Lab & pathology prices at Intermountain Health St. Joseph Hospital

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

1031 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) $648.23
17-Hydroxycorticosteroids (83491) $302.92
5 Hiaa (83497) $468.49
5 Nucleotidase (83915) $43.34
Abl1 gene (81170) $1,310.54
Acetaminophen level (80143) $139.81
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) $389.06
Acute hepatitis panel (80074) $672.18
Acylcarnitine Plasma (82017) $385.30
Adamts13 activity (85397) $326.54
Additional high resolution study (88289) $325.41
Adenovirus Ag Ia (87301) $357.73
Adenovirus antibody (86603) $284.78
Afb culture (87116) $298.24
Agglutinins febrile (86000) $144.14
Albumin Fluid (82042) $154.82
Albumin serum (82040) $99.54
Aldolase (82085) $281.89
Aldosterone urine (82088) $519.41
Alkaline phosphatase isoenzymes (84080) $303.06
Allerg sp igg quan or semiquan (86001) $40.71
Allergen specific ige (86003) $144.85
Allergen specific ige; qualitative, multiallergen screen (86005) $43.67
Allg Spec Ige Recomb Ea (86008) $67.20
Alpha-1-antitrypsin phenotype (82104) $66.44
Alpha-1-antitrypsin, total (82103) $216.03
Alpha-fetoprotein amniotic (82106) $300
Alpha-fetoprotein, serum (82105) $400.76
Alt (sgpt) (84460) $104.22
Aluminum (82108) $841.26
Amikacin trough (80150) $234.02
Amino acid screen urine (82128) $230.58
Amino acids 6/> amino acids quantitative ea spe (82139) $198.72
Amino Acids, Single Quantitation (82131) $548.81
Aminolevulinic acid (ala) (82135) $206.82
Ammonia (82140) $173.86
Amniotic fluid enzyme test (84081) $826.73
Amniotic fluid scan (82143) $115.61
Amylase urine (82150) $153.52
Ana Titer (86039) $169.16
Angiotensin i enzyme test (82164) $391.07
Anti-phosphatidylserine antibody (86148) $249.18
Antibody Absorption (86978) $1,262.44
Antibody aspergillus (86606) $200.75
Antibody coxiella burnetii q fever (86638) $480.23
Antibody cytomegalovirus cmv (86644) $276.86
Antibody cytomegalovirus cmv igm (86645) $228.04
Antibody Encephalitis Eastern Equine (86652) $137.61
Antibody Encephalitis St. Louis (86653) $137.61
Antibody epstein-barr eb virus early antigen ea (86663) $567.07
Antibody haemophilus influenza (86684) $76.38
Antibody helicobacter pylori (86677) $264.78
Antibody Herpes Smplx Non-Specific Type Test (86694) $920.70
Antibody herpes smplx type 1 (86695) $145.25
Antibody HIV-2 (86702) $223.80
Antibody hla class ii semiquantitative panel (86835) $2,245.14
Antibody identification (86870) $3,805.63
Antibody identification leukocyte antibodies (86021) $902.24
Antibody influenza virus (86710) $192
Antibody john cunningham virus (86711) $101
Antibody mumps (86735) $354.41
Antibody neisseria meningitidis (86741) $125.03
Antibody Protozoa Nes (86753) $352.99
Antibody rubeola (86765) $199.08
Antibody screen (86850) $175.28
Antibody treponema pallidum (86780) $234.60
Antibody; campylobacter (86625) $509.75
Antibody; Coccidioides (86635) $241.53
Antigen typing (86905) $413.42
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $588.48
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $42.11
Antinuclear antibodies (86038) $278.82
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $164
Antistreptolysin o titer (86060) $173.90
Antithrombin iii activity (85300) $328.02
Antithrombin iii antigen (85301) $77.72
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) $363.98
Apc gene dup/delet variants (81203) $1,064.03
Apc gene full sequence (81201) $2,084.81
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) $151.12
Aspergillus ag eia (87305) $499.69
Assay direct measurement free estradiol (82681) $369
Assay galactose transferase (82775) $294.52
Assay Lipoprotein Pla2 (83698) $177.83
Assay myeloperoxidase (83876) $111.88
Assay Nephelometry Not Spec (83883) $411.94
Assay of 17-hydroxypregnenolone (84143) $126.07
Assay of acth (82024) $556.10
Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) $125
Assay of androstenedione (82157) $94.05
Assay of anti-mullerian hormone (82166) $150
Assay of blood chloride (82435) $113.10
Assay of blood fatty acids (82725) $151.72
Assay of c-peptide (84681) $427.54
Assay of calcitonin (82308) $168.06
Assay of ceruloplasmin (82390) $239.92
Assay of cyclosporine (80158) $424.76
Assay of dibucaine number (82638) $174.26
Assay of erythropoietin (82668) $485.59
Assay of ethosuximide (80168) $212.88
Assay of ferritin (82728) $282.14
Assay of g6pd enzyme (82955) $171.29
Assay of gammaglobulin igm (82784) $243.76
Assay of gastrin (82941) $480.90
Assay of gentamicin (80170) $119.88
Assay of glucagon (82943) $79.33
Assay of homocystine (83090) $150.34
Assay of homovanillic acid (83150) $152.85
Assay of ketogenic steroids (83582) $386.44
Assay of lipoprotein(a) (83695) $65.75
Assay of manganese (83785) $227.73
Assay of metanephrines (83835) $269.34
Assay of osteocalcin (83937) $461.44
Assay of parathormone (83970) $696.35
Assay of phenobarbital (80184) $388.94
Assay of phosphatase acid total (84060) $484.77
Assay of prealbumin (84134) $220.52
Assay of procainamide (80190) $375.30
Assay of proinsulin (84206) $726.13
Assay of pyruvate (84210) $147.81
Assay of selenium (84255) $316.85
Assay of semen fructose (82757) $387.13
