Lab & pathology prices at Madison Memorial Hospital
Rexburg, ID · every code in this section with a posted price and a Medicare benchmark.
584 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) | $162.75 | $217 | 4.2× |
| 5 Nucleotidase (83915) | $50.25 | $67 | 4.5× |
| Acetone serum qual (82009) | $20.25 | $27 | 4.5× |
| Acetylcholine receptor binding antibody (86041) | $100.50 | $134 | 5.5× |
| Acetylcholine receptor blocking antibody (86042) | $100.50 | $134 | 5.5× |
| Actin smooth muscle antibody each (86015) | $22.59 | $30.12 | 1.9× |
| Activated protein c resistance (85307) | $69.75 | $93 | 4.6× |
| Acute hepatitis panel (80074) | $217.50 | $290 | 4.6× |
| Acylcarnitine Plasma (82017) | $67.12 | $89.50 | 4.0× |
| Adrenocorticotropic hormone (82024) | $172.12 | $229.50 | 4.5× |
| Afp maternal serum (82105) | $73.88 | $98.50 | 4.4× |
| Albumin body fluid (82042) | $34.12 | $45.50 | 4.4× |
| Albumin serum (82040) | $22.88 | $30.50 | 4.6× |
| Aldolase (82085) | $43.50 | $58 | 4.5× |
| Aldosterone urine (82088) | $183.75 | $245 | 4.5× |
| Alkaline phosphatase isoenzymes (84080) | $66.38 | $88.50 | 4.5× |
| Allergen peanut (86003) | $21 | $28 | 4.0× |
| Allergen spec ige qual multiallergen screen (86005) | $15.75 | $21 | 2.0× |
| Allergen specific igg (86001) | $33.75 | $45 | 4.3× |
| Allg Spec Ige Recomb Ea (86008) | $21.75 | $29 | 1.2× |
| Alpha-1-antitrypsin phenotype (82104) | $65.25 | $87 | 4.5× |
| Alpha-1-antitrypsin, total (82103) | $59.62 | $79.50 | 4.4× |
| Alpha-Fetoprotein L3 (82107) | $276 | $368 | 4.3× |
| Alt (sgpt) (84460) | $25.12 | $33.50 | 4.7× |
| Aluminum (82108) | $47.78 | $63.70 | 1.9× |
| Amikacin trough (80150) | $68.25 | $91 | 4.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $99 | $132 | 4.3× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $113.25 | $151 | 6.7× |
| Amino Acids, Multiple Qual (82128) | $61.12 | $81.50 | 4.4× |
| Amylase urine (82150) | $30.38 | $40.50 | 4.7× |
| Ana titer (86039) | $51.75 | $69 | 4.6× |
| Angiotensin i enzyme test (82164) | $64.88 | $86.50 | 4.4× |
| Anti-phosphatidylserine antibody (86148) | $68.25 | $91 | 4.2× |
| Antibody aspergillus (86606) | $63.75 | $85 | 4.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $63.75 | $85 | 4.1× |
| Antibody coxiella burnetii q fever (86638) | $90.90 | $121.20 | 7.5× |
| Antibody cytomegalovirus cmv (86644) | $69.75 | $93 | 4.8× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $55.50 | $74 | 4.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $51.75 | $69 | 4.2× |
| Antibody helicobacter pylori (86677) | $71.25 | $95 | 4.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $60.38 | $80.50 | 4.2× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $57.38 | $76.50 | 4.2× |
| Antibody identification (86870) | $645 | $860 | 1.8× |
| Antibody identification leukocyte antibodies (86021) | $62.62 | $83.50 | 4.2× |
| Antibody Identification Platelet Immunogl Assay (86023) | $30.75 | $41 | 2.5× |
| Antibody john cunningham virus (86711) | $33.17 | $44.22 | 2.0× |
| Antibody mumps (86735) | $54.75 | $73 | 4.2× |
| Antibody Protozoa Nes (86753) | $52.50 | $70 | 4.2× |
| Antibody screen (86850) | $40.50 | $54 | 4.1× |
| Antibody treponema pallidum (86780) | $55.50 | $74 | 4.2× |
| Antibody; Coccidioides (86635) | $47.25 | $63 | 4.1× |
| Antigen typing (86905) | $51 | $68 | 13.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $99 | $132 | 19.1× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $37.50 | $50 | 3.1× |
| Antinuclear antibodies (86038) | $51 | $68 | 4.2× |
| Antistreptolysin o titer (86060) | $30.75 | $41 | 4.2× |
| Antithrombin iii activity (85300) | $49.50 | $66 | 4.2× |
| Antithrombin iii antigen (85301) | $48 | $64 | 4.4× |
| Apolipoprotein each (82172) | $87.75 | $117 | 4.2× |
| Aquaporin-4 Antb Elisa (86051) | $21.17 | $28.22 | 1.8× |
| Arsenic Urine (82175) | $80.25 | $107 | 4.2× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $57.75 | $77 | 4.5× |
| Assay Nephelometry Not Spec (83883) | $56.62 | $75.50 | 4.2× |
| Assay of 5-hiaa (83497) | $56.25 | $75 | 4.4× |
| Assay of ammonia (82140) | $70.12 | $93.50 | 4.8× |
| Assay of androstenedione (82157) | $130.88 | $174.50 | 4.5× |
| Assay of anti-mullerian hormone (82166) | $180 | $240 | 4.7× |
| Assay of biotinidase (82261) | $71.25 | $95 | 4.2× |
