Lab & pathology prices at Kaiser Permanente Moanalua Medical Center

Honolulu, HI · every code in this section with a posted price and a Medicare benchmark.

1212 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) $186 $248 4.8×
5 Nucleotidase (83915) $70.50 $94 6.3×
Abl1 gene (81170) $37.50 $50 0.1×
Acetaminophen level (80143) $59.25 $79 3.2×
Acetone serum qual (82009) $30.75 $41 6.8×
Acetylcholine receptor binding antibody (86041) $49.50 $66 2.7×
Acetylcholine receptor blocking antibody (86042) $49.50 $66 2.7×
Acetylcholinesterase (82013) $68.25 $91 5.6×
Acetylcholn Rcptr Modlg Antb (86043) $32.25 $43 2.7×
Acth stimulation panel adrenal insufficiency (80400) $198.75 $265 6.1×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $528.75 $705 6.1×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $476.25 $635 6.1×
Actin smooth muscle antibody each (86015) $33.75 $45 2.8×
Activated protein c resistance (85307) $96 $128 6.3×
Acute hepatitis panel (80074) $366.75 $489 7.7×
Acylcarnitine Plasma (82017) $105 $140 6.2×
Acylcarnitines; qualitative, each specimen Facility (82016) $84.75 $113 5.1×
Adamts13 activity (85397) $156 $208 5.1×
Adenovirus Ag Ia (87301) $76.50 $102 6.4×
Adenovirus ag, if (87260) $75 $100 5.2×
Adenovirus antibody (86603) $81 $108 6.3×
Adrenocorticotropic hormone (82024) $243 $324 6.3×
Afp maternal serum (82105) $126 $168 7.5×
Agglutinins febrile ea antigen (86000) $42 $56 6.0×
Albumin body fluid (82042) $43.50 $58 5.6×
Albumin serum (82040) $39 $52 7.9×
Albumin; ischemia modified Facility (82045) $207 $276 6.1×
Aldolase (82085) $39.75 $53 4.1×
Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone… (80408) $764.25 $1,019 6.1×
Aldosterone urine (82088) $168.75 $225 4.1×
Alk phos heat stable (84078) $45 $60 5.4×
Alkaline phosphatase isoenzymes (84080) $129 $172 8.7×
Allergen peanut (86003) $25.50 $34 4.9×
Allergen spec ige qual multiallergen screen (86005) $51.75 $69 6.5×
Allergen specific igg (86001) $39.75 $53 5.1×
Allg Spec Ige Recomb Ea (86008) $118.50 $158 6.6×
Alpha-1-antitrypsin phenotype (82104) $91.50 $122 6.3×
Alpha-1-antitrypsin, total (82103) $84 $112 6.3×
Alpha-Fetoprotein L3 (82107) $392.25 $523 6.1×
Alpha-Fetoprotein; Amniotic (82106) $111.75 $149 6.6×
Alt (sgpt) (84460) $41.25 $55 7.8×
Aluminum (82108) $159 $212 6.2×
Amikacin trough (80150) $113.25 $151 7.5×
Amines vaginal fluid qual (82120) $21.75 $29 3.6×
Amino Acids 1 Quantitative Each Specimen (82131) $114 $152 5.0×
Amino acids 6/> amino acids quantitative ea spe (82139) $105 $140 6.2×
Amino Acids Quant 2-5 (82136) $102 $136 5.2×
Amino Acids, Multiple Qual (82128) $84.75 $113 6.1×
Amino acids; single, qualitative, each specimen Facility (82127) $84.75 $113 6.0×
Aminolevulinic acid (ala) (82135) $99.75 $133 6.1×
Amniotic fluid enzyme test (84081) $99.75 $133 6.0×
Amniotic fluid scan (82143) $45.75 $61 4.9×
Amylase urine (82150) $53.25 $71 8.2×
Ana titer (86039) $88.50 $118 7.9×
Analysis for antibody to shigella (intestinal bacteria) (86771) $120 $160 4.9×
Analysis nerve (88356) $729 $972 11.8×
Analysis skeletal muscle (88355) $423 $564 2.1×
Androstanediol glucuronide (82154) $174.75 $233 6.1×
Androsterone (hormone) level (82160) $152.25 $203 6.0×
Angiotensin i enzyme test (82164) $92.25 $123 6.3×
Angiotensin ll (protein) level (82163) $125.25 $167 6.1×
Animal inoculation, small animal, with observation and dissection Facility (87003) $102 $136 6.1×
Anti-phosphatidylserine antibody (86148) $53.25 $71 3.3×
Antibody aspergillus (86606) $99.75 $133 6.6×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $97.50 $130 6.3×
Antibody coxiella burnetii q fever (86638) $81 $108 6.7×
Antibody cytomegalovirus cmv (86644) $124.50 $166 8.7×
Antibody Encephalitis Eastern Equine (86652) $81 $108 6.1×
Antibody encephalitis st. louis (86653) $81 $108 6.1×
Antibody epstein-barr eb virus early antigen ea (86663) $80.25 $107 6.1×
Antibody Fungus Not Elsewhere Specified (86671) $76.50 $102 6.2×
Antibody haemophilus influenza (86684) $99 $132 6.3×
Antibody helicobacter pylori (86677) $99.75 $133 5.9×
Antibody Herpes Smplx Non-Specific Type Test (86694) $87.75 $117 6.1×
Antibody Hiv-1&Hiv-2 Single Result (86703) $83.25 $111 6.1×
Antibody HIV-2 (86702) $90 $120 6.7×
Antibody hla class ii semiquantitative panel (86835) $1,247.25 $1,663 3.9×
Antibody identification (86870) $300 $400 0.7×
Antibody identification leukocyte antibodies (86021) $69.75 $93 4.6×
Antibody Identification Platelet Immunogl Assay (86023) $78 $104 6.3×
Antibody influenza virus (86710) $84 $112 6.2×
Antibody john cunningham virus (86711) $96 $128 5.7×
Antibody leishmania (86717) $74.25 $99 6.1×
Antibody Listeria Monocytogenes (86723) $81 $108 6.1×
Antibody mumps (86735) $113.25 $151 8.7×
Antibody neisseria meningitidis (86741) $81 $108 6.1×
Antibody Protozoa Nes (86753) $81 $108 6.5×
Antibody screen (86850) $159 $212 16.3×
Antibody treponema pallidum (86780) $82.50 $110 6.2×
Antibody; campylobacter (86625) $80.25 $107 6.1×
Antibody; Coccidioides (86635) $76.50 $102 6.7×
Antibody; HTLV-II Facility (86688) $85.50 $114 6.1×
Antibody; mucormycosis Facility (86732) $81 $108 5.4×
Antigen typing (86905) $230.25 $307 60.1×
Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) $159 $212 30.7×
Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) $32.25 $43 2.7×
Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) $31.50 $42 2.6×
Antinomyces antibody (86602) $62.25 $83 6.1×
Antinuclear antibodies (86038) $98.25 $131 8.1×
Antistreptolysin O Screen - Anti-Streptolysin O (86063) $35.25 $47 6.1×
Antistreptolysin o titer (86060) $45.75 $61 6.3×
Antithrombin iii activity (85300) $74.25 $99 6.3×
Antithrombin iii antigen (85301) $68.25 $91 6.3×
Apolipoprotein each (82172) $107.25 $143 5.1×
Aquaporin-4 antibody flow cytometry each (86053) $102 $136 2.7×
Arsenic Urine (82175) $79.50 $106 4.2×
Aspergillus ag eia (87305) $99 $132 8.3×
Assay 17-(17-Ks)Ketosteroids (83586) $78.75 $105 6.2×
Assay Duodenal Fluid Trypsin (84485) $44.25 $59 6.1×
Assay galactose transferase (82775) $135 $180 6.4×
Assay Lipoprotein Pla2 (83698) $228 $304 4.9×
Assay myeloperoxidase (83876) $257.25 $343 5.1×
Assay Nephelometry Not Spec (83883) $63.75 $85 4.7×
Assay of 17-hydroxypregnenolone (84143) $138 $184 6.0×
Assay of 5-hiaa (83497) $81 $108 6.3×
Assay of ammonia (82140) $135 $180 9.3×
Assay of androstenedione (82157) $183.75 $245 6.3×
Assay of anti-mullerian hormone (82166) $103.50 $138 2.7×
Assay of biotinidase (82261) $105 $140 6.2×
Assay of c-peptide (84681) $130.50 $174 6.3×
Assay of ceruloplasmin (82390) $68.25 $91 6.4×
Assay of citrate (82507) $183.75 $245 6.6×
Assay of corticosterone (82528) $136.50 $182 6.1×
Assay of cpk in blood (82552) $81 $108 6.0×
Assay of creatine (82540) $28.50 $38 6.1×
Assay of cyclosporine (80158) $113.25 $151 6.3×
Assay of dibucaine number (82638) $74.25 $99 6.1×
Assay of erythropoietin (82668) $74.25 $99 4.0×
Assay of estrone (82679) $156 $208 6.3×
Assay of ethosuximide (80168) $102 $136 6.2×
Assay of etiocholanolone (82696) $143.25 $191 5.5×
Assay of ferritin (82728) $87 $116 6.4×
Assay of g6pd enzyme (82955) $64.50 $86 6.6×
Assay of gammaglobulin igm (82784) $24 $32 2.6×
Assay of gastrin (82941) $110.25 $147 6.3×
Assay of gentamicin (80170) $102 $136 6.2×
Assay of homocystine (83090) $133.50 $178 7.4×
Assay of lactic acid (83605) $103.50 $138 8.9×
Assay of lipoprotein(a) (83695) $81 $108 5.7×
Assay of manganese (83785) $153.75 $205 5.8×
Assay of metanephrines (83835) $106.50 $142 6.3×
Assay of osteocalcin (83937) $181.50 $242 6.1×
Assay of phenobarbital (80184) $77.25 $103 5.0×
Assay of phosphatase acid total (84060) $45 $60 5.9×
Assay of prealbumin (84134) $98.25 $131 6.7×
Assay of procainamide (80190) $296.25 $395 4.9×
Assay of proinsulin (84206) $135 $180 5.1×
Assay of prolactin (84146) $132.75 $177 6.8×
Assay of prostate specific antigen complexed (84152) $111.75 $149 6.1×
Assay of pyruvate (84210) $73.50 $98 5.1×
Assay of semen fructose (82757) $105.75 $141 6.1×
Assay of serotonin (84260) $126.75 $169 4.1×
Assay of sialic acid (84275) $81.75 $109 6.1×
Assay of tacrolimus (80197) $94.50 $126 6.9×
Assay of topiramate (80201) $75 $100 6.3×