Assay of serotonin (84260) $817.54
Assay of somatomedin (84305) $507.38
Assay of tacrolimus (80197) $297.67
Assay of urine vma (84585) $521.07
Assay of vitamin k (84597) $242.13
Assay of volatiles (84600) $585.20
Assay Ph Body Fluid Nos (83986) $50.69
Assay Thiopurine S-Methyltransferase (84433) $152.90
Ast (sgot) (84450) $111.45
Asxl1 gene analysis full gene sequence (81175) $2,536.88
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $3,068.25
Automated rbc count (85041) $68.95
B cells total count (86355) $543.38
Bartonella antibody (86611) $57.40
Bcr/abl1 gene major bp (81206) $1,285.10
Bcr/abl1 gene minor bp (81207) $1,285.10
Beta 2 Glycoprotein I Antibody,Ea (86146) $259.07
Beta hydroxybutyrate (82010) $77.76
Beta Lactamase (87185) $43.62
Beta-2 microglobulin (82232) $266.88
Beta-amyloid; 1-42 (abeta 42) (82234) $995
Bile acids, total (82239) $177.23
Bilirubin direct (82248) $91.20
Bilirubin total (82247) $100.95
Bilirubin total transcutaneous (88720) $237
Biotinidase ea specimen (82261) $61.16
Bl Smear W/Diff Wbc Count (85007) $58.52
Bl Smear W/O Diff Wbc Count (85008) $96.60
Blastomyces antibody (86612) $49.84
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $297.50
Blood clot lysis time (85175) $67.90
Blood count reticulocyte automated (85045) $188.40
Blood gases (82803) $247.30
Blood gases w/02 saturation (82805) $319.90
Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) $346.85
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $89.66
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $61.80
Blood Ph - Ph Venous (82800) $273.40
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $413.42
Blood typing abo (86900) $86.42
Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) $321.50
Blood typing serologic rh (d) (86901) $56.28
Blood typing serologic rh phenotyping complete (86906) $224.06
Body fluid cell count (89051) $206.72
Body fluid cell count (89050) $31.32
Bone Marrow Smear Interpretation (85097) $1,029.62
Bordetella antibody (86615) $78
Braf gene (81210) $705.60
Brca1&2 seq & full dup/del (81162) $5,993.73
Breath Alcohol Test (82075) $101
Brucella antibody (86622) $346.86
C diff amplified probe (87493) $749.49
C-reactive protein (86140) $134.88
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $120.02
C1q binding assay (86332) $86.21
Ca 125 (86304) $393.72
Ca 19-9 (86301) $362.12
Ca 27 29 (86300) $409.26
Cadmium level (82300) $169.09
Caffeine (80155) $98.33
Calcium ionized (82330) $391.75
Calcium total (82310) $101.48
Calcium urine (82340) $92.38
Calculus Quantitative Chemical (82360) $225.17
Calculus Spectroscopy (82365) $342.84
California encephalitis ab (86651) $137.61
Calprotectin, fecal (83993) $167.28
Calr gene com variants (81219) $838.05
Candida antibody (86628) $34.07
Candida DNA dir probe (87480) $220.18
Car Ion Chnnlpath Inc 2 Gns (81414) $1,754.70
Carb deficient transferrin (82373) $479.35
Carbamazepine (tegretol) total (80156) $224.45
Carbon dioxide (82374) $254
Carboxyhemoglobin Quantitative (82375) $143.28
Carcinoembryonic antigen (82378) $427.66
Cardiolipin ab igg (86147) $724.16
Carnitine (82379) $1,106.58
Carotene (82380) $418.85
Catecholamines fraction plasma (82384) $460.74
Catecholamines Total Urine (82382) $496.65
Ccnd1/igh translocation alys (81168) $497.54
Cd4 absolute count (86361) $126.13
Cebpa gene full sequence (81218) $864.35
Cell Cryopreserve/Storage (88240) $442.50
Cell enumeration & id (86152) $762.90
Cell marker study (88182) $404.91
Cell saver (86891) $864.85
Cellular Function Assay Stimul&Detect Biomarker (86352) $920.13
Cftr gene analysis known familial variants (81221) $164.04
Cftr gene com variants (81220) $2,378.86
Cftr gene dup/delet variants (81222) $1,150.79
Cftr gene full sequence (81223) $6,212.81
Cftr Gene Intron Poly T (81224) $199.07
Chemical analysis for genetic disorder (82016) $96.37
Chemiluminescent assay (82397) $406.57
Chimerism w/comp to baseline w/o cell selection (81267) $925.20
Chlamydia antibody (86631) $180.45
Chlamydia antigen gilm (87320) $156.80
Chlamydia Igm Antibody (86632) $113.19
Chlamydia trachomatis ag if (87270) $307.58
Chloride other source (82438) $138.56
Chloride urine (82436) $172.76
Chlorinated hydrocarbons screen (82441) $557.42
Cholesterol total (82465) $67.46
Cholinesterase rbc (82482) $298.15
Cholinesterase serum (82480) $495.04
Chrmsm analysis addl cells counted each study (88285) $132.67
Chrmsm count 15-20 cll 2karyotyp banding (88262) $1,144.54
Chromium urine (82495) $93.19
Chromogenic substrate assay (85130) $710.15
Chromogranin a (86316) $127.06
Chromosome analys amniotic (88269) $686.33
Chromosome analysis 20-25 cells (88264) $1,612
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) $532.50
Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) $1,248.51
Chromosome banding study (88283) $210.95
Chromosome karyotype study (88280) $323.19
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $198.76
Citrate (82507) $678.56
Ck isoenzymes (82552) $116.99
Ckmb (82553) $170.69
Clot factor viii vw antigen (85246) $733.69
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $828.39
Clot factor xiii fibrin stab (85290) $534.61
Clozapine level (80159) $128.74
Cmv PCR (87496) $626.96
