| Acetone serum qual (82009) |
$30 |
$30 |
6.6× |
| Afb concentration (87015) |
$30 |
$30 |
4.5× |
| Afb culture (87116) |
$93 |
$93 |
8.6× |
| Afb smear (87206) |
$44 |
$44 |
8.2× |
| Albumin serum (82040) |
$56 |
$56 |
11.3× |
| Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) |
$23 |
$23 |
3.7× |
| Alkaline phosphatase (84075) |
$56 |
$56 |
10.8× |
| Allergen profile perennial allergen (86003) |
$13 |
$13 |
2.5× |
| Alt (84460) |
$59 |
$59 |
11.1× |
| Amylase (82150) |
$112 |
$112 |
17.3× |
| Ana (86038) |
$21 |
$21 |
1.7× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$151 |
$151 |
8.3× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$87 |
$87 |
5.5× |
| Analysis for antibody to respiratory syncytial virus (RSV) (86756) |
$92 |
$92 |
5.8× |
| Anti-mitochondrial antibody (86255) |
$288 |
$288 |
23.9× |
| Ast (84450) |
$56 |
$56 |
10.8× |
| B cells total count (86355) |
$101 |
$101 |
2.7× |
| Bacterium antibody (86609) |
$208 |
$208 |
16.1× |
| Bartonella antibody (86611) |
$99 |
$99 |
9.7× |
| Bcr/abl1 gene major bp (81206) |
$146 |
$146 |
0.9× |
| Bcr/abl1 gene minor bp (81207) |
$146 |
$146 |
1.0× |
| Beta 2 glycoprotein i antibody (86146) |
$475 |
$475 |
18.7× |
| Bilirubin direct (82248) |
$59 |
$59 |
11.8× |
| Bilirubin total (82247) |
$59 |
$59 |
11.8× |
| Blood count reticulocyte automated (85045) |
$12 |
$12 |
3.0× |
| Blood gases any combination (82803) |
$222 |
$222 |
8.5× |
| Blood typing serologic abo (86900) |
$118 |
$118 |
39.5× |
| Blood typing serologic rh (d) (86901) |
$110 |
$110 |
36.8× |
| Bordetella pertussis igm (86615) |
$240 |
$240 |
18.2× |
| Breath alcohol test (82075) |
$32 |
$32 |
1.1× |
| C diff amplified probe (87493) |
$49 |
$49 |
1.3× |
| C-reactive protein (86140) |
$20 |
$20 |
3.9× |
| Cadmium (82300) |
$459 |
$459 |
19.4× |
| Calcium ionized (82330) |
$111 |
$111 |
8.1× |
| Calcium total (82310) |
$111 |
$111 |
21.5× |
| Candida DNA amp probe (87481) |
$70 |
$70 |
2.0× |
| Carbon dioxide (82374) |
$43 |
$43 |
8.8× |
| Cardiolipin antibody ea ig class (86147) |
$475 |
$475 |
18.7× |
| Catecholamines (organic nitrogen) urine level (82382) |
$164 |
$164 |
6.0× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$197 |
$197 |
4.2× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$116 |
$116 |
20.7× |
| Chlamydia pneumoniae PCR (87486) |
$347 |
$347 |
9.9× |
| Chloride blood (82435) |
$43 |
$43 |
9.3× |
| Cholesterol total (82465) |
$56 |
$56 |
12.9× |
| Chorionic gonadotropin test (84702) |
$97 |
$97 |
6.4× |
| Chromosome analysis 15-20 cells (88262) |
$843 |
$843 |
6.7× |
| Complement antigen ea component (86160) |
$50 |
$50 |
4.2× |
| Complement total (ch50) (86162) |
$41 |
$41 |
2.0× |
| Creatine kinase total (82550) |
$112 |
$112 |
17.2× |
| Creatinine (82565) |
$93 |
$93 |
18.2× |
| Creatinine other source (82570) |
$695 |
$695 |
134.2× |
| Crossmatch ahg (86922) |
$442 |
$442 |
2.5× |
| Crystals fluid (89060) |
$43 |
$43 |
5.9× |
| Culture anaerobic (87075) |
$92 |
$92 |
9.7× |
| Culture blood (87040) |
$237 |
$237 |
23.0× |
| Culture fungus blood (87103) |
$81 |
$81 |
4.0× |
| Culture stool (87045) |
$21 |
$21 |
2.2× |
| Culture typing glc/hplc (87143) |
$69 |
$69 |
5.5× |
| Culture urine (87086) |
$139 |
$139 |
17.2× |
| Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate,… (87149) |
