| 1 25 Dihydroxy includes fractions if performed (82652) |
$50 |
$251 |
1.3× |
| Abl1 gene (81170) |
$60 |
$298 |
0.2× |
| Acetaminophen level (80143) |
$15 |
$75 |
0.8× |
| Activated protein c resistance (85307) |
$29 |
$147 |
1.9× |
| Acute hepatitis panel (80074) |
$266 |
$1,331 |
5.6× |
| Acylcarnitine Plasma (82017) |
$49 |
$245 |
2.9× |
| Adrenocorticotropic hormone (82024) |
$50 |
$251 |
1.3× |
| Afp maternal serum (82105) |
$13 |
$64 |
0.8× |
| Albumin body fluid (82042) |
$27 |
$134 |
3.5× |
| Albumin serum (82040) |
$28 |
$142 |
5.7× |
| Aldolase (82085) |
$12 |
$60 |
1.2× |
| Aldosterone urine (82088) |
$53 |
$266 |
1.3× |
| Alkaline phosphatase isoenzymes (84080) |
$12 |
$61 |
0.8× |
| Allergen peanut (86003) |
$9 |
$44 |
1.7× |
| Allergen specific igg (86001) |
$10 |
$48 |
1.3× |
| Alpha-1-antitrypsin phenotype (82104) |
$17 |
$86 |
1.2× |
| Alpha-1-antitrypsin, total (82103) |
$14 |
$69 |
1.0× |
| Alpha-Fetoprotein L3 (82107) |
$54 |
$272 |
0.8× |
| Alt (sgpt) (84460) |
$36 |
$178 |
6.8× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$40 |
$201 |
2.4× |
| Amylase urine (82150) |
$69 |
$345 |
10.6× |
| Ana titer (86039) |
$15 |
$73 |
1.3× |
| Angiotensin i enzyme test (82164) |
$13 |
$65 |
0.9× |
| Antibody aspergillus (86606) |
$14 |
$69 |
0.9× |
| Antibody cytomegalovirus cmv (86644) |
$12 |
$61 |
0.8× |
| Antibody Encephalitis Eastern Equine (86652) |
$13 |
$63 |
1.0× |
| Antibody encephalitis st. louis (86653) |
$12.50 |
$61.50 |
0.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$11 |
$53 |
0.8× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$20 |
$102 |
1.6× |
| Antibody haemophilus influenza (86684) |
$27 |
$135 |
1.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$16 |
$79 |
1.1× |
| Antibody HIV-2 (86702) |
$14 |
$71 |
1.0× |
| Antibody identification (86870) |
$63.50 |
$317.50 |
0.2× |
| Antibody identification leukocyte antibodies (86021) |
$7 |
$37 |
0.5× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$35 |
$175 |
2.8× |
| Antibody influenza virus (86710) |
$12 |
$60 |
0.9× |
| Antibody mumps (86735) |
$20 |
$100 |
1.5× |
| Antibody Protozoa Nes (86753) |
$53 |
$263 |
4.3× |
| Antibody screen (86850) |
$24 |
$118 |
2.5× |
| Antibody treponema pallidum (86780) |
$22 |
$110 |
1.7× |
| Antibody; Coccidioides (86635) |
$22 |
$110 |
1.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$46 |
$228 |
8.9× |
| Antinuclear antibodies (86038) |
$11 |
$55 |
0.9× |
| Antistreptolysin o titer (86060) |
$14 |
$69 |
1.9× |
| Antithrombin iii activity (85300) |
$25 |
$123 |
2.1× |
| Apolipoprotein each (82172) |
$22 |
$109 |
1.0× |
| Aquaporin-4 Antb Elisa (86051) |
$65 |
$324 |
5.6× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$13 |
$64 |
1.1× |
| Arsenic Urine (82175) |
$23 |
$115 |
1.2× |
| Aspergillus ag eia (87305) |
$69 |
$347 |
5.8× |
| Assay direct measurement free estradiol (82681) |
$30 |
$152 |
1.1× |
| Assay Nephelometry Not Spec (83883) |
$20 |
$101 |
1.5× |
| Assay of 5-hiaa (83497) |
$15 |
$73 |
1.2× |
| Assay of ammonia (82140) |
$49 |
$246 |
3.4× |
| Assay of androstenedione (82157) |
$32 |
$158 |
1.1× |
| Assay of c-peptide (84681) |
$12 |
$60 |
0.6× |
| Assay of ceruloplasmin (82390) |
$14 |
$72 |
1.3× |
| Assay of cyclosporine (80158) |
$16 |
$80 |
0.9× |
| Assay of erythropoietin (82668) |
$17 |
$83 |
0.9× |
| Assay of ferritin (82728) |
$76 |
$379 |
5.6× |
| Assay of g6pd enzyme (82955) |
$15 |
$76 |
1.5× |
| Assay of gammaglobulin igm (82784) |
$41 |
$204 |
4.4× |
| Assay of gastrin (82941) |
$12 |
$62 |
0.7× |
| Assay of gentamicin (80170) |
$104 |
$520 |
6.3× |
| Assay of homocystine (83090) |
