Lab & pathology prices at Dartmouth Hitchcock Medical Center
Lebanon, NH · every code in this section with a posted price and a Medicare benchmark.
731 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) | $11.02 | $36 | 0.3× |
| 5 Nucleotidase (83915) | $31.82 | $104 | 2.9× |
| Abl1 gene (81170) | $182.07 | $595 | 0.6× |
| Acetaminophen level (80143) | $18.67 | $61 | 1.0× |
| Acetylcholine receptor binding antibody (86041) | $24.48 | $80 | 1.3× |
| Acetylcholine receptor blocking antibody (86042) | $27.85 | $91 | 1.5× |
| Acetylcholinesterase (82013) | $45.29 | $148 | 3.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $115.67 | $378 | 9.6× |
| Actin smooth muscle antibody each (86015) | $8.26 | $27 | 0.7× |
| Activated protein c resistance (85307) | $61.81 | $202 | 4.0× |
| Acylcarnitine Plasma (82017) | $28.46 | $93 | 1.7× |
| Adamts13 activity (85397) | $77.72 | $254 | 2.5× |
| Adrenocorticotropic hormone (82024) | $25.70 | $84 | 0.7× |
| Afp maternal serum (82105) | $18.20 | $59.50 | 1.1× |
| Albumin body fluid (82042) | $36.11 | $118 | 4.6× |
| Albumin serum (82040) | $18.36 | $60 | 3.7× |
| Aldolase (82085) | $18.05 | $59 | 1.9× |
| Aldosterone urine (82088) | $29.07 | $95 | 0.7× |
| Alkaline phosphatase isoenzymes (84080) | $18.36 | $60 | 1.2× |
| Allergen peanut (86003) | $2.75 | $9 | 0.5× |
| Allg Spec Ige Recomb Ea (86008) | $26.01 | $85 | 1.5× |
| Alpha-1-antitrypsin, total (82103) | $19.12 | $62.50 | 1.4× |
| Alpha-Fetoprotein; Amniotic (82106) | $29.68 | $97 | 1.7× |
| Alt (sgpt) (84460) | $15.76 | $51.50 | 3.0× |
| Amikacin trough (80150) | $16.22 | $53 | 1.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $51.26 | $167.50 | 2.2× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $79.87 | $261 | 4.7× |
| Amino Acids Quant 2-5 (82136) | $43.45 | $142 | 2.2× |
| Amylase urine (82150) | $12.85 | $42 | 2.0× |
| Ana titer (86039) | $35.96 | $117.50 | 3.2× |
| Analysis nerve (88356) | $313.04 | $1,023 | 5.6× |
| Angiotensin i enzyme test (82164) | $24.94 | $81.50 | 1.7× |
| Antibody aspergillus (86606) | $25.10 | $82 | 1.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $54.16 | $177 | 3.5× |
| Antibody coxiella burnetii q fever (86638) | $24.79 | $81 | 2.0× |
| Antibody cytomegalovirus cmv (86644) | $47.74 | $156 | 3.3× |
| Antibody Encephalitis Eastern Equine (86652) | $14.84 | $48.50 | 1.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $29.99 | $98 | 2.4× |
| Antibody haemophilus influenza (86684) | $34.58 | $113 | 2.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $15.61 | $51 | 1.1× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $56.46 | $184.50 | 4.1× |
| Antibody HIV-2 (86702) | $154.53 | $505 | 11.4× |
| Antibody hla class ii semiquantitative panel (86835) | $741.44 | $2,423 | 2.3× |
| Antibody identification (86870) | $376.99 | $1,232 | 1.0× |
| Antibody identification leukocyte antibodies (86021) | $35.19 | $115 | 2.3× |
| Antibody influenza virus (86710) | $17.14 | $56 | 1.3× |
| Antibody mumps (86735) | $47.74 | $156 | 3.7× |
| Antibody Protozoa Nes (86753) | $56.46 | $184.50 | 4.6× |
| Antibody screen (86850) | $82.01 | $268 | 8.4× |
| Antibody treponema pallidum (86780) | $19.58 | $64 | 1.5× |
| Antibody; Coccidioides (86635) | $14.08 | $46 | 1.2× |
| Antibody; HTLV-II Facility (86688) | $56.46 | $184.50 | 4.0× |
| Antigen typing (86905) | $100.06 | $327 | 26.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $282.13 | $922 | 54.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $11.93 | $39 | 1.0× |
| Antinuclear antibodies (86038) | $68.24 | $223 | 5.6× |
| Antistreptolysin o titer (86060) | $17.75 | $58 | 2.4× |
| Antithrombin iii activity (85300) | $94.86 | $310 | 8.0× |
| Apolipoprotein each (82172) | $31.67 | $103.50 | 1.5× |
| Aquaporin-4 antibody flow cytometry each (86053) | $113.53 | $371 | 3.0× |
| Arsenic Urine (82175) | $34.12 | $111.50 | 1.8× |
| Aspergillus ag eia (87305) | $37.79 | $123.50 | 3.2× |
| Assay myeloperoxidase (83876) | $31.52 | $103 | 0.6× |
| Assay Nephelometry Not Spec (83883) | $41.62 | $136 | 3.1× |
| Assay of 17-hydroxypregnenolone (84143) | $80.17 | $262 | 3.5× |
| Assay of 5-hiaa (83497) | $25.24 | $82.50 | 2.0× |
| Assay of ammonia (82140) | $12.85 | $42 | 0.9× |
| Assay of androstenedione (82157) | $24.48 | $80 | 0.8× |
| Assay of anti-mullerian hormone (82166) | $46.21 | $151 | 1.2× |
| Assay of biotinidase (82261) | $14.38 | $47 | 0.9× |
| Assay of c-peptide (84681) | $70.99 | $232 | 3.4× |
| Assay of ceruloplasmin (82390) | $17.75 | $58 | 1.7× |
| Assay of citrate (82507) | $26.93 | $88 | 1.0× |
| Assay of cyclosporine (80158) | $51.56 | $168.50 | 2.9× |
| Assay of erythropoietin (82668) | $20.20 | $66 | 1.1× |
| Assay of estrone (82679) | $7.04 | $23 | 0.3× |
| Assay of ethosuximide (80168) | $26.32 | $86 | 1.6× |
| Assay of ferritin (82728) | $59.67 | $195 | 4.4× |
| Assay of g6pd enzyme (82955) | $21.73 | $71 | 2.2× |
| Assay of gammaglobulin igm (82784) | $29.22 | $95.50 | 3.1× |
| Assay of gastrin (82941) | $20.50 | $67 | 1.2× |
| Assay of gentamicin (80170) | $65.48 | $214 | 4.0× |
| Assay of homocystine (83090) | $55.08 | $180 | 3.1× |
| Assay of lactic acid (83605) | $24.48 | $80 | 2.1× |
| Assay of lipoprotein(a) (83695) | $14.99 | $49 | 1.0× |
| Assay of manganese (83785) | $24.79 | $81 | 0.9× |
| Assay of metanephrines (83835) | $22.80 | $74.50 | 1.3× |
| Assay of osteocalcin (83937) | $23.56 | $77 | 0.8× |
| Assay of phenobarbital (80184) | $23.10 | $75.50 | 1.5× |
| Assay of prealbumin (84134) | $25.09 | $82 | 1.7× |
