| 17-Ohcs (83491) |
— |
$97 |
— |
| 5' Nucleotidase (83915) |
— |
$33 |
— |
| 5-Hiaa (83497) |
— |
$79 |
— |
| Ab; coxiella brunetii (86638) |
— |
$83 |
— |
| Ab; encephalitis calif (86651) |
— |
$75 |
— |
| Ab; encephalitis e equine (86652) |
— |
$75 |
— |
| Ab; encephalitis w equine (86654) |
— |
$75 |
— |
| Ab; htlv or HIV wb (86689) |
— |
$159 |
— |
| Ab; rsv (86756) |
— |
$158 |
— |
| Acetaminophen (80143) |
— |
$72 |
— |
| Acetone serum qual (82009) |
— |
$61 |
— |
| Acid fast smear only (87206) |
— |
$87 |
— |
| Acid phosphatase (84060) |
— |
$91 |
— |
| Activated protein c resistance (85307) |
— |
$441 |
— |
| Acute hepatitis panel (80074) |
— |
$525 |
— |
| Adenovirus ag eia (87301) |
— |
$173 |
— |
| Adenovirus antibody (86603) |
— |
$122 |
— |
| Adrenocorticotropic hormone (82024) |
— |
$210 |
— |
| Afb culture (87116) |
— |
$63 |
— |
| Albumin csf (82042) |
— |
$58 |
— |
| Albumin serum (82040) |
— |
$32 |
— |
| Aldolase (82085) |
— |
$27 |
— |
| Aldosterone urine (82088) |
— |
$278 |
— |
| Alkaline phosphatase (84075) |
— |
$42 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$79 |
— |
| Allergen specific ige (86003) |
— |
$38 |
— |
| Allergen specific ige (86005) |
— |
$308 |
— |
| Alpha fetoprotein serum (82105) |
— |
$125 |
— |
| Alpha-1 antitrypsin total (82103) |
— |
$80 |
— |
| Alt/sgpt (84460) |
— |
$46 |
— |
| Amikacin level (80150) |
— |
$84 |
— |
| Amino acids; sgl quan ea (82131) |
— |
$71 |
— |
| Aminolevulinic acid delta (82135) |
— |
$126 |
— |
| Ammonia (82140) |
— |
$77.50 |
— |
| Amylase (82150) |
— |
$67 |
— |
| Ana titer (86039) |
— |
$83 |
— |
| Angiotensin converting enzyme (82164) |
— |
$24 |
— |
| Anti DNA (ss) igg ab qn (86226) |
— |
$36 |
— |
| Anti-mitochondrial antibody (86255) |
— |
$116 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$53 |
— |
| Antibody bacterium nos (86609) |
— |
$709 |
— |
| Antibody elution (86860) |
— |
$525 |
— |
| Antibody identification (86870) |
— |
$580 |
— |
| Antibody screen rbc each (86850) |
— |
$116 |
— |
| Antibody toxoplasma (86777) |
— |
$105 |
— |
| Antinuclear antibodies (86038) |
— |
$82 |
— |
| Antistreptolysin o titer (86060) |
— |
$63 |
— |
| Antithrombin iii activity (85300) |
— |
$150.50 |
— |
| Apolipoprotein b (82172) |
— |
$105 |
— |
| Arsenic (82175) |
— |
$106 |
— |
| Aspergillus antibody (86606) |
— |
$99 |
— |
| Assay myeloperoxidase (83876) |
— |
$210 |
— |
| Assay of feces porphyrins (84126) |
— |
$177 |
— |
| Assay of g6pd enzyme (82955) |
— |
$62 |
— |
| Assay of procainamide (80192) |
— |
$210 |
— |
| Assay of sialic acid - lipid associated sialic acid (lasa) (84275) |
— |
$90 |
— |
| Assay of vitamin b-2 (84252) |
— |
$693 |
— |
| Assay, free hydroxyproline - hydroxyproline, free (83500) |
— |
$149 |
— |
| Ast/sgot (84450) |
— |
$45.50 |
— |
| Automated rbc count (85041) |
— |
$32 |
— |
| Bc - anaerobe - addtl id (87076) |
— |
$630 |
— |
| Beta 2 glycoprotein i ab ea (86146) |
— |
$105 |
— |
| Beta hydroxybutyrate (82010) |
— |
$284 |
— |
| Beta-2 microglobulin (82232) |
— |
$90 |
— |
| Bile acids total (82239) |
— |
$735 |
— |
| Bilirubin direct (82248) |
— |
$63 |
— |
| Bilirubin total (82247) |
— |
$28 |
— |
| Blastomyces antibody (86612) |
— |
$76 |
— |
| Bleeding time (85002) |
— |
$69 |
— |
| Blood count reticulocyte automated (85044) |
— |
$32 |
— |
| Blood gases 02 sat only (82810) |
— |
$26 |
— |