| Assay of c-peptide (84681) | $87 | $116 | 4.2× |
| Assay of ceruloplasmin (82390) | $45 | $60 | 4.2× |
| Assay of citrate (82507) | $119.25 | $159 | 4.3× |
| Assay of cpk in blood (82552) | $56.25 | $75 | 4.2× |
| Assay of cyclosporine (80158) | $75.75 | $101 | 4.2× |
| Assay of erythropoietin (82668) | $78.75 | $105 | 4.2× |
| Assay of estrone (82679) | $104.62 | $139.50 | 4.2× |
| Assay of ethosuximide (80168) | $69.75 | $93 | 4.3× |
| Assay of ferritin (82728) | $67.12 | $89.50 | 4.9× |
| Assay of g6pd enzyme (82955) | $41.25 | $55 | 4.3× |
| Assay of gammaglobulin igm (82784) | $40.50 | $54 | 4.4× |
| Assay of gastrin (82941) | $74.25 | $99 | 4.2× |
| Assay of gentamicin (80170) | $80.25 | $107 | 4.9× |
| Assay of homocystine (83090) | $75.75 | $101 | 4.2× |
| Assay of lactic acid (83605) | $49.88 | $66.50 | 4.3× |
| Assay of lipoprotein(a) (83695) | $60.38 | $80.50 | 4.2× |
| Assay of metanephrines (83835) | $69.75 | $93 | 4.1× |
| Assay of osteocalcin (83937) | $55.97 | $74.62 | 1.9× |
| Assay of phenobarbital (80184) | $74.25 | $99 | 4.9× |
| Assay of phosphatase acid total (84060) | $33.75 | $45 | 4.4× |
| Assay of prealbumin (84134) | $70.12 | $93.50 | 4.8× |
| Assay of proinsulin (84206) | $114.75 | $153 | 4.3× |
| Assay of prolactin (84146) | $80.25 | $107 | 4.1× |
| Assay of pyruvate (84210) | $61.50 | $82 | 4.2× |
| Assay of serotonin (84260) | $133.50 | $178 | 4.3× |
| Assay of tacrolimus (80197) | $57.38 | $76.50 | 4.2× |
| Assay of topiramate (80201) | $66.38 | $88.50 | 5.6× |
| Assay of urine vma (84585) | $66.75 | $89 | 4.3× |
| Assay of vasopressin anti-diuretic hormone (84588) | $145.50 | $194 | 4.3× |
| Assay of vitamin k (84597) | $57.38 | $76.50 | 4.2× |
| Ast (sgot) (84450) | $25.50 | $34 | 4.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $192 | $256 | 1.1× |
| B cells total count (86355) | $155.25 | $207 | 4.1× |
| Bartonella antibody (86611) | $34.88 | $46.50 | 3.4× |
| Bcr/abl1 gene major bp (81206) | $422.62 | $563.50 | 2.6× |
| Beta 2 glycoprotein 1 igm (86146) | $104.25 | $139 | 4.1× |
| Beta hydroxybutyrate (82010) | $34.12 | $45.50 | 4.2× |
| Beta-2 microglobulin (82232) | $69 | $92 | 4.3× |
| Bile acids, total (82239) | $71.62 | $95.50 | 4.2× |
| Bilirubin direct (82248) | $23.62 | $31.50 | 4.7× |
| Bilirubin total (82247) | $31.88 | $42.50 | 6.3× |
| Bilirubin total transcutaneous (88720) | $32.25 | $43 | 6.4× |
| Bl Smear W/Diff Wbc Count (85007) | $20.62 | $27.50 | 5.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $22.88 | $30.50 | 6.7× |
| Blastomyces antibody (86612) | $24.19 | $32.25 | 1.9× |
| Bld Typing Serologic Rh Phnt (86906) | $83.25 | $111 | 10.7× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $10.50 | $14 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18 | $24 | 4.1× |
| Blood Ph (82800) | $53.25 | $71 | 4.8× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $13.50 | $18 | 2.1× |
| Blood typing abo (86900) | $18.75 | $25 | 6.3× |
| Blood typing serologic rh (d) (86901) | $20.62 | $27.50 | 6.9× |
| Body fluid cell count (89051) | $22.88 | $30.50 | 4.1× |
| Bone Marrow Smear Interpretation (85097) | $265.50 | $354 | 0.3× |
| Bordetella antibody (86615) | $55.50 | $74 | 4.2× |
| Brca1&2 seq & full dup/del (81162) | $3,421.58 | $4,562.10 | 1.9× |
| Breath Alcohol Test (82075) | $148.50 | $198 | 5.0× |
| C diff amplified probe (87493) | $156 | $208 | 4.2× |
| C-reactive protein (86140) | $22.12 | $29.50 | 4.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $26.25 | $35 | 2.0× |
| C1q binding assay (86332) | $104.25 | $139 | 4.3× |
| Ca 125 (86304) | $87 | $116 | 4.2× |
| Ca 19-9 (86301) | $87 | $116 | 4.2× |
| Ca 27 29 (86300) | $62.25 | $83 | 3.0× |
| Cadmium level (82300) | $44.33 | $59.10 | 1.9× |
| Caffeine (80155) | $165.75 | $221 | 4.3× |
| Calcitonin (82308) | $113.25 | $151 | 4.2× |
| Calcium ionized (82330) | $66.38 | $88.50 | 4.9× |
| Calcium total (82310) | $25.12 | $33.50 | 4.9× |
| Calcium urine (82340) | $28.88 | $38.50 | 4.8× |
| Calculus Quantitative Chemical (82360) | $79.50 | $106 | 6.2× |
| Calculus spectroscopy (82365) | $53.25 | $71 | 4.1× |
| Calprotectin, fecal (83993) | $84 | $112 | 4.3× |
| Candida antibody (86628) | $42.06 | $56.08 | 3.5× |
| Carbamazepine free (80157) | $55.50 | $74 | 4.2× |