| Assay of proinsulin (84206) | $24.48 | $80 | 0.9× |
| Assay of prolactin (84146) | $28.61 | $93.50 | 1.5× |
| Assay of pyruvate (84210) | $25.40 | $83 | 1.8× |
| Assay of serotonin (84260) | $28.15 | $92 | 0.9× |
| Assay of sialic acid (84275) | $141.37 | $462 | 10.5× |
| Assay of tacrolimus (80197) | $64.87 | $212 | 4.7× |
| Assay of topiramate (80201) | $24.17 | $79 | 2.0× |
| Assay of urine vma (84585) | $22.18 | $72.50 | 1.4× |
| Assay of vitamin k (84597) | $51.10 | $167 | 3.7× |
| Ast (sgot) (84450) | $12.85 | $42 | 2.5× |
| Atomic Absorption (82190) | $23.56 | $77 | 1.5× |
| B cells total count (86355) | $59.52 | $194.50 | 1.6× |
| B-hexosaminidase ea assay (83080) | $31.82 | $104 | 1.9× |
| Bartonella antibody (86611) | $18.36 | $60 | 1.8× |
| Bcr/abl1 gene major bp (81206) | $563.65 | $1,842 | 3.4× |
| Bcr/abl1 gene minor bp (81207) | $234.09 | $765 | 1.6× |
| Beta 2 glycoprotein 1 igm (86146) | $49.27 | $161 | 1.9× |
| Beta hydroxybutyrate (82010) | $37.03 | $121 | 4.5× |
| Beta lactamase (87185) | $40.70 | $133 | 8.6× |
| Beta-2 microglobulin (82232) | $24.48 | $80 | 1.5× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $350.98 | $1,147 | 2.7× |
| Bile acids, total (82239) | $57.22 | $187 | 3.3× |
| Bilirubin direct (82248) | $12.85 | $42 | 2.6× |
| Bilirubin total (82247) | $15.76 | $51.50 | 3.1× |
| Bilirubin total transcutaneous (88720) | $15.30 | $50 | 3.0× |
| Bl Smear W/Diff Wbc Count (85007) | $25.40 | $83 | 6.7× |
| Blastomyces antibody (86612) | $22.03 | $72 | 1.7× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $21.73 | $71 | 3.9× |
| Blood gas (82803) | $57.98 | $189.50 | 2.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $50.03 | $163.50 | 3.1× |
| Blood Ph (82800) | $14.38 | $47 | 1.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $74.66 | $244 | 11.8× |
| Blood typing abo (86900) | $66.71 | $218 | 22.3× |
| Blood typing serologic rh (d) (86901) | $70.08 | $229 | 23.4× |
| Body fluid cell count (89051) | $97.62 | $319 | 17.4× |
| Body fluid cell count (89050) | $88.90 | $290.50 | 18.8× |
| Bordetella antibody (86615) | $87.21 | $285 | 6.6× |
| Borrelia miyamotoi amp prb (87478) | $40.09 | $131 | 1.1× |
| Braf gene (81210) | $165.85 | $542 | 0.9× |
| Brca1&2 seq & full dup/del (81162) | $410.35 | $1,341 | 0.2× |
| Brucella antibody (86622) | $24.94 | $81.50 | 2.8× |
| C diff amplified probe (87493) | $83.84 | $274 | 2.2× |
| C-reactive protein (86140) | $12.85 | $42 | 2.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $27.23 | $89 | 2.1× |
| C1q binding assay (86332) | $81.55 | $266.50 | 3.3× |
| Ca 125 (86304) | $27.23 | $89 | 1.3× |
| Ca 19-9 (86301) | $31.21 | $102 | 1.5× |
| Ca 27 29 (86300) | $33.05 | $108 | 1.6× |
| Cadmium level (82300) | $18.36 | $60 | 0.8× |
| Calcitonin (82308) | $23.56 | $77 | 0.9× |
| Calcium ionized (82330) | $14.38 | $47 | 1.1× |
| Calcium total (82310) | $12.85 | $42 | 2.5× |
| Calcium urine (82340) | $60.59 | $198 | 10.0× |
| Calculus spectroscopy (82365) | $21.73 | $71 | 1.7× |
| Calprotectin, fecal (83993) | $62.73 | $205 | 3.2× |
| Calr gene com variants (81219) | $262.86 | $859 | 2.2× |
| Carb deficient transferrin (82373) | $29.38 | $96 | 1.6× |
| Carbamazepine total (80156) | $25.56 | $83.50 | 1.8× |
| Carbon dioxide (82374) | $12.85 | $42 | 2.6× |
| Carboxyhemoglobin (82375) | $14.38 | $47 | 1.2× |
| Carcinoembryonic antigen (82378) | $17.44 | $57 | 0.9× |
| Cardiolipin ab igg (86147) | $46.21 | $151 | 1.8× |
| Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content… (81595) | $90.58 | $296 | 0.0× |
| Carnitine (82379) | $24.79 | $81 | 1.5× |
| Carotene (82380) | $20.81 | $68 | 2.3× |
| Catecholamines fraction plasma (82384) | $29.22 | $95.50 | 1.2× |
| Cell Cryopreserve/Storage (88240) | $37.03 | $121 | 2.8× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $51.41 | $168 | 0.4× |
| Cftr gene com variants (81220) | $444.62 | $1,453 | 0.8× |
| Chemiluminescent assay (82397) | $64.42 | $210.50 | 4.6× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $587.68 | $1,920.50 | 2.3× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $579.26 | $1,893 | 2.8× |
| Chlamydia antibody (86631) | $18.67 | $61 | 1.6× |
| Chlamydia Igm Antibody (86632) | $18.97 | $62 | 1.5× |
| Chloride blood (82435) | $12.85 | $42 | 2.8× |
| Chloride feces (82438) | $142.90 | $467 | 28.6× |
| Chloride urine (82436) | $60.28 | $197 | 10.5× |
| Cholesterol HDL (83718) | $17.75 | $58 | 2.2× |
| Cholesterol total (82465) | $12.85 | $42 | 3.0× |
| Cholinesterase rbc (82482) | $31.52 | $103 | 3.2× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $30.29 | $99 | 1.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $133.42 | $436 | 4.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $447.68 | $1,463 | 3.6× |
| Chromium urine (82495) | $22.64 | $74 | 1.1× |
| Chromogenic Substrate Assay (85130) | $242.66 | $793 | 20.4× |
| Chromogranin a (86316) | $26.93 | $88 | 1.3× |
| Chromosome analysis 20-25 cells (88264) | $182.07 | $595 | 1.3× |
| Chromosome analysis 45 cells (88263) | $442.17 | $1,445 | 2.9× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) | $83.23 | $272 | 0.4× |
| Chromosome Banding Study (88283) | $11.63 | $38 | 0.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $43.45 | $142 | 1.2× |
| Clot Factor VIII Multimetric (85247) | $40.09 | $131 | 1.7× |
| Clot factor viii vw antigen (85246) | $82.62 | $270 | 3.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $56 | $183 | 3.1× |
| Clot factor xiii fibrin stab (85290) | $57.83 | $189 | 3.5× |