$17 |
$83 |
0.9× |
| Assay of lactic acid (83605) |
$50 |
$250 |
4.3× |
| Assay of lipoprotein(a) (83695) |
$16 |
$79 |
1.1× |
| Assay of metanephrines (83835) |
$25 |
$126 |
1.5× |
| Assay of phenobarbital (80184) |
$98 |
$492 |
6.4× |
| Assay of prealbumin (84134) |
$42 |
$208 |
2.9× |
| Assay of prolactin (84146) |
$12 |
$60 |
0.6× |
| Assay of pyruvate (84210) |
$16 |
$79 |
1.1× |
| Assay of tacrolimus (80197) |
$23 |
$115 |
1.7× |
| Assay of topiramate (80201) |
$23 |
$114 |
1.9× |
| Assay of urine vma (84585) |
$12 |
$62 |
0.8× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$21 |
$104 |
0.6× |
| Assay of vitamin k (84597) |
$26 |
$132 |
1.9× |
| Assay spec xcp ur&breath ia (82077) |
$95 |
$476 |
5.5× |
| Ast (sgot) (84450) |
$28 |
$142 |
5.4× |
| B cells total count (86355) |
$22 |
$112 |
0.6× |
| Bartonella antibody (86611) |
$15 |
$75 |
1.5× |
| Bartonella PCR (87471) |
$71 |
$355 |
2.0× |
| Bcr/abl1 gene major bp (81206) |
$64 |
$321 |
0.4× |
| Bcr/abl1 gene minor bp (81207) |
$64 |
$321 |
0.4× |
| Beta 2 glycoprotein 1 igm (86146) |
$27 |
$137 |
1.1× |
| Beta hydroxybutyrate (82010) |
$37 |
$184 |
4.5× |
| Beta-2 microglobulin (82232) |
$16 |
$81 |
1.0× |
| Bilirubin direct (82248) |
$31 |
$156 |
6.2× |
| Bilirubin total (82247) |
$31 |
$155 |
6.2× |
| Blastomyces antibody (86612) |
$14 |
$71 |
1.1× |
| Blood gas (82803) |
$27 |
$135 |
1.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$27 |
$135 |
1.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$5 |
$23 |
1.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$23 |
$114 |
3.6× |
| Blood typing abo (86900) |
$35 |
$175 |
11.7× |
| Blood typing serologic rh (d) (86901) |
$35 |
$175 |
11.7× |
| Body fluid cell count (89051) |
$35 |
$175 |
6.3× |
| Bone Marrow Smear Interpretation (85097) |
$82 |
$412 |
0.1× |
| Braf gene (81210) |
$197 |
$984 |
1.1× |
| Brucella antibody (86622) |
$12 |
$58 |
1.3× |
| C diff amplified probe (87493) |
$40 |
$202 |
1.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$16.50 |
$82 |
1.3× |
| Ca 125 (86304) |
$39 |
$193.50 |
1.9× |
| Ca 27 29 (86300) |
$16 |
$78 |
0.8× |
| Calcitonin (82308) |
$17 |
$87 |
0.6× |
| Calcium ionized (82330) |
$72 |
$362 |
5.3× |
| Calcium total (82310) |
$39 |
$193 |
7.6× |
| Calcium urine (82340) |
$39 |
$196 |
6.5× |
| Calculus spectroscopy (82365) |
$18 |
$90 |
1.4× |
| California encephalitis ab (86651) |
$12.50 |
$61.50 |
0.9× |
| Calprotectin, fecal (83993) |
$24 |
$118 |
1.2× |
| Calr gene com variants (81219) |
$41 |
$206 |
0.3× |
| Candida antibody (86628) |
$16 |
$82 |
1.3× |
| Carb deficient transferrin (82373) |
$15 |
$73 |
0.8× |
| Carbamazepine total (80156) |
$105 |
$524 |
7.2× |
| Carbon dioxide (82374) |
$28 |
$141 |
5.7× |
| Carboxyhemoglobin (82375) |
$12 |
$62 |
1.0× |
| Carcinoembryonic antigen (82378) |
$81 |
$407 |
4.3× |
| Cardiolipin ab igg (86147) |
$27 |
$137 |
1.1× |
| Carnitine (82379) |
$21 |
$107 |
1.2× |
| Catecholamines fraction plasma (82384) |
$23 |
$114 |
0.9× |
| Cell marker study (88182) |
$150 |
$752 |
2.8× |
| Cftr gene com variants (81220) |
$37 |
$186 |
0.1× |
| Chemiluminescent assay (82397) |
$77 |
$383 |
5.5× |
| Chlamydia antibody (86631) |
$18 |
$92 |
1.5× |
| Chlamydia Igm Antibody (86632) |
$14 |
$69 |
1.1× |
| Chloride blood (82435) |
$25 |
$126 |
5.4× |
| Chloride feces (82438) |
$23 |
$116 |
4.6× |
| Chloride urine (82436) |
$53 |
$267 |
9.2× |
| Cholesterol HDL (83718) |
$48 |
$241 |
5.9× |
| Cholesterol total (82465) |
$27 |
$134 |
6.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) |
$32 |
$161 |
1.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$87 |