Cns DNA amp probe type 12-25 (87483) $1,303.98
Coagulation time activated (85347) $156.85
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $446.19
Cold agglutinin screen (86156) $248.11
Cold agglutinin titer (86157) $206.24
Collagen cross links (82523) $226.49
Comparative anal str markers patient&comp spec (81265) $890.03
Compatibility test antiglob (86922) $884.50
Complement c3 (86160) $312.10
Complement total ch50 (86162) $619.05
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $473.59
Comprehensive review of data (88325) $412.17
Concentration Infectious Agent (87015) $175.09
Coombs direct (86880) $108.65
Coombs Test Indirect Qual (86885) $254.20
Copper urine (82525) $491.76
Cortisol free (82530) $571.52
Cortisol total (82533) $366.56
Creatine kinase total (82550) $87.12
Creatinine blood (82565) $86.20
Creatinine clearance (82575) $520.20
Creatinine other source (82570) $138.86
Crossmatch immediate spin (86920) $288.48
Cryofibrinogen (82585) $107.95
Cryoglobulin (82595) $103.97
Cryptococcal Antigen (87327) $158.43
Cryptococcus antibody (86641) $247.10
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $196.64
Culture Aerobic Identify (87077) $233
Culture aerobic quant other (87071) $998.50
Culture anaerobic (87075) $165.50
Culture Bacteria Anaerobic (87073) $705.65
Culture blood (87040) $328.09
Culture chlamydia (87110) $342.68
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $166.55
Culture fungus blood (87103) $310.58
Culture fungus id yeast (87106) $173.60
Culture fungus other (87102) $188.50
Culture genital (87070) $271.55
Culture screen only (87081) $186.75
Culture stool (87045) $343.65
Culture typing if ea antiserum (87140) $86.56
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $106.44
Culture typing other methods (87158) $213.09
Culture Typing, Glc Method (87143) $76.16
Culture urine (87086) $124.26
Culture urine id ea isolate (87088) $234.45
Culture, typing; identification by pulse field gel typing Other Outpatient (87152) $315.46
Cultyp nucleic acid sequencing meth ea isolate (87153) $360.79
Cyanide (82600) $696.64
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $210.94
Cyclic Citrullinated Peptide (86200) $263.06
Cyp2c19 gene com variants (81225) $692.42
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) $135.56
Cytogen micrarray copy nmbr (81228) $6,596.01
Cytogenetics 10-30 (88273) $679.69
Cytogenetics DNA probe (88271) $269.06
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) $626.96
Cytopath cell enhance tech (88112) $227.01
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $314.57
Cytopath Smear Other Source (88160) $131.32
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) $196.55
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $106.45
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $195.54
Cytp concentration smears & interpretation (88108) $512.78
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $1,114.38
Cytp fna eval dx 1st each site (88172) $252.60
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) $187.39
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $177.06
Cytp urine 3-5 probes cmptr (88121) $436.48
D-Dimer (85379) $208.92
D-Dimer (85378) $317.55
Deoxycortisol (82634) $92.25
Deoxyribonuclease antibody (86215) $204.93
Desoxycorticosterone (82633) $264.52
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $264.90
Detect agnt mult DNA ampli (87801) $223.39
Dhea (82626) $886.73
Dhea sulfate (82627) $435.09
Digoxin (80162) $163.42
Dihydrotestosterone (82642) $301.47
Dilantin (80185) $260.88
Diphtheria antitoxoid (86648) $73.31
Dipropylacetic acid free (80165) $159.81
Dna Antibody Single Stranded (86226) $901.65
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $74.63
Dna/Rna Amplified Probe (87150) $131.60
DNA/RNA direct probe (87149) $101.67
Dpyd gene common variants (81232) $610.93
Drug assay adalimumab (80145) $690.35
Drug Assay Amiodarone (80151) $249.18
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) $690.35
Drug assay itraconazole (80189) $165.78
Drug Assay Lacosamide (80235) $300.95
Drug assay leflunomide (80193) $229.75
Drug assay methotrexate (80204) $249
Drug assay posaconazole (80187) $209.16
Drug assay vedolizumab (80280) $505.48
Drug assay voriconazole (80285) $194.48
Drug Screen Quant Gabapentin (80171) $92.09
Drug screen quant zonisamide (80203) $156.04
Drug Screen Quantitative Lamotrigine (80175) $92.09
Drug Scrn Quan Levetiracetam (80177) $92.09
Drug scrn quant oxcarbazepin (80183) $131.75
Drug test prsmv chem anlyzr (80307) $271.46
Drug Test Prsmv Dir Opt Obs (80305) $255.48
Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) $203.20
Ebv viral capsid (86665) $241.53
Echinococcus ab igg (86682) $182.54
Egfr Gene Analysis Common Variants (81235) $587.60
Ehrlichia antibody (86666) $52.42
Elastase pancreatic fecal quantitative (82653) $180.64
Electrolyte panel (80051) $106
Electron microscopy diagnostic (88348) $3,942.23
Electronic crossmatch (86923) $264.80
Electrophoretic Test - Immunofixation Electrophoresis (82664) $177.71
Encephalitis Western Equine (86654) $137.61
Endomysial Antibody Each Immunoglobulin Class (86231) $128.08
Endomysial antibody iga (86255) $413.82
