| 5 Nucleotidase (83915) |
— |
$134 |
— |
| Acth (82024) |
— |
$385 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$215 |
— |
| Acute hepatitis panel (80074) |
— |
$637 |
— |
| Albumin Fluid (82042) |
— |
$106 |
— |
| Albumin serum (82040) |
— |
$93 |
— |
| Aldolase (82085) |
— |
$132 |
— |
| Aldosterone urine (82088) |
— |
$366 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$166 |
— |
| Allergen spec ige qual multiallergen screen (86005) |
— |
$65 |
— |
| Allergen specific ige (86003) |
— |
$60 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$90 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$191 |
— |
| Alpha-1-antitrypsin total (82103) |
— |
$183 |
— |
| Alpha-Fetoprotein Serum (82105) |
— |
$233 |
— |
| Alt (sgpt) (84460) |
— |
$102 |
— |
| Amino Acids 1 Quantitative Each Specimen (82131) |
— |
$266 |
— |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) |
— |
$420 |
— |
| Ammonia (82140) |
— |
$440 |
— |
| Amylase urine (82150) |
— |
$309 |
— |
| Anca screen each antibody (86036) |
— |
$222 |
— |
| Anca Titer Each Antibody (86037) |
— |
$198 |
— |
| Androstenedione (82157) |
— |
$294 |
— |
| Androsterone (hormone) level (82160) |
— |
$418 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$195 |
— |
| Anti-Phospholipid Antibody (86148) |
— |
$183 |
— |
| Antibody aspergillus (86606) |
— |
$132 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$197 |
— |
| Antibody Cytomegalovirus Cmv Igm (86645) |
— |
$203 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$148 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$163 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$197 |
— |
| Antibody Fungus Not Elsewhere Specified (86671) |
— |
$156 |
— |
| Antibody helicobacter pylori (86677) |
— |
$223 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$142 |
— |
| Antibody HIV-2 (86702) |
— |
$163 |
— |
| Antibody Hla Class I High Definition Panel Qual (86832) |
— |
$1,056 |
— |
| Antibody Protozoa Nes (86753) |
— |
$146 |
— |
| Antibody Treponema Pallidum (86780) |
— |
$135 |
— |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
— |
$144 |
— |
| Antinuclear antibodies (86038) |
— |
$185 |
— |
| Antistreptolysin o titer (86060) |
— |
$126 |
— |
| Antithrombin iii activity (85300) |
— |
$271 |
— |
| Antithrombin iii antigen (85301) |
— |
$221 |
— |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) |
— |
$1,169 |
— |
| Apolipoprotein a1 (82172) |
— |
$145 |
— |
| Arsenic (82175) |
— |
$177 |
— |
| Assay activated protein c (85307) |
— |
$251 |
— |
| Assay Blood Carbon Dioxide (82374) |
— |
$67 |
— |
| Assay Dir Meas Fr Estradiol (82681) |
— |
$309 |
— |
| Assay myeloperoxidase (83876) |
— |
$214 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$181 |
— |
| Assay of 5-hiaa (83497) |
— |
$177 |
— |
| Assay of blood/uric acid (84550) |
— |
$168 |
— |
| Assay of calcium in urine (82340) |
— |
$101 |
— |
| Assay of cpk in blood (82552) |
— |
$180 |
— |
| Assay of estrone (82679) |
— |
$182 |
— |
| Assay of feces for trypsin (84490) |
— |
$168 |
— |
| Assay of g6pd enzyme (82955) |
— |
$133 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$155 |
— |
| Assay of lactic acid (83605) |
— |
$294 |
— |
| Assay of manganese (83785) |
— |
$184 |
— |
| Assay of metanephrines (83835) |
— |
$293 |
— |
| Assay of proinsulin (84206) |
— |
$242 |
— |
| Assay of serotonin (84260) |
— |
$318 |
— |
| Assay of serum potassium (84132) |
