| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$115.50 |
— |
| 17-Hydroxycorticosteroids (83491) |
— |
$53.70 |
— |
| 5 Hiaa (83497) |
— |
$38.70 |
— |
| 5 Nucleotidase (83915) |
— |
$33.45 |
— |
| Acetaminophen level (80143) |
— |
$55.92 |
— |
| Acetylcholinesterase (82013) |
— |
$36.87 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$36.15 |
— |
| Activated protein c resistance (85307) |
— |
$45.96 |
— |
| Acute hepatitis panel (80074) |
— |
$142.89 |
— |
| Adamts13 activity (85397) |
— |
$92.58 |
— |
| Adenovirus antibody (86603) |
— |
$38.61 |
— |
| Afb culture (87116) |
— |
$32.40 |
— |
| Agglutinins febrile (86000) |
— |
$20.94 |
— |
| Albumin Fluid (82042) |
— |
$23.34 |
— |
| Albumin serum (82040) |
— |
$14.85 |
— |
| Aldolase (82085) |
— |
$29.13 |
— |
| Aldosterone urine (82088) |
— |
$122.25 |
— |
| Alk phos heat stable (84078) |
— |
$24.78 |
— |
| Allergen specific ige (86003) |
— |
$15.66 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$53.79 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$43.38 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$40.32 |
— |
| Alpha-fetoprotein amniotic (82106) |
— |
$51 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$50.31 |
— |
| Alt (sgpt) (84460) |
— |
$15.90 |
— |
| Aluminum (82108) |
— |
$76.44 |
— |
| Amikacin trough (80150) |
— |
$45.24 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$50.61 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$49.35 |
— |
| Ammonia (82140) |
— |
$43.71 |
— |
| Amylase urine (82150) |
— |
$19.44 |
— |
| Ana Titer (86039) |
— |
$33.48 |
— |
| Angiotensin i enzyme test (82164) |
— |
$43.80 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$48.21 |
— |
| Antibody aspergillus (86606) |
— |
$45.15 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$36.36 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$43.17 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$50.55 |
— |
| Antibody Encephalitis Eastern Equine (86652) |
— |
$39.57 |
— |
| Antibody Encephalitis St. Louis (86653) |
— |
$39.57 |
— |
| Antibody helicobacter pylori (86677) |
— |
$50.55 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$43.17 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$39.57 |
— |
| Antibody HIV-2 (86702) |
— |
$40.56 |
— |
| Antibody identification (86870) |
— |
$899.88 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$45.15 |
— |
| Antibody influenza virus (86710) |
— |
$40.65 |
— |
| Antibody john cunningham virus (86711) |
— |
$50.67 |
— |
| Antibody mumps (86735) |
— |
$39.15 |
— |
| Antibody Protozoa Nes (86753) |
— |
$37.17 |
— |
| Antibody rubeola (86765) |
— |
$38.64 |
— |
| Antibody treponema pallidum (86780) |
— |
$39.72 |
— |
| Antibody; Coccidioides (86635) |
— |
$34.41 |
— |
| Antigen typing (86905) |
— |
$899.88 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$15.54 |
— |
| Antinuclear antibodies (86038) |
— |
$36.27 |
— |
| Antistreptolysin o titer (86060) |
— |
$21.90 |
— |
| Antithrombin iii activity (85300) |
— |
$35.55 |
— |
| Apolipoprotein b (82172) |
— |
$63.27 |
— |
| Arsenic Urine (82175) |
— |
$56.91 |
— |
| Aspergillus ag eia (87305) |
— |
$137.91 |
— |
| Assay direct measurement free estradiol (82681) |
— |
$83.82 |
— |
| Assay Lipoprotein Pla2 (83698) |
— |
$138.93 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$40.80 |
— |
| Assay of acth (82024) |
— |
$115.86 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$51.81 |
— |
| Assay of androstenedione (82157) |
— |
$87.84 |
— |
| Assay of blood chloride (82435) |
— |
$13.80 |
— |
| Assay of c-peptide (84681) |
— |
$62.43 |
— |
| Assay of calcitonin (82308) |
— |
$80.37 |
— |
| Assay of ceruloplasmin (82390) |
— |
$32.22 |
— |
| Assay of cyclosporine (80158) |
— |
$54.15 |
— |
| Assay of erythropoietin (82668) |
— |
$56.37 |
— |
| Assay of ethosuximide (80168) |
— |
$49.02 |
— |
| Assay of ferritin (82728) |
— |
$40.89 |
— |
| Assay of g6pd enzyme (82955) |
— |
$29.10 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$27.90 |
— |
| Assay of gastrin (82941) |
