| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$247 |
— |
| Acetaminophen level (80143) |
— |
$110 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$160 |
— |
| Actinomyces antibody (86602) |
— |
$80 |
— |
| Acute hepatitis panel (80074) |
— |
$188.80 |
— |
| Afb culture (87116) |
— |
$114 |
— |
| Albumin serum (82040) |
— |
$64 |
— |
| Aldosterone urine (82088) |
— |
$302 |
— |
| Allergen specific ige (86003) |
— |
$737.50 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$55 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$141 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$158 |
— |
| Alt (sgpt) (84460) |
— |
$42.50 |
— |
| Ammonia (82140) |
— |
$130 |
— |
| Amylase urine (82150) |
— |
$70 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$294 |
— |
| Antibody aspergillus (86606) |
— |
$95 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$195 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$195 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$125 |
— |
| Antibody identification (86870) |
— |
$142 |
— |
| Antibody screen (86850) |
— |
$523.54 |
— |
| Antibody treponema pallidum (86780) |
— |
$115.50 |
— |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) |
— |
$180 |
— |
| Antinuclear antibodies (86038) |
— |
$116 |
— |
| Antithrombin iii activity (85300) |
— |
$84 |
— |
| Apolipoprotein b (82172) |
— |
$55 |
— |
| Aspergillus ag eia (87305) |
— |
$164 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$80 |
— |
| Assay of acth (82024) |
— |
$147 |
— |
| Assay of c-peptide (84681) |
— |
$162 |
— |
| Assay of ceruloplasmin (82390) |
— |
$102 |
— |
| Assay of ferritin (82728) |
— |
$148 |
— |
| Assay of g6pd enzyme (82955) |
— |
$116 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$230.10 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$40 |
— |
| Assay of metanephrines (83835) |
— |
$343 |
— |
| Assay of parathormone (83970) |
— |
$416 |
— |
| Assay of phenobarbital (80184) |
— |
$142 |
— |
| Assay of prealbumin (84134) |
— |
$129 |
— |
| Assay of somatomedin (84305) |
— |
$302 |
— |
| Assay of tacrolimus (80197) |
— |
$223 |
— |
| Assay of urine vma (84585) |
— |
$168 |
— |
| Ast (sgot) (84450) |
— |
$25 |
— |
| Automated rbc count (85041) |
— |
$30 |
— |
| B cells total count (86355) |
— |
$219 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$286.75 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$292.40 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$174 |
— |
| Beta hydroxybutyrate (82010) |
— |
$95 |
— |
| Bile acids, total (82239) |
— |
$175 |
— |
| Bilirubin direct (82248) |
— |
$129 |
— |
| Bilirubin total (82247) |
— |
$47 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$31 |
— |
| Blastomyces antibody (86612) |
— |
$51 |
— |
| Blood count reticulocyte automated (85045) |
— |
$81.12 |
— |
| Blood gases (82803) |
— |
$223 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$36 |
— |
| Blood typing abo (86900) |
— |
$356.83 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$104.36 |
— |
| Body fluid cell count (89051) |
— |
$54 |
— |
| Bordetella antibody (86615) |
— |
$30 |
— |
| C-reactive protein (86140) |
— |
$78 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$163 |
— |
| Ca 125 (86304) |
— |
$118 |
— |
| Ca 19-9 (86301) |
— |
$194 |
— |
| Ca 27 29 (86300) |
— |
$227 |
— |
| Calcium ionized (82330) |
— |
$121 |
— |
| Calcium total (82310) |
— |
$64 |
— |
| Calcium urine (82340) |
— |
$72 |
— |
| Calculus Spectroscopy (82365) |
— |
$80 |
— |
| Calprotectin, fecal (83993) |
— |
$340 |
— |
| Candida DNA dir probe (87480) |
— |
$70.68 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$215 |
— |
| Carcinoembryonic antigen (82378) |
— |
$194 |
— |
| Cardiolipin ab igg (86147) |
— |
$178 |
— |
