| 1 25 Dihydroxy includes fractions if performed (82652) |
$160 |
$400 |
4.2× |
| 5 Nucleotidase (83915) |
$102.20 |
$255.50 |
9.2× |
| Abl1 gene (81170) |
$199.60 |
$499 |
0.7× |
| Acetone serum qual (82009) |
$66.80 |
$167 |
14.8× |
| Actin smooth muscle antibody each (86015) |
$16.80 |
$42 |
1.4× |
| Activated protein c resistance (85307) |
$125.20 |
$313 |
8.2× |
| Acute hepatitis panel (80074) |
$260.40 |
$651 |
5.5× |
| Acylcarnitine Plasma (82017) |
$192 |
$480 |
11.4× |
| Adamts13 activity (85397) |
$60.80 |
$152 |
2.0× |
| Adenovirus Ag Ia (87301) |
$144.80 |
$362 |
12.1× |
| Adenovirus ag, if (87260) |
$157 |
$392.50 |
10.9× |
| Adenovirus antibody (86603) |
$119.60 |
$299 |
9.3× |
| Adrenocorticotropic hormone (82024) |
$129 |
$322.50 |
3.3× |
| Afp maternal serum (82105) |
$99.80 |
$249.50 |
6.0× |
| Agglutinins febrile ea antigen (86000) |
$141.60 |
$354 |
20.3× |
| Albumin body fluid (82042) |
$57 |
$142.50 |
7.3× |
| Albumin serum (82040) |
$65.60 |
$164 |
13.3× |
| Aldolase (82085) |
$72.40 |
$181 |
7.5× |
| Aldosterone urine (82088) |
$241.60 |
$329 |
5.9× |
| Alkaline phosphatase isoenzymes (84080) |
$56.20 |
$140.50 |
3.8× |
| Allergen peanut (86003) |
$16 |
$3 |
3.1× |
| Allergen spec ige qual multiallergen screen (86005) |
$93.20 |
$233 |
11.7× |
| Allergen specific igg (86001) |
$16 |
$40 |
2.0× |
| Allg Spec Ige Recomb Ea (86008) |
$16 |
$40 |
0.9× |
| Alpha-1-antitrypsin phenotype (82104) |
$137.80 |
$344.50 |
9.5× |
| Alpha-1-antitrypsin, total (82103) |
$89.40 |
$223.50 |
6.7× |
| Alpha-Fetoprotein L3 (82107) |
$70.80 |
$177 |
1.1× |
| Alpha-Fetoprotein; Amniotic (82106) |
$188 |
$470 |
11.1× |
| Alt (sgpt) (84460) |
$153.60 |
$384 |
29.0× |
| Aluminum (82108) |
$66.40 |
$166 |
2.6× |
| Amikacin trough (80150) |
$112.40 |
$281 |
7.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$82.80 |
$207 |
3.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$158.20 |
$395.50 |
9.4× |
| Amino Acids Quant 2-5 (82136) |
$100.80 |
$252 |
5.1× |
| Amino Acids, Multiple Qual (82128) |
$234 |
$585 |
16.9× |
| Aminolevulinic acid (ala) (82135) |
$153.60 |
$384 |
9.3× |
| Amniotic fluid enzyme test (84081) |
$189.20 |
$473 |
11.5× |
| Amylase urine (82150) |
$179.60 |
$449 |
27.7× |
| Ana titer (86039) |
$60.60 |
$151.50 |
5.4× |
| Androsterone (hormone) level (82160) |
$131.60 |
$329 |
5.2× |
| Angiotensin i enzyme test (82164) |
$127.20 |
$318 |
8.7× |
| Anti-phosphatidylserine antibody (86148) |
$23.60 |
$59 |
1.5× |
| Antibody aspergillus (86606) |
$68.40 |
$171 |
4.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$56.60 |
$141.50 |
3.7× |
| Antibody coxiella burnetii q fever (86638) |
$45.60 |
$114 |
3.8× |
| Antibody cytomegalovirus cmv (86644) |
$120.40 |
$301 |
8.4× |
| Antibody Encephalitis Eastern Equine (86652) |
$119.60 |
$299 |
9.1× |
| Antibody encephalitis st. louis (86653) |
$123.40 |
$308.50 |
9.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$73.20 |
$12 |
5.6× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$148.80 |
$372 |
12.1× |
| Antibody haemophilus influenza (86684) |
$132.80 |
$332 |
8.4× |
| Antibody helicobacter pylori (86677) |
$185.20 |
$463 |
11.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$26.40 |
$66 |
1.8× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$175.80 |
$439.50 |
12.8× |
| Antibody HIV-2 (86702) |
$137.80 |
$344.50 |
10.2× |
| Antibody identification (86870) |
$570.80 |
$1,427 |
1.5× |
| Antibody identification leukocyte antibodies (86021) |
$170.40 |
$426 |
11.3× |
| Antibody Identification Platelet Immunogl Assay (86023) |
$601.20 |
$1,503 |
48.3× |
| Antibody influenza virus (86710) |
$186.80 |
$467 |
13.8× |
| Antibody mumps (86735) |
$173.40 |
$432 |
13.3× |
| Antibody Protozoa Nes (86753) |
$62.20 |
$155.50 |
5.0× |
| Antibody screen (86850) |
$340.80 |
$852 |
34.9× |
| Antibody treponema pallidum (86780) |
$214.40 |
$536 |
16.2× |
| Antibody; campylobacter (86625) |
$299.60 |
$749 |
22.8× |
| Antibody; Coccidioides (86635) |
$69.80 |
$174.50 |
6.1× |
| Antigen typing (86905) |
$80 |
$200 |
20.9× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$87 |
$217.50 |
16.8× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$48 |
$120 |
4.0× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) |
$77.60 |
$194 |
6.4× |
| Antinomyces antibody (86602) |
$41.60 |
$104 |
4.1× |
| Antinuclear antibodies (86038) |
$157.60 |
$394 |
13.0× |
| Antistreptolysin o titer (86060) |
$58.20 |
$145.50 |
8.0× |
| Antithrombin iii activity (85300) |
$179.80 |
$449.50 |
15.2× |
| Antithrombin iii antigen (85301) |
$192.60 |
$481.50 |
17.8× |
| Apolipoprotein each (82172) |
$86.60 |
$216.50 |
4.1× |
| Aquaporin-4 Antb Elisa (86051) |
$246.40 |
$616 |
21.4× |
| Arsenic Urine (82175) |
$67.40 |
$168.50 |
3.6× |
| Aspergillus ag eia (87305) |
$121.80 |
$304.50 |
10.2× |
| Assay 17-(17-Ks)Ketosteroids (83586) |
$104.40 |
$261 |
8.2× |
| Assay Biovlbl Testosterone Direct Measurement (84410) |
$18.80 |
$47 |
0.4× |
| Assay direct measurement free estradiol (82681) |
$20.40 |
$51 |
0.7× |
| Assay galactose transferase (82775) |
$136.20 |
$340.50 |
6.5× |
| Assay Lipoprotein Pla2 (83698) |
$176.20 |
$440.50 |
3.8× |
| Assay myeloperoxidase (83876) |
$78.40 |
$196 |
1.5× |
| Assay Nephelometry Not Spec (83883) |
$108 |
$270 |
7.9× |
| Assay of 17-hydroxypregnenolone (84143) |
$110.20 |
$275.50 |
4.8× |
| Assay of 5-hiaa (83497) |
$43.60 |
$109 |
3.4× |
| Assay of ammonia (82140) |
$220.40 |
$551 |
15.1× |
| Assay of androstenedione (82157) |
$224.60 |
$561.50 |
7.7× |
| Assay of biotinidase (82261) |
$145.60 |
$364 |
8.6× |
| Assay of c-peptide (84681) |
$75.80 |
$189.50 |
3.6× |
| Assay of ceruloplasmin (82390) |
$59.40 |
$148.50 |
5.5× |
| Assay of citrate (82507) |
$259.80 |
$649.50 |
9.3× |
| Assay of cpk in blood (82552) |
$174.40 |
$436 |
13.0× |
| Assay of creatine (82540) |
$16.80 |
$42 |
3.6× |
| Assay of cyclosporine (80158) |
$132.60 |
$331.50 |
7.3× |
| Assay of dibucaine number (82638) |
$94.40 |
$236 |
7.7× |
| Assay of erythropoietin (82668) |
$83 |
$207.50 |
4.4× |
| Assay of estrone (82679) |
$133.40 |
$333.50 |
5.3× |
| Assay of ethosuximide (80168) |
$68.80 |
$172 |
4.2× |
| Assay of ferritin (82728) |
$104.80 |
$262 |
7.7× |
| Assay of g6pd enzyme (82955) |
$62 |
$155 |
6.4× |
| Assay of gammaglobulin igm (82784) |
$168.60 |
$233.50 |
18.1× |
| Assay of gastrin (82941) |
$54 |
$135 |
3.1× |
| Assay of gentamicin (80170) |
$248 |
$620 |
15.1× |
| Assay of homocystine (83090) |
$96.40 |
$241 |
5.4× |
| Assay of lactic acid (83605) |
$76.40 |
$191 |
6.6× |
| Assay of lipoprotein(a) (83695) |
$93.20 |
$233 |
6.5× |
| Assay of manganese (83785) |
$155 |
$387.50 |
5.8× |
| Assay of metanephrines (83835) |
$62.20 |
$155.50 |
3.7× |
| Assay of osteocalcin (83937) |
$44 |
$110 |
1.5× |
| Assay of phenobarbital (80184) |
$153.20 |
$383 |
10.0× |
| Assay of phosphatase acid total (84060) |
$196.80 |
$492 |
25.8× |
| Assay of prealbumin (84134) |
$86 |
$215 |
5.9× |
| Assay of procainamide (80190) |
$136.80 |
$342 |
2.3× |
