| 1 25 Dihydroxy includes fractions if performed (82652) |
$94.50 |
$135 |
2.5× |
| 5 Nucleotidase (83915) |
$23.10 |
$33 |
2.1× |
| Abl1 gene (81170) |
$363.30 |
$519 |
1.2× |
| Acetylcholinesterase (82013) |
$27.30 |
$39 |
2.2× |
| Acth stimulation panel adrenal insufficiency (80400) |
$80.50 |
$115 |
2.5× |
| Actin smooth muscle antibody each (86015) |
$20.30 |
$29 |
1.7× |
| Activated protein c resistance (85307) |
$35.70 |
$51 |
2.3× |
| Acute hepatitis panel (80074) |
$111.30 |
$159 |
2.3× |
| Acylcarnitine Plasma (82017) |
$39.20 |
$56 |
2.3× |
| Acylcarnitines; qualitative, each specimen Facility (82016) |
$36.40 |
$52 |
2.2× |
| Adamts13 activity (85397) |
$68.60 |
$98 |
2.2× |
| Adenovirus Ag Ia (87301) |
$28 |
$40 |
2.3× |
| Adenovirus ag, if (87260) |
$32.20 |
$46 |
2.2× |
| Adenovirus antibody (86603) |
$22.40 |
$32 |
1.7× |
| Adrenocorticotropic hormone (82024) |
$95.20 |
$136 |
2.5× |
| Afp maternal serum (82105) |
$41.30 |
$59 |
2.5× |
| Agglutinins febrile ea antigen (86000) |
$17.50 |
$25 |
2.5× |
| Albumin body fluid (82042) |
$16.10 |
$23 |
2.1× |
| Albumin serum (82040) |
$12.60 |
$18 |
2.5× |
| Aldolase (82085) |
$23.80 |
$34 |
2.5× |
| Aldosterone urine (82088) |
$90.30 |
$129 |
2.2× |
| Alk phos heat stable (84078) |
$14 |
$20 |
1.7× |
| Alkaline phosphatase isoenzymes (84080) |
$36.40 |
$52 |
2.5× |
| Allergen peanut (86003) |
$12.60 |
$18 |
2.4× |
| Allergen spec ige qual multiallergen screen (86005) |
$19.60 |
$28 |
2.5× |
| Allergen specific igg (86001) |
$17.50 |
$25 |
2.2× |
| Allg Spec Ige Recomb Ea (86008) |
$44.10 |
$63 |
2.5× |
| Alpha-1-antitrypsin phenotype (82104) |
$35.70 |
$51 |
2.5× |
| Alpha-1-antitrypsin, total (82103) |
$32.90 |
$47 |
2.4× |
| Alpha-Fetoprotein L3 (82107) |
$147 |
$210 |
2.3× |
| Alpha-Fetoprotein; Amniotic (82106) |
$41.30 |
$59 |
2.4× |
| Alt (sgpt) (84460) |
$14 |
$20 |
2.6× |
| Aluminum (82108) |
$48.30 |
$69 |
1.9× |
| Amikacin trough (80150) |
$37.10 |
$53 |
2.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$51.10 |
$73 |
2.2× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$39.20 |
$56 |
2.3× |
| Amino Acids Quant 2-5 (82136) |
$43.40 |
$62 |
2.2× |
| Amino Acids, Multiple Qual (82128) |
$34.30 |
$49 |
2.5× |
| Aminolevulinic acid (ala) (82135) |
$40.60 |
$58 |
2.5× |
| Amniotic fluid enzyme test (84081) |
$39.20 |
$56 |
2.4× |
| Amniotic fluid scan (82143) |
$21 |
$30 |
2.2× |
| Amylase urine (82150) |
$18.20 |
$26 |
2.8× |
| Ana titer (86039) |
$27.30 |
$39 |
2.4× |
| Angiotensin i enzyme test (82164) |
$35.70 |
$51 |
2.4× |
| Anti-phosphatidylserine antibody (86148) |
$37.80 |
$54 |
2.4× |
| Antibody aspergillus (86606) |
$36.40 |
$52 |
2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$37.80 |
$54 |
2.4× |
| Antibody coxiella burnetii q fever (86638) |
$30.10 |
$43 |
2.5× |
| Antibody cytomegalovirus cmv (86644) |
$35.70 |
$51 |
2.5× |
| Antibody Encephalitis Eastern Equine (86652) |
$32.20 |
$46 |
2.4× |
| Antibody encephalitis st. louis (86653) |
$32.20 |
$46 |
2.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$32.20 |
$46 |
2.5× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$28.70 |
$41 |
2.3× |
| Antibody haemophilus influenza (86684) |
$37.10 |
$53 |
2.3× |
| Antibody helicobacter pylori (86677) |
$47.60 |
$68 |
2.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$35.70 |
$51 |
2.5× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$32.20 |
$46 |
2.3× |
| Antibody identification (86870) |
$963.90 |
$1,377 |
2.2× |
| Antibody identification leukocyte antibodies (86021) |
$37.10 |
$53 |
2.5× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$30.80 |
$44 |
2.5× |
| Antibody influenza virus (86710) |
$31.50 |
$45 |
2.3× |
| Antibody john cunningham virus (86711) |
$37.80 |
$54 |
2.2× |
| Antibody leishmania (86717) |
$28.70 |
$41 |
2.3× |
| Antibody Listeria Monocytogenes (86723) |
$30.80 |
$44 |
2.3× |
| Antibody mumps (86735) |
$32.20 |
$46 |
2.5× |
| Antibody neisseria meningitidis (86741) |
$30.80 |
$44 |
2.3× |
| Antibody Protozoa Nes (86753) |
$28.70 |
$41 |
2.3× |
| Antibody screen (86850) |
$170.10 |
$243 |
17.4× |
| Antibody treponema pallidum (86780) |
$34.30 |
$49 |
2.6× |
| Antibody; campylobacter (86625) |
$30.80 |
$44 |
2.3× |
| Antibody; Coccidioides (86635) |
$26.60 |
$38 |
2.3× |
| Antibody; HTLV-II Facility (86688) |
$32.90 |
$47 |
2.4× |
| Antigen typing (86905) |
$62.30 |
$89 |
16.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$387.10 |
$553 |
74.7× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$21 |
$30 |
1.7× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) |
$21 |
$30 |
1.7× |
| Antinuclear antibodies (86038) |
$29.40 |
$42 |
2.4× |
| Antistreptolysin o titer (86060) |
$18.20 |
$26 |
2.5× |
| Antithrombin iii activity (85300) |
$29.40 |
$42 |
2.5× |
| Antithrombin iii antigen (85301) |
$26.60 |
$38 |
2.5× |
| Aortic dysfunction/dilation dup/del analysis (81411) |
$91.70 |
$131 |
0.1× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) |
$88.90 |
$127 |
0.2× |
| Apc gene dup/delet variants (81203) |
$443.80 |
$634 |
2.2× |
| Apc gene full sequence (81201) |
$1,297.10 |
$1,853 |
1.7× |
| Apolipoprotein each (82172) |
$46.90 |
$67 |
2.2× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$21 |
$30 |
1.7× |
| Arsenic Urine (82175) |
$46.90 |
$67 |
2.5× |
| Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia,… (81412) |
$469 |
$670 |
0.2× |
| Aspa gene analysis common variants (81200) |
$130.20 |
$186 |
2.8× |
| Aspergillus ag eia (87305) |
$28 |
$40 |
2.3× |
| Assay 17-(17-Ks)Ketosteroids (83586) |
$31.50 |
$45 |
2.5× |
| Assay galactose transferase (82775) |
$51.80 |
$74 |
2.5× |
| Assay Lipoprotein Pla2 (83698) |
$102.90 |
$147 |
2.2× |
| Assay myeloperoxidase (83876) |
$142.80 |
$204 |
2.8× |
| Assay Nephelometry Not Spec (83883) |
$31.50 |
$45 |
2.3× |
| Assay of 17-hydroxypregnenolone (84143) |
$48.30 |
$69 |
2.1× |
| Assay of 5-hiaa (83497) |
$31.50 |
$45 |
2.4× |
| Assay of ammonia (82140) |
$35.70 |
$51 |
2.5× |
| Assay of androstenedione (82157) |
$72.10 |
$103 |
2.5× |
| Assay of biotinidase (82261) |
$39.20 |
$56 |
2.3× |
| Assay of c-peptide (84681) |
$51.10 |
$73 |
2.5× |
| Assay of ceruloplasmin (82390) |
$26.60 |
$38 |
2.5× |
| Assay of citrate (82507) |
$68.60 |
$98 |
2.5× |
| Assay of corticosterone (82528) |
$42.70 |
$61 |
1.9× |
| Assay of cpk in blood (82552) |
$32.90 |
$47 |
2.5× |
| Assay of creatine (82540) |
$11.20 |
$16 |
2.4× |
| Assay of cyclosporine (80158) |
$44.10 |
$63 |
2.4× |
| Assay of erythropoietin (82668) |
$46.20 |
$66 |
2.5× |
| Assay of estrone (82679) |
$64.40 |
$92 |
2.6× |
| Assay of ethosuximide (80168) |
$39.90 |
$57 |
2.4× |
| Assay of ferritin (82728) |
$31.50 |
$45 |
2.3× |
| Assay of g6pd enzyme (82955) |
$17.50 |
$25 |
1.8× |
| Assay of gammaglobulin igm (82784) |
$21.70 |
$31 |
2.3× |
| Assay of gastrin (82941) |
$43.40 |
$62 |
2.5× |
| Assay of gentamicin (80170) |
$40.60 |