$435 |
2.6× |
| Chromogranin a (86316) |
$30 |
$148 |
1.4× |
| Chromosome analysis 20-25 cells (88264) |
$76 |
$382 |
0.5× |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
$102 |
$509.50 |
0.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$12 |
$58 |
0.3× |
| Clozapine level (80159) |
$11 |
$56 |
0.5× |
| Cmv ab igm (86645) |
$10 |
$50.50 |
0.6× |
| Cmv PCR (87496) |
$38 |
$189 |
1.1× |
| Coagulation time activated (85347) |
$39 |
$194 |
9.1× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$24 |
$119.50 |
1.0× |
| Cold agglutinin titer (86157) |
$7 |
$33 |
0.9× |
| Compatibility Test Incubate (86921) |
$32 |
$161 |
0.2× |
| Complement c3 (86160) |
$26.50 |
$133.50 |
2.2× |
| Complement total (ch50) (86162) |
$12 |
$60 |
0.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$11 |
$56 |
0.9× |
| Concentration Infectious Agent (87015) |
$31 |
$154 |
4.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
$112 |
$562 |
2.9× |
| Coombs direct (86880) |
$31 |
$156 |
5.8× |
| Copper urine (82525) |
$13 |
$64 |
1.0× |
| Cortisol free (82530) |
$14 |
$70 |
0.8× |
| Cortisol total (82533) |
$18 |
$88 |
1.1× |
| Creatine kinase total (82550) |
$40 |
$201 |
6.1× |
| Creatinine blood (82565) |
$28 |
$141 |
5.5× |
| Creatinine clearance (82575) |
$133 |
$664 |
14.1× |
| Creatinine other source (82570) |
$59 |
$297 |
11.4× |
| Crossmatch immediate spin (86920) |
$32 |
$161 |
0.2× |
| Cryoglobulin (82595) |
$14 |
$70 |
2.2× |
| Crystals body fluid (89060) |
$43 |
$215 |
5.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$39 |
$195 |
4.8× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) |
$236 |
$1,179 |
1.1× |
| Culture Aerobic Identify (87077) |
$59 |
$293 |
7.3× |
| Culture aerobic quant other (87071) |
$83 |
$415 |
8.4× |
| Culture afb (87116) |
$122 |
$608 |
11.3× |
| Culture anaerobic (87075) |
$124 |
$619 |
13.1× |
| Culture Bacteria Anaerobic (87073) |
$71 |
$355 |
7.3× |
| Culture blood (87040) |
$114 |
$569 |
11.0× |
| Culture chlamydia (87110) |
$20 |
$102 |
1.0× |
| Culture fungus blood (87103) |
$33 |
$164 |
1.6× |
| Culture fungus id yeast (87106) |
$15 |
$73 |
1.5× |
| Culture fungus other (87102) |
$111 |
$554.50 |
13.2× |
| Culture genital (87070) |
$83 |
$415 |
9.6× |
| Culture screen only (87081) |
$20 |
$100 |
3.0× |
| Culture stool (87045) |
$97 |
$484 |
10.3× |
| Culture typing if ea antiserum (87140) |
$8 |
$42 |
1.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$27 |
$137 |
5.2× |
| Culture urine (87086) |
$71 |
$354 |
8.8× |
| Cyclic Citrullinated Peptide (86200) |
$17 |
$87 |
1.3× |
| Cystatin c (82610) |
$21 |
$105 |
1.1× |
| Cysticercosis Antibody (86682) |
$14 |
$69 |
1.1× |
| Cytogenom const microarray copy number&snp var (81229) |
$50 |
$248 |
0.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$32 |
$159 |
0.7× |
| Cytopath cell enhance tech (88112) |
$80 |
$400 |
1.5× |
| Cytp concentration smears & interpretation (88108) |
$65.50 |
$327.50 |
1.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$106 |
$529 |
1.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$103 |
$517 |
0.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$22 |
$112 |
1.3× |
| Detect agnt mult DNA ampli (87801) |
$76 |
$380 |
1.1× |
| Dgp antibody each ig class (86258) |
$43 |
$216 |
3.6× |
| Dhea-sulfate (82627) |
$13 |
$67 |
0.6× |
| Digoxin (80162) |
$54 |
$269 |
4.1× |
| Dihydrotestosterone (82642) |
$37 |
$184 |
1.3× |
| Dilantin (80185) |
$43 |
$217 |
3.2× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) |
$39 |
$197 |
1.1× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$15 |
$73 |
1.1× |