| Blood Smear,Micro Exam,Manual Diff Wbc - Manual Differential (85007) |
— |
$16 |
— |
| Blood typing abo (86900) |
— |
$95 |
— |
| Blood typing antigen screen patient serum/unit (86904) |
— |
$83 |
— |
| Blood typing rbc antigens oth/thn abo/rh d each (86905) |
— |
$205 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$160 |
— |
| Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff (89051) |
— |
$62 |
— |
| Bone marrow smear interpretation (85097) |
— |
$929 |
— |
| Bordetella pertussis igm (86615) |
— |
$271 |
— |
| Brucella antibody (86622) |
— |
$452 |
— |
| C-peptide (84681) |
— |
$130 |
— |
| C-reactive protein (86140) |
— |
$79 |
— |
| C1 esterase inhibitor functional (86161) |
— |
$82 |
— |
| Ca 125 (86304) |
— |
$133 |
— |
| Ca 15-3 (86300) |
— |
$132 |
— |
| Calcitonin (82308) |
— |
$79 |
— |
| Calcium ionized (82330) |
— |
$88 |
— |
| Calcium total (82310) |
— |
$60.50 |
— |
| Calcium urine (82340) |
— |
$21 |
— |
| Calculus; X-ray diffraction Other Outpatient (82370) |
— |
$89 |
— |
| Campylobacter antibody (86625) |
— |
$473 |
— |
| Cancer antigen 19-9 (86301) |
— |
$109 |
— |
| Candida antibody (86628) |
— |
$41 |
— |
| Carbamazepine total (80156) |
— |
$100 |
— |
| Carbon dioxide (82374) |
— |
$39 |
— |
| Carboxyhemoglobin quant (82375) |
— |
$58 |
— |
| Carcinoembryonic antigen (cea) (82378) |
— |
$105 |
— |
| Cardiolipin ab ea ig class (86147) |
— |
$105 |
— |
| Carnitine quant ea specimen (82379) |
— |
$210 |
— |
| Catecholamines fraction plasma (82384) |
— |
$236 |
— |
| Catecholamines total urine (82382) |
— |
$122 |
— |
| Ccp antibody (86200) |
— |
$273 |
— |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
— |
$145.50 |
— |
| Cell Count,Misc Body Fluids - Body Fluid Cell Count (89050) |
— |
$53 |
— |
| Cell function assay w/stim (86352) |
— |
$1,260 |
— |
| Ceruloplasmin (82390) |
— |
$40 |
— |
| Chemiluminescent assay (82397) |
— |
$378 |
— |
| Chlamydia antibody (86631) |
— |
$263 |
— |
| Chlamydia trachomatis igm (86632) |
— |
$263 |
— |
| Chloride blood (82435) |
— |
$59 |
— |
| Chloride fluid (82438) |
— |
$32 |
— |
| Chloride urine (82436) |
— |
$59 |
— |
| Cholesterol total (82465) |
— |
$58 |
— |
| Cholinesterase serum (82480) |
— |
$86 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$945 |
— |
| Chromogranin a (86316) |
— |
$226 |
— |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
— |
$675 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$86 |
— |
| Citrate (82507) |
— |
$168 |
— |
| Ck isoenzymes (82552) |
— |
$98.50 |
— |
| Clotting factor viii multimetric analysis (85247) |
— |
$189 |
— |
| Cmv Antibody - Cmv Igg (86644) |
— |
$78.50 |
— |
| Coccidioides antibody (86635) |
— |
$128 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$1,050 |
— |
| Cold agglutinins titer (86157) |
— |
$62 |
— |
| Collagen cross links (82523) |
— |
$258.50 |
— |
| Collect sweat for test (89230) |
— |
$84 |
— |
| Compatibility each unit immediate spin technique (86920) |
— |
$158 |
— |
| Compatibility test antiglob (86922) |
— |
$236.50 |
— |
| Complement c3 (86160) |
— |
$84 |
— |
| Complement fixation ea ag (86171) |
— |
$165 |
— |
| Complement total (ch50) (86162) |
— |
$105 |
— |
| Comprehensive consult (88325) |
— |
$282 |
— |
| Concentration infectious agents (87015) |
— |
$100 |
— |
| Coombs test indirect qual (86885) |
— |
$394 |
— |
| Copper liver tissue (82525) |
— |
$149 |
— |
