Lab & pathology prices at LewisGale Hospital Alleghany
Low Moor, VA · every code in this section with a posted price and a Medicare benchmark.
698 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $712 | $712 | 18.5× |
| 5 Nucleotidase (83915) | $624 | $624 | 56.0× |
| Acetaminophen level (80143) | $624 | $624 | 33.5× |
| Acetone serum qual (82009) | $230 | $230 | 50.9× |
| Acetylcholine receptor binding antibody (86041) | $54 | $54 | 2.9× |
| Acetylcholine receptor blocking antibody (86042) | $54 | $54 | 2.9× |
| Acetylcholn Rcptr Modlg Antb (86043) | $34 | $34 | 2.8× |
| Acth stimulation panel adrenal insufficiency (80400) | $620 | $620 | 19.0× |
| Actin smooth muscle antibody each (86015) | $276 | $276 | 22.9× |
| Activated protein c resistance (85307) | $733 | $733 | 47.8× |
| Acute hepatitis panel (80074) | $856 | $856 | 18.0× |
| Acylcarnitine Plasma (82017) | $1,782 | $1,782 | 105.6× |
| Adamts13 activity (85397) | $77 | $77 | 2.5× |
| Adenovirus Ag Ia (87301) | $403 | $403 | 33.6× |
| Adrenocorticotropic hormone (82024) | $736 | $736 | 19.1× |
| Afp maternal serum (82105) | $435 | $435 | 25.9× |
| Albumin body fluid (82042) | $174 | $174 | 22.4× |
| Albumin serum (82040) | $245 | $245 | 49.5× |
| Aldolase (82085) | $182 | $182 | 18.7× |
| Aldosterone urine (82088) | $648.50 | $648.50 | 15.9× |
| Alkaline phosphatase isoenzymes (84080) | $276 | $276 | 18.7× |
| Allergen peanut (86003) | $827 | $827 | 158.4× |
| Allergen spec ige qual multiallergen screen (86005) | $2,277.50 | $2,277.50 | 285.8× |
| Allg Spec Ige Recomb Ea (86008) | $120 | $120 | 6.7× |
| Alpha-1-antitrypsin phenotype (82104) | $536 | $536 | 37.1× |
| Alpha-1-antitrypsin, total (82103) | $429.50 | $429.50 | 32.0× |
| Alt (sgpt) (84460) | $380 | $380 | 71.7× |
| Aluminum (82108) | $651 | $651 | 25.5× |
| Amikacin trough (80150) | $549 | $549 | 36.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $351 | $351 | 15.3× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $2,938.50 | $2,938.50 | 174.2× |
| Amino Acids Quant 2-5 (82136) | $1,241 | $1,241 | 63.3× |
| Aminolevulinic acid (ala) (82135) | $300 | $300 | 18.2× |
| Amniotic fluid enzyme test (84081) | $552 | $552 | 33.4× |
| Amylase urine (82150) | $375 | $375 | 57.9× |
| Angiotensin i enzyme test (82164) | $276 | $276 | 18.9× |
| Anti-phosphatidylserine antibody (86148) | $353 | $353 | 22.0× |
| Antibody aspergillus (86606) | $290 | $290 | 19.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $620 | $620 | 40.0× |
| Antibody coxiella burnetii q fever (86638) | $352 | $352 | 29.0× |
| Antibody cytomegalovirus cmv (86644) | $275 | $275 | 19.1× |
| Antibody Encephalitis Eastern Equine (86652) | $414 | $414 | 31.4× |
| Antibody encephalitis st. louis (86653) | $414 | $414 | 31.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $248 | $248 | 18.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $553.50 | $553.50 | 45.2× |
| Antibody haemophilus influenza (86684) | $720 | $720 | 45.5× |
| Antibody helicobacter pylori (86677) | $396 | $396 | 23.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $344.50 | $344.50 | 23.9× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $317 | $317 | 23.1× |
| Antibody HIV-2 (86702) | $934 | $934 | 69.1× |
| Antibody identification (86870) | $922.50 | $922.50 | 2.6× |
| Antibody identification leukocyte antibodies (86021) | $526 | $526 | 35.0× |
| Antibody influenza virus (86710) | $260 | $260 | 19.2× |
| Antibody Listeria Monocytogenes (86723) | $36 | $36 | 2.7× |
| Antibody mumps (86735) | $248 | $248 | 19.0× |
| Antibody Protozoa Nes (86753) | $31 | $31 | 2.5× |
| Antibody screen (86850) | $747 | $747 | 76.5× |
| Antibody treponema pallidum (86780) | $291 | $291 | 22.0× |
| Antibody; Coccidioides (86635) | $326 | $326 | 28.4× |
| Antigen typing (86905) | $357 | $357 | 93.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $13 | $13 | 2.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $282.50 | $282.50 | 23.4× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $385 | $385 | 32.0× |
| Antinomyces antibody (86602) | $194 | $194 | 19.1× |
| Antinuclear antibodies (86038) | $356 | $356 | 29.4× |
| Antistreptolysin o titer (86060) | $181 | $181 | 24.8× |
| Antithrombin iii activity (85300) | $595 | $595 | 50.2× |
| Antithrombin iii antigen (85301) | $326 | $326 | 30.2× |
| Apolipoprotein each (82172) | $301 | $301 | 14.3× |
| Arsenic Urine (82175) | $845 | $845 | 44.5× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $247 | $247 | 19.3× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $353 | $353 | 6.9× |
| Assay galactose transferase (82775) | $1,084 | $1,084 | 51.4× |
| Assay Lipoprotein Pla2 (83698) | $1,197 | $1,197 | 25.8× |
| Assay Nephelometry Not Spec (83883) | $34 | $34 | 2.5× |
| Assay of 17-hydroxypregnenolone (84143) | $933 | $933 | 40.9× |
| Assay of 5-hiaa (83497) | $247 | $247 | 19.1× |
| Assay of ammonia (82140) | $435 | $435 | 29.9× |
| Assay of androstenedione (82157) | $1,256 | $1,256 | 42.9× |
| Assay of anti-mullerian hormone (82166) | $112 | $112 | 2.9× |
| Assay of c-peptide (84681) | $396 | $396 | 19.0× |
| Assay of ceruloplasmin (82390) | $211 | $211 | 19.6× |