| Drug Assay Amiodarone (80151) |
$35 |
$173 |
1.9× |
| Drug assay flecainide (80181) |
$37 |
$184 |
2.0× |
| Drug assay methotrexate (80204) |
$24 |
$120 |
0.6× |
| Drug screen quant zonisamide (80203) |
$32 |
$161 |
2.4× |
| Drug Screen Quantitative Lamotrigine (80175) |
$16 |
$81 |
1.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$23 |
$115 |
1.7× |
| Drug Scrn Quan Levetiracetam (80177) |
$25 |
$125 |
1.9× |
| Drug test prsmv chem anlyzr (80307) |
$463 |
$2,313 |
7.5× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$463 |
$2,313 |
36.7× |
| E test (87181) |
$8 |
$42 |
1.7× |
| Ebv viral capsid (86665) |
$11 |
$53 |
0.6× |
| Egfr Gene Analysis Common Variants (81235) |
$244 |
$1,221 |
0.8× |
| Ehrlichia antibody (86666) |
$29 |
$146 |
2.8× |
| Electrolyte panel (80051) |
$74.50 |
$372 |
10.6× |
| Electron microscopy diagnostic (88348) |
$255.50 |
$1,279 |
0.3× |
| Electronic crossmatch (86923) |
$31 |
$156 |
0.2× |
| Encephalitis Western Equine (86654) |
$12.50 |
$61.50 |
0.9× |
| Entamoeba histolytica antigen (87337) |
$15 |
$73 |
1.3× |
| Enterovirus antibody (86658) |
$12 |
$60 |
0.9× |
| Enterovirus Pcr (87498) |
$43 |
$213 |
1.2× |
| Enzyme cell activity (82657) |
$24 |
$120 |
1.1× |
| Eosinophil count (85048) |
$22 |
$111 |
8.7× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$11 |
$53 |
0.7× |
| Estradiol (82670) |
$36 |
$182 |
1.3× |
| Estrogens fractionated (82671) |
$21 |
$106 |
0.7× |
| Estrogens total (82672) |
$35 |
$177 |
1.6× |
| Ethylene glycol (82693) |
$10 |
$52 |
0.7× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$80 |
$399 |
0.8× |
| F2 gene analysis 20210g >a variant (81240) |
$22 |
$110 |
0.3× |
| F5 gene analysis, leiden variant (81241) |
$32 |
$161 |
0.4× |
| Factor inhibitor test (85335) |
$48 |
$242 |
3.7× |
| Factor ix activity (85250) |
$23 |
$114 |
1.2× |
| Factor v activity (85220) |
$23 |
$114 |
1.3× |
| Factor viii ahg (85240) |
$25 |
$123 |
1.4× |
| Factor xi assay (85270) |
$42 |
$211 |
2.3× |
| Factor xii assay (85280) |
$21 |
$104 |
1.1× |
| Fecal fat qual (82705) |
$14 |
$72 |
2.7× |
| Fetal bleed screen (85461) |
$25 |
$123 |
2.7× |
| Fetal fibronectin (82731) |
$246 |
$1,231 |
3.8× |
| Fetal screen (83030) |
$14 |
$72 |
1.3× |
| Fibrin degradation products (85362) |
$10 |
$51 |
1.5× |
| Fibrin Degradation Quant (85379) |
$10 |
$52 |
1.0× |
| Fibrinogen activity (85384) |
$50 |
$251 |
5.1× |
| Flow cytometry first marker (88184) |
$51 |
$254 |
0.1× |
| Flt3 gene analysis (81245) |
$7 |
$37 |
0.0× |
| Fluorescent Antibody Screen (86255) |
$13 |
$64 |
1.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$26 |
$129 |
2.2× |
| Folate serum (82746) |
$77 |
$383 |
5.2× |
| Folic acid rbc (82747) |
$16 |
$82 |
0.9× |
| Follicle Stimulating Hormone (83001) |
$16.50 |
$82 |
0.9× |
| Frozen Section (88331) |
$112 |
$562 |
0.6× |
| Fructosamine (82985) |
$16 |
$80 |
1.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$35.50 |
$177 |
3.4× |
| Gammaglobulin ige (82785) |
$18 |
$89 |
1.1× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$41 |
$204 |
4.2× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) |
$110 |
$551 |
1.4× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$2,271.50 |
$4,352 |
3.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$3,036 |
$15,182 |
1.0× |
Genome sequence analysis (81425)
likely a partial charge, not the full procedure |
$20 |
$99 |
0.0× |
| Ggt (82977) |
$47 |
$235 |
6.5× |
| Giardia antigen eia stool (87329) |
$13 |
$66 |
1.1× |
| Glucose (82947) |
$30 |
$148 |
7.6× |
| Glucose body fluid (82945) |
$53 |
$265 |
13.5× |
| Glucose post dose (82950) |
$30 |
$148 |
6.3× |