| Catecholamines fraction plasma (82384) |
— |
$269 |
— |
| Cholesterol total (82465) |
— |
$25 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$131 |
— |
| Citrate (82507) |
— |
$272 |
— |
| Ckmb (82553) |
— |
$160 |
— |
| Clot factor viii vw antigen (85246) |
— |
$47 |
— |
| Cmv PCR (87496) |
— |
$125 |
— |
| Collagen cross links (82523) |
— |
$67 |
— |
| Complement c3 (86160) |
— |
$228 |
— |
| Copper urine (82525) |
— |
$55 |
— |
| Cortisol total (82533) |
— |
$167 |
— |
| Creatine kinase total (82550) |
— |
$60 |
— |
| Creatinine blood (82565) |
— |
$60 |
— |
| Creatinine clearance (82575) |
— |
$73 |
— |
| Creatinine other source (82570) |
— |
$73 |
— |
| Crossmatch immediate spin (86920) |
— |
$392.66 |
— |
| Culture anaerobic (87075) |
— |
$85 |
— |
| Culture blood (87040) |
— |
$112 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$102 |
— |
| Culture genital (87070) |
— |
$85 |
— |
| Culture screen only (87081) |
— |
$45 |
— |
| Culture stool (87045) |
— |
$82 |
— |
| Culture urine (87086) |
— |
$129 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$63 |
— |
| Cytogenetics DNA probe (88271) |
— |
$689.40 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$330 |
— |
| D-Dimer (85378) |
— |
$161.24 |
— |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
— |
$294.72 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$70.29 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$402.69 |
— |
| Dhea (82626) |
— |
$236 |
— |
| Dhea sulfate (82627) |
— |
$263 |
— |
| Dilantin (80185) |
— |
$114.50 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$168 |
— |
| Drug screen quant zonisamide (80203) |
— |
$75 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$70 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$70 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$60 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$300 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$238.27 |
— |
| Ebv viral capsid (86665) |
— |
$454 |
— |
| Electrolyte panel (80051) |
— |
$75 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$75 |
— |
| Endomysial antibody iga (86255) |
— |
$278 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$222 |
— |
| Estradiol (82670) |
— |
$335 |
— |
| Estrogens total (82672) |
— |
$230 |
— |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
— |
$210 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$194 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$198 |
— |
| F5 gene (81241) |
— |
$275 |
— |
| Factor viii ahg (85240) |
— |
$195 |
— |
| Fecal fat qual (82705) |
— |
$63 |
— |
| Fetal fibronectin (82731) |
— |
$207 |
— |
| Fibrinogen activity (85384) |
— |
$67 |
— |
| Folate serum (82746) |
— |
$169 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$194 |
— |
| Fructosamine (82985) |
— |
$66 |
— |
| Gammaglobulin ige (82785) |
— |
$191.73 |
— |
| Gardner vag DNA dir probe (87510) |
— |
$70.68 |
— |
| Ggt (82977) |
— |
$107 |
— |
| Giardia antigen eia stool (87329) |
— |
$197 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$70 |
— |
| Glucose (82947) |
— |
$40.50 |
— |
| Glucose body fluid (82945) |
— |
$60 |
— |
| Glucose post dose (82950) |
— |
$57 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$45 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$122 |
— |
| Haptoglobin (83010) |
— |
$129 |
— |
| Hcg qualitative (84703) |
— |
$90 |
— |
| Hcg quant (84702) |
— |
$170 |
— |
| Hematocrit (85014) |
— |
$25 |
— |
| Hemoglobin (85018) |
— |
$30 |
— |
| Hemoglobin a1c (83036) |
— |
$347.50 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$78 |
— |
| Hepatitis a antibody total (86708) |
— |
$129 |
— |
| Hepatitis a igm (86709) |
— |
$139 |
— |
| Hepatitis b core ab igm (86705) |
— |
$141 |
— |
| Hepatitis b core antibody total (86704) |