$58 |
$58 |
2.9× |
| Cyclic citrullinated peptide ab (86200) |
$124 |
$124 |
9.6× |
| Cytomegalovirus antibody igm (86645) |
$24 |
$24 |
1.4× |
| Cytopath cell enhance tech (88112) |
$146 |
$146 |
2.7× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$31 |
$31 |
1.5× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$54 |
$54 |
2.0× |
| Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) |
$117 |
$117 |
0.7× |
| Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation (88106) |
$147 |
$147 |
4.8× |
| Cytopathology, smears, any other source; screening and interpretation (88160) |
$147 |
$147 |
4.8× |
| Cytp eval fine needle aspirate interp & report (88173) |
$312 |
$312 |
5.7× |
| D-dimer quantitative (85379) |
$208 |
$208 |
20.4× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$74 |
$74 |
5.4× |
| Direct antiglobulin test (86880) |
$110 |
$110 |
20.4× |
| Drug assay vedolizumab (80280) |
$233 |
$233 |
6.0× |
| Ear culture (87070) |
$135 |
$135 |
15.7× |
| Ehrlichia antibody (86666) |
$185 |
$185 |
18.2× |
| Electrolytes panel (80051) |
$139 |
$139 |
19.8× |
| Eosinophils urine (87205) |
$77 |
$77 |
18.0× |
| Extractable nuclear antigen antibody any method (86235) |
$141 |
$141 |
7.9× |
| Factor ix activity (85250) |
$423 |
$423 |
22.2× |
| Factor viii activity (85240) |
$1,845 |
$1,845 |
103.1× |
| Factor xi activity (85270) |
$411 |
$411 |
23.0× |
| Ferritin (82728) |
$47 |
$47 |
3.4× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$577 |
$577 |
10.1× |
| Folate serum (82746) |
$48 |
$48 |
3.3× |
| Fungus isolation culture (87102) |
$48 |
$48 |
5.7× |
| Gardnerella vaginalis amp probe (87511) |
$70 |
$70 |
2.0× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$30 |
$30 |
9.1× |
| Glucose Fasting (82947) |
$48 |
$48 |
12.2× |
| Glucose tolerance test (gtt) (82951) |
$56 |
$56 |
4.4× |
| Glycated hemoglobin (83036) |
$158 |
$158 |
16.3× |
| Hcg ql (84703) |
$33 |
$33 |
4.4× |
| HDL cholesterol (83718) |
$27 |
$27 |
3.3× |
| Heavy metal quan each nes (83018) |
$459 |
$459 |
20.9× |
| Hematocrit (hct) (85014) |
$38 |
$38 |
16.0× |
| Hemoglobin (85018) |
$39 |
$39 |
16.5× |
| Herpes simplex virus by PCR (87529) |
$164 |
$164 |
4.7× |
| Heterophile antibody screen (86308) |
$30 |
$30 |
5.8× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$185 |
$185 |
7.7× |
| Hpv high-risk types (87624) |
$70 |
$70 |
2.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) |
$151 |
$151 |
2.2× |
| Hpv types 16 & 18 only (87625) |
$81 |
$81 |
2.0× |
| Htt gene analysis detect abnormal alleles (81271) |
$1,082 |
$1,082 |
7.9× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$144 |
$144 |
4.1× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$144 |
$144 |
2.8× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$454 |
$454 |
3.2× |
| Immunoassay analyte quantitative nos (83520) |
$233 |
$233 |
13.5× |
| Immunodiffusion ouchterlony (86331) |
$208 |
$208 |
17.4× |
| Immunoglobulin d (82784) |
$21 |
$21 |
2.3× |
| Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) |
$253 |
$253 |
0.7× |
| Immunoperoxidase (88342) |
$211 |
$211 |
1.2× |
| In situ hybridization 1st probe stain (88365) |
$377 |
$377 |
2.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$290 |
$290 |
6.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$82 |
