Lab & pathology prices at MaineHealth Memorial Hospital
North Conway, NH · every code in this section with a posted price and a Medicare benchmark.
615 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) | $425.10 | $425.10 | 11.0× |
| 5 Nucleotidase (83915) | $97.85 | $97.85 | 8.8× |
| Acetaminophen level (80143) | $349.30 | $349.30 | 18.7× |
| Acetone serum qual (82009) | $58.90 | $58.90 | 13.0× |
| Acetylcholine receptor binding antibody (86041) | $57.40 | $57.40 | 3.1× |
| Acetylcholine receptor blocking antibody (86042) | $153.10 | $153.10 | 8.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $100.25 | $100.25 | 8.3× |
| Acth stimulation panel adrenal insufficiency (80400) | $410.80 | $410.80 | 12.6× |
| Actin smooth muscle antibody each (86015) | $127.85 | $127.85 | 10.6× |
| Acute hepatitis panel (80074) | $584.80 | $584.80 | 12.3× |
| Acylcarnitine Plasma (82017) | $119.80 | $119.80 | 7.1× |
| Adamts13 activity (85397) | $100.30 | $100.30 | 3.3× |
| Adrenocorticotropic hormone (82024) | $417.30 | $417.30 | 10.8× |
| Afp maternal serum (82105) | $194.65 | $194.65 | 11.6× |
| Albumin body fluid (82042) | $65.40 | $65.40 | 8.4× |
| Albumin serum (82040) | $64.10 | $64.10 | 12.9× |
| Aldolase (82085) | $108.30 | $108.30 | 11.2× |
| Aldosterone urine (82088) | $449.30 | $449.30 | 11.0× |
| Alkaline phosphatase isoenzymes (84080) | $163.60 | $163.60 | 11.1× |
| Allergen peanut (86003) | $64.25 | $64.25 | 12.3× |
| Allergen spec ige qual multiallergen screen (86005) | $98.10 | $98.10 | 12.3× |
| Allergen specific igg (86001) | $48.25 | $48.25 | 6.2× |
| Allg Spec Ige Recomb Ea (86008) | $90.30 | $90.30 | 5.0× |
| Alpha-1-antitrypsin phenotype (82104) | $144 | $144 | 10.0× |
| Alpha-1-antitrypsin, total (82103) | $174.20 | $174.20 | 13.0× |
| Alt (sgpt) (84460) | $67.85 | $67.85 | 12.8× |
| Aluminum (82108) | $193.75 | $193.75 | 7.6× |
| Amikacin trough (80150) | $163.55 | $163.55 | 10.8× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $119.80 | $119.80 | 7.1× |
| Aminolevulinic acid (ala) (82135) | $279.75 | $279.75 | 17.0× |
| Amylase urine (82150) | $81.10 | $81.10 | 12.5× |
| Ana titer (86039) | $128.45 | $128.45 | 11.5× |
| Angiotensin i enzyme test (82164) | $162.45 | $162.45 | 11.1× |
| Antibody aspergillus (86606) | $163.60 | $163.60 | 10.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $193.65 | $193.65 | 12.5× |
| Antibody coxiella burnetii q fever (86638) | $115.20 | $115.20 | 9.5× |
| Antibody cytomegalovirus cmv (86644) | $174.95 | $174.95 | 12.2× |
| Antibody Encephalitis Eastern Equine (86652) | $36.70 | $36.70 | 2.8× |
| Antibody encephalitis st. louis (86653) | $43.20 | $43.20 | 3.3× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $164.85 | $164.85 | 12.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $52.70 | $52.70 | 4.3× |
| Antibody haemophilus influenza (86684) | $57.05 | $57.05 | 3.6× |
| Antibody helicobacter pylori (86677) | $183.20 | $183.20 | 10.9× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $129.55 | $129.55 | 9.4× |
| Antibody HIV-2 (86702) | $120.70 | $120.70 | 8.9× |
| Antibody identification (86870) | $206.65 | $206.65 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $132.10 | $132.10 | 8.8× |
| Antibody Identification Platelet Immunogl Assay (86023) | $256.65 | $256.65 | 20.6× |
| Antibody john cunningham virus (86711) | $35.15 | $35.15 | 2.1× |
| Antibody mumps (86735) | $164.85 | $164.85 | 12.6× |
| Antibody Protozoa Nes (86753) | $103.70 | $103.70 | 8.4× |
| Antibody screen (86850) | $100.70 | $100.70 | 10.3× |
| Antibody treponema pallidum (86780) | $171.35 | $171.35 | 12.9× |
| Antibody; Coccidioides (86635) | $367.35 | $367.35 | 32.0× |
| Antigen typing (86905) | $208 | $208 | 54.3× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $65.40 | $65.40 | 12.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $115.20 | $115.20 | 9.6× |
| Antinuclear antibodies (86038) | $153.20 | $153.20 | 12.7× |
| Antistreptolysin o titer (86060) | $81.80 | $81.80 | 11.2× |
| Antithrombin iii activity (85300) | $149.20 | $149.20 | 12.6× |
| Apolipoprotein each (82172) | $167.35 | $167.35 | 7.9× |
| Aquaporin-4 antibody flow cytometry each (86053) | $301.85 | $301.85 | 8.0× |
| Arsenic Urine (82175) | $140.45 | $140.45 | 7.4× |
| Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia,… (81412) | $4,203.30 | $4,203.30 | 1.7× |
| Aspa gene analysis common variants (81200) | $381.30 | $381.30 | 8.1× |
| Aspergillus ag eia (87305) | $123.30 | $123.30 | 10.3× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $303.50 | $303.50 | 5.9× |
| Assay Nephelometry Not Spec (83883) | $118.65 | $118.65 | 8.7× |
| Assay neurofilament light chain (83884) | $151.55 | $151.55 | 1.3× |
| Assay of 17-hydroxypregnenolone (84143) | $230.40 | $230.40 | 10.1× |
