Lab & pathology prices at Keefe Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
17 Hydroxyprogesterone (83498) $140 $140 5.2×
17-Hydroxypregnenolone (84143) $153 $153 6.7×
5-Hiaa (83497) $239 $239 18.5×
Acetone serum qual (82009) $93 $93 20.6×
Acetone, quantitative (82010) $99.50 $99.50 12.2×
Acth (82024) $198 $198 5.1×
Actin smooth muscle antibody each (86015) $98 $98 8.1×
Activated protein c resistance (85307) $202 $202 13.2×
Acute hepatitis panel (80074) $359 $359 7.5×
Acylcarnitines quantitative (82017) $794 $794 47.1×
Afb concentration (87015) $64 $64 9.6×
Afb culture (87116) $175 $175 16.2×
Afb smear (87206) $84 $84 15.6×
Albumin serum (82040) $70 $70 14.1×
Aldolase (82085) $123 $123 12.7×
Aldosterone (82088) $291 $291 7.1×
Alkaline phosphatase (84075) $104.50 $104.50 20.2×
Alkaline phosphatase isoenzymes (84080) $123 $123 8.3×
Allergen profile perennial allergen (86003) $72 $72 13.8×
Alpha 2 antiplasmin (85410) $177 $177 23.0×
Alpha-1-antitrypsin (82103) $123 $123 9.2×
Alpha-1-antitrypsin phenotype (82104) $230 $230 15.9×
Alpha-fetoprotein serum (82105) $118 $118 7.0×
Alt (84460) $117 $117 22.1×
Amino acids quant 2-5 (82136) $316 $316 16.1×
Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) $420 $420 24.9×
Amino acids; single, quantitative, each specimen Other Outpatient (82131) $210 $210 9.1×
Ammonia (82140) $177 $177 12.1×
Amylase (82150) $204 $204 31.5×
Ana (86038) $130 $130 10.8×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) $133 $133 10.1×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) $121 $121 7.9×
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) $152 $152 8.4×
Analysis for antibody to Human T-cell lymphotropic virus, type 2 (HTLV-2) (86688) $94 $94 6.7×
Androstenedione (82157) $343 $343 11.7×
Angiotensin converting enzyme (82164) $188 $188 12.9×
Anti-DNA (single-stranded) antibodies, quantitative, igg labcorp slc 161422 (86226) $91 $91 7.5×
Anti-mitochondrial antibody (86255) $153.50 $153.50 12.7×
Anti-phosphatidylserine antibody (86148) $93 $93 5.8×
Antibody identification platelet antibodies (86022) $333 $333 18.1×
Antibody west nile virus igm (86788) $99 $99 5.9×
Antibody; Helicobacter pylori (86677) $170 $170 10.1×
Antineutrophil cytoplasmic antb screen ea antb (86036) $68 $68 5.6×
Antistreptolysin o titer (86060) $137 $137 18.8×
Antithrombin iii activity (85300) $202 $202 17.0×
Antithrombin iii antigen (85301) $259 $259 24.0×
Apolipoprotein each (82172) $108.50 $108.50 5.1×
Arsenic (82175) $187 $187 9.9×
Assay anti-mullerian horm (82166) $59 $59 1.5×
Assay of interleukin-6 (il-6) (83529) $369 $369 21.4×
Assay of vitamin not otherwise specified (84591) $312 $312 18.3×
Ast (84450) $81 $81 15.6×
B cells total count (86355) $61 $61 1.6×
Bacterium antibody (86609) $114 $114 8.9×
Beta 2 glycoprotein i antibody (86146) $95 $95 3.7×
Beta lactamase (87185) $48 $48 10.1×
Beta-2 microglobulin (82232) $183 $183 11.3×
Bilirubin direct (82248) $76 $76 15.1×
Bilirubin total (82247) $68 $68 13.5×
Bleeding time (85002) $66 $66 13.7×
Blood count leukocyte wbc automated (85048) $49 $49 19.3×
Blood count reticulocyte automated (85045) $79 $79 19.8×
Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Other Outpatient (85032) $74 $74 17.2×