| Growth hormone (83003) |
$18 |
$89 |
1.1× |
| H pylori breath test (83013) |
$59 |
$296 |
0.9× |
| Haptoglobin (83010) |
$31 |
$157 |
2.5× |
| Hcg qualitative (84703) |
$63 |
$314 |
8.4× |
| Hcg quant (84702) |
$79 |
$396 |
5.2× |
| Hematocrit (85014) |
$21 |
$105 |
8.9× |
| Hemoglobin (85018) |
$15 |
$73 |
6.3× |
| Hemoglobin a1c (83036) |
$86 |
$430 |
8.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$12 |
$62 |
0.7× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$42 |
$210 |
5.4× |
| Hemoglobin plasma (83051) |
$8 |
$40 |
1.1× |
| Heparin assay (85520) |
$40 |
$199 |
3.1× |
| Hepatitis a antibody total (86708) |
$12 |
$60 |
1.0× |
| Hepatitis a igm (86709) |
$37.50 |
$187.50 |
3.3× |
| Hepatitis b core ab igm (86705) |
$56 |
$278 |
4.8× |
| Hepatitis b core antibody total (86704) |
$12.50 |
$61 |
1.0× |
| Hepatitis B Surface Ab (86706) |
$77 |
$385 |
7.2× |
| Hepatitis B Surface Antigen (87340) |
$33 |
$163 |
3.2× |
| Hepatitis be antibody (86707) |
$13 |
$67 |
1.1× |
| Hepatitis Be Antigen (87350) |
$13 |
$63 |
1.1× |
| Hepatitis c antibody (86803) |
$77 |
$383 |
5.4× |
| Hepatitis C Genotype (87902) |
$331 |
$1,653 |
1.3× |
| Herpes simplex type i (86695) |
$13 |
$63 |
1.0× |
| Herpes simplex type ii (86696) |
$13 |
$63 |
0.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$56 |
$281 |
10.8× |
| Hexagonal phospholipid (85598) |
$79 |
$397 |
4.4× |
| Histamine plasma (83088) |
$36 |
$178 |
1.2× |
| Histoplasma antibody (86698) |
$13 |
$67 |
0.9× |
| Histoplasma antigen urine (87385) |
$43 |
$213 |
3.2× |
| HIV-1 antibody (86701) |
$9 |
$47 |
1.0× |
| HIV-1 genotype (87901) |
$288 |
$1,438 |
1.1× |
| Hla-b27 (86812) |
$24 |
$120 |
0.9× |
| Homogenization tissue (87176) |
$36 |
$180 |
6.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$33.50 |
$167.50 |
1.0× |
| Human epididymis protein 4 (86305) |
$77 |
$383 |
3.7× |
| Hydroxyprogesterone 17-d (83498) |
$20 |
$100 |
0.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$26 |
$130 |
1.1× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$31 |
$157 |
2.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$45.50 |
$229 |
3.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$38 |
$191 |
1.1× |
| Iaad ia shiga-like toxin (87427) |
$44 |
$222 |
3.7× |
| Iaadi Legionella Pneumophila (87278) |
$20 |
$98 |
1.3× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
$71 |
$354 |
2.2× |
| Iaadiadoo not otherwise specified (87899) |
$17.50 |
$86.50 |
1.1× |
| Iaadiadoo trichomonas vaginalis (87808) |
$63 |
$313 |
4.1× |
| Iadna candida species amplified probe tq (87481) |
$38 |
$189 |
1.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$51 |
$253.50 |
1.5× |
| Iadna hepatitis b virus quantification (87517) |
$37 |
$187 |
0.9× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$56 |
$280 |
1.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$50 |
$252 |
1.4× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$52 |
$261 |
0.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$38 |
$189 |
1.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$12 |
$58 |
0.3× |
| Iadna nos amplified probe tq each organism (87798) |
$48.50 |
$242 |
1.4× |
| Iadna nos quantification each organism (87799) |
$49 |
$245 |
1.1× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$333 |
$1,665 |
1.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$301 |
$1,504 |
0.7× |
| Igk rearrangeabn clonal pop (81264) |
$79 |
$394 |
0.5× |
| Igvh somatic hypermutation (81263) |
$239 |
$1,193 |
0.8× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) |
$101 |
$503 |
0.3× |
| Immunoassay nonantibody (83516) |
