| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$210 |
— |
| 5 Nucleotidase (83915) |
— |
$33 |
— |
| Acetaminophen level (80143) |
— |
$72 |
— |
| Acetone serum qual (82009) |
— |
$61 |
— |
| Activated protein c resistance (85307) |
— |
$441 |
— |
| Acute hepatitis panel (80074) |
— |
$525 |
— |
| Adenovirus Ag Ia (87301) |
— |
$173 |
— |
| Adenovirus antibody (86603) |
— |
$122 |
— |
| Adrenocorticotropic hormone (82024) |
— |
$210 |
— |
| Afp maternal serum (82105) |
— |
$125 |
— |
| Agglutinins febrile ea antigen (86000) |
— |
$92 |
— |
| Albumin body fluid (82042) |
— |
$58 |
— |
| Albumin serum (82040) |
— |
$32 |
— |
| Aldolase (82085) |
— |
$27 |
— |
| Aldosterone urine (82088) |
— |
$278 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$79 |
— |
| Allergen peanut (86003) |
— |
$38 |
— |
| Allergen spec ige qual multiallergen screen (86005) |
— |
$308 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$80 |
— |
| Alt (sgpt) (84460) |
— |
$46 |
— |
| Amikacin trough (80150) |
— |
$84 |
— |
| Amino Acids 1 Quantitative Each Specimen (82131) |
— |
$71 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$126 |
— |
| Amylase urine (82150) |
— |
$67 |
— |
| Ana titer (86039) |
— |
$83 |
— |
| Angiotensin i enzyme test (82164) |
— |
$24 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$53 |
— |
| Antibody aspergillus (86606) |
— |
$99 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$83 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$78.50 |
— |
| Antibody Encephalitis Eastern Equine (86652) |
— |
$75 |
— |
| Antibody encephalitis st. louis (86653) |
— |
$75 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$63 |
— |
| Antibody Fungus Not Elsewhere Specified (86671) |
— |
$473 |
— |
| Antibody helicobacter pylori (86677) |
— |
$63 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$96 |
— |
| Antibody HIV-2 (86702) |
— |
$42 |
— |
| Antibody identification (86870) |
— |
$580 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$163 |
— |
| Antibody influenza virus (86710) |
— |
$68 |
— |
| Antibody Listeria Monocytogenes (86723) |
— |
$478 |
— |
| Antibody mumps (86735) |
— |
$68 |
— |
| Antibody Protozoa Nes (86753) |
— |
$125 |
— |
| Antibody screen (86850) |
— |
$116 |
— |
| Antibody treponema pallidum (86780) |
— |
$336 |
— |
| Antibody; campylobacter (86625) |
— |
$473 |
— |
| Antibody; Coccidioides (86635) |
— |
$128 |
— |
| Antigen typing (86905) |
— |
$205 |
— |
| Antinuclear antibodies (86038) |
— |
$82 |
— |
| Antistreptolysin o titer (86060) |
— |
$63 |
— |
| Antithrombin iii activity (85300) |
— |
$150.50 |
— |
| Apolipoprotein each (82172) |
— |
$105 |
— |
| Arsenic Urine (82175) |
— |
$106 |
— |
| Assay 17-(17-Ks)Ketosteroids (83586) |
— |
$199 |
— |
| Assay myeloperoxidase (83876) |
— |
$210 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$1,260 |
— |
| Assay of 5-hiaa (83497) |
— |
$79 |
— |
| Assay of ammonia (82140) |
— |
$77.50 |
— |
| Assay of c-peptide (84681) |
— |
$130 |
— |
| Assay of ceruloplasmin (82390) |
— |
$40 |
— |
| Assay of citrate (82507) |
— |
$168 |
— |
| Assay of cpk in blood (82552) |
— |
$98.50 |
— |
| Assay of cyclosporine (80158) |
— |
$53 |
— |
| Assay of erythropoietin (82668) |
— |
$124 |
— |
| Assay of ferritin (82728) |
— |
$76 |
— |