| Assay of citrate (82507) | $536 | $536 | 19.3× |
| Assay of cpk in blood (82552) | $380 | $380 | 28.4× |
| Assay of creatine (82540) | $146 | $146 | 31.5× |
| Assay of cyclosporine (80158) | $437 | $437 | 24.2× |
| Assay of erythropoietin (82668) | $404 | $404 | 21.5× |
| Assay of estrone (82679) | $1,422 | $1,422 | 57.0× |
| Assay of ethosuximide (80168) | $456.89 | $456.89 | 28.0× |
| Assay of ferritin (82728) | $404 | $404 | 29.6× |
| Assay of g6pd enzyme (82955) | $247 | $247 | 25.5× |
| Assay of gammaglobulin igm (82784) | $197 | $197 | 21.2× |
| Assay of gastrin (82941) | $507 | $507 | 28.8× |
| Assay of gentamicin (80170) | $483 | $483 | 29.5× |
| Assay of homocystine (83090) | $536 | $536 | 29.9× |
| Assay of lactic acid (83605) | $317 | $317 | 27.4× |
| Assay of lipoprotein(a) (83695) | $310 | $310 | 21.6× |
| Assay of manganese (83785) | $520 | $520 | 19.5× |
| Assay of metanephrines (83835) | $1,114 | $1,114 | 65.8× |
| Assay of osteocalcin (83937) | $1,436 | $1,436 | 48.1× |
| Assay of phenobarbital (80184) | $276 | $276 | 18.0× |
| Assay of phosphatase acid total (84060) | $149 | $149 | 19.5× |
| Assay of prealbumin (84134) | $276 | $276 | 18.9× |
| Assay of proinsulin (84206) | $385 | $385 | 14.4× |
| Assay of prolactin (84146) | $357 | $357 | 18.4× |
| Assay of prostate specific antigen complexed (84152) | $546 | $546 | 29.7× |
| Assay of serotonin (84260) | $391 | $391 | 12.6× |
| Assay of tacrolimus (80197) | $1,396 | $1,396 | 101.7× |
| Assay of topiramate (80201) | $414 | $414 | 34.7× |
| Assay of urine vma (84585) | $275 | $275 | 17.7× |
| Assay of vasopressin anti-diuretic hormone (84588) | $690 | $690 | 20.3× |
| Assay of vitamin k (84597) | $856 | $856 | 62.4× |
| Assay Phosphatase Acid Prostatic (84066) | $181 | $181 | 18.7× |
| Assay spec xcp ur&breath ia (82077) | $545 | $545 | 31.6× |
| Ast (sgot) (84450) | $300 | $300 | 57.9× |
| B cells total count (86355) | $101 | $101 | 2.7× |
| Bartonella antibody (86611) | $260 | $260 | 25.5× |
| Bartonella PCR (87471) | $1,221 | $1,221 | 34.8× |
| Bcr/abl1 gene major bp (81206) | $931 | $931 | 5.7× |
| Bcr/abl1 gene minor bp (81207) | $931 | $931 | 6.4× |
| Beta 2 glycoprotein 1 igm (86146) | $280 | $280 | 11.0× |
| Beta hydroxybutyrate (82010) | $238 | $238 | 29.1× |
| Beta lactamase (87185) | $124 | $124 | 26.1× |
| Beta-2 microglobulin (82232) | $306 | $306 | 18.9× |
| Bile acids, total (82239) | $505 | $505 | 29.5× |
| Bilirubin direct (82248) | $380 | $380 | 75.7× |
| Bilirubin total (82247) | $368.50 | $368.50 | 73.4× |
| Bl Smear W/Diff Wbc Count (85007) | $290 | $290 | 76.3× |
| Blastomyces antibody (86612) | $326 | $326 | 25.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $1,186 | $1,186 | 7.1× |
| Bld Typing Serologic Rh Phnt (86906) | $20 | $20 | 2.6× |
| Bleeding time (85002) | $403 | $403 | 83.6× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $218 | $218 | 39.1× |
| Blood gas (82803) | $562 | $562 | 21.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $110 | $110 | 6.9× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $357 | $357 | 56.2× |
| Blood typing abo (86900) | $354 | $354 | 118.4× |
| Blood typing serologic rh (d) (86901) | $230 | $230 | 76.9× |
| Body fluid cell count (89051) | $308 | $308 | 55.0× |
| Body fluid cell count (89050) | $12 | $12 | 2.5× |
| Bordetella antibody (86615) | $247 | $247 | 18.7× |
| Bordetella pertussis dfa (87265) | $143 | $143 | 11.9× |
| Braf gene (81210) | $730 | $730 | 4.2× |
| Brca1&2 seq & full dup/del (81162) | $3,557 | $3,557 | 1.9× |
| Brucella antibody (86622) | $768 | $768 | 86.0× |
| C diff amplified probe (87493) | $483 | $483 | 13.0× |
| C-reactive protein (86140) | $181 | $181 | 34.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $161 | $161 | 12.4× |
| C1q binding assay (86332) | $467.50 | $467.50 | 19.2× |
| Ca 125 (86304) | $396 | $396 | 19.0× |
| Ca 19-9 (86301) | $396 | $396 | 19.0× |
| Ca 27 29 (86300) | $396 | $396 | 19.0× |
| Cadmium level (82300) | $845 | $845 | 35.7× |
| Calcitonin (82308) | $445 | $445 | 16.6× |
| Calcium ionized (82330) | $261 | $261 | 19.1× |
| Calcium total (82310) | $306 | $306 | 59.3× |
| Calcium urine (82340) | $245 | $245 | 40.6× |
| Calculus Quantitative Chemical (82360) | $306 | $306 | 23.8× |
| Calculus spectroscopy (82365) | $306 | $306 | 23.7× |
| Calculus; qualitative analysis Facility (82355) | $477 | $477 | 41.2× |
| California encephalitis ab (86651) | $414 | $414 | 31.4× |
| Calprotectin, fecal (83993) | $2,951 | $2,951 | 150.3× |
| Calr gene com variants (81219) | $522 | $522 | 4.3× |
| Carbamazepine total (80156) | $403 | $403 | 27.7× |
| Carbon dioxide (82374) | $135 | $135 | 27.7× |
| Carboxyhemoglobin (82375) | $478 | $478 | 38.8× |
| Carcinoembryonic antigen (82378) | $356 | $356 | 18.8× |
| Cardiolipin ab igg (86147) | $456 | $456 | 17.9× |
| Carnitine (82379) | $491 | $491 | 29.1× |
| Carotene (82380) | $356 | $356 | 38.6× |
| Catecholamines fraction plasma (82384) | $664 | $664 | 26.3× |
| Cell enumeration & id (86152) | $2,218 | $2,218 | 8.8× |
| Cftr gene com variants (81220) | $4,169 | $4,169 | 7.5× |