Assay of transcortin (84449) $109.50 $146 6.1×
Assay of Tyrosine (84510) $63 $84 5.9×
Assay of urine vma (84585) $97.50 $130 6.3×
Assay of vasopressin anti-diuretic hormone (84588) $207 $276 6.1×
Assay of vitamin k (84597) $85.50 $114 6.2×
Assay of volatiles (84600) $100.50 $134 5.9×
Assay Phosphatase Acid Prostatic (84066) $58.50 $78 6.1×
Assay Phosphohexose Enzymes (84087) $63 $84 5.9×
Assay spec xcp ur&breath ia (82077) $52.50 $70 3.0×
Ast (sgot) (84450) $39.75 $53 7.7×
Atomic Absorption (82190) $90.75 $121 5.7×
Autol Bld/Component Collj Storage Predeposited (86890) $366 $488 1.8×
B cells total count (86355) $249.75 $333 6.6×
B-hexosaminidase ea assay (83080) $102 $136 6.0×
Bartonella antibody (86611) $68.25 $91 6.7×
Bartonella PCR (87471) $219.75 $293 6.3×
Bcr/abl1 gene major bp (81206) $456 $608 2.8×
Bcr/abl1 gene minor bp (81207) $403.50 $538 2.8×
Beta 2 glycoprotein 1 igm (86146) $84.75 $113 3.3×
Beta hydroxybutyrate (82010) $75.75 $101 9.3×
Beta lactamase (87185) $29.25 $39 6.2×
Beta-2 microglobulin (82232) $73.50 $98 4.5×
Bile acids, total (82239) $104.25 $139 6.1×
Bile acids; cholylglycine Facility (82240) $162 $216 6.1×
Bilirubin direct (82248) $36 $48 7.2×
Bilirubin total (82247) $30.38 $40.50 6.1×
Bilirubin total transcutaneous (88720) $15.75 $21 3.1×
Bilirubin; feces, qualitative Facility (82252) $27 $36 5.9×
Bl Smear W/Diff Wbc Count (85007) $22.50 $30 5.9×
Bl Smear W/O Diff Wbc Count (85008) $21 $28 6.1×
Blastomyces antibody (86612) $78.75 $105 6.1×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $304.50 $406 1.5×
Bld Typing Serologic Rh Phnt (86906) $48.75 $65 6.3×
Bleeding time (85002) $27 $36 5.6×
Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated… (86079) $294.75 $393 4.8×
Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) $297 $396 8.7×
Blood Count Automated Differential Wbc Count (85004) $39 $52 6.0×
Blood Count Reticulocytes Auto 1/> Cell Meas (85046) $33.75 $45 6.1×
Blood gas (82803) $238.50 $318 9.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $85.50 $114 5.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $18 $24 4.1×
Blood Ph (82800) $55.50 $74 5.0×
Blood Sulfhemoglobin Assay (83060) $51.75 $69 5.9×
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $230.25 $307 36.3×
Blood typing abo (86900) $84.75 $113 28.3×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $81 $108 5.0×
Blood typing serologic rh (d) (86901) $54 $72 18.1×
Body fluid cell count (89051) $50.25 $67 9.0×
Body fluid cell count (89050) $38.25 $51 8.1×
Bone Marrow Smear Interpretation (85097) $705 $940 0.7×
Bordetella antibody (86615) $82.50 $110 6.3×
Bordetella pertussis dfa (87265) $72.75 $97 6.1×
Borrelia Antibody (86619) $81 $108 6.1×
Bradykinin Facility (82286) $31.50 $42 6.1×
Brca1&2 seq & full dup/del (81162) $217.50 $290 0.1×
Breath Alcohol Test (82075) $148.50 $198 5.0×
Brucella antibody (86622) $55.50 $74 6.2×
C diff amplified probe (87493) $225.75 $301 6.1×
C-reactive protein (86140) $53.25 $71 10.3×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $102 $136 7.9×
C1q binding assay (86332) $153 $204 6.3×
Ca 125 (86304) $132 $176 6.3×
Ca 19-9 (86301) $167.25 $223 8.0×
Ca 27 29 (86300) $66 $88 3.2×
Cadmium level (82300) $145.50 $194 6.2×
Caffeine (80155) $118.50 $158 3.1×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $882.75 $1,177 4.4×
Calcitonin (82308) $168 $224 6.3×
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $304.50 $406 3.8×
Calcium ionized (82330) $102 $136 7.5×
Calcium total (82310) $40.50 $54 7.8×
Calcium urine (82340) $38.25 $51 6.3×
Calcium; after calcium infusion test Facility (82331) $66 $88 4.9×
Calculus Quantitative Chemical (82360) $86.25 $115 6.7×
Calculus spectroscopy (82365) $58.50 $78 4.5×
Calculus; qualitative analysis Facility (82355) $70.50 $94 6.1×
Calculus; X-ray diffraction Facility (82370) $75.75 $101 6.1×
California encephalitis ab (86651) $81 $108 6.1×
Calprotectin, fecal (83993) $130.50 $174 6.6×
Calr gene com variants (81219) $369 $492 3.0×
Candida antibody (86628) $75 $100 6.2×
Carb deficient transferrin (82373) $109.50 $146 6.1×
Carbamazepine free (80157) $81 $108 6.1×
Carbamazepine total (80156) $91.50 $122 6.3×
Carbon dioxide (82374) $30.75 $41 6.3×
Carboxyhemoglobin (82375) $77.25 $103 6.3×
Carboxyhemoglobin; qualitative Facility (82376) $69.75 $93 5.0×
Carcinoembryonic antigen (82378) $132.75 $177 7.0×
Cardiolipin ab igg (86147) $84.75 $113 3.3×
Carnitine (82379) $105 $140 6.2×
Carotene (82380) $57.75 $77 6.3×
Catecholamines fraction plasma (82384) $157.50 $210 6.2×
Catecholamines organic nitrogen blood level (82383) $153 $204 5.3×
Catecholamines Total Urine (82382) $135 $180 4.9×
Cathepsin-d (82387) $109.50 $146 6.1×
Cell Cryopreserve/Storage (88240) $40.50 $54 3.1×
Cell enumeration & id (86152) $1,578.75 $2,105 6.3×
Cell marker study (88182) $482.25 $643 7.8×
Cell saver (86891) $684 $912 0.7×
Cellular Function Assay Stimul&Detect Biomarker (86352) $852 $1,136 6.3×
Cftr gene com variants (81220) $639.38 $852.50 1.1×
Cftr gene dup/delet variants (81222) $92.25 $123 0.2×
Cftr gene full sequence (81223) $105.75 $141 0.2×
Chemiluminescent assay (82397) $89.25 $119 6.3×
Chemotaxis assay, specify method Facility (86155) $97.50 $130 6.1×
Chlamydia antibody (86631) $74.25 $99 6.3×
Chlamydia Igm Antibody (86632) $79.50 $106 6.3×
Chlamydia trachomatis ag if (87270) $72.75 $97 6.1×
Chloramphenicol (82415) $77.25 $103 6.1×
Chloride blood (82435) $31.50 $42 6.8×
Chloride feces (82438) $30 $40 6.0×
Chloride urine (82436) $31.50 $42 5.5×
Chlorinated hydrocarbons screen (82441) $36.75 $49 6.1×
Cholesterol HDL (83718) $71.25 $95 8.7×
Cholesterol total (82465) $27 $36 6.2×
Cholinesterase rbc (82482) $50.25 $67 5.1×
Cholinesterase serum (82480) $49.50 $66 6.3×
Chondroitin B sulfate, quantitative Facility (82485) $126 $168 6.1×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $340.50 $454 6.1×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $315 $420 6.1×
Chorionic Gonadotropin, Free Beta Chain (84704) $69 $92 4.5×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $82.50 $110 3.1×
Chrmsm analysis addl high resolution study (88289) $131.25 $175 3.8×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $112.50 $150 3.4×
Chrmsm count 15-20 cll 2karyotyp banding (88262) $381.75 $509 3.0×
Chromium urine (82495) $135 $180 6.7×
Chromogenic Substrate Assay (85130) $72 $96 6.1×
Chromogranin a (86316) $119.25 $159 5.7×
Chromosome analys amniotic (88269) $688.50 $918 4.0×
Chromosome analysis 20-25 cells (88264) $389.25 $519 2.7×
Chromosome analysis 45 cells (88263) $522 $696 3.5×
Chromosome Analysis 5 (88261) $818.25 $1,091 3.1×
Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) $536.25 $715 3.1×
Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Facility (88245) $536.25 $715 3.1×
Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) $678 $904 3.9×
Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) $583.50 $778 3.1×
Chromosome Banding Study (88283) $211.50 $282 3.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $260.25 $347 7.4×
Ckmb (82553) $90.75 $121 7.9×
Clot Factor VIII Multimetric (85247) $143.25 $191 6.2×
Clot factor viii vw antigen (85246) $143.25 $191 6.2×
Clot Factor X Stuart-Power - Factor 10 Activity (85260) $112.50 $150 6.3×
Clot factor xiii fibrin stab (85290) $102 $136 6.2×
Clot lysis time, whole blood dilution Facility (85175) $99.75 $133 4.9×
Clot retraction (85170) $81 $108 5.0×
Clotting hi molec weight kininogen assay (85293) $118.50 $158 6.3×
Clotting Inhibitors Protein S Free (85306) $96 $128 6.3×
Clotting prekallikrein assay fletcher fact assay (85292) $118.50 $158 6.3×
Clozapine level (80159) $116.25 $155 5.8×
Cmv ab igm (86645) $112.50 $150 6.7×
Cmv PCR (87496) $332.25 $443 9.5×
Cns DNA amp probe type 12-25 (87483) $2,759.25 $3,679 6.6×
Coagulation time (85348) $22.50 $30 5.0×
Coagulation time activated (85347) $37.50 $50 8.8×
Coagulation time; Lee and White Facility (85345) $27 $36 5.8×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $129.75 $173 5.4×
Cold agglutinin screen (86156) $40.50 $54 5.0×
Cold agglutinin titer (86157) $51 $68 6.3×
Collagen cross links (82523) $128.25 $171 6.9×
Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone… (80418) $3,526.50 $4,702 6.1×
Compatibility test antiglob (86922) $113.25 $151 0.6×
Compatibility Test Incubate (86921) $175.50 $234 0.9×
Complement c3 (86160) $98.25 $131 8.2×
Complement total (ch50) (86162) $127.50 $170 6.3×
Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) $75 $100 6.3×
Comprehensive review of data (88325) $583.50 $778 2.9×
Concentration Infectious Agent (87015) $54.75 $73 8.2×
Consltj&Reprt Slides Prepared Elsewhere (88321) $333 $444 7.5×
Coombs direct (86880) $69 $92 12.8×
Copper urine (82525) $47.25 $63 3.8×
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $3,951 $5,268 4.9×
Cortisol free (82530) $104.25 $139 6.2×
Cortisol total (82533) $129.75 $173 8.0×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $72 $96 6.1×
Creatine kinase total (82550) $57 $76 8.8×
Creatinine blood (82565) $32.25 $43 6.3×
Creatinine clearance (82575) $63 $84 6.7×
Creatinine other source (82570) $45 $60 8.7×
Crossmatch immediate spin (86920) $113.25 $151 0.6×
Cryofibrinogen (82585) $69.75 $93 4.9×
Cryoglobulin (82595) $40.50 $54 6.3×
Cryptococcus antibody (86641) $87.75 $117 6.1×
Crystals body fluid (89060) $60.75 $81 8.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $118.50 $158 14.7×
Culture Aerobic Identify (87077) $74.25 $99 9.2×
Culture aerobic quant other (87071) $84 $112 8.5×
Culture afb (87116) $78.75 $105 7.3×
Culture anaerobic (87075) $84 $112 8.9×
Culture Bacteria Anaerobic (87073) $57 $76 5.9×
Culture blood (87040) $161.25 $215 15.6×
Culture chlamydia (87110) $122.25 $163 6.2×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $51 $68 6.6×
Culture fungus blood (87103) $136.50 $182 6.7×
Culture fungus id yeast (87106) $79.50 $106 7.7×
Culture fungus other (87102) $77.25 $103 9.2×
Culture genital (87070) $73.50 $98 8.5×
Culture of oocyte(s)/embryo(s), less than 4 days; Non-Facility Trauma and Critical Care Professional Component (89250) $3,815.25 $5,087 19.0×
Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos Non-Facility Trauma and Critical… (89251) $3,637.50 $4,850 18.1×
Culture screen only (87081) $55.50 $74 8.4×
Culture stool (87045) $59.25 $79 6.3×
Culture typing if ea antiserum (87140) $34.50 $46 6.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $31.50 $42 6.1×
Culture typing other methods (87158) $38.25 $51 4.9×
Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) $213 $284 6.1×
Culture urine (87086) $60.75 $81 7.5×
Culture virus (87252) $163.50 $218 6.3×
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $134.25 $179 5.0×
Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) $75.75 $101 6.1×
Culture, typing; identification by pulse field gel typing Facility (87152) $38.25 $51 4.9×
Cultyp nucleic acid sequencing meth ea isolate (87153) $701.25 $935 6.1×
Cyanide (82600) $121.50 $162 6.3×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $87 $116 6.1×
Cyclic amp (82030) $156.75 $209 6.1×
Cyclic Citrullinated Peptide (86200) $102 $136 7.9×
Cystatin c (82610) $99 $132 5.3×
Cysticercosis Antibody (86682) $81 $108 6.2×
Cytogenetics 10-30 (88273) $122.25 $163 3.5×
Cytogenetics 100-300 (88275) $138 $184 2.7×
Cytogenetics DNA probe (88271) $57.75 $77 2.7×
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $405 $540 9.5×
Cytopath cell enhance tech (88112) $267.75 $357 4.3×
Cytopath Fl Nongyn Filter (88106) $207 $276 6.1×
Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) $186 $248 4.2×
Cytopath Smear Other Source (88160) $225 $300 6.6×
Cytopath Tbs Cerv/Vag Manual (88164) $47.25 $63 2.5×
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $156 $208 3.1×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $50.25 $67 2.7×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $78.75 $105 3.1×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) $81.38 $108.50 3.5×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $47.25 $63 2.5×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $47.25 $63 2.5×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $129.75 $173 3.1×
Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) $45 $60 3.1×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $86.25 $115 3.1×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $74.25 $99 3.1×
Cytotoxic pra quick (86808) $180.75 $241 6.1×
Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) $81.75 $109 3.1×
Cytp concentration smears & interpretation (88108) $213.75 $285 4.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $406.50 $542 6.6×
Cytp fna eval dx 1st each site (88172) $139.50 $186 0.7×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $2,126.25 $2,835 10.6×
Cytp Insitu Hybrid Urne Spec 3-5 Probes Cptr Ea (88121) $1,412.25 $1,883 7.0×
Cytp Slides C/V Mnl Scr Under Phys (88150) $47.25 $63 2.5×
Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) $344.25 $459 5.6×
D-Dimer (85378) $48 $64 4.9×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $108.75 $145 10.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $69 $92 6.1×
Deoxycortisol (82634) $178.50 $238 6.1×
Deoxyribonuclease antibody (86215) $82.50 $110 6.2×
Desoxycorticosterone (82633) $189 $252 6.1×
Detect Agent, Mult Orgs, Dna, Dir (87800) $243.75 $325 5.6×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $105 $140 6.3×
Detect agnt mult DNA ampli (87801) $441 $588 6.3×
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $798.75 $1,065 4.9×
Dgp antibody each ig class (86258) $33.75 $45 2.8×
Dhea (82626) $153.75 $205 6.1×
Dhea-sulfate (82627) $139.50 $186 6.3×
Digoxin (80162) $129.75 $173 9.8×
Digoxin free (80163) $40.50 $54 3.0×
Dihydrotestosterone (82642) $108.75 $145 3.7×
Dilantin (80185) $91.50 $122 6.9×
Diphtheria antitoxoid (86648) $95.25 $127 6.3×
Dipropylacetic acid free (80165) $87 $116 6.4×
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $105.75 $141 3.1×
Dmd dup/delet analysis (81161) $27.75 $37 0.1×
Dna Antibody Single Stranded (86226) $73.50 $98 6.1×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $105 $140 7.6×
DNA/RNA direct probe (87149) $122.25 $163 6.1×
Drug assay adalimumab (80145) $116.25 $155 3.0×
Drug assay flecainide (80181) $50.25 $67 2.7×
Drug Assay Infliximab (80230) $112.50 $150 2.9×
Drug Assay Lacosamide (80235) $116.25 $155 4.3×
Drug assay leflunomide (80193) $103.50 $138 2.7×
Drug assay methotrexate (80204) $117 $156 3.0×
Drug assay posaconazole (80187) $116.25 $155 4.3×
Drug assay vedolizumab (80280) $103.50 $138 2.7×
Drug assay voriconazole (80285) $116.25 $155 4.3×
Drug quant nes (80299) $99 $132 5.3×
Drug screen quant zonisamide (80203) $82.50 $110 6.2×
Drug Screen Quantitative Lamotrigine (80175) $82.50 $110 6.2×
Drug Screen Quantitative Lidocaine (80176) $92.25 $123 6.3×
Drug Screen Quantitative Oxcarbazepine (80183) $82.50 $110 6.2×
Drug Scrn Quan Levetiracetam (80177) $127.50 $170 9.6×
Drug test prsmv chem anlyzr (80307) $585 $780 9.4×
Drug Test Prsmv Dir Opt Obs (80305) $60 $80 4.8×
E test (87181) $29.25 $39 6.2×
Ebv viral capsid (86665) $89.25 $119 4.9×
Ehrlichia antibody (86666) $63.75 $85 6.3×
Elastase pancreatic fecal quantitative (82653) $66 $88 2.9×
Electrolyte panel (80051) $58.50 $78 8.3×
Electron microscopy diagnostic (88348) $1,365.75 $1,821 1.4×
Electronic crossmatch (86923) $265.50 $354 1.3×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $312 $416 5.1×
Encephalitis Western Equine (86654) $81 $108 6.1×
Endomysial Antibody Each Immunoglobulin Class (86231) $32.25 $43 2.7×
Entamoeba histolytica antigen (87337) $72.75 $97 6.1×
Enterovirus antibody (86658) $81 $108 6.2×
Enterovirus Pcr (87498) $219.75 $293 6.3×
Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each… (82658) $216.75 $289 4.9×
Enzyme cell activity (82657) $113.25 $151 5.1×
Enzyme histochemistry (88319) $705 $940 0.7×
Eosinophil count (85048) $16.50 $22 6.5×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $100.12 $133.50 6.5×
Estradiol (82670) $174.75 $233 6.3×
Estriol serum (82677) $151.50 $202 6.3×
Estrogens fractionated (82671) $195.75 $261 6.1×
Estrogens total (82672) $136.50 $182 6.3×
Ethylene glycol (82693) $93.75 $125 6.3×
Euglobulin lysis (85360) $51 $68 6.1×
Eval c/v amniotic fluid protein qual ea specimen (84112) $483.75 $645 4.9×