| Assay of g6pd enzyme (82955) |
— |
$62 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$69 |
— |
| Assay of gastrin (82941) |
— |
$149 |
— |
| Assay of gentamicin (80170) |
— |
$105 |
— |
| Assay of homocystine (83090) |
— |
$47 |
— |
| Assay of lactic acid (83605) |
— |
$100 |
— |
| Assay of metanephrines (83835) |
— |
$142 |
— |
| Assay of phenobarbital (80184) |
— |
$100 |
— |
| Assay of phosphatase acid total (84060) |
— |
$91 |
— |
| Assay of prealbumin (84134) |
— |
$315 |
— |
| Assay of proinsulin (84206) |
— |
$210 |
— |
| Assay of prolactin (84146) |
— |
$124 |
— |
| Assay of pyruvate (84210) |
— |
$315 |
— |
| Assay of serotonin (84260) |
— |
$208 |
— |
| Assay of sialic acid (84275) |
— |
$90 |
— |
| Assay of tacrolimus (80197) |
— |
$126 |
— |
| Assay of topiramate (80201) |
— |
$53 |
— |
| Assay of urine vma (84585) |
— |
$113 |
— |
| Assay of vasopressin anti-diuretic hormone (84588) |
— |
$213 |
— |
| Assay of vitamin k (84597) |
— |
$420 |
— |
| Assay Phosphatase Acid Prostatic (84066) |
— |
$121 |
— |
| Ast (sgot) (84450) |
— |
$45.50 |
— |
| Beta 2 glycoprotein 1 igm (86146) |
— |
$105 |
— |
| Beta hydroxybutyrate (82010) |
— |
$284 |
— |
| Beta-2 microglobulin (82232) |
— |
$90 |
— |
| Bile acids, total (82239) |
— |
$735 |
— |
| Bilirubin direct (82248) |
— |
$63 |
— |
| Bilirubin total (82247) |
— |
$28 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$16 |
— |
| Blastomyces antibody (86612) |
— |
$76 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$580 |
— |
| Bld Typing Serologic Rh Phnt (86906) |
— |
$420 |
— |
| Bleeding time (85002) |
— |
$69 |
— |
| Blood gas (82803) |
— |
$125.50 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$95 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$25 |
— |
| Blood typing abo (86900) |
— |
$95 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
— |
$83 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$160 |
— |
| Body fluid cell count (89051) |
— |
$62 |
— |
| Body fluid cell count (89050) |
— |
$53 |
— |
| Bone Marrow Smear Interpretation (85097) |
— |
$929 |
— |
| Bordetella antibody (86615) |
— |
$271 |
— |
| Brucella antibody (86622) |
— |
$452 |
— |
| C-reactive protein (86140) |
— |
$79 |
— |
| C1q binding assay (86332) |
— |
$132 |
— |
| Ca 125 (86304) |
— |
$133 |
— |
| Ca 19-9 (86301) |
— |
$109 |
— |
| Ca 27 29 (86300) |
— |
$132 |
— |
| Calcitonin (82308) |
— |
$79 |
— |
| Calcium ionized (82330) |
— |
$88 |
— |
| Calcium total (82310) |
— |
$60.50 |
— |
| Calcium urine (82340) |
— |
$21 |
— |
| Calculus Quantitative Chemical (82360) |
— |
$40 |
— |
| Calculus spectroscopy (82365) |
— |
$60.50 |
— |
| Calculus; X-ray diffraction Facility (82370) |
— |
$89 |
— |
| California encephalitis ab (86651) |
— |
$75 |
— |
| Candida antibody (86628) |
— |
$41 |
— |
| Carbamazepine total (80156) |
— |
$100 |
— |
| Carbon dioxide (82374) |
— |
$39 |
— |
| Carboxyhemoglobin (82375) |
— |
$58 |
— |
| Carcinoembryonic antigen (82378) |
— |
$105 |
— |
| Cardiolipin ab igg (86147) |
— |
$105 |
— |
| Carnitine (82379) |
— |
$210 |
— |
| Catecholamines fraction plasma (82384) |
— |
$236 |
— |
| Catecholamines Total Urine (82382) |
— |
$122 |
— |
| Cell marker study (88182) |
— |
$357 |
— |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
— |
$1,260 |