Enterovirus antibody (86658) $136.38
Enterovirus Pcr (87498) $794.14
Enzyme activity radioactive (82658) $928.39
Enzyme cell activity (82657) $422
Enzyme histochemistry (88319) $823.69
Eosinophil count (85048) $132.50
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $132.23
Estradiol (82670) $549.48
Estriol (82677) $239.61
Estrogen fractionated (82671) $518.74
Estrogen receptor analysis (84233) $374.29
Estrogens total (82672) $241.85
Estrone (82679) $87.19
Ethylene glycol (82693) $513.51
Euglobulin lysis (85360) $375.30
Eval c/v amniotic fluid protein qual ea specimen (84112) $298.85
Everolimus (80169) $306.12
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $206.40
Examination of archival tissue for genetic analysis (88363) $55.79
Exhaled breath condensate (83987) $135.25
F2 gene analysis 20210g >a variant (81240) $218.51
F5 gene (81241) $275.26
Factor ii activity (85210) $828.39
Factor inhibitor test (85335) $569.96
Factor ix activity (85250) $762.74
Factor v activity (85220) $69.37
Factor vii assay (85230) $828.39
Factor viii ahg (85240) $451.05
Factor viii related antigen (85244) $70.53
Factor viii vw multimetric (85247) $820.44
Factor xi assay (85270) $762.74
Factor xii assay (85280) $762.74
Factor xiii solubility screen (85291) $221.44
Fat stain (89125) $72.36
Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) $122.71
Fecal fat qual (82705) $156.11
Fecal fat quant (82710) $542.57
Fetal aneuploidy trisom risk (81507) $2,374
Fetal bleed screen (85461) $208.25
Fetal chrmoml aneuploidy (81420) $2,193.46
Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) $2,193.46
Fetal congenital abnor assay three anal (81510) $199.95
Fetal fibronectin (82731) $565.27
Fetal hemoglobin, chemical (83030) $168.05
Fetal lung maturity fluorescence polarization (83663) $556.50
Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) $241.40
Fibrin degradation products (85362) $292.80
Fibrin Degradproducts,D-Dimer, Ultrasens - D-Dimer, Rapid (85380) $173.25
Fibrinogen activity (85384) $183.70
Fibrinogen antigen (85385) $153.16
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $55.71
Fibrinolytic Plasminogen (85415) $171.44
Flow cytometry first marker (88184) $388.40
Flt3 gene analysis (81245) $363.98
Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) $290.07
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $284.74
Fmr1 gene charac alleles (81244) $570
Fmr1 gene detection (81243) $249.18
Folate serum (82746) $273.34
Folic acid rbc (82747) $617.44
Follicle Stimulating Hormone (83001) $384.60
Forensic (investigation) examination of specimen (88125) $144.36
Francisella Tularensis (86668) $508.93
Frozen blood each unit thawing (86931) $406.30
Frozen Section (88331) $1,714.13
Fructosamine (82985) $77
Ftl cgen abnor four anal (81511) $181.03
Fungus Identification, Mold - Fungal Identification, Mold (87107) $204.60
Galactose transferase test (82776) $37.50
Galectin-3 serum (82777) $86.71
Gammaglobulin ige (82785) $250.64
Gardner vag DNA dir probe (87510) $220.18
Gastric Occult Blood (82271) $64.15
Gba Gene (81251) $1,301.59
Gen seq analys hematolymphoid neo 5-50 gene (81450) $2,278.50
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) $805.15
Ggt (82977) $193.56
Giardia ag by if (87269) $91.97
Giardia antigen eia stool (87329) $161.17
Giardia lamblia antibody (86674) $50.85
Gjb2 gene full sequence (81252) $363.98
Gjb2 gene known fam variants (81253) $363.98
Gjb6 gene analysis common vari (81254) $363.98
Gliadin antibody each immunoglobulin class (86258) $50.37
Glucose (82947) $30.60
Glucose body fluid (82945) $111.46
Glucose post dose (82950) $254
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $123.45
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $414.30
Glutathione (82978) $140.19
Growth hormone (83003) $254.70
Haloperidol (haldol) (80173) $291.42
Haptoglobin (83010) $182.40
Hba1/hba2 full gene sequence (81259) $2,358.98
Hba1/hba2 gene (81257) $2,340
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) $51.37
Hcg qualitative (84703) $236.90
Hcg quant (84702) $424.20
Hdl Cholesterol (83718) $86.64
Heavy metal quant each (83018) $111.69
Hematocrit (85014) $71.65
Hematocrit spun (85013) $82.60
Hemoglobin (85018) $74.65
Hemoglobin a1c (83036) $229.60
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $541.98
Hemoglobin electrophoresis (83020) $529.20
Hemoglobin fetal ql (83033) $173.28
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $260.14
Hemoglobin Methemoglobin Quantitative (83050) $177.56
Hemoglobin plasma (83051) $212.26
Hemoglobin stability screen (83068) $29.23
Hemolysins And Agglutinins Incubated (86941) $138.56
Hemosiderin urine (83070) $130.05
Heparin assay (85520) $412.35
Heparin neutralization (85525) $48.88
Heparin-protamine tolerance test (85530) $854.40
Hepatitis a antibody total (86708) $73.90
Hepatitis a igm (86709) $278.20
Hepatitis b core ab igm (86705) $356.92
Hepatitis b core antibody total (86704) $92.62
Hepatitis B Surface Ab (86706) $223.28
Hepatitis B Surface Antigen (87340) $291.58
Hepatitis b virus genotyping (87912) $1,077.14
Hepatitis be antibody (86707) $346.86
Hepatitis Be Antigen (87350) $458.43
Hepatitis c ab confirm (86804) $812.84