— |
$102 |
— |
| Assay of transcortin (84449) |
— |
$233 |
— |
| Assay of urea nitrogen (84520) |
— |
$97 |
— |
| Assay of urine vma (84585) |
— |
$187 |
— |
| Assay of vasoactive intestinal peptide (84586) |
— |
$341 |
— |
| Assay of vitamin b-1 (84425) |
— |
$233 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$89 |
— |
| Automated Leukocyte Count (85048) |
— |
$67 |
— |
| B cells total count (86355) |
— |
$258 |
— |
| Bartonella antibody (86611) |
— |
$102 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$827 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$747 |
— |
| Beta 2 glycoprotein i antibody each (86146) |
— |
$190 |
— |
| Beta hydroxybutyrate (82010) |
— |
$150 |
— |
| Beta-2 Microglobulin (82232) |
— |
$184 |
— |
| Bilirubin direct (82248) |
— |
$173 |
— |
| Bilirubin total (82247) |
— |
$99 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$316 |
— |
| Blood Count Automated Differential Wbc Count (85004) |
— |
$76 |
— |
| Blood Count Red Blood Cell Automated (85041) |
— |
$40 |
— |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
— |
$82 |
— |
| Blood gas (82803) |
— |
$727 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$131 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$39 |
— |
| Blood Type Antigen Donor Reagent Serum Each (86902) |
— |
$333 |
— |
| Blood typing serologic abo (86900) |
— |
$183 |
— |
| Body fluid cell count (89050) |
— |
$159 |
— |
| Bordetella antibody (86615) |
— |
$142 |
— |
| Brca1&2 gen full seq dup/del (81162) |
— |
$3,888 |
— |
| C diff amplified probe (87493) |
— |
$299 |
— |
| C-Peptide (84681) |
— |
$217 |
— |
| C-reactive protein (86140) |
— |
$161 |
— |
| Ca 19-9 (86301) |
— |
$237 |
— |
| Cadmium (82300) |
— |
$165 |
— |
| Calcium ionized (82330) |
— |
$200 |
— |
| Calcium total (82310) |
— |
$98 |
— |
| Calculus Spectroscopy (82365) |
— |
$164 |
— |
| Calprotectin Fecal (83993) |
— |
$373 |
— |
| Calr gene com variants (81219) |
— |
$852 |
— |
| Cancer Antigen 125 (86304) |
— |
$268 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$233 |
— |
| Candida antibody (86628) |
— |
$100 |
— |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
— |
$828 |
— |
| Carbamazepine total (80156) |
— |
$250 |
— |
| Carboxyhemoglobin (82375) |
— |
$183 |
— |
| Carcinoembryonic antigen (82378) |
— |
$280 |
— |
| Cardiolipin ab iga (86147) |
— |
$216 |
— |
| Carnitine Quantitative Each Specimen (82379) |
— |
$251 |
— |
| Carotene (82380) |
— |
$135 |
— |
| Catecholamines fractionated (82384) |
— |
$270 |
— |
| Ccp antibody (86200) |
— |
$170 |
— |
| Cellular Function Assay Stimul&Detect Biomarke (86352) |
— |
$701 |
— |
| Ceruloplasmin (82390) |
— |
$152 |
— |
| Chemiluminescent assay (82397) |
— |
$245 |
— |
| Chlamydia antibody (86631) |
— |
$101 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$109 |
— |
| Chloride other source (82438) |
— |
$125 |
— |
| Chloride urine (82436) |
— |
$100 |
— |
| Cholesterol total (82465) |
— |
$94 |
— |
| Cholinesterase Serum (82480) |
— |
$77 |
— |
| Chorionic gonadotropin test (84702) |
— |
$322 |
— |
| Chromium serum (82495) |
— |
$198 |
— |
| Chromogranin a (86316) |
— |
$238 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$261 |
— |
| Citric acid urine (82507) |
— |
$225 |
— |
| Ckmb (82553) |
— |
$276 |
— |
| Clostridium Difficile (87324) |
— |
$193 |
— |
| Clot Factor VIII Multimetric (85247) |
— |
$339 |
— |
| Coccidioides antibody (86635) |