— |
| Chemiluminescent assay (82397) |
— |
$378 |
— |
| Chlamydia antibody (86631) |
— |
$263 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$263 |
— |
| Chloride blood (82435) |
— |
$59 |
— |
| Chloride feces (82438) |
— |
$32 |
— |
| Chloride urine (82436) |
— |
$59 |
— |
| Cholesterol HDL (83718) |
— |
$62 |
— |
| 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 |
— |
| Ckmb (82553) |
— |
$206 |
— |
| Clot Factor VIII Multimetric (85247) |
— |
$189 |
— |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
— |
$210 |
— |
| Clotting Inhibitors Protein S Free (85306) |
— |
$158 |
— |
| Clozapine level (80159) |
— |
$89 |
— |
| Cmv ab igm (86645) |
— |
$53 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$1,050 |
— |
| Cold agglutinin titer (86157) |
— |
$62 |
— |
| Collagen cross links (82523) |
— |
$258.50 |
— |
| Compatibility test antiglob (86922) |
— |
$236.50 |
— |
| Complement c3 (86160) |
— |
$84 |
— |
| Complement total (ch50) (86162) |
— |
$105 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$82 |
— |
| Comprehensive review of data (88325) |
— |
$282 |
— |
| Concentration Infectious Agent (87015) |
— |
$100 |
— |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
— |
$210 |
— |
| Coombs direct (86880) |
— |
$394 |
— |
| Copper urine (82525) |
— |
$149 |
— |
| Cortisol free (82530) |
— |
$202 |
— |
| Cortisol total (82533) |
— |
$100 |
— |
| Creatine kinase total (82550) |
— |
$81 |
— |
| Creatinine blood (82565) |
— |
$79 |
— |
| Creatinine clearance (82575) |
— |
$90 |
— |
| Creatinine other source (82570) |
— |
$79 |
— |
| Crossmatch immediate spin (86920) |
— |
$158 |
— |
| Cryoglobulin (82595) |
— |
$62 |
— |
| Cryptococcus antibody (86641) |
— |
$172.50 |
— |
| Crystals body fluid (89060) |
— |
$85 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$630 |
— |
| Culture Aerobic Identify (87077) |
— |
$341.50 |
— |
| Culture aerobic quant other (87071) |
— |
$63 |
— |
| Culture afb (87116) |
— |
$63 |
— |
| Culture anaerobic (87075) |
— |
$98 |
— |
| Culture Bacteria Anaerobic (87073) |
— |
$56.50 |
— |
| 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 yeast (87106) |
— |
$53 |
— |
| Culture fungus other (87102) |
— |
$72 |
— |
| Culture genital (87070) |
— |
$53 |
— |
| Culture screen only (87081) |
— |
$89 |
— |
| Culture stool (87045) |
— |
$65 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$53 |
— |
| Culture urine (87086) |
— |
$100 |
— |
| Culture virus (87252) |
— |
$154 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$273 |
— |
| Cystatin c (82610) |
— |
$84 |
— |
| Cysticercosis Antibody (86682) |
— |
$242 |
— |
| Cytopath cell enhance tech (88112) |
— |
$177 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$110 |
— |
| Cytopath Smear Other Source (88160) |
— |
$114 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$210 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$131.50 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$117 |
— |
| Dhea (82626) |
— |
$112 |
— |
| Dhea-sulfate (82627) |
— |
$126 |
— |
| Digoxin (80162) |
— |
$119 |
— |
| Dilantin (80185) |
— |
$123.50 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$36 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$91 |
— |
| Drug quant nes (80299) |
— |
$142 |
— |