| Clotting Inhibitors Protein S Free (85306) | $39.32 | $128.50 | 2.6× |
| Clozapine level (80159) | $22.64 | $74 | 1.1× |
| Cmv ab igm (86645) | $51.41 | $168 | 3.1× |
| Cmv PCR (87496) | $73.90 | $241.50 | 2.1× |
| Cns DNA amp probe type 12-25 (87483) | $401.78 | $1,313 | 1.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $68.54 | $224 | 2.8× |
| Collagen cross links (82523) | $15.92 | $52 | 0.9× |
| Comparative anal str markers patient&comp spec (81265) | $347.92 | $1,137 | 1.5× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $127.45 | $416.50 | 0.4× |
| Compatibility test antiglob (86922) | $100.67 | $329 | 0.6× |
| Complement c3 (86160) | $19.74 | $64.50 | 1.6× |
| Complement total (ch50) (86162) | $58.75 | $192 | 2.9× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $32.28 | $105.50 | 2.7× |
| Concentration Infectious Agent (87015) | $45.90 | $150 | 6.9× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $87.82 | $287 | 2.2× |
| Coombs direct (86880) | $93.64 | $306 | 17.4× |
| Copper urine (82525) | $26.32 | $86 | 2.1× |
| Cortisol free (82530) | $21.73 | $71 | 1.3× |
| Cortisol total (82533) | $19.43 | $63.50 | 1.2× |
| Creatine kinase total (82550) | $12.85 | $42 | 2.0× |
| Creatinine blood (82565) | $10.86 | $35.50 | 2.1× |
| Creatinine clearance (82575) | $63.65 | $208 | 6.7× |
| Creatinine other source (82570) | $26.78 | $87.50 | 5.2× |
| Crossmatch immediate spin (86920) | $91.49 | $299 | 0.5× |
| Cryofibrinogen (82585) | $61.81 | $202 | 4.4× |
| Cryoglobulin (82595) | $62.12 | $203 | 9.6× |
| Cryopreservation sperm (89259) | $125.46 | $410 | 0.7× |
| Crystals body fluid (89060) | $58.60 | $191.50 | 8.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $84.46 | $276 | 10.5× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $126.68 | $414 | 0.6× |
| Culture Aerobic Identify (87077) | $23.26 | $76 | 2.9× |
| Culture aerobic quant other (87071) | $68.85 | $225 | 7.0× |
| Culture afb (87116) | $81.40 | $266 | 7.5× |
| Culture anaerobic (87075) | $78.95 | $258 | 8.3× |
| Culture blood (87040) | $87.82 | $287 | 8.5× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $87.21 | $285 | 11.3× |
| Culture fungus blood (87103) | $77.72 | $254 | 3.8× |
| Culture fungus id yeast (87106) | $53.86 | $176 | 5.2× |
| Culture fungus other (87102) | $88.74 | $290 | 10.6× |
| Culture genital (87070) | $57.83 | $189 | 6.7× |
| Culture screen only (87081) | $49.57 | $162 | 7.5× |
| Culture stool (87045) | $50.80 | $166 | 5.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $44.37 | $145 | 8.6× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $71.30 | $233 | 2.0× |
| Culture urine (87086) | $54.16 | $177 | 6.7× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $59.36 | $194 | 0.5× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $33.97 | $111 | 2.4× |
| Cyclic Citrullinated Peptide (86200) | $44.98 | $147 | 3.5× |
| Cyp2c19 gene com variants (81225) | $623.93 | $2,039 | 2.1× |
| Cystatin c (82610) | $27.23 | $89 | 1.5× |
| Cysticercosis Antibody (86682) | $36.11 | $118 | 2.8× |
| Cytog genom-wid alys hem mal (81195) | $686.66 | $2,244 | 0.4× |
| Cytogenetics 10-30 (88273) | $306.31 | $1,001 | 8.8× |
| Cytogenetics 100-300 (88275) | $32.28 | $105.50 | 0.6× |
| Cytogenetics DNA probe (88271) | $133.72 | $437 | 6.2× |
| Cytogenom const microarray copy number&snp var (81229) | $469.10 | $1,533 | 0.4× |
| Cytogenomic neo microra alys (81277) | $576.20 | $1,883 | 0.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $133.72 | $437 | 3.1× |
| Cytopath cell enhance tech (88112) | $79.87 | $261 | 1.4× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88143) | $76.19 | $249 | 3.3× |
| Cytotoxic pra quick (86808) | $97 | $317 | 3.3× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $90.12 | $294.50 | 3.4× |
| Cytp concentration smears & interpretation (88108) | $76.50 | $250 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $78.03 | $255 | 1.4× |
| Cytp fna eval dx 1st each site (88172) | $195.53 | $639 | 1.1× |
| Deoxycortisol (82634) | $23.87 | $78 | 0.8× |
| Deoxyribonuclease antibody (86215) | $18.97 | $62 | 1.4× |
| Desoxycorticosterone (82633) | $29.53 | $96.50 | 1.0× |
| Detect agnt mult DNA ampli (87801) | $140.61 | $459.50 | 2.0× |
| Dgp antibody each ig class (86258) | $9.79 | $32 | 0.8× |
| Dhea (82626) | $27.54 | $90 | 1.1× |
| Dhea-sulfate (82627) | $27.54 | $90 | 1.2× |
| Digoxin (80162) | $39.78 | $130 | 3.0× |
| Dihydrotestosterone (82642) | $23.56 | $77 | 0.8× |
| Dilantin (80185) | $23.26 | $76 | 1.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $41.31 | $135 | 3.0× |
| Dpyd gene common variants (81232) | $79.56 | $260 | 0.5× |
| Drug assay adalimumab (80145) | $137.39 | $449 | 3.6× |
| Drug Assay Amiodarone (80151) | $11.32 | $37 | 0.6× |
| Drug assay felbamate (80167) | $20.81 | $68 | 1.1× |
| Drug assay flecainide (80181) | $22.34 | $73 | 1.2× |
| Drug Assay Infliximab (80230) | $79.56 | $260 | 2.1× |
| Drug assay itraconazole (80189) | $19.89 | $65 | 0.7× |
| Drug Assay Lacosamide (80235) | $60.89 | $199 | 2.2× |
| Drug assay methotrexate (80204) | $81.40 | $266 | 2.1× |
| Drug assay posaconazole (80187) | $44.37 | $145 | 1.6× |
| Drug assay vedolizumab (80280) | $78.64 | $257 | 2.0× |
| Drug assay voriconazole (80285) | $36.72 | $120 | 1.4× |
| Drug screen quant zonisamide (80203) | $30.29 | $99 | 2.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $19.58 | $64 | 1.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $21.42 | $70 | 1.6× |
| Drug Scrn Quan Levetiracetam (80177) | $22.03 | $72 | 1.7× |