— |
$126 |
— |
| Cold agglutinin titer (86157) |
— |
$114 |
— |
| Collagen crosslinks (82523) |
— |
$219 |
— |
| Column Chromotography Quant (82542) |
— |
$286 |
— |
| Compatibility test antiglob (86922) |
— |
$491 |
— |
| Complement Antigen Each Component (86160) |
— |
$191 |
— |
| Complement Total (Ch50) (86162) |
— |
$258 |
— |
| Complement/Function Activity (86161) |
— |
$187 |
— |
| Coombs direct (86880) |
— |
$308 |
— |
| Copper urine (82525) |
— |
$159 |
— |
| Cortisol free (82530) |
— |
$211 |
— |
| Cortisol saliva (82533) |
— |
$249 |
— |
| Creatine kinase total (82550) |
— |
$221 |
— |
| Creatinine blood (82565) |
— |
$170 |
— |
| Creatinine clearance (82575) |
— |
$204 |
— |
| Creatinine Urine (82570) |
— |
$158 |
— |
| Crossmatch immediate spin (86920) |
— |
$411 |
— |
| Crp High Sensitivity (86141) |
— |
$177 |
— |
| Cryoglobulin (82595) |
— |
$100 |
— |
| Cryptococcus ag titer (87899) |
— |
$141 |
— |
| Cryptosporidium ag eia (87328) |
— |
$140 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$162 |
— |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
— |
$162 |
— |
| Culture afb (87116) |
— |
$253 |
— |
| Culture Anaerobic (87075) |
— |
$297 |
— |
| Culture blood (87040) |
— |
$535 |
— |
| Culture csf (87070) |
— |
$409 |
— |
| Culture fungus (87102) |
— |
$253 |
— |
| Culture screen only (87081) |
— |
$231 |
— |
| Culture stool (87045) |
— |
$221 |
— |
| Culture urine (87086) |
— |
$329 |
— |
| Cyclosporine (80158) |
— |
$277 |
— |
| Cystatin C (82610) |
— |
$168 |
— |
| Cytomegalovirus igg (86644) |
— |
$184 |
— |
| Cytopath C/V Index Add-On (88155) |
— |
$61 |
— |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) |
— |
$178 |
— |
| Cytopath Cell Enhance Tech (88112) |
— |
$335 |
— |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) |
— |
$184 |
— |
| Cytp Concentration Smears & Interpretation (88108) |
— |
$306 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$427 |
— |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
— |
$276 |
— |
| Cytp Urine 3-5 Probes Cmptr (88121) |
— |
$1,193 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$137 |
— |
| Detect Agent Nos Dna Amp (87798) |
— |
$347 |
— |
| Detect Agent Nos Dna Quant (87799) |
— |
$576 |
— |
| Dgp Antibody Each Ig Class (86258) |
— |
$162 |
— |
| Dhea (82626) |
— |
$245 |
— |
| Dhea-S (82627) |
— |
$248 |
— |
| Digoxin (80162) |
— |
$215 |
— |
| Digoxin free (80163) |
— |
$254 |
— |
| Dihydrotestosterone (82642) |
— |
$177 |
— |
| Dna Antibody Native/Double Stranded (86225) |
— |
$197 |
— |
| DNA/RNA direct probe (87149) |
— |
$201 |
— |
| Dna/Rna Sequencing (87153) |
— |
$536 |
— |
| Drug Assay Everolimus (80169) |
— |
$277 |
— |
| Drug Assay Infliximab (80230) |
— |
$450 |
— |
| Drug Assay Lacosamide (80235) |
— |
$244 |
— |
| Drug Assay Leflunomide (80193) |
— |
$303 |
— |
| Drug Screen Quant Clozapine (80159) |
— |
$148 |
— |
| Drug Screen Quantitative Gabapentin (80171) |
— |
$236 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$175 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$214 |
— |
| Drug Screen Quantitative Oxcarbazepine (80183) |
— |
$197 |
— |
| Drug Test Prsmv Chem Anlyzr (80307) |
— |
$1,190 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$50 |
— |
| El-1 Fecal Quantitative (82653) |
— |
$345 |
— |
| Electrolyte panel (80051) |
— |
$188 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$192 |
— |
| Enterovirus Antibody (86658) |