$58 |
2.5× |
| Assay of homocystine (83090) |
$41.30 |
$59 |
2.3× |
| Assay of lactic acid (83605) |
$28 |
$40 |
2.4× |
| Assay of lipoprotein(a) (83695) |
$31.50 |
$45 |
2.2× |
| Assay of manganese (83785) |
$60.20 |
$86 |
2.3× |
| Assay of metanephrines (83835) |
$42 |
$60 |
2.5× |
| Assay of osteocalcin (83937) |
$73.50 |
$105 |
2.5× |
| Assay of phenobarbital (80184) |
$34.30 |
$49 |
2.2× |
| Assay of phosphatase acid total (84060) |
$18.20 |
$26 |
2.4× |
| Assay of prealbumin (84134) |
$35.70 |
$51 |
2.4× |
| Assay of proinsulin (84206) |
$52.50 |
$75 |
2.0× |
| Assay of prolactin (84146) |
$47.60 |
$68 |
2.5× |
| Assay of prostate specific antigen complexed (84152) |
$45.50 |
$65 |
2.5× |
| Assay of pyruvate (84210) |
$31.50 |
$45 |
2.2× |
| Assay of semen fructose (82757) |
$42.70 |
$61 |
2.5× |
| Assay of serotonin (84260) |
$76.30 |
$109 |
2.5× |
| Assay of tacrolimus (80197) |
$38.50 |
$55 |
2.8× |
| Assay of topiramate (80201) |
$29.40 |
$42 |
2.5× |
| Assay of Tyrosine (84510) |
$25.90 |
$37 |
2.4× |
| Assay of urine vma (84585) |
$37.80 |
$54 |
2.4× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$83.30 |
$119 |
2.5× |
| Assay of vitamin k (84597) |
$33.60 |
$48 |
2.4× |
| Assay of volatiles (84600) |
$39.90 |
$57 |
2.3× |
| Assay Phosphatase Acid Prostatic (84066) |
$23.10 |
$33 |
2.4× |
| Ast (sgot) (84450) |
$13.30 |
$19 |
2.6× |
| Atomic Absorption (82190) |
$19.60 |
$28 |
1.2× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) |
$161 |
$230 |
1.2× |
| B cells total count (86355) |
$105.70 |
$151 |
2.8× |
| B-hexosaminidase ea assay (83080) |
$39.20 |
$56 |
2.3× |
| Bartonella antibody (86611) |
$23.80 |
$34 |
2.3× |
| Bartonella PCR (87471) |
$81.90 |
$117 |
2.3× |
| BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis,… (81205) |
$154 |
$220 |
1.6× |
| Bcr/abl1 gene major bp (81206) |
$372.40 |
$532 |
2.3× |
| Bcr/abl1 gene minor bp (81207) |
$348.60 |
$498 |
2.4× |
| Beta 2 glycoprotein 1 igm (86146) |
$56.70 |
$81 |
2.2× |
| Beta hydroxybutyrate (82010) |
$18.90 |
$27 |
2.3× |
| Beta lactamase (87185) |
$11.90 |
$17 |
2.5× |
| Beta-2 microglobulin (82232) |
$39.90 |
$57 |
2.5× |
| Bile acids, total (82239) |
$42 |
$60 |
2.5× |
| Bilirubin direct (82248) |
$12.60 |
$18 |
2.5× |
| Bilirubin total (82247) |
$13.30 |
$19 |
2.6× |
| Bilirubin total transcutaneous (88720) |
$12.60 |
$18 |
2.5× |
| Bl Smear W/Diff Wbc Count (85007) |
$8.40 |
$12 |
2.2× |
| Bl Smear W/O Diff Wbc Count (85008) |
$8.40 |
$12 |
2.4× |
| Blastomyces antibody (86612) |
$31.50 |
$45 |
2.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$396.20 |
$566 |
1.9× |
| Bld Typing Serologic Rh Phnt (86906) |
$54.60 |
$78 |
7.0× |
| Blood Count Automated Differential Wbc Count (85004) |
$13.30 |
$19 |
2.1× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) |
$14 |
$20 |
2.5× |
| Blood gas (82803) |
$73.50 |
$105 |
2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$41.30 |
$59 |
2.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$9.80 |
$14 |
2.2× |
| Blood Ph (82800) |
$24.50 |
$35 |
2.2× |
| Blood Sulfhemoglobin Assay (83060) |
$20.30 |
$29 |
2.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$940.10 |
$1,343 |
148.0× |
| Blood typing abo (86900) |
$286.30 |
$409 |
95.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$88.20 |
$126 |
5.4× |
| Blood typing serologic rh (d) (86901) |
$114.80 |
$164 |
38.4× |
| Body fluid cell count (89051) |
$13.30 |
$19 |
2.4× |
| Body fluid cell count (89050) |
$11.90 |
$17 |
2.5× |
| Bone Marrow Smear Interpretation (85097) |
$2,153.90 |
$3,077 |
2.2× |
| Bordetella antibody (86615) |
$32.20 |
$46 |
2.4× |
| Borrelia Antibody (86619) |
$32.90 |
$47 |
2.5× |
| Braf gene (81210) |
$378.70 |
$541 |
2.2× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) |
$1,523.20 |
$2,176 |
3.3× |
| Brca1 gene analysis known familial variant (81215) |
$833 |
$1,190 |
2.2× |
| Brca1&2 seq & full dup/del (81162) |
$3,152.10 |
$4,503 |
1.7× |
| Brca2 gene analysis known familial variant (81217) |
$833 |
$1,190 |
2.2× |
| Brucella antibody (86622) |
$21.70 |
$31 |
2.4× |
| C diff amplified probe (87493) |
$104.30 |
$149 |
2.8× |
| C-reactive protein (86140) |
$12.60 |
$18 |
2.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$36.40 |
$52 |
2.8× |
| C1q binding assay (86332) |
$60.20 |
$86 |
2.5× |
| Ca 125 (86304) |
$51.10 |
$73 |
2.5× |
| Ca 19-9 (86301) |
$51.10 |
$73 |
2.5× |
| Ca 27 29 (86300) |
$51.10 |
$73 |
2.5× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) |
$167.30 |
$239 |
1.2× |
| Cadmium level (82300) |
$51.10 |
$73 |
2.2× |
| Calcitonin (82308) |
$65.80 |
$94 |
2.5× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) |
$197.40 |
$282 |
2.5× |
| Calcium ionized (82330) |
$35.70 |
$51 |
2.6× |
| Calcium total (82310) |
$13.30 |
$19 |
2.6× |
| Calcium urine (82340) |
$14.70 |
$21 |
2.4× |
| Calculus Quantitative Chemical (82360) |
$31.50 |
$45 |
2.4× |
| Calculus spectroscopy (82365) |
$31.50 |
$45 |
2.4× |
| Calculus; X-ray diffraction Facility (82370) |
$30.80 |
$44 |
2.5× |
| California encephalitis ab (86651) |
$32.20 |
$46 |
2.4× |
| Calprotectin, fecal (83993) |
$48.30 |
$69 |
2.5× |
| Calr gene com variants (81219) |
$298.90 |
$427 |
2.5× |
| Candida antibody (86628) |
$29.40 |
$42 |
2.4× |
| Carb deficient transferrin (82373) |
$44.10 |
$63 |
2.4× |
| Carbamazepine free (80157) |
$32.90 |
$47 |
2.5× |
| Carbamazepine total (80156) |
$35.70 |
$51 |
2.5× |
| Carbon dioxide (82374) |
$12.60 |
$18 |
2.6× |
| Carboxyhemoglobin (82375) |
$30.10 |
$43 |
2.4× |
| Carcinoembryonic antigen (82378) |
$53.20 |
$76 |
2.8× |
| Cardiolipin ab igg (86147) |
$59.50 |
$85 |
2.3× |
| Carnitine (82379) |
$39.20 |
$56 |
2.3× |
| Carotene (82380) |
$22.40 |
$32 |
2.4× |
| Catecholamines fraction plasma (82384) |
$48.30 |
$69 |
1.9× |
| Catecholamines organic nitrogen blood level (82383) |
$64.40 |
$92 |
2.2× |
| Cell marker study (88182) |
$112.70 |
$161 |
1.8× |
| CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants… (81221) |
$89.60 |
$128 |
0.9× |
| Cftr gene com variants (81220) |
$661.50 |
$945 |
1.2× |
| Cftr gene dup/delet variants (81222) |
$429.10 |
$613 |
1.0× |
| Cftr gene full sequence (81223) |
$1,104.60 |
$1,578 |
2.2× |
| Chemiluminescent assay (82397) |
$32.90 |
$47 |
2.3× |
| Chlamydia antibody (86631) |
$29.40 |
$42 |
2.5× |
| Chlamydia Igm Antibody (86632) |
$31.50 |
$45 |
2.5× |
| Chlamydia trachomatis ag if (87270) |
$28 |
$40 |
2.3× |
| Chloride blood (82435) |
$11.90 |
$17 |
2.6× |
| Chloride feces (82438) |
$11.90 |
$17 |
2.4× |
| Chloride urine (82436) |
$12.60 |
$18 |
2.2× |
| Cholesterol HDL (83718) |
$21 |
$30 |
2.6× |
| Cholesterol total (82465) |
$11.20 |
$16 |
2.6× |
| Cholinesterase rbc (82482) |
$21.70 |
$31 |
2.2× |
| Cholinesterase serum (82480) |
$19.60 |
$28 |
2.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$306.60 |
$438 |
2.4× |
| Chromium urine (82495) |
$46.20 |
$66 |
2.3× |