$13 |
$63 |
1.1× |
| Immunodiffusion Ouchterlony (86331) |
$16 |
$80 |
1.3× |
| Immunofixation (86334) |
$24 |
$119 |
1.1× |
| Immunofixation urine (86335) |
$34.50 |
$172 |
1.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$205 |
$1,025.50 |
1.2× |
| Immunohistochemistry (88342) |
$101 |
$503 |
0.6× |
| In situ hybridization (88365) |
$79 |
$393 |
0.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) |
$20 |
$102 |
0.7× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) |
$63 |
$314 |
5.2× |
| Inhibin a (86336) |
$22 |
$111 |
1.4× |
| Inhibin b (83520) |
$19 |
$93 |
1.1× |
| Insulin total (83525) |
$12 |
$60 |
1.0× |
| Intrinsic factor antibody (86340) |
$16 |
$81 |
1.1× |
| Iron (83540) |
$36 |
$179.50 |
5.6× |
| Irradiation Blood Product Each Unit (86945) |
$21 |
$106 |
0.5× |
| Islet cell antibody (86341) |
$27.50 |
$137.50 |
1.2× |
| Jak2 gene analysis (81270) |
$72.50 |
$364 |
0.8× |
| Jak2 targeted sequence analysis (81279) |
$83 |
$415.50 |
0.4× |
| Kit gene targeted seq analys (81272) |
$95 |
$477 |
0.3× |
| Kras gene analysis (81275) |
$244 |
$1,221 |
1.3× |
| Kras Gene Analysis Additional Variant(S) (81276) |
$80 |
$402 |
0.4× |
| Ldh body fluid (83615) |
$16 |
$79 |
2.6× |
| Ldh isoenzymes (83625) |
$16 |
$79 |
1.3× |
| LDL cholesterol direct (83721) |
$15 |
$75 |
1.4× |
| Lead (83655) |
$13 |
$64 |
1.1× |
| Legionella antibody (86713) |
$265 |
$1,326 |
17.3× |
| Leptospira antibody (86720) |
$17 |
$87 |
1.0× |
| Level ii surg pathology grossµscopic exam (88302) |
$88 |
$439 |
2.3× |
| Level v surg pathology grossµscopic exam (88307) |
$179 |
$893 |
0.5× |
| Level vi surg pathology grossµscopic exam (88309) |
$242 |
$1,212 |
0.3× |
| Lh (83002) |
$12 |
$58 |
0.6× |
| Lipase (83690) |
$40 |
$199 |
5.8× |
| Listeria ab (86609) |
$7 |
$37 |
0.5× |
| Lithium (80178) |
$58 |
$288 |
8.8× |
| Lyme disease antibody (86618) |
$13 |
$67 |
0.8× |
| Lymph Choriomeningitis Ab (86727) |
$13 |
$63 |
1.0× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$93 |
$465 |
0.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$93 |
$465 |
0.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$241 |
$1,206 |
1.4× |
| Magnesium (83735) |
$42 |
$212 |
6.3× |
| Malaria smear (87207) |
$44.50 |
$221 |
7.4× |
| Mass spectrometry qual/quan (83789) |
$50 |
$252 |
2.1× |
| Metabolic Panel Ionized Ca (80047) |
$123 |
$614 |
9.0× |
| Methemoglobin (83050) |
$9 |
$43 |
1.1× |
| Methylmalonic acid serum (83921) |
$35 |
$175 |
1.7× |
| Mgmt methylation analysis (81287) |
$118 |
$591 |
0.9× |
| Microalbumin urine (82043) |
$12 |
$60 |
2.1× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$114 |
$569 |
2.1× |
| Microsomal antibodies (86376) |
$13.50 |
$68 |
0.9× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$16 |
$81 |
0.1× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$32 |
$162 |
2.7× |
| Molecular pathology procedure level 2 (81401) |
$122 |
$608 |
0.9× |
| Mopath procedure level 4 (81403) |
$83.50 |
$418.50 |
0.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) |
$172 |
$858 |
0.9× |
| Mtb PCR (87556) |
$50 |
$252 |
1.2× |
| Mthfr Gene Analysis Common Variants (81291) |
$61 |
$303 |
0.9× |
| Muramidase (85549) |
$12 |
$62 |
0.6× |
| Muscle-specific kinase (musk) antibody (86366) |
$19 |
$96 |
1.0× |
| Mycobacteric identification (87118) |
$16 |
$82 |
1.1× |
| Mycophenolic acid (80180) |
$13 |
$64 |
0.7× |
| Mycoplasma antibody (86738) |
$14.50 |
$72.50 |
1.1× |
| Myelin basic protein csf (83873) |
$18 |
$92 |
1.0× |
| Myoglobin urine (83874) |
$13.50 |
$65.50 |
1.0× |
| Natriuretic peptide (83880) |
$57 |
$287 |
1.5× |
| Nk cells total count (86357) |
