54
Creatine kinase total (82550) $46.84
Creatinine blood (82565) $27.55
Creatinine clearance (82575) $62.20
Creatinine other source (82570) $40.20
Crossmatch immediate spin (86920) $339.89
Cryofibrinogen (82585) $37.68
Cryoglobulin (82595) $31.98
Cryptococcal Antigen (87327) $64.04
Cryptococcus antibody (86641) $49.80
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $127.52
Culture Aerobic Identify (87077) $62.72
Culture aerobic quant other (87071) $60.20
Culture anaerobic (87075) $63.86
Culture Bacteria Anaerobic (87073) $698.95
Culture blood (87040) $205.34
Culture chlamydia (87110) $67.67
Culture fungus blood (87103) $81.88
Culture fungus id yeast (87106) $111.04
Culture fungus other (87102) $99.83
Culture genital (87070) $75.65
Culture screen only (87081) $58.20
Culture stool (87045) $53.90
Culture typing if ea antiserum (87140) $141.62
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $66.81
Culture typing other methods (87158) $213.09
Culture Typing, Glc Method (87143) $76.16
Culture urine (87086) $39.21
Culture urine id ea isolate (87088) $71
Culture, typing; identification by pulse field gel typing Other Outpatient (87152) $315.46
Cultyp nucleic acid sequencing meth ea isolate (87153) $358.63
Cyanide (82600) $696.64
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $210.94
Cyclic Citrullinated Peptide (86200) $82.28
Cyp2c19 gene com variants (81225) $874.10
Cyp2c9 gene com variants (81227) $521.81
Cyp2d6 gene com variants (81226) $1,352.75
Cyp3a4 (81230) $524.45
Cyp3a5 (81231) $524.45
Cystatin c (82610) $72.35
Cytogen micrarray copy nmbr (81228) $2,752.14
Cytogenetics 10-30 (88273) $679.69
Cytogenetics DNA probe (88271) $757.13
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,450.36
Cytogenomic neoplasia microarray analysis (81277) $3,547.21
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $155.13
Cytopath cell enhance tech (88112) $179.13
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $90.98
Cytopath Smear Other Source (88160) $74.82
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… (88143) $200.30
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $199.38
Cytp concentration smears & interpretation (88108) $105.49
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $223.66
Cytp fna eval dx 1st each site (88172) $295.01
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $623
Cytp Slides C/V Mnl Scr Under Phys (88150) $41.02
Cytp slides cerv/vag mnl scrn physician supv (88164) $41.02
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $177.06
Cytp urine 3-5 probes cmptr (88121) $635.75
D-Dimer (85379) $100.57
D-Dimer (85378) $43.70
Deoxycortisol (82634) $92.25
Deoxyribonuclease antibody (86215) $46.46
Desoxycorticosterone (82633) $264.52
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $95.85
Detect agnt mult DNA ampli (87801) $318.94
Dhea (82626) $96.63
Dhea sulfate (82627) $91.15
Digoxin (80162) $80.20
Dihydrotestosterone (82642) $115.29
Dilantin (80185) $69.53
Diphtheria antitoxoid (86648) $52.51
Dipropylacetic acid free (80165) $113.44
Dna Antibody Single Stranded (86226) $901.65
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $65.90
Dna/Rna Amplified Probe (87150) $97.20
DNA/RNA direct probe (87149) $101.67
Dpyd gene common variants (81232) $610.93
Drug assay adalimumab (80145) $572.93
Drug Assay Amiodarone (80151) $54.74
Drug assay carbamazepine -10,11-epoxide (80161) $77.06
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 Lacosamide (80235) $237.16
Drug assay leflunomide (80193) $229.75
Drug assay methotrexate (80204) $249
Drug assay posaconazole (80187) $153.06
Drug assay vedolizumab (80280) $505.48
Drug assay voriconazole (80285) $215.93
Drug Screen Quant Gabapentin (80171) $60.63
Drug screen quant zonisamide (80203) $52.49
Drug Screen Quantitative Lamotrigine (80175) $43.95