| Assay of 5-hiaa (83497) | $141.70 | $141.70 | 11.0× |
| Assay of ammonia (82140) | $183.20 | $183.20 | 12.6× |
| Assay of androstenedione (82157) | $314.50 | $314.50 | 10.7× |
| Assay of anti-mullerian hormone (82166) | $160.70 | $160.70 | 4.2× |
| Assay of c-peptide (84681) | $225.40 | $225.40 | 10.8× |
| Assay of ceruloplasmin (82390) | $119.80 | $119.80 | 11.2× |
| Assay of citrate (82507) | $183 | $183 | 6.6× |
| Assay of cyclosporine (80158) | $228.95 | $228.95 | 12.7× |
| Assay of erythropoietin (82668) | $209.65 | $209.65 | 11.2× |
| Assay of estrone (82679) | $276.50 | $276.50 | 11.1× |
| Assay of ethosuximide (80168) | $135.95 | $135.95 | 8.3× |
| Assay of ferritin (82728) | $171.45 | $171.45 | 12.6× |
| Assay of g6pd enzyme (82955) | $108.30 | $108.30 | 11.2× |
| Assay of gammaglobulin igm (82784) | $115.75 | $115.75 | 12.4× |
| Assay of gastrin (82941) | $194.70 | $194.70 | 11.0× |
| Assay of gentamicin (80170) | $206.65 | $206.65 | 12.6× |
| Assay of homocystine (83090) | $211.90 | $211.90 | 11.8× |
| Assay of lactic acid (83605) | $136.05 | $136.05 | 11.8× |
| Assay of lipoprotein(a) (83695) | $259.20 | $259.20 | 18.1× |
| Assay of manganese (83785) | $220.05 | $220.05 | 8.3× |
| Assay of metanephrines (83835) | $186.65 | $186.65 | 11.0× |
| Assay of osteocalcin (83937) | $238.80 | $238.80 | 8.0× |
| Assay of phenobarbital (80184) | $115.30 | $115.30 | 7.5× |
| Assay of prealbumin (84134) | $184.45 | $184.45 | 12.6× |
| Assay of proinsulin (84206) | $172.80 | $172.80 | 6.5× |
| Assay of prolactin (84146) | $240.95 | $240.95 | 12.4× |
| Assay of serotonin (84260) | $277.65 | $277.65 | 9.0× |
| Assay of tacrolimus (80197) | $88.90 | $88.90 | 6.5× |
| Assay of topiramate (80201) | $132.50 | $132.50 | 11.1× |
| Assay of urine vma (84585) | $170.50 | $170.50 | 11.0× |
| Assay of vasopressin anti-diuretic hormone (84588) | $316.85 | $316.85 | 9.3× |
| Assay of vitamin k (84597) | $218.35 | $218.35 | 15.9× |
| Assay of volatiles (84600) | $150.25 | $150.25 | 8.8× |
| Ast (sgot) (84450) | $65.40 | $65.40 | 12.6× |
| B cells total count (86355) | $134.40 | $134.40 | 3.6× |
| Bartonella antibody (86611) | $108.30 | $108.30 | 10.6× |
| BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or… (81208) | $576.05 | $576.05 | 2.7× |
| Bcr/abl1 gene major bp (81206) | $684.75 | $684.75 | 4.2× |
| Bcr/abl1 gene minor bp (81207) | $641.70 | $641.70 | 4.4× |
| Beta 2 glycoprotein 1 igm (86146) | $172.70 | $172.70 | 6.8× |
| Beta hydroxybutyrate (82010) | $103.45 | $103.45 | 12.7× |
| Beta lactamase (87185) | $36.95 | $36.95 | 7.8× |
| Beta-2 microglobulin (82232) | $179.70 | $179.70 | 11.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $81.10 | $81.10 | 0.6× |
| Bile acids, total (82239) | $190.10 | $190.10 | 11.1× |
| Bilirubin direct (82248) | $64.10 | $64.10 | 12.8× |
| Bilirubin total (82247) | $63.95 | $63.95 | 12.7× |
| Bilirubin total transcutaneous (88720) | $52.30 | $52.30 | 10.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $65.40 | $65.40 | 19.1× |
| Blm Gene (81209) | $316.85 | $316.85 | 8.1× |
| Blood gas (82803) | $244.65 | $244.65 | 9.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $149.90 | $149.90 | 9.4× |
| Blood Ph (82800) | $88.90 | $88.90 | 8.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $65.40 | $65.40 | 10.3× |
| Blood typing abo (86900) | $39.20 | $39.20 | 13.1× |
| Blood typing serologic rh (d) (86901) | $39.20 | $39.20 | 13.1× |
| Body fluid cell count (89051) | $65.40 | $65.40 | 11.7× |
| Body fluid cell count (89050) | $44.50 | $44.50 | 9.4× |
| Borrelia miyamotoi amp prb (87478) | $140.35 | $140.35 | 4.0× |
| Braf gene (81210) | $575.70 | $575.70 | 3.3× |
| C diff amplified probe (87493) | $353.25 | $353.25 | 9.5× |
| C-reactive protein (86140) | $65.40 | $65.40 | 12.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $162.25 | $162.25 | 12.5× |
| Ca 125 (86304) | $261.65 | $261.65 | 12.6× |
| Ca 19-9 (86301) | $261.65 | $261.65 | 12.6× |
| Ca 27 29 (86300) | $230.40 | $230.40 | 11.1× |
| Cadmium level (82300) | $230.40 | $230.40 | 9.7× |
| Calcitonin (82308) | $297.25 | $297.25 | 11.1× |
| Calcium ionized (82330) | $172.70 | $172.70 | 12.6× |
| Calcium total (82310) | $64.75 | $64.75 | 12.5× |
| Calcium urine (82340) | $77.15 | $77.15 | 12.8× |
| Calculus spectroscopy (82365) | $144 | $144 | 11.2× |
| California encephalitis ab (86651) | $43.20 | $43.20 | 3.3× |
| Calprotectin, fecal (83993) | $247.30 | $247.30 | 12.6× |
| Calr gene com variants (81219) | $1,065.65 | $1,065.65 | 8.8× |
| Candida antibody (86628) | $105.40 | $105.40 | 8.8× |
| Carbamazepine total (80156) | $183.20 | $183.20 | 12.6× |
| Carbon dioxide (82374) | $62.80 | $62.80 | 12.9× |
| Carboxyhemoglobin (82375) | $128.25 | $128.25 | 10.4× |
| Carcinoembryonic antigen (82378) | $239.45 | $239.45 | 12.6× |