| Carbamazepine total (80156) | $70.12 | $93.50 | 4.8× |
| Carbon dioxide (82374) | $23.25 | $31 | 4.8× |
| Carboxyhemoglobin (82375) | $60.75 | $81 | 4.9× |
| Carboxyhemoglobin; qualitative Facility (82376) | $58.88 | $78.50 | 4.2× |
| Carcinoembryonic antigen (82378) | $41.62 | $55.50 | 2.2× |
| Cardiolipin ab igg (86147) | $106.12 | $141.50 | 4.2× |
| Carnitine (82379) | $70.12 | $93.50 | 4.2× |
| Catecholamines fraction plasma (82384) | $105.38 | $140.50 | 4.2× |
| Catecholamines Total Urine (82382) | $115.50 | $154 | 4.2× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $583.50 | $778 | 4.3× |
| Cftr gene com variants (81220) | $2,394.75 | $3,193 | 4.3× |
| Cftr gene full sequence (81223) | $2,147.25 | $2,863 | 4.3× |
| Chemiluminescent assay (82397) | $59.62 | $79.50 | 4.2× |
| Chlamydia antibody (86631) | $50.25 | $67 | 4.3× |
| Chloride blood (82435) | $21.75 | $29 | 4.7× |
| Chloride urine (82436) | $27.75 | $37 | 4.8× |
| Cholesterol HDL (83718) | $39.75 | $53 | 4.9× |
| Cholesterol total (82465) | $20.62 | $27.50 | 4.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $639 | $852 | 5.1× |
| Chromium urine (82495) | $84.75 | $113 | 4.2× |
| Chromogenic Substrate Assay (85130) | $288 | $384 | 24.2× |
| Chromogranin a (86316) | $88.50 | $118 | 4.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $76.40 | $101.86 | 2.2× |
| Ckmb (82553) | $24 | $32 | 2.1× |
| Clot Factor VIII Multimetric (85247) | $99 | $132 | 4.3× |
| Clot factor viii vw antigen (85246) | $99 | $132 | 4.3× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $77.25 | $103 | 4.3× |
| Clotting Inhibitors Protein S Free (85306) | $64.88 | $86.50 | 4.2× |
| Clozapine level (80159) | $84.75 | $113 | 4.2× |
| Cmv ab igm (86645) | $69 | $92 | 4.1× |
| Cmv PCR (87496) | $150 | $200 | 4.3× |
| Cns DNA amp probe type 12-25 (87483) | $899.25 | $1,199 | 2.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $102.75 | $137 | 4.3× |
| Cold agglutinin titer (86157) | $114.75 | $153 | 14.2× |
| Collagen cross links (82523) | $79.50 | $106 | 4.3× |
| Compatibility test antiglob (86922) | $350.62 | $467.50 | 2.1× |
| Complement c3 (86160) | $99.75 | $133 | 8.3× |
| Complement total (ch50) (86162) | $85.50 | $114 | 4.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $49.50 | $66 | 4.1× |
| Concentration Infectious Agent (87015) | $34.50 | $46 | 5.2× |
| Coombs direct (86880) | $42.75 | $57 | 7.9× |
| Copper urine (82525) | $51.75 | $69 | 4.2× |
| Cortisol free (82530) | $69 | $92 | 4.1× |
| Cortisol total (82533) | $75 | $100 | 4.6× |
| Creatine kinase total (82550) | $31.50 | $42 | 4.8× |
| Creatinine blood (82565) | $23.25 | $31 | 4.5× |
| Creatinine clearance (82575) | $45 | $60 | 4.8× |
| Creatinine other source (82570) | $21.38 | $28.50 | 4.1× |
| Crossmatch immediate spin (86920) | $394.50 | $526 | 2.3× |
| Cryofibrinogen (82585) | $60.75 | $81 | 4.3× |
| Cryoglobulin (82595) | $26.25 | $35 | 4.1× |
| Crystals body fluid (89060) | $30.38 | $40.50 | 4.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $14.62 | $19.50 | 1.8× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $303.75 | $405 | 1.4× |
| Culture Aerobic Identify (87077) | $20.25 | $27 | 2.5× |
| Culture afb (87116) | $45.75 | $61 | 4.2× |
| Culture anaerobic (87075) | $51 | $68 | 5.4× |
| Culture blood (87040) | $54.75 | $73 | 5.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $41.25 | $55 | 5.4× |
| Culture fungus other (87102) | $22.50 | $30 | 2.7× |
| Culture genital (87070) | $44.25 | $59 | 5.1× |
| Culture screen only (87081) | $34.50 | $46 | 5.2× |
| Culture stool (87045) | $49.50 | $66 | 5.2× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $159 | $212 | 4.5× |
| Culture urine (87086) | $43.50 | $58 | 5.4× |
| Culture virus (87252) | $103.50 | $138 | 4.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $223.50 | $298 | 1.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $61.50 | $82 | 4.3× |
| Cyclic Citrullinated Peptide (86200) | $102.26 | $136.35 | 7.9× |
| Cystatin c (82610) | $78 | $104 | 4.2× |
| Cytogenom const microarray copy number&snp var (81229) | $4,992 | $6,656 | 4.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $180.38 | $240.50 | 4.2× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $141.75 | $189 | 3.8× |