| Chromogenic Substrate Assay (85130) |
$28 |
$40 |
2.4× |
| Chromogranin a (86316) |
$51.10 |
$73 |
2.5× |
| Chromosome analysis 20-25 cells (88264) |
$321.30 |
$459 |
2.2× |
| Chromosome analysis 45 cells (88263) |
$360.50 |
$515 |
2.4× |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
$357 |
$510 |
2.1× |
| Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) |
$426.30 |
$609 |
2.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$81.90 |
$117 |
2.3× |
| Ckmb (82553) |
$32.20 |
$46 |
2.8× |
| Clot Factor VIII Multimetric (85247) |
$56.70 |
$81 |
2.5× |
| Clot factor viii vw antigen (85246) |
$56.70 |
$81 |
2.5× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$44.10 |
$63 |
2.5× |
| Clot factor xiii fibrin stab (85290) |
$39.90 |
$57 |
2.4× |
| Clotting hi molec weight kininogen assay (85293) |
$46.90 |
$67 |
2.5× |
| Clotting Inhibitors Protein S Free (85306) |
$35.70 |
$51 |
2.3× |
| Clotting prekallikrein assay fletcher fact assay (85292) |
$46.90 |
$67 |
2.5× |
| Clozapine level (80159) |
$45.50 |
$65 |
2.3× |
| Cmv ab igm (86645) |
$36.40 |
$52 |
2.2× |
| Cmv PCR (87496) |
$81.90 |
$117 |
2.3× |
| Cns DNA amp probe type 12-25 (87483) |
$473.20 |
$676 |
1.1× |
| Coagulation time activated (85347) |
$10.50 |
$15 |
2.5× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$53.20 |
$76 |
2.2× |
| Cold agglutinin screen (86156) |
$18.20 |
$26 |
2.3× |
| Cold agglutinin titer (86157) |
$19.60 |
$28 |
2.4× |
| Collagen cross links (82523) |
$45.50 |
$65 |
2.4× |
| Comparative anal str markers patient&comp spec (81265) |
$324.10 |
$463 |
1.4× |
| Compatibility test antiglob (86922) |
$398.30 |
$569 |
2.0× |
| Complement c3 (86160) |
$29.40 |
$42 |
2.4× |
| Complement total (ch50) (86162) |
$49.70 |
$71 |
2.4× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$29.40 |
$42 |
2.4× |
| Concentration Infectious Agent (87015) |
$16.10 |
$23 |
2.4× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
$149.80 |
$214 |
3.3× |
| Coombs direct (86880) |
$166.60 |
$238 |
30.9× |
| Copper urine (82525) |
$30.80 |
$44 |
2.5× |
| Cortisol free (82530) |
$41.30 |
$59 |
2.5× |
| Cortisol total (82533) |
$39.90 |
$57 |
2.4× |
| Creatine kinase total (82550) |
$16.80 |
$24 |
2.6× |
| Creatinine blood (82565) |
$13.30 |
$19 |
2.6× |
| Creatinine clearance (82575) |
$22.40 |
$32 |
2.4× |
| Creatinine other source (82570) |
$13.30 |
$19 |
2.6× |
| Crossmatch immediate spin (86920) |
$111.30 |
$159 |
0.5× |
| Cryofibrinogen (82585) |
$31.50 |
$45 |
2.2× |
| Cryoglobulin (82595) |
$18.20 |
$26 |
2.8× |
| Cryptococcus antibody (86641) |
$33.60 |
$48 |
2.3× |
| Crystals body fluid (89060) |
$17.50 |
$25 |
2.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$18.90 |
$27 |
2.3× |
| Culture Aerobic Identify (87077) |
$21 |
$30 |
2.6× |
| Culture aerobic quant other (87071) |
$23.10 |
$33 |
2.3× |
| Culture afb (87116) |
$26.60 |
$38 |
2.5× |
| Culture anaerobic (87075) |
$23.10 |
$33 |
2.4× |
| Culture Bacteria Anaerobic (87073) |
$23.10 |
$33 |
2.4× |
| Culture blood (87040) |
$25.20 |
$36 |
2.4× |
| Culture chlamydia (87110) |
$48.30 |
$69 |
2.5× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$18.90 |
$27 |
2.5× |
| Culture fungus blood (87103) |
$45.50 |
$65 |
2.2× |
| Culture fungus id yeast (87106) |
$25.20 |
$36 |
2.4× |
| Culture fungus other (87102) |
$21 |
$30 |
2.5× |
| Culture genital (87070) |
$21 |
$30 |
2.4× |
| Culture screen only (87081) |
$15.40 |
$22 |
2.3× |
| Culture stool (87045) |
$23.10 |
$33 |
2.4× |
| Culture typing if ea antiserum (87140) |
$14 |
$20 |
2.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$12.60 |
$18 |
2.4× |
| Culture typing other methods (87158) |
$17.50 |
$25 |
2.3× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) |
$74.20 |
$106 |
2.1× |
| Culture urine (87086) |
$19.60 |
$28 |
2.4× |
| Culture virus (87252) |
$64.40 |
$92 |
2.5× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
$269.50 |
$385 |
2.3× |
| Cyanide (82600) |
$43.40 |
$62 |
2.2× |
| Cyclic Citrullinated Peptide (86200) |
$31.50 |
$45 |
2.4× |
| Cyp2c9 gene com variants (81227) |
$155.40 |
$222 |
0.9× |
| Cyp2d6 gene com variants (81226) |
$870.10 |
$1,243 |
1.9× |
| Cyp3a4 (81230) |
$301.70 |
$431 |
1.7× |
| Cyp3a5 (81231) |
$301.70 |
$431 |
1.7× |
| Cystatin c (82610) |
$41.30 |
$59 |
2.2× |
| Cysticercosis Antibody (86682) |
$30.10 |
$43 |
2.3× |
| Cytogenetics 10-30 (88273) |
$79.10 |
$113 |
2.3× |
| Cytogenetics 100-300 (88275) |
$113.40 |
$162 |
2.2× |
| Cytogenetics DNA probe (88271) |
$52.50 |
$75 |
2.5× |
| Cytogenom const microarray copy number&snp var (81229) |
$1,719.20 |
$2,456 |
1.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$84 |
$120 |
2.0× |
| Cytopath cell enhance tech (88112) |
$134.40 |
$192 |
2.2× |
| Cytopath Fl Nongyn Filter (88106) |
$120.40 |
$172 |
3.5× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$56.70 |
$81 |
1.3× |
| Cytopath Smear Other Source (88160) |
$56.70 |
$81 |
1.6× |
| Cytopath Tbs Cerv/Vag Manual (88164) |
$35 |
$50 |
1.9× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$65.10 |
$93 |
2.4× |
| Cytp concentration smears & interpretation (88108) |
$91 |
$130 |
2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$170.10 |
$243 |
2.7× |
| Cytp fna eval dx 1st each site (88172) |
$509.60 |
$728 |
2.5× |
| Cytp Insitu Hybrid Urne Spec 3-5 Probes Cptr Ea (88121) |
$835.80 |
$1,194 |
4.1× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$134.40 |
$192 |
2.2× |
| Deoxycortisol (82634) |
$72.10 |
$103 |
2.5× |
| Deoxyribonuclease antibody (86215) |
$32.90 |
$47 |
2.5× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
$98.70 |
$141 |
2.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$37.10 |
$53 |
2.2× |
| Detect agnt mult DNA ampli (87801) |
$70 |
$100 |
1.0× |
| Dgp antibody each ig class (86258) |
$20.30 |
$29 |
1.7× |
| Dhea (82626) |
$62.30 |
$89 |
2.5× |
| Dhea-sulfate (82627) |
$54.60 |
$78 |
2.5× |
| Digoxin (80162) |
$32.90 |
$47 |
2.5× |
| Dihydrotestosterone (82642) |
$72.10 |
$103 |
2.5× |
| Dilantin (80185) |
$32.90 |
$47 |
2.5× |
| Diphtheria antitoxoid (86648) |
$35.70 |
$51 |
2.3× |
| Dmd dup/delet analysis (81161) |
$379.40 |
$542 |
1.4× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$33.60 |
$48 |
2.4× |
| DNA/RNA direct probe (87149) |
$37.80 |
$54 |
1.9× |
| Dpyd gene common variants (81232) |
$196 |
$280 |
1.1× |
| Drug assay adalimumab (80145) |
$70 |
$100 |
1.8× |
| Drug Assay Amiodarone (80151) |
$17.50 |
$25 |
0.9× |
| Drug Assay Infliximab (80230) |
$70 |
$100 |
1.8× |
| Drug Assay Lacosamide (80235) |
$60.20 |
$86 |
2.2× |
| Drug assay methotrexate (80204) |
$36.40 |
$52 |
0.9× |
| Drug quant nes (80299) |
$40.60 |
$58 |
2.2× |
| Drug screen quant zonisamide (80203) |
$32.90 |
$47 |
2.5× |
| Drug Screen Quantitative Lamotrigine (80175) |
$32.90 |
$47 |
2.5× |
| Drug Screen Quantitative Lidocaine (80176) |
$36.40 |
$52 |
2.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$32.90 |