| Cardiolipin ab igg (86147) | $172.70 | $172.70 | 6.8× |
| Carnitine (82379) | $119.80 | $119.80 | 7.1× |
| Carotene (82380) | $172.80 | $172.80 | 18.7× |
| Catecholamines fraction plasma (82384) | $278.80 | $278.80 | 11.0× |
| Chemiluminescent assay (82397) | $123.15 | $123.15 | 8.7× |
| Chlamydia antibody (86631) | $106 | $106 | 9.0× |
| Chlamydia Igm Antibody (86632) | $106 | $106 | 8.4× |
| Chloride blood (82435) | $60.10 | $60.10 | 13.1× |
| Chloride urine (82436) | $64.10 | $64.10 | 11.1× |
| Cholesterol HDL (83718) | $98.10 | $98.10 | 12.0× |
| Cholesterol total (82465) | $56.25 | $56.25 | 12.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $293.80 | $293.80 | 8.8× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $335.50 | $335.50 | 2.7× |
| Chromium urine (82495) | $225.80 | $225.80 | 11.1× |
| Chromogranin a (86316) | $230.40 | $230.40 | 11.1× |
| Chromosome analys amniotic (88269) | $361.20 | $361.20 | 2.1× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) | $392.25 | $392.25 | 2.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $328.40 | $328.40 | 9.4× |
| Ckmb (82553) | $98.10 | $98.10 | 8.5× |
| Clot factor viii vw antigen (85246) | $289.15 | $289.15 | 12.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $226.30 | $226.30 | 12.6× |
| Clotting Inhibitors Protein S Free (85306) | $141.25 | $141.25 | 9.2× |
| Clozapine level (80159) | $201.60 | $201.60 | 10.0× |
| Cmv ab igm (86645) | $180.55 | $180.55 | 10.7× |
| Cmv PCR (87496) | $137.20 | $137.20 | 3.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $152.25 | $152.25 | 6.3× |
| Collagen cross links (82523) | $140.55 | $140.55 | 7.5× |
| Compatibility test antiglob (86922) | $176.65 | $176.65 | 1.0× |
| Complement c3 (86160) | $150.70 | $150.70 | 12.6× |
| Complement total (ch50) (86162) | $225.80 | $225.80 | 11.1× |
| Concentration Infectious Agent (87015) | $81.10 | $81.10 | 12.1× |
| Coombs direct (86880) | $67.80 | $67.80 | 12.6× |
| Copper urine (82525) | $137.05 | $137.05 | 11.0× |
| Cortisol free (82530) | $184.35 | $184.35 | 11.0× |
| Cortisol total (82533) | $196.75 | $196.75 | 12.1× |
| Creatine kinase total (82550) | $82.45 | $82.45 | 12.7× |
| Creatinine blood (82565) | $65.40 | $65.40 | 12.8× |
| Creatinine clearance (82575) | $119.05 | $119.05 | 12.6× |
| Creatinine other source (82570) | $65.05 | $65.05 | 12.6× |
| Crossmatch immediate spin (86920) | $176.65 | $176.65 | 1.0× |
| Cryofibrinogen (82585) | $95.65 | $95.65 | 6.8× |
| Cryoglobulin (82595) | $71.45 | $71.45 | 11.0× |
| Crystals body fluid (89060) | $90.20 | $90.20 | 12.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $67.25 | $67.25 | 8.3× |
| Culture Aerobic Identify (87077) | $98.55 | $98.55 | 12.2× |
| Culture afb (87116) | $137.40 | $137.40 | 12.7× |
| Culture anaerobic (87075) | $119.05 | $119.05 | 12.6× |
| Culture blood (87040) | $132.15 | $132.15 | 12.8× |
| Culture chlamydia (87110) | $217.70 | $217.70 | 11.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $98.10 | $98.10 | 12.7× |
| Culture fungus blood (87103) | $98.10 | $98.10 | 4.8× |
| Culture fungus id yeast (87106) | $130.85 | $130.85 | 12.7× |
| Culture fungus other (87102) | $98.10 | $98.10 | 11.7× |
| Culture genital (87070) | $92.10 | $92.10 | 10.7× |
| Culture screen only (87081) | $71.90 | $71.90 | 10.8× |
| Culture stool (87045) | $119.05 | $119.05 | 12.6× |
| Culture urine (87086) | $81.10 | $81.10 | 10.0× |
| Culture virus (87252) | $328.40 | $328.40 | 12.6× |
| Cyclic Citrullinated Peptide (86200) | $162.25 | $162.25 | 12.5× |
| Cystatin c (82610) | $86.70 | $86.70 | 4.7× |
| Cysticercosis Antibody (86682) | $150.90 | $150.90 | 11.6× |
| Cytogenetics 100-300 (88275) | $101.60 | $101.60 | 2.0× |
| Cytogenetics DNA probe (88271) | $214.95 | $214.95 | 10.0× |
| Cytogenom const microarray copy number&snp var (81229) | $2,304.10 | $2,304.10 | 2.0× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $556.70 | $556.70 | 13.0× |
| Cytopath cell enhance tech (88112) | $197.60 | $197.60 | 3.6× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $72.85 | $72.85 | 2.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $222.45 | $222.45 | 4.0× |
| Deoxyribonuclease antibody (86215) | $147.45 | $147.45 | 11.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $130.85 | $130.85 | 7.9× |
| Detect agnt mult DNA ampli (87801) | $523.35 | $523.35 | 7.5× |
| Dgp antibody each ig class (86258) | $117.30 | $117.30 | 9.7× |
| Dhea (82626) | $230.40 | $230.40 | 9.1× |
| Dhea-sulfate (82627) | $246.25 | $246.25 | 11.1× |
| Digoxin (80162) | $167.45 | $167.45 | 12.6× |
| Dihydrotestosterone (82642) | $260.35 | $260.35 | 8.9× |
| Dilantin (80185) | $166.20 | $166.20 | 12.5× |
| Dipropylacetic acid free (80165) | $94.80 | $94.80 | 7.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $170.20 | $170.20 | 12.4× |