Everolimus (80169) $85.50 $114 6.2×
Exam & Select Archive Tissue Molecular Analysis (88363) $78.75 $105 2.3×
F2 gene analysis 20210g >a variant (81240) $183 $244 2.8×
F5 gene analysis, leiden variant (81241) $204 $272 2.8×
Factor ii activity (85210) $81 $108 6.2×
Factor inhibitor test (85335) $78.75 $105 6.1×
Factor ix activity (85250) $119.25 $159 6.3×
Factor v activity (85220) $110.25 $147 6.2×
Factor vii assay (85230) $112.50 $150 6.3×
Factor viii ahg (85240) $112.50 $150 6.3×
Factor viii related antigen (85244) $124.50 $166 6.1×
Factor xi assay (85270) $112.50 $150 6.3×
Factor xii assay (85280) $121.50 $162 6.3×
Factor xiii solubility screen (85291) $54 $72 5.9×
Fat differential, feces, quantitative Facility (82715) $114 $152 5.0×
Fatty acids free (82725) $95.25 $127 5.1×
Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) $47.25 $63 6.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $105 $140 6.1×
Fecal fat qual (82705) $21 $28 4.1×
Fecal fat quant (82710) $105 $140 6.3×
Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm… (81507) $2,027.25 $2,703 2.6×
Fetal bleed screen (85461) $49.50 $66 5.3×
Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) $2,110.50 $2,814 2.8×
Fetal Congenital Abnor Assay Four Anal (81511) $390.75 $521 2.5×
Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum,… (81508) $138.75 $185 2.6×
Fetal fibronectin (82731) $404.25 $539 6.3×
Fetal lung maturity assessment; foam stability test Facility (83662) $115.50 $154 6.1×
Fetal Lung Maturity Fluorescence Polarization (83663) $115.50 $154 6.1×
Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) $134.25 $179 6.1×
Fetal screen (83030) $53.25 $71 5.0×
Fibrin degradation products (85362) $42 $56 6.1×
Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or… (85380) $62.25 $83 6.1×
Fibrin Degradation Quant (85379) $164.25 $219 16.1×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $69 $92 5.6×
Fibrinogen activity (85384) $80.25 $107 8.3×
Fibrinogen antigen (85385) $71.25 $95 4.9×
Fibrinogen Test (85366) $396.75 $529 4.9×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $187.50 $250 12.1×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $47.25 $63 6.1×
Flow cytometry first marker (88184) $331.50 $442 0.8×
Fluorescent Antibody Screen (86255) $78.75 $105 6.5×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $101.25 $135 8.4×
Fluoride (82735) $112.50 $150 6.1×
Fmr1 gene detection (81243) $132 $176 2.3×
Folate serum (82746) $104.25 $139 7.1×
Folic acid rbc (82747) $108.75 $145 6.2×
Follicle Stimulating Hormone (83001) $117 $156 6.3×
Forensic (investigation) examination of specimen (88125) $81.75 $109 1.3×
Francisella tularensis (86668) $69.75 $93 4.9×
Fresh frozen plasma thawing each unit (86927) $399 $532 2.0×
Frozen blood each unit thawing (86931) $322.50 $430 1.6×
Frozen blood prep (86930) $430.50 $574 2.1×
Frozen blood, each unit; freezing (includes preparation) and thawing Non-Facility Trauma and Critical Care Professional… (86932) $366 $488 8.3×
Frozen Section (88331) $235.50 $314 1.2×
Fructosamine (82985) $60.75 $81 3.6×
Fungus Identification, Mold - Fungal Identification, Mold (87107) $63 $84 6.1×
G6pd gene analysis full gene sequence (81249) $126.75 $169 0.2×
G6pd Screen (82960) $36.75 $49 6.1×
Gabapentin (80171) $110.25 $147 5.1×
Galactokinase (82759) $131.25 $175 6.1×
Galactose (82760) $68.25 $91 6.1×
Galactose transferase test (82776) $57.75 $77 4.9×
Galectin-3 serum (82777) $135.75 $181 3.1×
Gammaglobulin ige (82785) $57.75 $77 3.5×
Gardner vag DNA dir probe (87510) $105.75 $141 5.3×
Gardner Vag Dna Quant (87512) $255 $340 6.1×
Gases Blood O2 Saturation Only Direct Meas (82810) $53.25 $71 5.5×
Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) $387.75 $517 4.9×
Gastric acid analysis, includes pH if performed, each specimen Facility (82930) $33 $44 4.9×
Gastrin after secretin stim (82938) $87 $116 4.9×
Gc Dna Probe (87590) $132.75 $177 4.9×
Gen seq analys hematolymphoid neo 5-50 gene (81450) $2,025 $2,700 2.7×
Genotype cytomegalovirus (87910) $1,566.75 $2,089 6.1×
Ggt (82977) $55.50 $74 7.7×
Gh suppression panel (80430) $638.25 $851 4.9×
Giardia antigen eia stool (87329) $81.75 $109 6.8×
Giardia lamblia antibody (86674) $92.25 $123 6.3×
Glucagon (82943) $90 $120 6.3×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $279.75 $373 6.1×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $307.50 $410 6.1×
Glucagon tolerance test Facility (82946) $91.50 $122 5.1×
Glucose (82947) $55.50 $74 14.1×
Glucose Blood Test (82962) $23.62 $31.50 7.2×
Glucose body fluid (82945) $45.75 $61 11.6×
Glucose post dose (82950) $23.25 $31 4.9×
Glucose tolerance ea addl beyond 3 specimens (82952) $19.50 $26 5.0×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $64.50 $86 5.0×
Glucosidase beta (82963) $131.25 $175 6.1×
Glutamate dehydrogenase Facility (82965) $64.50 $86 4.9×
Glutathione (82978) $87 $116 5.6×
Glutathione reductase, RBC Facility (82979) $57 $76 6.0×
Gonadotropin releasing hormone (83727) $105 $140 6.1×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $903 $1,204 6.1×
Growth hormone (83003) $104.25 $139 6.3×
Growth hormone stim panel (80428) $405.75 $541 6.1×
Growth hormone, human (HGH), antibody Facility (86277) $95.25 $127 6.1×
Growth stimulation expressed gene 2 (83006) $233.25 $311 3.1×
H pylori breath test (83013) $410.25 $547 6.1×
Haloperidol (haldol) (80173) $88.50 $118 5.6×
Haptoglobin (83010) $113.25 $151 9.0×
Haptoglobin; phenotypes Facility (83012) $132.75 $177 4.9×
Hcg qualitative (84703) $71.25 $95 9.5×
Hcg quant (84702) $77.25 $103 5.1×
Heavy Metal Qualitative Any Analytes (83015) $114.75 $153 5.5×
Heavy metal quant each (83018) $146.25 $195 6.7×
Heinz Bodies; Direct - Heinz Body Stain (85441) $25.50 $34 6.1×
Heinz bodies; induced, acetyl phenylhydrazine Facility (85445) $41.25 $55 6.0×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $410.25 $547 6.1×
Hemagglutination inhibition test (HAI) Facility (86280) $50.25 $67 6.1×
Hematocrit (85014) $38.25 $51 16.1×
Hematocrit spun (85013) $27.75 $37 4.0×
Hemoglobin (85018) $28.50 $38 12.0×
Hemoglobin (Hgb), quantitative, transcutaneous Facility (88738) $29.25 $39 5.8×
Hemoglobin a1c (83036) $67.50 $90 7.0×
Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) $119.25 $159 6.6×
Hemoglobin electrophoresis (83020) $122.25 $163 9.5×
Hemoglobin fetal ql (83033) $42.75 $57 5.3×
Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) $48.75 $65 6.3×
Hemoglobin plasma (83051) $45 $60 6.2×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $29.25 $39 3.1×
Hemoglobin stability screen (83068) $51.75 $69 5.5×
Hemoglobin urine (83069) $24 $32 6.1×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $29.25 $39 3.1×
Hemoglobin; by copper sulfate method, non-automated Facility (83026) $15 $20 3.7×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $45 $60 4.6×
Hemoglobin; methemoglobin, qualitative Facility (83045) $32.25 $43 5.0×
Hemoglobin; thermolabile Facility (83065) $45 $60 5.0×
Hemolysins and agglutinins; incubated Facility (86941) $73.50 $98 6.1×
Hemolysins/agglutinins auto screen (86940) $50.25 $67 5.7×
Hemosiderin urine (83070) $29.25 $39 6.2×
Heparin assay (85520) $102.75 $137 7.8×
Heparin neutralization (85525) $72 $96 6.1×
Heparin-protamine tolerance test Facility (85530) $80.25 $107 6.1×
Hepatitis a antibody total (86708) $54 $72 4.4×
Hepatitis a igm (86709) $71.25 $95 6.3×
Hepatitis b core ab igm (86705) $74.25 $99 6.3×
Hepatitis b core antibody total (86704) $147 $196 12.2×
Hepatitis B Surface Ab (86706) $105.75 $141 9.8×
Hepatitis B Surface Antigen (87340) $130.50 $174 12.6×
Hepatitis b virus genotyping (87912) $1,613.25 $2,151 6.3×
Hepatitis be antibody (86707) $72.75 $97 6.3×
Hepatitis Be Antigen (87350) $72.75 $97 6.3×
Hepatitis c antibody (86803) $156 $208 10.9×
Hepatitis C Antibody Confirmatory Test (86804) $94.50 $126 6.1×
Hepatitis C Genotype (87902) $1,613.25 $2,151 6.3×
Hepatitis delta ab (86692) $107.25 $143 6.3×
Hepatitis delta ag (87380) $99.75 $133 5.4×
Hereditary brst ca-related gen seq analys 10 gen (81432) $132 $176 0.1×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $108.75 $145 0.1×