— |
$116 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$135 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$114 |
— |
| Hepatitis be antibody (86707) |
— |
$115 |
— |
| Hepatitis Be Antigen (87350) |
— |
$132 |
— |
| Hepatitis c antibody (86803) |
— |
$152 |
— |
| Herpes simplex type 2 (86696) |
— |
$135 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$62 |
— |
| Histoplasma antibody (86698) |
— |
$90 |
— |
| Hla b 27 disease association lc (81374) |
— |
$127 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$580 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$202.50 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$177 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$151 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$168 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$164 |
— |
| Iaad ia rotavirus (87425) |
— |
$90 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$97 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$105 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$218.87 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$350 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$195.35 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$173 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$110 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$144 |
— |
| Iadna nos quantification each organism (87799) |
— |
$581 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$140.34 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$1,300 |
— |
| Iadna-DNA/RNA probe tq 6-11 (87506) |
— |
$625 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$135 |
— |
| Immunoassay nonantibody (83516) |
— |
$154 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$140 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$170 |
— |
| Immunoglobulin light chains free each (83521) |
— |
$50 |
— |
| Influenza DNA amp probe (87502) |
— |
$240 |
— |
| Inhibin b (83520) |
— |
$70 |
— |
| Insulin total (83525) |
— |
$240 |
— |
| Iron (83540) |
— |
$75 |
— |
| Iron binding capacity (83550) |
— |
$75 |
— |
| Islet cell antibody (86341) |
— |
$134 |
— |
| Lactic acid (83605) |
— |
$198 |
— |
| Ldh (83615) |
— |
$60 |
— |
| Lead (83655) |
— |
$63 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$44 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$137 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$556 |
— |
| Lh (83002) |
— |
$102 |
— |
| Lipase (83690) |
— |
$67.94 |
— |
| Listeria ab (86609) |
— |
$60 |
— |
| Lithium (80178) |
— |
$72 |
— |
| Lyme disease antibody (86618) |
— |
$219 |
— |
| Magnesium (83735) |
— |
$95 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$275 |
— |
| Methotrexate (80299) |
— |
$100 |
— |
| Methylmalonic acid serum (83921) |
— |
$250 |
— |
| Microalbumin urine (82043) |
— |
$73 |
— |
| Microsomal antibodies (86376) |
— |
$112 |
— |
| Mitochondrial antibody each (86381) |
— |
$116.50 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$229.80 |
— |
| Mononuclear cell antigen (86356) |
— |
$100 |
— |
| Mopath procedure level 1 (81400) |
— |
$145 |
— |
| Natriuretic peptide (83880) |
— |
$259 |
— |
| Neutralization test, viral (86382) |
— |
$90 |
— |
| Nuclear antigen antibody (86235) |
— |
$298 |
— |
| Occult blood stool (82272) |
— |
$36 |
— |
| Osmolality serum (83930) |
— |
$83 |
— |
| Osmolality urine (83935) |
— |
$87 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$70 |
— |
| Oxalate urine (83945) |
— |
$38 |
— |
| Pancreatic polypeptide (83519) |
— |
$60 |
— |
| Phenytoin free (80186) |
— |
$90 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$213 |
— |
| Phosphorus blood (84100) |
— |
$60 |
— |
| Potassium urine (84133) |
— |
$58 |
— |
| Pregnenolone (84140) |
— |
