| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$270 |
— |
| 5 Hiaa (83497) |
— |
$100 |
— |
| Acetaminophen level (80143) |
— |
$115 |
— |
| Acetylcholine receptor binding antibody (86041) |
— |
$233.38 |
— |
| Acetylcholn Rcptr Modlg Antb (86043) |
— |
$175.04 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$86.50 |
— |
| Activated protein c resistance (85307) |
— |
$171.50 |
— |
| Acute hepatitis panel (80074) |
— |
$175 |
— |
| Acylcarnitine Plasma (82017) |
— |
$116.66 |
— |
| Adamts13 activity (85397) |
— |
$386 |
— |
| Albumin serum (82040) |
— |
$39 |
— |
| Aldolase (82085) |
— |
$64.50 |
— |
| Aldosterone urine (82088) |
— |
$204 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$100 |
— |
| Allerg sp igg quan or semiquan (86001) |
— |
$99.60 |
— |
| Allergen specific ige (86003) |
— |
$112.12 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$103.94 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$106 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$77 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$65.10 |
— |
| Alt (sgpt) (84460) |
— |
$40 |
— |
| Amikacin trough (80150) |
— |
$100 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$290.30 |
— |
| Ammonia (82140) |
— |
$263.27 |
— |
| Amylase urine (82150) |
— |
$100 |
— |
| Angiotensin i enzyme test (82164) |
— |
$84.36 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$58.80 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$58.80 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$112 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$39.57 |
— |
| Antibody HIV-2 (86702) |
— |
$199 |
— |
| Antibody mumps (86735) |
— |
$50 |
— |
| Antibody Protozoa Nes (86753) |
— |
$113 |
— |
| Antibody rubeola (86765) |
— |
$50 |
— |
| Antibody screen (86850) |
— |
$100 |
— |
| Antibody treponema pallidum (86780) |
— |
$105.08 |
— |
| Antigen typing (86905) |
— |
$555 |
— |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
— |
$46.30 |
— |
| Antinuclear antibodies (86038) |
— |
$86.50 |
— |
| Antistreptolysin o titer (86060) |
— |
$126.40 |
— |
| Antithrombin iii activity (85300) |
— |
$103 |
— |
| Arsenic Urine (82175) |
— |
$106 |
— |
| Aspergillus ag eia (87305) |
— |
$139.30 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$111 |
— |
| Assay of acth (82024) |
— |
$185 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$54.60 |
— |
| Assay of androstenedione (82157) |
— |
$71.84 |
— |
| Assay of anti-mullerian hormone (82166) |
— |
$219.72 |
— |
| Assay of blood chloride (82435) |
— |
$35 |
— |
| Assay of c-peptide (84681) |
— |
$84.36 |
— |
| Assay of ceruloplasmin (82390) |
— |
$59.50 |
— |
| Assay of ethosuximide (80168) |
— |
$85.22 |
— |
| Assay of ferritin (82728) |
— |
$100 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$90.36 |
— |
| Assay of gentamicin (80170) |
— |
$150 |
— |
| Assay of homocystine (83090) |
— |
$61.20 |
— |
| Assay of manganese (83785) |
— |
$71.08 |
— |
| Assay of metanephrines (83835) |
— |
$265.02 |
— |
| Assay of parathormone (83970) |
— |
$147.94 |
— |
| Assay of phenobarbital (80184) |
— |
$50 |
— |
| Assay of prealbumin (84134) |
— |
$100 |
— |
| Assay of proinsulin (84206) |
— |
$200 |
— |
| Assay of selenium (84255) |
— |
$63.12 |
— |
| Assay of somatomedin (84305) |
— |
$119 |
— |
| Assay of tacrolimus (80197) |
— |
$150 |
— |
| Assay of urine vma (84585) |
— |
$70.29 |
— |
| Assay of vitamin k (84597) |
— |
$200 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$120 |
— |
| Assay Thiopurine S-Methyltransferase (84433) |
— |
$477.30 |
— |
| Ast (sgot) (84450) |
— |
$40 |
— |
| B cells total count (86355) |
— |
$113.19 |
— |
| Beta hydroxybutyrate (82010) |
— |
$60 |
— |
| Beta-2 microglobulin (82232) |
— |
$93.03 |
— |
| Bilirubin direct (82248) |
— |
$44 |
— |
| Bilirubin total (82247) |
— |
$44 |
— |
| Blood count reticulocyte automated (85045) |
— |
$15 |
— |
| Blood gases (82803) |
— |