| Drug Screen Quantitative Lidocaine (80176) |
— |
$112 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$210 |
— |
| E test (87181) |
— |
$53 |
— |
| Ebv viral capsid (86665) |
— |
$63 |
— |
| Ehrlichia antibody (86666) |
— |
$113 |
— |
| Electrolyte panel (80051) |
— |
$84.50 |
— |
| Encephalitis Western Equine (86654) |
— |
$75 |
— |
| Enterovirus antibody (86658) |
— |
$378 |
— |
| Enterovirus Pcr (87498) |
— |
$945 |
— |
| Eosinophil count (85048) |
— |
$28 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$89.50 |
— |
| Estradiol (82670) |
— |
$178 |
— |
| Estrogens total (82672) |
— |
$191.50 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$131.50 |
— |
| F5 gene analysis, leiden variant (81241) |
— |
$53 |
— |
| Factor ii activity (85210) |
— |
$210 |
— |
| Factor inhibitor test (85335) |
— |
$443 |
— |
| Factor ix activity (85250) |
— |
$145 |
— |
| Factor v activity (85220) |
— |
$149.50 |
— |
| Factor vii assay (85230) |
— |
$168 |
— |
| Factor viii ahg (85240) |
— |
$168 |
— |
| Factor xi assay (85270) |
— |
$168 |
— |
| Factor xii assay (85280) |
— |
$210 |
— |
| Fatty acids free (82725) |
— |
$101 |
— |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
— |
$63 |
— |
| Fecal fat qual (82705) |
— |
$43 |
— |
| Fecal fat quant (82710) |
— |
$149 |
— |
| Fibrin degradation products (85362) |
— |
$118 |
— |
| Fibrin Degradation Quant (85379) |
— |
$124 |
— |
| Fibrinogen activity (85384) |
— |
$50 |
— |
| Flow cytometry first marker (88184) |
— |
$580 |
— |
| Fluorescent Antibody Screen (86255) |
— |
$116 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$105 |
— |
| Folate serum (82746) |
— |
$127 |
— |
| Folic acid rbc (82747) |
— |
$41 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$175.50 |
— |
| Frozen Section (88331) |
— |
$580 |
— |
| Fructosamine (82985) |
— |
$53 |
— |
| G6pd Screen (82960) |
— |
$25 |
— |
| Gammaglobulin ige (82785) |
— |
$623 |
— |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
— |
$26 |
— |
| Ggt (82977) |
— |
$60 |
— |
| Giardia antigen eia stool (87329) |
— |
$95 |
— |
| Glucagon (82943) |
— |
$194 |
— |
| Glucose (82947) |
— |
$55 |
— |
| Glucose body fluid (82945) |
— |
$32 |
— |
| Glucose post dose (82950) |
— |
$91 |
— |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
— |
$143 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$122 |
— |
| Growth hormone (83003) |
— |
$255 |
— |
| Haloperidol (haldol) (80173) |
— |
$48 |
— |
| Haptoglobin (83010) |
— |
$122 |
— |
| Hcg qualitative (84703) |
— |
$72 |
— |
| Hcg quant (84702) |
— |
$89.50 |
— |
| Heavy Metal Qualitative Any Analytes (83015) |
— |
$233 |
— |
| Heavy metal quant each (83018) |
— |
$105 |
— |
| Hemagglutination inhibition test (HAI) Facility (86280) |
— |
$126 |
— |
| Hematocrit (85014) |
— |
$39 |
— |
| Hemoglobin (85018) |
— |
$37 |
— |
| Hemoglobin a1c (83036) |
— |
$85 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$59.50 |
— |
| Hemoglobin plasma (83051) |
— |
$58 |
— |
| Heparin assay (85520) |
— |
$685 |
— |
| Hepatitis a antibody total (86708) |
— |
$71 |
— |
| Hepatitis a igm (86709) |
— |
$71 |
— |
| Hepatitis b core ab igm (86705) |
— |
$91 |
— |
| Hepatitis b core antibody total (86704) |
— |
$83 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$68 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$69 |