| DNA/RNA direct probe (87149) | $196.25 | $196.25 | 9.8× |
| Drug assay adalimumab (80145) | $409 | $409 | 10.6× |
| Drug assay flecainide (80181) | $155.05 | $155.05 | 8.3× |
| Drug Assay Infliximab (80230) | $361.75 | $361.75 | 9.4× |
| Drug assay posaconazole (80187) | $258.95 | $258.95 | 9.6× |
| Drug assay vedolizumab (80280) | $80.25 | $80.25 | 2.1× |
| Drug assay voriconazole (80285) | $219.45 | $219.45 | 8.1× |
| Drug quant nes (80299) | $324.05 | $324.05 | 17.4× |
| Drug screen quant zonisamide (80203) | $117.15 | $117.15 | 8.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $145.20 | $145.20 | 11.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $142.85 | $142.85 | 10.8× |
| Drug Scrn Quan Levetiracetam (80177) | $142.85 | $142.85 | 10.8× |
| Drug test prsmv chem anlyzr (80307) | $182.10 | $182.10 | 2.9× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $183.20 | $183.20 | 10.7× |
| E test (87181) | $32.70 | $32.70 | 6.9× |
| Ebv viral capsid (86665) | $172 | $172 | 9.5× |
| Ehrlichia antibody (86666) | $108.30 | $108.30 | 10.6× |
| Elastase pancreatic fecal quantitative (82653) | $240.75 | $240.75 | 10.5× |
| Electrolyte panel (80051) | $88.90 | $88.90 | 12.7× |
| Electronic crossmatch (86923) | $261.65 | $261.65 | 1.4× |
| Encephalitis Western Equine (86654) | $43.20 | $43.20 | 3.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $133.65 | $133.65 | 11.1× |
| Enterovirus Pcr (87498) | $328.40 | $328.40 | 9.4× |
| Eosinophil count (85048) | $28.80 | $28.80 | 11.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $180.55 | $180.55 | 11.8× |
| Estradiol (82670) | $346.60 | $346.60 | 12.4× |
| Estriol serum (82677) | $266.15 | $266.15 | 11.0× |
| Estrogens fractionated (82671) | $356 | $356 | 11.0× |
| Estrogens total (82672) | $238.45 | $238.45 | 11.0× |
| Ethylene glycol (82693) | $163.55 | $163.55 | 11.0× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $812.50 | $812.50 | 8.3× |
| F2 gene analysis 20210g >a variant (81240) | $804.60 | $804.60 | 12.2× |
| F5 gene analysis, leiden variant (81241) | $503.70 | $503.70 | 6.9× |
| Factor ii activity (85210) | $162.25 | $162.25 | 12.5× |
| Factor inhibitor test (85335) | $230.40 | $230.40 | 17.9× |
| Factor ix activity (85250) | $240.70 | $240.70 | 12.6× |
| Factor v activity (85220) | $196.25 | $196.25 | 11.1× |
| Factor vii assay (85230) | $196.25 | $196.25 | 11.0× |
| Factor viii ahg (85240) | $226.30 | $226.30 | 12.6× |
| Factor xi assay (85270) | $226.30 | $226.30 | 12.6× |
| Factor xii assay (85280) | $243.35 | $243.35 | 12.6× |
| Fancc Gene (81242) | $294.95 | $294.95 | 8.1× |
| Fatty acids free (82725) | $150.90 | $150.90 | 8.0× |
| Fecal fat qual (82705) | $57.60 | $57.60 | 11.3× |
| Fecal fat quant (82710) | $144 | $144 | 8.6× |
| Fetal bleed screen (85461) | $83.70 | $83.70 | 8.9× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $2,290.80 | $2,290.80 | 3.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $460.80 | $460.80 | 3.0× |
| Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) | $2,552.95 | $2,552.95 | 1.7× |
| Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum,… (81508) | $216.60 | $216.60 | 4.0× |
| Fetal fibronectin (82731) | $805.95 | $805.95 | 12.5× |
| Fibrin Degradation Quant (85379) | $130.85 | $130.85 | 12.9× |
| Fibrinogen activity (85384) | $106 | $106 | 10.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $128.80 | $128.80 | 8.3× |
| Flow cytometry first marker (88184) | $361.65 | $361.65 | 0.9× |
| Flt3 gene analysis (81245) | $688.55 | $688.55 | 4.2× |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) | $345.30 | $345.30 | 4.2× |
| Fluorescent Antibody Screen (86255) | $138.80 | $138.80 | 11.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $161.15 | $161.15 | 13.4× |
| Fmr1 gene detection (81243) | $459.70 | $459.70 | 8.1× |
| Folate serum (82746) | $185.75 | $185.75 | 12.6× |
| Folic acid rbc (82747) | $150.90 | $150.90 | 8.5× |
| Follicle Stimulating Hormone (83001) | $230.35 | $230.35 | 12.4× |
| Frozen Section (88331) | $191.05 | $191.05 | 1.1× |
| Fructosamine (82985) | $167 | $167 | 10.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $64.40 | $64.40 | 6.2× |
| Gabapentin (80171) | $175.15 | $175.15 | 8.1× |
| Gammaglobulin ige (82785) | $204.65 | $204.65 | 12.4× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $345.60 | $345.60 | 4.4× |
| Gba Gene (81251) | $381.30 | $381.30 | 8.1× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $6,125.50 | $6,125.50 | 8.1× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $4,768.95 | $4,768.95 | 8.0× |
| Genetic Tstg Severe Inh Cond (81443) | $4,202.70 | $4,202.70 | 1.7× |
| Ggt (82977) | $90.05 | $90.05 | 12.5× |
| Giardia antigen eia stool (87329) | $145.25 | $145.25 | 12.1× |
| Glucagon (82943) | $127.85 | $127.85 | 8.9× |