| Assay of proinsulin (84206) |
$129.40 |
$323.50 |
4.8× |
| Assay of prolactin (84146) |
$108.80 |
$272 |
5.6× |
| Assay of pyruvate (84210) |
$103 |
$257.50 |
7.1× |
| Assay of serotonin (84260) |
$110.60 |
$276.50 |
3.6× |
| Assay of tacrolimus (80197) |
$163.60 |
$409 |
11.9× |
| Assay of topiramate (80201) |
$104 |
$260 |
8.7× |
| Assay of transcortin (84449) |
$55.60 |
$139 |
3.1× |
| Assay of Tyrosine (84510) |
$165.20 |
$413 |
15.5× |
| Assay of urine vma (84585) |
$60.20 |
$150.50 |
3.9× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$475.20 |
$1,188 |
14.0× |
| Assay of vitamin k (84597) |
$252 |
$630 |
18.4× |
| Assay of volatiles (84600) |
$208 |
$520 |
12.2× |
| Assay Phosphatase Acid Prostatic (84066) |
$133.20 |
$333 |
13.8× |
| Assay Phosphohexose Enzymes (84087) |
$89.40 |
$223.50 |
8.3× |
| Assay spec xcp ur&breath ia (82077) |
$98.60 |
$246.50 |
5.7× |
| Ast (sgot) (84450) |
$87.80 |
$219.50 |
16.9× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) |
$410.40 |
$1,026 |
0.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) |
$228 |
$570 |
1.3× |
| B cells total count (86355) |
$151 |
$377.50 |
4.0× |
| B-hexosaminidase ea assay (83080) |
$267.60 |
$669 |
15.9× |
| Bartonella antibody (86611) |
$64.80 |
$162 |
6.4× |
| Bartonella PCR (87471) |
$364.80 |
$912 |
10.4× |
| Bcr/abl1 gene major bp (81206) |
$324 |
$810 |
2.0× |
| Bcr/abl1 gene minor bp (81207) |
$324 |
$810 |
2.2× |
| Beta 2 glycoprotein 1 igm (86146) |
$158.80 |
$208.50 |
6.2× |
| Beta hydroxybutyrate (82010) |
$174 |
$435 |
21.3× |
| Beta lactamase (87185) |
$158.80 |
$397 |
33.4× |
| Beta-2 microglobulin (82232) |
$120.40 |
$301 |
7.4× |
| Bile acids, total (82239) |
$107.80 |
$269.50 |
6.3× |
| Bilirubin direct (82248) |
$112.80 |
$282 |
22.5× |
| Bilirubin total (82247) |
$115.60 |
$289 |
23.0× |
| Bilirubin total transcutaneous (88720) |
$122.80 |
$307 |
24.5× |
| Bl Smear W/Diff Wbc Count (85007) |
$61.60 |
$154 |
16.2× |
| Bl Smear W/O Diff Wbc Count (85008) |
$33.20 |
$83 |
9.7× |
| Blastomyces antibody (86612) |
$138.60 |
$346.50 |
10.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$155.60 |
$389 |
0.9× |
| Bld Typing Serologic Rh Phnt (86906) |
$53.20 |
$133 |
6.9× |
| Bleeding time (85002) |
$182 |
$455 |
37.8× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) |
$13.60 |
$34 |
2.4× |
| Blood gas (82803) |
$387.60 |
$969 |
14.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$54.60 |
$136.50 |
3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$66.60 |
$166.50 |
15.2× |
| Blood Sulfhemoglobin Assay (83060) |
$64 |
$160 |
7.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$189.60 |
$474 |
29.9× |
| Blood typing abo (86900) |
$77 |
$192.50 |
25.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$88.80 |
$222 |
5.4× |
| Blood typing serologic rh (d) (86901) |
$85 |
$212.50 |
28.4× |
| Body fluid cell count (89051) |
$242.80 |
$607 |
43.4× |
| Body fluid cell count (89050) |
$393.20 |
$983 |
83.3× |
| Bone Marrow Smear Interpretation (85097) |
$836.40 |
$2,091 |
1.0× |
| Bordetella antibody (86615) |
$21.20 |
$53 |
1.6× |
| Bordetella pertussis dfa (87265) |
$149 |
$372.50 |
12.4× |
| Borrelia Antibody (86619) |
$193.20 |
$483 |
14.4× |
| Braf gene (81210) |
$250 |
$625 |
1.4× |
| Brca1 gene analysis known familial variant (81215) |
$163.60 |
$409 |
0.4× |
| Brca1&2 seq & full dup/del (81162) |
$964.80 |
$2,412 |
0.5× |
| Brca2 gene analysis known familial variant (81217) |
$163.60 |
$409 |
0.4× |
| Breath Alcohol Test (82075) |
$111.40 |
$278.50 |
3.7× |
| Brucella antibody (86622) |
$19.40 |
$48.50 |
2.2× |
| C diff amplified probe (87493) |
$250 |
$625 |
6.7× |
| C-reactive protein (86140) |
$119.40 |
$298.50 |
23.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$216.80 |
$542 |
16.7× |
| C1q binding assay (86332) |
$276.80 |
$692 |
11.4× |
| Ca 125 (86304) |
$74.40 |
$186 |
3.6× |
| Ca 19-9 (86301) |
$166.40 |
$416 |
8.0× |
| Ca 27 29 (86300) |
$19.60 |
$49 |
0.9× |
| Cadmium level (82300) |
$12.80 |
$32 |
0.5× |
| Caffeine (80155) |
$4.80 |
$12 |
0.1× |
| Calcitonin (82308) |
$230.40 |
$576 |
8.6× |
| Calcium ionized (82330) |
$168.60 |
$421.50 |
12.3× |
| Calcium total (82310) |
$170.80 |
$427 |
33.1× |
| Calcium urine (82340) |
$71.40 |
$178.50 |
11.8× |
| Calculus Quantitative Chemical (82360) |
$4.80 |
$12 |
0.4× |
| Calculus spectroscopy (82365) |
$86.20 |
$215.50 |
6.7× |
| Calculus; qualitative analysis Facility (82355) |
$153.20 |
$383 |
13.2× |
| California encephalitis ab (86651) |
$72.20 |
$180.50 |
5.5× |
| Calprotectin, fecal (83993) |
$156.40 |
$391 |
8.0× |
| Calr gene com variants (81219) |
$198 |
$495 |
1.6× |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
$2,697.20 |
$6,743 |
4.6× |
| Carbamazepine total (80156) |
$181.40 |
$453.50 |
12.5× |
| Carbon dioxide (82374) |
$75.40 |
$188.50 |
15.5× |
| Carboxyhemoglobin (82375) |
$199.60 |
$499 |
16.2× |
| Carcinoembryonic antigen (82378) |
$16.40 |
$41 |
0.9× |
| Cardiolipin ab igg (86147) |
$166 |
$227.50 |
6.5× |
| Carnitine (82379) |
$155.40 |
$388.50 |
9.2× |
| Carotene (82380) |
$40.40 |
$101 |
4.4× |
| Catecholamines fraction plasma (82384) |
$313.60 |
$784 |
12.4× |
| Catecholamines organic nitrogen blood level (82383) |
$160.80 |
$402 |
5.5× |
| Catecholamines Total Urine (82382) |
$146.40 |
$366 |
5.4× |
| Cell Cryopreserve/Storage (88240) |
— |
$2 |
— |
| Cell marker study (88182) |
$456 |
$1,140 |
8.4× |
| Cftr gene com variants (81220) |
$25.60 |
$64 |
0.0× |
| Cftr gene dup/delet variants (81222) |
$334.40 |
$836 |
0.8× |
| Cftr gene full sequence (81223) |
$1,148 |
$2,870 |
2.3× |
| Chemiluminescent assay (82397) |
$174.80 |
$437 |
12.4× |
| Chlamydia antibody (86631) |
$17.60 |
$44 |
1.5× |
| Chlamydia Igm Antibody (86632) |
$20.40 |
$51 |
1.6× |
| Chlamydia trachomatis ag if (87270) |
$180.40 |
$451 |
15.1× |
| Chloride blood (82435) |
$98.40 |
$246 |
21.4× |
| Chloride feces (82438) |
$146.40 |
$366 |
29.3× |
| Chloride urine (82436) |
$116.80 |
$292 |
20.3× |
| Cholesterol HDL (83718) |
$125.40 |
$313.50 |
15.3× |
| Cholesterol total (82465) |
$98.80 |
$247 |
22.7× |
| Cholinesterase rbc (82482) |
$54 |
$135 |
5.5× |
| Cholinesterase serum (82480) |
$42.60 |
$106.50 |
5.4× |
| Chorionic Gonadotropin, Free Beta Chain (84704) |
$186.40 |
$466 |
12.2× |
| Chrmsm analysis addl high resolution study (88289) |
$24.80 |
$62 |
0.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$95 |
$237.50 |
2.8× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$865.60 |
$2,164 |
6.9× |
| Chromium urine (82495) |
$175.40 |
$438.50 |
8.6× |
| Chromogenic Substrate Assay (85130) |
$224.40 |
$561 |
18.9× |
| Chromogranin a (86316) |
$40.40 |
$101 |
1.9× |
| Chromosome analysis 20-25 cells (88264) |
$112.60 |
$281.50 |
0.8× |
| Chromosome Analysis 5 (88261) |
$84.80 |
$212 |
0.3× |
| Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg,… (88248) |
$1,740.80 |
$4,352 |
10.1× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) |
$18 |
$45 |
0.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$137.40 |
$343.50 |