| Cytp concentration smears & interpretation (88108) | $40.50 | $54 | 1.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $92.25 | $123 | 1.8× |
| Cytp fna eval dx 1st each site (88172) | $70.50 | $94 | 0.4× |
| D-Dimer (85378) | $98.25 | $131 | 10.1× |
| Deoxyribonuclease antibody (86215) | $55.50 | $74 | 4.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $70.50 | $94 | 4.3× |
| Dgp antibody each ig class (86258) | $52.54 | $70.05 | 4.4× |
| Dhea (82626) | $107.25 | $143 | 4.2× |
| Dhea-sulfate (82627) | $93.38 | $124.50 | 4.2× |
| Digoxin (80162) | $64.12 | $85.50 | 4.8× |
| Dihydrotestosterone (82642) | $130.88 | $174.50 | 4.5× |
| Dilantin (80185) | $65.25 | $87 | 4.9× |
| Dna Antibody Single Stranded (86226) | $51.75 | $69 | 4.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $57.38 | $76.50 | 4.2× |
| Drug assay adalimumab (80145) | $98.79 | $131.72 | 2.6× |
| Drug assay felbamate (80167) | $34.95 | $46.60 | 1.9× |
| Drug assay flecainide (80181) | $78 | $104 | 4.2× |
| Drug Assay Lacosamide (80235) | $365.25 | $487 | 13.5× |
| Drug assay voriconazole (80285) | $57.75 | $77 | 2.1× |
| Drug quant nes (80299) | $78 | $104 | 4.2× |
| Drug screen quant zonisamide (80203) | $68.62 | $91.50 | 5.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $54.75 | $73 | 4.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $54.75 | $73 | 4.1× |
| Drug Scrn Quan Levetiracetam (80177) | $55.50 | $74 | 4.2× |
| Drug test prsmv chem anlyzr (80307) | $107.25 | $143 | 1.7× |
| Drug Test Prsmv Dir Opt Obs (80305) | $50.25 | $67 | 4.0× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $73.50 | $98 | 4.3× |
| Ebv viral capsid (86665) | $71.25 | $95 | 3.9× |
| Ehrlichia antibody (86666) | $49.88 | $66.50 | 4.9× |
| Elastase pancreatic fecal quantitative (82653) | $43.05 | $57.40 | 1.9× |
| Electrolyte panel (80051) | $33.75 | $45 | 4.8× |
| Electronic crossmatch (86923) | $98.25 | $131 | 0.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $59.25 | $79 | 4.9× |
| Enterovirus antibody (86658) | $111.12 | $148.16 | 8.5× |
| Enterovirus Pcr (87498) | $150 | $200 | 4.3× |
| Eosinophil count (85048) | $13.88 | $18.50 | 5.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $71.62 | $95.50 | 4.7× |
| Estradiol (82670) | $117.75 | $157 | 4.2× |
| Estriol serum (82677) | $103.50 | $138 | 4.3× |
| Estrogens fractionated (82671) | $136.12 | $181.50 | 4.2× |
| Ethylene glycol (82693) | $63.75 | $85 | 4.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $422.25 | $563 | 4.3× |
| Everolimus (80169) | $58.50 | $78 | 4.3× |
| F2 gene analysis 20210g >a variant (81240) | $237 | $316 | 3.6× |
| F5 gene analysis, leiden variant (81241) | $309 | $412 | 4.2× |
| Factor ii activity (85210) | $54.75 | $73 | 4.2× |
| Factor ix activity (85250) | $81.75 | $109 | 4.3× |
| Factor viii ahg (85240) | $81.38 | $108.50 | 4.5× |
| Factor xi assay (85270) | $77.25 | $103 | 4.3× |
| Factor xii assay (85280) | $83.25 | $111 | 4.3× |
| Fecal fat qual (82705) | $24 | $32 | 4.7× |
| Fecal fat quant (82710) | $86.25 | $115 | 5.1× |
| Fetal bleed screen (85461) | $63 | $84 | 6.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $700.50 | $934 | 4.6× |
| Fetal fibronectin (82731) | $276 | $368 | 4.3× |
| Fibrinogen activity (85384) | $40.50 | $54 | 4.2× |
| Flow cytometry first marker (88184) | $412.50 | $550 | 1.2× |
| Fluorescent Antibody Screen (86255) | $50.25 | $67 | 4.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $51 | $68 | 4.2× |
| Folate serum (82746) | $61.88 | $82.50 | 4.2× |
| Folic acid rbc (82747) | $74.25 | $99 | 4.2× |
| Follicle Stimulating Hormone (83001) | $78 | $104 | 4.2× |
| Fresh frozen plasma thawing each unit (86927) | $377.25 | $503 | 2.2× |
| Frozen Section (88331) | $89.25 | $119 | 0.5× |
| Fructosamine (82985) | $71.25 | $95 | 4.3× |
| Gabapentin (80171) | $91.50 | $122 | 4.2× |
| Gammaglobulin ige (82785) | $67.50 | $90 | 4.1× |
| Gardner vag DNA dir probe (87510) | $30 | $40 | 1.5× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $206.25 | $275 | 2.6× |
| Ggt (82977) | $34.12 | $45.50 | 4.7× |
| Giardia antigen eia stool (87329) | $62.62 | $83.50 | 5.2× |
| Glucagon (82943) | $26.79 | $35.72 | 1.9× |
| Glucose (82947) | $19.12 | $25.50 | 4.9× |
| Glucose body fluid (82945) | $19.50 | $26 | 5.0× |
