| Afb culture (87116) |
$93 |
$93 |
8.6× |
| Albumin serum (82040) |
$56 |
$56 |
11.3× |
| Allergen specific ige (86003) |
$13 |
$13 |
2.5× |
| Alt (sgpt) (84460) |
$59 |
$59 |
11.1× |
| Amylase urine (82150) |
$112 |
$112 |
17.3× |
| Antibody cytomegalovirus cmv igm (86645) |
$24 |
$24 |
1.4× |
| Antibody haemophilus influenza (86684) |
$87 |
$87 |
5.5× |
| Antibody herpes smplx type 1 (86695) |
$29 |
$29 |
2.2× |
| Antibody mumps (86735) |
$92 |
$92 |
7.0× |
| Antibody Protozoa Nes (86753) |
$144 |
$144 |
11.6× |
| Antibody rubeola (86765) |
$291 |
$291 |
22.6× |
| Antibody screen (86850) |
$29 |
$29 |
3.0× |
| Antinuclear antibodies (86038) |
$21 |
$21 |
1.7× |
| Assay of blood chloride (82435) |
$43 |
$43 |
9.3× |
| Assay of ferritin (82728) |
$47 |
$47 |
3.4× |
| Assay of gammaglobulin igm (82784) |
$21 |
$21 |
2.3× |
| Assay of parathormone (83970) |
$111 |
$111 |
2.7× |
| Assay of prealbumin (84134) |
$48 |
$48 |
3.3× |
| Assay of prostate specific antigen complexed (84152) |
$78 |
$78 |
4.2× |
| Ast (sgot) (84450) |
$56 |
$56 |
10.8× |
| B cells total count (86355) |
$101 |
$101 |
2.7× |
| 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,Ea (86146) |
$475 |
$475 |
18.7× |
| Bilirubin direct (82248) |
$59 |
$59 |
11.8× |
| Bilirubin total (82247) |
$59 |
$59 |
11.8× |
| Bl Smear W/Diff Wbc Count (85007) |
$124 |
$124 |
32.6× |
| Blood count reticulocyte automated (85045) |
$12 |
$12 |
3.0× |
| Blood gases (82803) |
$222 |
$222 |
8.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$30 |
$30 |
6.8× |
| Blood typing abo (86900) |
$118 |
$118 |
39.5× |
| Blood typing serologic rh (d) (86901) |
$110 |
$110 |
36.8× |
| Body fluid cell count (89051) |
$116 |
$116 |
20.7× |
| Bordetella antibody (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 level (82300) |
$459 |
$459 |
19.4× |
| Calcium ionized (82330) |
$111 |
$111 |
8.1× |
| Calcium total (82310) |
$111 |
$111 |
21.5× |
| Calculus Spectroscopy (82365) |
$76 |
$76 |
5.9× |
| Carbon dioxide (82374) |
$43 |
$43 |
8.8× |
| Cardiolipin ab igg (86147) |
$475 |
$475 |
18.7× |
| Catecholamines Total Urine (82382) |
$164 |
$164 |
6.0× |
| Cholesterol total (82465) |
$56 |
$56 |
12.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$843 |
$843 |
6.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$82 |
$82 |
2.3× |
| Compatibility test antiglob (86922) |
$442 |
$442 |
2.5× |
| Complement c3 (86160) |
$50 |
$50 |
4.2× |
| Complement total ch50 (86162) |
$41 |
$41 |
2.0× |
| Concentration Infectious Agent (87015) |
$30 |
$30 |
4.5× |
| Coombs direct (86880) |
$110 |
$110 |
20.4× |
| Creatine kinase total (82550) |
$112 |
$112 |
17.2× |
| Creatinine blood (82565) |
$93 |
$93 |
18.2× |
| Creatinine other source (82570) |
$695 |
$695 |
134.2× |
| Culture anaerobic (87075) |
$92 |
$92 |
9.7× |
| Culture blood (87040) |
$237 |
$237 |
23.0× |
| Culture fungus blood (87103) |
$81 |
$81 |
4.0× |
| Culture fungus id yeast (87106) |
$45 |
$45 |
4.4× |
| Culture fungus other (87102) |
$48 |
$48 |
5.7× |