| Chemiluminescent assay (82397) | $463 | $463 | 32.8× |
| Chlamydia antibody (86631) | $1,050 | $1,050 | 88.8× |
| Chlamydia Igm Antibody (86632) | $372.50 | $372.50 | 29.4× |
| Chlamydia trachomatis ag if (87270) | $229 | $229 | 19.1× |
| Chloride blood (82435) | $261 | $261 | 56.7× |
| Chloride feces (82438) | $253 | $253 | 50.6× |
| Chloride urine (82436) | $261 | $261 | 45.4× |
| Cholesterol HDL (83718) | $545 | $545 | 66.5× |
| Cholesterol total (82465) | $352 | $352 | 80.9× |
| Cholinesterase serum (82480) | $165 | $165 | 21.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $258 | $258 | 7.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $2,278 | $2,278 | 18.2× |
| Chromium urine (82495) | $310 | $310 | 15.3× |
| Chromogranin a (86316) | $508.50 | $508.50 | 24.4× |
| Chromosome analysis 20-25 cells (88264) | $1,348 | $1,348 | 9.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $387 | $387 | 11.0× |
| Ckmb (82553) | $341 | $341 | 29.5× |
| Clot Factor VIII Multimetric (85247) | $640 | $640 | 27.9× |
| Clot factor viii vw antigen (85246) | $1,729 | $1,729 | 75.4× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $1,187 | $1,187 | 66.3× |
| Clot factor xiii fibrin stab (85290) | $317 | $317 | 19.4× |
| Clotting Inhibitors Protein S Free (85306) | $374.50 | $374.50 | 24.4× |
| Clozapine level (80159) | $358 | $358 | 17.8× |
| Cmv ab igm (86645) | $513 | $513 | 30.4× |
| Cmv PCR (87496) | $2,372 | $2,372 | 67.6× |
| Cns DNA amp probe type 12-25 (87483) | $1,042 | $1,042 | 2.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $309 | $309 | 12.8× |
| Cold agglutinin titer (86157) | $414 | $414 | 51.4× |
| Collagen cross links (82523) | $814 | $814 | 43.6× |
| Compatibility test antiglob (86922) | $592 | $592 | 3.6× |
| Compatibility Test Incubate (86921) | $592 | $592 | 3.6× |
| Complement c3 (86160) | $366.02 | $366.02 | 30.5× |
| Complement total (ch50) (86162) | $456 | $456 | 22.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $800 | $800 | 66.7× |
| Concentration Infectious Agent (87015) | $175 | $175 | 26.2× |
| Coombs direct (86880) | $145 | $145 | 26.9× |
| Copper urine (82525) | $579.50 | $579.50 | 46.7× |
| Cortisol free (82530) | $310 | $310 | 18.6× |
| Cortisol total (82533) | $477 | $477 | 29.3× |
| Creatine kinase total (82550) | $229 | $229 | 35.2× |
| Creatinine blood (82565) | $308 | $308 | 60.2× |
| Creatinine clearance (82575) | $483 | $483 | 51.1× |
| Creatinine other source (82570) | $124 | $124 | 23.9× |
| Crossmatch immediate spin (86920) | $592 | $592 | 3.6× |
| Cryoglobulin (82595) | $230 | $230 | 35.5× |
| Cryptococcus antibody (86641) | $585 | $585 | 40.6× |
| Crystals body fluid (89060) | $194 | $194 | 26.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $435 | $435 | 53.8× |
| Culture Aerobic Identify (87077) | $239.50 | $239.50 | 29.6× |
| Culture aerobic quant other (87071) | $129 | $129 | 13.0× |
| Culture afb (87116) | $545 | $545 | 50.5× |
| Culture anaerobic (87075) | $507 | $507 | 53.5× |
| Culture blood (87040) | $456 | $456 | 44.2× |
| Culture chlamydia (87110) | $704 | $704 | 35.9× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $356 | $356 | 46.2× |
| Culture fungus blood (87103) | $175 | $175 | 8.6× |
| Culture fungus id yeast (87106) | $545 | $545 | 52.8× |
| Culture fungus other (87102) | $434 | $434 | 51.6× |
| Culture genital (87070) | $736 | $736 | 85.4× |
| Culture screen only (87081) | $491 | $491 | 74.1× |
| Culture stool (87045) | $617 | $617 | 65.4× |
| Culture typing if ea antiserum (87140) | $19 | $19 | 3.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $105 | $105 | 20.3× |
| Culture typing other methods (87158) | $20 | $20 | 2.6× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $167 | $167 | 4.8× |
| Culture urine (87086) | $418 | $418 | 51.8× |
| Culture virus (87252) | $743.50 | $743.50 | 28.5× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $742 | $742 | 6.4× |
| Cyclic amp (82030) | $1,031 | $1,031 | 40.0× |
| Cyclic Citrullinated Peptide (86200) | $1,022 | $1,022 | 78.9× |
| Cysticercosis Antibody (86682) | $608 | $608 | 46.7× |
| Cytogenetics DNA probe (88271) | $464 | $464 | 21.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $1,120 | $1,120 | 26.1× |
| Cytopath cell enhance tech (88112) | $137 | $137 | 2.7× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $54 | $54 | 1.5× |
| Cytp concentration smears & interpretation (88108) | $68 | $68 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $105 | $105 | 2.1× |
| Cytp fna eval dx 1st each site (88172) | $94 | $94 | 0.6× |
| D-Dimer (85378) | $888 | $888 | 91.4× |
| Deoxyribonuclease antibody (86215) | $586 | $586 | 44.2× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $730 | $730 | 16.7× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $301 | $301 | 18.2× |
| Detect agnt mult DNA ampli (87801) | $1,535 | $1,535 | 21.9× |
| Dgp antibody each ig class (86258) | $730 | $730 | 60.6× |
| Dhea-sulfate (82627) | $483 | $483 | 21.7× |
| Digoxin (80162) | $477 | $477 | 35.9× |
| Dihydrotestosterone (82642) | $610 | $610 | 20.8× |
| Dilantin (80185) | $437 | $437 | 33.0× |