Blood count; red blood cell (RBC), automated Other Outpatient (85041) $46 $46 15.2×
Blood gases any combination (82803) $328 $328 12.6×
Blood gases ph only (82800) $95 $95 8.6×
Blood typing rbc antigens (86905) $182 $182 47.5×
Blood typing serologic abo (86900) $107 $107 35.8×
Blood typing serologic rh (d) (86901) $94 $94 31.4×
Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) $238 $238 37.5×
Blood unit compatibility test, incubation technique (86921) $163 $163 0.9×
Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) $132 $132 8.3×
Bordetella pertussis igm (86615) $121 $121 9.2×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) $3,467.80 $4,954 1.9×
Breath alcohol test (82075) $76 $76 2.5×
C diff amplified probe (87493) $197 $197 5.3×
C-peptide (84681) $115 $115 5.5×
C-reactive protein (86140) $115 $115 22.2×
C-reactive protein high sensitivity (86141) $94 $94 7.3×
Ca 125 (86304) $200 $200 9.6×
Ca 15-3 (86300) $200 $200 9.6×
Calcitonin (82308) $139 $139 5.2×
Calcium ionized (82330) $80 $80 5.8×
Calcium total (82310) $66 $66 12.8×
Calcium, random urine (82340) $83 $83 13.8×
Calprotectin fecal (83993) $542 $542 27.6×
Cancer antigen 19-9 (86301) $200 $200 9.6×
Candida antibody (86628) $220 $220 18.3×
Candida DNA amp probe (87481) $248 $248 7.1×
Carbamazepine total (80156) $214 $214 14.7×
Carbon dioxide (82374) $71 $71 14.5×
Carbon monoxide (82375) $200 $200 16.2×
Cardiolipin antibody ea ig class (86147) $149 $149 5.9×
Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) $317 $317 18.8×
Carotene (82380) $80 $80 8.7×
Casein igg (86001) $137 $137 17.5×
Catecholamines (organic nitrogen) urine level (82382) $229 $229 8.4×
Catecholamines fractionated (82384) $220 $220 8.7×
Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) $173 $173 3.7×
Cea (82378) $181 $181 9.5×
Cell count body fluid (89050) $76 $76 16.1×
Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) $153 $153 27.3×
Ceruloplasmin (82390) $114 $114 10.6×
Chemiluminescent assay (82397) $252 $252 17.8×
Chg fresh frozen plasma thawing each unit (86927) $49 $49 0.3×
Chlamydia antibody (86631) $84 $84 7.1×
Chlamydia antibody igm (86632) $84 $84 6.6×
Chloride blood (82435) $66 $66 14.3×
Chloride urine (82436) $57 $57 9.9×
Cholesterol total (82465) $79 $79 18.2×
Chorionic gonadotropin test (84702) $161 $161 10.7×
Chromium (82495) $121 $121 6.0×
Chromogranin a (86316) $282 $282 13.6×
Chromosome analysis 15-20 cells (88262) $974 $974 7.8×
Citrate (82507) $314 $314 11.3×
Ck mb fraction (82553) $163 $163 14.1×
Clostridium ag eia (87324) $126 $126 10.5×
Clot factor viii reltd antgn - von willebrand multimeric (85244) $289 $289 14.2×
Clot inhibit prot s total (85305) $206 $206 17.7×
Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) $501 $501 21.8×
Cmv antibody (86644) $220 $220 15.3×
Coccidioides antibody (86635) $68 $68 5.9×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $142 $142 5.9×
Cold agglutinin screen (86156) $98 $98 12.1×
Cold agglutinins titer (86157) $106 $106 13.2×
Collagen cross links (82523) $153 $153 8.2×
Complement antigen ea component (86160) $146 $146 12.2×
Complement total (ch50) (86162) $244 $244 12.0×
Coombs test indirect titer (86886) $122 $122 23.6×
Copper (82525) $200 $200 16.1×
Cortisol free (82530) $220 $220 13.2×