$225 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$47.76 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$49 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$96.81 |
— |
| Blood typing abo (86900) |
— |
$50 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$47 |
— |
| Body fluid cell count (89051) |
— |
$125 |
— |
| C diff amplified probe (87493) |
— |
$113.80 |
— |
| C-reactive protein (86140) |
— |
$80 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$72 |
— |
| Ca 125 (86304) |
— |
$79.80 |
— |
| Ca 19-9 (86301) |
— |
$63 |
— |
| Ca 27 29 (86300) |
— |
$145 |
— |
| Cadmium level (82300) |
— |
$102.50 |
— |
| Calcium total (82310) |
— |
$38.85 |
— |
| Calcium urine (82340) |
— |
$38.85 |
— |
| Calprotectin, fecal (83993) |
— |
$300 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$121.25 |
— |
| Carbon dioxide (82374) |
— |
$35.54 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$87.80 |
— |
| Carcinoembryonic antigen (82378) |
— |
$83.26 |
— |
| Carnitine (82379) |
— |
$67.48 |
— |
| Chemiluminescent assay (82397) |
— |
$125 |
— |
| Chloride other source (82438) |
— |
$57.56 |
— |
| Chloride urine (82436) |
— |
$37.85 |
— |
| Cholesterol total (82465) |
— |
$39.63 |
— |
| Chromogranin a (86316) |
— |
$100 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$105.27 |
— |
| Ckmb (82553) |
— |
$125 |
— |
| Clot factor viii vw antigen (85246) |
— |
$275.20 |
— |
| Cmv PCR (87496) |
— |
$156.02 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$517.43 |
— |
| Compatibility test antiglob (86922) |
— |
$175 |
— |
| Complement c3 (86160) |
— |
$150 |
— |
| Copper urine (82525) |
— |
$85.38 |
— |
| Cortisol free (82530) |
— |
$250 |
— |
| Cortisol total (82533) |
— |
$205 |
— |
| Creatine kinase total (82550) |
— |
$75 |
— |
| Creatinine blood (82565) |
— |
$65 |
— |
| Creatinine clearance (82575) |
— |
$83.47 |
— |
| Creatinine other source (82570) |
— |
$75 |
— |
| Crossmatch immediate spin (86920) |
— |
$175 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$336.26 |
— |
| Culture Aerobic Identify (87077) |
— |
$87 |
— |
| Culture anaerobic (87075) |
— |
$82.32 |
— |
| Culture blood (87040) |
— |
$100 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$56.22 |
— |
| Culture fungus id yeast (87106) |
— |
$190 |
— |
| Culture fungus other (87102) |
— |
$100 |
— |
| Culture genital (87070) |
— |
$120 |
— |
| Culture screen only (87081) |
— |
$80 |
— |
| Culture stool (87045) |
— |
$91.50 |
— |
| Culture urine (87086) |
— |
$75 |
— |
| Culture urine id ea isolate (87088) |
— |
$75 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$80 |
— |
| Cystatin c (82610) |
— |
$91.22 |
— |
| Cytogenetics DNA probe (88271) |
— |
$195.93 |
— |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
— |
$2,775 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$350 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$75 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$77.96 |
— |
| D-Dimer (85379) |
— |
$131.74 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$48.52 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$38 |
— |
| Dhea (82626) |
— |
$109.25 |
— |
| Digoxin (80162) |
— |
$100 |
— |
| Dilantin (80185) |
— |
$125 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$106 |
— |
| Drug assay adalimumab (80145) |
— |
$533.10 |
— |
| Drug Assay Amiodarone (80151) |
— |
$48.18 |
— |
| Drug Assay Lacosamide (80235) |
— |
$221.70 |
— |
| Drug assay rufinamide (80210) |
— |
$177.60 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$157 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$100 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$94.50 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$320 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$75 |
— |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
— |
$100 |
— |
| Ebv viral capsid (86665) |
— |
$54.42 |
— |
| Ehrlichia antibody (86666) |
— |
$59.75 |
— |
| Elastase pancreatic fecal quantitative (82653) |
— |
$180 |
— |