— |
| Hepatitis be antibody (86707) |
— |
$57 |
— |
| Hepatitis Be Antigen (87350) |
— |
$95 |
— |
| Hepatitis c antibody (86803) |
— |
$128 |
— |
| Hepatitis C Genotype (87902) |
— |
$1,575 |
— |
| Hepatitis delta ab (86692) |
— |
$80 |
— |
| Hepatitis delta ag (87380) |
— |
$113 |
— |
| Herpes simplex type i (86695) |
— |
$94 |
— |
| Herpes simplex type ii (86696) |
— |
$84 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$90.50 |
— |
| Histamine plasma (83088) |
— |
$315 |
— |
| Histoplasma antibody (86698) |
— |
$147 |
— |
| HIV confirmation (86689) |
— |
$159 |
— |
| HIV-1 antibody (86701) |
— |
$26 |
— |
| HIV-1 p24 antigen (87390) |
— |
$263 |
— |
| Hla x-math non-cytotoxic (86825) |
— |
$174 |
— |
| Hla-b27 (86812) |
— |
$71.50 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$223 |
— |
| Htlv-I Antibody (86687) |
— |
$336 |
— |
| Hydroxycorticosteroids 17 (83491) |
— |
$97 |
— |
| Hydroxyproline total (83505) |
— |
$306 |
— |
| Hydroxyproline; free Facility (83500) |
— |
$149 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$263 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$213 |
— |
| Iaad Ia Cryptococcus Neoformans (87327) |
— |
$83 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$96 |
— |
| 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 |
— |
| Iaad ia shiga-like toxin (87427) |
— |
$105 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$41 |
— |
| Iaadi inffluenza a virus (87276) |
— |
$90 |
— |
| Iaadi Legionella Pneumophila (87278) |
— |
$145 |
— |
| Iaadi Pneumocustis Carinii (87281) |
— |
$308 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$89 |
— |
| Iaadiadoo trichomonas vaginalis (87808) |
— |
$84 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$210 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$189 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$420 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$53 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$168 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$473 |
— |
| Iadna nos quantification each organism (87799) |
— |
$861 |
— |
| If varicella-zoster antigen (87290) |
— |
$102 |
— |
| Igg subclasses (82787) |
— |
$53 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$142.50 |
— |
| Immunoassay nonantibody (83516) |
— |
$578 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$113 |
— |
| Immunofixation (86334) |
— |
$159 |
— |
| Immunofixation urine (86335) |
— |
$128 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$202 |
— |
| Immunohistochemistry (88342) |
— |
$315 |
— |
| In situ hybridization (88365) |
— |
$290 |
— |
| Indirect coombs (86885) |
— |
$394 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) |
— |
$105 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) |
— |
$102 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) |
— |
$105 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Facility (87495) |
— |
$117 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) |
— |
$118 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) |
— |
$404 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) |
— |
$133 |
— |
| Influenza a/b ag eia (87400) |
— |
$126 |
— |
| Inhibin a (86336) |
— |
$79 |
— |
| Inhibin b (83520) |
— |
$168 |
— |