| Glucose post dose (82950) | $22.50 | $30 | 4.7× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $19.12 | $25.50 | 4.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $57.38 | $76.50 | 4.5× |
| Gonadotropin releasing hormone (83727) | $72.75 | $97 | 4.2× |
| Growth hormone (83003) | $70.50 | $94 | 4.2× |
| H pylori breath test (83013) | $283.88 | $378.50 | 4.2× |
| Haptoglobin (83010) | $52.50 | $70 | 4.2× |
| Hcg qualitative (84703) | $62.62 | $83.50 | 8.3× |
| Hcg quant (84702) | $62.62 | $83.50 | 4.2× |
| Heavy metal quant each (83018) | $92.25 | $123 | 4.2× |
| Hematocrit (85014) | $15 | $20 | 6.3× |
| Hemoglobin (85018) | $16.50 | $22 | 7.0× |
| Hemoglobin a1c (83036) | $47.25 | $63 | 4.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $77.25 | $103 | 4.3× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $33 | $44 | 4.3× |
| Heparin assay (85520) | $71.25 | $95 | 5.4× |
| Hepatitis a antibody total (86708) | $51 | $68 | 4.1× |
| Hepatitis a igm (86709) | $46.50 | $62 | 4.1× |
| Hepatitis b core ab igm (86705) | $49.50 | $66 | 4.2× |
| Hepatitis b core antibody total (86704) | $50.25 | $67 | 4.2× |
| Hepatitis B Surface Ab (86706) | $50.25 | $67 | 4.7× |
| Hepatitis B Surface Antigen (87340) | $43.50 | $58 | 4.2× |
| Hepatitis be antibody (86707) | $48.75 | $65 | 4.2× |
| Hepatitis Be Antigen (87350) | $49.50 | $66 | 4.3× |
| Hepatitis c antibody (86803) | $59.62 | $79.50 | 4.2× |
| Hepatitis C Genotype (87902) | $783.75 | $1,045 | 3.0× |
| Hepatitis delta ab (86692) | $71.62 | $95.50 | 4.2× |
| Herpes simplex type i (86695) | $55.50 | $74 | 4.2× |
| Herpes simplex type ii (86696) | $55.88 | $74.50 | 2.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $21.38 | $28.50 | 4.1× |
| Hfe gene (81256) | $275.25 | $367 | 4.2× |
| Histamine plasma (83088) | $126 | $168 | 4.3× |
| Histoplasma antibody (86698) | $37.50 | $50 | 2.7× |
| HIV confirmation (86689) | $83.25 | $111 | 4.3× |
| Hla class i typing high resolution one allele or allele group (81381) | $318.56 | $424.75 | 1.9× |
| Hla class i&ii antibody qual (86828) | $120.35 | $160.47 | 1.9× |
| Hla class ii typing high resolution one locus ea (81382) | $231.90 | $309.20 | 1.9× |
| Hla-b27 (86812) | $107.62 | $143.50 | 4.2× |
| Homovanillic acid urine (83150) | $96 | $128 | 4.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $178.33 | $237.77 | 5.1× |
| Hydroxychloroquine (80220) | $34.95 | $46.60 | 1.9× |
| Hydroxycorticosteroids 17 (83491) | $81.75 | $109 | 4.6× |
| Hydroxyprogesterone 17-d (83498) | $241.88 | $322.50 | 8.9× |
| Iaad ia clostridium difficile toxin (87324) | $50.25 | $67 | 4.2× |
| Iaad Ia Cryptococcus Neoformans (87327) | $25.16 | $33.55 | 1.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $100.88 | $134.50 | 4.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $61.50 | $82 | 4.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $72 | $96 | 2.0× |
| Iaad ia shiga-like toxin (87427) | $33.75 | $45 | 2.8× |
| Iaad Ia Streptococcus Group A (87430) | $90 | $120 | 5.4× |
| Iaadi Legionella Pneumophila (87278) | $142.50 | $190 | 9.1× |
| Iaadiadoo not otherwise specified (87899) | $68.25 | $91 | 4.2× |
| Iadna Candida Species Direct Probe Tq (87480) | $85.50 | $114 | 4.3× |
| Iadna hepatitis b virus quantification (87517) | $183.75 | $245 | 4.3× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $147.38 | $196.50 | 4.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $220.54 | $294.05 | 5.1× |
| Iadna herpes virus-6 quantification (87533) | $178.50 | $238 | 4.3× |
| Iadna HIV-1 quant & reverse transcription (87536) | $366 | $488 | 4.3× |
| Iadna human papillomavirus high-risk types (87624) | $150 | $200 | 4.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $150 | $200 | 4.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $185.62 | $247.50 | 5.3× |
| Iadna nos amplified probe tq each organism (87798) | $144 | $192 | 4.1× |
| Iadna nos quantification each organism (87799) | $163.50 | $218 | 3.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $34.50 | $46 | 1.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,251.75 | $1,669 | 3.0× |
| If cryptosporidium antigen (87272) | $79.50 | $106 | 6.6× |
| Igg subclasses (82787) | $33.38 | $44.50 | 4.2× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $476.62 | $635.50 | 1.3× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) | $75.75 | $101 | 4.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $124.12 | $165.50 | 8.3× |