Cortisol saliva (82533) $156 $156 9.6×
COVID-19 antibody (86769) $126 $126 3.0×
Coxsackie a9 virus antibody (86658) $177 $177 13.6×
Creatine kinase isoenzymes (82552) $84 $84 6.3×
Creatine kinase total (82550) $95 $95 14.6×
Creatinine (82565) $71 $71 13.9×
Creatinine clearance (82575) $131 $131 13.8×
Creatinine other source (82570) $153 $153 29.5×
Crossmatch ahg (86922) $331 $331 1.8×
Cryoglobulins (82595) $72 $72 11.1×
Cryptosporidium ag eia (87328) $136 $136 9.8×
Cryptosporidium ag if (87272) $109 $109 9.1×
Crystals fluid (89060) $88 $88 12.0×
Culture anaerobic (87075) $140 $140 14.8×
Culture blood (87040) $206 $206 20.0×
Culture fungus skin hair nail (87101) $140 $140 18.2×
Culture stool (87045) $167 $167 17.7×
Culture typing if ea antiserum (87140) $94 $94 16.9×
Culture urine (87086) $108 $108 13.4×
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) $108 $108 13.4×
Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) $136 $136 16.8×
Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) $94 $94 10.0×
Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) $119 $119 8.1×
Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) $66 $66 12.7×
Cyclic citrullinated peptide ab (86200) $170 $170 13.1×
Cystatin c (82610) $146 $146 7.9×
Cytomeg DNA amp probe (87496) $550 $550 15.7×
Cytomegalovirus antibody igm (86645) $243 $243 14.4×
Cytopath cell enhance tech (88112) $218 $218 4.0×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) $133 $133 6.6×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) $106 $106 4.0×
Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation (88106) $126 $126 4.1×
Cytp eval fine needle aspirate interp & report (88173) $207 $207 3.8×
D-dimer quantitative (85379) $160 $160 15.7×
Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) $208.50 $208.50 15.2×
Dhea (82626) $285 $285 11.3×
Dhea sulfate (82627) $242 $242 10.9×
Dibucaine number (82638) $186 $186 15.2×
Digoxin (80162) $162 $162 12.2×
Direct antiglobulin test (86880) $107 $107 19.9×
Drug screen quant gabapentin (80171) $192 $192 8.9×
Drug screen quant levetiracetam (80177) $293 $293 22.1×
Drug screen quant zonisamide (80203) $233 $233 17.6×
Drug screen quantitative oxcarbazepine (80183) $216 $216 16.3×
Drug test prsmv chem anlyzr (80307) $164 $164 2.6×
Drug test prsmv dir opt obs (80305) $163 $163 12.9×
Ear culture (87070) $141 $141 16.4×
Ehrlichia antibody (86666) $194 $194 19.1×
Electrolytes panel (80051) $111 $111 15.8×
Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) $324 $324 24.6×
Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) $401 $401 30.4×
Endomysial antibody each immunoglobulin class (86231) $47 $47 3.9×
Eosinophils urine (87205) $67 $67 15.7×
Erythropoietin (82668) $308.50 $308.50 16.4×
Estradiol (82670) $210 $210 7.5×
Estriol (82677) $130 $130 5.4×
Estrogen fractionated (82671) $508 $508 15.7×
Estrogens total (82672) $270 $270 12.4×
Estrone (82679) $245 $245 9.8×
Extractable nuclear antigen antibody any method (86235) $180 $180 10.0×
F2 gene analysis (81240) $291.50 $291.50 4.4×
F5 gene (81241) $314 $314 4.3×
Factor ix activity (85250) $630 $630 33.1×
Factor v activity (85220) $332 $332 18.8×
Factor vii activity (85230) $269 $269 15.0×
Factor viii activity (85240) $349 $349 19.5×