Hereditary peripheral neuropathy gen seq pnl (81448) $487.50 $650 0.8×
Herpes simplex type i (86695) $88.50 $118 6.7×
Herpes simplex type ii (86696) $129 $172 6.7×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $24 $32 4.6×
Heterophile antibodies; titer Facility (86309) $39 $52 6.0×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $45 $60 6.1×
Hexagonal phospholipid (85598) $109.50 $146 6.1×
Hfe gene (81256) $181.50 $242 2.8×
Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) $66 $88 4.9×
Histamine plasma (83088) $186 $248 6.3×
Histoplasma antibody (86698) $78 $104 5.7×
Histoplasma antigen urine (87385) $75 $100 5.7×
HIV confirmation (86689) $121.50 $162 6.3×
HIV-1 antibody (86701) $59.25 $79 6.7×
HIV-1 genotype (87901) $1,613.25 $2,151 6.3×
HIV-1 integrase genotype (87906) $807 $1,076 6.3×
HIV-1 p24 antigen (87390) $118.50 $158 4.9×
HIV-2 probe&revrse trnscripj (87538) $213 $284 6.1×
Hla class i high defin qual (86832) $1,644.75 $2,193 5.1×
Hla class i phenotype qual (86830) $491.25 $655 5.1×
Hla class i semiquant panel (86834) $1,246.50 $1,662 3.5×
Hla class i typing high resolution one allele or allele group (81381) $600.75 $801 3.5×
Hla class i&ii antibody qual (86828) $315.75 $421 4.9×
Hla class i/ii antibody qual (86829) $198.75 $265 3.1×
Hla class ii high defin qual (86833) $1,654.50 $2,206 5.1×
Hla class ii phenotype qual (86831) $420.75 $561 5.1×
Hla class ii typing high resolution one locus ea (81382) $343.50 $458 2.8×
Hla I Low Resolution One Antigen Equivalent Each (81374) $236.25 $315 3.2×
Hla ii typing 1 locus lr (81376) $340.50 $454 2.8×
Hla typing dr/dq (86817) $523.50 $698 4.9×
Hla Typing Dr/Dq Single Antigen (86816) $170.25 $227 5.6×
HLA typing; A, B, or C, multiple antigens Facility (86813) $352.50 $470 6.1×
HLA typing; lymphocyte culture, mixed (MLC) Facility (86821) $222.75 $297 6.1×
Hla x-math non-cytotoxic (86825) $540 $720 4.9×
Hla-b27 (86812) $162 $216 6.3×
Homogenization tissue (87176) $36 $48 6.1×
Homovanillic acid urine (83150) $121.50 $162 5.4×
Hpv low-risk types (87623) $213 $284 6.1×
Hpylori Drug Administration (83014) $48 $64 6.1×
Hsv Dna Quant (87530) $261 $348 6.1×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $261 $348 7.4×
Htlv-I Antibody (86687) $51 $68 5.6×
Human epididymis protein 4 (86305) $142.50 $190 6.8×
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) $180 $240 4.9×
Hydroxycorticosteroids 17 (83491) $106.50 $142 5.9×
Hydroxyprogesterone 17-d (83498) $170.25 $227 6.3×
Hydroxyproline total (83505) $148.50 $198 6.1×
Hydroxyproline; free Facility (83500) $137.25 $183 6.1×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $159.75 $213 3.5×
Iaad ia clostridium difficile toxin (87324) $116.25 $155 9.7×
Iaad Ia Cryptococcus Neoformans (87327) $75 $100 5.6×
Iaad ia cryptosporidium (87328) $75 $100 5.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $64.50 $86 6.2×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $229.50 $306 9.5×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $101.25 $135 7.0×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $72.75 $97 5.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $94.50 $126 2.7×
Iaad ia shiga-like toxin (87427) $72.75 $97 6.1×
Iaad Ia Streptococcus Group A (87430) $82.50 $110 4.9×
Iaadi inffluenza a virus (87276) $81 $108 5.0×
Iaadi influenza b virus (87275) $75 $100 6.1×
Iaadi Legionella Pneumophila (87278) $100.50 $134 6.4×
Iaadi Not Otherwise Specified Each Organism (87299) $81 $108 5.0×
Iaadi parainfluenza virus each type (87279) $83.25 $111 5.1×
Iaadi Pneumocustis Carinii (87281) $75 $100 6.3×
Iaadi respiratory synctial virus (87280) $75 $100 5.6×
Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) $166.50 $222 5.1×
Iaadiadoo not otherwise specified (87899) $58.12 $77.50 3.6×
Iaadiadoo sarscov2&influenza virus types a&b (87812) $402 $536 5.4×
Iaadiadoo trichomonas vaginalis (87808) $75 $100 4.9×
Iadna babesia microti amplified probe technique (87469) $95.25 $127 2.7×
Iadna borrelia burgdorferi amplified probe tq (87476) $213 $284 6.1×
Iadna candida species amplified probe tq (87481) $219.75 $293 6.3×
Iadna Candida Species Direct Probe Tq (87480) $105.75 $141 5.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $213 $284 6.1×
Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) $378.75 $505 5.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $450.75 $601 6.4×
Iadna hepatitis b virus amplified probe tq (87516) $213 $284 6.1×
Iadna hepatitis b virus quantification (87517) $189 $252 4.4×
Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) $213 $284 6.1×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $345 $460 8.1×
Iadna herpes virus-6 amplified probe tq (87532) $219.75 $293 6.3×
Iadna herpes virus-6 quantification (87533) $255 $340 6.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $213 $284 6.1×
Iadna HIV-1 quant & reverse transcription (87536) $562.50 $750 6.6×
Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) $176.25 $235 2.5×
Iadna human papillomavirus high-risk types (87624) $197.25 $263 5.6×
Iadna Human Papillomavirus Types 16 & 18 Only (87625) $232.50 $310 5.7×
Iadna mycobacteria avium-intraclre amp prb (87561) $213 $284 6.1×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $245.25 $327 5.1×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $219.75 $293 6.3×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $337.50 $450 9.6×
Iadna nos amplified probe tq each organism (87798) $575.25 $767 16.4×
Iadna Nos Direct Probe Tq Each Organism (87797) $148.50 $198 4.9×
Iadna nos quantification each organism (87799) $300.75 $401 7.0×
Iadna respiratry probe & rev trnscr 6-11 targets (87632) $675 $900 3.1×
Iadna trichomonas vaginalis amplified probe tech (87661) $153 $204 4.4×
Iadna-DNA/RNA probe tq 12-25 (87507) $2,537.25 $3,383 6.1×
Iadna-DNA/RNA probe tq 6-11 (87506) $1,299 $1,732 4.9×
If cryptosporidium antigen (87272) $72.75 $97 6.1×
If varicella-zoster antigen (87290) $75 $100 5.6×
Igg subclasses (82787) $39 $52 4.9×
Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) $405.75 $541 1.0×
Immunoassay analyte qual/semiqual single step (83518) $38.25 $51 4.0×
Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) $66.75 $89 3.7×
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $126 $168 4.9×
Immunoassay infectious agent antibody quan nos (86317) $45.75 $61 3.1×
Immunoassay nonantibody (83516) $60 $80 5.2×
Immunodiffusion (86329) $85.50 $114 6.1×
Immunodiffusion Ouchterlony (86331) $75 $100 6.3×
Immunoelectrophoresis serum (86320) $168 $224 5.6×
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) $144 $192 6.2×
Immunofixation (86334) $162.75 $217 7.3×
Immunofixation urine (86335) $201 $268 6.8×
Immunofluorescence per spec 1st singl antb stain (88346) $387 $516 1.9×
Immunoglobulin light chains free each (83521) $54 $72 3.1×
Immunohistochemistry (88342) $284.62 $379.50 1.4×
In situ hybridization (88365) $435 $580 2.2×
In situ hybridization ea multiplex probe stain (88366) $974.25 $1,299 4.8×
Indirect coombs (86885) $155.25 $207 27.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $108 $144 4.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $79.50 $106 5.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87332) $72.75 $97 6.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $74.25 $99 5.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $58.50 $78 5.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) $72.75 $97 5.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $79.50 $106 5.0×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $107.25 $143 4.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $173.25 $231 4.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $79.50 $106 5.0×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $120.75 $161 4.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) $72.75 $97 5.7×
Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) $72.75 $97 6.1×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $72.75 $97 5.4×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $72.75 $97 5.4×
Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) $72.75 $97 5.3×
Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) $75 $100 6.3×
Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Facility (87273) $75 $100 6.3×
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $299.25 $399 4.9×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $72.75 $97 6.0×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $261 $348 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $122.25 $163 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $275.25 $367 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $122.25 $163 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $261 $348 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) $122.25 $163 5.4×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $263.25 $351 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Facility (87495) $148.50 $198 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $213 $284 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $153.75 $205 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $213 $284 5.4×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $147 $196 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Facility (87527) $255 $340 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $122.25 $163 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $285 $380 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $122.25 $163 5.6×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $122.25 $163 5.6×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when… (87539) $288.75 $385 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) $144 $192 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) $312.75 $417 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex… (87627) $3,670.50 $4,894 5.4×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $255 $340 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) $135 $180 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $261 $348 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Facility (87550) $122.25 $163 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $261 $348 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) $132.75 $177 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $261 $348 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $122.25 $163 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $1,492.50 $1,990 4.9×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $261 $348 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $122.25 $163 6.1×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $255 $340 6.1×
Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) $74.25 $99 6.1×
Influenza a/b ag eia (87400) $72.75 $97 5.1×
Influenza DNA amp probe (87502) $705 $940 7.4×
Inhibin a (86336) $97.50 $130 6.3×
Inhibin b (83520) $222.75 $297 12.9×
Insitu hybridization auto (88367) $359.25 $479 0.8×
Insitu hybridization manual (88368) $456 $608 1.1×
Insulin antibodies (86337) $135 $180 6.3×
Insulin free (83527) $79.50 $106 6.1×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $1,405.50 $1,874 4.9×
Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human… (80435) $626.25 $835 6.1×
Insulin total (83525) $72 $96 6.3×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $822 $1,096 5.0×
Interleukin 6 (83529) $46.50 $62 2.7×
Intrinsic factor (stomach protein) level (83528) $98.25 $131 5.0×
Intrinsic factor antibody (86340) $94.50 $126 6.3×
Iron (83540) $43.50 $58 6.7×
Iron binding capacity (83550) $73.50 $98 8.4×
Iron stain, peripheral blood Facility (85536) $39 $52 5.7×
Irradiation Blood Product Each Unit (86945) $121.50 $162 2.8×
Islet cell antibody (86341) $123.75 $165 5.3×
Isocitric dehydrogenase (IDH) Facility (83570) $54 $72 6.1×
Jak2 gene analysis (81270) $277.50 $370 3.0×
Jak2 targeted sequence analysis (81279) $514.50 $686 2.8×
Ketogenic steroids, fractionation Facility (83582) $86.25 $115 5.6×
Ketosteroids, 17- (17-KS); fractionation Facility (83593) $160.50 $214 5.6×
Lactoferrin fecal qual (83630) $119.25 $159 6.1×
Lactoferrin Fecal Quantitative (83631) $119.25 $159 6.1×
Lactogen placental (83632) $123 $164 6.1×
Lactose urine qual (83633) $55.50 $74 4.9×
Lamellar Body Count (83664) $115.50 $154 6.0×
Ldh body fluid (83615) $52.50 $70 8.7×
Ldh isoenzymes (83625) $78.75 $105 6.2×
LDL cholesterol direct (83721) $75.75 $101 7.2×
Lead (83655) $50.25 $67 4.1×
Legion pneumo, DNA, amp prob (87541) $219.75 $293 6.3×
Legionella antibody (86713) $96 $128 6.3×
Legionella antigen urine (87449) $131.62 $175.50 11.0×
Legionella DNA probe (87540) $122.25 $163 6.1×
Leptospira antibody (86720) $81 $108 5.0×
Leucine aminopeptidase (lap) (83670) $55.50 $74 5.7×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $13.50 $18 3.2×
Leukocyte Histamine Release (86343) $75.75 $101 6.1×
Leukocyte phagocytosis (86344) $51 $68 4.9×
Leukocyte transfusion Non-Facility Trauma and Critical Care Professional Component (86950) $304.50 $406 1.5×
Level ii surg pathology gross&microscopic exam (88302) $144 $192 3.3×
Level v surg pathology gross&microscopic exam (88307) $690.75 $921 1.6×
Level vi surg pathology gross&microscopic exam (88309) $1,027.50 $1,370 1.1×
Lh (83002) $116.25 $155 6.3×
Lipase (83690) $71.25 $95 10.3×
Lipopro bld electrophoretic (83700) $69 $92 6.1×
Lipoprotein Bld Hr Fraction (83701) $167.25 $223 4.9×
Lipoprotein Blood Quan Numbers & Subclasses (83704) $197.25 $263 5.8×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $70.50 $94 5.5×
Listeria ab (86609) $81 $108 6.3×
Lithium (80178) $41.25 $55 6.2×
Lyme disease antibody (86618) $106.50 $142 6.3×
Lymph Choriomeningitis Ab (86727) $78.75 $105 6.1×
Lymphocyte transformation (86353) $306.75 $409 6.3×
Lymphocytotoxicity assay, visual crossmatch; with titration Facility (86805) $934.50 $1,246 4.9×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $289.50 $386 6.1×
M/phmtrc alys ish quant/semiq cptr each multiprb (88374) $663.75 $885 3.3×
M/phmtrc alys ish quant/semiq mnl each multiprb (88377) $1,007.25 $1,343 5.0×
M/phmtrc alys tumor imhchem ea antibody manual (88360) $285 $380 1.4×
Macroscopic exam arthropod (87168) $25.50 $34 6.0×
Macroscopic exam parasite (87169) $26.25 $35 6.1×
Magnesium (83735) $60 $80 9.0×
Malaria antibody (86750) $81 $108 6.1×
Malaria smear (87207) $90 $120 15.0×
Malate dehydrogenase Facility (83775) $45 $60 6.1×
Manual cell count each (85032) $27 $36 6.3×
Manual Diff Wbc Count B-Coat (85009) $24.75 $33 4.9×
Manual reticulocyte count (85044) $27 $36 6.3×
Mass spectrometry qual/quan (83789) $129.75 $173 5.4×
Mcg chrom insitu 3-5 (88272) $126 $168 3.1×
Measurement of complement fixation tests (immune system proteins) (86171) $63 $84 6.3×
Measurement of hemolysin (red blood cell destructive substance) (85475) $54 $72 6.1×
Meat fibers, feces (89160) $15.75 $21 3.2×
Mechanical fragility rbc (85547) $52.50 $70 6.1×
Mercury urine (83825) $69 $92 4.2×
Metabolic Panel Ionized Ca (80047) $67.50 $90 4.9×
Methemalbumin (83857) $66 $88 6.1×
Methemoglobin (83050) $45.75 $61 5.6×
Methylmalonic acid serum (83921) $57.75 $77 2.7×
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $555 $740 6.1×
Microalbumin urine (82043) $54 $72 9.3×
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $111 $148 4.9×
Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) $927 $1,236 15.1×
Microsomal antibodies (86376) $49.50 $66 3.4×
Mitochondrial antibody each (86381) $73.50 $98 2.9×
Mog-igg1 antibody cell-based imfluor assay each (86362) $32.25 $43 2.7×
Mog-igg1 antibody flow cytometry each (86363) $102 $136 2.7×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $147.75 $197 3.5×
Molecular pathology procedure level 2 (81401) $23.25 $31 0.2×
Molecular pathology procedure level 7 (81406) $48 $64 0.2×
Mononuclear cell antigen (86356) $168 $224 6.3×
Mopath procedure level 4 (81403) $33 $44 0.2×
Mopath procedure level 5 (81404) $48.75 $65 0.2×
Mopath procedure level 6 (81405) $51 $68 0.2×
Mopath procedure level 8 (81407) $106.50 $142 0.1×
Mopath procedure level 9 (81408) $225 $300 0.1×
Morphometric analysis tumor (88358) $423 $564 2.1×
Mpl gene common variants (81338) $384 $512 2.6×
Mrsa PCR (87641) $286.50 $382 8.2×
Mtb PCR (87556) $333 $444 8.0×