| Drug test prsmv chem anlyzr (80307) | $56.30 | $184 | 0.9× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $93.02 | $304 | 5.4× |
| E test (87181) | $17.44 | $57 | 3.7× |
| Ebv viral capsid (86665) | $48.96 | $160 | 2.7× |
| Egfr Gene Analysis Common Variants (81235) | $334.15 | $1,092 | 1.0× |
| Ehrlichia antibody (86666) | $34.42 | $112.50 | 3.4× |
| Elastase pancreatic fecal quantitative (82653) | $62.73 | $205 | 2.7× |
| Electrolyte panel (80051) | $51.41 | $168 | 7.3× |
| Electron microscopy diagnostic (88348) | $390.46 | $1,276 | 0.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $29.07 | $95 | 0.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $49.88 | $163 | 4.1× |
| Entamoeba histolytica antigen (87337) | $68.54 | $224 | 5.7× |
| Enterovirus Pcr (87498) | $243.27 | $795 | 6.9× |
| Enzyme cell activity (82657) | $52.33 | $171 | 2.4× |
| Enzyme histochemistry (88319) | $104.50 | $341.50 | 0.1× |
| Eosinophil count (85048) | $16.52 | $54 | 6.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $48.96 | $160 | 3.2× |
| Estradiol (82670) | $11.94 | $39 | 0.4× |
| Estriol serum (82677) | $21.88 | $71.50 | 0.9× |
| Estrogens fractionated (82671) | $12.55 | $41 | 0.4× |
| Ethylene glycol (82693) | $49.58 | $162 | 3.3× |
| Everolimus (80169) | $61.20 | $200 | 4.5× |
| Exome sequence analysis (81415) | $1,689.43 | $5,521 | 0.4× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$1,689.43 | $5,521 | 0.1× |
| F2 gene analysis 20210g >a variant (81240) | $288.56 | $943 | 4.4× |
| F5 gene analysis, leiden variant (81241) | $288.56 | $943 | 3.9× |
| Factor ii activity (85210) | $108.63 | $355 | 8.4× |
| Factor inhibitor test (85335) | $123.02 | $402 | 9.6× |
| Factor ix activity (85250) | $99.76 | $326 | 5.2× |
| Factor v activity (85220) | $55.69 | $182 | 3.2× |
| Factor vii assay (85230) | $56.92 | $186 | 3.2× |
| Factor viii ahg (85240) | $98.53 | $322 | 5.5× |
| Factor xi assay (85270) | $106.49 | $348 | 5.9× |
| Factor xii assay (85280) | $52.94 | $173 | 2.7× |
| Factor xiii solubility screen (85291) | $58.75 | $192 | 6.4× |
| Fatty acids free (82725) | $27.23 | $89 | 1.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $85.68 | $280 | 5.0× |
| Fecal fat qual (82705) | $82.31 | $269 | 16.1× |
| Fecal fat quant (82710) | $24.17 | $79 | 1.4× |
| Fetal bleed screen (85461) | $111.69 | $365 | 11.9× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $35.50 | $116 | 0.2× |
| Fetal fibronectin (82731) | $144.74 | $473 | 2.2× |
| Fibrin Degradation Quant (85379) | $63.65 | $208 | 6.3× |
| Fibrinogen activity (85384) | $23.26 | $76 | 2.4× |
| Flow cytometry first marker (88184) | $53.86 | $176 | 0.1× |
| Flt3 gene analysis (81245) | $705.94 | $2,307 | 4.3× |
| Fluorescent Antibody Screen (86255) | $57.98 | $189.50 | 4.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $49.57 | $162 | 4.1× |
| Fmr1 gene detection (81243) | $845.48 | $2,763 | 14.8× |
| Folate serum (82746) | $31.82 | $104 | 2.2× |
| Follicle Stimulating Hormone (83001) | $13.62 | $44.50 | 0.7× |
| Frozen Section (88331) | $96.08 | $314 | 0.5× |
| Fructosamine (82985) | $24.17 | $79 | 1.4× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $29.07 | $95 | 2.8× |
| G6pd Screen (82960) | $120.56 | $394 | 19.9× |
| Gabapentin (80171) | $21.73 | $71 | 1.0× |
| Galactose (82760) | $14.38 | $47 | 1.3× |
| Galactose transferase test (82776) | $13.46 | $44 | 1.1× |
| Gammaglobulin ige (82785) | $53.24 | $174 | 3.2× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $27.85 | $91 | 0.4× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $550.80 | $1,800 | 0.7× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,304.18 | $4,262 | 0.4× |
| Genetic Tstg Severe Inh Cond (81443) | $865.37 | $2,828 | 0.4× |
| Ggt (82977) | $15.76 | $51.50 | 2.2× |
| Giardia antigen eia stool (87329) | $48.96 | $160 | 4.1× |
| Glucagon (82943) | $31.82 | $104 | 2.2× |
| Glucose (82947) | $14.08 | $46 | 3.6× |
| Glucose Blood Test (82962) | $12.70 | $41.50 | 3.9× |
| Glucose body fluid (82945) | $63.96 | $209 | 16.3× |
| Glucose post dose (82950) | $12.85 | $42 | 2.7× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $12.85 | $42 | 3.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $27.23 | $89 | 2.1× |
| Glucosidase beta (82963) | $188.19 | $615 | 8.8× |
| Growth hormone (83003) | $34.88 | $114 | 2.1× |
| H pylri clrthmcn rst amp prb (87513) | $253.98 | $830 | 7.2× |
| Haloperidol (haldol) (80173) | $32.44 | $106 | 2.1× |
| Haptoglobin (83010) | $29.38 | $96 | 2.3× |
| Hba1/hba2 full gene sequence (81259) | $185.74 | $607 | 0.3× |
| Hba1/hba2 gene dup/del vrnts (81269) | $201.96 | $660 | 1.0× |
| Hbb Full Gene Sequence (81364) | $185.74 | $607 | 0.6× |
| Hcg quant (84702) | $26.32 | $86 | 1.7× |
| Heavy metal quant each (83018) | $26.01 | $85 | 1.2× |
| Hematocrit (85014) | $16.22 | $53 | 6.8× |
| Hematocrit spun (85013) | $44.98 | $147 | 6.4× |
| Hemoglobin (85018) | $16.22 | $53 | 6.8× |
| Hemoglobin a1c (83036) | $20.81 | $68 | 2.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $64.26 | $210 | 3.6× |
| Hemoglobin electrophoresis (83020) | $39.17 | $128 | 3.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $444.01 | $1,451 | 57.4× |
| Hemoglobin plasma (83051) | $26.62 | $87 | 3.6× |
| Hemoglobin stability screen (83068) | $24.79 | $81 | 2.6× |
| Hemosiderin urine (83070) | $26.01 | $85 | 5.5× |
| Heparin assay (85520) | $75.74 | $247.50 | 5.8× |
| Hepatitis a antibody total (86708) | $21.42 | $70 | 1.7× |
| Hepatitis a igm (86709) | $59.67 | $195 | 5.3× |