| Diphtheria antitoxoid (86648) | $690 | $690 | 45.4× |
| Dna Antibody Single Stranded (86226) | $326 | $326 | 26.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $261 | $261 | 19.0× |
| DNA/RNA direct probe (87149) | $328 | $328 | 16.4× |
| Dpyd gene common variants (81232) | $399 | $399 | 2.3× |
| Drug assay adalimumab (80145) | $137 | $137 | 3.6× |
| Drug Assay Amiodarone (80151) | $380 | $380 | 20.4× |
| Drug assay felbamate (80167) | $261 | $261 | 14.0× |
| Drug assay flecainide (80181) | $477 | $477 | 25.6× |
| Drug assay methotrexate (80204) | $261 | $261 | 6.8× |
| Drug assay vedolizumab (80280) | $97 | $97 | 2.5× |
| Drug quant nes (80299) | $418 | $418 | 22.4× |
| Drug screen quant zonisamide (80203) | $337 | $337 | 25.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $477 | $477 | 36.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $376 | $376 | 28.4× |
| Drug Scrn Quan Levetiracetam (80177) | $407 | $407 | 30.7× |
| Drug test prsmv chem anlyzr (80307) | $931 | $931 | 15.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $931 | $931 | 73.9× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $931 | $931 | 54.3× |
| E test (87181) | $143 | $143 | 30.1× |
| Ebv viral capsid (86665) | $341 | $341 | 18.8× |
| Egfr Gene Analysis Common Variants (81235) | $1,698 | $1,698 | 5.2× |
| Ehrlichia antibody (86666) | $446 | $446 | 43.8× |
| Elastase pancreatic fecal quantitative (82653) | $1,778 | $1,778 | 77.4× |
| Electrolyte panel (80051) | $545 | $545 | 77.7× |
| Electronic crossmatch (86923) | $421 | $421 | 2.5× |
| Encephalitis Western Equine (86654) | $414 | $414 | 31.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $300 | $300 | 24.8× |
| Enterovirus antibody (86658) | $424 | $424 | 32.5× |
| Enzyme cell activity (82657) | $846.50 | $846.50 | 38.2× |
| Eosinophil count (85048) | $210 | $210 | 82.7× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $300 | $300 | 19.6× |
| Estradiol (82670) | $592 | $592 | 21.2× |
| Estriol serum (82677) | $430 | $430 | 17.8× |
| Estrogens total (82672) | $478 | $478 | 22.0× |
| Ethylene glycol (82693) | $404 | $404 | 27.1× |
| Everolimus (80169) | $445 | $445 | 32.4× |
| F2 gene analysis 20210g >a variant (81240) | $987 | $987 | 15.0× |
| F5 gene analysis, leiden variant (81241) | $903 | $903 | 12.3× |
| Factor ii activity (85210) | $900 | $900 | 69.3× |
| Factor ix activity (85250) | $1,044 | $1,044 | 54.8× |
| Factor v activity (85220) | $1,459 | $1,459 | 82.7× |
| Factor vii assay (85230) | $777 | $777 | 43.4× |
| Factor viii ahg (85240) | $1,868 | $1,868 | 104.4× |
| Factor viii related antigen (85244) | $934 | $934 | 45.7× |
| Factor xi assay (85270) | $1,299 | $1,299 | 72.6× |
| Factor xii assay (85280) | $1,079 | $1,079 | 55.8× |
| Factor xiii solubility screen (85291) | $1,007 | $1,007 | 110.5× |
| Fecal fat qual (82705) | $275 | $275 | 53.9× |
| Fecal fat quant (82710) | $341 | $341 | 20.3× |
| Fetal bleed screen (85461) | $370 | $370 | 39.5× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) | $552 | $552 | 25.1× |
| Fibrin degradation products (85362) | $816 | $816 | 118.4× |
| Fibrin Degradation Quant (85379) | $1,157 | $1,157 | 113.7× |
| Fibrinogen activity (85384) | $352 | $352 | 36.2× |
| Fibrinogen antigen (85385) | $878 | $878 | 60.7× |
| Flow cytometry first marker (88184) | $372 | $372 | 1.1× |
| Flt3 gene analysis (81245) | $522 | $522 | 3.2× |
| Fluorescent Antibody Screen (86255) | $676 | $676 | 56.1× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $380 | $380 | 31.5× |
| Folate serum (82746) | $435 | $435 | 29.6× |
| Folic acid rbc (82747) | $328 | $328 | 18.6× |
| Follicle Stimulating Hormone (83001) | $396 | $396 | 21.3× |
| Francisella tularensis (86668) | $794 | $794 | 56.1× |
| Fresh frozen plasma thawing each unit (86927) | $339 | $339 | 2.0× |
| Frozen Section (88331) | $105 | $105 | 0.6× |
| Fructosamine (82985) | $276 | $276 | 16.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $118 | $118 | 11.4× |
| Gabapentin (80171) | $407 | $407 | 18.8× |
| Gammaglobulin ige (82785) | $310 | $310 | 18.8× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $480 | $480 | 6.1× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $3,326 | $3,326 | 4.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $6,434 | $6,434 | 2.2× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $1,598 | $1,598 | 2.7× |
| Ggt (82977) | $435 | $435 | 60.4× |
| Giardia antigen eia stool (87329) | $230 | $230 | 19.2× |
| Glucagon (82943) | $1,332 | $1,332 | 93.2× |
| Glucose (82947) | $301 | $301 | 76.6× |
| Glucose body fluid (82945) | $261 | $261 | 66.4× |
| Glucose post dose (82950) | $403 | $403 | 84.8× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $63 | $63 | 16.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $747 | $747 | 58.0× |
| Glutathione (82978) | $39 | $39 | 2.5× |
| Gonadotropin releasing hormone (83727) | $798 | $798 | 46.4× |
| Growth hormone (83003) | $505 | $505 | 30.3× |
| Haloperidol (haldol) (80173) | $435 | $435 | 27.6× |
| Haptoglobin (83010) | $357 | $357 | 28.4× |
| Hcg qualitative (84703) | $515 | $515 | 68.5× |
| Hcg quant (84702) | $521.50 | $521.50 | 34.7× |