| Glucose (82947) | $48.95 | $48.95 | 12.5× |
| Glucose Blood Test (82962) | $32.70 | $32.70 | 10.0× |
| Glucose body fluid (82945) | $49.70 | $49.70 | 12.6× |
| Glucose post dose (82950) | $61.45 | $61.45 | 12.9× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $49.70 | $49.70 | 12.7× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $160.90 | $160.90 | 12.5× |
| Growth hormone (83003) | $177.75 | $177.75 | 10.7× |
| Haptoglobin (83010) | $155.75 | $155.75 | 12.4× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) | $824.90 | $824.90 | 8.1× |
| Hbb Common Variants (81361) | $1,410.15 | $1,410.15 | 8.1× |
| Hcg qualitative (84703) | $95.50 | $95.50 | 12.7× |
| Hcg quant (84702) | $186.50 | $186.50 | 12.4× |
| Heavy metal quant each (83018) | $244.85 | $244.85 | 11.1× |
| Hematocrit (85014) | $32.70 | $32.70 | 13.8× |
| Hemoglobin (85018) | $32.65 | $32.65 | 13.8× |
| Hemoglobin a1c (83036) | $116.15 | $116.15 | 12.0× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $39.50 | $39.50 | 2.2× |
| Hemoglobin electrophoresis (83020) | $59.90 | $59.90 | 4.7× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $98.10 | $98.10 | 12.7× |
| Hemosiderin urine (83070) | $41.70 | $41.70 | 8.8× |
| Hepatitis a antibody total (86708) | $155.65 | $155.65 | 12.6× |
| Hepatitis a igm (86709) | $143.90 | $143.90 | 12.8× |
| Hepatitis b core ab igm (86705) | $149.20 | $149.20 | 12.7× |
| Hepatitis b core antibody total (86704) | $147.85 | $147.85 | 12.3× |
| Hepatitis B Surface Ab (86706) | $188.45 | $188.45 | 17.5× |
| Hepatitis B Surface Antigen (87340) | $132.15 | $132.15 | 12.8× |
| Hepatitis be antibody (86707) | $129 | $129 | 11.1× |
| Hepatitis Be Antigen (87350) | $125.60 | $125.60 | 10.9× |
| Hepatitis c antibody (86803) | $165.32 | $165.32 | 11.6× |
| Hepatitis C Genotype (87902) | $1,029.65 | $1,029.65 | 4.0× |
| Hepatitis delta ab (86692) | $150.65 | $150.65 | 8.8× |
| Herpes simplex type i (86695) | $146.35 | $146.35 | 11.1× |
| Herpes simplex type ii (86696) | $215.45 | $215.45 | 11.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $65.40 | $65.40 | 12.6× |
| Hexa gene analysis common variants (81255) | $414.75 | $414.75 | 8.1× |
| Hfe gene (81256) | $1,075.45 | $1,075.45 | 16.5× |
| Histamine plasma (83088) | $330 | $330 | 11.2× |
| Histoplasma antibody (86698) | $110.30 | $110.30 | 8.0× |
| Histoplasma antigen urine (87385) | $106 | $106 | 8.0× |
| HIV-1 antibody (86701) | $82.30 | $82.30 | 9.3× |
| HIV-1 genotype (87901) | $915.90 | $915.90 | 3.6× |
| Hla class i high defin qual (86832) | $841.80 | $841.80 | 2.6× |
| Hla class ii high defin qual (86833) | $847.10 | $847.10 | 2.6× |
| Hla ii typing 1 locus lr (81376) | $280.35 | $280.35 | 2.3× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) | $464 | $464 | 8.0× |
| Homovanillic acid urine (83150) | $196.70 | $196.70 | 8.8× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $272.15 | $272.15 | 7.8× |
| Hydroxyprogesterone 17-d (83498) | $280.95 | $280.95 | 10.3× |
| Iaad ia clostridium difficile toxin (87324) | $144.55 | $144.55 | 12.1× |
| Iaad ia cryptosporidium (87328) | $145.25 | $145.25 | 10.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $34.60 | $34.60 | 3.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $241.85 | $241.85 | 10.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $127.85 | $127.85 | 8.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $145.25 | $145.25 | 10.4× |
| Iaad ia shiga-like toxin (87427) | $130.85 | $130.85 | 10.9× |
| Iaadi Legionella Pneumophila (87278) | $136.90 | $136.90 | 8.8× |
| Iaadiadoo not otherwise specified (87899) | $55.05 | $55.05 | 3.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $328.40 | $328.40 | 9.4× |
| Iadna babesia microti amplified probe technique (87469) | $328.40 | $328.40 | 9.4× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $289.15 | $289.15 | 8.2× |
| Iadna candida species amplified probe tq (87481) | $328.40 | $328.40 | 9.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $192.55 | $192.55 | 2.7× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $328.40 | $328.40 | 9.4× |
| Iadna hepatitis b virus quantification (87517) | $520.75 | $520.75 | 12.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $539 | $539 | 12.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $686.25 | $686.25 | 8.1× |
| Iadna human papillomavirus high-risk types (87624) | $283.90 | $283.90 | 8.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $328.40 | $328.40 | 9.4× |
| Iadna nos amplified probe tq each organism (87798) | $287.20 | $287.20 | 8.2× |
| Iadna nos quantification each organism (87799) | $392.85 | $392.85 | 9.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $320.55 | $320.55 | 9.1× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $432.85 | $432.85 | 1.6× |