| Hepatitis b core ab igm (86705) | $63.65 | $208 | 5.4× |
| Hepatitis b core antibody total (86704) | $37.03 | $121 | 3.1× |
| Hepatitis B Surface Ab (86706) | $22.95 | $75 | 2.1× |
| Hepatitis B Surface Antigen (87340) | $37.03 | $121 | 3.6× |
| Hepatitis be antibody (86707) | $19.58 | $64 | 1.7× |
| Hepatitis Be Antigen (87350) | $19.58 | $64 | 1.7× |
| Hepatitis c antibody (86803) | $37.03 | $121 | 2.6× |
| Hepatitis C Genotype (87902) | $70.99 | $232 | 0.3× |
| Hepatitis delta ab (86692) | $76.81 | $251 | 4.5× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $410.35 | $1,341 | 0.3× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $185.13 | $605 | 0.1× |
| Heredtry nurondcrn tum dsrdr (81437) | $185.13 | $605 | 0.1× |
| Herpes simplex type i (86695) | $50.49 | $165 | 3.8× |
| Herpes simplex type ii (86696) | $50.49 | $165 | 2.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $49.88 | $163 | 9.6× |
| Hexa gene analysis common variants (81255) | $119.95 | $392 | 2.3× |
| Hfe gene (81256) | $266.22 | $870 | 4.1× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) | $42.84 | $140 | 3.2× |
| Histamine plasma (83088) | $79.10 | $258.50 | 2.7× |
| Histoplasma antibody (86698) | $8.26 | $27 | 0.6× |
| Histoplasma antigen urine (87385) | $119.34 | $390 | 9.0× |
| HIV confirmation (86689) | $125.46 | $410 | 6.5× |
| HIV-1 antibody (86701) | $40.39 | $132 | 4.5× |
| HIV-1 genotype (87901) | $180.85 | $591 | 0.7× |
| Hla class i high defin qual (86832) | $150.86 | $493 | 0.5× |
| Hla class i phenotype qual (86830) | $263.77 | $862 | 2.8× |
| Hla class i semiquant panel (86834) | $824.67 | $2,695 | 2.3× |
| Hla Class I Typing High Resolution Complete (81379) | $758.27 | $2,478 | 2.3× |
| Hla class i typing high resolution one allele or allele group (81381) | $188.34 | $615.50 | 1.1× |
| Hla Class I Typing Low Resolution Complete (81372) | $499.39 | $1,632 | 1.2× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $67.01 | $219 | 0.5× |
| Hla class i&ii antibody qual (86828) | $126.68 | $414 | 2.0× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $908.82 | $2,970 | 2.3× |
| Hla class ii high defin qual (86833) | $150.86 | $493 | 0.5× |
| Hla class ii phenotype qual (86831) | $225.22 | $736 | 2.8× |
| Hla class ii typing high resolution one locus ea (81382) | $123.01 | $402 | 1.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $233.17 | $762 | 3.1× |
| Hla i typing 1 locus hr (81380) | $190.33 | $622 | 1.1× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $384.80 | $1,257.50 | 1.1× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $350.06 | $1,144 | 0.9× |
| Hla ii typing 1 allele hr (81383) | $161.87 | $529 | 1.5× |
| Hla ii typing 1 locus lr (81376) | $67.17 | $219.50 | 0.5× |
| Hla ii typing ag equiv lr (81375) | $97.61 | $319 | 0.4× |
| Hla typing dr/dq (86817) | $209.61 | $685 | 2.0× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) | $212.98 | $696 | 3.7× |
| HLA typing; lymphocyte culture, mixed (MLC) Facility (86821) | $1,632.51 | $5,335 | 44.7× |
| Hla x-math non-cytotoxic (86825) | $119.03 | $389 | 1.1× |
| Hla-b27 (86812) | $76.04 | $248.50 | 2.9× |
| Homogenization tissue (87176) | $36.26 | $118.50 | 6.2× |
| Homovanillic acid urine (83150) | $31.36 | $102.50 | 1.4× |
| Hsv Dna Quant (87530) | $130.97 | $428 | 3.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $54.46 | $178 | 1.6× |
| Htlv-I Antibody (86687) | $56.46 | $184.50 | 6.2× |
| Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or… (86826) | $38.86 | $127 | 1.1× |
| Hydroxychloroquine (80220) | $90.58 | $296 | 4.9× |
| Hydroxyprogesterone 17-d (83498) | $23.26 | $76 | 0.9× |
| Iaad ia clostridium difficile toxin (87324) | $43.45 | $142 | 3.6× |
| Iaad ia cryptosporidium (87328) | $79.25 | $259 | 5.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $81.40 | $266 | 7.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $31.21 | $102 | 1.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $86.29 | $282 | 6.0× |
| Iaad ia shiga-like toxin (87427) | $80.48 | $263 | 6.7× |
| Iaad Ia Streptococcus Group A (87430) | $49.88 | $163 | 3.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $40.09 | $131 | 1.1× |
| Iadna babesia microti amplified probe technique (87469) | $40.09 | $131 | 1.1× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $45.29 | $148 | 1.3× |
| Iadna candida species amplified probe tq (87481) | $26.93 | $88 | 0.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $18.67 | $61 | 0.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $40.09 | $131 | 1.1× |
| Iadna hepatitis b virus amplified probe tq (87516) | $123.62 | $404 | 3.5× |
| Iadna hepatitis b virus quantification (87517) | $165.24 | $540 | 3.9× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $75.89 | $248 | 2.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $104.35 | $341 | 2.4× |
| Iadna herpes virus-6 quantification (87533) | $156.98 | $513 | 3.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $75.89 | $248 | 2.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $97.92 | $320 | 1.2× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $89.66 | $293 | 1.3× |
| Iadna human papillomavirus high-risk types (87624) | $328.03 | $1,072 | 9.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $18.67 | $61 | 0.5× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $36.72 | $120 | 1.0× |
| Iadna nos amplified probe tq each organism (87798) | $48.80 | $159.50 | 1.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $28.16 | $92 | 0.8× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $669.53 | $2,188 | 1.6× |