| Heavy metal quant each (83018) | $553 | $553 | 25.2× |
| Hematocrit (85014) | $165 | $165 | 69.6× |
| Hemoglobin (85018) | $165 | $165 | 69.6× |
| Hemoglobin a1c (83036) | $290 | $290 | 29.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $419 | $419 | 23.2× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $407 | $407 | 52.7× |
| Hemolysins and agglutinins; incubated Facility (86941) | $31 | $31 | 2.6× |
| Hemolysins/agglutinins auto screen (86940) | $22 | $22 | 2.5× |
| Hemosiderin urine (83070) | $341 | $341 | 71.8× |
| Heparin assay (85520) | $429 | $429 | 32.8× |
| Hepatitis a antibody total (86708) | $232 | $232 | 18.7× |
| Hepatitis a igm (86709) | $232 | $232 | 20.6× |
| Hepatitis b core ab igm (86705) | $229 | $229 | 19.5× |
| Hepatitis b core antibody total (86704) | $232.19 | $232.19 | 19.3× |
| Hepatitis B Surface Ab (86706) | $221 | $221 | 20.6× |
| Hepatitis B Surface Antigen (87340) | $208 | $208 | 20.1× |
| Hepatitis be antibody (86707) | $229 | $229 | 19.8× |
| Hepatitis Be Antigen (87350) | $229 | $229 | 19.9× |
| Hepatitis c antibody (86803) | $275 | $275 | 19.3× |
| Hepatitis C Antibody Confirmatory Test (86804) | $814 | $814 | 52.6× |
| Hepatitis C Genotype (87902) | $1,714 | $1,714 | 6.7× |
| Hepatitis delta ab (86692) | $1,054 | $1,054 | 61.4× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $2,131 | $2,131 | 1.6× |
| Herpes simplex type i (86695) | $311 | $311 | 23.6× |
| Herpes simplex type ii (86696) | $469 | $469 | 24.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $338 | $338 | 65.3× |
| Hexagonal phospholipid (85598) | $196 | $196 | 10.9× |
| Hfe gene (81256) | $1,313 | $1,313 | 20.1× |
| Histamine plasma (83088) | $898 | $898 | 30.4× |
| Histoplasma antibody (86698) | $343 | $343 | 24.9× |
| Histoplasma antigen urine (87385) | $1,157 | $1,157 | 87.3× |
| HIV confirmation (86689) | $1,198 | $1,198 | 61.9× |
| HIV-1 antibody (86701) | $260 | $260 | 29.2× |
| HIV-1 genotype (87901) | $3,114 | $3,114 | 12.1× |
| HIV-1 integrase genotype (87906) | $1,049 | $1,049 | 8.1× |
| HIV-2 probe&revrse trnscripj (87538) | $122 | $122 | 3.5× |
| Hla class i typing high resolution one allele or allele group (81381) | $477 | $477 | 2.8× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $1,046 | $1,046 | 11.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $483 | $483 | 6.5× |
| Hla ii typing 1 allele hr (81383) | $1,046 | $1,046 | 9.6× |
| Hla-b27 (86812) | $507 | $507 | 19.6× |
| Homogenization tissue (87176) | $15 | $15 | 2.6× |
| Hpa-1 genotyping gene analysis common variant (81105) | $343 | $343 | 2.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $1,535 | $1,535 | 43.7× |
| Hydroxycorticosteroids 17 (83491) | $529 | $529 | 29.6× |
| Hydroxyprogesterone 17-d (83498) | $380 | $380 | 14.0× |
| Hydroxyproline total (83505) | $456 | $456 | 18.8× |
| Hydroxyproline; free Facility (83500) | $434 | $434 | 19.2× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $67 | $67 | 1.5× |
| Iaad ia clostridium difficile toxin (87324) | $255 | $255 | 21.3× |
| Iaad ia cryptosporidium (87328) | $35 | $35 | 2.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $375 | $375 | 15.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $1,198 | $1,198 | 83.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $341 | $341 | 24.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $52 | $52 | 1.5× |
| Iaad ia shiga-like toxin (87427) | $240 | $240 | 20.0× |
| Iaad Ia Streptococcus Group A (87430) | $418 | $418 | 24.9× |
| Iaadi Legionella Pneumophila (87278) | $1,247 | $1,247 | 79.9× |
| Iaadi Pneumocustis Carinii (87281) | $600 | $600 | 50.1× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $98 | $98 | 3.0× |
| Iaadiadoo not otherwise specified (87899) | $230 | $230 | 14.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $533 | $533 | 15.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $94 | $94 | 2.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $438 | $438 | 12.5× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $176 | $176 | 2.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $829 | $829 | 23.6× |
| Iadna hepatitis b virus amplified probe tq (87516) | $1,104 | $1,104 | 31.5× |
| Iadna hepatitis b virus quantification (87517) | $2,381 | $2,381 | 55.6× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $1,060 | $1,060 | 30.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $1,179 | $1,179 | 27.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $1,450 | $1,450 | 41.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $1,573 | $1,573 | 18.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $126 | $126 | 3.6× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $358 | $358 | 10.2× |
| Iadna nos amplified probe tq each organism (87798) | $668 | $668 | 19.0× |
| Iadna nos quantification each organism (87799) | $1,738.50 | $1,738.50 | 40.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $38 | $38 | 1.1× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $561 | $561 | 1.3× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $172 | $172 | 2.3× |