— |
$52.89 |
— |
| Assay of gentamicin (80170) |
— |
$49.14 |
— |
| Assay of glucagon (82943) |
— |
$42.87 |
— |
| Assay of homocystine (83090) |
— |
$53.76 |
— |
| Assay of homovanillic acid (83150) |
— |
$67.23 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$42.96 |
— |
| Assay of metanephrines (83835) |
— |
$50.82 |
— |
| Assay of osteocalcin (83937) |
— |
$89.55 |
— |
| Assay of parathormone (83970) |
— |
$123.84 |
— |
| Assay of phenobarbital (80184) |
— |
$45.90 |
— |
| Assay of prealbumin (84134) |
— |
$43.77 |
— |
| Assay of proinsulin (84206) |
— |
$80.07 |
— |
| Assay of selenium (84255) |
— |
$76.59 |
— |
| Assay of serotonin (84260) |
— |
$92.94 |
— |
| Assay of somatomedin (84305) |
— |
$63.78 |
— |
| Assay of tacrolimus (80197) |
— |
$41.19 |
— |
| Assay of urine vma (84585) |
— |
$46.50 |
— |
| Assay of vitamin k (84597) |
— |
$41.16 |
— |
| Assay of volatiles (84600) |
— |
$51.33 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$10.74 |
— |
| Ast (sgot) (84450) |
— |
$15.54 |
— |
| Automated rbc count (85041) |
— |
$9.06 |
— |
| B cells total count (86355) |
— |
$113.19 |
— |
| Bartonella antibody (86611) |
— |
$30.54 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$491.88 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$434.52 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$76.35 |
— |
| Beta hydroxybutyrate (82010) |
— |
$24.51 |
— |
| Beta Lactamase (87185) |
— |
$14.25 |
— |
| Beta-2 microglobulin (82232) |
— |
$48.54 |
— |
| Bilirubin direct (82248) |
— |
$15.06 |
— |
| Bilirubin total (82247) |
— |
$15.06 |
— |
| Bilirubin total transcutaneous (88720) |
— |
$15.06 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$11.40 |
— |
| Blastomyces antibody (86612) |
— |
$38.70 |
— |
| Blood gases (82803) |
— |
$78.21 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$47.76 |
— |
| Blood typing abo (86900) |
— |
$1,040.82 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$140.01 |
— |
| Body fluid cell count (89051) |
— |
$16.80 |
— |
| Body fluid cell count (89050) |
— |
$14.16 |
— |
| Braf gene (81210) |
— |
$526.20 |
— |
| Brucella antibody (86622) |
— |
$26.79 |
— |
| C diff amplified probe (87493) |
— |
$111.81 |
— |
| C-reactive protein (86140) |
— |
$15.54 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$38.85 |
— |
| C1q binding assay (86332) |
— |
$73.11 |
— |
| Ca 125 (86304) |
— |
$62.43 |
— |
| Ca 19-9 (86301) |
— |
$62.43 |
— |
| Ca 27 29 (86300) |
— |
$62.43 |
— |
| Cadmium level (82300) |
— |
$70.92 |
— |
| Caffeine (80155) |
— |
$115.71 |
— |
| Calcium ionized (82330) |
— |
$41.04 |
— |
| Calcium total (82310) |
— |
$15.48 |
— |
| Calcium urine (82340) |
— |
$18.09 |
— |
| Calculus Spectroscopy (82365) |
— |
$38.70 |
— |
| California encephalitis ab (86651) |
— |
$39.57 |
— |
| Calprotectin, fecal (83993) |
— |
$58.89 |
— |
| Candida antibody (86628) |
— |
$36.03 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$43.71 |
— |
| Carbon dioxide (82374) |
— |
$14.64 |
— |
| Carcinoembryonic antigen (82378) |
— |
$56.88 |
— |
| Cardiolipin ab igg (86147) |
— |
$76.35 |
— |
| Carnitine (82379) |
— |
$196.95 |
— |
| Carotene (82380) |
— |
$27.66 |
— |
| Catecholamines fraction plasma (82384) |
— |
$75.75 |
— |
| Cell saver (86891) |
— |
$2,152.74 |
— |
| Cftr gene com variants (81220) |
— |
$1,669.80 |
— |
| Chlamydia antibody (86631) |
— |
$35.46 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$38.04 |
— |
| Chloramphenicol (82415) |
— |
$38.01 |
— |
| Chloride other source (82438) |
— |
$15 |
— |
| Chloride urine (82436) |
— |
$17.25 |
— |
| Cholesterol total (82465) |
— |
$13.05 |
— |
| Cholinesterase serum (82480) |
— |
$23.61 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$376.47 |
— |
| Chromium urine (82495) |
— |
$60.84 |
— |
| Chromogranin a (86316) |
— |
$62.43 |
— |
| Chromosome analys amniotic (88269) |
— |
$520.98 |
— |
| Chromosome Analysis 5 (88261) |
— |
$793.02 |
— |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) |
— |
$565.71 |
— |