| Immunoassay nonantibody (83516) | $50.25 | $67 | 4.4× |
| Immunodiffusion Ouchterlony (86331) | $93.79 | $125.05 | 7.8× |
| Immunofixation (86334) | $94.12 | $125.50 | 4.2× |
| Immunofixation urine (86335) | $125.25 | $167 | 4.3× |
| Immunoglobulin light chains free each (83521) | $64.76 | $86.35 | 3.7× |
| Immunohistochemistry (88342) | $216.75 | $289 | 1.3× |
| In situ hybridization (88365) | $101.25 | $135 | 0.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) | $93.75 | $125 | 4.1× |
| Influenza a/b ag eia (87400) | $29.25 | $39 | 2.1× |
| Influenza DNA amp probe (87502) | $396 | $528 | 4.1× |
| Inhibin a (86336) | $66.75 | $89 | 4.3× |
| Inhibin b (83520) | $72.75 | $97 | 4.2× |
| Insitu hybridization auto (88367) | $1,153.50 | $1,538 | 3.3× |
| Insitu hybridization manual (88368) | $177 | $236 | 0.5× |
| Insulin antibodies (86337) | $90.75 | $121 | 4.2× |
| Insulin total (83525) | $55.50 | $74 | 4.9× |
| Interleukin 6 (83529) | $32.39 | $43.18 | 1.9× |
| Iron (83540) | $45.38 | $60.50 | 7.0× |
| Iron binding capacity (83550) | $42.75 | $57 | 4.9× |
| Islet cell antibody (86341) | $254.58 | $339.44 | 10.8× |
| Jak2 gene analysis (81270) | $386.25 | $515 | 4.2× |
| Jak2 targeted sequence analysis (81279) | $378.75 | $505 | 2.0× |
| Kit gene analys d816 variant (81273) | $117 | $156 | 0.9× |
| Lactoferrin fecal qual (83630) | $83.25 | $111 | 4.2× |
| Lactoferrin Fecal Quantitative (83631) | $84 | $112 | 4.3× |
| Lamellar Body Count (83664) | $132 | $176 | 6.8× |
| Ldh body fluid (83615) | $28.88 | $38.50 | 4.8× |
| LDL cholesterol direct (83721) | $44.25 | $59 | 4.2× |
| Lead (83655) | $50.25 | $67 | 4.1× |
| Legion pneumo, DNA, amp prob (87541) | $150 | $200 | 4.3× |
| Legionella antibody (86713) | $66 | $88 | 4.3× |
| Legionella antigen urine (87449) | $52.88 | $70.50 | 4.4× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $18.75 | $25 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $31.88 | $42.50 | 0.9× |
| Level v surg pathology grossµscopic exam (88307) | $172.88 | $230.50 | 0.5× |
| Level vi surg pathology grossµscopic exam (88309) | $198 | $264 | 0.2× |
| Lh (83002) | $78 | $104 | 4.2× |
| Lipase (83690) | $34.50 | $46 | 5.0× |
| Lipopro bld electrophoretic (83700) | $47.25 | $63 | 4.2× |
| Lithium (80178) | $27.38 | $36.50 | 4.1× |
| Lyme disease antibody (86618) | $72 | $96 | 4.2× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $73.50 | $98 | 0.4× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $462 | $616 | 2.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $433.50 | $578 | 2.6× |
| Magnesium (83735) | $32.25 | $43 | 4.8× |
| Malaria smear (87207) | $25.50 | $34 | 4.3× |
| Manual Diff Wbc Count B-Coat (85009) | $33.75 | $45 | 6.7× |
| Manual reticulocyte count (85044) | $28.50 | $38 | 6.6× |
| Mass spectrometry qual/quan (83789) | $103.50 | $138 | 4.3× |
| Mercury urine (83825) | $30.49 | $40.65 | 1.9× |
| Methylmalonic acid serum (83921) | $88.50 | $118 | 4.2× |
| Microalbumin urine (82043) | $24 | $32 | 4.2× |
| Microsomal antibodies (86376) | $60 | $80 | 4.1× |
| Mitochondrial antibody each (86381) | $49.50 | $66 | 1.9× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $22.59 | $30.12 | 1.9× |
| Molecular pathology procedure level 7 (81406) | $530.40 | $707.20 | 1.9× |
| Mrsa PCR (87641) | $147.38 | $196.50 | 4.2× |
| Mthfr Gene Analysis Common Variants (81291) | $280.50 | $374 | 4.3× |
| Muramidase (85549) | $57.70 | $76.94 | 3.1× |
| Mycophenolic acid (80180) | $77.25 | $103 | 4.3× |
| Mycoplasma antibody (86738) | $55.50 | $74 | 4.2× |
| Myelin basic protein csf (83873) | $71.62 | $95.50 | 4.2× |
| Myoglobin urine (83874) | $54 | $72 | 4.2× |
| Natriuretic peptide (83880) | $133.12 | $177.50 | 3.4× |
| Neutralization Test Viral (86382) | $72 | $96 | 4.3× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $240.54 | $320.72 | 1.9× |
| Nfct ds bv&vaginitis DNA alg (81515) | $306 | $408 | 1.2× |
| Nickel level (83885) | $45.95 | $61.27 | 1.9× |
| Nk cells total count (86357) | $158.25 | $211 | 4.2× |
| Nuclear antigen antibody (86235) | $36 | $48 | 2.0× |
| Obstetric panel (80081) | $321 | $428 | 4.3× |
| Oligoclonal bands (83916) | $115.50 | $154 | 4.2× |