| Igg subclasses (82787) | $449.30 | $449.30 | 56.0× |
| Igvh somatic hypermutation (81263) | $1,382.45 | $1,382.45 | 4.7× |
| Ikbkap gene analysis (81260) | $316.85 | $316.85 | 8.1× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $1,046.65 | $1,046.65 | 2.7× |
| Immunoassay infectious agent antibody quan nos (86317) | $109.80 | $109.80 | 7.3× |
| Immunoassay nonantibody (83516) | $128.75 | $128.75 | 11.2× |
| Immunodiffusion Ouchterlony (86331) | $161.45 | $161.45 | 13.5× |
| Immunofixation (86334) | $261.60 | $261.60 | 11.7× |
| Immunofixation urine (86335) | $367.35 | $367.35 | 12.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $230.40 | $230.40 | 1.3× |
| Immunoglobulin light chains free each (83521) | $126.70 | $126.70 | 7.3× |
| Immunohistochemistry (88342) | $157.45 | $157.45 | 0.9× |
| In situ hybridization (88365) | $178.85 | $178.85 | 1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $489.30 | $489.30 | 13.9× |
| Influenza DNA amp probe (87502) | $346.75 | $346.75 | 3.6× |
| Inhibin a (86336) | $171.65 | $171.65 | 11.0× |
| Inhibin b (83520) | $151.55 | $151.55 | 8.8× |
| Insulin antibodies (86337) | $236.20 | $236.20 | 11.0× |
| Insulin total (83525) | $145.25 | $145.25 | 12.7× |
| Interleukin 6 (83529) | $136.35 | $136.35 | 7.9× |
| Intrinsic factor antibody (86340) | $144 | $144 | 9.5× |
| Iron (83540) | $81.10 | $81.10 | 12.5× |
| Iron binding capacity (83550) | $36.60 | $36.60 | 4.2× |
| Islet cell antibody (86341) | $221.90 | $221.90 | 9.4× |
| Jak2 gene analysis (81270) | $611.55 | $611.55 | 6.7× |
| Kit gene analys d816 variant (81273) | $1,096.05 | $1,096.05 | 8.8× |
| Ldh body fluid (83615) | $77.15 | $77.15 | 12.8× |
| Ldh isoenzymes (83625) | $115.20 | $115.20 | 9.0× |
| LDL cholesterol direct (83721) | $126.35 | $126.35 | 12.0× |
| Lead (83655) | $134.80 | $134.80 | 11.1× |
| Legionella antibody (86713) | $57.60 | $57.60 | 3.8× |
| Legionella antigen urine (87449) | $474.65 | $474.65 | 39.6× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $51 | $51 | 11.9× |
| Level ii surg pathology grossµscopic exam (88302) | $338.90 | $338.90 | 8.5× |
| Level v surg pathology grossµscopic exam (88307) | $860.85 | $860.85 | 2.2× |
| Level vi surg pathology grossµscopic exam (88309) | $1,184.05 | $1,184.05 | 1.4× |
| Lh (83002) | $231.05 | $231.05 | 12.5× |
| Lipase (83690) | $87.60 | $87.60 | 12.7× |
| Lipopro bld electrophoretic (83700) | $93.70 | $93.70 | 8.3× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $288.05 | $288.05 | 8.4× |
| Listeria ab (86609) | $108.30 | $108.30 | 8.4× |
| Lithium (80178) | $83.70 | $83.70 | 12.7× |
| Lyme disease antibody (86618) | $180.20 | $180.20 | 10.6× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $883.25 | $883.25 | 4.9× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $697.85 | $697.85 | 3.8× |
| Macroscopic exam parasite (87169) | $51 | $51 | 11.8× |
| Magnesium (83735) | $83.70 | $83.70 | 12.5× |
| Malaria smear (87207) | $65.40 | $65.40 | 10.9× |
| Mass spectrometry qual/quan (83789) | $170.25 | $170.25 | 7.1× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $316.85 | $316.85 | 8.1× |
| Mercury urine (83825) | $167 | $167 | 10.3× |
| Methemoglobin (83050) | $32.70 | $32.70 | 4.0× |
| Methylmalonic acid serum (83921) | $172.85 | $172.85 | 8.1× |
| Microalbumin urine (82043) | $68 | $68 | 11.8× |
| Microsomal antibodies (86376) | $181.70 | $181.70 | 12.5× |
| Mitochondrial antibody each (86381) | $130.85 | $130.85 | 5.1× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $441.05 | $441.05 | 2.3× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $423.90 | $423.90 | 10.0× |
| Mopath procedure level 4 (81403) | $740.80 | $740.80 | 4.0× |
| Mopath procedure level 5 (81404) | $1,714.95 | $1,714.95 | 6.2× |
| Mtb PCR (87556) | $359.75 | $359.75 | 8.6× |
| Muscle-specific kinase (musk) antibody (86366) | $814.30 | $814.30 | 44.3× |
| Mycoplasma antibody (86738) | $115.20 | $115.20 | 8.7× |
| Mycoplasma genitalium PCR (87563) | $287.45 | $287.45 | 8.2× |
| Myd88 mutation analysis (81305) | $701.60 | $701.60 | 4.0× |
| Myelin basic protein csf (83873) | $154.40 | $154.40 | 9.0× |
| Myoglobin urine (83874) | $141.70 | $141.70 | 11.0× |
| Nasal smear for eosinophils (89190) | $45 | $45 | 7.8× |
| Natriuretic peptide (83880) | $427.80 | $427.80 | 10.9× |
| Neutralization Test Viral (86382) | $143.75 | $143.75 | 8.5× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $211.15 | $211.15 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $633.60 | $633.60 | 8.8× |
| Nickel level (83885) | $259.20 | $259.20 | 10.6× |
| Nk cells total count (86357) | $145.25 | $145.25 | 3.8× |
| Nras gene variants exon 2&3 (81311) | $968.15 | $968.15 | 3.3× |
| Nuclear antigen antibody (86235) | $192.10 | $192.10 | 10.7× |
| Occult blood gastric (82271) | $41.85 | $41.85 | 7.9× |