3.9× |
| Ckmb (82553) |
$117.80 |
$294.50 |
10.2× |
| Clot Factor VIII Multimetric (85247) |
$245.80 |
$614.50 |
10.7× |
| Clot factor viii vw antigen (85246) |
$272 |
$680 |
11.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$140.20 |
$350.50 |
7.8× |
| Clot factor xiii fibrin stab (85290) |
$17.20 |
$43 |
1.1× |
| Clot lysis time, whole blood dilution Facility (85175) |
$158.80 |
$397 |
7.8× |
| Clotting Inhibitors Protein S Free (85306) |
$119.40 |
$298.50 |
7.8× |
| Clotting prekallikrein assay fletcher fact assay (85292) |
$59.60 |
$149 |
3.1× |
| Cmv ab igm (86645) |
$68.40 |
$171 |
4.1× |
| Cmv PCR (87496) |
$32 |
$80 |
0.9× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) |
$562 |
$1,405 |
4.1× |
| Cns DNA amp probe type 12-25 (87483) |
$1,262.80 |
$3,157 |
3.0× |
| Coagulation time activated (85347) |
$171.20 |
$428 |
40.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$112.80 |
$282 |
4.7× |
| Cold agglutinin screen (86156) |
$52 |
$130 |
6.4× |
| Cold agglutinin titer (86157) |
$71.60 |
$179 |
8.9× |
| Collagen cross links (82523) |
$37.60 |
$94 |
2.0× |
| Compatibility test antiglob (86922) |
$151.60 |
$379 |
0.9× |
| Compatibility Test Incubate (86921) |
$159.60 |
$399 |
0.9× |
| Complement c3 (86160) |
$18.40 |
$46 |
1.5× |
| Complement total (ch50) (86162) |
$16 |
$40 |
0.8× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$103.80 |
$259.50 |
8.7× |
| Concentration Infectious Agent (87015) |
$50.80 |
$127 |
7.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
$570.40 |
$1,426 |
14.6× |
| Coombs direct (86880) |
$185.20 |
$463 |
34.4× |
| Copper urine (82525) |
$73.40 |
$183.50 |
5.9× |
| Cortisol free (82530) |
$118.40 |
$296 |
7.1× |
| Cortisol total (82533) |
$19.60 |
$49 |
1.2× |
| Creatine kinase total (82550) |
$122.40 |
$306 |
18.8× |
| Creatinine blood (82565) |
$68.80 |
$172 |
13.4× |
| Creatinine clearance (82575) |
$99.40 |
$248.50 |
10.5× |
| Creatinine other source (82570) |
$64 |
$160 |
12.4× |
| Crossmatch immediate spin (86920) |
$254.40 |
$636 |
1.4× |
| Cryofibrinogen (82585) |
$60 |
$76 |
4.2× |
| Cryoglobulin (82595) |
$87 |
$217.50 |
13.4× |
| Cryptococcus antibody (86641) |
$98.40 |
$246 |
6.8× |
| Crystals body fluid (89060) |
$102 |
$255 |
13.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$138.60 |
$346.50 |
17.2× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) |
$215.20 |
$538 |
1.0× |
| Culture Aerobic Identify (87077) |
$81.60 |
$204 |
10.1× |
| Culture afb (87116) |
$208 |
$520 |
19.3× |
| Culture anaerobic (87075) |
$20.40 |
$51 |
2.2× |
| Culture blood (87040) |
$308.40 |
$771 |
29.9× |
| Culture chlamydia (87110) |
$103 |
$257.50 |
5.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$179.80 |
$449.50 |
23.3× |
| Culture fungus blood (87103) |
$159.20 |
$398 |
7.8× |
| Culture fungus id yeast (87106) |
$64.80 |
$162 |
6.3× |
| Culture fungus other (87102) |
$79.40 |
$198.50 |
9.4× |
| Culture genital (87070) |
$396.40 |
$991 |
46.0× |
| Culture screen only (87081) |
$158.60 |
$396.50 |
23.9× |
| Culture stool (87045) |
$481.20 |
$1,203 |
51.0× |
| Culture typing if ea antiserum (87140) |
$143.20 |
$358 |
25.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$83.60 |
$209 |
16.1× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) |
$97.40 |
$243.50 |
2.8× |
| Culture urine (87086) |
$94.20 |
$235.50 |
11.7× |
| Culture virus (87252) |
$24.80 |
$62 |
1.0× |
| Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) |
$150.80 |
$377 |
12.0× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
$96.40 |
$241 |
0.8× |
| Cyanide (82600) |
$148.40 |
$371 |
7.6× |
| Cyclic Citrullinated Peptide (86200) |
$172.80 |
$432 |
13.3× |
| Cyp2c19 gene com variants (81225) |
$76 |
$190 |
0.3× |
| Cyp2d6 gene com variants (81226) |
$146.40 |
$366 |
0.3× |
| Cystatin c (82610) |
$94.20 |
$235.50 |
5.1× |
| Cysticercosis Antibody (86682) |
$44.40 |
$111 |
3.4× |
| Cytogen micrarray copy nmbr (81228) |
$701.60 |
$1,754 |
0.8× |
| Cytogenetics 10-30 (88273) |
$50 |
$125 |
1.4× |
| Cytogenetics 100-300 (88275) |
$114 |
$285 |
2.2× |
| Cytogenetics DNA probe (88271) |
$100 |
$250 |
4.7× |
| Cytogenom const microarray copy number&snp var (81229) |
$1,320.40 |
$3,301 |
1.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$95.80 |
$239.50 |
2.2× |
| Cytopath cell enhance tech (88112) |
$134.20 |
$335.50 |
2.5× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$110 |
$275 |
2.8× |
| Cytopath Smear Other Source (88160) |
$62.40 |
$156 |
2.1× |
| Cytopath Tbs Cerv/Vag Manual (88164) |
$121.20 |
$303 |
6.5× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) |
$302 |
$755 |
20.6× |
| Cytp concentration smears & interpretation (88108) |
$203.60 |
$509 |
5.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$421.60 |
$1,054 |
7.7× |
| Cytp fna eval dx 1st each site (88172) |
$348.40 |
$871 |
2.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$217.60 |
$544 |
1.2× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
$107.20 |
$268 |
5.8× |
| D-Dimer (85378) |
$107.20 |
$268 |
11.0× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) |
$88 |
$220 |
7.8× |
| Deoxycortisol (82634) |
$29.20 |
$73 |
1.0× |
| Deoxyribonuclease antibody (86215) |
$76.20 |
$190.50 |
5.8× |
| Desoxycorticosterone (82633) |
$48.80 |
$122 |
1.6× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
$98.40 |
$246 |
2.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$197.20 |
$493 |
11.9× |
| Detect agnt mult DNA ampli (87801) |
$277 |
$692.50 |
3.9× |
| Dgp antibody each ig class (86258) |
$16.40 |
$41 |
1.4× |
| Dhea (82626) |
$421.20 |
$1,053 |
16.7× |
| Dhea-sulfate (82627) |
$172.60 |
$431.50 |
7.8× |
| Digoxin (80162) |
$182.40 |
$456 |
13.7× |
| Dihydrotestosterone (82642) |
$9.60 |
$24 |
0.3× |
| Dilantin (80185) |
$223.20 |
$558 |
16.8× |
| Diphtheria antitoxoid (86648) |
$142.20 |
$355.50 |
9.3× |
| Dmd dup/delet analysis (81161) |
$518.80 |
$1,297 |
1.9× |
| Dna Antibody Single Stranded (86226) |
$73.60 |
$184 |
6.1× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$98.40 |
$246 |
7.2× |
| DNA/RNA direct probe (87149) |
$8 |
$20 |
0.4× |
| Drug assay flecainide (80181) |
$19.60 |
$49 |
1.1× |
| Drug Assay Infliximab (80230) |
$150.80 |
$377 |
3.9× |
| Drug Assay Lacosamide (80235) |
$46.80 |
$117 |
1.7× |
| Drug assay leflunomide (80193) |
$54.80 |
$137 |
1.4× |
| Drug assay vedolizumab (80280) |
$169.60 |
$424 |
4.4× |
| Drug assay voriconazole (80285) |
$42.80 |
$107 |
1.6× |
| Drug quant nes (80299) |
$49.40 |
$123.50 |
2.7× |
| Drug screen quant zonisamide (80203) |
$31.20 |
$78 |
2.4× |
| Drug Screen Quantitative Lamotrigine (80175) |
$8.80 |
$22 |
0.7× |
| Drug Screen Quantitative Lidocaine (80176) |
$97.80 |
$244.50 |
6.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$21.60 |
$54 |
1.6× |
| Drug Scrn Quan Levetiracetam (80177) |
$4.40 |
$11 |
0.3× |
| Drug test prsmv chem anlyzr (80307) |
$100.80 |
$252 |
1.6× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$345 |
$862.50 |
27.4× |
| E test (87181) |
$84 |
$210 |
17.7× |