Mucin, synovial fluid (Ropes test) Facility (83872) $39 $52 6.7×
Mucopolysaccharides acid quantitative (83864) $141 $188 4.9×
Muramidase (85549) $117.75 $157 6.3×
Muscle-specific kinase (musk) antibody (86366) $49.50 $66 2.7×
Mycobacteric identification (87118) $72 $96 4.9×
Mycophenolic acid (80180) $119.25 $159 6.6×
Mycoplasma antibody (86738) $82.50 $110 6.2×
Mycoplasma culture (87109) $96.75 $129 6.3×
Mycoplasma genitalium PCR (87563) $112.50 $150 3.2×
Myelin basic protein csf (83873) $108 $144 6.3×
Myoglobin urine (83874) $81 $108 6.3×
Nasal smear for eosinophils (89190) $21.75 $29 3.8×
Natriuretic peptide (83880) $248.25 $331 6.3×
Nerve teasing preparations (88362) $712.50 $950 0.7×
Neutralization Test Viral (86382) $106.50 $142 6.3×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $848.25 $1,131 6.6×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $366 $488 2.6×
Nfct ds chrnc hcv 6 assays (81596) $201 $268 2.8×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $158.25 $211 6.1×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $2,974.50 $3,966 6.1×
Nickel level (83885) $153.75 $205 6.3×
Nitroblue Tetrazolium Dye (86384) $69.75 $93 5.1×
Nk cells total count (86357) $249.75 $333 6.6×
Nocardia antibody (86744) $81 $108 5.1×
Nuclear antigen antibody (86235) $127.50 $170 7.1×
Obstetric panel (80081) $231 $308 3.1×
Occult blood gastric (82271) $19.50 $26 3.7×
Occult blood stool (82272) $21 $28 5.0×
Oligoclonal bands (83916) $135 $180 4.9×
Oncoprotein dcp (83951) $392.25 $523 6.1×
Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) $392.25 $523 6.1×
Organic Acids Qualitative Each Specimen (83919) $99.75 $133 6.1×
Organic acids total quantitative each specimen (83918) $120 $160 5.1×
Orthopoxvirus Amp Prb Each (87593) $157.50 $210 3.1×
Osmolality serum (83930) $53.25 $71 8.1×
Osmolality urine (83935) $55.50 $74 8.1×
Osmotic fragility rbc incubated (85557) $81 $108 6.1×
Ova and parasite direct-id lca (87177) $68.25 $91 7.7×
Ovulation tests, by visual color comparison methods for human luteinizing hormone Facility (84830) $47.25 $63 3.7×
Oxalate urine (83945) $84 $112 5.8×
Pancreatic elastase, fecal (82656) $70.50 $94 6.1×
Pancreatic polypeptide (83519) $164.25 $219 8.9×
Particle Agglutination Screen Each Antibody (86403) $47.25 $63 4.1×
Particle agglutination titer each antibody (86406) $64.50 $86 6.1×
Parvovirus antibody (86747) $94.50 $126 6.3×
Path Consltj Surg Cytologic Exam Initial Site (88333) $522.75 $697 0.5×
Pathology Consultation During Surgery (88329) $195.75 $261 2.8×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $267 $356 6.1×
Ph body fluid (83986) $25.50 $34 7.1×
Ph urine (81003) $15.75 $21 7.0×
pH; exhaled breath condensate Facility (83987) $59.25 $79 16.6×
Phenotype Infect Agent Drug (87900) $817.50 $1,090 6.3×
Phenylalanine (84030) $33.75 $45 6.1×
Phenylketones qual (84035) $21.75 $29 5.5×
Phenytoin free (80186) $83.25 $111 6.1×
Phosphatase alkaline (84075) $39.75 $53 7.7×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $57 $76 6.0×
Phosphorus blood (84100) $50.25 $67 10.6×
Phosphorus urine (84105) $33.75 $45 5.8×
Pinworm exam (87172) $19.50 $26 4.6×
Plasminogen (85420) $41.25 $55 6.3×
Plasminogen (85421) $62.25 $83 6.1×
Platelet aggregation (85576) $179.25 $239 7.2×
Platelet count automated (85049) $35.25 $47 7.9×
Platelet neutralization (85597) $109.50 $146 6.1×
Pneumcysts jirovecii amp prb (87594) $88.50 $118 2.5×
Pooling blood platelets (86965) $154.50 $206 0.8×
Porphobilinogen urine qual (84106) $29.25 $39 5.0×
Porphobilinogen urine quant (84110) $53.25 $71 6.3×
Porphyrins feces qn (84126) $192 $256 4.9×
Porphyrins Urine Quantitation & Fractionation (84120) $92.25 $123 6.3×
Porphyrins, urine; qualitative Facility (84119) $66 $88 4.9×
Potassium (84132) $50.25 $67 10.6×
Potassium urine (84133) $27 $36 5.7×
Pregnancy associated plasma protein-a (84163) $69 $92 4.6×
Pregnanediol (84135) $117 $156 5.5×
Pregnanetriol (84138) $115.50 $154 5.5×
Pregnenolone (84140) $129.75 $173 6.3×
Pretx rbc antibody incubat w/enzymes each (86971) $303 $404 1.5×
Pretx serum rbc antb id incubation inhibitors ea (86977) $155.25 $207 0.8×
Pretx serum rbc antibody identification dilution (86976) $141 $188 4.1×
Primidone (80188) $100.50 $134 6.1×
Procainamide napa (80192) $101.25 $135 6.0×
Procalcitonin (pct) (84145) $237.75 $317 8.7×
Progesterone (84144) $130.50 $174 6.3×
Progesterone (reproductive hormone) receptor analysis (84234) $395.25 $527 6.1×
Prostaglandin Ea (84150) $206.25 $275 4.9×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $129 $172 4.9×
Protein analysis of tissue by Western Blot, with interpretation and report; Non-Facility (88371) $123.75 $165 5.6×
Protein body fluid (84157) $52.50 $70 13.1×
Protein c activity (85303) $87.75 $117 6.3×
Protein c antigen (85302) $72.75 $97 6.1×
Protein electrophoresis serum (84165) $87 $116 8.1×
Protein Electrophoresis Urine (84166) $142.50 $190 8.0×
Protein s total (85305) $33 $44 2.8×
Protein test for diagnosis and monitoring of bladder cancer (86386) $107.25 $143 4.9×
Protein total serum (84155) $14.25 $19 3.9×
Protein urine (84156) $32.25 $43 8.8×
Protein Western Blot (84182) $169.50 $226 5.8×
Protein westrn blot i&r blood/other fluid (84181) $128.25 $171 7.5×
Protein, total, by refractometry, any source Facility (84160) $25.50 $34 4.5×
Prothrombin Time Substitution Plasma Frctj Each (85611) $24.75 $33 6.3×
Protoporphyrin rbc quantitative (84202) $90.75 $121 6.3×
Protoporphyrin, RBC; screen Facility (84203) $52.50 $70 5.4×
PSA free (84154) $132 $176 7.2×
Pth intact (83970) $297 $396 7.2×
Pyruvate kinase (84220) $57 $76 6.0×
Quinidine (80194) $89.25 $119 6.1×
Quinine (84228) $70.50 $94 6.1×
Rbc (85041) $18 $24 6.0×
Rbc antibody elution (86860) $159 $212 0.8×
Rbc osmotic fragility (85555) $40.50 $54 5.4×
Rbc pretreatment serum (86978) $141 $188 2.0×
Rbc pretx incubatj w/chemicl (86970) $117 $156 1.7×
Rbc serum pretx incubj drugs (86975) $281.25 $375 0.5×
Reagent strip/blood glucose (82948) $27 $36 5.4×
Receptor Assay Estrogen (84233) $433.50 $578 4.9×
Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) $351 $468 4.9×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $1,032 $1,376 4.9×
Renin activity plasma (84244) $138 $184 6.3×
Reptilase test (85635) $60 $80 6.1×
Resp virus 12-25 targets (87633) $2,595.75 $3,461 6.2×
Resp virus 3-5 targets (87631) $441 $588 3.1×
Respiratory Virus (86756) $78.75 $105 5.0×
Reticulated platelet assay (85055) $175.50 $234 4.9×
Reticulocyte count auto (85045) $39.75 $53 10.0×
Reticulocyte separation (86972) $164.25 $219 0.8×
Rheumatoid Factor Qual (86430) $34.50 $46 5.6×
Rheumatoid factor quant (86431) $37.50 $50 6.6×
Rickettsia antibody (86757) $129 $172 6.7×
Ristocetin cofactor (85245) $143.25 $191 6.2×
Rotavirus (86759) $90 $120 4.9×
Rotavirus ag eia (87425) $75 $100 6.3×
Rpr Titer (86593) $27 $36 6.1×
Rsv (87807) $72.75 $97 5.6×
Rubella antibody (86762) $96 $128 6.7×
Rubeola Antibody Igg (86765) $81 $108 6.3×
Russell viper venom time (includes venom); undiluted Facility (85612) $86.25 $115 4.9×
Russell viper venom time diluted (85613) $39.75 $53 4.1×
Salicylate Level (80179) $59.25 $79 3.2×
Salmonella antibody (86768) $81 $108 6.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $127.50 $170 2.5×
Sars-Cov-2 Covid-19 Antibody (86769) $113.25 $151 2.7×
Sarscov2 & inf a&b amp prb (87636) $384.75 $513 2.7×
Sarscov2&inf a&b&rsv amp prb (87637) $359.25 $479 2.5×
Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) $40.50 $54 6.1×
Sedimentation rate (85651) $30 $40 7.0×
Sedimentation rate auto (85652) $25.50 $34 9.4×
Selenium (84255) $159.75 $213 6.3×
Semen analysis complete (89322) $48 $64 3.1×
Semen analysis complete (89320) $45 $60 3.7×
Semen analysis motility and count (89310) $25.50 $34 3.0×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $30.75 $41 3.1×
Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) $45 $60 3.7×
Sensitivity kb (87184) $54.75 $73 7.3×
Sensitivity mic (87186) $183.75 $245 21.2×
Serotonin Release Assay (86022) $121.50 $162 6.6×
Serum bactericidal titer (87197) $91.50 $122 6.1×
Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) $387 $516 4.9×