| Chromosome karyotype study (88280) |
— |
$100.41 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$105.27 |
— |
| Citrate (82507) |
— |
$83.40 |
— |
| Ck isoenzymes (82552) |
— |
$40.17 |
— |
| Ckmb (82553) |
— |
$34.65 |
— |
| Clot factor viii vw antigen (85246) |
— |
$68.82 |
— |
| Clozapine level (80159) |
— |
$60.45 |
— |
| Cmv PCR (87496) |
— |
$105.27 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$1,250.34 |
— |
| Coagulation time activated (85347) |
— |
$12.84 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$72.27 |
— |
| Collagen cross links (82523) |
— |
$56.04 |
— |
| Compatibility test antiglob (86922) |
— |
$427.62 |
— |
| Compatibility Test Incubate (86921) |
— |
$427.62 |
— |
| Complement c3 (86160) |
— |
$36 |
— |
| Complement total ch50 (86162) |
— |
$60.96 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$36 |
— |
| Concentration Infectious Agent (87015) |
— |
$20.04 |
— |
| Coombs direct (86880) |
— |
$16.17 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$427.62 |
— |
| Copper urine (82525) |
— |
$37.23 |
— |
| Cortisol free (82530) |
— |
$50.13 |
— |
| Cortisol total (82533) |
— |
$48.90 |
— |
| Creatine kinase total (82550) |
— |
$19.53 |
— |
| Creatinine blood (82565) |
— |
$15.36 |
— |
| Creatinine clearance (82575) |
— |
$28.38 |
— |
| Creatinine other source (82570) |
— |
$15.54 |
— |
| Cryoglobulin (82595) |
— |
$19.41 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$24.24 |
— |
| Culture Aerobic Identify (87077) |
— |
$24.24 |
— |
| Culture anaerobic (87075) |
— |
$28.41 |
— |
| Culture blood (87040) |
— |
$30.96 |
— |
| Culture chlamydia (87110) |
— |
$58.80 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$23.13 |
— |
| Culture fungus id yeast (87106) |
— |
$30.96 |
— |
| Culture fungus other (87102) |
— |
$25.23 |
— |
| Culture genital (87070) |
— |
$25.86 |
— |
| Culture screen only (87081) |
— |
$19.89 |
— |
| Culture stool (87045) |
— |
$28.32 |
— |
| Culture urine (87086) |
— |
$24.21 |
— |
| Culture urine id ea isolate (87088) |
— |
$24.27 |
— |
| Cyanide (82600) |
— |
$58.20 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$38.85 |
— |
| Cyp2c19 gene com variants (81225) |
— |
$874.08 |
— |
| Cyp2d6 gene com variants (81226) |
— |
$1,352.73 |
— |
| Cytogenetics DNA probe (88271) |
— |
$64.26 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$128.52 |
— |
| Cytopath cell enhance tech (88112) |
— |
$135.66 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$100.41 |
— |
| Cytopath,cerv/vag,auto thin layer,interp (88174) |
— |
$131.91 |
— |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
— |
$79.83 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$100.41 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$135.66 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$427.62 |
— |
| D-Dimer (85379) |
— |
$30.54 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$39.75 |
— |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
— |
$131.01 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$49.65 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$210.60 |
— |
| Dhea (82626) |
— |
$75.81 |
— |
| Dhea sulfate (82627) |
— |
$66.69 |
— |
| Digoxin (80162) |
— |
$39.84 |
— |
| Dilantin (80185) |
— |
$39.75 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$36.33 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$41.22 |
— |
| Drug Assay Amiodarone (80151) |
— |
$55.92 |
— |
| Drug assay felbamate (80167) |
— |
$55.92 |
— |
| Drug assay flecainide (80181) |
— |
$55.92 |
— |
| Drug Assay Infliximab (80230) |
— |
$115.71 |
— |
| Drug assay itraconazole (80189) |
— |
$81.33 |
— |
| Drug Assay Lacosamide (80235) |
— |
$81.33 |
— |
| Drug assay methotrexate (80204) |
— |
$115.71 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$65.01 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$39.75 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$39.75 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$39.75 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$343.29 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$37.80 |