| Ebv viral capsid (86665) |
$3.20 |
$8 |
0.2× |
| Egfr Gene Analysis Common Variants (81235) |
$285.20 |
$713 |
0.9× |
| Ehrlichia antibody (86666) |
$38.80 |
$97 |
3.8× |
| Elastase pancreatic fecal quantitative (82653) |
$74.80 |
$187 |
3.3× |
| Electrolyte panel (80051) |
$165.40 |
$413.50 |
23.6× |
| Electron microscopy diagnostic (88348) |
$1,274 |
$3,185 |
1.5× |
| Electronic crossmatch (86923) |
$182 |
$455 |
1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$48.80 |
$122 |
0.8× |
| Encephalitis Western Equine (86654) |
$123.60 |
$309 |
9.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$22.80 |
$57 |
1.9× |
| Entamoeba histolytica antigen (87337) |
$81.80 |
$204.50 |
6.8× |
| Enterovirus antibody (86658) |
$86 |
$215 |
6.6× |
| Enterovirus Pcr (87498) |
$355.20 |
$888 |
10.1× |
| Enzyme cell activity (82657) |
$73.40 |
$183.50 |
3.3× |
| Enzyme histochemistry (88319) |
$270.80 |
$677 |
0.3× |
| Eosinophil count (85048) |
$28.40 |
$71 |
11.2× |
| Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A,… (81419) |
$1,012.80 |
$2,532 |
0.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$122.80 |
$178 |
8.0× |
| Estradiol (82670) |
$98.80 |
$247 |
3.5× |
| Estriol serum (82677) |
$77.20 |
$193 |
3.2× |
| Estrogens total (82672) |
$83.80 |
$209.50 |
3.9× |
| Ethylene glycol (82693) |
$182.20 |
$455.50 |
12.2× |
| Euglobulin lysis (85360) |
$128.80 |
$322 |
15.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$318 |
$795 |
3.2× |
| Everolimus (80169) |
$32.40 |
$81 |
2.4× |
| F2 gene analysis 20210g >a variant (81240) |
$146 |
$365 |
2.2× |
| F5 gene analysis, leiden variant (81241) |
$105 |
$262.50 |
1.4× |
| Factor ii activity (85210) |
$168.20 |
$420.50 |
13.0× |
| Factor inhibitor test (85335) |
$42 |
$105 |
3.3× |
| Factor ix activity (85250) |
$248.20 |
$620.50 |
13.0× |
| Factor v activity (85220) |
$67 |
$167.50 |
3.8× |
| Factor vii assay (85230) |
$111.80 |
$279.50 |
6.2× |
| Factor viii ahg (85240) |
$19 |
$47.50 |
1.1× |
| Factor xi assay (85270) |
$227 |
$567.50 |
12.7× |
| Factor xii assay (85280) |
$117.60 |
$294 |
6.1× |
| Factor xiii solubility screen (85291) |
$60.60 |
$151.50 |
6.7× |
| Fancc Gene (81242) |
$24.80 |
$62 |
0.7× |
| Fatty acids free (82725) |
$110 |
$275 |
5.9× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$127.20 |
$318 |
16.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
$208.40 |
$521 |
12.1× |
| Fecal fat qual (82705) |
$79.20 |
$198 |
15.5× |
| Fecal fat quant (82710) |
$135.40 |
$338.50 |
8.1× |
| Fetal bleed screen (85461) |
$335.60 |
$839 |
35.9× |
| Fetal fibronectin (82731) |
$836.80 |
$2,092 |
13.0× |
| Fetal Lung Maturity Fluorescence Polarization (83663) |
$257.60 |
$644 |
13.6× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) |
$166 |
$415 |
7.5× |
| Fetal screen (83030) |
$82 |
$205 |
7.6× |
| Fibrin degradation products (85362) |
$68.40 |
$171 |
9.9× |
| Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or… (85380) |
$22.40 |
$56 |
2.2× |
| Fibrin Degradation Quant (85379) |
$117.60 |
$294 |
11.6× |
| Fibrinogen activity (85384) |
$124.80 |
$312 |
12.8× |
| Fibrinogen antigen (85385) |
$47.60 |
$119 |
3.3× |
| Fibrinogen Test (85366) |
$52.80 |
$132 |
0.7× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
$106.80 |
$267 |
6.9× |
| Flow cytometry first marker (88184) |
$168.60 |
$421.50 |
0.5× |
| Fluorescent Antibody Screen (86255) |
$114.20 |
$285.50 |
9.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$19.60 |
$44 |
1.6× |
| Fluoride (82735) |
$42.40 |
$106 |
2.3× |
| Fmr1 gene detection (81243) |
$44 |
$110 |
0.8× |
| Folate serum (82746) |
$70.20 |
$175.50 |
4.8× |
| Folic acid rbc (82747) |
$68.20 |
$170.50 |
3.9× |
| Follicle Stimulating Hormone (83001) |
$248 |
$620 |
13.3× |
| Fresh frozen plasma thawing each unit (86927) |
$62.40 |
$156 |
0.4× |
| Frozen Section (88331) |
$688.40 |
$1,721 |
3.9× |
| Fructosamine (82985) |
$58.40 |
$146 |
3.5× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$106 |
$265 |
10.3× |
| Gabapentin (80171) |
$3.60 |
$9 |
0.2× |
| Galactose transferase test (82776) |
$107 |
$267.50 |
9.1× |
| Galectin-3 serum (82777) |
$18.40 |
$46 |
0.4× |
| Gammaglobulin ige (82785) |
$203.80 |
$509.50 |
12.4× |
| Gardner vag DNA dir probe (87510) |
$93.60 |
$234 |
4.7× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$80 |
$200 |
8.2× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) |
$374.40 |
$936 |
4.8× |
| Gc Dna Probe (87590) |
$139.60 |
$349 |
5.2× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
$1,400 |
$3,500 |
1.8× |
| Ggt (82977) |
$86.60 |
$216.50 |
12.0× |
| Giardia antigen eia stool (87329) |
$112.20 |
$280.50 |
9.4× |
| Giardia lamblia antibody (86674) |
$309.60 |
$774 |
21.0× |
| Glucagon (82943) |
$71.80 |
$179.50 |
5.0× |
| Glucose (82947) |
$136.40 |
$301.50 |
34.7× |
| Glucose Blood Test (82962) |
$59.60 |
$149 |
18.2× |
| Glucose body fluid (82945) |
$106 |
$265 |
27.0× |
| Glucose post dose (82950) |
$87.60 |
$219 |
18.4× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$87.20 |
$218 |
22.2× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$88 |
$220 |
6.8× |
| Gonadotropin releasing hormone (83727) |
$413.20 |
$1,033 |
24.0× |
| Growth hormone (83003) |
$56.40 |
$141 |
3.4× |
| H pylori breath test (83013) |
$148.60 |
$371.50 |
2.2× |
| Haloperidol (haldol) (80173) |
$197.20 |
$493 |
12.5× |
| Haptoglobin (83010) |
$90.80 |
$227 |
7.2× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) |
$114 |
$285 |
1.1× |
| Hbb Full Gene Sequence (81364) |
$262.80 |
$657 |
0.8× |
| Hcg qualitative (84703) |
$199.60 |
$499 |
26.5× |
| Hcg quant (84702) |
$11 |
$27.50 |
0.7× |
| Heavy metal quant each (83018) |
$50.80 |
$127 |
2.3× |
| Hemagglutination inhibition test (HAI) Facility (86280) |
$304.80 |
$762 |
37.2× |
| Hematocrit (85014) |
$68.80 |
$172 |
29.0× |
| Hemoglobin (85018) |
$76.40 |
$191 |
32.2× |
| Hemoglobin a1c (83036) |
$89.60 |
$224 |
9.2× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$3.20 |
$8 |
0.2× |
| Hemoglobin electrophoresis (83020) |
$182.80 |
$457 |
14.2× |
| Hemoglobin fetal ql (83033) |
$365.60 |
$914 |
45.7× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$250.20 |
$625.50 |
32.4× |
| Hemoglobin plasma (83051) |
$59.20 |
$148 |
8.1× |
| Hemoglobin stability screen (83068) |
$32.40 |
$81 |
3.4× |
| Hemoglobin urine (83069) |
$130 |
$325 |
32.9× |
| Hemolysins and agglutinins; incubated Facility (86941) |
$174.80 |
$437 |
14.4× |
| Hemolysins/agglutinins auto screen (86940) |
$1.60 |
$4 |
0.2× |
| Hemosiderin urine (83070) |
$54.80 |
$137 |
11.5× |
| Heparin assay (85520) |
$156.60 |
$391.50 |
12.0× |
| Hepatitis a antibody total (86708) |
$62.60 |
$156.50 |
5.1× |
| Hepatitis a igm (86709) |
$102.60 |
$256.50 |
9.1× |
| Hepatitis b core ab igm (86705) |
$73.80 |
$184.50 |
6.3× |
| Hepatitis b core antibody total (86704) |
$118.80 |
$297 |
9.9× |
| Hepatitis B Surface Ab (86706) |
$77.20 |
$193 |
7.2× |
| Hepatitis B Surface Antigen (87340) |
$100 |
$250 |
9.7× |
| Hepatitis b virus genotyping (87912) |
$68 |
$170 |
0.3× |