Drug Scrn Quan Levetiracetam (80177) $53.78
Drug scrn quant oxcarbazepin (80183) $83.88
Drug test prsmv chem anlyzr (80307) $244.33
Drug Test Prsmv Dir Opt Obs (80305) $255.03
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $189.86
Ebv viral capsid (86665) $89.69
Echinococcus ab igg (86682) $182.54
Egfr Gene Analysis Common Variants (81235) $1,039.48
Ehrlichia antibody (86666) $31.98
Elastase pancreatic fecal quantitative (82653) $180.64
Electrolyte panel (80051) $61.55
Electron microscopy diagnostic (88348) $1,439.20
Electronic crossmatch (86923) $267.20
Electrophoretic Test - Immunofixation Electrophoresis (82664) $174.90
Encephalitis Western Equine (86654) $150.28
Endomysial Antibody Each Immunoglobulin Class (86231) $128.08
Endomysial antibody iga (86255) $166.25
Enterovirus antibody (86658) $128.82
Enterovirus Pcr (87498) $121.25
Enzyme activity radioactive (82658) $928.39
Enzyme cell activity (82657) $363.52
Enzyme histochemistry (88319) $2,035.30
Eosinophil count (85048) $18.90
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $71.39
Estradiol (82670) $138.38
Estriol (82677) $83.53
Estrogen fractionated (82671) $89.46
Estrogen receptor analysis (84233) $245.88
Estrogens total (82672) $241.85
Estrone (82679) $87.19
Ethylene glycol (82693) $96.06
Euglobulin lysis (85360) $297.80
Eval c/v amniotic fluid protein qual ea specimen (84112) $166.75
Everolimus (80169) $266.88
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $52.99
Examination of archival tissue for genetic analysis (88363) $51.07
Exhaled breath condensate (83987) $135.25
F2 gene analysis 20210g >a variant (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 assay (85230) $58.80
Factor viii ahg (85240) $99.92
Factor viii related antigen (85244) $70.53
Factor viii vw multimetric (85247) $75.36
Factor xi assay (85270) $61.84
Factor xii assay (85280) $66.84
Factor xiii solubility screen (85291) $225.59
Fat stain (89125) $81.28
Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) $122.71
Fecal fat qual (82705) $48.10
Fecal fat quant (82710) $55.17
Fetal aneuploidy trisom risk (81507) $2,374
Fetal bleed screen (85461) $31.40
Fetal chrmoml aneuploidy (81420) $2,022.56
Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) $4,897.76
Fetal congenital abnor assay three anal (81510) $199.95
Fetal fibronectin (82731) $220.04
Fetal lung maturity fluorescence polarization (83663) $65.34
Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) $214.06
Fibrin degradation products (85362) $106.94
Fibrinogen activity (85384) $70.82
Fibrinogen antigen (85385) $127.12
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $54.16
Fibrinolytic Plasminogen (85415) $171.44
Flow cytometry first marker (88184) $495.94
Flt3 gene analysis (81245) $496.53
Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) $290.07
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $92.52
Fmr1 gene charac alleles (81244) $570
Fmr1 gene detection (81243) $249
Folate serum (82746) $153.72
Folic acid rbc (82747) $67.31
Follicle Stimulating Hormone (83001) $116.56
Forensic (investigation) examination of specimen (88125) $144.36
Francisella Tularensis (86668) $53.30
Fresh frozen plasma thawing each unit (86927) $468.35
Frozen Section (88331) $648.82
Fructosamine (82985) $63.91
Ftl cgen abnor four anal (81511) $429.49
Fungus Identification, Mold - Fungal Identification, Mold (87107) $65.28
Galactose transferase test (82776) $33.38
Galectin-3 serum (82777) $303
Gammaglobulin ige (82785) $60.12
Gardner vag DNA dir probe (87510) $197.83
Gastric Occult Blood (82271) $16.20
Gba Gene (81251) $1,301.59
Gen seq analys hematolymphoid neo 5-50 gene (81450) $2,120
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $7,652.53
Gene rearrangement analysis immunoglobulin heavy chain locus (81262) $204.75
