| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$342 |
— |
| 17-Hydroxycorticosteroids (83491) |
— |
$156 |
— |
| 5 Hiaa (83497) |
— |
$115 |
— |
| 5 Nucleotidase (83915) |
— |
$99 |
— |
| Actinomyces antibody (86602) |
— |
$91 |
— |
| Activated protein c resistance (85307) |
— |
$136 |
— |
| Acute hepatitis panel (80074) |
— |
$423 |
— |
| Acylcarnitine Plasma (82017) |
— |
$150 |
— |
| Additional high resolution study (88289) |
— |
$306 |
— |
| Adenovirus Ag Ia (87301) |
— |
$106 |
— |
| Adenovirus antibody (86603) |
— |
$115 |
— |
| Afb culture (87116) |
— |
$96 |
— |
| Albumin Fluid (82042) |
— |
$56 |
— |
| Albumin serum (82040) |
— |
$44 |
— |
| Aldolase (82085) |
— |
$87 |
— |
| Aldosterone urine (82088) |
— |
$362 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$132 |
— |
| Allergen specific ige (86003) |
— |
$47 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$45 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$129 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$120 |
— |
| Alpha-Fetoprotein L3 (82107) |
— |
$571 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$149 |
— |
| Alt (sgpt) (84460) |
— |
$47 |
— |
| Aluminum (82108) |
— |
$226 |
— |
| Amikacin trough (80150) |
— |
$134 |
— |
| Amino acid screen urine (82128) |
— |
$123 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$150 |
— |
| Amino Acids, Single Quantitation (82131) |
— |
$165 |
— |
| Ammonia (82140) |
— |
$130 |
— |
| Amylase urine (82150) |
— |
$58 |
— |
| Ana Titer (86039) |
— |
$99 |
— |
| Angiotensin i enzyme test (82164) |
— |
$130 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$143 |
— |
| Antibody Absorption (86978) |
— |
$229 |
— |
| Antibody aspergillus (86606) |
— |
$134 |
— |
| Antibody coxiella burnetii q fever (86638) |
— |
$108 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$128 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$150 |
— |
| Antibody Encephalitis St. Louis (86653) |
— |
$117 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$117 |
— |
| Antibody haemophilus influenza (86684) |
— |
$161 |
— |
| Antibody helicobacter pylori (86677) |
— |
$129 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$128 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$117 |
— |
| Antibody identification (86870) |
— |
$1,547 |
— |
| Antibody mumps (86735) |
— |
$116 |
— |
| Antibody Protozoa Nes (86753) |
— |
$110 |
— |
| Antibody rubeola (86765) |
— |
$115 |
— |
| Antibody treponema pallidum (86780) |
— |
$118 |
— |
| Antibody; Coccidioides (86635) |
— |
$102 |
— |
| Antigen typing (86905) |
$773.50 |
$1,547 |
202.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$928 |
— |
| Antinuclear antibodies (86038) |
— |
$108 |
— |
| Antistreptolysin o titer (86060) |
— |
$65 |
— |
| Antithrombin iii activity (85300) |
— |
$106 |
— |
| Apolipoprotein b (82172) |
— |
$152 |
— |
| Aquaporin-4 Antb Elisa (86051) |
— |
$30 |
— |
| Arsenic Urine (82175) |
— |
$169 |
— |
| Aspa gene analysis common variants (81200) |
— |
$340 |
— |
| Aspergillus ag eia (87305) |
— |
$107 |
— |
| Assay Lipoprotein Pla2 (83698) |
— |
$333 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$121 |
— |
| Assay of acth (82024) |
— |
$343 |
— |
| Assay of androstenedione (82157) |
— |
$260 |
— |
| Assay of blood chloride (82435) |
— |
$41 |
— |
| Assay of c-peptide (84681) |
— |
$185 |
— |
| Assay of calcitonin (82308) |
— |
$238 |
— |
| Assay of ceruloplasmin (82390) |
— |
$96 |
— |
| Assay of corticosterone (82528) |
— |
$200 |
— |
| Assay of cyclosporine (80158) |
— |
$160 |
— |
| Assay of dibucaine number (82638) |
— |
$109 |
— |
| Assay of erythropoietin (82668) |