$47 |
2.5× |
| Drug Scrn Quan Levetiracetam (80177) |
$32.90 |
$47 |
2.5× |
| Drug test prsmv chem anlyzr (80307) |
$165.20 |
$236 |
2.7× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$12.60 |
$18 |
1.0× |
| E test (87181) |
$11.90 |
$17 |
2.5× |
| Ebv viral capsid (86665) |
$42 |
$60 |
2.3× |
| Egfr Gene Analysis Common Variants (81235) |
$697.20 |
$996 |
2.1× |
| Ehrlichia antibody (86666) |
$23.80 |
$34 |
2.3× |
| Elastase pancreatic fecal quantitative (82653) |
$39.90 |
$57 |
1.7× |
| Electrolyte panel (80051) |
$18.20 |
$26 |
2.6× |
| Electronic crossmatch (86923) |
$497.70 |
$711 |
2.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$136.50 |
$195 |
2.2× |
| Encephalitis Western Equine (86654) |
$32.20 |
$46 |
2.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$21 |
$30 |
1.7× |
| Entamoeba histolytica antigen (87337) |
$28 |
$40 |
2.3× |
| Enterovirus antibody (86658) |
$25.90 |
$37 |
2.0× |
| Enterovirus Pcr (87498) |
$339.50 |
$485 |
9.7× |
| Enzyme cell activity (82657) |
$49 |
$70 |
2.2× |
| Eosinophil count (85048) |
$6.30 |
$9 |
2.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$35.70 |
$51 |
2.3× |
| Estradiol (82670) |
$65.10 |
$93 |
2.3× |
| Estriol serum (82677) |
$54.60 |
$78 |
2.3× |
| Estrogens fractionated (82671) |
$62.30 |
$89 |
1.9× |
| Estrogens total (82672) |
$53.20 |
$76 |
2.5× |
| Ethylene glycol (82693) |
$36.40 |
$52 |
2.4× |
| Euglobulin lysis (85360) |
$21 |
$30 |
2.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$217.70 |
$311 |
2.2× |
| Everolimus (80169) |
$32.20 |
$46 |
2.3× |
| F2 gene analysis 20210g >a variant (81240) |
$184.10 |
$263 |
2.8× |
| F5 gene analysis, leiden variant (81241) |
$205.80 |
$294 |
2.8× |
| Factor ii activity (85210) |
$32.20 |
$46 |
2.5× |
| Factor inhibitor test (85335) |
$31.50 |
$45 |
2.4× |
| Factor ix activity (85250) |
$46.90 |
$67 |
2.5× |
| Factor v activity (85220) |
$43.40 |
$62 |
2.5× |
| Factor vii assay (85230) |
$44.10 |
$63 |
2.5× |
| Factor viii ahg (85240) |
$44.10 |
$63 |
2.5× |
| Factor xi assay (85270) |
$44.10 |
$63 |
2.5× |
| Factor xii assay (85280) |
$47.60 |
$68 |
2.5× |
| Factor xiii solubility screen (85291) |
$21.70 |
$31 |
2.4× |
| Fatty acids free (82725) |
$25.90 |
$37 |
1.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$42 |
$60 |
2.4× |
| Fecal fat qual (82705) |
$12.60 |
$18 |
2.5× |
| Fecal fat quant (82710) |
$41.30 |
$59 |
2.5× |
| Fetal bleed screen (85461) |
$21 |
$30 |
2.2× |
| Fetal Congenital Abnor Assay Four Anal (81511) |
$145.60 |
$208 |
0.9× |
| Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum,… (81508) |
$120.40 |
$172 |
2.2× |
| Fetal fibronectin (82731) |
$158.20 |
$226 |
2.5× |
| Fetal screen (83030) |
$23.80 |
$34 |
2.2× |
| Fibrin Degradation Quant (85379) |
$23.80 |
$34 |
2.3× |
| Fibrinogen activity (85384) |
$21.70 |
$31 |
2.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$43.40 |
$62 |
2.8× |
| Flow cytometry first marker (88184) |
$966.70 |
$1,381 |
2.3× |
| Fluorescent Antibody Screen (86255) |
$23.80 |
$34 |
2.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$32.20 |
$46 |
2.7× |
| Fluoride (82735) |
$45.50 |
$65 |
2.5× |
| Fmr1 gene charac alleles (81244) |
$99.40 |
$142 |
2.2× |
| Fmr1 gene detection (81243) |
$78.40 |
$112 |
1.4× |
| Folate serum (82746) |
$36.40 |
$52 |
2.5× |
| Folic acid rbc (82747) |
$40.60 |
$58 |
2.3× |
| Follicle Stimulating Hormone (83001) |
$48.30 |
$69 |
2.6× |
| Francisella tularensis (86668) |
$26.60 |
$38 |
1.9× |
| Fresh frozen plasma thawing each unit (86927) |
$72.80 |
$104 |
0.4× |
| Frozen Section (88331) |
$504.70 |
$721 |
2.5× |
| Fructosamine (82985) |
$28.70 |
$41 |
1.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$21.70 |
$31 |
2.1× |
| Gabapentin (80171) |
$48.30 |
$69 |
2.2× |
| Galactokinase (82759) |
$53.20 |
$76 |
2.5× |
| Galactose (82760) |
$27.30 |
$39 |
2.4× |
| Gammaglobulin ige (82785) |
$40.60 |
$58 |
2.5× |
| Gardner vag DNA dir probe (87510) |
$81.90 |
$117 |
4.1× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$21.70 |
$31 |
2.2× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) |
$25.20 |
$36 |
3.8× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$1,686.30 |
$2,409 |
2.2× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$1,558.20 |
$2,226 |
0.5× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) |
$1,327.90 |
$1,897 |
2.2× |
| Ggt (82977) |
$18.90 |
$27 |
2.6× |
| Giardia antigen eia stool (87329) |
$28 |
$40 |
2.3× |
| Giardia lamblia antibody (86674) |
$35 |
$50 |
2.4× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) |
$95.90 |
$137 |
1.6× |
| Gjb2 gene full sequence (81252) |
$224.70 |
$321 |
2.2× |
| Glucagon (82943) |
$31.50 |
$45 |
2.2× |
| Glucose (82947) |
$10.50 |
$15 |
2.7× |
| Glucose Blood Test (82962) |
$7 |
$10 |
2.1× |
| Glucose body fluid (82945) |
$8.40 |
$12 |
2.1× |
| Glucose post dose (82950) |
$12.60 |
$18 |
2.7× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$10.50 |
$15 |
2.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$33.60 |
$48 |
2.6× |
| Glucosidase beta (82963) |
$53.20 |
$76 |
2.5× |
| Glutathione (82978) |
$35 |
$50 |
2.3× |
| Growth hormone (83003) |
$41.30 |
$59 |
2.5× |
| Growth hormone stim panel (80428) |
$163.80 |
$234 |
2.5× |
| Haptoglobin (83010) |
$30.80 |
$44 |
2.4× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) |
$130.20 |
$186 |
1.3× |
| Hba1/hba2 gene dup/del vrnts (81269) |
$449.40 |
$642 |
2.2× |
| Hbb duplication/deletion variants (81363) |
$387.10 |
$553 |
1.9× |
| Hbb Full Gene Sequence (81364) |
$568.40 |
$812 |
1.8× |
| Hcg qualitative (84703) |
$19.60 |
$28 |
2.6× |
| Hcg quant (84702) |
$37.10 |
$53 |
2.5× |
| Heavy Metal Qualitative Any Analytes (83015) |
$46.20 |
$66 |
2.2× |
| Heavy metal quant each (83018) |
$53.90 |
$77 |
2.5× |
| Heinz Bodies; Direct - Heinz Body Stain (85441) |
$10.50 |
$15 |
2.5× |
| Heinz bodies; induced, acetyl phenylhydrazine Facility (85445) |
$16.80 |
$24 |
2.5× |
| Hemagglutination inhibition test (HAI) Facility (86280) |
$20.30 |
$29 |
2.5× |
| Hematocrit (85014) |
$6.30 |
$9 |
2.7× |
| Hematocrit spun (85013) |
$15.40 |
$22 |
2.2× |
| Hemoglobin (85018) |
$6.30 |
$9 |
2.7× |
| Hemoglobin a1c (83036) |
$25.20 |
$36 |
2.6× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$44.10 |
$63 |
2.4× |
| Hemoglobin electrophoresis (83020) |
$31.50 |
$45 |
2.4× |
| Hemoglobin fetal ql (83033) |
$17.50 |
$25 |
2.2× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$18.20 |
$26 |
2.4× |
| Hemoglobin plasma (83051) |
$18.20 |
$26 |
2.5× |
| Hemoglobin stability screen (83068) |
$21 |
$30 |
2.2× |
| Hemolysins and agglutinins; incubated Facility (86941) |
$30.10 |
$43 |
2.5× |
| Hemolysins/agglutinins auto screen (86940) |
$20.30 |
$29 |
2.3× |
| Heparin assay (85520) |
$32.20 |
$46 |
2.5× |
| Heparin neutralization (85525) |
$29.40 |
$42 |
2.5× |
| Hepatitis a antibody total (86708) |
$28.70 |
$41 |
2.3× |