Genetic testing for severe inherited conditions (81443) $7,345.70
Genotype cytomegalovirus (87910) $1,643.10
Ggt (82977) $55.90
Giardia ag by if (87269) $91.97
Giardia antigen eia stool (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 analysis common vari (81254) $485.93
Gliadin antibody each immunoglobulin class (86258) $50.37
Glucose (82947) $19.50
Glucose body fluid (82945) $30.52
Glucose post dose (82950) $19.65
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $15.50
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $50.80
Glutathione (82978) $140.19
Growth hormone (83003) $44.99
Haloperidol (haldol) (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 dup/del vrnts (81269) $795.76
Hbb duplication/deletion variants (81363) $795.76
Hbb Full Gene Sequence (81364) $1,276.12
Hcg free betachain test (84704) $37.31
Hcg qualitative (84703) $46.72
Hcg quant (84702) $97.40
Hdl Cholesterol (83718) $49.90
Heavy metal quant each (83018) $83.73
Hematocrit (85014) $20.80
Hemoglobin (85018) $20.80
Hemoglobin a1c (83036) $75.38
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $109.79
Hemoglobin electrophoresis (83020) $66.75
Hemoglobin fetal ql (83033) $99.14
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $27.80
Hemoglobin Methemoglobin Quantitative (83050) $48.36
Hemoglobin plasma (83051) $37.08
Hemoglobin stability screen (83068) $29.23
Hemolysins And Agglutinins Incubated (86941) $138.08
Hemosiderin urine (83070) $100.91
Heparin assay (85520) $114.85
Heparin neutralization (85525) $41.28
Heparin-protamine tolerance test (85530) $96.85
Hepatitis a antibody total (86708) $51.35
Hepatitis a igm (86709) $159.60
Hepatitis b core ab igm (86705) $230.70
Hepatitis b core antibody total (86704) $75.70
Hepatitis B Surface Ab (86706) $76.86
Hepatitis B Surface Antigen (87340) $80.22
Hepatitis b virus genotyping (87912) $777.79
Hepatitis be antibody (86707) $30.75
Hepatitis Be Antigen (87350) $41.85
Hepatitis c ab confirm (86804) $53.54
Hepatitis c antibody (86803) $110.75
Hepatitis C Genotype (87902) $845.61
Hepatitis C Probe&Rvrs Trnsc (87521) $802.07
Hepatitis delta ab (86692) $85.80
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,779.85
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $2,133.81
Hereditary peripheral neuropathy gen seq pnl (81448) $4,213.50
Heredtry nurondcrn tum dsrdr (81437) $1,533.95
Herpes culture (87252) $90.03
Herpes simplex type 2 (86696) $82.91
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $20.28
Hfe gene (81256) $216.37
Histamine plasma (83088) $452.09
Histoplasma antibody (86698) $61.79
Histoplasma antigen urine (87385) $261.66
HIV confirmation (86689) $66.88
HIV-1 antibody (86701) $33.04
HIV-1 genotype (87901) $823.41
HIV-1 integrase genotype (87906) $449.87
Hiv-1/Hiv-2 1 Result Antbdy (86703) $84.54
HIV-2 probe&revrse trnscripj (87538) $214.62
Hla b 27 disease association lc (81374) $365.42
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 high resolution one allele or allele group (81381) $639.55
Hla class i&ii antibody qual (86828) $840
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 typing high resolution one locus ea (81382) $432.26
Hla i typing 1 locus hr (81380) $1,065
Hla ii low resolution one antigen equivalent ea (81377) $1,112.91
Hla ii typing 1 allele hr (81383) $290.81
Hla ii typing 1 locus lr (81376) $401.46
Hla typing a/b/c multiple antigens (86813) $1,798.63
Hla x-match, non-cyt add-on (86826) $448.21
Hla x-match, non-cytotoxic (86825) $1,356.41
Hla-b27 (86812) $94.54
Homogenization tissue (87176) $263.92
Hpv low-risk types (87623) $154.80
Hpv types 16 & 18 only (87625) $136.07
Hpylori Breath Anal Urease Act Non-Radact Istope (83013) $220.28
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $235.76
Htt gene analysis detect abnormal alleles (81271) $642.75