| If varicella-zoster antigen (87290) | $63.65 | $208 | 4.7× |
| Igg subclasses (82787) | $42.68 | $139.50 | 5.3× |
| Igh gene rearrange amp meth (81261) | $686.66 | $2,244 | 3.5× |
| Igvh somatic hypermutation (81263) | $625 | $2,042.50 | 2.1× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $80.78 | $264 | 0.2× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) | $64.57 | $211 | 3.6× |
| Immunoassay infectious agent antibody quan nos (86317) | $65.18 | $213 | 4.3× |
| Immunoassay nonantibody (83516) | $31.21 | $102 | 2.7× |
| Immunodiffusion Ouchterlony (86331) | $32.90 | $107.50 | 2.7× |
| Immunofixation (86334) | $85.07 | $278 | 3.8× |
| Immunofixation urine (86335) | $82.01 | $268 | 2.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $64.88 | $212 | 0.4× |
| Immunoglobulin light chains free each (83521) | $79.56 | $260 | 4.6× |
| Immunohistochemistry (88342) | $39.17 | $128 | 0.2× |
| In situ hybridization (88365) | $100.98 | $330 | 0.6× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) | $50.18 | $164 | 4.1× |
| Influenza DNA amp probe (87502) | $85.68 | $280 | 0.9× |
| Inhibin a (86336) | $21.88 | $71.50 | 1.4× |
| Inhibin b (83520) | $49.12 | $160.50 | 2.8× |
| Insitu hybridization manual (88368) | $301.10 | $984 | 0.8× |
| Insulin antibodies (86337) | $22.34 | $73 | 1.0× |
| Insulin total (83525) | $29.99 | $98 | 2.6× |
| Interleukin 6 (83529) | $73.13 | $239 | 4.2× |
| Intrinsic factor antibody (86340) | $21.42 | $70 | 1.4× |
| Iron (83540) | $24.48 | $80 | 3.8× |
| Iron binding capacity (83550) | $19.28 | $63 | 2.2× |
| Islet cell antibody (86341) | $48.35 | $158 | 2.1× |
| Jak2 gene analysis (81270) | $151.78 | $496 | 1.7× |
| Jak2 targeted sequence analysis (81279) | $371.94 | $1,215.50 | 2.0× |
| Kit gene analys d816 variant (81273) | $501.54 | $1,639 | 4.0× |
| Kras gene analysis (81275) | $227.05 | $742 | 1.2× |
| Lactoferrin fecal qual (83630) | $87.82 | $287 | 4.5× |
| Ldh body fluid (83615) | $36.72 | $120 | 6.1× |
| LDL cholesterol direct (83721) | $22.64 | $74 | 2.2× |
| Lead (83655) | $17.44 | $57 | 1.4× |
| Legionella antigen urine (87449) | $82.31 | $269 | 6.9× |
| Leptospira antibody (86720) | $45.29 | $148 | 2.8× |
| Leukocyte Histamine Release (86343) | $37.94 | $124 | 3.0× |
| Level ii surg pathology grossµscopic exam (88302) | $57.53 | $188 | 1.4× |
| Level v surg pathology grossµscopic exam (88307) | $137.39 | $449 | 0.4× |
| Level vi surg pathology grossµscopic exam (88309) | $287.03 | $938 | 0.3× |
| Lh (83002) | $17.74 | $58 | 1.0× |
| Lipase (83690) | $14.69 | $48 | 2.1× |
| Listeria ab (86609) | $24.79 | $81 | 1.9× |
| Lithium (80178) | $32.13 | $105 | 4.9× |
| Lyme disease antibody (86618) | $41.62 | $136 | 2.4× |
| Lymphocyte transformation (86353) | $124.70 | $407.50 | 2.5× |
| Lymphocytotoxicity assay, visual crossmatch; with titration Facility (86805) | $174.73 | $571 | 0.9× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $155.14 | $507 | 3.3× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $303.55 | $992 | 1.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $111.38 | $364 | 0.6× |
| Macroscopic exam arthropod (87168) | $59.98 | $196 | 14.0× |
| Macroscopic exam parasite (87169) | $41.62 | $136 | 9.7× |
| Magnesium (83735) | $18.97 | $62 | 2.8× |
| Malaria smear (87207) | $39.63 | $129.50 | 6.6× |
| Mass spectrometry qual/quan (83789) | $82.01 | $268 | 3.4× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $141.37 | $462 | 1.2× |
| Mercury urine (83825) | $17.14 | $56 | 1.1× |
| Metabolic Panel Ionized Ca (80047) | $64.87 | $212 | 4.7× |
| Methemoglobin (83050) | $32.13 | $105 | 3.9× |
| Methylmalonic acid serum (83921) | $51.41 | $168 | 2.4× |
| Mgmt methylation analysis (81287) | $305.69 | $999 | 2.5× |
| Microalbumin urine (82043) | $64.87 | $212 | 11.2× |
| Microsatellite instability (81301) | $227.05 | $742 | 0.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $55.69 | $182 | 1.0× |
| Microsomal antibodies (86376) | $22.03 | $72 | 1.5× |
| Mitochondrial antibody each (86381) | $22.34 | $73 | 0.9× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $889.54 | $2,907 | 4.6× |
| Mog-igg1 antibody flow cytometry each (86363) | $114.44 | $374 | 3.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $51.56 | $168.50 | 1.2× |
| Molecular pathology procedure level 2 (81401) | $247.86 | $810 | 1.8× |
| Molecular pathology procedure level 7 (81406) | $331.40 | $1,083 | 1.2× |
| Mononuclear cell antigen (86356) | $19.28 | $63 | 0.7× |
| Mopath procedure level 3 (81402) | $1,192.48 | $3,897 | 7.9× |
| Mopath procedure level 5 (81404) | $319.46 | $1,044 | 1.2× |
| Mopath procedure level 8 (81407) | $331.40 | $1,083 | 0.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $286.57 | $936.50 | 1.5× |
| Mrsa PCR (87641) | $164.32 | $537 | 4.7× |
| Mtb PCR (87556) | $78.18 | $255.50 | 1.9× |
| Mthfr Gene Analysis Common Variants (81291) | $229.80 | $751 | 3.5× |
| Mucopolysaccharides acid quantitative (83864) | $35.50 | $116 | 1.2× |
| Muramidase (85549) | $21.11 | $69 | 1.1× |
| Muscle-specific kinase (musk) antibody (86366) | $208.08 | $680 | 11.3× |
| Mycobacteric identification (87118) | $52.02 | $170 | 3.6× |
| Mycophenolic acid (80180) | $33.97 | $111 | 1.9× |
| Mycoplasma antibody (86738) | $24.48 | $80 | 1.8× |
| Mycoplasma genitalium PCR (87563) | $59.98 | $196 | 1.7× |
| Myelin basic protein csf (83873) | $24.79 | $81 | 1.4× |
| Myoglobin urine (83874) | $16.52 | $54 | 1.3× |