| Culture genital (87070) |
$135 |
$135 |
15.7× |
| Culture screen only (87081) |
$48 |
$48 |
7.2× |
| Culture stool (87045) |
$21 |
$21 |
2.2× |
| Culture Typing, Glc Method (87143) |
$69 |
$69 |
5.5× |
| Culture urine (87086) |
$139 |
$139 |
17.2× |
| Cyclic Citrullinated Peptide (86200) |
$124 |
$124 |
9.6× |
| Cytogenetics DNA probe (88271) |
$274 |
$274 |
12.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$407 |
$407 |
9.5× |
| Cytopath cell enhance tech (88112) |
$146 |
$146 |
2.7× |
| Cytopath Fl Nongyn Filter (88106) |
$147 |
$147 |
4.8× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$155 |
$155 |
3.9× |
| Cytopath Smear Other Source (88160) |
$147 |
$147 |
4.8× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$54 |
$54 |
2.0× |
| Cytp concentration smears & interpretation (88108) |
$148 |
$148 |
3.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$312 |
$312 |
5.7× |
| Cytp fna eval dx 1st each site (88172) |
$117 |
$117 |
0.7× |
| D-Dimer (85379) |
$208 |
$208 |
20.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$74 |
$74 |
5.4× |
| DNA/RNA direct probe (87149) |
$58 |
$58 |
2.9× |
| Drug assay vedolizumab (80280) |
$233 |
$233 |
6.0× |
| Ebv viral capsid (86665) |
$151 |
$151 |
8.3× |
| Ehrlichia antibody (86666) |
$185 |
$185 |
18.2× |
| Electrolyte panel (80051) |
$139 |
$139 |
19.8× |
| Endomysial antibody iga (86255) |
$288 |
$288 |
23.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$43 |
$43 |
5.9× |
| Factor ix activity (85250) |
$423 |
$423 |
22.2× |
| Factor viii ahg (85240) |
$1,845 |
$1,845 |
103.1× |
| Factor xi assay (85270) |
$411 |
$411 |
23.0× |
| Fmr1 gene detection (81243) |
$577 |
$577 |
10.1× |
| Folate serum (82746) |
$48 |
$48 |
3.3× |
| Frozen Section (88331) |
$211 |
$211 |
1.2× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$45 |
$45 |
4.4× |
| Gardner vag DNA dir probe (87510) |
$41 |
$41 |
2.0× |
| Gastric Occult Blood (82271) |
$30 |
$30 |
5.6× |
| Glucose (82947) |
$48 |
$48 |
12.2× |
| Glucose Blood Test (82962) |
$30 |
$30 |
9.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$56 |
$56 |
4.4× |
| Hcg qualitative (84703) |
$33 |
$33 |
4.4× |
| Hcg quant (84702) |
$97 |
$97 |
6.4× |
| Hdl Cholesterol (83718) |
$27 |
$27 |
3.3× |
| Heavy metal quant each (83018) |
$459 |
$459 |
20.9× |
| Hematocrit (85014) |
$38 |
$38 |
16.0× |
| Hemoglobin (85018) |
$39 |
$39 |
16.5× |
| Hemoglobin a1c (83036) |
$158 |
$158 |
16.3× |
| Herpes simplex type 2 (86696) |
$29 |
$29 |
1.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$30 |
$30 |
5.8× |
| Hpv types 16 & 18 only (87625) |
$81 |
$81 |
2.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$164 |
$164 |
4.7× |
| Htt gene analysis detect abnormal alleles (81271) |
$1,082 |
$1,082 |
7.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$185 |
$185 |
7.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$144 |
$144 |
4.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
$91 |
$91 |
7.6× |
| Iadna candida species amplified probe tq (87481) |
$70 |