| Hepatitis a igm (86709) |
$28 |
$40 |
2.5× |
| Hepatitis b core ab igm (86705) |
$28.70 |
$41 |
2.4× |
| Hepatitis b core antibody total (86704) |
$29.40 |
$42 |
2.4× |
| Hepatitis B Surface Ab (86706) |
$25.20 |
$36 |
2.3× |
| Hepatitis B Surface Antigen (87340) |
$25.20 |
$36 |
2.4× |
| Hepatitis b virus genotyping (87912) |
$549.50 |
$785 |
2.1× |
| Hepatitis be antibody (86707) |
$28.70 |
$41 |
2.5× |
| Hepatitis Be Antigen (87350) |
$28.70 |
$41 |
2.5× |
| Hepatitis c antibody (86803) |
$37.10 |
$53 |
2.6× |
| Hepatitis C Genotype (87902) |
$600.60 |
$858 |
2.3× |
| Hepatitis delta ab (86692) |
$41.30 |
$59 |
2.4× |
| Herpes simplex type i (86695) |
$32.20 |
$46 |
2.4× |
| Herpes simplex type ii (86696) |
$47.60 |
$68 |
2.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$13.30 |
$19 |
2.6× |
| Hexa gene analysis common variants (81255) |
$175 |
$250 |
3.4× |
| Hexagonal phospholipid (85598) |
$42 |
$60 |
2.3× |
| Hfe gene (81256) |
$161 |
$230 |
2.5× |
| Histamine plasma (83088) |
$72.80 |
$104 |
2.5× |
| Histoplasma antibody (86698) |
$30.80 |
$44 |
2.2× |
| Histoplasma antigen urine (87385) |
$29.40 |
$42 |
2.2× |
| HIV confirmation (86689) |
$47.60 |
$68 |
2.5× |
| HIV-1 antibody (86701) |
$23.10 |
$33 |
2.6× |
| HIV-1 genotype (87901) |
$600.60 |
$858 |
2.3× |
| HIV-1 integrase genotype (87906) |
$126 |
$180 |
1.0× |
| HIV-1 p24 antigen (87390) |
$37.10 |
$53 |
1.5× |
| Hla class i high defin qual (86832) |
$908.60 |
$1,298 |
2.8× |
| Hla class i phenotype qual (86830) |
$90.30 |
$129 |
0.9× |
| Hla Class I Typing High Resolution Complete (81379) |
$1,234.10 |
$1,763 |
3.7× |
| Hla class i typing high resolution one allele or allele group (81381) |
$335.30 |
$479 |
2.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
$282.80 |
$404 |
2.2× |
| Hla class i&ii antibody qual (86828) |
$142.80 |
$204 |
2.2× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) |
$938 |
$1,340 |
2.3× |
| Hla class ii high defin qual (86833) |
$914.20 |
$1,306 |
2.8× |
| Hla class ii typing high resolution one locus ea (81382) |
$304.50 |
$435 |
2.5× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) |
$226.10 |
$323 |
2.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$164.50 |
$235 |
2.2× |
| Hla i typing 1 locus hr (81380) |
$436.10 |
$623 |
2.5× |
| Hla ii typing 1 locus lr (81376) |
$301 |
$430 |
2.5× |
| Hla typing dr/dq (86817) |
$235.90 |
$337 |
2.2× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$68.60 |
$98 |
2.3× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) |
$142.80 |
$204 |
2.5× |
| Hla-b27 (86812) |
$63.70 |
$91 |
2.5× |
| Homogenization tissue (87176) |
$14.70 |
$21 |
2.5× |
| Homovanillic acid urine (83150) |
$49.70 |
$71 |
2.2× |
| Hpylori Drug Administration (83014) |
$19.60 |
$28 |
2.5× |
| Hsv Dna Quant (87530) |
$82.60 |
$118 |
1.9× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$81.90 |
$117 |
2.3× |
| Htlv-I Antibody (86687) |
$20.30 |
$29 |
2.2× |
| Htt gene analysis detect abnormal alleles (81271) |
$304.50 |
$435 |
2.2× |
| Human epididymis protein 4 (86305) |
$46.20 |
$66 |
2.2× |
| Hydroxyprogesterone 17-d (83498) |
$66.50 |
$95 |
2.4× |
| Hydroxyproline total (83505) |
$59.50 |
$85 |
2.4× |
| Hydroxyproline; free Facility (83500) |
$56 |
$80 |
2.5× |
| Iaad ia clostridium difficile toxin (87324) |
$28 |
$40 |
2.3× |
| Iaad Ia Cryptococcus Neoformans (87327) |
$30.10 |
$43 |
2.2× |
| Iaad ia cryptosporidium (87328) |
$30.80 |
$44 |
2.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$25.20 |
$36 |
2.4× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$62.30 |
$89 |
2.6× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$37.10 |
$53 |
2.6× |
| Iaad ia shiga-like toxin (87427) |
$28 |
$40 |
2.3× |
| Iaad Ia Streptococcus Group A (87430) |
$37.10 |
$53 |
2.2× |
| Iaadi inffluenza a virus (87276) |
$35.70 |
$51 |
2.2× |
| Iaadi influenza b virus (87275) |
$28 |
$40 |
2.3× |
| Iaadi Not Otherwise Specified Each Organism (87299) |
$35.70 |
$51 |
2.2× |
| Iaadi Pneumocustis Carinii (87281) |
$28 |
$40 |
2.3× |
| Iaadi respiratory synctial virus (87280) |
$30.10 |
$43 |
2.2× |
| Iaadiadoo not otherwise specified (87899) |
$35.70 |
$51 |
2.2× |
| Iaadiadoo trichomonas vaginalis (87808) |
$33.60 |
$48 |
2.2× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$81.90 |
$117 |
2.3× |
| Iadna candida species amplified probe tq (87481) |
$81.90 |
$117 |
2.3× |
| Iadna Candida Species Direct Probe Tq (87480) |
$49 |
$70 |
2.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$98.70 |
$141 |
2.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
$155.40 |
$222 |
2.2× |
| Iadna hepatitis b virus quantification (87517) |
$105.70 |
$151 |
2.5× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) |
$81.90 |
$117 |
2.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$105.70 |
$151 |
2.5× |
| Iadna herpes virus-6 amplified probe tq (87532) |
$81.90 |
$117 |
2.3× |
| Iadna herpes virus-6 quantification (87533) |
$102.90 |
$147 |
2.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$81.90 |
$117 |
2.3× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$198.80 |
$284 |
2.3× |
| Iadna human papillomavirus high-risk types (87624) |
$81.90 |
$117 |
2.3× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) |
$85.40 |
$122 |
2.1× |
| Iadna mycobacteria avium-intraclre amp prb (87561) |
$81.90 |
$117 |
2.3× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
$107.10 |
$153 |
2.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$81.90 |
$117 |
2.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$81.90 |
$117 |
2.3× |
| Iadna nos amplified probe tq each organism (87798) |
$81.90 |
$117 |
2.3× |
| Iadna Nos Direct Probe Tq Each Organism (87797) |
$66.50 |
$95 |
2.2× |
| Iadna nos quantification each organism (87799) |
$105.70 |
$151 |
2.5× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$266 |
$380 |
1.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$81.90 |
$117 |
2.3× |
| If varicella-zoster antigen (87290) |
$30.10 |
$43 |
2.2× |
| Igg subclasses (82787) |
$18.90 |
$27 |
2.4× |
| Igh gene rearrange amp meth (81261) |
$337.40 |
$482 |
1.7× |
| Igk rearrangeabn clonal pop (81264) |
$377.30 |
$539 |
2.2× |
| Igvh somatic hypermutation (81263) |
$527.80 |
$754 |
1.8× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
$39.90 |
$57 |
2.2× |
| Immunoassay infectious agent antibody quan nos (86317) |
$37.10 |
$53 |
2.5× |
| Immunoassay nonantibody (83516) |
$30.10 |
$43 |
2.6× |
| Immunodiffusion (86329) |
$34.30 |
$49 |
2.4× |
| Immunodiffusion Ouchterlony (86331) |
$29.40 |
$42 |
2.5× |
| Immunoelectrophoresis serum (86320) |
$66.50 |
$95 |
2.2× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) |
$55.30 |
$79 |
2.4× |
| Immunofixation (86334) |
$51.80 |
$74 |
2.3× |
| Immunofixation urine (86335) |
$53.90 |
$77 |
1.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$765.10 |
$1,093 |
3.7× |