| Natriuretic peptide (83880) | $45.44 | $148.50 | 1.2× |
| Neutralization Test Viral (86382) | $61.04 | $199.50 | 3.6× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $58.45 | $191 | 0.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $85.99 | $281 | 1.2× |
| Nk cells total count (86357) | $61.04 | $199.50 | 1.6× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $182.07 | $595 | 0.7× |
| Nras gene variants exon 2&3 (81311) | $165.85 | $542 | 0.6× |
| Nuclear antigen antibody (86235) | $24.94 | $81.50 | 1.4× |
| Occult blood gastric (82271) | $76.50 | $250 | 14.4× |
| Occult blood stool (82272) | $16.52 | $54 | 3.9× |
| Oligoclonal bands (83916) | $22.03 | $72 | 0.8× |
| Organic Acids Qualitative Each Specimen (83919) | $26.62 | $87 | 1.6× |
| Orthopoxvirus Amp Prb Each (87593) | $31.21 | $102 | 0.6× |
| Osmolality serum (83930) | $44.06 | $144 | 6.7× |
| Osmolality urine (83935) | $44.06 | $144 | 6.5× |
| Oxalate urine (83945) | $21.11 | $69 | 1.5× |
| Pancreatic polypeptide (83519) | $41.92 | $137 | 2.3× |
| Parvovirus antibody (86747) | $18.05 | $59 | 1.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $114.75 | $375 | 0.1× |
| Ph body fluid (83986) | $18.36 | $60 | 5.1× |
| Ph urine (81003) | $36.11 | $118 | 16.0× |
| Phenytoin free (80186) | $28.15 | $92 | 2.0× |
| Phosphatase alkaline (84075) | $8.26 | $27 | 1.6× |
| Phosphorus blood (84100) | $27.38 | $89.50 | 5.8× |
| Phosphorus urine (84105) | $60.59 | $198 | 10.5× |
| Pinworm exam (87172) | $48.65 | $159 | 11.4× |
| Platelet aggregation (85576) | $96.08 | $314 | 3.9× |
| Platelet count automated (85049) | $26.01 | $85 | 5.8× |
| Pml/raralpha com breakpoints (81315) | $276.32 | $903 | 1.3× |
| Pneumcysts jirovecii amp prb (87594) | $67.01 | $219 | 1.9× |
| Porphobilinogen urine quant (84110) | $18.97 | $62 | 2.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $24.18 | $79 | 1.6× |
| Potassium (84132) | $12.85 | $42 | 2.7× |
| Potassium urine (84133) | $60.28 | $197 | 12.7× |
| Pregnancy associated plasma protein-a (84163) | $18.97 | $62 | 1.3× |
| Pretx serum rbc antibody identification dilution (86976) | $85.99 | $281 | 2.8× |
| Primidone (80188) | $19.58 | $64 | 1.2× |
| Progesterone (84144) | $26.78 | $87.50 | 1.3× |
| Prostaglandin Ea (84150) | $28.76 | $94 | 0.7× |
| Protein body fluid (84157) | $65.64 | $214.50 | 16.4× |
| Protein c activity (85303) | $104.96 | $343 | 7.6× |
| Protein electrophoresis serum (84165) | $69.77 | $228 | 6.5× |
| Protein Electrophoresis Urine (84166) | $86.76 | $283.50 | 4.9× |
| Protein s total (85305) | $21.11 | $69 | 1.8× |
| Protein total serum (84155) | $12.85 | $42 | 3.5× |
| Protein urine (84156) | $61.66 | $201.50 | 16.8× |
| Protein Western Blot (84182) | $76.34 | $249.50 | 2.6× |
| Protein westrn blot i&r blood/other fluid (84181) | $70.38 | $230 | 4.1× |
| PSA free (84154) | $44.06 | $144 | 2.4× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $319.46 | $1,044 | 0.5× |
| Pth intact (83970) | $29.68 | $97 | 0.7× |
| Quinidine (80194) | $21.73 | $71 | 1.5× |
| Rbc antibody elution (86860) | $423.81 | $1,385 | 2.3× |
| Rbc pretreatment serum (86978) | $113.83 | $372 | 1.8× |
| Rbc pretx incubatj w/chemicl (86970) | $152.08 | $497 | 2.4× |
| Reagent strip/blood glucose (82948) | $14.99 | $49 | 3.0× |
| Renin activity plasma (84244) | $23.87 | $78 | 1.1× |
| Resp virus 12-25 targets (87633) | $152.39 | $498 | 0.4× |
| Resp virus 3-5 targets (87631) | $86.29 | $282 | 0.6× |
| Reticulated platelet assay (85055) | $4.90 | $16 | 0.1× |
| Rheumatoid factor quant (86431) | $12.85 | $42 | 2.3× |
| Rickettsia antibody (86757) | $21.73 | $71 | 1.1× |
| Ristocetin cofactor (85245) | $93.94 | $307 | 4.1× |
| Rotavirus ag eia (87425) | $82.93 | $271 | 6.9× |
| Rpr Titer (86593) | $26.78 | $87.50 | 6.1× |
| Rubella antibody (86762) | $30.60 | $100 | 2.1× |
| Rubeola Antibody Igg (86765) | $27.54 | $90 | 2.1× |
| Rufinamide (80210) | $33.66 | $110 | 1.2× |
| Russell viper venom time diluted (85613) | $91.80 | $300 | 9.6× |
| Rx metab gen seq alys pnl 6 (81418) | $241.90 | $790.50 | 0.3× |
| Salicylate Level (80179) | $19.89 | $65 | 1.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $238 | $246 | 4.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $65.51 | $124.50 | 1.6× |
| Sarscov2 & inf a&b amp prb (87636) | $239 | $239 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $83.84 | $274 | 0.6× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $79.87 | $261 | 12.0× |
| Sedimentation rate auto (85652) | $32.44 | $106 | 12.0× |
| Selenium (84255) | $23.26 | $76 | 0.9× |
| Semen analysis complete (89322) | $65.79 | $215 | 4.2× |
| Semen analysis motility and count (89310) | $27.54 | $90 | 3.2× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $59.36 | $194 | 4.9× |
| Sensitivity kb (87184) | $49.88 | $163 | 6.7× |
| Sensitivity mic (87186) | $75.58 | $247 | 8.7× |
| Serotonin Release Assay (86022) | $152.39 | $498 | 8.3× |
| Serpina1 gene (81332) | $300.80 | $983 | 6.9× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) | $128.83 | $421 | 1.6× |
| Sex hormone binding globulin (84270) | $21.26 | $69.50 | 1.0× |
| Sickling of rbc reduction (85660) | $42.38 | $138.50 | 7.7× |
| Sirolimus (rapamycin) (80195) | $50.18 | $164 | 3.7× |
| Smear acid fast (87206) | $68.24 | $223 | 12.7× |
| Smear complex stain (87209) | $79.87 | $261 | 4.4× |
| Smear gram stain (87205) | $53.24 | $174 | 12.5× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) | $423.50 | $1,384 | 3.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $37.02 | $121 | 6.4× |