| Hepatitis be antibody (86707) |
$60.40 |
$151 |
5.2× |
| Hepatitis Be Antigen (87350) |
$96.80 |
$122 |
8.4× |
| Hepatitis c antibody (86803) |
$88 |
$220 |
6.2× |
| Hepatitis C Antibody Confirmatory Test (86804) |
$98.20 |
$245.50 |
6.3× |
| Hepatitis C Genotype (87902) |
$428.40 |
$1,071 |
1.7× |
| Hepatitis d quantification (87523) |
$24.80 |
$62 |
0.6× |
| Hepatitis delta ab (86692) |
$191.40 |
$478.50 |
11.2× |
| Hepatitis delta ag (87380) |
$142.60 |
$356.50 |
7.8× |
| Herpes simplex type i (86695) |
$84.20 |
$210.50 |
6.4× |
| Herpes simplex type ii (86696) |
$298.80 |
$747 |
15.4× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$153.60 |
$384 |
29.7× |
| Hexa gene analysis common variants (81255) |
$47.20 |
$118 |
0.9× |
| Hexagonal phospholipid (85598) |
$145.60 |
$364 |
8.1× |
| Hfe gene (81256) |
$39.20 |
$98 |
0.6× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) |
$171.40 |
$428.50 |
12.8× |
| Histamine plasma (83088) |
$17.20 |
$43 |
0.6× |
| Histoplasma antibody (86698) |
$107.40 |
$268.50 |
7.8× |
| Histoplasma antigen urine (87385) |
$43.60 |
$109 |
3.3× |
| HIV confirmation (86689) |
$144 |
$360 |
7.4× |
| HIV-1 antibody (86701) |
$138 |
$345 |
15.5× |
| HIV-1 genotype (87901) |
$524.40 |
$1,311 |
2.0× |
| HIV-1 integrase genotype (87906) |
$78.40 |
$196 |
0.6× |
| HIV-2 probe&revrse trnscripj (87538) |
$237.40 |
$593.50 |
6.8× |
| Hla class i phenotype qual (86830) |
$140 |
$350 |
1.5× |
| Hla class i typing high resolution one allele or allele group (81381) |
$45.60 |
$114 |
0.3× |
| Hla Class I Typing Low Resolution Complete (81372) |
$172 |
$430 |
0.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
$60 |
$150 |
0.5× |
| Hla class i/ii antibody qual (86829) |
$127.20 |
$318 |
2.0× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) |
$22.40 |
$56 |
0.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$7.20 |
$18 |
0.1× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) |
$580 |
$1,450 |
1.7× |
| Hla ii typing 1 allele hr (81383) |
$22.40 |
$56 |
0.2× |
| Hla typing dr/dq (86817) |
$413.20 |
$1,033 |
3.9× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$210.40 |
$526 |
7.0× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) |
$285.20 |
$713 |
4.9× |
| Hla-b27 (86812) |
$255.80 |
$639.50 |
9.9× |
| Homogenization tissue (87176) |
$54 |
$135 |
9.2× |
| Homovanillic acid urine (83150) |
$163.80 |
$409.50 |
7.3× |
| Hpa-1 genotyping gene analysis common variant (81105) |
$72.80 |
$182 |
0.6× |
| Hsv Dna Quant (87530) |
$659.60 |
$1,649 |
15.4× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$180 |
$450 |
5.1× |
| Htlv-I Antibody (86687) |
$136.80 |
$342 |
15.0× |
| Human epididymis protein 4 (86305) |
$100.20 |
$250.50 |
4.8× |
| Hydroxycorticosteroids 17 (83491) |
$136.40 |
$341 |
7.6× |
| Hydroxyprogesterone 17-d (83498) |
$240 |
$600 |
8.8× |
| Hydroxyproline total (83505) |
$323.60 |
$809 |
13.3× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
$31.60 |
$79 |
0.7× |
| Iaad ia clostridium difficile toxin (87324) |
$150.80 |
$377 |
12.6× |
| Iaad Ia Cryptococcus Neoformans (87327) |
$76.60 |
$191.50 |
5.7× |
| Iaad ia cryptosporidium (87328) |
$118.40 |
$296 |
8.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
$102.40 |
$256 |
9.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$70.80 |
$177 |
2.9× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$134.60 |
$336.50 |
9.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$176.80 |
$442 |
12.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$435.60 |
$1,089 |
12.3× |
| Iaad ia shiga-like toxin (87427) |
$189 |
$472.50 |
15.8× |
| Iaad Ia Streptococcus Group A (87430) |
$80.20 |
$200.50 |
4.8× |
| Iaadi inffluenza a virus (87276) |
$118.80 |
$297 |
7.4× |
| Iaadi influenza b virus (87275) |
$118.80 |
$297 |
9.7× |
| Iaadi Legionella Pneumophila (87278) |
$101.40 |
$253.50 |
6.5× |
| Iaadi Not Otherwise Specified Each Organism (87299) |
$187.60 |
$469 |
11.7× |
| Iaadi parainfluenza virus each type (87279) |
$74.40 |
$186 |
4.5× |
| Iaadi Pneumocustis Carinii (87281) |
$68.20 |
$170.50 |
5.7× |
| Iaadi respiratory synctial virus (87280) |
$107.20 |
$268 |
8.0× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
$191.80 |
$479.50 |
5.9× |
| Iaadiadoo not otherwise specified (87899) |
$107.20 |
$268 |
6.7× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$297.80 |
$744.50 |
8.5× |
| Iadna Candida Species Direct Probe Tq (87480) |
$93.60 |
$234 |
4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$183.60 |
$459 |
5.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
$93.20 |
$233 |
1.3× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) |
$56.40 |
$141 |
1.6× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$505.20 |
$1,263 |
14.4× |
| Iadna hepatitis b virus quantification (87517) |
$285.20 |
$713 |
6.7× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) |
$249.80 |
$624.50 |
7.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$45.60 |
$114 |
1.1× |
| Iadna herpes virus-6 amplified probe tq (87532) |
$95.40 |
$238.50 |
2.7× |
| Iadna herpes virus-6 quantification (87533) |
$1,239.20 |
$3,098 |
29.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$259 |
$647.50 |
7.4× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$30 |
$75 |
0.4× |
| Iadna human papillomavirus high-risk types (87624) |
$59.20 |
$148 |
1.7× |
| Iadna mycobacteria avium-intraclre amp prb (87561) |
$247.60 |
$619 |
7.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$138.60 |
$346.50 |
3.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$137.40 |
$343.50 |
3.9× |
| Iadna nos amplified probe tq each organism (87798) |
$55.60 |
$139 |
1.6× |
| Iadna nos quantification each organism (87799) |
$44 |
$110 |
1.0× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$29.60 |
$74 |
0.8× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$339 |
$847.50 |
0.8× |
| If cryptosporidium antigen (87272) |
$149.40 |
$373.50 |
12.5× |
| If varicella-zoster antigen (87290) |
$253.60 |
$634 |
18.9× |
| Igg subclasses (82787) |
$56 |
$140 |
7.0× |
| Igh gene rearrange amp meth (81261) |
$120.40 |
$301 |
0.6× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) |
$293 |
$732.50 |
0.8× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
$226.80 |
$567 |
12.5× |
| Immunoassay infectious agent antibody quan nos (86317) |
$22.80 |
$57 |
1.5× |
| Immunoassay nonantibody (83516) |
$53.40 |
$133.50 |
4.6× |
| Immunodiffusion (86329) |
$125.60 |
$314 |
8.9× |
| Immunodiffusion Ouchterlony (86331) |
$88.20 |
$220.50 |
7.4× |
| Immunoelectrophoresis serum (86320) |
$390.80 |
$977 |
13.1× |
| Immunofixation (86334) |
$65 |
$162.50 |
2.9× |
| Immunofixation urine (86335) |
$119 |
$297.50 |
4.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$84 |
$210 |
0.5× |
| Immunoglobulin light chains free each (83521) |
$41.20 |
$103 |
2.4× |
| Immunohistochemistry (88342) |
$241.60 |
$314 |
1.4× |
| In situ hybridization (88365) |
$148.80 |
$372 |
0.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87335) |
$88 |
$220 |