— |
$131 |
— |
| Erythropoietin (82668) |
— |
$227 |
— |
| Estradiol serum (82670) |
— |
$307 |
— |
| Estriol (82677) |
— |
$166 |
— |
| Estrogen total (82672) |
— |
$246 |
— |
| Ethylene Glycol (82693) |
— |
$323 |
— |
| F2 Gene (81240) |
— |
$497 |
— |
| Factor ii activity (85210) |
— |
$294 |
— |
| Factor v activity (85220) |
— |
$327 |
— |
| Factor v leiden mutation (81241) |
— |
$502 |
— |
| Factor vii assay (85230) |
— |
$348 |
— |
| Factor viii assay (85240) |
— |
$340 |
— |
| Fecal Fat Qualitative (82705) |
— |
$97 |
— |
| Ferritin (82728) |
— |
$294 |
— |
| Fetal Chrmoml Aneuploidy (81420) |
— |
$2,068 |
— |
| Fibrin degradation products (85362) |
— |
$220 |
— |
| Fibrin Degradation Quant (85379) |
— |
$469 |
— |
| Fibrinogen activity (85384) |
— |
$222 |
— |
| Flecainide level (80181) |
— |
$248 |
— |
| Flow cytometry first marker (88184) |
— |
$458 |
— |
| Fluorescent antibody screen (86255) |
— |
$231 |
— |
| Folic acid rbc (82747) |
— |
$203 |
— |
| Folic Acid Serum (82746) |
— |
$249 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$246 |
— |
| Fresh Frozen Plasma Thawing Each Unit (86927) |
— |
$173 |
— |
| Galectin-3 (82777) |
— |
$210 |
— |
| Gammaglobulin ige (82785) |
— |
$189 |
— |
| Gases blood ph only (82800) |
— |
$194 |
— |
| Gastrin (82941) |
— |
$199 |
— |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) |
— |
$1,496 |
— |
| Gentamicin (80170) |
— |
$268 |
— |
| Ggt (82977) |
— |
$131 |
— |
| Giardia antigen (87329) |
— |
$148 |
— |
| Glucose 2 hr pp (82950) |
— |
$149 |
— |
| Glucose body fluid (82945) |
— |
$132 |
— |
| Glucose Serum (82947) |
— |
$93 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$190 |
— |
| Glycated Protein (82985) |
— |
$127 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$353 |
— |
| Gonadotropin releasing hormone (83727) |
— |
$762 |
— |
| Growth hormone (83003) |
— |
$179 |
— |
| H Pylori (C-13) Breath (83013) |
— |
$406 |
— |
| Haptoglobin (83010) |
— |
$177 |
— |
| Hdl Cholesterol (83718) |
— |
$115 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$226 |
— |
| Hematocrit (85014) |
— |
$77 |
— |
| Hemoglobin (85018) |
— |
$73 |
— |
| Hemoglobin a1c (83036) |
— |
$206 |
— |
| Hemoglobin Chromotography (83021) |
— |
$177 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$199 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$123 |
— |
| Hemoglobin plasma (83051) |
— |
$116 |
— |
| Hep a ab igm (86709) |
— |
$174 |
— |
| Hepatitis a antibody total (86708) |
— |
$162 |
— |
| Hepatitis b core ab igm (86705) |
— |
$179 |
— |
| Hepatitis b core ab total (86704) |
— |
$171 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$179 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$175 |
— |
| Hepatitis Be Antibody (86707) |
— |
$133 |
— |
| Hepatitis Be Antigen (87350) |
— |
$140 |
— |
| Hepatitis C Antibody (86803) |
— |
$223 |
— |
| Hepatitis C Genotype (87902) |
— |
$1,351 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$578 |
— |
| Herpes simplex type 2 (86696) |
— |
$160 |
— |
| Heterophile Antibody Screen (86308) |
— |
$152 |
— |
| Hfe Gene (81256) |
— |
$571 |
— |
| Histoplasma antibody (86698) |
— |
$124 |
— |
| Histoplasma antigen urine (87385) |
— |
$280 |
— |
| Hiv Genotype (87901) |
— |
$1,375 |
— |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
— |
$205 |
— |
| Hiv-1 Antibody (86701) |
— |
$157 |
— |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