Factor viii vw antigen (85246) $374 $374 16.3×
Fat stain (89125) $66 $66 11.2×
Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) $275 $275 16.4×
Fecal fat qualitative (82705) $146 $146 28.6×
Ferritin (82728) $110.50 $110.50 8.1×
Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) $175 $175 18.0×
Fibrinogen, activity (85384) $178 $178 18.3×
Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) $178 $178 11.5×
Flow cytometry first marker (88184) $414 $414 1.1×
Folate serum (82746) $134.50 $134.50 9.1×
Folic acid rbc (82747) $183 $183 10.4×
Follicle stimulating hormone (fsh) (83001) $140 $140 7.5×
Francisella tularensis ab (86668) $80 $80 5.6×
Ftl cgen abnor four anal (81511) $197 $197 1.3×
Fungus isolation culture (87102) $166 $166 19.7×
Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) $58 $58 4.7×
Gamma glutamyl transferase (82977) $16 $16 2.2×
Gammaglobulin ige (82785) $33 $33 2.0×
Gastrin (82941) $177 $177 10.0×
Genet virus isolate hsv (87255) $98 $98 2.9×
Genotype DNA HIV reverse t (87901) $982.40 $1,228 3.8×
Genotype DNA/RNA HIV (87906) $614 $614 4.8×
Gentamicin (80170) $122 $122 7.4×
Giardia antigen (87329) $140.50 $140.50 11.7×
Gliadin antibody each immunoglobulin class (86258) $46 $46 3.8×
Gluc bld gluc mntr dev cleared fda spec home use (82962) $72 $72 22.0×
Glucose Fasting (82947) $60 $60 15.3×
Glucose other fluid (82945) $60 $60 15.3×
Glucose post glucose dose (82950) $60 $60 12.6×
Glucose tolerance test (gtt) (82951) $163 $163 12.7×
Glucose-6-pd (82955) $153 $153 15.8×
Glycated hemoglobin (83036) $131 $131 13.5×
Gonadotropin releasing hormone (83727) $410 $410 23.9×
Growth hormone (hgh) (83003) $74 $74 4.4×
Gtt-added samples (82952) $52 $52 13.3×
H pylori breath test (83013) $244 $244 3.6×
H pylori stool (87338) $276 $276 19.2×
Haptoglobin (83010) $116 $116 9.2×
Hcg ql (84703) $141 $141 18.8×
HDL cholesterol (83718) $77 $77 9.4×
Heavy metal quan each nes (83018) $294 $294 13.4×
Heavy metal screen (83015) $106 $106 5.1×
Hemagglutination inhibition (86280) $165 $165 20.1×
Hematocrit (hct) (85014) $48 $48 20.3×
Hemoglobin (85018) $48 $48 20.3×
Hemoglobin electrophoresis (83020) $158.50 $158.50 12.3×
Hemoglobin fractj/quantj chromotography (83021) $108 $108 6.0×
Hep a ab total (86708) $144 $144 11.6×
Hepatitis a antibody igm (86709) $121 $121 10.7×
Hepatitis b core antibody igm (86705) $132 $132 11.2×
Hepatitis b core antibody total (86704) $121 $121 10.0×
Hepatitis b DNA quant (87517) $320 $320 7.5×
Hepatitis b surface ab (86706) $41 $41 3.8×
Hepatitis b surface antigen (87340) $113 $113 10.9×
Hepatitis be antibody (86707) $137 $137 11.8×
Hepatitis be antigen (87350) $138 $138 12.0×
Hepatitis c antibody (86803) $158 $158 11.1×
Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) $206 $206 13.3×
Hepatitis c genotype (87902) $958 $958 3.7×
Hepatitis c RNA quantitative (87522) $642 $642 15.0×
Hepatitis delta antibody (86692) $127 $127 7.4×
Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) $90 $90 6.3×
Herpes simplex virus by PCR (87529) $347 $347 9.9×
Heterophile antibody screen (86308) $83 $83 16.0×
Hfe gene (81256) $718 $718 11.0×
Hhv-6 DNA amp probe (87532) $246 $246 7.0×
HIV-1 ag eia (87390) $814 $814 33.8×
HIV-1 ag w/HIV-1 & HIV-2 ab (87389) $130 $130 5.4×