| Organic acids total quantitative each specimen (83918) | $99.38 | $132.50 | 4.2× |
| Osmolality serum (83930) | $31.50 | $42 | 4.8× |
| Osmolality urine (83935) | $31.88 | $42.50 | 4.7× |
| Ova and parasite direct-id lca (87177) | $45.75 | $61 | 5.1× |
| Oxalate urine (83945) | $60.38 | $80.50 | 4.2× |
| Pancreatic elastase, fecal (82656) | $49.50 | $66 | 4.3× |
| Pancreatic polypeptide (83519) | $85.50 | $114 | 4.6× |
| Particle Agglutination Screen Each Antibody (86403) | $49.50 | $66 | 4.3× |
| Parvovirus antibody (86747) | $63.75 | $85 | 4.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $551.25 | $735 | 0.7× |
| Ph body fluid (83986) | $14.25 | $19 | 4.0× |
| Phenylalanine (84030) | $99.38 | $132.50 | 18.1× |
| Phosphatase alkaline (84075) | $25.50 | $34 | 4.9× |
| Phosphorus blood (84100) | $22.50 | $30 | 4.7× |
| Phosphorus urine (84105) | $27 | $36 | 4.7× |
| Platelet aggregation (85576) | $106.50 | $142 | 4.3× |
| Platelet count automated (85049) | $29.62 | $39.50 | 6.6× |
| Pneumcysts jirovecii amp prb (87594) | $83.25 | $111 | 2.4× |
| Porphobilinogen urine quant (84110) | $34.88 | $46.50 | 4.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $61.88 | $82.50 | 4.2× |
| Potassium (84132) | $22.50 | $30 | 4.7× |
| Potassium urine (84133) | $22.50 | $30 | 4.8× |
| Pregnenolone (84140) | $86.25 | $115 | 4.2× |
| Pretx serum rbc antibody identification dilution (86976) | $69.75 | $93 | 2.4× |
| Primidone (80188) | $70.50 | $94 | 4.2× |
| Procalcitonin (pct) (84145) | $114.75 | $153 | 4.2× |
| Progesterone (84144) | $87 | $116 | 4.2× |
| Protein body fluid (84157) | $19.12 | $25.50 | 4.8× |
| Protein c activity (85303) | $56.25 | $75 | 4.1× |
| Protein c antigen (85302) | $51 | $68 | 4.2× |
| Protein electrophoresis serum (84165) | $44.25 | $59 | 4.1× |
| Protein Electrophoresis Urine (84166) | $72.75 | $97 | 4.1× |
| Protein s total (85305) | $48.75 | $65 | 4.2× |
| Protein total serum (84155) | $17.25 | $23 | 4.7× |
| Protein urine (84156) | $25.88 | $34.50 | 7.1× |
| Protein Western Blot (84182) | $516.38 | $688.50 | 17.7× |
| PSA free (84154) | $75.75 | $101 | 4.1× |
| Pth intact (83970) | $172.88 | $230.50 | 4.2× |
| Rbc antibody elution (86860) | $293.62 | $391.50 | 1.7× |
| Rbc pretreatment serum (86978) | $249.75 | $333 | 4.3× |
| Rbc pretx incubatj w/chemicl (86970) | $120 | $160 | 2.1× |
| Reagent strip/blood glucose (82948) | $21.75 | $29 | 4.3× |
| Renin activity plasma (84244) | $92.25 | $123 | 4.2× |
| Resp virus 12-25 targets (87633) | $591 | $788 | 1.4× |
| Resp virus 3-5 targets (87631) | $299.25 | $399 | 2.1× |
| Respiratory Virus (86756) | $66.38 | $88.50 | 4.2× |
| Reticulated platelet assay (85055) | $75 | $100 | 2.1× |
| Reticulocyte separation (86972) | $301.50 | $402 | 1.8× |
| Rheumatoid Factor Qual (86430) | $25.88 | $34.50 | 4.2× |
| Rheumatoid factor quant (86431) | $12.75 | $17 | 2.2× |
| Rickettsia antibody (86757) | $64.32 | $85.76 | 3.3× |
| Ristocetin cofactor (85245) | $99 | $132 | 4.3× |
| Rotavirus ag eia (87425) | $65.62 | $87.50 | 5.5× |
| Rubella antibody (86762) | $60.38 | $80.50 | 4.2× |
| Rubeola Antibody Igg (86765) | $54 | $72 | 4.2× |
| Russell viper venom time diluted (85613) | $35.25 | $47 | 3.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $117 | $156 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $72.75 | $97 | 1.7× |
| Sarscov2 & inf a&b amp prb (87636) | $117 | $156 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $117 | $156 | 0.8× |
| Sedimentation rate (85651) | $28.50 | $38 | 6.7× |
| Sedimentation rate auto (85652) | $6 | $8 | 2.2× |
| Selenium (84255) | $106.88 | $142.50 | 4.2× |
| Semen analysis complete (89320) | $51.75 | $69 | 4.2× |
| Semen analysis motility and count (89310) | $35.25 | $47 | 4.1× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $36 | $48 | 3.0× |
| Sensitivity mic (87186) | $45.75 | $61 | 5.3× |
| Sex hormone binding globulin (84270) | $91.50 | $122 | 4.2× |
| Sirolimus (rapamycin) (80195) | $185.25 | $247 | 13.5× |
| Smear acid fast (87206) | $24 | $32 | 4.5× |
| Smear complex stain (87209) | $64.50 | $86 | 3.6× |
| Smear gram stain (87205) | $18.75 | $25 | 4.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $30.75 | $41 | 5.3× |
| Sodium (84295) | $23.25 | $31 | 4.8× |
| Sodium feces (84302) | $20.25 | $27 | 4.2× |