| Electrolyte panel (80051) |
— |
$175 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$157.50 |
— |
| Enzyme cell activity (82657) |
— |
$190.40 |
— |
| Eosinophil count (85048) |
— |
$35 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$50 |
— |
| Estradiol (82670) |
— |
$136.58 |
— |
| Estrogen fractionated (82671) |
— |
$130 |
— |
| Estrone (82679) |
— |
$175 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$80 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$361.52 |
— |
| F5 gene (81241) |
— |
$226 |
— |
| Factor inhibitor test (85335) |
— |
$444.90 |
— |
| Factor viii ahg (85240) |
— |
$225.86 |
— |
| Fecal fat quant (82710) |
— |
$87.34 |
— |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) |
— |
$313.66 |
— |
| Fibrin degradation products (85362) |
— |
$70.29 |
— |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Other Outpatient (85370) |
— |
$100 |
— |
| Fibrinogen activity (85384) |
— |
$72.50 |
— |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
— |
$151.60 |
— |
| Fibrinolytic Plasminogen (85415) |
— |
$351.90 |
— |
| Folate serum (82746) |
— |
$100 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$180 |
— |
| Gammaglobulin ige (82785) |
— |
$67.04 |
— |
| Gastric Occult Blood (82271) |
— |
$31.50 |
— |
| Ggt (82977) |
— |
$45 |
— |
| Giardia antigen eia stool (87329) |
— |
$40 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$53 |
— |
| Glucose (82947) |
— |
$40 |
— |
| Glucose Blood Test (82962) |
— |
$40 |
— |
| Glucose post dose (82950) |
— |
$31.50 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$30 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$90 |
— |
| Haloperidol (haldol) (80173) |
— |
$127.86 |
— |
| Haptoglobin (83010) |
— |
$54.07 |
— |
| Hbb Full Gene Sequence (81364) |
— |
$567.30 |
— |
| Hcg qualitative (84703) |
— |
$100 |
— |
| Hcg quant (84702) |
— |
$131.25 |
— |
| Hdl Cholesterol (83718) |
— |
$54.40 |
— |
| Hematocrit (85014) |
— |
$35 |
— |
| Hemoglobin (85018) |
— |
$35 |
— |
| Hemoglobin a1c (83036) |
— |
$110 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$155.12 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$110.54 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$70.43 |
— |
| Hepatitis a antibody total (86708) |
— |
$100 |
— |
| Hepatitis a igm (86709) |
— |
$200 |
— |
| Hepatitis b core antibody total (86704) |
— |
$76 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$67.50 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$46 |
— |
| Hepatitis be antibody (86707) |
— |
$77.96 |
— |
| Hepatitis Be Antigen (87350) |
— |
$77.96 |
— |
| Hepatitis c antibody (86803) |
— |
$106 |
— |
| Hepatitis C Genotype (87902) |
— |
$386.18 |
— |
| Hepatitis delta ab (86692) |
— |
$156 |
— |
| Herpes simplex type 2 (86696) |
— |
$60 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$65 |
— |
| HIV-1 antibody (86701) |
— |
$130.78 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$105.16 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$249.67 |
— |
| Hla-b27 (86812) |
— |
$157.50 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$150 |
— |
| Hpylori Drug Administration (83014) |
— |
$25 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$105.29 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$85 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$41.46 |
— |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
— |
$117.12 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$84 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$85 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$295 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$225 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$105.16 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$200 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$105.27 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$675 |
— |
| Iadna nos quantification each organism (87799) |
— |