| Immunoglobulin light chains free each (83521) |
$30.10 |
$43 |
1.7× |
| Immunohistochemistry (88342) |
$532.70 |
$761 |
2.6× |
| In situ hybridization (88365) |
$399.70 |
$571 |
2.0× |
| Indirect coombs (86885) |
$492.10 |
$703 |
86.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$28 |
$40 |
2.2× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
$28 |
$40 |
2.3× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) |
$30.10 |
$43 |
2.2× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) |
$28 |
$40 |
2.3× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Facility (87273) |
$28 |
$40 |
2.3× |
| Influenza DNA amp probe (87502) |
$268.80 |
$384 |
2.8× |
| Inhibin a (86336) |
$38.50 |
$55 |
2.5× |
| Inhibin b (83520) |
$33.60 |
$48 |
1.9× |
| Insitu hybridization auto (88367) |
$263.90 |
$377 |
0.6× |
| Insitu hybridization manual (88368) |
$522.20 |
$746 |
1.2× |
| Insulin antibodies (86337) |
$52.50 |
$75 |
2.5× |
| Insulin free (83527) |
$31.50 |
$45 |
2.4× |
| Insulin total (83525) |
$28 |
$40 |
2.4× |
| Interleukin 6 (83529) |
$30.10 |
$43 |
1.7× |
| Intrinsic factor antibody (86340) |
$37.10 |
$53 |
2.5× |
| Iron (83540) |
$16.10 |
$23 |
2.5× |
| Iron binding capacity (83550) |
$20.30 |
$29 |
2.3× |
| Islet cell antibody (86341) |
$52.50 |
$75 |
2.2× |
| Jak2 gene analysis (81270) |
$225.40 |
$322 |
2.5× |
| Jak2 targeted sequence analysis (81279) |
$324.10 |
$463 |
1.8× |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) |
$64.40 |
$92 |
2.3× |
| Kit gene analys d816 variant (81273) |
$277.20 |
$396 |
2.2× |
| Kit gene targeted seq analys (81272) |
$697.20 |
$996 |
2.1× |
| Kras gene analysis (81275) |
$417.20 |
$596 |
2.2× |
| Kras Gene Analysis Additional Variant(S) (81276) |
$429.10 |
$613 |
2.2× |
| Lactoferrin fecal qual (83630) |
$48.30 |
$69 |
2.5× |
| Lactoferrin Fecal Quantitative (83631) |
$48.30 |
$69 |
2.5× |
| Lamellar Body Count (83664) |
$46.20 |
$66 |
2.4× |
| Ldh body fluid (83615) |
$14.70 |
$21 |
2.4× |
| Ldh isoenzymes (83625) |
$31.50 |
$45 |
2.5× |
| LDL cholesterol direct (83721) |
$24.50 |
$35 |
2.3× |
| Lead (83655) |
$31.50 |
$45 |
2.6× |
| Legionella antibody (86713) |
$37.80 |
$54 |
2.5× |
| Legionella antigen urine (87449) |
$30.45 |
$43.50 |
2.5× |
| Leptospira antibody (86720) |
$35.70 |
$51 |
2.2× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$10.50 |
$15 |
2.5× |
| Leukocyte Histamine Release (86343) |
$30.80 |
$44 |
2.5× |
| Level ii surg pathology grossµscopic exam (88302) |
$67.20 |
$96 |
1.5× |
| Level v surg pathology grossµscopic exam (88307) |
$898.10 |
$1,283 |
2.1× |
| Level vi surg pathology grossµscopic exam (88309) |
$1,823.50 |
$2,605 |
1.9× |
| Lh (83002) |
$48.30 |
$69 |
2.6× |
| Lipase (83690) |
$16.80 |
$24 |
2.4× |
| Lipopro bld electrophoretic (83700) |
$28 |
$40 |
2.5× |
| Lipoprotein Bld Hr Fraction (83701) |
$63.70 |
$91 |
1.9× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) |
$77.70 |
$111 |
2.3× |
| Listeria ab (86609) |
$30.10 |
$43 |
2.3× |
| Lithium (80178) |
$16.80 |
$24 |
2.5× |
| Liver ds alys 3 bmrk srm alg (81517) |
$166.60 |
$238 |
0.9× |
| Lyme disease antibody (86618) |
$44.10 |
$63 |
2.6× |
| Lymph Choriomeningitis Ab (86727) |
$30.10 |
$43 |
2.3× |
| Lymphocyte transformation (86353) |
$120.40 |
$172 |
2.5× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$317.10 |
$453 |
1.6× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$760.20 |
$1,086 |
3.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$420 |
$600 |
2.1× |
| Macroscopic exam arthropod (87168) |
$10.50 |
$15 |
2.5× |
| Macroscopic exam parasite (87169) |
$10.50 |
$15 |
2.4× |
| Magnesium (83735) |
$16.80 |
$24 |
2.5× |
| Malaria antibody (86750) |
$30.80 |
$44 |
2.3× |
| Malaria smear (87207) |
$14.70 |
$21 |
2.5× |
| Mass spectrometry qual/quan (83789) |
$53.20 |
$76 |
2.2× |
| Measurement of complement fixation tests (immune system proteins) (86171) |
$23.10 |
$33 |
2.3× |
| Meat fibers, feces (89160) |
$10.50 |
$15 |
2.2× |
| Mercury urine (83825) |
$31.50 |
$45 |
1.9× |
| Metabolic Panel Ionized Ca (80047) |
$30.80 |
$44 |
2.2× |
| Methemoglobin (83050) |
$18.20 |
$26 |
2.2× |
| Methylmalonic acid serum (83921) |
$46.90 |
$67 |
2.2× |
| Mgmt methylation analysis (81287) |
$276.50 |
$395 |
2.2× |
| Microalbumin urine (82043) |
$14.70 |
$21 |
2.5× |
| Microsomal antibodies (86376) |
$35.70 |
$51 |
2.5× |
| Mitochondrial antibody each (86381) |
$44.80 |
$64 |
1.8× |
| Mlh1 gene analysis duplication/deletion variants (81294) |
$449.40 |
$642 |
2.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
$772.10 |
$1,103 |
1.1× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$427 |
$610 |
2.2× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$21 |
$30 |
1.7× |
| Mog-igg1 antibody flow cytometry each (86363) |
$21 |
$30 |
0.6× |
| Molecular pathology procedure level 2 (81401) |
$135.10 |
$193 |
1.0× |
| Molecular pathology procedure level 7 (81406) |
$571.90 |
$817 |
2.0× |
| Mononuclear cell antigen (86356) |
$62.30 |
$89 |
2.3× |
| Mopath procedure level 1 (81400) |
$102.20 |
$146 |
1.6× |
| Mopath procedure level 3 (81402) |
$135.10 |
$193 |
0.9× |
| Mopath procedure level 4 (81403) |
$410.90 |
$587 |
2.2× |
| Mopath procedure level 5 (81404) |
$462 |
$660 |
1.7× |
| Mopath procedure level 6 (81405) |
$506.10 |
$723 |
1.7× |
| Mopath procedure level 8 (81407) |
$889.70 |
$1,271 |
1.1× |
| Morphometric analysis tumor (88358) |
$254.10 |
$363 |
1.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) |
$324.10 |
$463 |
1.8× |
| Mrsa PCR (87641) |
$81.90 |
$117 |
2.3× |
| Msh2 gene analysis duplication/deletion variants (81297) |
$473.90 |
$677 |
2.2× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
$694.40 |
$992 |
1.8× |
| Msh6 gene analysis duplication/deletion varia (81300) |
$528.50 |
$755 |
2.2× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
$765.10 |
$1,093 |
1.2× |
| Mtb PCR (87556) |
$92.40 |
$132 |
2.2× |
| Mthfr Gene Analysis Common Variants (81291) |
$144.90 |
$207 |
2.2× |
| Mucopolysaccharides acid quantitative (83864) |
$63 |
$90 |
2.2× |
| Muramidase (85549) |
$46.20 |
$66 |
2.5× |
| Mycobacteric identification (87118) |
$28 |
$40 |
1.9× |
| Mycophenolic acid (80180) |
$44.10 |
$63 |
2.4× |
| Mycoplasma antibody (86738) |
$30.80 |
$44 |
2.3× |
| Mycoplasma culture (87109) |
$32.20 |
$46 |
2.1× |
| Mycoplasma genitalium PCR (87563) |
$70 |
$100 |
2.0× |
| Myd88 mutation analysis (81305) |
$389.20 |
$556 |
2.2× |
| Myelin basic protein csf (83873) |
$42 |
$60 |
2.4× |
| Myoglobin urine (83874) |
$31.50 |
$45 |
2.4× |
| Nasal smear for eosinophils (89190) |
$12.60 |
$18 |
2.2× |
| Natriuretic peptide (83880) |
$109.90 |
$157 |
2.8× |
| Neutralization Test Viral (86382) |
$41.30 |
$59 |
2.4× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
$249.90 |
$357 |
1.8× |
| Nfct ds chrnc hcv 6 assays (81596) |
$160.30 |
$229 |
2.2× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$64.40 |
$92 |
2.5× |