| Cortisol free (82530) |
— |
$202 |
— |
| Cortisol serum (82533) |
— |
$100 |
— |
| Coxsackie a9 virus antibodies (86658) |
— |
$378 |
— |
| Creatine kinase mb fraction only (82553) |
— |
$206 |
— |
| Creatine kinase total (82550) |
— |
$81 |
— |
| Creatinine clearance (82575) |
— |
$90 |
— |
| Creatinine other source (82570) |
— |
$79 |
— |
| Creatinine serum (82565) |
— |
$79 |
— |
| Cryoglobulins (82595) |
— |
$62 |
— |
| Cryptococcal Antigen (87899) |
— |
$89 |
— |
| Cryptococcus antibody (86641) |
— |
$172.50 |
— |
| Cryptococcus neoform ag eia (87327) |
— |
$83 |
— |
| Cryptosporidium antigen (87328) |
— |
$96 |
— |
| Cult aerobic defin id ea isol (87077) |
— |
$341.50 |
— |
| Culture aerobic quant other (87071) |
— |
$63 |
— |
| Culture anaerobic (87075) |
— |
$98 |
— |
| Culture blood (87040) |
— |
$101 |
— |
| Culture chlamydia (87110) |
— |
$184 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$91 |
— |
| Culture fungus blood (87103) |
— |
$9,067 |
— |
| Culture fungus id (87106) |
— |
$53 |
— |
| Culture fungus other (87102) |
— |
$72 |
— |
| Culture genital (87070) |
— |
$53 |
— |
| Culture mycobacterial definitive id ea isol (87118) |
— |
$117 |
— |
| Culture mycoplasma (87109) |
— |
$105 |
— |
| Culture stool (87045) |
— |
$65 |
— |
| Culture typing serologic (87147) |
— |
$53 |
— |
| Culture urine (87086) |
— |
$100 |
— |
| Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) |
— |
$56.50 |
— |
| Cyclosporine (80158) |
— |
$53 |
— |
| Cystatin c (82610) |
— |
$84 |
— |
| Cystine and homocystine, urine, qualitative Other Outpatient (82615) |
— |
$263 |
— |
| Cytomegalovirus antibody igm (86645) |
— |
$53 |
— |
| Cytopath cell enhance technique (88112) |
— |
$177 |
— |
| Cytopath fl nongyn smears (88104) |
— |
$110 |
— |
| Cytp dx eval fna 1st ea site (88172) |
— |
$131.50 |
— |
| Cytp eval fine needle aspirate interp & report (88173) |
— |
$210 |
— |
| D-dimer quant (85379) |
— |
$124 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$117 |
— |
| Detect agent nos DNA amp (87798) |
— |
$473 |
— |
| Detect agent nos DNA quant (87799) |
— |
$861 |
— |
| Dhea (82626) |
— |
$112 |
— |
| Dhea-s (82627) |
— |
$126 |
— |
| Digoxin (80162) |
— |
$119 |
— |
| Direct antiglobulin test (86880) |
— |
$394 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$91 |
— |
| Drug screen quant clozapine (80159) |
— |
$89 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$210 |
— |
| E coli 0157 ag eia (87335) |
— |
$105 |
— |
| Echinococcus ab igg (86682) |
— |
$242 |
— |
| Ehrlichia antibody (86666) |
— |
$113 |
— |
| Electrolytes panel (80051) |
— |
$84.50 |
— |
| Encephalitis st louis ab (86653) |
— |
$75 |
— |
| Enterovirus by PCR (87498) |
— |
$945 |
— |
| Eosinophil smear (89190) |
— |
$37 |
— |
| Epstein-Barr Antibody - Epstein-Barr Virus Early Igg (86663) |
— |
$63 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$89.50 |
— |
| Erythropoietin (82668) |
— |
$124 |
— |
| Estradiol (82670) |
— |
$178 |
— |
| Estrogen receptor assay (84233) |
— |
$348 |
— |
| Estrogens total (82672) |
— |
$191.50 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$85 |
— |
| F2 gene (81240) |
— |
$131.50 |
— |
| Factor ii activity (85210) |
— |
$210 |
— |
| Factor ix assay (85250) |
— |
$145 |
— |
| Factor v activity (85220) |
— |
$149.50 |
— |
| Factor v leiden (81241) |
— |
$53 |
— |
| Factor vii activity (85230) |
— |
$168 |
— |