$182.90 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$150 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$907.60 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$189.20 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$16.98 |
— |
| Immunoassay nonantibody (83516) |
— |
$675 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$31.16 |
— |
| Immunoglobulin light chains free each (83521) |
— |
$83.49 |
— |
| Immunohisto Antibody Slide (88344) |
— |
$454.20 |
— |
| India ink prep (87210) |
— |
$30 |
— |
| Influenza DNA amp probe (87502) |
— |
$105 |
— |
| Inhibin b (83520) |
— |
$324.44 |
— |
| Insulin total (83525) |
— |
$71 |
— |
| Iron (83540) |
— |
$100 |
— |
| Iron binding capacity (83550) |
— |
$90 |
— |
| Islet cell antibody (86341) |
— |
$157.72 |
— |
| Jak2 gene analysis (81270) |
— |
$375 |
— |
| Koh Prep (87220) |
— |
$45.50 |
— |
| Lactic acid (83605) |
— |
$78.75 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$300 |
— |
| Ldh (83615) |
— |
$120 |
— |
| LDL cholesterol direct (83721) |
— |
$102 |
— |
| Lead (83655) |
— |
$61.50 |
— |
| Legionella antibody (86713) |
— |
$63 |
— |
| Legionella antigen urine (87449) |
— |
$328 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$75 |
— |
| Leukocyte histamine release test (86343) |
— |
$320 |
— |
| Lh (83002) |
— |
$78.96 |
— |
| Lipase (83690) |
— |
$100 |
— |
| Lipoprotein Bld Hr Fraction (83701) |
— |
$100 |
— |
| Lithium (80178) |
— |
$65 |
— |
| Lyme disease antibody (86618) |
— |
$226.01 |
— |
| Lyme disease antibody confirm (86617) |
— |
$91.50 |
— |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
— |
$432.81 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$230.72 |
— |
| Macroscopic exam arthropod (87168) |
— |
$119.20 |
— |
| Macroscopic exam parasite (87169) |
— |
$119.20 |
— |
| Magnesium (83735) |
— |
$77.14 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$270 |
— |
| Mercury (83825) |
— |
$85 |
— |
| Methotrexate (80299) |
— |
$262.62 |
— |
| Methylmalonic acid serum (83921) |
— |
$120 |
— |
| Microalbumin urine (82043) |
— |
$100 |
— |
| Microsomal antibodies (86376) |
— |
$120 |
— |
| Mitochondrial antibody each (86381) |
— |
$61.50 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$452.89 |
— |
| Mononuclear cell antigen (86356) |
— |
$116.84 |
— |
| Muscle-specific kinase (musk) antibody (86366) |
— |
$1,020 |
— |
| Mycophenolic acid (80180) |
— |
$62.38 |
— |
| Mycoplasma antibody (86738) |
— |
$120.94 |
— |
| Myoglobin urine (83874) |
— |
$125 |
— |
| Natriuretic peptide (83880) |
— |
$150 |
— |
| Neutralization test, viral (86382) |
— |
$152.72 |
— |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
— |
$513 |
— |
| Niacin (84591) |
— |
$335.60 |
— |
| Nk cells total count (86357) |
— |
$113.19 |
— |
| Nmr Lipoprofile (83704) |
— |
$118.20 |
— |
| Nuclear antigen antibody (86235) |
— |
$97 |
— |
| Occult blood stool (82272) |
— |
$50 |
— |
| Osmolality serum (83930) |
— |
$80 |
— |
| Osmolality urine (83935) |
— |
$48.66 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$41.01 |
— |
| Pancreatic polypeptide (83519) |
— |
$155 |
— |
| Phosphatase alkaline (84075) |
— |
$50 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$265.02 |
— |
| Phosphorus blood (84100) |
— |
$54.56 |
— |
| Phosphorus urine (84105) |
— |
$47.25 |
— |
| Platelet count (85049) |
— |
$35 |
— |
| Platelet neutralization (85597) |
— |
$178.88 |
— |
| Potassium (84132) |
— |
$45 |
— |
| Potassium urine (84133) |
— |
$37.59 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$436.89 |
— |
| Procalcitonin (pct) (84145) |
— |
$300 |
— |
| Progesterone (84144) |
— |
$73.55 |
— |
| Prolactin (84146) |
— |
$89.25 |
— |
| Protein c activity (85303) |
— |
$132 |
— |
| Protein electrophoresis serum (84165) |
— |
$120 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$85 |
— |
| Protein S Functional (85306) |
— |
$200 |
— |
| Protein Total Serum (84155) |
— |
$50 |
— |
| Protein urine (84156) |
— |
$80 |
— |
| PSA free (84154) |