7.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) |
$62.20 |
$155.50 |
0.9× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
$182.80 |
$457 |
15.3× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) |
$180.40 |
$451 |
13.4× |
| Infectious agent antigen detection by immunofluorescent technique; giardia Facility (87269) |
$199.60 |
$499 |
14.7× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) |
$117.20 |
$293 |
9.8× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Facility (87273) |
$113.20 |
$283 |
9.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) |
$134.80 |
$337 |
5.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) |
$386.40 |
$966 |
9.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) |
$608.80 |
$1,522 |
14.6× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) |
$133.60 |
$334 |
10.9× |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) |
$105.20 |
$263 |
0.4× |
| Influenza a/b ag eia (87400) |
$207.20 |
$518 |
14.7× |
| Influenza DNA amp probe (87502) |
$151.60 |
$379 |
1.6× |
| Inhibin a (86336) |
$196.40 |
$491 |
12.6× |
| Inhibin b (83520) |
$155 |
$387 |
9.0× |
| Insitu hybridization auto (88367) |
$162.40 |
$406 |
0.4× |
| Insitu hybridization manual (88368) |
$148.80 |
$372 |
0.4× |
| Insulin antibodies (86337) |
$78.20 |
$195.50 |
3.7× |
| Insulin free (83527) |
$90.20 |
$225.50 |
7.0× |
| Insulin total (83525) |
$63 |
$157.50 |
5.5× |
| Intrinsic factor antibody (86340) |
$143.20 |
$358 |
9.5× |
| Iron (83540) |
$174 |
$435 |
26.9× |
| Iron binding capacity (83550) |
$56.60 |
$141.50 |
6.5× |
| Irradiation Blood Product Each Unit (86945) |
$228 |
$570 |
5.8× |
| Islet cell antibody (86341) |
$27.80 |
$69.50 |
1.2× |
| Jak2 gene analysis (81270) |
$134.20 |
$335.50 |
1.5× |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) |
$401.20 |
$1,003 |
14.1× |
| Kras gene analysis (81275) |
$68 |
$170 |
0.4× |
| Lactoferrin fecal qual (83630) |
$110.20 |
$275.50 |
5.6× |
| Lactoferrin Fecal Quantitative (83631) |
$139.80 |
$349.50 |
7.1× |
| Lamellar Body Count (83664) |
$37.20 |
$93 |
1.9× |
| Ldh body fluid (83615) |
$77.20 |
$193 |
12.8× |
| Ldh isoenzymes (83625) |
$239.60 |
$599 |
18.7× |
| LDL cholesterol direct (83721) |
$52 |
$130 |
5.0× |
| Lead (83655) |
$60.20 |
$150.50 |
5.0× |
| Legionella antibody (86713) |
$175.60 |
$439 |
11.5× |
| Legionella antigen urine (87449) |
$54.80 |
$137 |
4.6× |
| Leptospira antibody (86720) |
$96 |
$240 |
5.9× |
| Leucine aminopeptidase (lap) (83670) |
$105.20 |
$263 |
10.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$202.80 |
$507 |
47.5× |
| Level ii surg pathology grossµscopic exam (88302) |
$741.20 |
$1,853 |
19.0× |
| Level v surg pathology grossµscopic exam (88307) |
$669.60 |
$1,674 |
1.8× |
| Level vi surg pathology grossµscopic exam (88309) |
$2,042.40 |
$5,106 |
2.4× |
| Lh (83002) |
$119 |
$297.50 |
6.4× |
| Lipase (83690) |
$268.40 |
$671 |
39.0× |
| Lipopro bld electrophoretic (83700) |
$188 |
$470 |
16.7× |
| Lipoprotein Bld Hr Fraction (83701) |
$159 |
$397.50 |
4.7× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) |
$99.40 |
$248.50 |
2.9× |
| Listeria ab (86609) |
$118.60 |
$296.50 |
9.2× |
| Lithium (80178) |
$141.60 |
$354 |
21.4× |
| Liver ds alys 3 bmrk srm alg (81517) |
$692 |
$1,730 |
3.9× |
| Lyme disease antibody (86618) |
$6 |
$15 |
0.4× |
| Lymph Choriomeningitis Ab (86727) |
$174.40 |
$436 |
13.6× |
| Lymphocyte transformation (86353) |
$177.80 |
$444.50 |
3.6× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$164 |
$410 |
0.9× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$179.60 |
$449 |
1.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$113.20 |
$283 |
0.6× |
| Macroscopic exam arthropod (87168) |
$47.20 |
$118 |
11.1× |
| Macroscopic exam parasite (87169) |
$62.20 |
$155.50 |
14.4× |
| Magnesium (83735) |
$70.20 |
$175.50 |
10.5× |
| Malaria smear (87207) |
$151.40 |
$378.50 |
25.3× |
| Manual cell count each (85032) |
$106 |
$265 |
24.6× |
| Manual reticulocyte count (85044) |
$71.20 |
$178 |
16.5× |
| Mass spectrometry qual/quan (83789) |
$50.40 |
$126 |
2.1× |
| Measurement of complement fixation tests (immune system proteins) (86171) |
$168 |
$420 |
16.8× |
| Measurement of hemolysin (red blood cell destructive substance) (85475) |
$237.60 |
$594 |
26.8× |
| Mecp2 gene dup/delet variant (81304) |
$211.60 |
$529 |
1.4× |
| Mercury urine (83825) |
$63.20 |
$158 |
3.9× |
| Metabolic Panel Ionized Ca (80047) |
$152.80 |
$382 |
11.1× |
| Methemoglobin (83050) |
$83.60 |
$209 |
10.2× |
| Methylmalonic acid serum (83921) |
$250.40 |
$626 |
11.8× |
| Microalbumin urine (82043) |
$178.80 |
$447 |
30.9× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$294 |
$735 |
5.4× |
| Microsomal antibodies (86376) |
$114.20 |
$285.50 |
7.8× |
| Mitochondrial antibody each (86381) |
$24.80 |
$62 |
1.0× |
| Mlh1 gene analysis duplication/deletion variants (81294) |
$254.80 |
$637 |
1.3× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
$494.80 |
$1,237 |
0.7× |
| Mlh1 gene analysis promoter methylation analysis (81288) |
$142.80 |
$357 |
0.7× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$81 |
$202.50 |
6.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
$62.80 |
$157 |
1.5× |
| Molecular pathology procedure level 2 (81401) |
$162 |
$405 |
1.2× |
| Molecular pathology procedure level 7 (81406) |
$1,701.20 |
$4,253 |
6.0× |
| Mononuclear cell antigen (86356) |
$66.40 |
$166 |
2.5× |
| Mopath procedure level 1 (81400) |
$42 |
$105 |
0.7× |
| Mopath procedure level 3 (81402) |
$56 |
$140 |
0.4× |
| Mopath procedure level 4 (81403) |
$154.80 |
$387 |
0.8× |
| Mopath procedure level 5 (81404) |
$252.40 |
$631 |
0.9× |
| Mopath procedure level 6 (81405) |
$494.80 |
$1,237 |
1.6× |
| Mopath procedure level 8 (81407) |
$780 |
$1,950 |
0.9× |
| Mopath procedure level 9 (81408) |
$1,172.40 |
$2,931 |
0.6× |
| Mpl gene analysis sequence analysis exon 10 (81339) |
$190.80 |
$477 |
1.0× |
| Mpl gene common variants (81338) |
$190.40 |
$476 |
1.3× |
| Mrsa PCR (87641) |
$264.20 |
$660.50 |
7.5× |
| Msh2 gene analysis duplication/deletion variants (81297) |
$171.60 |
$429 |
0.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
$344.40 |
$861 |
0.9× |
| Msh6 gene analysis duplication/deletion varia (81300) |
$225.60 |
$564 |
0.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
$422 |
$1,055 |
0.7× |
| Mtb PCR (87556) |
$303.40 |
$758.50 |
7.3× |
| Mthfr Gene Analysis Common Variants (81291) |
$22.80 |
$57 |
0.3× |
| Mucin, synovial fluid (Ropes test) Facility (83872) |
$71.20 |
$178 |
12.2× |
| Muramidase (85549) |
$111.60 |
$279 |
6.0× |
| Muscle-specific kinase (musk) antibody (86366) |
$374.80 |
$937 |
20.4× |
| Mycobacteric identification (87118) |
$115.80 |
$289.50 |
7.9× |
| Mycophenolic acid (80180) |
$26.40 |
$66 |
1.5× |
| Mycoplasma antibody (86738) |
$185.20 |
$463 |
14.0× |
| Mycoplasma culture (87109) |
$100.60 |
$251.50 |
6.5× |
| Mycoplasma genitalium PCR (87563) |
$12.80 |
$32 |
0.4× |
| Myelin basic protein csf (83873) |
$84.20 |
$210.50 |