— |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
— |
$51.42 |
— |
| Ebv viral capsid (86665) |
— |
$54.42 |
— |
| Echinococcus ab igg (86682) |
— |
$39.03 |
— |
| Egfr Gene Analysis Common Variants (81235) |
— |
$973.74 |
— |
| Ehrlichia antibody (86666) |
— |
$30.54 |
— |
| Electrolyte panel (80051) |
— |
$21.03 |
— |
| Electron microscopy diagnostic (88348) |
— |
$2,152.74 |
— |
| Electronic crossmatch (86923) |
— |
$427.62 |
— |
| Encephalitis Western Equine (86654) |
— |
$39.57 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$36.27 |
— |
| Endomysial antibody iga (86255) |
— |
$36.15 |
— |
| Enterovirus antibody (86658) |
— |
$39.09 |
— |
| Enterovirus Pcr (87498) |
— |
$105.27 |
— |
| Enzyme histochemistry (88319) |
— |
$2,152.74 |
— |
| Eosinophil count (85048) |
— |
$7.62 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$45.87 |
— |
| Estradiol (82670) |
— |
$83.82 |
— |
| Estriol (82677) |
— |
$72.54 |
— |
| Estrogen fractionated (82671) |
— |
$96.90 |
— |
| Estrogen receptor analysis (84233) |
— |
$263.64 |
— |
| Estrogens total (82672) |
— |
$65.10 |
— |
| Estrone (82679) |
— |
$74.85 |
— |
| Ethylene glycol (82693) |
— |
$44.70 |
— |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
— |
$294.33 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$21.99 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$197.07 |
— |
| F5 gene (81241) |
— |
$220.11 |
— |
| Factor inhibitor test (85335) |
— |
$38.61 |
— |
| Factor ix activity (85250) |
— |
$57.12 |
— |
| Factor vii assay (85230) |
— |
$53.70 |
— |
| Factor viii ahg (85240) |
— |
$53.70 |
— |
| Factor viii related antigen (85244) |
— |
$61.26 |
— |
| Factor xi assay (85270) |
— |
$53.70 |
— |
| Factor xii assay (85280) |
— |
$58.05 |
— |
| Factor xiii solubility screen (85291) |
— |
$27.33 |
— |
| Fecal fat qual (82705) |
— |
$15.30 |
— |
| Fetal bleed screen (85461) |
— |
$28.08 |
— |
| Fetal chrmoml aneuploidy (81420) |
— |
$2,277.15 |
— |
| Fetal congenital abnor assay three anal (81510) |
— |
$1,406 |
— |
| Fetal fibronectin (82731) |
— |
$193.23 |
— |
| Fetal hemoglobin, chemical (83030) |
— |
$32.22 |
— |
| Fibrinogen activity (85384) |
— |
$29.16 |
— |
| Flow cytometry first marker (88184) |
— |
$899.88 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$36.15 |
— |
| Folate serum (82746) |
— |
$44.10 |
— |
| Folic acid rbc (82747) |
— |
$52.95 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$55.74 |
— |
| Fractionation ketosteroids (83593) |
— |
$85.50 |
— |
| Francisella Tularensis (86668) |
— |
$42.48 |
— |
| Frozen Section (88331) |
— |
$427.62 |
— |
| Fructosamine (82985) |
— |
$50.28 |
— |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
— |
$30.96 |
— |
| Gammaglobulin ige (82785) |
— |
$49.38 |
— |
| Gardner Vag Dna Quant (87512) |
— |
$125.28 |
— |
| Gastric Occult Blood (82271) |
— |
$15.96 |
— |
| Ggt (82977) |
— |
$460.74 |
— |
| Giardia antigen eia stool (87329) |
— |
$35.94 |
— |
| Giardia lamblia antibody (86674) |
— |
$44.16 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$36.15 |
— |
| Glucose (82947) |
— |
$11.79 |
— |
| Glucose Blood Test (82962) |
— |
$9.84 |
— |
| Glucose body fluid (82945) |
— |
$11.79 |
— |
| Glucose post dose (82950) |
— |
$14.25 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$11.76 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$38.61 |
— |
| Glutathione (82978) |
— |
$46.35 |
— |
| Growth hormone (83003) |
— |
$50.01 |
— |
| Haloperidol (haldol) (80173) |
— |
$47.34 |
— |
| Haptoglobin (83010) |
— |
$37.74 |
— |
| Hcg qualitative (84703) |
— |
$22.56 |
— |
| Hcg quant (84702) |
— |
$45.15 |
— |
| Hdl Cholesterol (83718) |
— |
$24.57 |
— |
| Heavy metal quant each (83018) |
— |
$65.88 |
— |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
— |
$62.82 |
— |
| Hematocrit (85014) |
— |
$7.11 |
— |
| Hemoglobin (85018) |
— |
$7.11 |
— |
| Hemoglobin a1c (83036) |
— |
$29.13 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$38.61 |