| Nickel level (83885) |
$60.20 |
$86 |
2.5× |
| Nk cells total count (86357) |
$105.70 |
$151 |
2.8× |
| Nras gene variants exon 2&3 (81311) |
$656.60 |
$938 |
2.2× |
| Nuclear antigen antibody (86235) |
$44.10 |
$63 |
2.5× |
| Obstetric panel (80081) |
$184.10 |
$263 |
2.5× |
| Occult blood gastric (82271) |
$11.90 |
$17 |
2.2× |
| Occult blood stool (82272) |
$9.10 |
$13 |
2.2× |
| Oligoclonal bands (83916) |
$60.90 |
$87 |
2.2× |
| Oncology prostate biochemical assay 4 proteins (81539) |
$1,687.70 |
$2,411 |
2.2× |
| Oncoprotein dcp (83951) |
$93.10 |
$133 |
1.4× |
| Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) |
$158.20 |
$226 |
2.5× |
| Organic Acids Qualitative Each Specimen (83919) |
$40.60 |
$58 |
2.5× |
| Organic acids total quantitative each specimen (83918) |
$52.50 |
$75 |
2.2× |
| Orthopoxvirus Amp Prb Each (87593) |
$107.80 |
$154 |
2.1× |
| Osmolality serum (83930) |
$16.10 |
$23 |
2.4× |
| Osmolality urine (83935) |
$16.10 |
$23 |
2.4× |
| Osmotic fragility rbc incubated (85557) |
$31.50 |
$45 |
2.4× |
| Ova and parasite direct-id lca (87177) |
$21.70 |
$31 |
2.4× |
| Oxalate urine (83945) |
$32.20 |
$46 |
2.2× |
| Pancreatic elastase, fecal (82656) |
$28 |
$40 |
2.4× |
| Pancreatic polypeptide (83519) |
$40.60 |
$58 |
2.2× |
| Particle Agglutination Screen Each Antibody (86403) |
$25.90 |
$37 |
2.2× |
| Particle agglutination titer each antibody (86406) |
$25.90 |
$37 |
2.4× |
| Parvovirus antibody (86747) |
$35 |
$50 |
2.3× |
| Path Clin Consltj Mod 21-40 (80504) |
$266.70 |
$381 |
1.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$2,304.40 |
$3,292 |
2.4× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) |
$266.70 |
$381 |
1.3× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
$88.90 |
$127 |
1.4× |
| Pathology Consultation During Surgery (88329) |
$76.30 |
$109 |
1.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) |
$557.20 |
$796 |
2.2× |
| Pdgfra gene (81314) |
$697.20 |
$996 |
2.1× |
| Ph body fluid (83986) |
$9.10 |
$13 |
2.5× |
| Ph urine (81003) |
$5.60 |
$8 |
2.5× |
| Phenotype Infect Agent Drug (87900) |
$309.40 |
$442 |
2.4× |
| Phenylalanine (84030) |
$13.30 |
$19 |
2.4× |
| Phenytoin free (80186) |
$33.60 |
$48 |
2.4× |
| Phosphatase alkaline (84075) |
$13.30 |
$19 |
2.6× |
| Phosphorus blood (84100) |
$11.90 |
$17 |
2.5× |
| Phosphorus urine (84105) |
$12.60 |
$18 |
2.2× |
| Pinworm exam (87172) |
$10.50 |
$15 |
2.5× |
| Platelet aggregation (85576) |
$70 |
$100 |
2.8× |
| Platelet count automated (85049) |
$11.20 |
$16 |
2.5× |
| Platelet neutralization (85597) |
$42 |
$60 |
2.3× |
| Pml/raralpha com breakpoints (81315) |
$338.80 |
$484 |
1.6× |
| Pmp22 gene full sequence (81325) |
$167.30 |
$239 |
0.2× |
| Pooling blood platelets (86965) |
$135.80 |
$194 |
0.7× |
| Porphobilinogen urine quant (84110) |
$21 |
$30 |
2.5× |
| Porphyrins feces qn (84126) |
$70 |
$100 |
1.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$36.40 |
$52 |
2.5× |
| Porphyrins, urine; qualitative Facility (84119) |
$29.40 |
$42 |
2.2× |
| Potassium (84132) |
$11.90 |
$17 |
2.5× |
| Potassium urine (84133) |
$9.10 |
$13 |
1.9× |
| Pregnancy associated plasma protein-a (84163) |
$37.10 |
$53 |
2.5× |
| Pregnenolone (84140) |
$51.10 |
$73 |
2.5× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$940.10 |
$1,343 |
4.6× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
$65.80 |
$94 |
0.3× |
| Pretx serum rbc antibody identification dilution (86976) |
$34.30 |
$49 |
1.0× |
| Procalcitonin (pct) (84145) |
$65.80 |
$94 |
2.4× |
| Progesterone (84144) |
$51.10 |
$73 |
2.4× |
| Progesterone (reproductive hormone) receptor analysis (84234) |
$159.60 |
$228 |
2.5× |
| Prostaglandin Ea (84150) |
$93.10 |
$133 |
2.2× |
| Protein body fluid (84157) |
$8.40 |
$12 |
2.1× |
| Protein c activity (85303) |
$32.20 |
$46 |
2.3× |
| Protein c antigen (85302) |
$29.40 |
$42 |
2.4× |
| Protein electrophoresis serum (84165) |
$26.60 |
$38 |
2.5× |
| Protein Electrophoresis Urine (84166) |
$44.10 |
$63 |
2.5× |
| Protein s total (85305) |
$28.70 |
$41 |
2.5× |
| Protein total serum (84155) |
$9.80 |
$14 |
2.7× |
| Protein urine (84156) |
$9.10 |
$13 |
2.5× |
| Protein Western Blot (84182) |
$65.10 |
$93 |
2.2× |
| Protein westrn blot i&r blood/other fluid (84181) |
$31.50 |
$45 |
1.8× |
| Protein, total, by refractometry, any source Facility (84160) |
$12.60 |
$18 |
2.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$9.80 |
$14 |
2.5× |
| Protoporphyrin rbc quantitative (84202) |
$35 |
$50 |
2.4× |
| PSA free (84154) |
$45.50 |
$65 |
2.5× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) |
$24.50 |
$35 |
0.1× |
| Pten Gene Analysis Full Sequence Analysis (81321) |
$24.50 |
$35 |
0.0× |
| Pten gene analysis known familial variant (81322) |
$24.50 |
$35 |
0.5× |
| Pth intact (83970) |
$96.60 |
$138 |
2.3× |
| Pyruvate kinase (84220) |
$23.10 |
$33 |
2.4× |
| Rbc (85041) |
$7 |
$10 |
2.3× |
| Rbc antibody elution (86860) |
$503.30 |
$719 |
2.5× |
| Rbc pretreatment serum (86978) |
$114.80 |
$164 |
1.6× |
| Rbc pretx incubatj w/chemicl (86970) |
$91 |
$130 |
1.3× |
| Rbc serum pretx incubj drugs (86975) |
$35 |
$50 |
0.1× |
| Reagent strip/blood glucose (82948) |
$14 |
$20 |
2.8× |
| Receptor Assay Estrogen (84233) |
$195.30 |
$279 |
2.2× |
| Renin activity plasma (84244) |
$53.90 |
$77 |
2.5× |
| Reptilase test (85635) |
$24.50 |
$35 |
2.5× |
| Resp virus 12-25 targets (87633) |
$1,169.70 |
$1,671 |
2.8× |
| Resp virus 3-5 targets (87631) |
$301.70 |
$431 |
2.1× |
| Respiratory Virus (86756) |
$35 |
$50 |
2.2× |
| Reticulated platelet assay (85055) |
$100.10 |
$143 |
2.8× |
| Reticulocyte count auto (85045) |
$9.80 |
$14 |
2.5× |
| Reticulocyte separation (86972) |
$34.30 |
$49 |
0.2× |
| Rheumatoid Factor Qual (86430) |
$14 |
$20 |
2.3× |
| Rheumatoid factor quant (86431) |
$13.30 |
$19 |
2.3× |
| Rickettsia antibody (86757) |
$47.60 |
$68 |
2.5× |
| Ristocetin cofactor (85245) |
$56.70 |
$81 |
2.5× |
| Rotavirus ag eia (87425) |
$28 |
$40 |
2.3× |
| Rpr Titer (86593) |
$10.50 |
$15 |
2.4× |
| Rubella antibody (86762) |
$35.70 |
$51 |
2.5× |
| Rubeola Antibody Igg (86765) |
$31.50 |
$45 |
2.4× |
| Russell viper venom time diluted (85613) |
$22.40 |
$32 |
2.3× |
| Salmonella antibody (86768) |
$30.80 |
$44 |
2.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$84 |
$120 |
1.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$52.50 |
$75 |
1.2× |
| Sarscov2 & inf a&b amp prb (87636) |
$316.40 |
$452 |
2.2× |
| Sedimentation rate auto (85652) |
$6.30 |
$9 |
2.3× |
| Selenium (84255) |
$63 |
$90 |
2.5× |
| Semen analysis complete (89320) |
$29.40 |
$42 |
2.4× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) |
$31.50 |
$45 |
2.6× |
| Sensitivity kb (87184) |
$16.80 |
$24 |
2.2× |
| Sensitivity mic (87186) |
$20.30 |
$29 |
2.3× |
| Serotonin Release Assay (86022) |
$45.50 |
$65 |
2.5× |
| Serpina1 gene (81332) |
$88.90 |
$127 |
2.0× |