Human epididymis protein 4 (86305) $274.91
Hydroxychloroquine (80220) $756.90
Hydroxyprogesterone 17-d (83498) $106.81
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $116.39
Iaad ia clostridium difficile toxin (87324) $65.90
Iaad ia cryptosporidium (87328) $76.83
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $58.73
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $148.72
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $104.45
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $49.07
Iaad ia rotavirus (87425) $46.58
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $66.15
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $66.56
Iaadi herpes smplx virus type 2 (87273) $65.90
Iaadi respiratory synctial virus (87280) $47.30
Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) $117.85
Iaadiadoo not otherwise specified (87899) $81.50
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $153.29
Iadna babesia microti amplified probe technique (87469) $153.29
Iadna borrelia burgdorferi amplified probe tq (87476) $191.86
Iadna candida species amplified probe tq (87481) $256.99
Iadna chlamydia pneumoniae amplified probe tq (87486) $118.24
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $88.74
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $280.35
Iadna DNA/RNA zika virus amplified probe tq (87662) $313.79
Iadna ehrlichia chaffeensis amplified probe tq (87484) $153.29
Iadna gardnerella vaginalis amplified probe tq (87511) $93.66
Iadna hepatitis b virus quantification (87517) $247.70
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $210.48
Iadna herpes virus-6 amplified probe tq (87532) $153.17
Iadna herpes virus-6 quantification (87533) $692.32
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $214.62
Iadna HIV-1 quant & reverse transcription (87536) $566.74
Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) $210.60
Iadna human papillomavirus high-risk types (87624) $138.43
Iadna mtb rifampin resistance amp prb tq (87564) $480
Iadna mycobacteria tuberculosis amp prb (87556) $257.32
Iadna mycoplsm pneumoniae amplified probe tq (87581) $120.23
Iadna neisseria gonorrhoeae amplified probe tq (87591) $185.18
Iadna nos amplified probe tq each organism (87798) $202.88
Iadna nos quantification each organism (87799) $290.27
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $381.18
Iadna trichomonas vaginalis amplified probe tech (87661) $117.72
Iadna-DNA/RNA probe tq 12-25 (87507) $1,657.13
Iadna-DNA/RNA probe tq 6-11 (87506) $804.24
Idh1 common variants (81120) $540.71
Idh2 common variants (81121) $540.71
If cryptosporidium antigen (87272) $125.15
If varicella-zoster antigen (87290) $205.50
Igg subclasses (82787) $31.65
Igh gene rearrange amp meth (81261) $553.53
Igk rearrangeabn clonal pop (81264) $712.06
Igvh somatic hypermutation (81263) $965.55
Ikbkap gene analysis (81260) $1,301.59
Immunfix e-phorsis/urine/csf (86335) $140.74
Immunoassay infectious agent antibody quan nos (86317) $242.93
Immunoassay nonantibody (83516) $64.88
Immunoassay technique for helicobacter pylori gi tract bacteria (87339) $128.96
Immunodiffusion Ouchterlony (86331) $76.25
Immunoelectrophoresis Other Fluids Concentration (86325) $175.10
Immunoelectrophoresis serum (86320) $83.73
Immunofixj Electrophoresis Serum (86334) $107.18
Immunofluorescence per spec 1st singl antb stain (88346) $505.72
Immunofluorescent technique for herpes simplex virus type 1 (87274) $65.90
Immunofluorescent technique for pneumocystis carinii (87281) $79.56
Immunoglobulin assay (86023) $77.28
Immunoglobulin light chains free each (83521) $60.37
Immunohisto Antibody Slide (88344) $602.79
Immunohistochemistry (88342) $451.35
In situ hybridization ea multiplex probe stain (88366) $1,249.67
India ink prep (87210) $17.80
Infectious agent enzymatic activity to detect organism (87905) $105.63