— |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
— |
$23.19 |
— |
| Hemoglobin plasma (83051) |
— |
$21.93 |
— |
| Hemosiderin urine (83070) |
— |
$14.25 |
— |
| Heparin assay (85520) |
— |
$39.27 |
— |
| Hepatitis a antibody total (86708) |
— |
$37.17 |
— |
| Hepatitis a igm (86709) |
— |
$33.78 |
— |
| Hepatitis b core ab igm (86705) |
— |
$35.31 |
— |
| Hepatitis b core antibody total (86704) |
— |
$36.15 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$32.22 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$30.99 |
— |
| Hepatitis be antibody (86707) |
— |
$34.71 |
— |
| Hepatitis Be Antigen (87350) |
— |
$34.59 |
— |
| Hepatitis c antibody (86803) |
— |
$42.81 |
— |
| Hepatitis C Genotype (87902) |
— |
$772.35 |
— |
| Hepatitis delta ab (86692) |
— |
$51.48 |
— |
| Herpes simplex type 2 (86696) |
— |
$58.05 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$15.54 |
— |
| Hfe gene (81256) |
— |
$196.08 |
— |
| Histamine plasma (83088) |
— |
$88.59 |
— |
| Histoplasma antibody (86698) |
— |
$41.37 |
— |
| Histoplasma antigen urine (87385) |
— |
$39.75 |
— |
| HIV confirmation (86689) |
— |
$58.05 |
— |
| HIV-1 antibody (86701) |
— |
$26.67 |
— |
| HIV-1 genotype (87901) |
— |
$772.35 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$105.27 |
— |
| Hla class i typing high resolution one allele or allele group (81381) |
— |
$509.70 |
— |
| Hla class ii typing high resolution one locus ea (81382) |
— |
$357.16 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$366.66 |
— |
| Hla typing dr/dq (86817) |
— |
$318.42 |
— |
| Hla-b27 (86812) |
— |
$77.43 |
— |
| Hpv types 16 & 18 only (87625) |
— |
$121.65 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$105.27 |
— |
| Htlv-i antibody (86687) |
— |
$27.27 |
— |
| Htlv-ii antibody (86688) |
— |
$42 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$81.51 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$35.94 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$72.24 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$43.14 |
— |
| Iaad ia rotavirus (87425) |
— |
$35.94 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$35.94 |
— |
| Iaad Ia Streptococcus Group A (87430) |
— |
$50.43 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$48.21 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$105.27 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$210.60 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$128.52 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$128.52 |
— |
| Iadna herpes virus-6 amplified probe tq (87532) |
— |
$105.27 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$105.27 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$105.27 |
— |
| Iadna mycobacteria tuberculosis amp prb (87556) |
— |
$1,071.24 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$105.27 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$105.27 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$105.27 |
— |
| Iadna nos quantification each organism (87799) |
— |
$128.52 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$105.27 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$1,250.34 |
— |
| Iadna-DNA/RNA probe tq 6-11 (87506) |
— |
$788.97 |
— |
| Igg subclasses (82787) |
— |
$24.06 |
— |
| Igh gene rearrange amp meth (81261) |
— |
$593.97 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$88.05 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$44.97 |
— |
| Immunoassay nonantibody (83516) |
— |
$34.59 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$35.94 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$67.02 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$427.62 |
— |
| Immunoglobulin assay (86023) |
— |
$37.38 |
— |
| Immunoglobulin light chains free each (83521) |
— |
$51.81 |
— |
| Immunohisto Antibody Slide (88344) |
— |
$899.88 |
— |
| Immunohistochemistry (88342) |
— |
$427.62 |
— |
| India ink prep (87210) |
— |
$17.46 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) |
— |
$210.54 |
— |
| Influenza DNA amp probe (87502) |
— |
$287.40 |