| Factor viii assay (85240) |
— |
$168 |
— |
| Factor viii inhibitor (85335) |
— |
$443 |
— |
| Factor x (stuart-prower) (85260) |
— |
$210 |
— |
| Factor xi activity (85270) |
— |
$168 |
— |
| Factor xii (hageman) (85280) |
— |
$210 |
— |
| Fat stain urine (89125) |
— |
$69 |
— |
| Fatty acids nonesterified (82725) |
— |
$101 |
— |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
— |
$63 |
— |
| Fecal fat (82710) |
— |
$149 |
— |
| Fecal fat qual (82705) |
— |
$43 |
— |
| Fecal occult blood immunochemical (82274) |
— |
$95 |
— |
| Ferritin (82728) |
— |
$76 |
— |
| Fibrin split products (85362) |
— |
$118 |
— |
| Fibrinogen activity (85384) |
— |
$50 |
— |
| Flow cytometry first marker (88184) |
— |
$580 |
— |
| Fluorescent antibody titer (86256) |
— |
$105 |
— |
| Folate rbc (82747) |
— |
$41 |
— |
| Folate serum (82746) |
— |
$127 |
— |
| Fractionation ketosteroids - 17-ketosteroids, fractionation (83593) |
— |
$71 |
— |
| Free t4 (84439) |
— |
$60 |
— |
| Fructosamine (82985) |
— |
$53 |
— |
| Fsh (83001) |
— |
$175.50 |
— |
| G6pd screen (82960) |
— |
$25 |
— |
| Gamma glutamyl transferase (82977) |
— |
$60 |
— |
| Gammaglobulin ige (82785) |
— |
$623 |
— |
| Gases blood (82803) |
— |
$125.50 |
— |
| Gastric occult blood (82271) |
— |
$53 |
— |
| Gastrin (82941) |
— |
$149 |
— |
| Genet virus isolate hsv (87255) |
— |
$210 |
— |
| Gentamicin (80170) |
— |
$105 |
— |
| Giardia antigen eia stool (87329) |
— |
$95 |
— |
| Glucagon (82943) |
— |
$194 |
— |
| Glucose (82947) |
— |
$55 |
— |
| Glucose body fluid (82945) |
— |
$32 |
— |
| Glucose post glucose dose (82950) |
— |
$91 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$122 |
— |
| Gram stain smear (87205) |
— |
$71 |
— |
| Gross & micro level ii (88302) |
— |
$315 |
— |
| Gross & micro level iii (88304) |
— |
$206 |
— |
| Growth hormone (83003) |
— |
$255 |
— |
| Gtt-added samples (82952) |
— |
$143 |
— |
| Haloperidol (80173) |
— |
$48 |
— |
| Haptoglobin (83010) |
— |
$122 |
— |
| Hcg quant (84702) |
— |
$89.50 |
— |
| Heavy metal quan each nes (83018) |
— |
$105 |
— |
| Heavy metal screen (83015) |
— |
$233 |
— |
| Helicobacter Pylori Antibody Igg (86677) |
— |
$63 |
— |
| Hemagglutination inhibition (86280) |
— |
$126 |
— |
| Hematocrit (85014) |
— |
$39 |
— |
| Hemoglobin (85018) |
— |
$37 |
— |
| Hemoglobin a1c (83036) |
— |
$85 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$59.50 |
— |
| Hemoglobin plasma (83051) |
— |
$58 |
— |
| Hemolysin acid (85475) |
— |
$59 |
— |
| Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm (86705) |
— |
$91 |
— |
| Heparin assay (85520) |
— |
$685 |
— |
| Heparin induced platelet ab (86022) |
— |
$236.50 |
— |
| Hepatitis a antibody (haab) total (86708) |
— |
$71 |
— |
| Hepatitis a igm (86709) |
— |
$71 |
— |
| Hepatitis b core antibody total (86704) |
— |
$83 |
— |
| Hepatitis b surface antibody (86706) |
— |
$68 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$69 |
— |
| Hepatitis b virus DNA, quantitative, real-time PCR (87517) |
— |
$210 |
— |
| Hepatitis be antibody (86707) |
— |
$57 |
— |
| Hepatitis be antigen (87350) |
— |
$95 |
— |
| Hepatitis c antibody (86803) |
— |
$128 |
— |
| Hepatitis c direct probe (87520) |
— |
$118 |
— |
| Hepatitis c RNA quantitative (87522) |
— |
$189 |
— |
| Hepatitis c virus genotype (87902) |
— |
$1,575 |
— |
| Hepatitis delta antibody (86692) |
— |
$80 |
— |