Influenza a/b ag eia (87400) $302.45
Influenza DNA amp prob 1+ (87501) $177.26
Influenza DNA amp probe (87502) $251.32
Inhibin a (86336) $77.04
Inhibin b (83520) $131.44
Insitu hybridization (fish) (88365) $354.34
Insitu hybridization auto (88367) $728.15
Insitu hybridization manual (88368) $776.50
Insulin antibodies (86337) $57.05
Insulin free (83527) $34.51
Insulin total (83525) $51.47
Interleukin 6 (83529) $210
Intraop cyto path consult 1 (88333) $1,266.10
Intrinsic factor antibody (86340) $76.25
Iron (83540) $50.20
Iron binding capacity (83550) $65.54
Irradiation of blood product (86945) $86.40
Islet cell antibody (86341) $93
Jak2 gene analysis (81270) $345.87
Jak2 Targeted Sequence Analysis (81279) $740.80
Ketosteroids 17; total (83586) $44.21
Kit gene analys d816 variant (81273) $978.54
Kit gene targeted seq analys (81272) $916.35
Koh Prep (87220) $16.05
Kras gene addl variants (81276) $477.80
Kras gene analysis (81275) $530.68
L/s ratio, fetal lung (83661) $75.95
Lactic acid (83605) $101.50
Lactoferrin fecal qualitative (83630) $124.70
Lamellar Body Count (83664) $108.21
Ldh (83615) $31.27
Ldh isoenzymes (83625) $55.17
LDL cholesterol direct (83721) $174.80
Lead (83655) $44.99
Legion pneumo, DNA, amp prob (87541) $168.02
Legionella antibody (86713) $132.14
Legionella antigen urine (87449) $87.30
Legionella pneumophila dfa (87278) $97.94
Leptospira antibody (86720) $43.19
Leucine aminopeptidase (lap) (83670) $127.72
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $17.86
Level ii surg pathology gross&microscopic exam (88302) $89.59
Level v surg pathology gross&microscopic exam (88307) $783.41
Level vi surg pathology gross&microscopic exam (88309) $1,565.71
Lh (83002) $103.02
Lidocaine level (80176) $50.76
Lipase (83690) $53.48
Lipopro bld electrophoretic (83700) $38.91
Lipoprotein Bld Hr Fraction (83701) $94.73
Listeria ab (86609) $366.01
Lithium (80178) $61.95
Lyme disease antibody (86618) $80
Lyme disease antibody confirm (86617) $52.24
Lymph Choriomeningitis Ab (86727) $269.80
Lymphocyte transformation (86353) $296.30
M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) $385.04
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $1,092.66
M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) $602.79
M/phmtrc alys tumor imhchem ea antibody manual (88360) $451.35
Macroscopic exam parasite (87169) $65.10
Magnesium (83735) $45.23
Malaria smear (87207) $60.30
Mass spectrometry qual/quan (83789) $82.63
Mcg chrom insitu 3-5 (88272) $462.01
Mcg interphase insitu 25 (88274) $120.29
Measurement of hemolysin (red blood cell destructive substance) (85475) $314.57
Meat fibers, feces (89160) $60.72
Mercury (83825) $74.98
Metabolic Panel Ionized Ca (80047) $75.40
Methotrexate (80299) $303.44
Methylmalonic acid serum (83921) $82.54
Mgmt methylation analysis (81287) $290.30
Microalbumin urine (82043) $44.85
Microbe suscept macrobroth (87188) $160.15
Microbe Suscept Mycobacteri (87190) $46.31
Microbe susceptible diffuse (87181) $134.75
Microsatellite instability (81301) $928.83
Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) $144.36
Microsomal antibodies (86376) $81.88
Mitochondrial antibody each (86381) $111.18
Mlh1 gene analysis duplication/deletion variants (81294) $618.93
Mlh1 Gene Analysis Full Sequence Analysis (81292) $2,065.33
Mlh1 gene analysis known familial variants (81293) $593.89
Mlh1 gene analysis promoter methylation analysis (81288) $967.84
Mog-igg1 antibody cell-based imfluor assay each (86362) $380.06
Mog-igg1 antibody flow cytometry each (86363) $256.69
Molec cytg interphase ish analyze 100-300 cll (88275) $545.54
Molecular pathology procedure level 2 (81401) $383.32
Molecular pathology procedure level 7 (81406) $1,417.50
Mononuclear cell antigen (86356) $423.03
Mopath procedure level 1 (81400) $170.44