| Igg subclasses (82787) | $300 | $300 | 37.4× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $824 | $824 | 2.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $380 | $380 | 25.4× |
| Immunoassay nonantibody (83516) | $155 | $155 | 13.4× |
| Immunodiffusion Ouchterlony (86331) | $208 | $208 | 17.4× |
| Immunoelectrophoresis serum (86320) | $899 | $899 | 30.0× |
| Immunofixation (86334) | $664 | $664 | 29.7× |
| Immunofixation urine (86335) | $477 | $477 | 16.3× |
| Immunoglobulin light chains free each (83521) | $387 | $387 | 22.4× |
| Immunohistochemistry (88342) | $541 | $541 | 3.3× |
| In situ hybridization (88365) | $383 | $383 | 2.3× |
| Indirect coombs (86885) | $22 | $22 | 3.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $211 | $211 | 3.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) | $230 | $230 | 18.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) | $358 | $358 | 15.7× |
| Influenza a/b ag eia (87400) | $301 | $301 | 21.3× |
| Inhibin a (86336) | $435 | $435 | 27.9× |
| Inhibin b (83520) | $822 | $822 | 47.6× |
| Insitu hybridization auto (88367) | $167 | $167 | 0.5× |
| Insitu hybridization manual (88368) | $235 | $235 | 0.7× |
| Insulin antibodies (86337) | $396 | $396 | 18.5× |
| Insulin free (83527) | $338 | $338 | 26.1× |
| Insulin total (83525) | $224 | $224 | 19.6× |
| Intrinsic factor antibody (86340) | $837 | $837 | 55.5× |
| Iron (83540) | $326 | $326 | 50.4× |
| Iron binding capacity (83550) | $172 | $172 | 19.7× |
| Irradiation Blood Product Each Unit (86945) | $1,093 | $1,093 | 30.0× |
| Islet cell antibody (86341) | $393.50 | $393.50 | 16.7× |
| Jak2 gene analysis (81270) | $1,152 | $1,152 | 12.6× |
| Kit gene targeted seq analys (81272) | $824 | $824 | 2.5× |
| Kras gene analysis (81275) | $1,789 | $1,789 | 9.3× |
| Kras Gene Analysis Additional Variant(S) (81276) | $613 | $613 | 3.2× |
| Lactoferrin fecal qual (83630) | $232 | $232 | 11.8× |
| Lactoferrin Fecal Quantitative (83631) | $853 | $853 | 43.5× |
| Ldh body fluid (83615) | $332 | $332 | 55.0× |
| Lead (83655) | $231 | $231 | 19.1× |
| Legionella antibody (86713) | $842 | $842 | 55.0× |
| Legionella antigen urine (87449) | $344.50 | $344.50 | 28.8× |
| Leptospira antibody (86720) | $582 | $582 | 35.9× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $232 | $232 | 54.3× |
| Leukocyte Histamine Release (86343) | $593 | $593 | 47.6× |
| Leukocyte phagocytosis (86344) | $2,251 | $2,251 | 216.7× |
| Level ii surg pathology grossµscopic exam (88302) | $103 | $103 | 2.8× |
| Level v surg pathology grossµscopic exam (88307) | $223 | $223 | 0.6× |
| Level vi surg pathology grossµscopic exam (88309) | $316 | $316 | 0.4× |
| Lh (83002) | $343 | $343 | 18.5× |
| Lipase (83690) | $424 | $424 | 61.5× |
| Lipoprotein Bld Hr Fraction (83701) | $888 | $888 | 26.2× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $544 | $544 | 15.9× |
| Listeria ab (86609) | $248 | $248 | 19.3× |
| Lithium (80178) | $208 | $208 | 31.5× |
| Lyme disease antibody (86618) | $469 | $469 | 27.5× |
| Lymphocyte transformation (86353) | $984 | $984 | 20.1× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $289 | $289 | 1.7× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $533 | $533 | 3.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $180 | $180 | 1.1× |
| Macroscopic exam parasite (87169) | $513 | $513 | 119.0× |
| Magnesium (83735) | $338 | $338 | 50.4× |
| Malaria smear (87207) | $414 | $414 | 69.1× |
| Manual cell count each (85032) | $308 | $308 | 71.5× |
| Mass spectrometry qual/quan (83789) | $566 | $566 | 23.5× |
| Mercury urine (83825) | $537.50 | $537.50 | 33.1× |
| Metabolic Panel Ionized Ca (80047) | $681 | $681 | 49.6× |
| Methemoglobin (83050) | $21 | $21 | 2.6× |
| Methylmalonic acid serum (83921) | $1,054.50 | $1,054.50 | 49.7× |
| Microalbumin urine (82043) | $221 | $221 | 38.2× |
| Microsatellite instability (81301) | $1,141 | $1,141 | 3.3× |
| Microsomal antibodies (86376) | $275 | $275 | 18.9× |
| Mitochondrial antibody each (86381) | $229 | $229 | 9.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $180 | $180 | 4.2× |
| Mopath procedure level 5 (81404) | $2,422 | $2,422 | 8.8× |
| Mrsa PCR (87641) | $778 | $778 | 22.2× |
| Mtb PCR (87556) | $1,421 | $1,421 | 34.1× |
| Mtb rifampin rst amp prb tq (87564) | $192 | $192 | 2.5× |
| Mthfr Gene Analysis Common Variants (81291) | $919 | $919 | 14.1× |
| Mucopolysaccharides acid quantitative (83864) | $1,407 | $1,407 | 49.4× |
| Muramidase (85549) | $343 | $343 | 18.3× |
| Muscle-specific kinase (musk) antibody (86366) | $54 | $54 | 2.9× |
| Mycobacteric identification (87118) | $37 | $37 | 2.5× |
| Mycophenolic acid (80180) | $230 | $230 | 12.7× |
| Mycoplasma antibody (86738) | $321.50 | $321.50 | 24.3× |
| Mycoplasma culture (87109) | $699 | $699 | 45.4× |
| Myelin basic protein csf (83873) | $438 | $438 | 25.5× |
| Myoglobin urine (83874) | $994.50 | $994.50 | 77.0× |
| Nasal smear for eosinophils (89190) | $211 | $211 | 36.4× |
| Natriuretic peptide (83880) | $954 | $954 | 24.3× |
| Neutralization Test Viral (86382) | $429 | $429 | 25.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $701 | $701 | 9.7× |