$44 |
$222 |
1.2× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
$77 |
$384 |
0.3× |
| Nras gene variants exon 2&3 (81311) |
$95 |
$477 |
0.3× |
| Nuclear antigen antibody (86235) |
$10.50 |
$54.50 |
0.6× |
| Occult blood gastric (82271) |
$8 |
$38 |
1.5× |
| Oligoclonal bands (83916) |
$17 |
$83 |
0.6× |
| Organic Acids Qualitative Each Specimen (83919) |
$48 |
$240 |
2.9× |
| Osmolality serum (83930) |
$40 |
$199 |
6.1× |
| Osmolality urine (83935) |
$38 |
$191 |
5.6× |
| Ova and parasite direct-id lca (87177) |
$37 |
$187 |
4.2× |
| Pancreatic elastase, fecal (82656) |
$69 |
$344 |
6.0× |
| Pancreatic polypeptide (83519) |
$19 |
$94 |
1.0× |
| Parvovirus antibody (86747) |
$15 |
$77 |
1.0× |
| Pathology Consultation During Surgery (88329) |
$75 |
$375 |
1.2× |
| Pdgfra gene (81314) |
$119 |
$597 |
0.4× |
| Ph body fluid (83986) |
$13 |
$63 |
3.6× |
| Ph urine (81003) |
$36 |
$178 |
16.0× |
| Phosphatase alkaline (84075) |
$19 |
$93 |
3.7× |
| Phosphorus blood (84100) |
$21 |
$104 |
4.4× |
| Phosphorus urine (84105) |
$33 |
$165 |
5.7× |
| Platelet aggregation (85576) |
$62 |
$309 |
2.5× |
| Platelet count automated (85049) |
$40 |
$199 |
8.9× |
| Platelet neutralization (85597) |
$77 |
$386 |
4.3× |
| Pml/raralpha com breakpoints (81315) |
$92 |
$459 |
0.4× |
| Pooling blood platelets (86965) |
$200 |
$1,002 |
1.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$15 |
$76 |
1.0× |
| Potassium (84132) |
$26 |
$128 |
5.5× |
| Potassium urine (84133) |
$35.50 |
$176 |
7.5× |
| Pregnenolone (84140) |
$26 |
$130 |
1.3× |
| Procalcitonin (pct) (84145) |
$58 |
$290 |
2.1× |
| Protein body fluid (84157) |
$17 |
$84 |
4.3× |
| Protein electrophoresis serum (84165) |
$15 |
$73 |
1.4× |
| Protein Electrophoresis Urine (84166) |
$17 |
$84 |
1.0× |
| Protein total serum (84155) |
$21 |
$105.50 |
5.7× |
| Protein urine (84156) |
$39 |
$197 |
10.6× |
| Protein Western Blot (84182) |
$32 |
$158 |
1.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$27 |
$134 |
6.9× |
| PSA free (84154) |
$24 |
$120 |
1.3× |
| Pth intact (83970) |
$50 |
$248 |
1.2× |
| Rbc (85041) |
$5 |
$23 |
1.7× |
| Rbc antibody elution (86860) |
$41 |
$207 |
0.2× |
| Rbc pretreatment serum (86978) |
$30 |
$152 |
0.5× |
| Rbc pretx incubatj w/chemicl (86970) |
$25 |
$124 |
0.4× |
| Renin activity plasma (84244) |
$15 |
$73 |
0.7× |
| Resp virus 12-25 targets (87633) |
$451 |
$2,254 |
1.1× |
| Reticulated platelet assay (85055) |
$7 |
$37 |
0.2× |
| Reticulocyte count auto (85045) |
$35 |
$173 |
8.8× |
| Rheumatoid factor quant (86431) |
$52 |
$261 |
9.2× |
| Rickettsia antibody (86757) |
$43 |
$215 |
2.2× |
| Rotavirus ag eia (87425) |
$94 |
$470 |
7.8× |
| Rpr Titer (86593) |
$37 |
$187 |
8.4× |
| Rubella antibody (86762) |
$11 |
$56 |
0.8× |
| Rubeola Antibody Igg (86765) |
$22 |
$110 |
1.7× |
| Russell viper venom time diluted (85613) |
$21 |
$106 |
2.2× |
| Salicylate Level (80179) |
$15 |
$75 |
0.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$108 |
$541 |
2.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$151 |
$757 |
1.1× |
| Sedimentation rate (85651) |
$61 |
$306 |
14.3× |
| Sedimentation rate auto (85652) |
$61 |
$306 |
22.6× |
| Selenium (84255) |
$26 |
$129 |
1.0× |
| Sensitivity mic (87186) |
$41.50 |
$208 |
4.8× |
| Serotonin Release Assay (86022) |
$33 |
$165 |
1.8× |
| Sex hormone binding globulin (84270) |
$22 |
$111 |
1.0× |
| Sickling of rbc reduction (85660) |
$13 |
$67 |
2.4× |
| Smear acid fast (87206) |
$51 |
$255 |
9.5× |
| Smear complex stain (87209) |
$44 |
$219 |
2.4× |
| Smear gram stain (87205) |
$36 |
$178 |