Sex chromatin identification; Barr bodies Facility (88130) $56.25 $75 3.1×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $24 $32 3.0×
Sex hormone binding globulin (84270) $66.75 $89 3.1×
Sickling of rbc reduction (85660) $35.25 $47 6.4×
Silica (84285) $143.25 $191 5.7×
Sirolimus (rapamycin) (80195) $85.50 $114 6.2×
Skin test unlisted antigen (86486) $27 $36 0.8×
Skin Test, Candida (86485) $80.25 $107 2.3×
Skin test; histoplasmosis Facility (86510) $57.75 $77 1.3×
Smear acid fast (87206) $42.75 $57 7.9×
Smear complex stain (87209) $138 $184 7.7×
Smear gram stain (87205) $76.50 $102 17.9×
Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) $381 $508 2.8×
Smpd1 Gene Common Variants (81330) $9.75 $13 0.2×
Smr Prim Src Wet Mount Nfct Agt (87210) $33 $44 5.7×
Sodium (84295) $48.75 $65 10.1×
Sodium feces (84302) $30.75 $41 6.3×
Sodium urine (84300) $39 $52 7.7×
Soluble transferrin receptor (84238) $222.75 $297 6.1×
Somatomedin (84305) $132.75 $177 6.2×
Somatostatin (84307) $114.75 $153 6.3×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $203.25 $271 1.3×
Special stains group 1 (88312) $270 $360 4.4×
Specific gravity body fluid (84315) $17.25 $23 5.3×
Specimen fat stain (89125) $29.25 $39 5.0×
Spectrophotometry (84311) $45.75 $61 5.6×
Sperm antibody measurement (89325) $33.75 $45 3.2×
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $60 $80 3.1×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $33 $44 3.2×
Sperm evaluation; hamster penetration test Facility (89329) $60 $80 3.1×
Splitting blood/blood products each unit (86985) $159 $212 0.8×
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) $141 $188 2.3×
Sputum specimen collection (89220) $159.75 $213 0.8×
Staph a DNA amp probe (87640) $213 $284 6.1×
Stem cells total count (86367) $383.25 $511 4.9×
Stool Culture, Addl Pathogens (87046) $52.50 $70 5.6×
Strep a assay w/optic (87880) $55.50 $74 3.4×
Strep a DNA amp probe (87651) $377.25 $503 10.8×
Strep b DNA amp probe (87653) $219.75 $293 6.3×
Streptokinase, antibody Facility (86590) $67.50 $90 5.3×
Sugars mono di&oligos mlt qualitative each spe (84377) $33.75 $45 6.1×
Sugars Multiple Quant (84379) $70.50 $94 6.1×
Sugars Single Qualitative, Each Specimen (84376) $34.50 $46 6.3×
Sugars single quant (84378) $70.50 $94 6.1×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $192 $256 4.9×
Sulfate urine (84392) $30.75 $41 5.6×
Surg path level 1 (88300) $39.75 $53 1.2×
Surg path level iii (88304) $286.50 $382 4.7×
Surgical pathology level IV (88305) $327 $436 5.3×
Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48,… (87183) $189.75 $253 5.4×
Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) $198 $264 4.9×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $36 $48 4.9×
Sweat collection (89230) $53.25 $71 0.9×
T Cell Absolute Count (86361) $176.25 $235 6.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $311.25 $415 6.6×
T cells total count (86359) $249.75 $333 6.6×
T3 free (84481) $146.25 $195 8.6×
T3 reverse (84482) $99 $132 6.3×
T3 total (84480) $94.50 $126 6.7×
T3 uptake (84479) $40.50 $54 6.3×
T4 free (84439) $60.75 $81 6.7×
T4 total (84436) $42.75 $57 6.2×
T4-neonatal (84437) $39 $52 6.0×
Tb ag response t-cell susp (86481) $492.75 $657 4.9×
Tb intradermal test (86580) $29.25 $39 0.9×
Tb test, cell immun measure (86480) $422.25 $563 6.8×
Test for urine cystines (82615) $50.25 $67 5.3×
Testosterone free (84402) $85.50 $114 3.4×
Testosterone total (84403) $96.75 $129 3.7×
Tetanus antibody (86774) $93 $124 6.3×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $36.75 $49 3.0×
Theophylline (80198) $89.25 $119 6.3×
Thin prep pap (88142) $79.12 $105.50 3.9×
Thiocyanate (84430) $70.50 $94 6.1×
Thiopurine methyltransferase (84433) $55.50 $74 2.5×
Thrombin time plasma (85670) $30 $40 5.2×
Thrombin time titer (85675) $41.25 $55 6.0×
Thrombomodulin Facility (85337) $85.50 $114 5.0×
Thromboplastin Inhibition Tissue (85705) $58.50 $78 6.1×
Thromboplastin time prtl substit plasma frctj ea (85732) $42.75 $57 6.6×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $172.50 $230 4.9×
Thyroglobulin (84432) $87.75 $117 5.5×
Thyroglobulin antibody (86800) $90 $120 5.7×
Thyroid Stimulating Immune Globulins Tsi (84445) $319.50 $426 6.3×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $306.75 $409 6.1×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $409.50 $546 6.1×
Thyroxine binding globulin (84442) $93 $124 6.3×
Tiagabine (80199) $83.25 $111 3.1×
Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) $609.75 $813 4.1×
Tiss cul non-neo disorders skn/oth solid tiss bx (88233) $551.25 $735 3.9×
Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) $16.12 $21.50 3.8×
Tissue culture bone marrow (88237) $387 $516 2.7×
Tissue culture lymphocyte (88230) $456 $608 3.9×
Tissue culture solid tumor (88239) $456 $608 3.1×
Tissue transglutaminase ab iga (86364) $33.75 $45 2.9×
Tobramycin peak (80200) $100.50 $134 6.2×
Touch prep (88161) $237.75 $317 7.0×
Toxin/Antitoxin Assay Tissue Culture (87230) $120 $160 6.1×
Toxoplasma ab igm (86778) $90.75 $121 6.3×
Toxoplasma antibody igg (86777) $90.75 $121 6.3×
Transferrin (84466) $83.25 $111 6.5×
Trichinella antibody (86784) $78.75 $105 6.3×
Trichomonas vagin dir probe (87660) $105.75 $141 5.3×
Triglycerides (84478) $39.75 $53 6.9×
Troponin (84484) $145.50 $194 11.7×
Troponin, qualitative Facility (84512) $50.25 $67 5.0×
Trypsin feces qual (84488) $45 $60 6.2×
Trypsin; feces, quantitative, 24-hour collection Facility (84490) $49.50 $66 5.0×
Tumor immunohistochem/comput (88361) $482.25 $643 1.1×
Unlisted reproductive medicine lab procedure (89398) $138.75 $185 2.3×
Urea nitrogen (84520) $32.25 $43 8.2×
Urea Nitrogen Clearance (84545) $41.25 $55 5.7×
Urea nitrogen urine (84540) $30 $40 5.4×
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $24.75 $33 4.8×
Uric acid blood (84550) $37.50 $50 8.3×
Uric acid other source (84560) $31.50 $42 6.2×
Urinalysis (81005) $10.50 $14 4.8×
Urinalysis auto w/scope (81001) $33.75 $45 10.6×
Urinalysis Microscopic Only (81015) $25.50 $34 8.4×
Urinalysis; 2 or 3 glass test Facility (81020) $17.25 $23 3.7×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $111 $148 3.7×
Urine Albumin Semiquantitative (82044) $22.50 $30 3.6×
Urine Bacteria Culture (87088) $71.25 $95 8.8×
Urine pregnancy test (81025) $49.50 $66 5.7×
Urine volume measurement (81050) $20.25 $27 5.6×
Urobilinogen urine qual (84578) $21.75 $29 4.9×
Urobilinogen, feces, quantitative Facility (84577) $102 $136 6.1×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $50.25 $67 5.3×
Urobilinogen, urine; semiquantitative Facility (84583) $30.75 $41 5.1×
Valproic acid (80164) $106.50 $142 7.9×
Vancomycin trough (80202) $117 $156 8.6×
Vanomycin DNA amp probe (87500) $213 $284 6.1×
Varicella-zoster antibody (86787) $93.75 $125 7.3×
Vasoactive intestinal peptide (vip) (84586) $221.25 $295 6.3×
Vdrl csf (86592) $49.50 $66 11.6×
Very long chain fatty acids (82726) $113.25 $151 5.7×
Virus antibody nos (86790) $81.75 $109 6.3×
Virus id non-immunologic oth/thn cytopathic (87255) $212.25 $283 6.3×
Virus inoculate tissue addl (87253) $123 $164 6.1×
Virus inoculation, shell via (87254) $135 $180 6.9×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $118.50 $158 6.1×
Viscosity serum (85810) $73.50 $98 6.3×
Vitamin A (84590) $72.75 $97 6.3×
Vitamin b-12 (82607) $102.75 $137 6.8×
Vitamin b1 (thiamine) (84425) $99 $132 4.7×
Vitamin b2 (84252) $126.75 $169 6.3×
Vitamin b3 niacin (84591) $85.50 $114 5.0×
Vitamin b6 (84207) $83.25 $111 3.0×
Vitamin c (82180) $61.50 $82 6.2×
Vitamin D 25-Hydroxy (82306) $231 $308 7.8×
Vitamin e serum (84446) $89.25 $119 6.3×
Voltage-gated calcium channel antibody each (86596) $42.75 $57 3.5×
Volume Reduction Blood/Blood Product Each Unit (86960) $142.50 $190 0.7×
Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) $52.50 $70 6.1×
West nile virus antibody (86789) $96 $128 6.7×
West nile virus igm (86788) $112.50 $150 6.7×
Xylose Absorption Test (84620) $72 $96 5.6×
Yersinia antibody (86793) $81 $108 6.1×
Zika Virus Dna/Rna Amp Probe (87662) $330.75 $441 6.4×
Zika Virus Igm Antibody (86794) $108.75 $145 6.5×
Zinc (84630) $72 $96 6.3×