Hepatitis c antibody (86803) $332.42
Hepatitis C Genotype (87902) $805.15
Hepatitis C Probe&Rvrs Trnsc (87521) $802.07
Hepatitis delta ab (86692) $354.41
Hereditary brst ca-related gen seq analys 10 gen (81432) $2,373.13
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $2,133.81
Hereditary peripheral neuropathy gen seq pnl (81448) $4,312.50
Heredtry nurondcrn tum dsrdr (81437) $1,533.95
Herpes culture (87252) $415.20
Herpes simplex type 2 (86696) $171.34
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $252.92
Hfe gene (81256) $743.60
Histamine plasma (83088) $452.09
Histoplasma antibody (86698) $289.06
Histoplasma antigen urine (87385) $644.83
HIV confirmation (86689) $461.44
HIV-1 antibody (86701) $85.05
HIV-1 genotype (87901) $1,528.40
HIV-1 integrase genotype (87906) $449.87
Hiv-1/Hiv-2 1 Result Antbdy (86703) $305.12
HIV-2 probe&revrse trnscripj (87538) $214.62
Hla b 27 disease association lc (81374) $365.42
Hla class i high defin qual (86832) $1,303.50
Hla class i phenotype qual (86830) $561.39
Hla class i semiquant panel (86834) $2,485.80
Hla class i typing high resolution one allele or allele group (81381) $698.65
Hla class i&ii antibody qual (86828) $396.63
Hla class i/ii antibody qual (86829) $742.12
Hla class ii high defin qual (86833) $688.43
Hla class ii phenotype qual (86831) $480.84
Hla class ii typing high resolution one locus ea (81382) $1,330.65
Hla i typing 1 locus hr (81380) $1,065
Hla I Typing 1 Locus Lr (81373) $454.10
Hla ii low resolution one antigen equivalent ea (81377) $1,112.91
Hla ii typing 1 allele hr (81383) $838.05
Hla ii typing 1 locus lr (81376) $838.05
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) $178.55
Homogenization tissue (87176) $296.72
Hpv low-risk types (87623) $154.80
Hpv types 16 & 18 only (87625) $158.92
Hpylori Breath Anal Urease Act Non-Radact Istope (83013) $220.28
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $591.72
Htt gene analysis detect abnormal alleles (81271) $642.75
Human epididymis protein 4 (86305) $274.91
Hydroxychloroquine (80220) $756.90
Hydroxyprogesterone 17-d (83498) $145.47
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $116.94
Iaad ia clostridium difficile toxin (87324) $180
Iaad ia cryptosporidium (87328) $148.78
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $133.25
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $187.55
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $331.88
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $220.84
Iaad ia rotavirus (87425) $179.22
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $66.75
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $158.38
Iaad Ia Streptococcus Group A (87430) $142.45
Iaadi herpes smplx virus type 2 (87273) $65.90
Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) $124.95
Iaadiadoo not otherwise specified (87899) $116.25
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) $506.92
Iadna candida species amplified probe tq (87481) $259.50
Iadna chlamydia pneumoniae amplified probe tq (87486) $165.07
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $88.74
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $283.05
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) $259.58
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $676.96
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) $1,105.85
Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) $210.60
Iadna human papillomavirus high-risk types (87624) $139.93
Iadna mtb rifampin resistance amp prb tq (87564) $480
Iadna mycobacteria tuberculosis amp prb (87556) $499.68
Iadna mycoplsm pneumoniae amplified probe tq (87581) $168.74
Iadna neisseria gonorrhoeae amplified probe tq (87591) $186.05
Iadna nos amplified probe tq each organism (87798) $481.14
Iadna nos quantification each organism (87799) $539.90
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $677.09
Iadna trichomonas vaginalis amplified probe tech (87661) $132.73
Iadna-DNA/RNA probe tq 12-25 (87507) $1,664.38
Iadna-DNA/RNA probe tq 6-11 (87506) $804.24
Idh1 common variants (81120) $651.52
Idh2 common variants (81121) $651.52
If cryptosporidium antigen (87272) $132.65
If varicella-zoster antigen (87290) $205.50
Igg subclasses (82787) $216.49
Igh gene rearrange amp meth (81261) $619.19
Igk rearrangeabn clonal pop (81264) $467.03
Igvh somatic hypermutation (81263) $1,054.20
Ikbkap gene analysis (81260) $1,301.59
Immunfix e-phorsis/urine/csf (86335) $353.22
Immunoassay infectious agent antibody quan nos (86317) $56.88
Immunoassay nonantibody (83516) $143.07
Immunoassay technique for helicobacter pylori gi tract bacteria (87339) $196.98
Immunodiffusion Ouchterlony (86331) $149.49
Immunoelectrophoresis Other Fluids Concentration (86325) $175.10
Immunoelectrophoresis serum (86320) $422.56
Immunofixj Electrophoresis Serum (86334) $146.44
Immunofluorescence per spec 1st singl antb stain (88346) $767.51
Immunofluorescent technique for herpes simplex virus type 1 (87274) $65.90
Immunofluorescent technique for pneumocystis carinii (87281) $258.55
Immunoglobulin assay (86023) $573.16
Immunoglobulin light chains free each (83521) $60.37
Immunohisto Antibody Slide (88344) $792.44