| Nickel level (83885) | $800 | $800 | 32.6× |
| Nk cells total count (86357) | $739 | $739 | 19.6× |
| Nras gene variants exon 2&3 (81311) | $919 | $919 | 3.1× |
| Nuclear antigen antibody (86235) | $339.50 | $339.50 | 18.9× |
| Occult blood gastric (82271) | $154 | $154 | 28.9× |
| Occult blood stool (82272) | $135 | $135 | 31.9× |
| Oligoclonal bands (83916) | $740 | $740 | 27.0× |
| Organic Acids Qualitative Each Specimen (83919) | $1,335 | $1,335 | 81.2× |
| Organic acids total quantitative each specimen (83918) | $1,241 | $1,241 | 52.6× |
| Orthopoxvirus Amp Prb Each (87593) | $113 | $113 | 2.2× |
| Osmolality serum (83930) | $135 | $135 | 20.4× |
| Osmolality urine (83935) | $149 | $149 | 21.8× |
| Osmotic fragility rbc incubated (85557) | $2,188 | $2,188 | 163.8× |
| Ova and parasite direct-id lca (87177) | $438 | $438 | 49.2× |
| Oxalate urine (83945) | $437 | $437 | 30.2× |
| Pancreatic elastase, fecal (82656) | $1,778 | $1,778 | 154.2× |
| Pancreatic polypeptide (83519) | $953.50 | $953.50 | 51.8× |
| Parvovirus antibody (86747) | $485.50 | $485.50 | 32.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $89 | $89 | 0.1× |
| Ph body fluid (83986) | $117 | $117 | 32.7× |
| Ph urine (81003) | $128.50 | $128.50 | 57.1× |
| Phenylalanine (84030) | $306 | $306 | 55.6× |
| Phenytoin free (80186) | $261 | $261 | 19.0× |
| Phosphatase alkaline (84075) | $380 | $380 | 73.4× |
| Phosphorus blood (84100) | $249.50 | $249.50 | 52.6× |
| Phosphorus urine (84105) | $105 | $105 | 18.2× |
| Pinworm exam (87172) | $245 | $245 | 57.4× |
| Plasminogen (85420) | $208 | $208 | 31.9× |
| Platelet count automated (85049) | $261 | $261 | 58.3× |
| Pmp22 gene dup/delet (81324) | $2,191 | $2,191 | 2.9× |
| Pooling blood platelets (86965) | $1,023 | $1,023 | 6.2× |
| Porphobilinogen urine quant (84110) | $165 | $165 | 19.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $414 | $414 | 28.1× |
| Potassium (84132) | $181 | $181 | 38.0× |
| Potassium urine (84133) | $181 | $181 | 38.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $393 | $393 | 2.4× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $393 | $393 | 2.4× |
| Pretx serum rbc antibody identification dilution (86976) | $56 | $56 | 2.0× |
| Primidone (80188) | $343 | $343 | 20.7× |
| Procainamide napa (80192) | $496 | $496 | 29.6× |
| Procalcitonin (pct) (84145) | $1,017 | $1,017 | 37.4× |
| Progesterone (84144) | $328 | $328 | 15.7× |
| Protein body fluid (84157) | $276 | $276 | 69.0× |
| Protein c activity (85303) | $840 | $840 | 60.7× |
| Protein c antigen (85302) | $306 | $306 | 25.5× |
| Protein electrophoresis serum (84165) | $491 | $491 | 45.7× |
| Protein Electrophoresis Urine (84166) | $529 | $529 | 29.7× |
| Protein s total (85305) | $326 | $326 | 28.1× |
| Protein total serum (84155) | $380 | $380 | 103.5× |
| Protein urine (84156) | $380 | $380 | 103.5× |
| Protein Western Blot (84182) | $88 | $88 | 3.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $435 | $435 | 110.4× |
| Protoporphyrin rbc quantitative (84202) | $491 | $491 | 34.2× |
| PSA free (84154) | $418 | $418 | 22.7× |
| Pth intact (83970) | $756 | $756 | 18.3× |
| Pyruvate kinase (84220) | $549 | $549 | 58.2× |
| Quinidine (80194) | $276 | $276 | 18.9× |
| Rbc (85041) | $301 | $301 | 99.7× |
| Rbc antibody elution (86860) | $393 | $393 | 2.4× |
| Rbc pretreatment serum (86978) | $136 | $136 | 2.4× |
| Rbc pretx incubatj w/chemicl (86970) | $136 | $136 | 2.4× |
| Renin activity plasma (84244) | $418 | $418 | 19.0× |
| Reptilase test (85635) | $358 | $358 | 36.3× |
| Resp virus 12-25 targets (87633) | $1,348 | $1,348 | 3.2× |
| Reticulocyte count auto (85045) | $172 | $172 | 43.1× |
| Reticulocyte separation (86972) | $393 | $393 | 2.4× |
| Rheumatoid factor quant (86431) | $322.50 | $322.50 | 56.9× |
| Rickettsia antibody (86757) | $704 | $704 | 36.4× |
| Ristocetin cofactor (85245) | $1,306 | $1,306 | 56.9× |
| Rotavirus ag eia (87425) | $300 | $300 | 25.0× |
| Rpr Titer (86593) | $114 | $114 | 25.9× |
| Rubella antibody (86762) | $385 | $385 | 26.8× |
| Rubeola Antibody Igg (86765) | $388 | $388 | 30.1× |
| Russell viper venom time (includes venom); undiluted Facility (85612) | $704 | $704 | 40.3× |
| Russell viper venom time diluted (85613) | $1,234 | $1,234 | 128.8× |
| Salicylate Level (80179) | $629 | $629 | 33.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $76 | $76 | 1.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $62 | $62 | 1.5× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $17 | $17 | 2.6× |
| Sedimentation rate auto (85652) | $197 | $197 | 73.0× |
| Selenium (84255) | $275 | $275 | 10.8× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $513 | $513 | 42.6× |
| Sensitivity kb (87184) | $261 | $261 | 34.9× |
| Sensitivity mic (87186) | $338 | $338 | 39.1× |
| Serotonin Release Assay (86022) | $1,385.50 | $1,385.50 | 75.4× |
| Serpina1 gene (81332) | $855 | $855 | 19.6× |
| Sex hormone binding globulin (84270) | $337 | $337 | 15.5× |
| Sickling of rbc reduction (85660) | $232 | $232 | 42.1× |
| Sirolimus (rapamycin) (80195) | $418 | $418 | 30.4× |
| Smear acid fast (87206) | $237.50 | $237.50 | 44.1× |