| Sodium urine (84300) | $23.62 | $31.50 | 4.7× |
| Soluble transferrin receptor (84238) | $117.54 | $156.71 | 3.2× |
| Somatomedin (84305) | $88.50 | $118 | 4.2× |
| Somatostatin (84307) | $34.28 | $45.70 | 1.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $35.25 | $47 | 0.3× |
| Special stains group 1 (88312) | $54 | $72 | 1.0× |
| Stool Culture, Addl Pathogens (87046) | $20.25 | $27 | 2.1× |
| Strep a DNA amp probe (87651) | $147.38 | $196.50 | 4.2× |
| Sugars Single Qualitative, Each Specimen (84376) | $22.88 | $30.50 | 4.2× |
| Surg path level 1 (88300) | $20.25 | $27 | 0.7× |
| Surg path level iii (88304) | $168.38 | $224.50 | 3.3× |
| Surgical pathology level IV (88305) | $74.25 | $99 | 1.4× |
| T Cell Absolute Count (86361) | $115.50 | $154 | 4.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $194.25 | $259 | 4.1× |
| T cells total count (86359) | $156.67 | $208.90 | 4.2× |
| T3 free (84481) | $70.88 | $94.50 | 4.2× |
| T3 reverse (84482) | $66.38 | $88.50 | 4.2× |
| T3 total (84480) | $59.62 | $79.50 | 4.2× |
| T3 uptake (84479) | $29.62 | $39.50 | 4.6× |
| T4 free (84439) | $38.25 | $51 | 4.2× |
| T4 total (84436) | $33.38 | $44.50 | 4.9× |
| Tb ag response t-cell susp (86481) | $429.75 | $573 | 4.3× |
| Tb intradermal test (86580) | $105 | $140 | 3.7× |
| Tb test, cell immun measure (86480) | $253.50 | $338 | 4.1× |
| Testosterone free (84402) | $106.88 | $142.50 | 4.2× |
| Testosterone total (84403) | $107.62 | $143.50 | 4.2× |
| Theophylline (80198) | $60.75 | $81 | 4.3× |
| Thin prep pap (88142) | $93.75 | $125 | 4.6× |
| Thiopurine methyltransferase (84433) | $41.57 | $55.42 | 1.9× |
| Thrombin time plasma (85670) | $21 | $28 | 3.6× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $23.62 | $31.50 | 3.7× |
| Thyroglobulin (84432) | $68.25 | $91 | 4.2× |
| Thyroglobulin antibody (86800) | $67.12 | $89.50 | 4.2× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $214.12 | $285.50 | 4.2× |
| Thyroxine binding globulin (84442) | $63 | $84 | 4.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $21.75 | $29 | 5.1× |
| Tissue culture bone marrow (88237) | $279.75 | $373 | 1.9× |
| Tissue culture lymphocyte (88230) | $579.38 | $772.50 | 5.0× |
| Tissue transglutaminase ab iga (86364) | $42.75 | $57 | 3.7× |
| Tobramycin peak (80200) | $69 | $92 | 4.3× |
| Touch prep (88161) | $31.50 | $42 | 1.1× |
| Toxoplasma ab igm (86778) | $60.38 | $80.50 | 4.2× |
| Toxoplasma antibody igg (86777) | $60.38 | $80.50 | 4.2× |
| Transferrin (84466) | $54 | $72 | 4.2× |
| Triglycerides (84478) | $27.38 | $36.50 | 4.8× |
| Troponin (84484) | $61.50 | $82 | 4.9× |
| Urea nitrogen (84520) | $19.12 | $25.50 | 4.8× |
| Urea nitrogen urine (84540) | $26.62 | $35.50 | 4.8× |
| Uric acid blood (84550) | $21.38 | $28.50 | 4.7× |
| Uric acid other source (84560) | $23.62 | $31.50 | 4.7× |
| Urinalysis (81005) | $9 | $12 | 4.1× |
| Urinalysis auto w/scope (81001) | $20.25 | $27 | 6.4× |
| Urinalysis Microscopic Only (81015) | $10.88 | $14.50 | 3.6× |
| Urine Albumin Semiquantitative (82044) | $28.12 | $37.50 | 4.5× |
| Urine pregnancy test (81025) | $36.75 | $49 | 4.3× |
| Urine volume measurement (81050) | $11.25 | $15 | 3.1× |
| Valproic acid (80164) | $56.62 | $75.50 | 4.2× |
| Vancomycin trough (80202) | $65.62 | $87.50 | 4.8× |
| Varicella-zoster antibody (86787) | $52.50 | $70 | 4.1× |
| Vasoactive intestinal peptide (vip) (84586) | $109.24 | $145.66 | 3.1× |
| Vdrl csf (86592) | $17.25 | $23 | 4.0× |
| Virus antibody nos (86790) | $53.25 | $71 | 4.1× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $60.41 | $80.54 | 1.8× |
| Viscosity serum (85810) | $21.88 | $29.17 | 1.9× |
| Vitamin A (84590) | $48.75 | $65 | 4.2× |
| Vitamin b-12 (82607) | $62.62 | $83.50 | 4.2× |
| Vitamin b1 (thiamine) (84425) | $88.50 | $118 | 4.2× |
| Vitamin b2 (84252) | $86.25 | $115 | 4.3× |
| Vitamin b3 niacin (84591) | $72 | $96 | 4.2× |
| Vitamin b6 (84207) | $118.50 | $158 | 4.2× |
| Vitamin c (82180) | $40.50 | $54 | 4.1× |
| Vitamin D 25-Hydroxy (82306) | $126 | $168 | 4.3× |
| Vitamin e serum (84446) | $59.62 | $79.50 | 4.2× |
| West nile virus antibody (86789) | $61.50 | $82 | 4.3× |
| West nile virus igm (86788) | $71.25 | $95 | 4.2× |
| Yersinia antibody (86793) | $55.50 | $74 | 4.2× |
| Zinc (84630) | $36.38 | $48.50 | 3.2× |