HIV-1 antibody (86701) $112 $112 12.6×
Hla b27 (86812) $239 $239 9.3×
Hla ii typing 1 loc hr (81382) $276 $276 2.2×
Hla ii typing 1 locus lr (81376) $148 $148 1.2×
Homocysteine level (83090) $291 $291 16.2×
Hpv high-risk types (87624) $135 $135 3.8×
Hpv types 16 & 18 only (87625) $147 $147 3.6×
Htlv-i antibody (86687) $94 $94 10.3×
Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) $226 $226 11.7×
Iaad ia severe aqt respir synd coronavirus (87426) $139 $139 3.9×
Iadna HIV-2 amplified probe & reverse transcripj (87538) $393 $393 11.2×
Iadna sars-cov-2 COVID-19 amplified probe tq (87635) $197 $197 3.8×
Igg subclass 1 (82787) $134 $134 16.7×
Immune complex assay (86332) $125 $125 5.1×
Immunoassay analyte quantitative nos (83520) $142 $142 8.2×
Immunoassay infectious agent antibody quan nos (86317) $90 $90 6.0×
Immunofixation electrophoresis (86334) $225 $225 10.1×
Immunofixation urine (86335) $167 $167 5.7×
Immunoglobulin d (82784) $94 $94 10.1×
Immunoglobulin light chains free each (83521) $154 $154 8.9×
Immunoperoxidase (88342) $347 $347 1.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87380) $496 $496 27.0×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) $116 $116 8.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) $137 $137 3.3×
Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) $564 $564 8.0×
Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism… (87797) $180 $180 6.0×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) $151 $151 4.3×
Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) $813 $813 3.1×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) $267 $267 7.6×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) $351 $351 8.2×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) $698 $698 19.9×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) $511 $511 6.0×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) $105 $105 2.5×
Influenza antibody (86710) $126 $126 9.3×
Inhibin a (86336) $207 $207 13.3×
Insulin antibody (86337) $827 $827 38.6×
Insulin free (83527) $191 $191 14.7×
Insulin total (83525) $62 $62 5.4×
Intrinsic factor antibody (86340) $179 $179 11.9×
Iron (83540) $77.50 $77.50 12.0×
Iron binding capacity (83550) $83.50 $83.50 9.6×
Irradiation of blood product, each unit (86945) $122 $122 3.1×
Islet cell antibody (86341) $247 $247 10.5×
Jak2 gene (81270) $609 $609 6.6×
Koh prep (87220) $66 $66 15.5×
Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) $147 $147 3.7×
Lactate (83605) $138 $138 11.9×
Lactate dehydrogenase (83615) $70 $70 11.6×
Lactoferrin, fecal; quantitative Other Outpatient (83631) $225 $225 11.5×
Lamotrigine (80175) $216 $216 16.3×
Ldh isoenzymes (83625) $106 $106 8.3×
LDL direct (83721) $66 $66 6.3×
Lead (83655) $104 $104 8.6×
Legion pneumo DNA amp prob (87541) $147 $147 4.2×
Legionella antibody (86713) $123 $123 8.0×
Legionella culture (87081) $67.50 $67.50 10.2×
Legionella urine antigen (87449) $104 $104 8.7×
Leptospira antibody (86720) $331 $331 20.4×
Leukocyte alkaline phosphatase (85540) $238 $238 27.7×
Leukocyte antibody id (86021) $53 $53 3.5×
Leukocyte assessment fecal (89055) $80 $80 18.7×
Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) $141 $141 3.6×
Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) $204 $204 3.7×
Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) $235 $235 4.3×
Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) $517 $517 0.6×
Lidocaine (80176) $202 $202 13.8×
Lipase (83690) $116 $116 16.8×
Lipoprotein (a) (83695) $95 $95 6.6×
Lipoprotein bld by nmr (83704) $81 $81 2.4×
Lipoprotein-associated phospholipase a2 (83698) $452.50 $452.50 9.8×
Lithium (80178) $98 $98 14.8×
Luteinizing hormone (lh) (83002) $139.50 $139.50 7.5×
Lyme disease antibody (86617) $153 $153 9.9×
Lyme disease antibody (86618) $165 $165 9.7×
M genitalium amp probe (87563) $256 $256 7.3×
Magnesium (83735) $39 $39 5.8×
Malaria smear (87207) $67 $67 11.2×
Manual differential (85007) $41 $41 10.8×
Mercury (83825) $239 $239 14.7×
Metanephrines (83835) $272 $272 16.1×
Methemoglobin quant (83050) $149 $149 18.2×
Methylmalonic acid serum (83921) $437 $437 20.6×
Microalbumin urine (82043) $137 $137 23.7×
Mitochondrial antibody each (86381) $83 $83 3.3×
Mlh1 gene dup/delete variant (81294) $711 $711 3.5×
Mlh1 gene full seq (81292) $778 $778 1.2×
Mold id (87107) $36 $36 3.5×
Molecular cytogenetics DNA probe each (88271) $199 $199 9.3×
Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) $152 $152 4.4×
Mopath procedure level 2 (81401) $509 $509 3.7×
Mopath procedure level 4 (81403) $687 $687 3.7×
Mopath procedure level 5 (81404) $1,502.40 $1,878 5.5×
Mopath procedure level 6 (81405) $977 $977 3.2×
Mopath procedure level 7 (81406) $982 $982 3.5×
Mopath procedure level 8 (81407) $1,265.60 $1,582 1.5×
Mrsa PCR (87641) $197 $197 5.6×
Msh2 gene dup/delete variant (81297) $711 $711 3.3×
Msh2 gene full seq (81295) $711 $711 1.9×
Msh6 gene dup/delete variant (81300) $711 $711 3.0×
Msh6 gene full seq (81298) $711 $711 1.1×
Mthfr gene (81291) $636 $636 9.7×
Mumps antibody (86735) $102 $102 7.8×
Muscle-specific kinase antb (86366) $1,428 $1,785 77.6×
Myelin associated glycoprotein (mag) antibody (83516) $274 $274 23.8×
Myelin basic protein (83873) $144 $144 8.4×
Myoglobin (83874) $160 $160 12.4×
N.gonorrhoeae DNA amp prob (87591) $151 $151 4.3×
Natriuretic peptide (83880) $283 $283 7.2×
Nephelometry ea analyte (83883) $205 $205 15.1×
Neutralization test viral (86382) $300 $300 17.7×
Nfct ds bv RNA vag flu alg (81513) $479.50 $479.50 3.4×
Nk cells total count (86357) $61 $61 1.6×
Nucleotidase 5 (83915) $155 $155 13.9×
Occult blood other sources (82271) $63 $63 11.8×
Oligoclonal bands (83916) $135 $135 4.9×
Oncoprotein her-2/neu (83950) $773 $773 12.0×
Osmolality serum (83930) $160 $160 24.2×
Osmolality urine (83935) $160 $160 23.5×
Ova and parasite exam (87177) $119 $119 13.4×
Oxalate urine (83945) $137 $137 9.5×
Pancreatic polypeptide (83519) $328 $328 17.8×
Parathyroid hormone (83970) $263 $263 6.4×
Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) $130 $130 11.3×
Parvovirus antibody (86747) $111 $111 7.4×
Pertussis ag if (87265) $104 $104 8.7×
Pertussis by PCR (87798) $428 $428 12.2×
Ph body fluid (83986) $71 $71 19.8×
Phenobarbital (80184) $174 $174 11.4×
Phenylalanine (84030) $175 $175 31.8×
Phenytoin (dilantin) free (80186) $73 $73 5.3×
Phenytoin level total (80185) $173 $173 13.1×
Phosphorus (84100) $57 $57 12.0×
Phosphorus urine (84105) $40 $40 6.9×
Pinworm exam (87172) $38 $38 8.9×
Plasminogen activity (85420) $213 $213 32.6×