$70 |
2.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$347 |
$347 |
9.9× |
| Iadna gardnerella vaginalis amplified probe tq (87511) |
$70 |
$70 |
2.0× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) |
$151 |
$151 |
2.2× |
| Iadna human papillomavirus high-risk types (87624) |
$70 |
$70 |
2.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$346 |
$346 |
9.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$103 |
$103 |
2.9× |
| Iadna nos amplified probe tq each organism (87798) |
$215 |
$215 |
6.1× |
| Iadna nos quantification each organism (87799) |
$290 |
$290 |
6.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$102 |
$102 |
2.9× |
| Immunoassay nonantibody (83516) |
$475 |
$475 |
41.2× |
| Immunodiffusion Ouchterlony (86331) |
$208 |
$208 |
17.4× |
| Immunohisto Antibody Slide (88344) |
$253 |
$253 |
0.7× |
| Immunohistochemistry (88342) |
$211 |
$211 |
1.2× |
| India ink prep (87210) |
$37 |
$37 |
6.4× |
| Influenza a/b ag eia (87400) |
$104 |
$104 |
7.4× |
| Inhibin b (83520) |
$233 |
$233 |
13.5× |
| Insitu hybridization (fish) (88365) |
$377 |
$377 |
2.1× |
| Insitu hybridization manual (88368) |
$285 |
$285 |
0.8× |
| Intraop cyto path consult 1 (88333) |
$193 |
$193 |
0.2× |
| Iron (83540) |
$23 |
$23 |
3.6× |
| Iron binding capacity (83550) |
$140 |
$140 |
16.0× |
| Lactic acid (83605) |
$166 |
$166 |
14.3× |
| Ldh (83615) |
$108 |
$108 |
17.9× |
| Lead (83655) |
$459 |
$459 |
37.9× |
| Legionella antigen urine (87449) |
$28 |
$28 |
2.3× |
| Level ii surg pathology grossµscopic exam (88302) |
$66 |
$66 |
1.7× |
| Level v surg pathology grossµscopic exam (88307) |
$598 |
$598 |
1.6× |
| Level vi surg pathology grossµscopic exam (88309) |
$873 |
$873 |
1.0× |
| Lipase (83690) |
$143 |
$143 |
20.8× |
| Listeria ab (86609) |
$208 |
$208 |
16.1× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$854 |
$854 |
4.8× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
$252 |
$252 |
0.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$253 |
$253 |
1.4× |
| Magnesium (83735) |
$108 |
$108 |
16.1× |
| Mercury (83825) |
$459 |
$459 |
28.2× |
| Microalbumin urine (82043) |
$20 |
$20 |
3.5× |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
$140 |
$140 |
2.7× |
| Mrsa amp probe (87641) |
$57 |
$57 |
1.6× |
| Mycoplasma antibody (86738) |
$78 |
$78 |
5.9× |
| Natriuretic peptide (83880) |
$278 |
$278 |
7.1× |
| Neutralization test, viral (86382) |
$70 |
$70 |
4.1× |
| Nfct ds bv&vaginitis DNA alg (81514) |
$142 |
$142 |
0.5× |
| Nk cells total count (86357) |
$94 |
$94 |
2.5× |
| Nmr Lipoprofile (83704) |
$113 |
$113 |
3.3× |
| Nuclear antigen antibody (86235) |
$141 |
$141 |
7.9× |
| Occult blood stool (82272) |
$30 |
$30 |
7.1× |
| Pancreatic polypeptide (83519) |
$217 |
$217 |
11.8× |
| Parvovirus antibody (86747) |
$45 |
$45 |
3.0× |
| Phosphatase alkaline (84075) |
$56 |
$56 |
10.8× |
| Phosphorus blood (84100) |
$93 |
$93 |
19.6× |
| Platelet count (85049) |
$30 |
$30 |
6.7× |
| Potassium (84132) |
$59 |
$59 |
12.4× |