| Herpes simplex type 1 ab (86695) |
— |
$94 |
— |
| Herpes simplex type 2 antibody (86696) |
— |
$84 |
— |
| Herpes simplex virus igm ab (86694) |
— |
$96 |
— |
| Heterophile ab screen (86308) |
— |
$90.50 |
— |
| High density lipoprotein (83718) |
— |
$62 |
— |
| Histamine plasma (83088) |
— |
$315 |
— |
| Histoplasma antibody (86698) |
— |
$147 |
— |
| HIV p24 antigen (87390) |
— |
$263 |
— |
| HIV-1 antibody (86701) |
— |
$26 |
— |
| HIV-1 quant&revrse trnscrpj (87536) |
— |
$420 |
— |
| HIV-2 antibody (86702) |
— |
$42 |
— |
| Hla b27 (86812) |
— |
$71.50 |
— |
| Hla x-math non-cytotoxic (86825) |
— |
$174 |
— |
| Homocystine (83090) |
— |
$47 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$223 |
— |
| Htlv-i antibody (86687) |
— |
$336 |
— |
| Hydroxyproline total (83505) |
— |
$306 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$213 |
— |
| Iaad ia hepatitis delta antigen (87380) |
— |
$113 |
— |
| Iaad ia HIV-1 ag w/HIV-1 & HIV-2 antbdy single (87389) |
— |
$42 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$263 |
— |
| Iaad ia severe aqt respir synd coronavirus (87426) |
— |
$65 |
— |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
— |
$131 |
— |
| Igg subclass 4 (82787) |
— |
$53 |
— |
| Immune complex assay (86332) |
— |
$132 |
— |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) |
— |
$263 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$142.50 |
— |
| Immunodiffusion ouchterlony (86331) |
— |
$113 |
— |
| Immunofixation Electrophoresis Serum (86334) |
— |
$159 |
— |
| Immunofixation urine (86335) |
— |
$128 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$202 |
— |
| Immunoglobulin d (82784) |
— |
$69 |
— |
| Immunoperoxidase (88342) |
— |
$315 |
— |
| In situ hybridization 1st probe stain (88365) |
— |
$290 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient (87278) |
— |
$145 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Other Outpatient (87285) |
— |
$102 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient (87490) |
— |
$105 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Other Outpatient (87495) |
— |
$117 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Other Outpatient (87526) |
— |
$404 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Other Outpatient (87528) |
— |
$133 |
— |
| Influenza a ag if (87276) |
— |
$90 |
— |
| Influenza a/b ag eia (87400) |
— |
$126 |
— |
| Influenza virus antibody (86710) |
— |
$68 |
— |
| Inhibin a (86336) |
— |
$79 |
— |
| Inhibin b (83520) |
— |
$168 |
— |
| Insulin antibody (86337) |
— |
$421 |
— |
| Insulin total (83525) |
— |
$218 |
— |
| Intrinsic factor ab (86340) |
— |
$84 |
— |
| Iron (83540) |
— |
$53 |
— |
| Iron binding capacity total (83550) |
— |
$121.50 |
— |
| Irradiate bld product ea unit (86945) |
— |
$76 |
— |
| Ketogenic steroids fract (83582) |
— |
$117 |
— |
| Ketosteroids 17 total (83586) |
— |
$199 |
— |
| Koh for fungi/parasites/mites (87220) |
— |
$32 |
— |
| L117054ptt substitut (85732) |
— |
$53 |
— |
| L164657fungus ab nos (86671) |
— |
$473 |
— |
| L216655epst-barr vca (86665) |
— |
$63 |
— |
| Lactate dehydrogenase (83615) |
— |
$69 |
— |
| Lactic acid (83605) |
— |
$100 |
— |
| Ldh isoenzymes (83625) |
— |
$85.50 |
— |
| LDL direct (83721) |
— |
$48 |
— |
| Lead (83655) |
— |
$149 |
— |
| Legionella antibody (86713) |
— |
$179 |
— |
| Legionella antigen urine (87449) |
— |