Immunohistochemistry (88342) $1,670.20
In situ hybridization ea multiplex probe stain (88366) $1,732.14
India ink prep (87210) $153.85
Infectious agent enzymatic activity to detect organism (87905) $105.63
Influenza a/b ag eia (87400) $305.35
Influenza DNA amp prob 1+ (87501) $794.67
Influenza DNA amp probe (87502) $259.20
Inhibin a (86336) $144.20
Inhibin b (83520) $190.29
Insitu hybridization (fish) (88365) $434.78
Insitu hybridization auto (88367) $888.27
Insitu hybridization manual (88368) $641.36
Insulin antibodies (86337) $68.76
Insulin free (83527) $60.68
Insulin total (83525) $250.64
Interleukin 6 (83529) $210
Intraop cyto path consult 1 (88333) $823.69
Intrinsic factor antibody (86340) $174.78
Iron (83540) $186.69
Iron binding capacity (83550) $186.54
Irradiation of blood product (86945) $214.40
Islet cell antibody (86341) $137.75
Jak2 gene analysis (81270) $1,359.85
Jak2 Targeted Sequence Analysis (81279) $740.80
Ketosteroids 17; total (83586) $386.44
Kit gene analys d816 variant (81273) $978.54
Kit gene targeted seq analys (81272) $919.68
Koh Prep (87220) $139.65
Kras gene addl variants (81276) $477.80
Kras gene analysis (81275) $518.45
L/s ratio, fetal lung (83661) $826.73
Lactic acid (83605) $267.95
Lactoferrin fecal qualitative (83630) $135.58
Lamellar Body Count (83664) $95.03
Ldh (83615) $121.48
Ldh isoenzymes (83625) $623.78
LDL cholesterol direct (83721) $217.35
Lead (83655) $367.43
Legion pneumo, DNA, amp prob (87541) $732.11
Legionella antibody (86713) $60.02
Legionella antigen urine (87449) $377.35
Legionella pneumophila dfa (87278) $118.04
Leptospira antibody (86720) $436.98
Leucine aminopeptidase (lap) (83670) $127.72
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $17.94
Level ii surg pathology gross&microscopic exam (88302) $233.44
Level v surg pathology gross&microscopic exam (88307) $2,528.12
Level vi surg pathology gross&microscopic exam (88309) $2,715
Lh (83002) $311.64
Lidocaine level (80176) $230.12
Lipase (83690) $165.90
Lipopro bld electrophoretic (83700) $913.54
Lipoprotein Bld Hr Fraction (83701) $137.35
Listeria ab (86609) $366.01
Lithium (80178) $146.15
Lyme disease antibody (86618) $348.39
Lyme disease antibody confirm (86617) $203.22
Lymph Choriomeningitis Ab (86727) $143.85
Lymphocyte transformation (86353) $296.30
M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) $553.20
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $1,373.02
M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) $507.34
M/phmtrc alys tumor imhchem ea antibody manual (88360) $1,714.13
Macroscopic exam arthropod (87168) $36.45
Macroscopic exam parasite (87169) $65.37
Magnesium (83735) $175.61
Malaria smear (87207) $236.35
Manual reticulocyte count (85044) $164.45
Mass spectrometry qual/quan (83789) $107.54
Mcg chrom insitu 3-5 (88272) $357.73
Mcg interphase insitu 25 (88274) $429.38
Measurement of hemolysin (red blood cell destructive substance) (85475) $314.57
Meat fibers, feces (89160) $60.72
Mercury (83825) $160.41
Metabolic Panel Ionized Ca (80047) $260.40
Methotrexate (80299) $303.44
Methylmalonic acid serum (83921) $492.80
Mgmt methylation analysis (81287) $334.60
Microalbumin urine (82043) $136.42
Microbe suscept macrobroth (87188) $147.87
Microbe Suscept Mycobacteri (87190) $46.31
Microbe susceptible diffuse (87181) $85.35
Microsatellite instability (81301) $905.59
Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) $285.44
Microsomal antibodies (86376) $277.60
Mitochondrial antibody each (86381) $111.18
Mlh1 gene analysis duplication/deletion variants (81294) $437.15
Mlh1 Gene Analysis Full Sequence Analysis (81292) $1,481.48
Mlh1 gene analysis known familial variants (81293) $593.89
Mlh1 gene analysis promoter methylation analysis (81288) $878.50
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) $877.88
Molecular pathology procedure level 2 (81401) $304.40
Molecular pathology procedure level 7 (81406) $698.39
Mononuclear cell antigen (86356) $499.52
Mopath procedure level 1 (81400) $125.72
Mopath procedure level 3 (81402) $510.58
Mopath procedure level 4 (81403) $705.38
Mopath procedure level 5 (81404) $621.20
Mopath procedure level 6 (81405) $650
Mopath procedure level 8 (81407) $2,185.11
Mopath procedure level 9 (81408) $5,242.18
Morphometric analysis tumor (88358) $462.10
Mpl gene analysis common variants (81338) $1,135.80
Mpl gene analysis sequence analysis exon 10 (81339) $1,112.59
Mrsa amp probe (87641) $398.25
Msh2 Gene Analysis Full Sequence Analysis (81295) $450.35
Msh2 gene analysis known familial variants (81296) $445.41
Msh2 gene dup/delete variant (81297) $363.98
Msh6 Gene Analysis Full Sequence Analysis (81298) $757.23
Msh6 gene analysis known familial variants (81299) $547.65
Msh6 gene dup/delete variant (81300) $670.61
Mthfr Gene Analysis Common Variants (81291) $371.23
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) $191.08
Mycophenolic acid (80180) $99.65
Mycoplasma antibody (86738) $198.94
Mycoplasma culture (87109) $287.84
Mycoplasma genitalium PCR (87563) $218.42
Myd88 mutation analysis (81305) $655.02
Myelin basic protein csf (83873) $337.64
Myoglobin urine (83874) $523.24
N.gonorrhoeae, DNA, dir prob (87590) $98.91