| Occult blood stool (82272) | $41.75 | $41.75 | 9.9× |
| Oligoclonal bands (83916) | $80.65 | $80.65 | 2.9× |
| Organic Acids Qualitative Each Specimen (83919) | $182 | $182 | 11.1× |
| Orthopoxvirus Amp Prb Each (87593) | $266.15 | $266.15 | 5.2× |
| Osmolality serum (83930) | $83.70 | $83.70 | 12.7× |
| Osmolality urine (83935) | $86.35 | $86.35 | 12.7× |
| Osmotic fragility rbc incubated (85557) | $106.90 | $106.90 | 8.0× |
| Ova and parasite direct-id lca (87177) | $98.10 | $98.10 | 11.0× |
| Oxalate urine (83945) | $136.75 | $136.75 | 9.5× |
| Pancreatic polypeptide (83519) | $435.95 | $435.95 | 23.7× |
| Particle Agglutination Screen Each Antibody (86403) | $41.85 | $41.85 | 3.6× |
| Parvovirus antibody (86747) | $224.65 | $224.65 | 14.9× |
| Ph body fluid (83986) | $44.50 | $44.50 | 12.4× |
| Ph urine (81003) | $23.55 | $23.55 | 10.5× |
| Phenotype Infect Agent Drug (87900) | $518.45 | $518.45 | 4.0× |
| Phenylalanine (84030) | $68 | $68 | 12.4× |
| Phenylketones qual (84035) | $61.45 | $61.45 | 15.4× |
| Phenytoin free (80186) | $163.55 | $163.55 | 11.9× |
| Phosphatase alkaline (84075) | $73.25 | $73.25 | 14.1× |
| Phosphorus blood (84100) | $368.95 | $368.95 | 77.8× |
| Phosphorus urine (84105) | $65.40 | $65.40 | 11.3× |
| Pinworm exam (87172) | $38.60 | $38.60 | 9.0× |
| Platelet count automated (85049) | $58.90 | $58.90 | 13.1× |
| Porphobilinogen urine quant (84110) | $76.90 | $76.90 | 9.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $162.45 | $162.45 | 11.0× |
| Potassium (84132) | $60.10 | $60.10 | 12.6× |
| Potassium urine (84133) | $53.65 | $53.65 | 11.3× |
| Pregnenolone (84140) | $95.65 | $95.65 | 4.6× |
| Primidone (80188) | $40.85 | $40.85 | 2.5× |
| Procalcitonin (pct) (84145) | $89.60 | $89.60 | 3.3× |
| Progesterone (84144) | $261.65 | $261.65 | 12.5× |
| Prostaglandin Ea (84150) | $100.95 | $100.95 | 2.4× |
| Protein body fluid (84157) | $65.40 | $65.40 | 16.4× |
| Protein c activity (85303) | $142.70 | $142.70 | 10.3× |
| Protein electrophoresis serum (84165) | $135.70 | $135.70 | 12.6× |
| Protein Electrophoresis Urine (84166) | $226.30 | $226.30 | 12.7× |
| Protein s total (85305) | $134.45 | $134.45 | 11.6× |
| Protein total serum (84155) | $45.55 | $45.55 | 12.4× |
| Protein urine (84156) | $45.80 | $45.80 | 12.5× |
| Protein Western Blot (84182) | $427.90 | $427.90 | 14.6× |
| Protein westrn blot i&r blood/other fluid (84181) | $141.70 | $141.70 | 8.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $65.40 | $65.40 | 16.6× |
| Protoporphyrin rbc quantitative (84202) | $144 | $144 | 10.0× |
| PSA free (84154) | $183.20 | $183.20 | 10.0× |
| Pth intact (83970) | $515.70 | $515.70 | 12.5× |
| Pyruvate kinase (84220) | $83.45 | $83.45 | 8.8× |
| Rbc antibody elution (86860) | $285.10 | $285.10 | 1.6× |
| Rbc pretreatment serum (86978) | $316.45 | $316.45 | 5.0× |
| Rbc pretx incubatj w/chemicl (86970) | $150.80 | $150.80 | 2.4× |
| Reagent strip/blood glucose (82948) | $32.70 | $32.70 | 6.5× |
| Renin activity plasma (84244) | $244.25 | $244.25 | 11.1× |
| Reptilase test (85635) | $95.90 | $95.90 | 9.7× |
| Resp virus 3-5 targets (87631) | $380.20 | $380.20 | 2.7× |
| Reticulocyte count auto (85045) | $51 | $51 | 12.8× |
| Rheumatoid factor quant (86431) | $71.65 | $71.65 | 12.6× |
| Rickettsia antibody (86757) | $49.35 | $49.35 | 2.6× |
| Ristocetin cofactor (85245) | $289.15 | $289.15 | 12.6× |
| Rotavirus ag eia (87425) | $145.25 | $145.25 | 12.1× |
| Rpr Titer (86593) | $53.35 | $53.35 | 12.1× |
| Rubella antibody (86762) | $181.85 | $181.85 | 12.6× |
| Rubeola Antibody Igg (86765) | $160.90 | $160.90 | 12.5× |
| Russell viper venom time diluted (85613) | $120.45 | $120.45 | 12.6× |
| Salicylate Level (80179) | $115.15 | $115.15 | 6.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $82.50 | $82.50 | 1.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $81.65 | $81.65 | 1.9× |
| Sarscov2 & inf a&b amp prb (87636) | $164.60 | $164.60 | 1.2× |
| Sedimentation rate (85651) | $45.80 | $45.80 | 10.7× |
| Sedimentation rate auto (85652) | $36.60 | $36.60 | 13.6× |
| Selenium (84255) | $251.15 | $251.15 | 9.8× |
| Semen analysis complete (89320) | $151.80 | $151.80 | 12.3× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $151.80 | $151.80 | 12.6× |
| Sensitivity kb (87184) | $87.60 | $87.60 | 11.7× |
| Sensitivity mic (87186) | $109.95 | $109.95 | 12.7× |
| Serotonin Release Assay (86022) | $84.55 | $84.55 | 4.6× |
| Sex hormone binding globulin (84270) | $210.35 | $210.35 | 9.7× |
| Sickling of rbc reduction (85660) | $69.35 | $69.35 | 12.6× |
| Silica (84285) | $261.65 | $261.65 | 10.4× |
| Sirolimus (rapamycin) (80195) | $78.35 | $78.35 | 5.7× |
| Smear acid fast (87206) | $58.25 | $58.25 | 10.8× |
| Smear complex stain (87209) | $112.55 | $112.55 | 6.3× |