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 8 (81407) $2,185.11
Mopath procedure level 9 (81408) $5,242.18
Morphometric analysis tumor (88358) $776.50
Mpl gene analysis common variants (81338) $1,135.80
Mpl gene analysis sequence analysis exon 10 (81339) $660.51
Mrsa amp probe (87641) $349.48
Msh2 Gene Analysis Full Sequence Analysis (81295) $1,167.21
Msh2 gene analysis known familial variants (81296) $499.42
Msh2 gene dup/delete variant (81297) $652.26
Msh6 Gene Analysis Full Sequence Analysis (81298) $1,962.74
Msh6 gene dup/delete variant (81300) $727.79
Mthfr Gene Analysis Common Variants (81291) $173.82
Mucopolysaccharides acid quantitative (83864) $308.33
Muramidase (85549) $60.68
Muscle-specific kinase (musk) antibody (86366) $885
Mycobacteria Dna Amp Probe (87551) $168.58
Mycobacteric Identification (87118) $328.78
Mycophenolic acid (80180) $63.95
Mycoplasma antibody (86738) $45.72
Mycoplasma culture (87109) $114.59
Mycoplasma genitalium PCR (87563) $218.42
Myd88 mutation analysis (81305) $875.65
Myelin basic protein csf (83873) $77.92
Myoglobin urine (83874) $46.54
N.gonorrhoeae, DNA, dir prob (87590) $75.21
Nasal smear for eosinophils (89190) $16.41
Natriuretic peptide (83880) $239.68
Neutralization test, viral (86382) $173.21
Nfct agent DNA/RNA gastrointestinal pathogen (87505) $426.95
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $534.86
Nfct ds bv&vaginitis DNA alg (81515) $996.42
Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) $608.67
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,950.60
Niacin (84591) $279.80
Nickel level (83885) $78.72
Nk cells total count (86357) $186.48
Nmr Lipoprofile (83704) $91.11
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $706.08
Nras gene variants exon 2&3 (81311) $1,037.30
Ntrk translocation analysis (81194) $905.64
Nuclear antigen antibody (86235) $84.25
Nudt15 Gene Analysis Common Variants (81306) $1,272.80
Obstetric panel (80081) $1,043.29
Occult blood stool (82272) $14.58
Oligoclonal bands (83916) $107.85
Oncology breast mrna (81519) $10,151.47
Oncology prostate biochemical assay 4 proteins (81539) $2,269
Oncoprotein dcp (83951) $300
Organic Acids Qual Each (83919) $273.24
Organic Acids Total Quantitative Each Specimen (83918) $301.12
Orthopoxvirus Amp Prb Each (87593) $480.62
Osmolality serum (83930) $43.12
Osmolality urine (83935) $65.92
Ova and parasite direct-id lca (87177) $53.62
Ovulation tests (84830) $38.10
Oxalate urine (83945) $42.29
Pancreatic elastase fecal (82656) $37.87
Pancreatic polypeptide (83519) $73.66
Pappa, serum (84163) $135
Particle Agglutination Screen Each Antibody (86403) $49.14
Particle agglutination titer each antibody (86406) $44
Parvovirus antibody (86747) $74.29
Path Consult During Surgery (88329) $88.97
Pca3/klk3 antigen (81313) $761.32
Pdgfra gene (81314) $906.85
Phenotype Infect Agent Drug (87900) $455.55
Phenytoin free (80186) $43.64
Phosphatase acid prostatic (84066) $152.58
Phosphatase alkaline (84075) $21.48
Phospholipid Neutralization Hexagonal (85598) $59.02
Phosphorus blood (84100) $30.10
Phosphorus urine (84105) $20.01
Pik3ca gene trgt seq alys (81309) $732.36
Pinworm exam (87172) $43.34
Plasminogen (85420) $22.54
Plasminogen (85421) $762.74
Platelet aggregation (85576) $510.79
Platelet count (85049) $35.80
Platelet neutralization (85597) $59.02
Pml/raralpha com breakpoints (81315) $871.38
Pmp22 gene analysis known familial variant (81326) $485.93
Pmp22 gene dup/delet (81324) $982.90
Pmp22 gene full sequence (81325) $1,923.95
Pms2 gene analysis duplication/deletion variants (81319) $622.29
Pms2 gene analysis full sequence (81317) $2,068.69
Pneumcysts jirovecii amp prb (87594) $600
Porphobilinogen urine quant (84110) $29.14
Porphyrins feces qn (84126) $365.85
Porphyrins qn & fraction urine (84120) $50.81