| So neo gsap cl fr DNA/DNA&RNA cpy nmbr mcrst ins (81464) | $685.75 | $2,241 | 0.2× |
| So neo gsap DNA mcrstl ins (81457) | $1,477.37 | $4,828 | 1.6× |
| So neo gsap DNA/DNA&RNA (81459) | $720.02 | $2,353 | 0.2× |
| Sodium (84295) | $12.85 | $42 | 2.7× |
| Sodium urine (84300) | $60.28 | $197 | 11.9× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) | $1,056.01 | $3,451 | 0.4× |
| Soluble transferrin receptor (84238) | $34.88 | $114 | 1.0× |
| Somatomedin (84305) | $15.60 | $51 | 0.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $78.80 | $257.50 | 0.6× |
| Special stains group 1 (88312) | $75.58 | $247 | 1.4× |
| Spectrophotometry (84311) | $31.82 | $104 | 3.9× |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | $65.79 | $215 | 3.4× |
| Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis Facility… (89260) | $33.35 | $109 | 0.6× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $130.05 | $425 | 2.3× |
| Stem cells total count (86367) | $266.83 | $872 | 3.4× |
| Stool Culture, Addl Pathogens (87046) | $58.45 | $191 | 6.2× |
| Storage (per year); embryo(s) Non-Facility (89342) | $153 | $500 | 0.8× |
| Storage per year sperm/semen (89343) | $123.93 | $405 | 0.7× |
| Strep a assay w/optic (87880) | $31.52 | $103 | 1.9× |
| Strep a DNA amp probe (87651) | $47.43 | $155 | 1.4× |
| Strep b DNA amp probe (87653) | $35.50 | $116 | 1.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $26.93 | $88 | 0.3× |
| Sugars mono di&oligos mlt qualitative each spe (84377) | $168.61 | $551 | 30.7× |
| Sugars Single Qualitative, Each Specimen (84376) | $29.68 | $97 | 5.4× |
| Sulfate urine (84392) | $36.41 | $119 | 6.6× |
| Surg path level 1 (88300) | $51.71 | $169 | 1.7× |
| Surg path level iii (88304) | $91.80 | $300 | 1.6× |
| Surgical pathology level IV (88305) | $94.86 | $310 | 1.7× |
| T Cell Absolute Count (86361) | $103.73 | $339 | 3.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $62.12 | $203 | 1.3× |
| T cells total count (86359) | $117.81 | $385 | 3.1× |
| T3 free (84481) | $12.85 | $42 | 0.8× |
| T3 reverse (84482) | $23.87 | $78 | 1.5× |
| T3 total (84480) | $30.29 | $99 | 2.1× |
| T3 uptake (84479) | $41 | $134 | 6.3× |
| T4 free (84439) | $19.28 | $63 | 2.1× |
| T4 total (84436) | $12.85 | $42 | 1.9× |
| Tb test, cell immun measure (86480) | $130.66 | $427 | 2.1× |
| Testosterone free (84402) | $19.89 | $65 | 0.8× |
| Testosterone total (84403) | $26.01 | $85 | 1.0× |
| Theophylline (80198) | $77.11 | $252 | 5.5× |
| Thin prep pap (88142) | $90.88 | $297 | 4.5× |
| Thiopurine methyltransferase (84433) | $70.38 | $230 | 3.2× |
| Thrombin time plasma (85670) | $21.42 | $70 | 3.7× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $95.48 | $312 | 14.8× |
| Thyroglobulin (84432) | $47.43 | $155 | 3.0× |
| Thyroglobulin antibody (86800) | $28.15 | $92 | 1.8× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $37.94 | $124 | 0.7× |
| Thyroxine binding globulin (84442) | $24.48 | $80 | 1.7× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) | $446 | $1,457.50 | 3.0× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $297.13 | $971 | 2.1× |
| Tissue culture bone marrow (88237) | $193.70 | $633 | 1.3× |
| Tissue culture lymphocyte (88230) | $188.80 | $617 | 1.6× |
| Tissue culture solid tumor (88239) | $311.81 | $1,019 | 2.1× |
| Tissue transglutaminase ab iga (86364) | $7.04 | $23 | 0.6× |
| Tobramycin peak (80200) | $36.11 | $118 | 2.2× |
| Touch prep (88161) | $63.95 | $209 | 2.1× |
| Toxoplasma ab igm (86778) | $50.80 | $166 | 3.5× |
| Toxoplasma antibody igg (86777) | $48.35 | $158 | 3.4× |
| Tp53 gene analysis targeted sequence analysis (81352) | $221.24 | $723 | 0.7× |
| Tpmt gene com variants (81335) | $141.98 | $464 | 0.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $418.61 | $1,368 | 2.0× |
| Trg gene rearrangement analysis (81342) | $412.34 | $1,347.50 | 2.0× |
| Triglycerides (84478) | $16.83 | $55 | 2.9× |
| Troponin (84484) | $72.68 | $237.50 | 5.8× |
| Ugt1a1 gene analysis common variants (81350) | $618.12 | $2,020 | 2.6× |
| Urea nitrogen (84520) | $42.68 | $139.50 | 10.8× |
| Urea nitrogen urine (84540) | $60.28 | $197 | 10.8× |
| Uric acid blood (84550) | $12.85 | $42 | 2.8× |
| Uric acid other source (84560) | $60.59 | $198 | 11.9× |
| Urinalysis auto w/scope (81001) | $50.18 | $164 | 15.8× |
| Urine pregnancy test (81025) | $59.98 | $196 | 7.0× |
| Urine volume measurement (81050) | $9.18 | $30 | 2.5× |
| Valproic acid (80164) | $18.97 | $62 | 1.4× |
| Vancomycin trough (80202) | $25.40 | $83 | 1.9× |
| Varicella-zoster antibody (86787) | $47.74 | $156 | 3.7× |
| Vasoactive intestinal peptide (vip) (84586) | $38.10 | $124.50 | 1.1× |
| Vdrl csf (86592) | $37.03 | $121 | 8.7× |
| Very long chain fatty acids (82726) | $33.05 | $108 | 1.7× |
| Virus antibody nos (86790) | $36.41 | $119 | 2.8× |
| Viscosity serum (85810) | $220.01 | $719 | 18.9× |
| Vitamin A (84590) | $21.42 | $70 | 1.8× |
| Vitamin b-12 (82607) | $31.82 | $104 | 2.1× |
| Vitamin b1 (thiamine) (84425) | $23.56 | $77 | 1.1× |
| Vitamin b2 (84252) | $29.99 | $98 | 1.5× |
| Vitamin b6 (84207) | $57.98 | $189.50 | 2.1× |
| Vitamin c (82180) | $24.79 | $81 | 2.5× |
| Vitamin D 25-Hydroxy (82306) | $62.73 | $205 | 2.1× |
| Vitamin e serum (84446) | $21.42 | $70 | 1.5× |
| Voltage-gated calcium channel antibody each (86596) | $39.47 | $129 | 3.3× |
| West nile virus antibody (86789) | $9.49 | $31 | 0.7× |
| West nile virus igm (86788) | $37.03 | $121 | 2.2× |
| Zinc (84630) | $19.58 | $64 | 1.7× |