— |
| Inhibin a (86336) |
— |
$46.77 |
— |
| Inhibin b (83520) |
— |
$51.81 |
— |
| Insitu hybridization (fish) (88365) |
— |
$427.62 |
— |
| Insitu hybridization manual (88368) |
— |
$899.88 |
— |
| Insulin antibodies (86337) |
— |
$64.23 |
— |
| Insulin free (83527) |
— |
$191.07 |
— |
| Insulin total (83525) |
— |
$34.29 |
— |
| Interleukin 6 (83529) |
— |
$51.81 |
— |
| Intraop cyto path consult 1 (88333) |
— |
$2,152.74 |
— |
| Intrinsic factor antibody (86340) |
— |
$45.24 |
— |
| Iron (83540) |
— |
$19.41 |
— |
| Iron binding capacity (83550) |
— |
$26.22 |
— |
| Irradiation of blood product (86945) |
— |
$100.41 |
— |
| Islet cell antibody (86341) |
— |
$70.71 |
— |
| Jak2 gene analysis (81270) |
— |
$274.98 |
— |
| Ketosteroids 17; total (83586) |
— |
$38.40 |
— |
| Koh Prep (87220) |
— |
$12.81 |
— |
| Kras gene analysis (81275) |
— |
$579.75 |
— |
| Lactic acid (83605) |
— |
$34.71 |
— |
| Lactoferrin Fecal Quantitative (83631) |
— |
$58.89 |
— |
| Ldh (83615) |
— |
$18.12 |
— |
| Ldh isoenzymes (83625) |
— |
$38.37 |
— |
| LDL cholesterol direct (83721) |
— |
$31.50 |
— |
| Lead (83655) |
— |
$36.33 |
— |
| Legion pneumo, DNA, amp prob (87541) |
— |
$105.27 |
— |
| Legionella antibody (86713) |
— |
$45.90 |
— |
| Legionella antigen urine (87449) |
— |
$35.94 |
— |
| Leptospira antibody (86720) |
— |
$48.60 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$12.81 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$74.55 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$899.88 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$2,152.74 |
— |
| Lh (83002) |
— |
$55.56 |
— |
| Lidocaine level (80176) |
— |
$44.07 |
— |
| Lipase (83690) |
— |
$20.67 |
— |
| Listeria ab (86609) |
— |
$38.64 |
— |
| Lithium (80178) |
— |
$19.83 |
— |
| Lyme disease antibody (86618) |
— |
$51.09 |
— |
| Lyme disease antibody confirm (86617) |
— |
$46.47 |
— |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
— |
$427.62 |
— |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
— |
$427.62 |
— |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
— |
$899.88 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$427.62 |
— |
| Macroscopic exam arthropod (87168) |
— |
$12.81 |
— |
| Magnesium (83735) |
— |
$20.10 |
— |
| Malaria smear (87207) |
— |
$17.97 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$72.33 |
— |
| Mcg interphase insitu 25 (88274) |
— |
$127.14 |
— |
| Measurement of hemolysin (red blood cell destructive substance) (85475) |
— |
$26.61 |
— |
| Mercury (83825) |
— |
$48.78 |
— |
| Metabolic Panel Ionized Ca (80047) |
— |
$41.19 |
— |
| Methotrexate (80299) |
— |
$55.92 |
— |
| Methylmalonic acid serum (83921) |
— |
$63.63 |
— |
| Microalbumin urine (82043) |
— |
$17.34 |
— |
| Microbe suscept macrobroth (87188) |
— |
$19.92 |
— |
| Microbe Suscept Mycobacteri (87190) |
— |
$21.93 |
— |
| Microbe susceptible diffuse (87181) |
— |
$14.25 |
— |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
— |
$135.66 |
— |
| Microsomal antibodies (86376) |
— |
$43.65 |
— |
| Mitochondrial antibody each (86381) |
— |
$36.15 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$153.57 |
— |
| Molecular pathology procedure level 2 (81401) |
— |
$411 |
— |
| Mrsa amp probe (87641) |
— |
$105.27 |
— |
| Mycobacteric Identification (87118) |
— |
$43.83 |
— |
| Mycophenolic acid (80180) |
— |
$54.15 |
— |
| Mycoplasma antibody (86738) |
— |
$39.72 |
— |
| Mycoplasma DNA probe (87580) |
— |
$60.15 |
— |
| Myd88 mutation analysis (81305) |
— |
$526.20 |
— |
| Myelin basic protein csf (83873) |
— |
$51.60 |
— |
| Myoglobin urine (83874) |
— |
$38.76 |
— |
| Natriuretic peptide (83880) |
— |
$117.78 |
— |
| Nerve teasing preparations (88362) |
— |
$2,152.74 |
— |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
— |
$427.89 |
— |
| Nfct ds bv&vaginitis DNA alg (81515) |
— |
$788.97 |
— |
| Nk cells total count (86357) |
— |
$113.19 |
— |
| Nmr Lipoprofile (83704) |
— |
$102.57 |
— |
| Nuclear antigen antibody (86235) |
— |
$53.79 |
— |
| Oligoclonal bands (83916) |