| Smear gram stain (87205) | $53.65 | $53.65 | 12.6× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) | $1,104.85 | $1,104.85 | 8.1× |
| Smpd1 Gene Common Variants (81330) | $379.05 | $379.05 | 8.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $51 | $51 | 8.8× |
| Sodium (84295) | $60.10 | $60.10 | 12.5× |
| Sodium feces (84302) | $93.35 | $93.35 | 19.2× |
| Sodium urine (84300) | $62.80 | $62.80 | 12.4× |
| Somatomedin (84305) | $182.45 | $182.45 | 8.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $567.80 | $567.80 | 4.0× |
| Special stains group 1 (88312) | $61.45 | $61.45 | 1.1× |
| Specific gravity body fluid (84315) | $13.05 | $13.05 | 4.0× |
| Spectrophotometry (84311) | $792.85 | $792.85 | 97.9× |
| Stool Culture, Addl Pathogens (87046) | $130.85 | $130.85 | 13.9× |
| Strep a assay w/optic (87880) | $77.90 | $77.90 | 4.7× |
| Sugars Single Qualitative, Each Specimen (84376) | $33.05 | $33.05 | 6.0× |
| Sulfate urine (84392) | $45.65 | $45.65 | 8.3× |
| Surg path level 1 (88300) | $147.85 | $147.85 | 4.8× |
| Surg path level iii (88304) | $427.80 | $427.80 | 7.7× |
| Surgical pathology level IV (88305) | $550.80 | $550.80 | 9.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $172.70 | $172.70 | 3.7× |
| T cells total count (86359) | $138.65 | $138.65 | 3.7× |
| T3 free (84481) | $211.90 | $211.90 | 12.5× |
| T3 reverse (84482) | $161.30 | $161.30 | 10.2× |
| T3 total (84480) | $179.25 | $179.25 | 12.6× |
| T3 uptake (84479) | $71.90 | $71.90 | 11.1× |
| T4 free (84439) | $115.15 | $115.15 | 12.8× |
| T4 total (84436) | $71.90 | $71.90 | 10.5× |
| Tau phosphorylated each (84393) | $180.45 | $180.45 | 1.4× |
| Tb intradermal test (86580) | $42.82 | $42.82 | 1.4× |
| Tb test, cell immun measure (86480) | $552.80 | $552.80 | 8.9× |
| Testosterone free (84402) | $202.80 | $202.80 | 8.0× |
| Testosterone total (84403) | $278.05 | $278.05 | 10.8× |
| Theophylline (80198) | $179.25 | $179.25 | 12.7× |
| Thin prep pap (88142) | $258.38 | $258.38 | 12.8× |
| Thrombin time plasma (85670) | $73.25 | $73.25 | 12.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $258 | $258 | 39.9× |
| Thyroglobulin (84432) | $141.95 | $141.95 | 8.8× |
| Thyroglobulin antibody (86800) | $157.70 | $157.70 | 9.9× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $562.20 | $562.20 | 11.1× |
| Thyroxine binding globulin (84442) | $144 | $144 | 9.7× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) | $312.60 | $312.60 | 2.1× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $1,069.80 | $1,069.80 | 7.6× |
| Tissue culture bone marrow (88237) | $460.80 | $460.80 | 3.2× |
| Tissue culture lymphocyte (88230) | $308.65 | $308.65 | 2.6× |
| Tissue transglutaminase ab iga (86364) | $93.35 | $93.35 | 8.1× |
| Tobramycin peak (80200) | $202.75 | $202.75 | 12.6× |
| Total tau (ttau) (84394) | $151.55 | $151.55 | 1.2× |
| Toxoplasma ab igm (86778) | $160.15 | $160.15 | 11.1× |
| Toxoplasma antibody igg (86777) | $160.15 | $160.15 | 11.1× |
| Transferrin (84466) | $159.65 | $159.65 | 12.5× |
| Triglycerides (84478) | $71.90 | $71.90 | 12.5× |
| Troponin (84484) | $124.35 | $124.35 | 10.0× |
| Urea nitrogen (84520) | $49.70 | $49.70 | 12.6× |
| Urea Nitrogen Clearance (84545) | $63.20 | $63.20 | 8.8× |
| Urea nitrogen urine (84540) | $61.45 | $61.45 | 11.1× |
| Uric acid blood (84550) | $58.90 | $58.90 | 13.0× |
| Uric acid other source (84560) | $62.80 | $62.80 | 12.4× |
| Urinalysis auto w/scope (81001) | $41.80 | $41.80 | 13.2× |
| Urinalysis Microscopic Only (81015) | $32.90 | $32.90 | 10.8× |
| Urine pregnancy test (81025) | $35.25 | $35.25 | 4.1× |
| Valproic acid (80164) | $171.45 | $171.45 | 12.7× |
| Vancomycin trough (80202) | $171.45 | $171.45 | 12.7× |
| Varicella-zoster antibody (86787) | $158.20 | $158.20 | 12.3× |
| Vasoactive intestinal peptide (vip) (84586) | $293.95 | $293.95 | 8.3× |
| Vdrl csf (86592) | $43.95 | $43.95 | 10.3× |
| Virus antibody nos (86790) | $75.15 | $75.15 | 5.8× |
| Virus inoculation, shell via (87254) | $228.95 | $228.95 | 11.7× |
| Viscosity serum (85810) | $130.20 | $130.20 | 11.2× |
| Vitamin A (84590) | $129 | $129 | 11.1× |
| Vitamin b-12 (82607) | $151.80 | $151.80 | 10.1× |
| Vitamin b1 (thiamine) (84425) | $201.60 | $201.60 | 9.5× |
| Vitamin b2 (84252) | $217.70 | $217.70 | 10.8× |
| Vitamin b3 niacin (84591) | $252.35 | $252.35 | 14.8× |
| Vitamin b6 (84207) | $311.05 | $311.05 | 11.1× |
| Vitamin c (82180) | $88.70 | $88.70 | 9.0× |
| Vitamin D 25-Hydroxy (82306) | $296.25 | $296.25 | 10.0× |
| Vitamin e serum (84446) | $157.80 | $157.80 | 11.1× |
| Voltage-gated calcium channel antibody each (86596) | $150.90 | $150.90 | 12.5× |
| West nile virus antibody (86789) | $48.65 | $48.65 | 3.4× |
| West nile virus igm (86788) | $56.40 | $56.40 | 3.3× |
| Zinc (84630) | $115.20 | $115.20 | 10.1× |