4.9× |
| Myoglobin urine (83874) |
$97.20 |
$243 |
7.5× |
| Nasal smear for eosinophils (89190) |
$114.80 |
$287 |
19.8× |
| Natriuretic peptide (83880) |
$268 |
$670 |
6.8× |
| Neutralization Test Viral (86382) |
$88.40 |
$221 |
5.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) |
$98.80 |
$247 |
0.8× |
| Nfct ds chrnc hcv 6 assays (81596) |
$53 |
$132.50 |
0.7× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$224.20 |
$560.50 |
8.6× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$1,456.40 |
$3,641 |
3.0× |
| Nickel level (83885) |
$107.20 |
$268 |
4.4× |
| Nitroblue Tetrazolium Dye (86384) |
$304.80 |
$762 |
22.4× |
| Nk cells total count (86357) |
$171.80 |
$429.50 |
4.6× |
| Nras gene variants exon 2&3 (81311) |
$195.20 |
$488 |
0.7× |
| Nuclear antigen antibody (86235) |
$120.40 |
$301 |
6.7× |
| Occult blood gastric (82271) |
$43.80 |
$109.50 |
8.2× |
| Occult blood stool (82272) |
$234.40 |
$586 |
55.4× |
| Oligoclonal bands (83916) |
$77 |
$192.50 |
2.8× |
| Organic Acids Qualitative Each Specimen (83919) |
$158 |
$395 |
9.6× |
| Organic acids total quantitative each specimen (83918) |
$100 |
$250 |
4.2× |
| Orthopoxvirus Amp Prb Each (87593) |
$68.60 |
$171.50 |
1.3× |
| Osmolality serum (83930) |
$79.40 |
$198.50 |
12.0× |
| Osmolality urine (83935) |
$125 |
$312.50 |
18.3× |
| Osmotic fragility rbc incubated (85557) |
$63.60 |
$159 |
4.8× |
| Ova and parasite direct-id lca (87177) |
$80.60 |
$201.50 |
9.1× |
| Oxalate urine (83945) |
$68.40 |
$171 |
4.7× |
| Pancreatic elastase, fecal (82656) |
$273.80 |
$684.50 |
23.7× |
| Pancreatic polypeptide (83519) |
$65.60 |
$164 |
3.6× |
| Particle Agglutination Screen Each Antibody (86403) |
$287 |
$717.50 |
24.9× |
| Particle agglutination titer each antibody (86406) |
$146.80 |
$367 |
13.8× |
| Parvovirus antibody (86747) |
$130 |
$325 |
8.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$794.40 |
$1,034.50 |
0.9× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
$275.80 |
$689.50 |
5.1× |
| Pathology Consultation During Surgery (88329) |
$46.40 |
$116 |
0.8× |
| Ph body fluid (83986) |
$107.20 |
$268 |
29.9× |
| Ph urine (81003) |
$144 |
$360 |
64.0× |
| Phenotype Infect Agent Drug (87900) |
$72 |
$180 |
0.6× |
| Phenylalanine (84030) |
$17.20 |
$43 |
3.1× |
| Phenytoin free (80186) |
$144.40 |
$361 |
10.5× |
| Phosphatase alkaline (84075) |
$46.80 |
$117 |
9.0× |
| Phosphorus blood (84100) |
$74.40 |
$186 |
15.7× |
| Phosphorus urine (84105) |
$58.40 |
$146 |
10.1× |
| Pinworm exam (87172) |
$71.20 |
$178 |
16.7× |
| Plasminogen (85420) |
$99.80 |
$249.50 |
15.3× |
| Platelet aggregation (85576) |
$361.20 |
$903 |
14.5× |
| Platelet count automated (85049) |
$97.20 |
$243 |
21.7× |
| Platelet neutralization (85597) |
$189.60 |
$474 |
10.5× |
| Pmp22 gene dup/delet (81324) |
$212.80 |
$532 |
0.3× |
| Pms2 gene analysis full sequence (81317) |
$494.80 |
$1,237 |
0.7× |
| Pooling blood platelets (86965) |
$144 |
$360 |
0.8× |
| Porphobilinogen urine qual (84106) |
$83.60 |
$209 |
14.4× |
| Porphobilinogen urine quant (84110) |
$84.40 |
$211 |
10.0× |
| Porphyrins feces qn (84126) |
$156.20 |
$390.50 |
4.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$230 |
$575 |
15.6× |
| Porphyrins, urine; qualitative Facility (84119) |
$157.60 |
$394 |
11.8× |
| Potassium (84132) |
$106.60 |
$266.50 |
22.4× |
| Potassium urine (84133) |
$82 |
$205 |
17.3× |
| Pregnenolone (84140) |
$96.80 |
$242 |
4.7× |
| Primidone (80188) |
$100 |
$250 |
6.0× |
| Procainamide napa (80192) |
$187.20 |
$468 |
11.2× |
| Procalcitonin (pct) (84145) |
$164.60 |
$411.50 |
6.0× |
| Progesterone (84144) |
$81.80 |
$204.50 |
3.9× |
| Protein body fluid (84157) |
$196.80 |
$492 |
49.2× |
| Protein c activity (85303) |
$227.80 |
$569.50 |
16.5× |
| Protein c antigen (85302) |
$300.40 |
$751 |
25.0× |
| Protein electrophoresis serum (84165) |
$62.20 |
$155.50 |
5.8× |
| Protein Electrophoresis Urine (84166) |
$19.20 |
$48 |
1.1× |
| Protein s total (85305) |
$183.60 |
$459 |
15.8× |
| Protein total serum (84155) |
$83.40 |
$208.50 |
22.7× |
| Protein urine (84156) |
$104.20 |
$260.50 |
28.4× |
| Protein Western Blot (84182) |
$106 |
$265 |
3.6× |
| Protein westrn blot i&r blood/other fluid (84181) |
$132 |
$330 |
7.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$18.80 |
$47 |
4.8× |
| Protoporphyrin rbc quantitative (84202) |
$60.40 |
$151 |
4.2× |
| PSA free (84154) |
$108.20 |
$270.50 |
5.9× |
| Pth intact (83970) |
$291.20 |
$384.50 |
7.1× |
| Pyruvate kinase (84220) |
$27.60 |
$69 |
2.9× |
| Quinidine (80194) |
$125 |
$312.50 |
8.6× |
| Rbc (85041) |
$100 |
$250 |
33.1× |
| Rbc antibody elution (86860) |
$68.40 |
$171 |
0.4× |
| Rbc osmotic fragility (85555) |
$163.60 |
$409 |
21.9× |
| Rbc pretreatment serum (86978) |
$64 |
$160 |
1.0× |
| Rbc pretx incubatj w/chemicl (86970) |
$24 |
$60 |
0.4× |
| Reagent strip/blood glucose (82948) |
$57.60 |
$144 |
11.4× |
| Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Facility (84235) |
$150.80 |
$377 |
2.1× |
| Renin activity plasma (84244) |
$83.40 |
$208.50 |
3.8× |
| Reptilase test (85635) |
$70.20 |
$175.50 |
7.1× |
| Resp virus 12-25 targets (87633) |
$434.80 |
$1,087 |
1.0× |
| Resp virus 3-5 targets (87631) |
$192.80 |
$482 |
1.4× |
| Respiratory Virus (86756) |
$164 |
$410 |
10.3× |
| Reticulocyte count auto (85045) |
$78 |
$195 |
19.5× |
| Reticulocyte separation (86972) |
$91.20 |
$228 |
0.5× |
| Rheumatoid Factor Qual (86430) |
$141.60 |
$354 |
23.1× |
| Rheumatoid factor quant (86431) |
$61.60 |
$154 |
10.9× |
| Rickettsia antibody (86757) |
$133.60 |
$334 |
6.9× |
| Ristocetin cofactor (85245) |
$51 |
$127.50 |
2.2× |
| Rotavirus (86759) |
$220.40 |
$551 |
12.1× |
| Rotavirus ag eia (87425) |
$141.40 |
$353.50 |
11.8× |
| Rpr Titer (86593) |
$104.40 |
$261 |
23.7× |
| Rubella antibody (86762) |
$128 |
$320 |
8.9× |
| Rubeola Antibody Igg (86765) |
$24.80 |
$62 |
1.9× |
| Russell viper venom time diluted (85613) |
$56.40 |
$141 |
5.9× |
| Salmonella antibody (86768) |
$54 |
$135 |
4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$27.20 |
$68 |
0.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$31.60 |
$79 |
0.8× |
| Sarscov2 & inf a&b amp prb (87636) |
$85.20 |
$213 |
0.6× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) |
$63 |
$157.50 |
9.5× |
| Sedimentation rate (85651) |
$188.40 |
$471 |
44.1× |
| Sedimentation rate auto (85652) |
$148.40 |
$371 |
55.0× |
| Selenium (84255) |
$86.60 |
$216.50 |
3.4× |
| Sensitivity kb (87184) |
$106 |
$265 |
14.2× |
| Sensitivity mic (87186) |
$68.40 |
$171 |
7.9× |
| SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Facility (81327) |
$316.40 |
$791 |
1.6× |
| Serotonin Release Assay (86022) |
$154.80 |
$387 |
8.4× |
| Serpina1 gene (81332) |
$61.20 |
$153 |
1.4× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) |
$96 |
$240 |
1.2× |
| Sex hormone binding globulin (84270) |
$82.80 |
$207 |
3.8× |
| Sickling of rbc reduction (85660) |
$14 |
$35 |
2.5× |
| Sirolimus (rapamycin) (80195) |
$253.20 |
$633 |
18.4× |