Porphyrins urine qual (84119) $37.39
Potassium (84132) $41.75
Potassium urine (84133) $34
Pregnenolone (84140) $78.81
Pretx serum rbc antb id incubation inhibitors ea (86977) $275.08
Primidone (80188) $57.31
Procainamide napa (80192) $300.64
Procalcitonin (pct) (84145) $381.20
Progesterone (84144) $116.56
Progesterone (reproductive hormone) receptor analysis (84234) $224.10
Prolactin (84146) $150.42
Prostaglandin Ea (84150) $851.85
Protein body fluid (84157) $31.05
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 Functional (85306) $72.29
Protein s total (85305) $40.10
Protein total by refractometry any source (84160) $14.94
Protein Total Serum (84155) $27.18
Protein urine (84156) $28.48
Protein Western Blot (84182) $77.05
Protein westrn blot i&r blood/other fluid (84181) $58.80
Prothrombin time substitution (85611) $18.50
Protoporphyrin rbc quantitative (84202) $42.64
PSA free (84154) $88.50
Pten gene analysis known familial variant (81322) $485.93
Pten Gene Dup/Delet Variant (81323) $917.38
Pten Gene Full Sequence (81321) $1,834.76
Pyruvate kinase (84220) $105
Quantiferon tb gold (86480) $245.78
Quinidine (80194) $50.46
Rbc antibody elution (86860) $397.40
Rbc osmotic fragility (85555) $404.30
Rbc pretx incubatj w/chemicl (86970) $210.30
Reducing substances, stool (84376) $36.11
Ref consult prep elsewhere (88321) $116.35
Renin activity plasma (84244) $85.84
Reptilase test (85635) $32.33
Resp virus 3-5 targets (87631) $330.43
Respiratory viral panel PCR (87633) $1,452.80
Reticulated platelet assay (85055) $154.37
Reticulocyte Count (85046) $44.65
Rheumatoid Factor Qual (86430) $55.80
Rheumatoid factor quant (86431) $43.98
Rickettsia antibody (86757) $51.55
Rpr Titer (86593) $21.79
Rsv (87807) $208.39
Rubella antibody (86762) $93.10
Russell viper venom time diluted (85613) $45
Russell Viper Venom Time Undiluted (85612) $191.47
Rx metab gen seq alys pnl 6 (81418) $3,898.12
Saccharomyces ab iga (86671) $423.02
Salicylate (80179) $139.81
Salmonella antibody (86768) $63.58
Sars-Cov-2 Covid-19 Antibody (86769) $81.21
Sarscov2&inf a&b&rsv amp prb (87637) $409.80
Sed rate automated (85652) $20.05
Semen analysis complete (89320) $44.59
Semen Analysis Presence and/or Motility of Sperm (89300) $30.75
Semen analysis sperm presence&/motility sprm (89321) $45.25
Sensitivity - mlc ea plate (87187) $658.42
Sensitivity mic (87186) $48.69
Serotonin Release Assay (86022) $244.63
Serpina1 gene (81332) $116.33
Serum bactericidal titer (87197) $520.46
Sex hormone binding globulin (84270) $86.18
Sickle cell screen (85660) $34.16
Sirolimus (rapamycin) (80195) $64.56
Smear acid fast (87206) $30.31
Smear complex stain (87209) $115.33
Smear gram stain (87205) $30.72
Smn1 Gene Dos/Deletion Alys (81329) $687
Snrpn/ube3a gene (81331) $153.20
Sodium (84295) $42.20
Sodium other source (84302) $30.24
Sodium urine (84300) $39.24
Soluble transferrin receptor (84238) $169.50
Somatostatin (84307) $440.69
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $113.24
Special stains group 1 (88312) $154.61
Specific gravity body fluid (84315) $10.50
Spectrophotometry (84311) $53.29
Sperm antibody measurement (89325) $92.64
Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $122
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $296.65
Staph aureus amplified probe (87640) $212.53
Stool Cultr Aerobic Bact Ea (87046) $149.71
Strep a assay w/optic (87880) $89
Strep a DNA amp probe (87651) $146.85
Strep b DNA amp probe (87653) $134.68
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $211.05
Sugars single quant (84378) $114
Sulfate urine (84392) $54.89
Surg path level iii (88304) $223.66
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $87.37
Surgical pathology level IV (88305) $230
Susceptibility study antimicrobial disk method (87184) $182.40