| Insulin antibodies (86337) |
— |
$421 |
— |
| Insulin total (83525) |
— |
$218 |
— |
| Intrinsic factor antibody (86340) |
— |
$84 |
— |
| Iron (83540) |
— |
$53 |
— |
| Iron binding capacity (83550) |
— |
$121.50 |
— |
| Irradiation Blood Product Each Unit (86945) |
— |
$76 |
— |
| Ketogenic steroids, fractionation Facility (83582) |
— |
$117 |
— |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) |
— |
$71 |
— |
| Ldh body fluid (83615) |
— |
$69 |
— |
| Ldh isoenzymes (83625) |
— |
$85.50 |
— |
| LDL cholesterol direct (83721) |
— |
$48 |
— |
| Lead (83655) |
— |
$149 |
— |
| Legionella antibody (86713) |
— |
$179 |
— |
| Legionella antigen urine (87449) |
— |
$294 |
— |
| Leptospira antibody (86720) |
— |
$580 |
— |
| Leucine aminopeptidase (lap) (83670) |
— |
$105 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$315 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$443 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$674 |
— |
| Lh (83002) |
— |
$178 |
— |
| Lipase (83690) |
— |
$57 |
— |
| Lipopro bld electrophoretic (83700) |
— |
$178 |
— |
| Lipoprotein Bld Hr Fraction (83701) |
— |
$72 |
— |
| Listeria ab (86609) |
— |
$709 |
— |
| Lithium (80178) |
— |
$68 |
— |
| Lyme disease antibody (86618) |
— |
$133 |
— |
| Lymph Choriomeningitis Ab (86727) |
— |
$160 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$268 |
— |
| Magnesium (83735) |
— |
$47 |
— |
| Malaria smear (87207) |
— |
$32 |
— |
| Manual cell count each (85032) |
— |
$27 |
— |
| Manual reticulocyte count (85044) |
— |
$32 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$485.50 |
— |
| Mcg chrom insitu 3-5 (88272) |
— |
$173 |
— |
| Measurement of complement fixation tests (immune system proteins) (86171) |
— |
$165 |
— |
| Measurement of hemolysin (red blood cell destructive substance) (85475) |
— |
$59 |
— |
| Mercury urine (83825) |
— |
$95.50 |
— |
| Methemoglobin (83050) |
— |
$26 |
— |
| Microalbumin urine (82043) |
— |
$53 |
— |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
— |
$761.50 |
— |
| Microsomal antibodies (86376) |
— |
$176 |
— |
| Mtb PCR (87556) |
— |
$210 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$263 |
— |
| Mycobacteric identification (87118) |
— |
$117 |
— |
| Mycoplasma antibody (86738) |
— |
$64 |
— |
| Mycoplasma culture (87109) |
— |
$105 |
— |
| Myelin basic protein csf (83873) |
— |
$157 |
— |
| Myoglobin urine (83874) |
— |
$123 |
— |
| Nasal smear for eosinophils (89190) |
— |
$37 |
— |
| Nuclear antigen antibody (86235) |
— |
$116 |
— |
| Occult blood gastric (82271) |
— |
$53 |
— |
| Occult blood stool (82272) |
— |
$35 |
— |
| Oligoclonal bands (83916) |
— |
$154 |
— |
| Orthopoxvirus Amp Prb Each (87593) |
— |
$81 |
— |
| Osmolality serum (83930) |
— |
$74 |
— |
| Osmolality urine (83935) |
— |
$74 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$60 |
— |
| Oxalate urine (83945) |
— |
$56 |
— |
| Pancreatic elastase, fecal (82656) |
— |
$1,082 |
— |
| Pancreatic polypeptide (83519) |
— |
$116 |
— |
| Parvovirus antibody (86747) |
— |
$158 |
— |
| Ph body fluid (83986) |
— |
$18.50 |
— |
| Ph urine (81003) |
— |
$21 |
— |
| Phenylalanine (84030) |
— |
$76 |
— |
| Phenytoin free (80186) |
— |
$84 |
— |
| Phosphatase alkaline (84075) |
— |
$42 |
— |
| Phosphorus blood (84100) |
— |