Nasal smear for eosinophils (89190) $35.19
Natriuretic peptide (83880) $451.22
Neutralization test, viral (86382) $208.73
Nfct agent DNA/RNA gastrointestinal pathogen (87505) $431.10
Nfct agent DNA/RNA influenza >2 types ea addl (87503) $66.75
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $534.86
Nfct ds bv&vaginitis DNA alg (81515) $1,003.95
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) $349.26
Nickel level (83885) $78.72
Nk cells total count (86357) $190.81
Nmr Lipoprofile (83704) $109.78
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $1,590.65
Nras gene variants exon 2&3 (81311) $1,177.48
Ntrk translocation analysis (81194) $905.64
Nuclear antigen antibody (86235) $339.30
Nudt15 Gene Analysis Common Variants (81306) $1,272.80
Obstetric panel (80081) $1,216.78
Occult blood stool (82272) $14.80
Oligoclonal bands (83916) $812.18
Oncology breast mrna (81519) $10,151.47
Oncology prostate biochemical assay 4 proteins (81539) $2,269
Oncoprotein dcp (83951) $557.07
Organic Acids Qual Each (83919) $550.12
Organic Acids Total Quantitative Each Specimen (83918) $501.72
Orthopoxvirus Amp Prb Each (87593) $480.62
Osmolality serum (83930) $251.46
Osmolality urine (83935) $127.20
Ova and parasite direct-id lca (87177) $206.03
Ovulation tests (84830) $39.05
Oxalate urine (83945) $472.32
Pancreatic elastase fecal (82656) $37.87
Pancreatic polypeptide (83519) $425.05
Pappa, serum (84163) $91.20
Particle Agglutination Screen Each Antibody (86403) $208.94
Particle agglutination titer each antibody (86406) $68
Parvovirus antibody (86747) $424.70
Path Consult During Surgery (88329) $362.18
Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) $78.70
Pca3/klk3 antigen (81313) $761.32
Pdgfra gene (81314) $952.24
Phenotype Infect Agent Drug (87900) $455.55
Phenytoin free (80186) $238.26
Phosphatase acid prostatic (84066) $42.99
Phosphatase alkaline (84075) $88.57
Phospholipid Neutralization Hexagonal (85598) $384.32
Phosphorus blood (84100) $89.60
Phosphorus urine (84105) $137.62
Pik3ca gene trgt seq alys (81309) $882.43
Pinworm exam (87172) $100
Plasminogen (85420) $61.55
Plasminogen (85421) $762.74
Platelet aggregation (85576) $427.54
Platelet count (85049) $83.35
Platelet neutralization (85597) $560.40
Pml/raralpha com breakpoints (81315) $1,528.40
Pmp22 gene analysis known familial variant (81326) $363.98
Pmp22 gene dup/delet (81324) $869.55
Pmp22 gene full sequence (81325) $907.95
Pms2 gene analysis duplication/deletion variants (81319) $433.35
Pms2 gene analysis full sequence (81317) $1,480.91
Pneumcysts jirovecii amp prb (87594) $600
Pooling blood platelets (86965) $189.75
Porphobilinogen urine quant (84110) $337.64
Porphyrins feces qn (84126) $365.85
Porphyrins qn & fraction urine (84120) $504.30
Porphyrins urine qual (84119) $37.39
Potassium (84132) $89.95
Potassium urine (84133) $84.25
Pregnenolone (84140) $132.32
Pretx serum rbc antb id incubation inhibitors ea (86977) $302.94
Primidone (80188) $587.17
Procainamide napa (80192) $300.64
Procalcitonin (pct) (84145) $547.38
Progesterone (84144) $410.25
Progesterone (reproductive hormone) receptor analysis (84234) $374.29
Prolactin (84146) $467.14
Prostaglandin Ea (84150) $851.85
Protein body fluid (84157) $116
Protein c activity (85303) $606.61
Protein c antigen (85302) $472.63
Protein electrophoresis serum (84165) $309.90
Protein Electrophoresis Urine (84166) $443
Protein S Functional (85306) $760.91
Protein s total (85305) $946.13
Protein total by refractometry any source (84160) $418.85
Protein Total Serum (84155) $77.34
Protein urine (84156) $105.90
Protein Western Blot (84182) $231.14
Protein westrn blot i&r blood/other fluid (84181) $655.05
Prothrombin time substitution (85611) $100.93
Protoporphyrin rbc quantitative (84202) $253.85
PSA free (84154) $172.15
Pten gene analysis known familial variant (81322) $363.98
Pten Gene Dup/Delet Variant (81323) $363.98
Pten Gene Full Sequence (81321) $981.08
Pyruvate kinase (84220) $105
Quantiferon tb gold (86480) $292.72
Quinidine (80194) $191.86
Rbc antibody elution (86860) $672.87
Rbc osmotic fragility (85555) $404.30
Rbc pretx incubatj w/chemicl (86970) $532.65
Reducing substances, stool (84376) $23.11
Ref consult prep elsewhere (88321) $279.58
Renin activity plasma (84244) $495.83
Reptilase test (85635) $89.55
Resp virus 3-5 targets (87631) $379.38
Respiratory viral panel PCR (87633) $1,466.75
Reticulated platelet assay (85055) $140.50
Reticulocyte Count (85046) $83.35
Rheumatoid Factor Qual (86430) $157
Rheumatoid factor quant (86431) $128.41
Rickettsia antibody (86757) $99.30
Rpr Titer (86593) $122.40
Rsv (87807) $299.77
Rubella antibody (86762) $321.88
Russell viper venom time diluted (85613) $511.65
Russell Viper Venom Time Undiluted (85612) $191.47
Rx metab gen seq alys pnl 6 (81418) $3,898.12
Saccharomyces ab iga (86671) $429.31
Salicylate (80179) $139.81
Salmonella antibody (86768) $63.58
Sars-Cov-2 Covid-19 Antibody (86769) $81.61
Sarscov2&inf a&b&rsv amp prb (87637) $413.75
Sed rate automated (85652) $101.30
Sedimentation rate (85651) $76
Semen analysis complete (89320) $147.94
Semen Analysis Presence and/or Motility of Sperm (89300) $31.05
Semen analysis sperm presence&/motility sprm (89321) $145.70