— |
$673 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$666 |
— |
| Hla class i&ii antibody qual (86828) |
— |
$610 |
— |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
— |
$438 |
— |
| Hla I Typing 1 Allele Hr (81381) |
— |
$553 |
— |
| Hla ii type 1 ag equiv lr (81377) |
— |
$814 |
— |
| Homocysteine (83090) |
— |
$273 |
— |
| Hpv High-Risk Types (87624) |
— |
$242 |
— |
| Hpv Types 16 & 18 Only (87625) |
— |
$249 |
— |
| Hsv Dna Amp Probe (87529) |
— |
$341 |
— |
| Human Epididymis Protein 4 (86305) |
— |
$330 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$261 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$246 |
— |
| Iaad ia shiga-like toxin (87427) |
— |
$118 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$352 |
— |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) |
— |
$437 |
— |
| Iadna Cytomegalovirus Quantification (87497) |
— |
$554 |
— |
| Iadna Hepatitis B Virus Quantification (87517) |
— |
$484 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$428 |
— |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) |
— |
$427 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$257 |
— |
| Ig Light Chains Free Each (83521) |
— |
$187 |
— |
| Igg subclasses (82787) |
— |
$145 |
— |
| Igh@ Variable Region Somatic Mutation Analysis (81263) |
— |
$1,351 |
— |
| Immune Complex Assay (86332) |
— |
$337 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$293 |
— |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
— |
$316 |
— |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
— |
$139 |
— |
| Immunoassay nonantibody (83516) |
— |
$170 |
— |
| Immunofixation electrophoresis (86334) |
— |
$276 |
— |
| Immunohistochemistry (88342) |
— |
$532 |
— |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) |
— |
$126 |
— |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) |
— |
$99 |
— |
| Influenza assay w/optic (87804) |
— |
$290 |
— |
| Inhibin A (86336) |
— |
$195 |
— |
| Inhibin b (83520) |
— |
$252 |
— |
| Insitu hybridization auto (88367) |
— |
$1,105 |
— |
| Insitu hybridization manual (88368) |
— |
$831 |
— |
| Insulin antibodies (86337) |
— |
$223 |
— |
| Insulin free (83527) |
— |
$118 |
— |
| Insulin total (83525) |
— |
$161 |
— |
| Interleukin-6 (83529) |
— |
$315 |
— |
| Intrinsic factor antibody (86340) |
— |
$176 |
— |
| Iron (83540) |
— |
$266 |
— |
| Iron Binding Capacity (83550) |
— |
$266 |
— |
| Irradiation Blood Product Each Unit (86945) |
— |
$131 |
— |
| Islet cell antibody (86341) |
— |
$242 |
— |
| Jak2 gene analysis p.val617phe variant (81270) |
— |
$757 |
— |
| Jak2 Gene Trgt Sequence Alys (81279) |
— |
$287 |
— |
| Koh Prep (87220) |
— |
$92 |
— |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$131 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$161 |
— |
| Lactoferrin Fecal Quantitative (83631) |
— |
$264 |
— |
| Ldh Isoenzymes (83625) |
— |
$169 |
— |
| LDL direct (83721) |
— |
$116 |
— |
| Lead (83655) |
— |
$122 |
— |
| Legionella antibody (86713) |
— |
$202 |
— |
| Legionella antigen urine (87449) |
— |
$212 |
— |
| Level I Surg Pathology Gross Examination Only (88300) |
— |
$199 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$309 |
— |
| Level V Surg Pathology Gross&Microscopic Exam (88307) |
— |
$936 |
— |
| Lipase (83690) |
— |
$211 |
— |
| Lipoprotein A (83695) |
— |
$145 |
— |
| Lipoprotein Bld Quan Part (83704) |
— |
$208 |
— |