$41 |
— |
| Phosphorus urine (84105) |
— |
$33.50 |
— |
| Platelet aggregation (85576) |
— |
$126 |
— |
| Platelet count automated (85049) |
— |
$46 |
— |
| Porphobilinogen urine qual (84106) |
— |
$74 |
— |
| Porphobilinogen urine quant (84110) |
— |
$177 |
— |
| Porphyrins feces qn (84126) |
— |
$177 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$83 |
— |
| Potassium (84132) |
— |
$44 |
— |
| Potassium urine (84133) |
— |
$53 |
— |
| Pregnanediol (84135) |
— |
$54 |
— |
| Primidone (80188) |
— |
$87 |
— |
| Procainamide napa (80192) |
— |
$210 |
— |
| Procalcitonin (pct) (84145) |
— |
$189 |
— |
| Progesterone (84144) |
— |
$315 |
— |
| Progesterone (reproductive hormone) receptor analysis (84234) |
— |
$189 |
— |
| Prostaglandin Ea (84150) |
— |
$1,050 |
— |
| Protein c activity (85303) |
— |
$368 |
— |
| Protein c antigen (85302) |
— |
$230 |
— |
| Protein electrophoresis serum (84165) |
— |
$183 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$294 |
— |
| Protein s total (85305) |
— |
$318 |
— |
| Protein total serum (84155) |
— |
$63 |
— |
| Protein urine (84156) |
— |
$51.50 |
— |
| Protein Western Blot (84182) |
— |
$158 |
— |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
— |
$53 |
— |
| PSA free (84154) |
— |
$68 |
— |
| Pth intact (83970) |
— |
$127 |
— |
| Quinidine (80194) |
— |
$91 |
— |
| Rbc (85041) |
— |
$32 |
— |
| Rbc antibody elution (86860) |
— |
$525 |
— |
| Rbc osmotic fragility (85555) |
— |
$62 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$158 |
— |
| Reagent strip/blood glucose (82948) |
— |
$56 |
— |
| Receptor Assay Estrogen (84233) |
— |
$348 |
— |
| Renin activity plasma (84244) |
— |
$306 |
— |
| Resp virus 12-25 targets (87633) |
— |
$656 |
— |
| Respiratory Virus (86756) |
— |
$158 |
— |
| Rheumatoid factor quant (86431) |
— |
$32 |
— |
| Ristocetin cofactor (85245) |
— |
$168 |
— |
| Rotavirus (86759) |
— |
$138 |
— |
| Rpr Titer (86593) |
— |
$58.50 |
— |
| Rubella antibody (86762) |
— |
$112 |
— |
| Rubeola Antibody Igg (86765) |
— |
$88 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$131 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$263 |
— |
| Sedimentation rate (85651) |
— |
$184 |
— |
| Selenium (84255) |
— |
$158 |
— |
| Semen analysis complete (89320) |
— |
$64 |
— |
| Sensitivity kb (87184) |
— |
$42 |
— |
| Sensitivity mic (87186) |
— |
$75 |
— |
| Serotonin Release Assay (86022) |
— |
$236.50 |
— |
| Sickling of rbc reduction (85660) |
— |
$95 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$116 |
— |
| Smear acid fast (87206) |
— |
$87 |
— |
| Smear gram stain (87205) |
— |
$71 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$52 |
— |
| Sodium (84295) |
— |
$32 |
— |
| Sodium feces (84302) |
— |
$32 |
— |
| Sodium urine (84300) |
— |
$46.50 |
— |
| Soluble transferrin receptor (84238) |
— |
$224.50 |
— |
| Somatomedin (84305) |
— |
$285 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$171 |
— |
| Special stains group 1 (88312) |
— |
$158 |
— |
| Specimen fat stain (89125) |
— |
$69 |
— |
| Spectrophotometry (84311) |
— |
$81.50 |
— |
| Stool Culture, Addl Pathogens (87046) |
— |
$65 |
— |
| Surg path level 1 (88300) |
— |
$155 |
— |
| Surg path level iii (88304) |
— |
$206 |
— |
| Surgical pathology level IV (88305) |
— |
$214 |