$294 |
— |
| Legionella culture (87081) |
— |
$89 |
— |
| Leptospira antibody (86720) |
— |
$580 |
— |
| Leucine aminopeptidase (83670) |
— |
$105 |
— |
| Leukocyte (Wbc) Count - White Blood Count (85048) |
— |
$28 |
— |
| Leukocyte alkaline phosphatase (85540) |
— |
$107 |
— |
| Lidocaine (80176) |
— |
$112 |
— |
| Lipase (83690) |
— |
$57 |
— |
| Lipoprotein bld hr fraction (83701) |
— |
$72 |
— |
| Lipoprotein electrophoresis (83700) |
— |
$178 |
— |
| Listeria antibody (86723) |
— |
$478 |
— |
| Lithium (80178) |
— |
$68 |
— |
| Luteinizing hormone (lh) (83002) |
— |
$178 |
— |
| Lyme disease antibody (86618) |
— |
$133 |
— |
| Lymph choriomeningitis ab (86727) |
— |
$160 |
— |
| M.Pneumon, Dna, Amp Probe - Mycoplasma Pneumoniae Pcr (87581) |
— |
$53 |
— |
| Magnesium urine (83735) |
— |
$47 |
— |
| Malaria smear (87207) |
— |
$32 |
— |
| Manual cell count each (85032) |
— |
$27 |
— |
| Manual tumor im histochem ea ab (88360) |
— |
$268 |
— |
| Mercury urine (83825) |
— |
$95.50 |
— |
| Metanephrines (83835) |
— |
$142 |
— |
| Methemoglobin quant (83050) |
— |
$26 |
— |
| Microalbumin urine (82043) |
— |
$53 |
— |
| Microalbumin; urine semiquan (82044) |
— |
$68 |
— |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
— |
$761.50 |
— |
| Microsomal Antibody - Thyroid Peroxidase Antibody (86376) |
— |
$176 |
— |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other… (88272) |
— |
$173 |
— |
| Mthfr gene analysis (81291) |
— |
$263 |
— |
| Mumps igg antibody (86735) |
— |
$68 |
— |
| Mycobacteria t amplif na probe (87556) |
— |
$210 |
— |
| Mycoplasma antibody (86738) |
— |
$64 |
— |
| Myelin basic protein csf (83873) |
— |
$157 |
— |
| Myeloperoxidase antibody (86021) |
— |
$163 |
— |
| Myoglobin (83874) |
— |
$123 |
— |
| N.gonorrhoeae DNA amp prob (87591) |
— |
$168 |
— |
| Non gyn sputum nipple d/c (88160) |
— |
$114 |
— |
| Occult bld feces 1-3 tests (82272) |
— |
$35 |
— |
| Occult blood stool (82270) |
— |
$25 |
— |
| Oligoclonal bands (83916) |
— |
$154 |
— |
| Orthopoxvirus amp prb each (87593) |
— |
$81 |
— |
| Osmolality serum (83930) |
— |
$74 |
— |
| Osmolality urine (83935) |
— |
$74 |
— |
| Osmotic fragility rbc unincubated (85555) |
— |
$62 |
— |
| Ova and parasite exam (87177) |
— |
$60 |
— |
| Oxalate urine (83945) |
— |
$56 |
— |
| Pancreatic Elastase, Fecal, Qual/Semi-Quant - Pancreatic Elastase (82656) |
— |
$1,082 |
— |
| Pancreatic polypeptide (83519) |
— |
$116 |
— |
| Parathyroid hormone (83970) |
— |
$127 |
— |
| Parietal cell antibody (83516) |
— |
$578 |
— |
| Parvovirus antibody (86747) |
— |
$158 |
— |
| Pathology - unlisted surgical pathology procedure (88399) |
— |
$116 |
— |
| Ph body fluid (83986) |
— |
$18.50 |
— |
| Phenobarbital (80184) |
— |
$100 |
— |
| Phenylalanine (84030) |
— |
$76 |
— |
| Phenytoin free (80186) |
— |
$84 |
— |
| Phenytoin total (80185) |
— |
$123.50 |
— |
| Phosphorus blood (84100) |
— |
$41 |
— |
| Phosphorus urine (84105) |
— |
$33.50 |
— |
| Plasma renin activity (84244) |
— |
$306 |
— |
| Platelet Aggregation (85576) |
— |
$126 |
— |
| Platelet count automated (85049) |
— |
$46 |
— |
| Pneumocystis c ag by if (87281) |
— |
$308 |
— |
| Porphobilinogen urine qual (84106) |
— |
$74 |
— |
| Porphobilinogen urine quant (84110) |
— |
$177 |
— |
| Porphyrins total plasma (84311) |
— |
$81.50 |
— |
| Porphyrins urine quantitation & fractionation (84120) |
— |