| Potassium urine (84133) |
$14 |
$14 |
3.0× |
| Procalcitonin (pct) (84145) |
$274 |
$274 |
10.1× |
| Prolactin (84146) |
$266 |
$266 |
13.7× |
| Protein body fluid (84157) |
$73 |
$73 |
18.3× |
| 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 Functional (85306) |
$172 |
$172 |
11.2× |
| Protein Total Serum (84155) |
$67 |
$67 |
18.3× |
| Protein urine (84156) |
$29 |
$29 |
7.9× |
| Protein Western Blot (84182) |
$115 |
$115 |
3.9× |
| PSA free (84154) |
$23 |
$23 |
1.3× |
| Respiratory Virus (86756) |
$92 |
$92 |
5.8× |
| Rheumatoid factor quant (86431) |
$31 |
$31 |
5.5× |
| Russell viper venom time diluted (85613) |
$39 |
$39 |
4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$144 |
$144 |
2.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$454 |
$454 |
3.2× |
| Sedimentation rate (85651) |
$68 |
$68 |
15.9× |
| Semen analysis sperm presence&/motility sprm (89321) |
$55 |
$55 |
4.6× |
| Sensitivity mic (87186) |
$146 |
$146 |
16.9× |
| Sex hormone binding globulin (84270) |
$32 |
$32 |
1.5× |
| Smear acid fast (87206) |
$44 |
$44 |
8.2× |
| Smear gram stain (87205) |
$77 |
$77 |
18.0× |
| Smn1 Gene Dos/Deletion Alys (81329) |
$577 |
$577 |
4.2× |
| Sodium (84295) |
$43 |
$43 |
8.9× |
| Sodium other source (84302) |
$49 |
$49 |
10.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$171 |
$171 |
1.2× |
| Special stains group 1 (88312) |
$237 |
$237 |
4.3× |
| Spectrophotometry (84311) |
$49 |
$49 |
6.0× |
| Strep a assay w/optic (87880) |
$58 |
$58 |
3.5× |
| Strep a DNA amp probe (87651) |
$128 |
$128 |
3.6× |
| Surg path level iii (88304) |
$88 |
$88 |
1.6× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$32 |
$32 |
1.0× |
| Surgical pathology level IV (88305) |
$148 |
$148 |
2.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$197 |
$197 |
4.2× |
| T cells, total count (86359) |
$101 |
$101 |
2.7× |
| T3 free (84481) |
$57 |
$57 |
3.4× |
| T4 Free (84439) |
$32 |
$32 |
3.5× |
| Tb intradermal test (86580) |
$53 |
$53 |
1.7× |
| Test for acetone/ketones (82009) |
$30 |
$30 |
6.6× |
| Testosterone free (84402) |
$70 |
$70 |
2.7× |
| Testosterone total (84403) |
$80 |
$80 |
3.1× |
| Thin prep pap (88142) |
$31 |
$31 |
1.5× |
| Thyroglobulin (84432) |
$212 |
$212 |
13.2× |
| Thyroglobulin Ab (86800) |
$25 |
$25 |
1.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
$242 |
$242 |
21.0× |
| Transferrin (84466) |
$7 |
$7 |
0.5× |
| Trichomonas vagin dir probe (87660) |
$41 |
$41 |
2.0× |
| Triglycerides (84478) |
$43 |
$43 |
7.5× |
| Troponin (84484) |
$41 |
$41 |
3.3× |
| Troponin i qualitative (84512) |
$187 |
$187 |
18.5× |
| Urea nitrogen (84520) |
$80 |
$80 |
20.3× |
| Uric acid blood (84550) |
$89 |
$89 |
19.7× |
| Urinalysis microscopic only (81015) |
$35 |
$35 |
11.5× |
| Urine microalbumin (protein) analysis (82044) |
$23 |
$23 |
3.7× |
| Urine pregnancy test (81025) |
$31 |
$31 |
3.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$35 |
$35 |
15.6× |
| Vancomycin trough (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× |