— |
| Sweat collection (89230) |
— |
$84 |
— |
| T Cell Absolute Count (86361) |
— |
$42 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$145.50 |
— |
| T3 free (84481) |
— |
$110 |
— |
| T3 reverse (84482) |
— |
$189 |
— |
| T3 total (84480) |
— |
$63 |
— |
| T3 uptake (84479) |
— |
$138 |
— |
| T4 free (84439) |
— |
$60 |
— |
| T4 total (84436) |
— |
$62 |
— |
| Tb test, cell immun measure (86480) |
— |
$571 |
— |
| Test for urine cystines (82615) |
— |
$263 |
— |
| Testosterone free (84402) |
— |
$210 |
— |
| Testosterone total (84403) |
— |
$75 |
— |
| Tetanus antibody (86774) |
— |
$95 |
— |
| Theophylline (80198) |
— |
$196 |
— |
| Thiocyanate (84430) |
— |
$85 |
— |
| Thrombin time plasma (85670) |
— |
$37 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$53 |
— |
| Thyroglobulin (84432) |
— |
$175 |
— |
| Thyroglobulin antibody (86800) |
— |
$128 |
— |
| Thyroxine binding globulin (84442) |
— |
$210 |
— |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
— |
$32 |
— |
| Tissue culture bone marrow (88237) |
— |
$1,260 |
— |
| Tobramycin peak (80200) |
— |
$193.50 |
— |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
— |
$173.50 |
— |
| Toxoplasma ab igm (86778) |
— |
$105 |
— |
| Toxoplasma antibody igg (86777) |
— |
$105 |
— |
| Transferrin (84466) |
— |
$91 |
— |
| Trichinella antibody (86784) |
— |
$311 |
— |
| Triglycerides (84478) |
— |
$92 |
— |
| Troponin (84484) |
— |
$118 |
— |
| Trypsin feces qual (84488) |
— |
$40 |
— |
| Unlisted Surgical Pathology Procedure (88399) |
— |
$116 |
— |
| Unlisted Transfusion Medicine Procedure (86999) |
— |
$441 |
— |
| Urea nitrogen (84520) |
— |
$48 |
— |
| Urea Nitrogen Clearance (84545) |
— |
$91 |
— |
| Urea nitrogen urine (84540) |
— |
$53 |
— |
| Uric acid blood (84550) |
— |
$27 |
— |
| Uric acid other source (84560) |
— |
$40 |
— |
| Urinalysis auto w/scope (81001) |
— |
$74 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$43 |
— |
| Urine Albumin Semiquantitative (82044) |
— |
$68 |
— |
| Urine Bacteria Culture (87088) |
— |
$102 |
— |
| Urine pregnancy test (81025) |
— |
$91 |
— |
| Urine volume measurement (81050) |
— |
$68 |
— |
| Urobilinogen urine qual (84578) |
— |
$32 |
— |
| Urobilinogen, feces, quantitative Facility (84577) |
— |
$64 |
— |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
— |
$64 |
— |
| Valproic acid (80164) |
— |
$212 |
— |
| Vancomycin trough (80202) |
— |
$92 |
— |
| Varicella-zoster antibody (86787) |
— |
$70 |
— |
| Vdrl csf (86592) |
— |
$41 |
— |
| Virus antibody nos (86790) |
— |
$100 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$210 |
— |
| Viscosity serum (85810) |
— |
$149 |
— |
| Vitamin A (84590) |
— |
$102 |
— |
| Vitamin b-12 (82607) |
— |
$89 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$92.50 |
— |
| Vitamin b2 (84252) |
— |
$693 |
— |
| Vitamin b6 (84207) |
— |
$236 |
— |
| Vitamin c (82180) |
— |
$72 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$168 |
— |
| Vitamin e serum (84446) |
— |
$662 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$107 |
— |
| West nile virus antibody (86789) |
— |
$197 |
— |
| West nile virus igm (86788) |
— |
$197 |
— |
| Xylose Absorption Test (84620) |
— |
$85 |
— |
| Yersinia antibody (86793) |
— |
$53 |
— |
| Zinc (84630) |
— |
$67 |
— |