$83 |
— |
| Potassium serum (84132) |
— |
$44 |
— |
| Potassium urine (84133) |
— |
$53 |
— |
| Prealbumin (84134) |
— |
$315 |
— |
| Pregnancy test serum (84703) |
— |
$72 |
— |
| Pregnancy test urine (81025) |
— |
$91 |
— |
| Pregnanediol (84135) |
— |
$54 |
— |
| Pretx rbc antibody incubat w/chem agnts/drugs ea (86970) |
— |
$158 |
— |
| Primidone (80188) |
— |
$87 |
— |
| Procalcitonin (pct) (84145) |
— |
$189 |
— |
| Progesterone (84144) |
— |
$315 |
— |
| Proinsulin (84206) |
— |
$210 |
— |
| Prolactin (84146) |
— |
$124 |
— |
| Prostaglandin (84150) |
— |
$1,050 |
— |
| Prostatic acid phosphatase (84066) |
— |
$121 |
— |
| Protein c antigen (85302) |
— |
$230 |
— |
| Protein c functional (85303) |
— |
$368 |
— |
| Protein electrophoresis serum (84165) |
— |
$183 |
— |
| Protein electrophoresis urine (84166) |
— |
$294 |
— |
| Protein s free (85306) |
— |
$158 |
— |
| Protein s total (85305) |
— |
$318 |
— |
| Protein total serum (84155) |
— |
$63 |
— |
| Protein total urine (84156) |
— |
$51.50 |
— |
| Protein western blot test (84182) |
— |
$158 |
— |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
— |
$53 |
— |
| PSA free (84154) |
— |
$68 |
— |
| Pyruvate (84210) |
— |
$315 |
— |
| Quinidine (80194) |
— |
$91 |
— |
| Reagent strip/blood glucose (82948) |
— |
$56 |
— |
| Receptor assay progesterone (84234) |
— |
$189 |
— |
| Ref consult prep elsewhere (88321) |
— |
$210 |
— |
| Resp virus 12-25 targets (87633) |
— |
$656 |
— |
| Retinol binding protein (83883) |
— |
$1,260 |
— |
| Rh phenotyping complete (86906) |
— |
$420 |
— |
| Rheumatoid factor quant (86431) |
— |
$32 |
— |
| Rnp antibody (86235) |
— |
$116 |
— |
| Rotavirus antibody (86759) |
— |
$138 |
— |
| Rpr (86592) |
— |
$41 |
— |
| Rpr titer (86593) |
— |
$58.50 |
— |
| Rubella antibody (86762) |
— |
$112 |
— |
| Rubeola antibody (86765) |
— |
$88 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$263 |
— |
| Sed rate (85651) |
— |
$184 |
— |
| Selenium serum (84255) |
— |
$158 |
— |
| Semen analysis complete (89320) |
— |
$64 |
— |
| Serotonin (84260) |
— |
$208 |
— |
| Shiga-like toxin ag eia (87427) |
— |
$105 |
— |
| Sickle cell screen (85660) |
— |
$95 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$116 |
— |
| Smear wet mount (87210) |
— |
$52 |
— |
| Sodium feces (84302) |
— |
$32 |
— |
| Sodium serum (84295) |
— |
$32 |
— |
| Sodium urine (84300) |
— |
$46.50 |
— |
| Soluble transferrin receptor (84238) |
— |
$224.50 |
— |
| Somatomedin-c (84305) |
— |
$285 |
— |
| Sp consult; 1st tb w fs sgl sp (88331) |
— |
$580 |
— |
| Special stains group i (88312) |
— |
$158 |
— |
| Special stains group ii (88313) |
— |
$171 |
— |
| Stone analysis (82365) |
— |
$60.50 |
— |
| Stone analysis qn chem (82360) |
— |
$40 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$65 |
— |
| Strep a ag eia (87430) |
— |
$41 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$155 |
— |
| Surg Path,Level V - Lab Surg Path,Level V (88307) |
— |
$443 |
— |
| Surgical path level vi (88309) |
— |
$674 |
— |
| Surgical pathology level IV (88305) |
— |
$214 |
— |
| Susceptbilty stdy antimicrbial agnt agar dilutj (87181) |
— |
$53 |
— |
| Susceptibility broth dilution panel (87186) |
— |
$75 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$42 |
— |
| T cells cd4 count (86361) |
— |
$42 |
— |
| T3 free (84481) |
— |
$110 |
— |
| T3 reverse (84482) |
— |
$189 |