8.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$37 |
$187 |
6.4× |
| Sodium (84295) |
$30 |
$148 |
6.2× |
| Sodium feces (84302) |
$22 |
$111 |
4.5× |
| Sodium urine (84300) |
$27.50 |
$135.50 |
5.4× |
| Somatomedin (84305) |
$13 |
$63 |
0.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$63 |
$317 |
0.5× |
| Special stains group 1 (88312) |
$73 |
$363 |
1.3× |
| Spectrophotometry (84311) |
$23.50 |
$119.50 |
2.9× |
| Splitting blood/blood products each unit (86985) |
$41 |
$205 |
0.2× |
| Sputum specimen collection (89220) |
$43 |
$215 |
0.2× |
| Stool Culture, Addl Pathogens (87046) |
$77 |
$383 |
8.2× |
| Strep a DNA amp probe (87651) |
$38 |
$189 |
1.1× |
| Strep b DNA amp probe (87653) |
$58 |
$291 |
1.7× |
| Surg path level 1 (88300) |
$46 |
$231 |
1.5× |
| Surg path level iii (88304) |
$116 |
$580 |
2.1× |
| Surgical pathology level IV (88305) |
$133 |
$665.50 |
2.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$49 |
$243 |
1.0× |
| T cells total count (86359) |
$22 |
$112 |
0.6× |
| T3 free (84481) |
$55 |
$275 |
3.2× |
| T3 reverse (84482) |
$25 |
$127 |
1.6× |
| T3 total (84480) |
$12 |
$60 |
0.8× |
| T3 uptake (84479) |
$12 |
$58 |
1.9× |
| T4 free (84439) |
$55 |
$275 |
6.1× |
| T4 total (84436) |
$12 |
$58 |
1.7× |
| Tb intradermal test (86580) |
$11 |
$53 |
0.4× |
| Tb test, cell immun measure (86480) |
$105 |
$523 |
1.7× |
| Testosterone free (84402) |
$15 |
$77 |
0.6× |
| Testosterone total (84403) |
$11.50 |
$57.50 |
0.4× |
| Tetanus antibody (86774) |
$27 |
$133 |
1.8× |
| Theophylline (80198) |
$33 |
$163 |
2.3× |
| Thin prep pap (88142) |
$36 |
$179 |
1.8× |
| Thrombin time plasma (85670) |
$21 |
$104.50 |
3.6× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$27 |
$134 |
4.2× |
| Thyroglobulin (84432) |
$19 |
$96 |
1.2× |
| Thyroglobulin antibody (86800) |
$13 |
$64 |
0.8× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$60 |
$298 |
1.2× |
| Tissue culture bone marrow (88237) |
$89 |
$445 |
0.6× |
| Tissue culture lymphocyte (88230) |
$83 |
$417 |
0.7× |
| Tobramycin peak (80200) |
$50 |
$248 |
3.1× |
| Touch prep (88161) |
$54 |
$269 |
1.8× |
| Toxoplasma ab igm (86778) |
$11 |
$57 |
0.8× |
| Toxoplasma antibody igg (86777) |
$15.50 |
$77.50 |
1.1× |
| Transferrin (84466) |
$25 |
$124 |
2.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$323 |
$1,613 |
1.5× |
| Trg gene rearrangement analysis (81342) |
$81 |
$404 |
0.4× |
| Triglycerides (84478) |
$22 |
$111 |
3.8× |
| Troponin (84484) |
$13 |
$67 |
1.0× |
| Unlisted Transfusion Medicine Procedure (86999) |
$24 |
$118 |
0.8× |
| Urea nitrogen (84520) |
$28 |
$138 |
7.1× |
| Urea nitrogen urine (84540) |
$13 |
$67 |
2.3× |
| Uric acid blood (84550) |
$40 |
$199 |
8.8× |
| Uric acid other source (84560) |
$31 |
$154.50 |
6.1× |
| Urinalysis auto w/scope (81001) |
$59 |
$294 |
18.6× |
| Valproic acid (80164) |
$115 |
$576 |
8.5× |
| Vancomycin trough (80202) |
$59 |
$293 |
4.4× |
| Varicella-zoster antibody (86787) |
$19.50 |
$98.50 |
1.5× |
| Vdrl csf (86592) |
$21.50 |
$106 |
5.0× |
| Virus antibody nos (86790) |
$11 |
$55 |
0.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$9 |
$43 |
0.3× |
| Viscosity serum (85810) |
$14 |
$69 |
1.2× |
| Vitamin A (84590) |
$15 |
$74 |
1.3× |
| Vitamin b-12 (82607) |
$41 |
$206 |
2.7× |
| Vitamin b1 (thiamine) (84425) |
$19 |
$93 |
0.9× |
| Vitamin b6 (84207) |
$37 |
$184 |
1.3× |
| Vitamin c (82180) |
$11 |
$54 |
1.1× |
| Vitamin D 25-Hydroxy (82306) |
$27.50 |
$138.50 |
0.9× |
| Vitamin e serum (84446) |
$14 |
$72 |
1.0× |
| Voltage-gated calcium channel antibody each (86596) |
$20 |
$100 |
1.7× |
| Zinc (84630) |
$25 |
$123 |
2.2× |