Platelet aggregation ea agent (85576) $293 $293 11.8×
Platelet count automated (85049) $79 $79 17.6×
Platelet neutralization (85597) $272 $272 15.1×
Pms2 gene dup/delet variants (81319) $711 $711 3.5×
Pms2 gene full seq analysis (81317) $939 $939 1.4×
Porphobilinogen urine (84110) $149 $149 17.7×
Porphyrins total plasma (84311) $106 $106 13.1×
Potassium (84132) $67 $67 14.1×
Potassium urine (84133) $70 $70 14.8×
Prealbumin (84134) $117 $117 8.0×
Pregnenolone (84140) $152 $152 7.4×
Primidone (80188) $205 $205 12.4×
Procalcitonin (pct) (84145) $413 $413 15.2×
Progesterone (84144) $155 $155 7.4×
Proinsulin (84206) $208 $208 7.8×
Prolactin (84146) $228 $228 11.8×
Prostatic acid phosphatase (84066) $104 $104 10.8×
Protein c activity (85303) $177 $177 12.8×
Protein c antigen (85302) $213 $213 17.7×
Protein electrophoresis serum (84165) $150 $150 14.0×
Protein electrophoresis urine (84166) $146 $146 8.2×
Protein s antigen, free (85306) $340 $340 22.2×
Protein total other source (84157) $160.50 $160.50 40.1×
Protein total serum (84155) $71 $71 19.3×
Protein total urine (84156) $71 $71 19.3×
Protein western blot (84181) $338 $338 19.8×
PSA free (84154) $282 $282 15.3×
Q fever antibody (86638) $117 $117 9.7×
Rbc antibody elution (86860) $185 $185 1.0×
Rbc antibody identification (86870) $206 $206 0.5×
Rbc antibody screen (86850) $129 $129 13.2×
Receptor assay non-endocrine specify receptor (84238) $174 $174 4.8×
Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Other Outpatient (84235) $67 $67 0.9×
Reducing substances fecal (84376) $131.50 $131.50 23.9×
Ref john hopkins telomere length measurement flow cytometry and fish (88182) $142 $142 2.6×
Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) $185 $185 15.4×
Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) $127 $127 9.6×
Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) $127 $127 6.6×
Renin (84244) $236 $236 10.7×
Resp virus 12-25 targets (87633) $684 $684 1.6×
Resp virus 6-11 targets (87632) $661 $661 3.0×
Rh phenotyping complete (86906) $145 $145 18.7×
Rheumatoid factor (86430) $80 $80 13.0×
Rheumatoid factor quant (86431) $90 $90 15.9×
Rickettsia antibody (86757) $243 $243 12.6×
Ristocetin cofactor (85245) $342 $342 14.9×
Rl immediate spin crossmatch (86920) $198 $198 1.1×
Rotavirus ag eia (87425) $158 $158 13.2×
Rotavirus antibody (86759) $162 $162 8.9×
Rpr qual (86592) $157 $157 36.8×
Rpr titer (86593) $105 $105 23.9×
Rsv DNA/RNA amp probe (87634) $365 $365 5.2×
Rubella antibody (86762) $107 $107 7.4×
Rubeola antibody (86765) $114 $114 8.9×
Russell viper venom diluted (85613) $134 $134 14.0×
Sedimentation rate rbc non-automated (85651) $62 $62 14.5×
Selenium (84255) $150 $150 5.9×
Semen analysis post vasectomy (89321) $112 $112 9.3×
Semen analysis; motility and count (not including Huhner test) Other Outpatient (89310) $71 $71 8.2×
Serotonin (84260) $379 $379 12.2×
Sex hormone binding globulin (84270) $6 $6 0.3×
Shiga-like toxin ag eia (87427) $197 $197 16.4×
Sickle cell screen (85660) $41 $41 7.4×
Skin test tuberculosis intradermal (86580) $35 $35 1.1×
Smear wet mount (87210) $87 $87 14.9×
Sodium (84295) $65 $65 13.5×
Sodium urine (84300) $82 $82 16.2×
Somatomedin (84305) $89 $89 4.2×
Special stains group i (88312) $188 $188 3.4×