— |
$82.17 |
— |
| Organic Acids Qual Each (83919) |
— |
$49.35 |
— |
| Osmolality serum (83930) |
— |
$19.83 |
— |
| Osmolality urine (83935) |
— |
$20.46 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$26.70 |
— |
| Oxalate urine (83945) |
— |
$43.35 |
— |
| Pancreatic elastase fecal (82656) |
— |
$34.59 |
— |
| Pancreatic polypeptide (83519) |
— |
$55.20 |
— |
| Parvovirus antibody (86747) |
— |
$45.09 |
— |
| Path Consult During Surgery (88329) |
— |
$153.15 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$391.05 |
— |
| Phenylalanine (84030) |
— |
$16.50 |
— |
| Phenytoin free (80186) |
— |
$41.28 |
— |
| Phosphatase acid prostatic (84066) |
— |
$28.98 |
— |
| Phosphatase alkaline (84075) |
— |
$15.54 |
— |
| Phosphorus blood (84100) |
— |
$14.22 |
— |
| Phosphorus urine (84105) |
— |
$17.34 |
— |
| Pinworm exam (87172) |
— |
$12.81 |
— |
| Platelet aggregation (85576) |
— |
$74.73 |
— |
| Platelet count (85049) |
— |
$13.44 |
— |
| Platelet neutralization (85597) |
— |
$53.94 |
— |
| Porphobilinogen urine quant (84110) |
— |
$25.32 |
— |
| Porphyrins feces qn (84126) |
— |
$117.33 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$44.13 |
— |
| Porphyrins urine qual (84119) |
— |
$40.08 |
— |
| Potassium (84132) |
— |
$14.28 |
— |
| Potassium urine (84133) |
— |
$14.19 |
— |
| Primidone (80188) |
— |
$49.77 |
— |
| Procainamide napa (80192) |
— |
$50.25 |
— |
| Procalcitonin (pct) (84145) |
— |
$81.66 |
— |
| Progesterone (84144) |
— |
$62.58 |
— |
| Progesterone (reproductive hormone) receptor analysis (84234) |
— |
$194.64 |
— |
| Prolactin (84146) |
— |
$58.14 |
— |
| Prostaglandin Ea (84150) |
— |
$125.31 |
— |
| Protein body fluid (84157) |
— |
$12 |
— |
| Protein c activity (85303) |
— |
$41.52 |
— |
| Protein electrophoresis serum (84165) |
— |
$32.22 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$53.49 |
— |
| Protein S Functional (85306) |
— |
$45.96 |
— |
| Protein Total Serum (84155) |
— |
$11.01 |
— |
| Protein urine (84156) |
— |
$11.01 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$43.05 |
— |
| PSA free (84154) |
— |
$55.17 |
— |
| Quantiferon tb gold (86480) |
— |
$185.94 |
— |
| Quinidine (80194) |
— |
$43.80 |
— |
| Rbc antibody elution (86860) |
— |
$427.62 |
— |
| Ref consult prep elsewhere (88321) |
— |
$100.41 |
— |
| Renin activity plasma (84244) |
— |
$65.97 |
— |
| Resp virus 3-5 targets (87631) |
— |
$427.89 |
— |
| Respiratory viral panel PCR (87633) |
— |
$1,250.34 |
— |
| Respiratory Virus (86756) |
— |
$47.67 |
— |
| Reticulocyte Count (85046) |
— |
$16.71 |
— |
| Rheumatoid factor quant (86431) |
— |
$17.01 |
— |
| Rickettsia antibody (86757) |
— |
$58.05 |
— |
| Rsv (87807) |
— |
$39.30 |
— |
| Rubella antibody (86762) |
— |
$43.17 |
— |
| Russell viper venom time diluted (85613) |
— |
$28.74 |
— |
| Saccharomyces ab iga (86671) |
— |
$36.75 |
— |
| Salicylate (80179) |
— |
$55.92 |
— |
| Salmonella antibody (86768) |
— |
$39.57 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$153.93 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$126.39 |
— |
| Sars-cov-2 covid19 w/optic (87811) |
— |
$124.14 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$427.89 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$427.89 |
— |
| Sed rate automated (85652) |
— |
$8.10 |
— |
| Semen analysis (89322) |
— |
$150 |
— |
| Semen analysis complete (89320) |
— |
$248.46 |
— |
| Semen analysis sperm presence&/motility sprm (89321) |
— |
$36.15 |
— |
| Sensitivity - mlc ea plate (87187) |
— |
$120.51 |
— |
| Sensitivity mic (87186) |
— |
$25.95 |
— |
| Serotonin Release Assay (86022) |
— |
$55.11 |
— |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Other Outpatient (88140) |
— |
$23.97 |
— |
| Sex hormone binding globulin (84270) |
— |
$65.19 |
— |
| Sickle cell screen (85660) |
— |
$16.53 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$41.19 |
— |
| Smear acid fast (87206) |
— |
$16.17 |
— |
| Smear gram stain (87205) |
— |
$12.81 |
— |
| Sodium (84295) |
— |
$14.43 |
— |