$82 |
2.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$407 |
$407 |
9.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) |
$41 |
$41 |
2.0× |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) |
$142 |
$142 |
0.5× |
| Influenza a ag eia (87400) |
$104 |
$104 |
7.4× |
| Iron (83540) |
$23 |
$23 |
3.6× |
| Iron binding capacity (83550) |
$140 |
$140 |
16.0× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$148 |
$148 |
3.8× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$155 |
$155 |
3.9× |
| Lactate (83605) |
$166 |
$166 |
14.3× |
| Lactate dehydrogenase (83615) |
$108 |
$108 |
17.9× |
| Lead (83655) |
$459 |
$459 |
37.9× |
| Legionella culture (87081) |
$48 |
$48 |
7.2× |
| Legionella urine antigen (87449) |
$28 |
$28 |
2.3× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$66 |
$66 |
1.7× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$88 |
$88 |
1.6× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$148 |
$148 |
2.7× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$598 |
$598 |
1.6× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$873 |
$873 |
1.0× |
| Lipase (83690) |
$143 |
$143 |
20.8× |
| Lipoprotein bld by nmr (83704) |
$113 |
$113 |
3.3× |
| M/phmtrc alys in situ hybridization ea probe mnl (88368) |
$285 |
$285 |
0.8× |
| M/phmtrc alys ishquant/semiq (88377) |
$854 |
$854 |
4.8× |
| Magnesium (83735) |
$108 |
$108 |
16.1× |
| Manual differential (85007) |
$124 |
$124 |
32.6× |
| Mercury (83825) |
$459 |
$459 |
28.2× |
| Microalbumin urine (82043) |
$20 |
$20 |
3.5× |
| Mold id (87107) |
$45 |
$45 |
4.4× |
| Molecular cytogenetics DNA probe each (88271) |
$274 |
$274 |
12.8× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$140 |
$140 |
2.7× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$253 |
$253 |
1.4× |
| Mrsa PCR (87641) |
$57 |
$57 |
1.6× |
| Mumps antibody (86735) |
$92 |
$92 |
7.0× |
| Mycoplasma antibody (86738) |
$78 |
$78 |
5.9× |
| Mycoplasma pneumoniae by PCR (87581) |
$346 |
$346 |
9.9× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$475 |
$475 |
41.2× |
| N.gonorrhoeae DNA amp prob (87591) |
$103 |
$103 |
2.9× |
| Natriuretic peptide (83880) |
$278 |
$278 |
7.1× |
| Neutralization test viral (86382) |
$70 |
$70 |
4.1× |
| Nk cells total count (86357) |
$94 |
$94 |
2.5× |
| Occult bld feces 1-3 tests (82272) |
$30 |
$30 |
7.1× |
| Occult blood other sources (82271) |
$30 |
$30 |
5.6× |
| Occult blood screening (82270) |
$30 |
$30 |
6.8× |
| Pancreatic polypeptide (83519) |
$217 |
$217 |
11.8× |
| Parathyroid hormone (83970) |
$111 |
$111 |
2.7× |
| Parvovirus antibody (86747) |
$45 |
$45 |
3.0× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$252 |
$252 |
0.7× |
| Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) |
$193 |
$193 |
0.2× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$211 |
$211 |
1.2× |
| Pertussis by PCR (87798) |
$215 |
$215 |
6.1× |
| Phosphorus (84100) |
$93 |
$93 |
19.6× |
| Platelet count automated (85049) |
$30 |
$30 |
6.7× |
| Porphyrins total plasma (84311) |
$49 |
$49 |
6.0× |
| Potassium (84132) |
$59 |
$59 |
12.4× |
| Potassium urine (84133) |
$14 |
$14 |
3.0× |
| Prealbumin (84134) |
$48 |
$48 |
3.3× |
| Procalcitonin (pct) (84145) |
$274 |
$274 |
10.1× |
| Prolactin (84146) |
$266 |
$266 |
13.7× |