| Smear acid fast (87206) |
$100.80 |
$252 |
18.7× |
| Smear complex stain (87209) |
$57.40 |
$143.50 |
3.2× |
| Smear gram stain (87205) |
$127.20 |
$318 |
29.8× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) |
$335.20 |
$838 |
2.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$106.40 |
$266 |
18.3× |
| Sodium (84295) |
$115.60 |
$289 |
24.0× |
| Sodium feces (84302) |
$81.60 |
$204 |
16.8× |
| Sodium urine (84300) |
$87.60 |
$219 |
17.3× |
| Soluble transferrin receptor (84238) |
$272.40 |
$681 |
7.4× |
| Somatomedin (84305) |
$294.80 |
$737 |
13.9× |
| Somatostatin (84307) |
$258.40 |
$646 |
14.1× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$182.80 |
$457 |
1.3× |
| Special stains group 1 (88312) |
$175.60 |
$439 |
3.2× |
| Specific gravity body fluid (84315) |
$46.80 |
$117 |
14.3× |
| Spectrophotometry (84311) |
$91.80 |
$229.50 |
11.3× |
| Splitting blood/blood products each unit (86985) |
$212.80 |
$532 |
1.2× |
| Sputum specimen collection (89220) |
$65.20 |
$163 |
0.4× |
| Staph a DNA amp probe (87640) |
$493.60 |
$1,234 |
14.1× |
| Stool Culture, Addl Pathogens (87046) |
$34 |
$85 |
3.6× |
| Strep a DNA amp probe (87651) |
$72.40 |
$181 |
2.1× |
| Strep b DNA amp probe (87653) |
$145 |
$362.50 |
4.1× |
| Sugars mono di&oligos mlt qualitative each spe (84377) |
$2 |
$5 |
0.4× |
| Sugars Single Qualitative, Each Specimen (84376) |
$151.20 |
$378 |
27.5× |
| Sugars single quant (84378) |
$106.20 |
$265.50 |
9.2× |
| Sulfate urine (84392) |
$18.80 |
$47 |
3.4× |
| Surg path level 1 (88300) |
$542.40 |
$1,356 |
18.0× |
| Surg path level iii (88304) |
$640.80 |
$1,602 |
11.8× |
| Surgical pathology level IV (88305) |
$748.60 |
$1,871.50 |
13.8× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
$51.40 |
$128.50 |
1.3× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
$152.40 |
$381 |
20.8× |
| Sweat collection (89230) |
$356.40 |
$891 |
6.5× |
| T Cell Absolute Count (86361) |
$105 |
$262.50 |
3.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$99.80 |
$249.50 |
2.1× |
| T cells total count (86359) |
$59.60 |
$149 |
1.6× |
| T3 free (84481) |
$128 |
$320 |
7.6× |
| T3 reverse (84482) |
$138.20 |
$345.50 |
8.8× |
| T3 total (84480) |
$121.40 |
$303.50 |
8.6× |
| T3 uptake (84479) |
$91.80 |
$229.50 |
14.2× |
| T4 free (84439) |
$139.60 |
$349 |
15.5× |
| T4 total (84436) |
$83.20 |
$208 |
12.1× |
| Tb ag response t-cell susp (86481) |
$32.80 |
$82 |
0.3× |
| Tb intradermal test (86580) |
$32.40 |
$81 |
1.1× |
| Tb test, cell immun measure (86480) |
$101.40 |
$253.50 |
1.6× |
| Testosterone free (84402) |
$58 |
$97 |
2.3× |
| Testosterone total (84403) |
$43.20 |
$108 |
1.7× |
| Tetanus antibody (86774) |
$132.80 |
$332 |
9.0× |
| Theophylline (80198) |
$195.60 |
$489 |
13.8× |
| Thin prep pap (88142) |
$289.60 |
$724 |
14.3× |
| Thiocyanate (84430) |
$68.60 |
$171.50 |
5.9× |
| Thrombin time plasma (85670) |
$55 |
$137.50 |
9.5× |
| Thromboplastin Inhibition Tissue (85705) |
$51.60 |
$129 |
5.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$131.80 |
$329.50 |
20.4× |
| Thyroglobulin (84432) |
$78.80 |
$197 |
4.9× |
| Thyroglobulin antibody (86800) |
$69.20 |
$173 |
4.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$157.20 |
$393 |
3.1× |
| Thyroxine binding globulin (84442) |
$130 |
$325 |
8.8× |
| Tiagabine (80199) |
$29.20 |
$73 |
1.1× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) |
$28.40 |
$71 |
0.2× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$501 |
$1,252.50 |
3.6× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$74 |
$185 |
17.3× |
| Tissue culture bone marrow (88237) |
$180.20 |
$450.50 |
1.3× |
| Tissue culture lymphocyte (88230) |
$88.80 |
$222 |
0.8× |
| Tissue culture solid tumor (88239) |
$157.40 |
$393.50 |
1.1× |
| Tissue transglutaminase ab iga (86364) |
$50 |
$125 |
4.3× |
| Tobramycin peak (80200) |
$121.40 |
$303.50 |
7.5× |
| Touch prep (88161) |
$136.40 |
$341 |
4.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
$102.20 |
$255.50 |
5.2× |
| Toxoplasma ab igm (86778) |
$76 |
$190 |
5.3× |
| Toxoplasma antibody igg (86777) |
$109 |
$272.50 |
7.6× |
| Transferrin (84466) |
$103.40 |
$258.50 |
8.1× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$41.20 |
$103 |
0.2× |
| Trg gene rearrangement analysis (81342) |
$82 |
$205 |
0.4× |
| Trichinella antibody (86784) |
$216 |
$540 |
17.2× |
| Trichomonas vagin dir probe (87660) |
$93.60 |
$234 |
4.7× |
| Triglycerides (84478) |
$145.20 |
$201 |
25.3× |
| Troponin (84484) |
$242 |
$605 |
19.4× |
| Trypsin feces qual (84488) |
$165.20 |
$413 |
22.6× |
| Tumor immunohistochem/comput (88361) |
$126.40 |
$316 |
0.3× |
| Unlisted cytogenetic study (88299) |
$64 |
$160 |
1.2× |
| Unlisted Transfusion Medicine Procedure (86999) |
$106.20 |
$265.50 |
3.5× |
| Urea nitrogen (84520) |
$15.60 |
$39 |
3.9× |
| Urea Nitrogen Clearance (84545) |
$148 |
$370 |
20.6× |
| Urea nitrogen urine (84540) |
$60.20 |
$150.50 |
10.8× |
| Uric acid blood (84550) |
$158 |
$395 |
35.0× |
| Uric acid other source (84560) |
$87.40 |
$218.50 |
17.2× |
| Urinalysis (81005) |
$98.40 |
$246 |
45.3× |
| Urinalysis auto w/scope (81001) |
$153.60 |
$384 |
48.5× |
| Urinalysis Microscopic Only (81015) |
$47.60 |
$119 |
15.6× |
| Urine Bacteria Culture (87088) |
$128.80 |
$322 |
15.9× |
| Urine pregnancy test (81025) |
$206.40 |
$516 |
24.0× |
| Urine volume measurement (81050) |
$18 |
$45 |
4.9× |
| Valproic acid (80164) |
$266.40 |
$666 |
19.7× |
| Vancomycin trough (80202) |
$209.20 |
$523 |
15.5× |
| Vanomycin DNA amp probe (87500) |
$18.40 |
$46 |
0.5× |
| Varicella-zoster antibody (86787) |
$129.80 |
$324.50 |
10.1× |
| Vasoactive intestinal peptide (vip) (84586) |
$111.20 |
$278 |
3.1× |
| Vdrl csf (86592) |
$99.20 |
$224 |
23.2× |
| Very long chain fatty acids (82726) |
$245.60 |
$614 |
12.4× |
| Virus antibody nos (86790) |
$80 |
$200 |
6.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$159.60 |
$399 |
4.7× |
| Virus inoculate tissue addl (87253) |
$53.80 |
$134.50 |
2.7× |
| Virus inoculation, shell via (87254) |
$234 |
$585 |
12.0× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) |
$438.40 |
$1,096 |
22.4× |
| Viscosity serum (85810) |
$57 |
$142.50 |
4.9× |
| Vitamin A (84590) |
$70 |
$175 |
6.0× |
| Vitamin b-12 (82607) |
$81 |
$202.50 |
5.4× |
| Vitamin b1 (thiamine) (84425) |
$105 |
$262.50 |
4.9× |
| Vitamin b2 (84252) |
$104.20 |
$260.50 |
5.1× |
| Vitamin b3 niacin (84591) |
$108.60 |
$271.50 |
6.4× |
| Vitamin b6 (84207) |
$206.40 |
$516 |
7.3× |
| Vitamin c (82180) |
$58.20 |
$145.50 |
5.9× |
| Vitamin D 25-Hydroxy (82306) |
$138.40 |
$346 |
4.7× |
| Vitamin e serum (84446) |
$134 |
$335 |
9.4× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$130 |
$163.50 |
15.1× |
| West nile virus antibody (86789) |
$117.60 |
$294 |
8.2× |
| West nile virus igm (86788) |
$30.80 |
$77 |
1.8× |
| Xylose Absorption Test (84620) |
$193.20 |
$483 |
15.0× |
| Yersinia antibody (86793) |
$136.40 |
$341 |
10.3× |
| Zika Virus Igm Antibody (86794) |
$30 |
$75 |
1.8× |
| Zinc (84630) |
$16.40 |
$41 |
1.4× |