— |
| T3 total (84480) |
— |
$63 |
— |
| T3 uptake (84479) |
— |
$138 |
— |
| Tacrolimus (80197) |
— |
$126 |
— |
| Tb test cell immun measure (86480) |
— |
$571 |
— |
| Telomere length testing (88182) |
— |
$357 |
— |
| Testosterone free (84402) |
— |
$210 |
— |
| Testosterone total (84403) |
— |
$75 |
— |
| Tetanus antibody (86774) |
— |
$95 |
— |
| Theophylline (80198) |
— |
$196 |
— |
| Thiamine (84425) |
— |
$92.50 |
— |
| Thiocyanate level (84430) |
— |
$85 |
— |
| Thiopurine drug metabolites (83789) |
— |
$485.50 |
— |
| Thiopurine metabolites (80299) |
— |
$142 |
— |
| Thrombin time plasma (85670) |
— |
$37 |
— |
| Thyroglobulin (84432) |
— |
$175 |
— |
| Thyroglobulin antibody (86800) |
— |
$128 |
— |
| Thyroxine binding globulin (84442) |
— |
$210 |
— |
| Thyroxine t4 total (84436) |
— |
$62 |
— |
| Tissue culture bone marrow (88237) |
— |
$1,260 |
— |
| Tobramycin (80200) |
— |
$193.50 |
— |
| Topiramate (80201) |
— |
$53 |
— |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
— |
$173.50 |
— |
| Toxoplasma antibody igm (86778) |
— |
$105 |
— |
| Transferrin (84466) |
— |
$91 |
— |
| Transfusion reaction - immediate (86078) |
— |
$580 |
— |
| Treponema pallidum antibody (86780) |
— |
$336 |
— |
| Trichinella antibody (86784) |
— |
$311 |
— |
| Trichomonas assay w/optic (87808) |
— |
$84 |
— |
| Triglycerides (84478) |
— |
$92 |
— |
| Troponin i (84484) |
— |
$118 |
— |
| Trypanosoma cruzi igg (86753) |
— |
$125 |
— |
| Trypsin feces qual (84488) |
— |
$40 |
— |
| Tularemia agglutinins (86000) |
— |
$92 |
— |
| Unlisted transfusion medicine procedure (86999) |
— |
$441 |
— |
| Urea nitrogen clearance (84545) |
— |
$91 |
— |
| Urea nitrogen quantitative (84520) |
— |
$48 |
— |
| Urea nitrogen urine (84540) |
— |
$53 |
— |
| Uric acid blood (84550) |
— |
$27 |
— |
| Uric acid other source (84560) |
— |
$40 |
— |
| Urinalysis auto w/micro (81001) |
— |
$74 |
— |
| Urinalysis microscopic only (81015) |
— |
$43 |
— |
| Urine bacteria culture (87088) |
— |
$102 |
— |
| Urine volume measurement (81050) |
— |
$68 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$21 |
— |
| Urobilinogen, feces, quantitative Other Outpatient (84577) |
— |
$64 |
— |
| Urobilinogen, urine; qualitative Other Outpatient (84578) |
— |
$32 |
— |
| Urobilinogen, urine; quantitative, timed specimen Other Outpatient (84580) |
— |
$64 |
— |
| Valproic acid (80164) |
— |
$212 |
— |
| Vancomycin (80202) |
— |
$92 |
— |
| Varicella zoster ag if (87290) |
— |
$102 |
— |
| Varicella zoster antibody igg (86787) |
— |
$70 |
— |
| Vasopressin (84588) |
— |
$213 |
— |
| Viral culture non-respiratory (87252) |
— |
$154 |
— |
| Virus antibody nos (86790) |
— |
$100 |
— |
| Viscosity serum (85810) |
— |
$149 |
— |
| Vitamin a (84590) |
— |
$102 |
— |
| Vitamin b12 (82607) |
— |
$89 |
— |
| Vitamin b6 (84207) |
— |
$236 |
— |
| Vitamin c (82180) |
— |
$72 |
— |
| Vitamin d 1 25 dihydroxy (82652) |
— |
$210 |
— |
| Vitamin d, 25-hydroxy, labcorp (82306) |
— |
$168 |
— |
| Vitamin e (84446) |
— |
$662 |
— |
| Vitamin k1 (84597) |
— |
$420 |
— |
| Vma (84585) |
— |
$113 |
— |
| Von willebrand factor activity (85245) |
— |
$168 |
— |
| West nile virus ab igm (86788) |
— |
$197 |
— |
| West nile virus antibody (86789) |
— |
$197 |
— |
| Xylose absorption urine (84620) |
— |
$85 |
— |
| Yersinia antibody (86793) |
— |
$53 |
— |
| Zinc (84630) |
— |
$67 |
— |