| Sex hormone binding globulin (84270) |
$53.20 |
$76 |
2.4× |
| Sickling of rbc reduction (85660) |
$13.30 |
$19 |
2.4× |
| Sirolimus (rapamycin) (80195) |
$32.20 |
$46 |
2.3× |
| Skin test unlisted antigen (86486) |
$50.40 |
$72 |
1.5× |
| Smear acid fast (87206) |
$13.30 |
$19 |
2.5× |
| Smear complex stain (87209) |
$44.10 |
$63 |
2.5× |
| Smear gram stain (87205) |
$10.50 |
$15 |
2.5× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) |
$288.40 |
$412 |
2.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$12.60 |
$18 |
2.2× |
| Snrpn/ube3a gene (81331) |
$57.40 |
$82 |
1.1× |
| Sodium (84295) |
$12.60 |
$18 |
2.6× |
| Sodium feces (84302) |
$11.90 |
$17 |
2.4× |
| Sodium urine (84300) |
$11.90 |
$17 |
2.4× |
| Soluble transferrin receptor (84238) |
$90.30 |
$129 |
2.5× |
| Somatomedin (84305) |
$49.70 |
$71 |
2.3× |
| Somatostatin (84307) |
$42.70 |
$61 |
2.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$142.80 |
$204 |
0.9× |
| Special stains group 1 (88312) |
$134.40 |
$192 |
2.2× |
| Specimen fat stain (89125) |
$13.30 |
$19 |
2.3× |
| Spectrophotometry (84311) |
$18.20 |
$26 |
2.2× |
| Sperm antibody measurement (89325) |
$26.60 |
$38 |
2.5× |
| Stool Culture, Addl Pathogens (87046) |
$26.60 |
$38 |
2.8× |
| Strep a assay w/optic (87880) |
$46.20 |
$66 |
2.8× |
| Strep a DNA amp probe (87651) |
$91 |
$130 |
2.6× |
| Strep b DNA amp probe (87653) |
$81.90 |
$117 |
2.3× |
| Sugars Single Qualitative, Each Specimen (84376) |
$13.30 |
$19 |
2.4× |
| Sugars single quant (84378) |
$28.70 |
$41 |
2.5× |
| Sulfate urine (84392) |
$11.90 |
$17 |
2.2× |
| Surg path level 1 (88300) |
$71.40 |
$102 |
2.1× |
| Surg path level iii (88304) |
$170.10 |
$243 |
2.7× |
| Surgical pathology level IV (88305) |
$134.40 |
$192 |
2.2× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
$88.90 |
$127 |
2.2× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
$16.10 |
$23 |
2.2× |
| T Cell Absolute Count (86361) |
$52.50 |
$75 |
2.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$131.60 |
$188 |
2.8× |
| T cells total count (86359) |
$105.70 |
$151 |
2.8× |
| T3 free (84481) |
$31.50 |
$45 |
1.9× |
| T3 reverse (84482) |
$37.80 |
$54 |
2.4× |
| T3 total (84480) |
$35 |
$50 |
2.5× |
| T3 uptake (84479) |
$16.10 |
$23 |
2.5× |
| T4 free (84439) |
$22.40 |
$32 |
2.5× |
| T4 total (84436) |
$16.80 |
$24 |
2.4× |
| Tb ag response t-cell susp (86481) |
$144.90 |
$207 |
1.4× |
| Tb intradermal test (86580) |
$63.70 |
$91 |
1.8× |
| Tb test, cell immun measure (86480) |
$152.60 |
$218 |
2.5× |
| Test for urine cystines (82615) |
$21 |
$30 |
2.2× |
| Testosterone free (84402) |
$63 |
$90 |
2.5× |
| Testosterone total (84403) |
$63.70 |
$91 |
2.5× |
| Tetanus antibody (86774) |
$34.30 |
$49 |
2.3× |
| Theophylline (80198) |
$35 |
$50 |
2.5× |
| Thin prep pap (88142) |
$49.70 |
$71 |
2.5× |
| Thiopurine methyltransferase (84433) |
$21 |
$30 |
0.9× |
| Thrombin time plasma (85670) |
$14 |
$20 |
2.4× |
| Thromboplastin Inhibition Tissue (85705) |
$22.40 |
$32 |
2.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$16.10 |
$23 |
2.5× |
| Thyroglobulin (84432) |
$39.20 |
$56 |
2.4× |
| Thyroglobulin antibody (86800) |
$37.10 |
$53 |
2.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$125.30 |
$179 |
2.5× |
| Thyroxine binding globulin (84442) |
$36.40 |
$52 |
2.5× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) |
$250.60 |
$358 |
1.7× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$328.30 |
$469 |
2.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$10.50 |
$15 |
2.5× |
| Tissue culture bone marrow (88237) |
$282.10 |
$403 |
2.0× |
| Tissue culture lymphocyte (88230) |
$271.60 |
$388 |
2.3× |
| Tissue culture solid tumor (88239) |
$362.60 |
$518 |
2.5× |
| Tissue transglutaminase ab iga (86364) |
$22.40 |
$32 |
1.9× |
| Tobramycin peak (80200) |
$39.90 |
$57 |
2.5× |
| Touch prep (88161) |
$126 |
$180 |
3.6× |
| Toxoplasma ab igm (86778) |
$35.70 |
$51 |
2.5× |
| Toxoplasma antibody igg (86777) |
$35.70 |
$51 |
2.5× |
| Tpmt gene com variants (81335) |
$241.50 |
$345 |
1.4× |
| Transferrin (84466) |
$31.50 |
$45 |
2.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$489.30 |
$699 |
2.3× |
| Trg gene rearrangement analysis (81342) |
$344.40 |
$492 |
1.7× |
| Trichinella antibody (86784) |
$30.80 |
$44 |
2.5× |
| Trichomonas vagin dir probe (87660) |
$49 |
$70 |
2.4× |
| Triglycerides (84478) |
$14.70 |
$21 |
2.6× |
| Troponin (84484) |
$35 |
$50 |
2.8× |
| Tumor immunohistochem/comput (88361) |
$762.30 |
$1,089 |
1.8× |
| Ugt1a1 gene analysis common variants (81350) |
$158.20 |
$226 |
0.7× |
| Unlisted cytogenetic study (88299) |
$134.40 |
$192 |
2.2× |
| Unlisted miscellaneous pathology test (89240) |
$63.70 |
$91 |
1.0× |
| Urea nitrogen (84520) |
$10.50 |
$15 |
2.7× |
| Urea Nitrogen Clearance (84545) |
$16.10 |
$23 |
2.2× |
| Urea nitrogen urine (84540) |
$15.40 |
$22 |
2.8× |
| Uric acid blood (84550) |
$11.90 |
$17 |
2.6× |
| Uric acid other source (84560) |
$11.90 |
$17 |
2.3× |
| Urinalysis auto w/scope (81001) |
$7.70 |
$11 |
2.4× |
| Urinalysis Microscopic Only (81015) |
$7.70 |
$11 |
2.5× |
| Urine Albumin Semiquantitative (82044) |
$14 |
$20 |
2.2× |
| Urine Bacteria Culture (87088) |
$22.40 |
$32 |
2.8× |
| Urine pregnancy test (81025) |
$18.90 |
$27 |
2.2× |
| Urine volume measurement (81050) |
$8.40 |
$12 |
2.3× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) |
$21 |
$30 |
2.2× |
| Valproic acid (80164) |
$33.60 |
$48 |
2.5× |
| Vancomycin trough (80202) |
$33.60 |
$48 |
2.5× |
| Varicella-zoster antibody (86787) |
$31.50 |
$45 |
2.4× |
| Vasoactive intestinal peptide (vip) (84586) |
$82.60 |
$118 |
2.3× |
| Vdrl csf (86592) |
$10.50 |
$15 |
2.5× |
| Very long chain fatty acids (82726) |
$44.10 |
$63 |
2.2× |
| Virus antibody nos (86790) |
$30.10 |
$43 |
2.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$83.30 |
$119 |
2.5× |
| Virus inoculation, shell via (87254) |
$47.60 |
$68 |
2.4× |
| Viscosity serum (85810) |
$28.70 |
$41 |
2.5× |
| Vitamin A (84590) |
$25.90 |
$37 |
2.2× |
| Vitamin b-12 (82607) |
$42 |
$60 |
2.8× |
| Vitamin b1 (thiamine) (84425) |
$52.50 |
$75 |
2.5× |
| Vitamin b2 (84252) |
$49.70 |
$71 |
2.5× |
| Vitamin b3 niacin (84591) |
$37.80 |
$54 |
2.2× |
| Vitamin b6 (84207) |
$67.20 |
$96 |
2.4× |
| Vitamin c (82180) |
$24.50 |
$35 |
2.5× |
| Vitamin D 25-Hydroxy (82306) |
$72.80 |
$104 |
2.5× |
| Vitamin e serum (84446) |
$29.40 |
$42 |
2.1× |
| Voltage-gated calcium channel antibody each (86596) |
$40.60 |
$58 |
3.4× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$21 |
$30 |
2.4× |
| West nile virus antibody (86789) |
$35.70 |
$51 |
2.5× |
| West nile virus igm (86788) |
$39.20 |
$56 |
2.3× |
| Whole mitochondrial genome (81460) |
$1,691.20 |
$2,416 |
1.3× |
| Yersinia antibody (86793) |
$30.80 |
$44 |
2.3× |
| Zika Virus Dna/Rna Amp Probe (87662) |
$119.70 |
$171 |
2.3× |
| Zinc (84630) |
$22.40 |
$32 |
2.0× |