— |
$134.50 |
— |
| Quantiferon tb gold (86480) |
— |
$224.56 |
— |
| Reagent strip/blood glucose (82948) |
— |
$30 |
— |
| Reducing substances, stool (84376) |
— |
$111.20 |
— |
| Renin activity plasma (84244) |
— |
$101.50 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$59.50 |
— |
| Rheumatoid factor quant (86431) |
— |
$60 |
— |
| Rickettsia antibody (86757) |
— |
$58.05 |
— |
| Rpr Titer (86593) |
— |
$51.71 |
— |
| Rsv (87807) |
— |
$98 |
— |
| Rubella antibody (86762) |
— |
$51.50 |
— |
| Russell viper venom time diluted (85613) |
— |
$167.36 |
— |
| Salicylate (80179) |
— |
$115 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$175 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$125 |
— |
| Sedimentation rate (85651) |
— |
$50 |
— |
| Sensitivity mic (87186) |
— |
$130.82 |
— |
| Sex hormone binding globulin (84270) |
— |
$92 |
— |
| Sickle cell screen (85660) |
— |
$125 |
— |
| Smear acid fast (87206) |
— |
$45.18 |
— |
| Smear complex stain (87209) |
— |
$55.22 |
— |
| Smear gram stain (87205) |
— |
$75 |
— |
| Snrpn/ube3a gene (81331) |
— |
$574.47 |
— |
| Sodium (84295) |
— |
$40 |
— |
| Sodium other source (84302) |
— |
$55.94 |
— |
| Sodium urine (84300) |
— |
$40.84 |
— |
| Soluble transferrin receptor (84238) |
— |
$145 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$210 |
— |
| Special stains group 1 (88312) |
— |
$125 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$180 |
— |
| Strep a assay w/optic (87880) |
— |
$45 |
— |
| Strep a DNA amp probe (87651) |
— |
$55 |
— |
| Sugars Multiple Qual (84377) |
— |
$111.20 |
— |
| Sulfhemoglobin quant (83060) |
— |
$75.57 |
— |
| Surg path level iii (88304) |
— |
$135 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$50 |
— |
| Surgical pathology level IV (88305) |
— |
$150 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$140.94 |
— |
| T cells, total count (86359) |
— |
$113.19 |
— |
| T3 free (84481) |
— |
$150 |
— |
| T3 reverse (84482) |
— |
$150 |
— |
| T3 total (84480) |
— |
$142 |
— |
| T3 uptake (84479) |
— |
$93.60 |
— |
| T4 Free (84439) |
— |
$100 |
— |
| T4 total (84436) |
— |
$79.85 |
— |
| Tb intradermal test (86580) |
— |
$238.60 |
— |
| Test for acetone/ketones (82009) |
— |
$40 |
— |
| Testosterone free (84402) |
— |
$100.50 |
— |
| Testosterone total (84403) |
— |
$123.50 |
— |
| Theophylline (80198) |
— |
$100 |
— |
| Thrombin time plasma (85670) |
— |
$100 |
— |
| Thyroglobulin (84432) |
— |
$297.60 |
— |
| Thyroglobulin Ab (86800) |
— |
$90 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$165.50 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$67.98 |
— |
| Tissue culture solid tumor (88239) |
— |
$398 |
— |
| Tobramycin peak (80200) |
— |
$82.42 |
— |
| Topiramate (80201) |
— |
$101.50 |
— |
| Toxoplasma ab igm (86778) |
— |
$83 |
— |
| Toxoplasma antibody igg (86777) |
— |
$43.96 |
— |
| Transferrin (84466) |
— |
$49.77 |
— |
| Triglycerides (84478) |
— |
$37.17 |
— |
| Troponin (84484) |
— |
$100 |
— |
| Urea nitrogen (84520) |
— |
$50 |
— |
| Urea nitrogen urine (84540) |
— |
$85 |
— |
| Uric acid blood (84550) |
— |
$60 |
— |
| Uric acid other source (84560) |
— |
$75 |
— |
| Urinalysis microscopic only (81015) |
— |
$7.35 |
— |
| Urinalysis w/microscopic (81001) |
— |
$55 |
— |
| Urine pregnancy test (81025) |
— |
$65 |
— |
| Urine volume measurement (81050) |
— |
$9.10 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$7.35 |
— |
| Valproic acid level (80164) |
— |
$100 |
— |
| Vancomycin trough (80202) |
— |
$175 |
— |
| Varicella-zoster antibody (86787) |
— |
$100 |
— |
| Vdrl csf (86592) |
— |
$100.96 |
— |
| Vitamin A (84590) |
— |
$173 |
— |
| Vitamin b-12 (82607) |
— |
$125 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$200 |
— |
| Vitamin b6 (84207) |
— |
$400 |
— |
| Vitamin C (82180) |
— |
$80 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$150 |
— |
| Vitamin e serum (84446) |
— |
$71 |
— |
| Zinc (84630) |
— |
$36.75 |
— |