| Lipoprotein-Associated Phospholipase A2 (83698) |
— |
$208 |
— |
| Lithium (80178) |
— |
$148 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$251 |
— |
| Lyme disease antibody (86618) |
— |
$202 |
— |
| Lysozyme serum (85549) |
— |
$162 |
— |
| M. Genitalium Amp Probe (87563) |
— |
$231 |
— |
| Macroscopic exam arthropod (87168) |
— |
$41.75 |
— |
| Magnesium Urine (83735) |
— |
$206 |
— |
| Mass Spectrometry Quant (83789) |
— |
$229 |
— |
| Mercury urine (83825) |
— |
$157 |
— |
| Methylmalonic acid serum (83921) |
— |
$283 |
— |
| Microalbumin, quantitative (82043) |
— |
$227 |
— |
| Microsomal Antibodies Each (86376) |
— |
$177 |
— |
| Mitochondrial Antibody Each (86381) |
— |
$196 |
— |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) |
— |
$1,194 |
— |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
— |
$2,229 |
— |
| Molecular Pathology Procedure Level 6 (81405) |
— |
$1,693 |
— |
| Mononuclear cell antigen (86356) |
— |
$236 |
— |
| Mopath procedure level 2 (81401) |
— |
$789 |
— |
| Mopath procedure level 4 (81403) |
— |
$836 |
— |
| Mopath procedure level 5 (81404) |
— |
$1,183 |
— |
| Mopath procedure level 7 (81406) |
— |
$3,013 |
— |
| Mopath procedure level 8 (81407) |
— |
$2,067 |
— |
| Mpl gene common variants (81338) |
— |
$772 |
— |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) |
— |
$2,292 |
— |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
— |
$2,354 |
— |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) |
— |
$1,669 |
— |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
— |
$2,468 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$468 |
— |
| Mumps antibody (86735) |
— |
$145 |
— |
| Mycophenolic Acid (80180) |
— |
$208 |
— |
| Mycoplasma antibody (86738) |
— |
$170 |
— |
| Myoglobin urine (83874) |
— |
$231 |
— |
| Natriuretic peptide (83880) |
— |
$523 |
— |
| Nfct ds chrnc hcv 6 assays (81596) |
— |
$448 |
— |
| Niacin (84591) |
— |
$218 |
— |
| Nk cells total count (86357) |
— |
$247 |
— |
| Nuclear antigen antibody (86235) |
— |
$192 |
— |
| Occult Blood Other Sources (82271) |
— |
$83 |
— |
| Oligoclonal bands (83916) |
— |
$247 |
— |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) |
— |
$850 |
— |
| Oncoprotein dcp (83951) |
— |
$357 |
— |
| Osmolality serum (83930) |
— |
$161 |
— |
| Osmolality Urine (83935) |
— |
$153 |
— |
| Ova and parasites smears (87177) |
— |
$155 |
— |
| Oxalate urine (83945) |
— |
$133 |
— |
| Parvovirus antibody (86747) |
— |
$155 |
— |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
— |
$323 |
— |
| Ph urine (81003) |
— |
$90 |
— |
| Phenobarbital Level (80184) |
— |
$202 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$772 |
— |
| Phenylalanine (84030) |
— |
$160 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$228 |
— |
| Phenytoin free (80186) |
— |
$158 |
— |
| Phosphatase acid prostatic (84066) |
— |
$116 |
— |
| Phosphatase alkaline (84075) |
— |
$90 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$182 |
— |
| Phosphorus Serum (84100) |
— |
$175 |
— |
| Phosphorus urine (84105) |
— |
$85 |
— |
| Platelet Antibodies (86022) |
— |
$443 |
— |
| Platelet count automated (85049) |
— |
$121 |
— |
| Platelet neutralization (85597) |
— |
$215 |
— |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) |
— |
$2,412 |
— |
| Pms2 gene full seq analysis (81317) |
— |
$2,229 |
— |
| Porphobilinogen, urine; quantitative (84110) |
— |
$115 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$193 |