Special stains group ii (88313) $242.50 $242.50 1.7×
Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) $132 $132 0.7×
Stone analysis (82365) $118 $118 9.1×
Strep a ag ia (87430) $89 $89 5.3×
Strep a assay w/optic (87880) $91 $91 5.5×
Strep a DNA amp probe (87651) $114 $114 3.2×
Surg path level 1 (88300) $118 $118 3.9×
Susceptibility mic per plate (87186) $117 $117 13.5×
Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) $137 $137 28.8×
Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) $67 $67 9.0×
T cells cd4 count (86361) $197 $197 7.4×
T3 free (84481) $182 $182 10.7×
T3 reverse (84482) $241 $241 15.3×
T3 uptake (84479) $131 $131 20.2×
T4 (thyroxine) total (84436) $99 $99 14.4×
Tacrolimus (80197) $308 $308 22.4×
Tb test cell immun measure (86480) $376 $376 6.1×
Testosterone free (84402) $602 $602 23.6×
Testosterone total (84403) $8 $8 0.3×
Tetanus antibody (86774) $152 $152 10.3×
Theophylline (80198) $171 $171 12.1×
Thiopurine drug metabolites (83789) $201 $201 8.3×
Thiopurine metabolites (80299) $224 $224 12.0×
Thrombin time plasma (85670) $165 $165 28.6×
Thyroglobulin (84432) $127 $127 7.9×
Thyroglobulin antibody (86800) $139 $139 8.7×
Thyroid peroxidase antibody (86376) $162 $162 11.1×
Thyroid stimulating immune globulins (thyroid related protein) level (84445) $440 $440 8.7×
Thyroxine free (ft4) (84439) $114.50 $114.50 12.7×
Tissue culture lymphocyte (88230) $545 $545 4.7×
Tissue transglutaminase ea immunoglobulin class (86364) $59 $59 5.1×
Topiramate (80201) $181 $181 15.2×
Toxoplasma antibody igg (86777) $114 $114 7.9×
Transferrin (84466) $142 $142 11.1×
Treponema pallidum antibody (86780) $117 $117 8.8×
Trichomonas vaginalis amplif (87661) $274 $274 7.8×
Triglycerides (84478) $80 $80 13.9×
Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) $137 $137 9.7×
Troponin t (84484) $239 $239 19.2×
Tularemia antibody (86000) $196 $196 28.1×
Unlisted molecular pathology (81479) $438 $438
Urea nitrogen quantitative (84520) $63 $63 15.9×
Urea nitrogen urine (84540) $63 $63 11.3×
Uric acid blood (84550) $74 $74 16.4×
Uric acid other source (84560) $78 $78 15.4×
Urinalysis microscopic only (81015) $46 $46 15.1×
Urinalysis volume measure (81050) $31 $31 8.5×
Urine bacteria culture (87088) $98 $98 12.1×
Valproic acid (80164) $179 $179 13.2×
Vancomycin (80202) $194 $194 14.3×
Varicella zoster antibody igg (86787) $189 $189 14.7×
Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) $252 $252 7.4×
Viral culture non-respiratory (87252) $310 $310 11.9×
Virus antibody nos (86790) $249 $249 19.3×
Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) $147 $147 7.5×
Viscosity (85810) $98 $98 8.4×
Vitamin a (84590) $220 $220 18.9×
Vitamin b-12 (82607) $153 $153 10.1×
Vitamin b1 whole blood (84425) $289 $289 13.6×
Vitamin b6 (84207) $97 $97 3.5×
Vitamin c (82180) $130 $130 13.1×
Vitamin d 25 hydroxy (82306) $216.50 $216.50 7.3×
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) $273 $273 7.1×
Vitamin e (84446) $221 $221 15.6×
Vitamin k1 (84597) $391 $391 28.5×
Vma (84585) $179 $179 11.5×
West nile virus antibody (86789) $99 $99 6.9×
Yeast id (87106) $36 $36 3.5×
Yersinia antibody (86793) $369 $369 28.0×
Z t cells total count (86359) $173 $173 4.6×
Zinc (84630) $200 $200 17.6×