| Sodium other source (84302) |
— |
$14.58 |
— |
| Sodium urine (84300) |
— |
$15.18 |
— |
| Soluble transferrin receptor (84238) |
— |
$109.71 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$153.15 |
— |
| Special stains group 1 (88312) |
— |
$135.66 |
— |
| Spectrophotometry (84311) |
— |
$24.30 |
— |
| Staph aureus amplified probe (87640) |
— |
$105.27 |
— |
| Strep a assay w/optic (87880) |
— |
$50.43 |
— |
| Strep a DNA amp probe (87651) |
— |
$105.27 |
— |
| Strep b DNA amp probe (87653) |
— |
$105.27 |
— |
| Sulfate urine (84392) |
— |
$16.47 |
— |
| Surg path level iii (88304) |
— |
$135.66 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$74.55 |
— |
| Surgical pathology level IV (88305) |
— |
$135.66 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$22.44 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$140.94 |
— |
| T cells, total count (86359) |
— |
$113.19 |
— |
| T3 free (84481) |
— |
$50.82 |
— |
| T3 reverse (84482) |
— |
$47.28 |
— |
| T3 total (84480) |
— |
$42.54 |
— |
| T3 uptake (84479) |
— |
$19.41 |
— |
| T4 Free (84439) |
— |
$27.06 |
— |
| T4 total (84436) |
— |
$20.61 |
— |
| Tb intradermal test (86580) |
— |
$74.55 |
— |
| Testosterone free (84402) |
— |
$76.41 |
— |
| Testosterone total (84403) |
— |
$77.43 |
— |
| Tetanus antibody (86774) |
— |
$44.40 |
— |
| Theophylline (80198) |
— |
$42.42 |
— |
| Thin prep pap (88142) |
— |
$60.78 |
— |
| Thiocyanate (84430) |
— |
$34.89 |
— |
| Thrombin time plasma (85670) |
— |
$17.31 |
— |
| Thyroglobulin (84432) |
— |
$48.18 |
— |
| Thyroglobulin Ab (86800) |
— |
$47.73 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$152.58 |
— |
| Thyroxine binding globulin (84442) |
— |
$44.34 |
— |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
— |
$422.19 |
— |
| Tissue culture bone marrow (88237) |
— |
$431.25 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$349.47 |
— |
| Tissue culture placenta (88235) |
— |
$450.90 |
— |
| Tobramycin peak (80200) |
— |
$48.39 |
— |
| Topiramate (80201) |
— |
$35.76 |
— |
| Toxoplasma ab igm (86778) |
— |
$43.23 |
— |
| Toxoplasma antibody igg (86777) |
— |
$43.17 |
— |
| Tpmt gene com variants (81335) |
— |
$524.43 |
— |
| Transferrin (84466) |
— |
$38.28 |
— |
| Trb@ Rearrangement Anal Amplification Method (81340) |
— |
$626.76 |
— |
| Trg gene rearrangement analysis (81342) |
— |
$604.50 |
— |
| Trichinella antibody (86784) |
— |
$37.68 |
— |
| Triglycerides (84478) |
— |
$17.22 |
— |
| Troponin (84484) |
— |
$37.41 |
— |
| Trypsin feces qual (84488) |
— |
$21.90 |
— |
| Urea nitrogen (84520) |
— |
$11.85 |
— |
| Urea nitrogen urine (84540) |
— |
$16.68 |
— |
| Uric acid blood (84550) |
— |
$13.56 |
— |
| Uric acid other source (84560) |
— |
$15.24 |
— |
| Urinalysis microscopic only (81015) |
— |
$9.15 |
— |
| Urinalysis w/microscopic (81001) |
— |
$9.51 |
— |
| Urine pregnancy test (81025) |
— |
$25.83 |
— |
| Urine volume measurement (81050) |
— |
$10.92 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$6.75 |
— |
| Valproic acid level (80164) |
— |
$40.62 |
— |
| Vancomycin trough (80202) |
— |
$40.62 |
— |
| Varicella-zoster antibody (86787) |
— |
$200.82 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$105.99 |
— |
| Vasopressin (84588) |
— |
$101.82 |
— |
| Vdrl csf (86592) |
— |
$12.81 |
— |
| Virus antibody nos (86790) |
— |
$38.64 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$101.58 |
— |
| Viscosity serum (85810) |
— |
$35.01 |
— |
| Vitamin A (84590) |
— |
$34.83 |
— |
| Vitamin b-12 (82607) |
— |
$45.24 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$60.72 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$63.69 |
— |
| Vitamin b6 (84207) |
— |
$84.30 |
— |
| Vitamin C (82180) |
— |
$29.67 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$88.80 |
— |
| Vitamin e serum (84446) |
— |
$42.54 |
— |
| Von willebrand factor activity (85245) |
— |
$68.82 |
— |
| West nile virus ab, igm (86788) |
— |
$50.55 |
— |
| West nile virus antibody (86789) |
— |
$43.17 |
— |
| Zinc (84630) |
— |
$34.17 |
— |