— |
| Potassium Urine (84133) |
— |
$107 |
— |
| Prealbumin (84134) |
— |
$192 |
— |
| Pregnenolone (84140) |
— |
$196 |
— |
| Primidone (80188) |
— |
$145 |
— |
| Procalcitonin (Pct) (84145) |
— |
$339 |
— |
| Progesterone (84144) |
— |
$229 |
— |
| Prolactin (84146) |
— |
$270 |
— |
| Prostaglandin (84150) |
— |
$417 |
— |
| Protein body fluid (84157) |
— |
$143 |
— |
| Protein C Activity (85303) |
— |
$303 |
— |
| Protein c antigen (85302) |
— |
$272 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$198 |
— |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$184 |
— |
| Protein S Free (85306) |
— |
$290 |
— |
| Protein s total (85305) |
— |
$277 |
— |
| Protein total serum (84155) |
— |
$89 |
— |
| Protein Total Urine (84156) |
— |
$205 |
— |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
— |
$122 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$156 |
— |
| PSA free (84154) |
— |
$194 |
— |
| Pten Gene Analysis Duplication/Deletion Variant (81323) |
— |
$717 |
— |
| Pten Gene Analysis Full Sequence Analysis (81321) |
— |
$903 |
— |
| Pth Intact (83970) |
— |
$412 |
— |
| Quantiferon tb gold plus (86480) |
— |
$386 |
— |
| Quantitative assay drug (80299) |
— |
$270 |
— |
| Quantitative Screen Metals (83018) |
— |
$228 |
— |
| Rbc antibody identification (86870) |
— |
$536 |
— |
| Rbc antibody screen (86850) |
— |
$366 |
— |
| Reagent Strip/Blood Glucose (82948) |
— |
$56 |
— |
| Renin activity plasma (84244) |
— |
$239 |
— |
| Reticulocyte Count Manual (85044) |
— |
$128 |
— |
| Rh (86901) |
— |
$129 |
— |
| Rheumatoid factor quant (86431) |
— |
$193 |
— |
| Rickettsia antibody (86757) |
— |
$206 |
— |
| Ristocetin cofactor (85245) |
— |
$338 |
— |
| Rpr qualitative (86592) |
— |
$106 |
— |
| Rsv Assay W/Optic (87807) |
— |
$166 |
— |
| Rubella Antibody (86762) |
— |
$144 |
— |
| Rubeola antibody (86765) |
— |
$144 |
— |
| Russell Viper Venom Time Diluted (85613) |
— |
$156 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$214 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$156 |
— |
| Sars-Cov-2 Covid19 W/Optic (87811) |
— |
$123 |
— |
| Sedimentation rate (85651) |
— |
$118 |
— |
| Sedimentation Rate, Automated (85652) |
— |
$97 |
— |
| Selenium (84255) |
— |
$212 |
— |
| Semen Anal Sperm Detection (89321) |
— |
$145 |
— |
| Sensitivity mic (87186) |
— |
$317 |
— |
| Serpina 1 gene (81332) |
— |
$542 |
— |
| Sex Hormone Binding Globulin (84270) |
— |
$174 |
— |
| Sickling of rbc reduction (85660) |
— |
$115 |
— |
| Sirolimus (80195) |
— |
$239 |
— |
| Skin test tuberculosis intradermal (86580) |
— |
$91 |
— |
| Smear acid fast (87206) |
— |
$136 |
— |
| Smear complex stain (87209) |
— |
$142 |
— |
| Smear gram stain (87205) |
— |
$120 |
— |
| Smear Special Stain (87207) |
— |
$146 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$129 |
— |
| Sodium Serum (84295) |
— |
$98 |
— |
| Sodium Urine (84300) |
— |
$118 |
— |
| Soluble Transferrin Receptor (84238) |
— |
$334 |
— |
| Somatomedin (84305) |
— |
$235 |
— |
| Special Stains Group 1 (88312) |
— |
$315 |
— |
| Special Stains Group 2 (88313) |
— |
$297 |
— |
| Specimen infect agnt concntj (87015) |
— |
$94 |
— |
| Spectrophotometry (84311) |
— |
$174 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$742 |
— |
| Staph a DNA amp probe (87640) |
— |
$246 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$107 |
— |
| Strep a assay w/optic (87880) |