| Prostate specific antigen (PSA); complexed (direct measurement) Other Outpatient (84152) |
$78 |
$78 |
4.2× |
| Protein c activity (85303) |
$178 |
$178 |
12.9× |
| Protein electrophoresis serum (84165) |
$27 |
$27 |
2.5× |
| Protein electrophoresis urine (84166) |
$29 |
$29 |
1.6× |
| Protein s antigen, free (85306) |
$172 |
$172 |
11.2× |
| Protein total other source (84157) |
$73 |
$73 |
18.3× |
| Protein total serum (84155) |
$67 |
$67 |
18.3× |
| Protein total urine (84156) |
$29 |
$29 |
7.9× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$115 |
$115 |
3.9× |
| Protozoa antibody nos (86753) |
$144 |
$144 |
11.6× |
| PSA free (84154) |
$23 |
$23 |
1.3× |
| Rbc antibody screen (86850) |
$29 |
$29 |
3.0× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$29 |
$29 |
2.2× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$29 |
$29 |
1.5× |
| Rheumatoid factor quant (86431) |
$31 |
$31 |
5.5× |
| Rubeola antibody (86765) |
$291 |
$291 |
22.6× |
| Russell viper venom diluted (85613) |
$39 |
$39 |
4.1× |
| Sedimentation rate rbc non-automated (85651) |
$68 |
$68 |
15.9× |
| Semen analysis post vasectomy (89321) |
$55 |
$55 |
4.6× |
| Sex hormone binding globulin (84270) |
$32 |
$32 |
1.5× |
| Shiga-like toxin ag eia (87427) |
$91 |
$91 |
7.6× |
| Skin test tuberculosis intradermal (86580) |
$53 |
$53 |
1.7× |
| Smear wet mount (87210) |
$37 |
$37 |
6.4× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$577 |
$577 |
4.2× |
| Sodium (84295) |
$43 |
$43 |
8.9× |
| Sodium other source (84302) |
$49 |
$49 |
10.1× |
| Special stains group i (88312) |
$237 |
$237 |
4.3× |
| Special stains group ii (88313) |
$171 |
$171 |
1.2× |
| Stone analysis (82365) |
$76 |
$76 |
5.9× |
| Strep a assay w/optic (87880) |
$58 |
$58 |
3.5× |
| Strep a DNA amp probe (87651) |
$128 |
$128 |
3.6× |
| Surg path level 1 (88300) |
$32 |
$32 |
1.0× |
| Susceptibility mic per plate (87186) |
$146 |
$146 |
16.9× |
| T3 free (84481) |
$57 |
$57 |
3.4× |
| Testosterone free (84402) |
$70 |
$70 |
2.7× |
| Testosterone total (84403) |
$80 |
$80 |
3.1× |
| Thyroglobulin (84432) |
$212 |
$212 |
13.2× |
| Thyroglobulin antibody (86800) |
$25 |
$25 |
1.6× |
| Thyroxine free (ft4) (84439) |
$32 |
$32 |
3.5× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$242 |
$242 |
21.0× |
| Transferrin (84466) |
$7 |
$7 |
0.5× |
| Trichomonas vagin dir probe (87660) |
$41 |
$41 |
2.0× |
| Trichomonas vaginalis amplif (87661) |
$102 |
$102 |
2.9× |
| Triglycerides (84478) |
$43 |
$43 |
7.5× |
| Troponin t (84484) |
$41 |
$41 |
3.3× |
| Troponin, qualitative Other Outpatient (84512) |
$187 |
$187 |
18.5× |
| Unlisted molecular pathology (81479) |
$195 |
$195 |
— |
| Urea nitrogen quantitative (84520) |
$80 |
$80 |
20.3× |
| Uric acid blood (84550) |
$89 |
$89 |
19.7× |
| Urinalysis microscopic only (81015) |
$35 |
$35 |
11.5× |
| Urine Pregnancy Test POC (81025) |
$31 |
$31 |
3.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$35 |
$35 |
15.6× |
| Vancomycin (80202) |
$47 |
$47 |
3.5× |
| Virus antibody nos (86790) |
$80 |
$80 |
6.2× |
| Vitamin b-12 (82607) |
$53 |
$53 |
3.5× |
| Vitamin d 25 hydroxy (82306) |
$103 |
$103 |
3.5× |
| Voltage-gated calcium channel antibody each (86596) |
$405 |
$405 |
33.6× |
| Yeast id (87106) |
$45 |
$45 |
4.4× |
| Z t cells total count (86359) |
$101 |
$101 |
2.7× |