| Smear complex stain (87209) | $78 | $78 | 4.3× |
| Smear gram stain (87205) | $221 | $221 | 51.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $276 | $276 | 47.4× |
| Snrpn/ube3a gene (81331) | $1,328 | $1,328 | 26.0× |
| Sodium (84295) | $172 | $172 | 35.8× |
| Sodium feces (84302) | $624 | $624 | 128.4× |
| Sodium urine (84300) | $172 | $172 | 34.0× |
| Soluble transferrin receptor (84238) | $673 | $673 | 18.4× |
| Somatomedin (84305) | $1,372 | $1,372 | 64.5× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $567 | $567 | 4.4× |
| Special stains group 1 (88312) | $78 | $78 | 1.5× |
| Specific gravity body fluid (84315) | $149 | $149 | 45.4× |
| Spectrophotometry (84311) | $843.50 | $843.50 | 104.1× |
| Splitting blood/blood products each unit (86985) | $518 | $518 | 3.1× |
| Staph a DNA amp probe (87640) | $240 | $240 | 6.8× |
| Stool Culture, Addl Pathogens (87046) | $94 | $94 | 10.0× |
| Strep a assay w/optic (87880) | $418 | $418 | 25.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $861 | $861 | 9.4× |
| Sugars mono di&oligos mlt qualitative each spe (84377) | $211 | $211 | 38.4× |
| Surg path level 1 (88300) | $36 | $36 | 1.3× |
| Surg path level iii (88304) | $105 | $105 | 2.1× |
| Surgical pathology level IV (88305) | $154 | $154 | 3.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $435 | $435 | 59.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $862 | $862 | 18.3× |
| T cells total count (86359) | $549 | $549 | 14.6× |
| T3 free (84481) | $317 | $317 | 18.7× |
| T3 reverse (84482) | $829 | $829 | 52.6× |
| T3 total (84480) | $266 | $266 | 18.8× |
| T3 uptake (84479) | $414 | $414 | 64.0× |
| T4 free (84439) | $445 | $445 | 49.3× |
| T4 total (84436) | $414 | $414 | 60.3× |
| Tb ag response t-cell susp (86481) | $121 | $121 | 1.2× |
| Tb test, cell immun measure (86480) | $576 | $576 | 9.3× |
| Testosterone free (84402) | $478 | $478 | 18.8× |
| Testosterone total (84403) | $483 | $483 | 18.7× |
| Theophylline (80198) | $469 | $469 | 33.2× |
| Thiopurine methyltransferase (84433) | $323 | $323 | 14.6× |
| Thrombin time plasma (85670) | $391 | $391 | 67.8× |
| Thromboplastin Inhibition Tissue (85705) | $211 | $211 | 21.9× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $690 | $690 | 106.6× |
| Thyroglobulin (84432) | $418 | $418 | 26.0× |
| Thyroglobulin antibody (86800) | $457 | $457 | 28.7× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $1,265 | $1,265 | 24.9× |
| Thyroxine binding globulin (84442) | $279 | $279 | 18.9× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $266 | $266 | 62.3× |
| Tissue culture bone marrow (88237) | $1,231 | $1,231 | 8.6× |
| Tissue culture lymphocyte (88230) | $1,406 | $1,406 | 12.1× |
| Tissue transglutaminase ab iga (86364) | $428.50 | $428.50 | 37.2× |
| Tobramycin peak (80200) | $306 | $306 | 19.0× |
| Touch prep (88161) | $149 | $149 | 5.3× |
| Toxoplasma ab igm (86778) | $380 | $380 | 26.4× |
| Toxoplasma antibody igg (86777) | $434 | $434 | 30.2× |
| Transferrin (84466) | $247 | $247 | 19.4× |
| Trichinella antibody (86784) | $541 | $541 | 43.1× |
| Triglycerides (84478) | $281 | $281 | 49.0× |
| Troponin (84484) | $418 | $418 | 33.5× |
| Tumor immunohistochem/comput (88361) | $946 | $946 | 2.7× |
| Urea nitrogen (84520) | $209 | $209 | 52.9× |
| Urea Nitrogen Clearance (84545) | $129 | $129 | 17.9× |
| Urea nitrogen urine (84540) | $154 | $154 | 27.7× |
| Uric acid blood (84550) | $356 | $356 | 78.8× |
| Uric acid other source (84560) | $304 | $304 | 59.8× |
| Urinalysis auto w/scope (81001) | $229 | $229 | 72.2× |
| Urine Bacteria Culture (87088) | $75 | $75 | 9.3× |
| Urine pregnancy test (81025) | $515 | $515 | 59.8× |
| Urine volume measurement (81050) | $50 | $50 | 13.7× |
| Valproic acid (80164) | $260 | $260 | 19.2× |
| Vancomycin trough (80202) | $403 | $403 | 29.8× |
| Varicella-zoster antibody (86787) | $485.50 | $485.50 | 37.7× |
| Vasoactive intestinal peptide (vip) (84586) | $1,667 | $1,667 | 47.2× |
| Vdrl csf (86592) | $117 | $117 | 27.4× |
| Virus antibody nos (86790) | $902 | $902 | 70.0× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $433.50 | $433.50 | 12.8× |
| Virus inoculate tissue addl (87253) | $51 | $51 | 2.5× |
| Virus inoculation, shell via (87254) | $478 | $478 | 24.4× |
| Viscosity serum (85810) | $343 | $343 | 29.4× |
| Vitamin A (84590) | $308 | $308 | 26.5× |
| Vitamin b-12 (82607) | $290 | $290 | 19.2× |
| Vitamin b1 (thiamine) (84425) | $659 | $659 | 31.0× |
| Vitamin b2 (84252) | $300 | $300 | 14.8× |
| Vitamin b3 niacin (84591) | $968 | $968 | 56.7× |
| Vitamin b6 (84207) | $380 | $380 | 13.5× |
| Vitamin c (82180) | $608 | $608 | 61.5× |
| Vitamin D 25-Hydroxy (82306) | $491 | $491 | 16.6× |
| Vitamin e serum (84446) | $266 | $266 | 18.8× |
| Voltage-gated calcium channel antibody each (86596) | $1,011 | $1,011 | 83.9× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $229 | $229 | 26.6× |
| West nile virus antibody (86789) | $673 | $673 | 46.8× |
| West nile virus igm (86788) | $673 | $673 | 39.9× |
| Zika Virus Dna/Rna Amp Probe (87662) | $144 | $144 | 2.8× |
| Zinc (84630) | $221 | $221 | 19.4× |