— |
$178 |
— |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) |
— |
$173 |
— |
| Sulfate urine (84392) |
— |
$58 |
— |
| Surg path level iii (88304) |
— |
$410 |
— |
| Surgical pathology level IV (88305) |
— |
$738 |
— |
| Surgical pathology level vi (88309) |
— |
$1,451 |
— |
| Syphilis Test Non-Trep Quant (86593) |
— |
$98 |
— |
| T cells absolute cd4 count (86361) |
— |
$255 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$347 |
— |
| T cells total count (86359) |
— |
$252 |
— |
| T3 Free (84481) |
— |
$252 |
— |
| T3 reverse (84482) |
— |
$200 |
— |
| T3 Total (84480) |
— |
$208 |
— |
| T3 Uptake (84479) |
— |
$129 |
— |
| T4 Free (84439) |
— |
$217 |
— |
| T4 total (84436) |
— |
$156 |
— |
| Tacrolimus (80197) |
— |
$311 |
— |
| Test for acetone/ketones (82009) |
— |
$141 |
— |
| Testosterone Bioavailable (84410) |
— |
$208 |
— |
| Testosterone total (84403) |
— |
$283 |
— |
| Testosterone, Free (84402) |
— |
$258 |
— |
| Theophylline (80198) |
— |
$208 |
— |
| Thiopurine methyltransferase (84433) |
— |
$418 |
— |
| Thrombin Time (85670) |
— |
$115 |
— |
| Thromboplastin Inhibition Tissue (85705) |
— |
$206 |
— |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
— |
$130 |
— |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) |
— |
$146 |
— |
| Thyroglobulin (84432) |
— |
$189 |
— |
| Thyroglobulin Antibody (86800) |
— |
$178 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$459 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$158 |
— |
| Tobramycin peak (80200) |
— |
$294 |
— |
| Topiramate (80201) |
— |
$191 |
— |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
— |
$242 |
— |
| Toxoplasma ab igm (86778) |
— |
$164 |
— |
| Toxoplasma antibody (86777) |
— |
$174 |
— |
| Tp53 gene analysis full gene sequence (81351) |
— |
$1,903 |
— |
| Tpmt gene com variants (81335) |
— |
$721 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$101 |
— |
| Transferrin (84466) |
— |
$182 |
— |
| Trichomonas Vaginalis Amplif (87661) |
— |
$221 |
— |
| Triglycerides (84478) |
— |
$130 |
— |
| Troponin Quant (84484) |
— |
$307 |
— |
| Tumor Immunohistochem/Manual (88360) |
— |
$579 |
— |
| Unlisted Transfusion Medicine Procedure (86999) |
— |
$229 |
— |
| Urea nitrogen urine (84540) |
— |
$113 |
— |
| Uric acid other source (84560) |
— |
$89 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$58 |
— |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) |
— |
$63 |
— |
| Urinalysis Volume Measure (81050) |
— |
$47 |
— |
| Urinalysis; 2 or 3 glass test Facility (81020) |
— |
$11 |
— |
| Urine Bacteria Culture (87088) |
— |
$170 |
— |
| Urine Pregnancy Test (81025) |
— |
$277 |
— |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) |
— |
$124 |
— |
| Valproic acid (80164) |
— |
$251 |
— |
| Vancomycin (80202) |
— |
$278 |
— |
| Varicella-zoster antibody (86787) |
— |
$160 |
— |
| Vasopressin (84588) |
— |
$355 |
— |
| Virus antibody nos (86790) |
— |
$176 |
— |
| Viscosity serum (85810) |
— |
$137 |
— |
| Vit D 1 25-Dihydroxy (82652) |
— |
$377 |
— |
| Vitamin A (84590) |
— |
$163 |
— |
| Vitamin b-12 (82607) |
— |
$267 |
— |
| Vitamin B2 (Riboflavin) (84252) |
— |
$240 |
— |
| Vitamin B6 (84207) |
— |
$270 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$315 |
— |
| Vitamin E (84446) |
— |
$160 |
— |
| Vitamin K (84597) |
— |
$249 |
— |
| Von willebrand factor ag (85246) |
— |
$300 |
— |
| Zinc (84630) |
— |
$144 |
— |