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $154.34
T cells, total count (86359) $164.95
T3 free (84481) $128.72
T3 reverse (84482) $69.81
T3 total (84480) $88.22
T3 uptake (84479) $23.95
T4 Free (84439) $56.04
T4 total (84436) $42.68
T4-neonatal (84437) $23.46
Targeted genomic seq analysis (81445) $6,688.69
Tau phosphorylated each (84393) $995
Tert gene targeted seq alys (81345) $647.23
Test for acetone/ketones (82009) $13.75
Test for detecting genes associated with inherited disease of heart muscle (81439) $3,066.15
Test rbc protoporphyrin (84203) $38.46
Testosterone bioavailable (84410) $168.49
Testosterone free (84402) $92.84
Testosterone total (84403) $158.78
Tetanus antibody (86774) $51.11
Tgsap so/hl 51/< RNA alys (81456) $8,758.80
Theophylline (80198) $43.06
Thin prep pap (88142) $91.06
Thiocyanate (84430) $392.42
Thrombin time plasma (85670) $32.12
Thromboplastin Inhibition Tissue (85705) $210.37
Thromboplastin time prtl substit plasma frctj ea (85732) $30.38
Thyroglobulin (84432) $75.50
Thyroglobulin Ab (86800) $94.38
Thyroid Stimulating Immunoglobulin (84445) $238.94
Thyroxine binding globulin (84442) $51.05
Tiss cul non-neo disorders skn/oth solid tiss bx (88233) $1,267.45
Tiss Trnsgltmnase Ea Ig Clas (86364) $60.46
Tissue culture bone marrow (88237) $624.23
Tissue Culture Lymphocyte (88230) $382.64
Tissue culture placenta (88235) $508.71
Tissue culture solid tumor (88239) $758.72
Tobramycin peak (80200) $49.08
Topiramate (80201) $58.94
Total tau (ttau) (84394) $995
Touch prep (88161) $90.98
Toxin or antitoxin assay (87230) $84.15
Toxoplasma ab igm (86778) $54.94
Toxoplasma antibody igg (86777) $54.88
Tp53 gene analysis full gene sequence (81351) $1,962.74
Tp53 gene analysis targeted sequence analysis (81352) $2,342.55
Tpmt gene com variants (81335) $640.50
Transferrin (84466) $74.63
Translocation analysis (bcr/abl1) other breakpoint (81208) $571.92
Trb@ Rearrangement Anal Amplification Method (81340) $730.15
Trg gene rearrangement analysis (81342) $1,377.56
Trichomonas vagin dir probe (87660) $162.94
Triglycerides (84478) $40.36
Troponin (84484) $77.96
Troponin i qualitative (84512) $483.30
Trypsin feces qual (84488) $76.06
Tyrosine (84510) $191.08
Urea nitrogen (84520) $19.18
Urea Nitrogen Clearance (84545) $40.15
Urea nitrogen urine (84540) $48.23
Uric acid blood (84550) $30.65
Uric acid other source (84560) $42.43
Urinalysis 2/3 glass test (81020) $14.10
Urinalysis microscopic only (81015) $14.06
Urinalysis qual/semiquant except immunoassays (81005) $7.50
Urinalysis w/microscopic (81001) $27.80
Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) $89.95
Urine pregnancy test (81025) $75.55
Urine volume measurement (81050) $36.80
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $17.52
Valproic acid level (80164) $278.06
Vancomycin trough (80202) $143.74
Varicella-zoster antibody (86787) $86.93
Vasoactive intestinal peptide (vip) (84586) $101.68
Vasopressin (84588) $117.25
Vdrl csf (86592) $28.80
Very long chain fatty acids (82726) $363.60
Virus antibody nos (86790) $193.44
Virus id non-immunologic oth/thn cytopathic (87255) $103.53
Virus inoculate tissue addl (87253) $90.03
Virus inoculation, shell via (87254) $91.50
Viscosity serum (85810) $44.50
Vitamin A (84590) $44.25
Vitamin b-12 (82607) $135.48
Vitamin b-2 (riboflavin) (84252) $115.33
Vitamin b1 (thiamine) (84425) $99.75
Vitamin b6 (84207) $107.13
Vitamin C (82180) $80.06
Vitamin D 25-Hydroxy (82306) $167.21
Vitamin e serum (84446) $70.13
Voltage-gated calcium channel antibody each (86596) $128.61
Von willebrand factor activity (85245) $113.38
Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) $29.73
West nile virus ab, igm (86788) $56.84
West nile virus antibody (86789) $48.60
Yersinia antibody (86793) $172.86
Zika Virus Igm Antibody (86794) $44.89
Zinc (84630) $53.96