Sensitivity - mlc ea plate (87187) $464.72
Sensitivity mic (87186) $277.75
Serotonin Release Assay (86022) $244.63
Serpina1 gene (81332) $140.18
Serum bactericidal titer (87197) $520.46
Sex hormone binding globulin (84270) $105.98
Sickle cell screen (85660) $217.40
Sirolimus (rapamycin) (80195) $342.23
Smear acid fast (87206) $92.52
Smear complex stain (87209) $171.37
Smear gram stain (87205) $134.50
Smn1 Gene Dos/Deletion Alys (81329) $599.36
Snrpn/ube3a gene (81331) $153.20
Sodium (84295) $97.45
Sodium other source (84302) $49.10
Sodium urine (84300) $123.82
Soluble transferrin receptor (84238) $171.55
Somatostatin (84307) $440.69
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $216.85
Special stains group 1 (88312) $154.61
Specific gravity body fluid (84315) $33.50
Spectrophotometry (84311) $51.66
Sperm antibody measurement (89325) $92.64
Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $123.20
Splitting blood/blood products each unit (86985) $324.20
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $317.25
Staph aureus amplified probe (87640) $301.22
Stool Cultr Aerobic Bact Ea (87046) $146.64
Strep a assay w/optic (87880) $278.25
Strep a DNA amp probe (87651) $149.50
Strep b DNA amp probe (87653) $211.55
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $211.05
Sugars single quant (84378) $99.60
Sulfate urine (84392) $66.14
Surg path level iii (88304) $544.06
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $231.75
Surgical pathology level IV (88305) $839.48
Susceptibility study antimicrobial disk method (87184) $158.80
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $226.49
T cells, total count (86359) $164.95
T3 free (84481) $366.40
T3 reverse (84482) $69.81
T3 total (84480) $333.26
T3 uptake (84479) $294.95
T4 Free (84439) $113.04
T4 total (84436) $157.66
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) $165.95
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) $176.60
Testosterone total (84403) $522.06
Tetanus antibody (86774) $71.33
Tgsap so/hl 51/< RNA alys (81456) $8,758.80
Theophylline (80198) $183.96
Thin prep pap (88142) $187.39
Thiocyanate (84430) $392.42
Thrombin time plasma (85670) $133.27
Thromboplastin Inhibition Tissue (85705) $210.37
Thromboplastin time prtl substit plasma frctj ea (85732) $61.81
Thyroglobulin (84432) $333.53
Thyroglobulin Ab (86800) $205.20
Thyroid Stimulating Immunoglobulin (84445) $842.20
Thyroxine binding globulin (84442) $276.52
Tiss cul non-neo disorders skn/oth solid tiss bx (88233) $1,045.20
Tiss Trnsgltmnase Ea Ig Clas (86364) $60.46
Tissue culture bone marrow (88237) $1,622.38
Tissue Culture Lymphocyte (88230) $382.20
Tissue culture placenta (88235) $686.33
Tissue culture solid tumor (88239) $973.25
Tobramycin peak (80200) $238.32
Topiramate (80201) $228.04
Total tau (ttau) (84394) $995
Touch prep (88161) $143.85
Toxin or antitoxin assay (87230) $84.15
Toxoplasma ab igm (86778) $354.13
Toxoplasma antibody igg (86777) $247.52
Tp53 gene analysis full gene sequence (81351) $757.23
Tp53 gene analysis targeted sequence analysis (81352) $2,347.50
Tpmt gene com variants (81335) $643.30
Transferrin (84466) $279.14
Translocation analysis (bcr/abl1) other breakpoint (81208) $787.59
Trb@ Rearrangement Anal Amplification Method (81340) $730.15
Trg gene rearrangement analysis (81342) $1,377.56
Trichomonas vagin dir probe (87660) $220.18
Triglycerides (84478) $118.82
Troponin (84484) $377.10
Troponin i qualitative (84512) $257.55
Trypsin feces qual (84488) $76.06
Tyrosine (84510) $191.08
Urea nitrogen (84520) $66.50
Urea Nitrogen Clearance (84545) $40.15
Urea nitrogen urine (84540) $107.20
Uric acid blood (84550) $85.45
Uric acid other source (84560) $112.03
Urinalysis 2/3 glass test (81020) $14.45
Urinalysis microscopic only (81015) $41.46
Urinalysis qual/semiquant except immunoassays (81005) $7.50
Urinalysis w/microscopic (81001) $78.10
Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) $92.20
Urine pregnancy test (81025) $183.10
Urine volume measurement (81050) $43.15
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $52.10
Valproic acid level (80164) $441.98
Vancomycin trough (80202) $231.74
Varicella-zoster antibody (86787) $337.60
Vasoactive intestinal peptide (vip) (84586) $794.67
Vasopressin (84588) $1,045.55
Vdrl csf (86592) $91.31
Very long chain fatty acids (82726) $363.60
Virus antibody nos (86790) $259.88
Virus id non-immunologic oth/thn cytopathic (87255) $103.53
Virus inoculate tissue addl (87253) $548.48
Virus inoculation, shell via (87254) $246.07
Viscosity serum (85810) $150.48
Vitamin A (84590) $486.12
Vitamin b-12 (82607) $211.84
Vitamin b-2 (riboflavin) (84252) $115.33
Vitamin b1 (thiamine) (84425) $606.61
Vitamin b6 (84207) $688.73
Vitamin C (82180) $188.06
Vitamin D 25-Hydroxy (82306) $595.25
Vitamin e serum (84446) $397.40
Voltage-gated calcium channel antibody each (86596) $128.61
Von willebrand factor activity (85245) $516.83
Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) $360.34
West nile virus ab, igm (86788) $65.15
West nile virus antibody (86789) $61.73
Yersinia antibody (86793) $172.86
Zika Virus Igm Antibody (86794) $251.41
Zinc (84630) $386.83