$32 |
— |
| Procalcitonin (pct) (84145) |
— |
$168 |
— |
| Progesterone (84144) |
— |
$184 |
— |
| Prolactin (84146) |
— |
$216 |
— |
| Protein body fluid (84157) |
— |
$44 |
— |
| Protein c activity (85303) |
— |
$137 |
— |
| Protein electrophoresis serum (84165) |
— |
$85.50 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$65 |
— |
| Protein S Functional (85306) |
— |
$160 |
— |
| Protein s total (85305) |
— |
$51 |
— |
| Protein Total Serum (84155) |
— |
$38.50 |
— |
| Protein urine (84156) |
— |
$44 |
— |
| PSA free (84154) |
— |
$152 |
— |
| Quantiferon tb gold (86480) |
— |
$198.16 |
— |
| Reagent strip/blood glucose (82948) |
— |
$25 |
— |
| Renin activity plasma (84244) |
— |
$199 |
— |
| Reticulated platelet assay (85055) |
— |
$48 |
— |
| Rheumatoid factor quant (86431) |
— |
$70 |
— |
| Rpr Titer (86593) |
— |
$63 |
— |
| Rubella antibody (86762) |
— |
$46 |
— |
| Russell viper venom time diluted (85613) |
— |
$236 |
— |
| Saccharomyces ab iga (86671) |
— |
$55 |
— |
| Salicylate (80179) |
— |
$72 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$202 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$278 |
— |
| Sed rate automated (85652) |
— |
$47 |
— |
| Sensitivity mic (87186) |
— |
$130 |
— |
| Sex hormone binding globulin (84270) |
— |
$349 |
— |
| Sickle cell screen (85660) |
— |
$54 |
— |
| Smear acid fast (87206) |
— |
$85 |
— |
| Smear complex stain (87209) |
— |
$108 |
— |
| Smear gram stain (87205) |
— |
$45 |
— |
| Sodium urine (84300) |
— |
$57 |
— |
| Special stains group 1 (88312) |
— |
$141 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$65 |
— |
| Strep a assay w/optic (87880) |
— |
$59 |
— |
| Strep a DNA amp probe (87651) |
— |
$145 |
— |
| Strep b DNA amp probe (87653) |
— |
$129 |
— |
| Surg path level iii (88304) |
— |
$297 |
— |
| Surgical pathology level IV (88305) |
— |
$1,998 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$328 |
— |
| T3 free (84481) |
— |
$161 |
— |
| T3 reverse (84482) |
— |
$198 |
— |
| T3 total (84480) |
— |
$122 |
— |
| T4 Free (84439) |
— |
$107.50 |
— |
| T4 total (84436) |
— |
$49 |
— |
| Tb intradermal test (86580) |
— |
$25 |
— |
| Testosterone free (84402) |
— |
$295 |
— |
| Testosterone total (84403) |
— |
$284 |
— |
| Theophylline (80198) |
— |
$93.61 |
— |
| Thrombin time plasma (85670) |
— |
$65 |
— |
| Thromboplastin Inhibition Tissue (85705) |
— |
$229 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$46 |
— |
| Thyroglobulin Ab (86800) |
— |
$142.50 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$1,200 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$75 |
— |
| Tissue culture bone marrow (88237) |
— |
$916.89 |
— |
| Transferrin (84466) |
— |
$166 |
— |
| Trichomonas vagin dir probe (87660) |
— |
$70.51 |
— |
| Triglycerides (84478) |
— |
$40 |
— |
| Troponin (84484) |
— |
$277.50 |
— |
| Urea nitrogen (84520) |
— |
$60 |
— |
| Urea nitrogen urine (84540) |
— |
$34 |
— |
| Uric acid blood (84550) |
— |
$44 |
— |
| Uric acid other source (84560) |
— |
$32.22 |
— |
| Urinalysis microscopic only (81015) |
— |
$30 |
— |
| Urinalysis w/microscopic (81001) |
— |
$55 |
— |
| Urine pregnancy test (81025) |
— |
$38.50 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$50 |
— |
| Valproic acid level (80164) |
— |
$170 |
— |
| Vancomycin trough (80202) |
— |
$154 |
— |
| Varicella-zoster antibody (86787) |
— |
$180 |
— |
| Vdrl csf (86592) |
— |
$46 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$218 |
— |
| Vitamin A (84590) |
— |
$150 |
— |
| Vitamin b-12 (82607) |
— |
$150 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$180 |
— |
| Vitamin b6 (84207) |
— |
$377 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$371 |
— |
| Von willebrand factor activity (85245) |
— |
$53.50 |
— |