— |
$167 |
— |
| Assay of ethosuximide (80168) |
— |
$145 |
— |
| Assay of ferritin (82728) |
— |
$121 |
— |
| Assay of g6pd enzyme (82955) |
— |
$86 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$83 |
— |
| Assay of gastrin (82941) |
— |
$157 |
— |
| Assay of gentamicin (80170) |
— |
$146 |
— |
| Assay of glucagon (82943) |
— |
$127 |
— |
| Assay of homocystine (83090) |
— |
$150 |
— |
| Assay of manganese (83785) |
— |
$219 |
— |
| Assay of metanephrines (83835) |
— |
$151 |
— |
| Assay of parathormone (83970) |
— |
$366 |
— |
| Assay of phenobarbital (80184) |
— |
$110 |
— |
| Assay of phosphatase acid total (84060) |
— |
$66 |
— |
| Assay of prealbumin (84134) |
— |
$130 |
— |
| Assay of proinsulin (84206) |
— |
$192 |
— |
| Assay of prostate specific antigen complexed (84152) |
— |
$164 |
— |
| Assay of selenium (84255) |
— |
$227 |
— |
| Assay of serotonin (84260) |
— |
$275 |
— |
| Assay of somatomedin (84305) |
— |
$189 |
— |
| Assay of tacrolimus (80197) |
— |
$122 |
— |
| Assay of transcortin (84449) |
— |
$160 |
— |
| Assay of urine vma (84585) |
— |
$138 |
— |
| Assay of vitamin k (84597) |
— |
$122 |
— |
| Assay of volatiles (84600) |
— |
$143 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$32 |
— |
| Ast (sgot) (84450) |
— |
$46 |
— |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) |
— |
$6,036 |
— |
| Autologous Blood Process (86890) |
— |
$1,547 |
— |
| Automated rbc count (85041) |
— |
$27 |
— |
| B cells total count (86355) |
— |
$335 |
— |
| Bartonella antibody (86611) |
— |
$91 |
— |
| Bartonella DNA amp probe (87471) |
— |
$312 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$1,453 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$1,284 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$226 |
— |
| Beta hydroxybutyrate (82010) |
— |
$73 |
— |
| Beta Lactamase (87185) |
— |
$43 |
— |
| Beta-2 microglobulin (82232) |
— |
$144 |
— |
| Bile acids, total (82239) |
— |
$152 |
— |
| Bilirubin direct (82248) |
— |
$45 |
— |
| Bilirubin total (82247) |
— |
$45 |
— |
| Biotinidase ea specimen (82261) |
— |
$150 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$31 |
— |
| Blastomyces antibody (86612) |
— |
$115 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$928 |
— |
| Bleeding time (85002) |
— |
$40 |
— |
| Blm Gene (81209) |
— |
$283 |
— |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
— |
$229 |
— |
| Blood Count Automated Differential Wbc Count (85004) |
— |
$58 |
— |
| Blood count reticulocyte automated (85045) |
— |
$36 |
— |
| Blood gases (82803) |
— |
$188 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$142 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$32 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$79 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$1,547 |
— |
| Blood typing abo (86900) |
— |
$755 |
— |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
— |
$229 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$229 |
— |
| Body fluid cell count (89051) |
— |
$49 |
— |
| Bone Marrow Smear Interpretation (85097) |
— |
$3,885 |
— |
| Bordetella antibody (86615) |
— |
$117 |
— |
| Brca1&2 seq & full dup/del (81162) |
— |
$16,177 |
— |
| Breath Alcohol Test (82075) |
— |
$216 |
— |
| Brucella antibody (86622) |
— |
$80 |
— |
| C diff amplified probe (87493) |
— |
$312 |
— |
| C-reactive protein (86140) |
— |
$46 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$46 |
— |
| C1q binding assay (86332) |
— |
$217 |
— |
| Ca 125 (86304) |
— |
$185 |
— |
| Ca 19-9 (86301) |
— |
$185 |
— |
| Ca 27 29 (86300) |
— |
$185 |
— |
| Cadmium level (82300) |
— |
$206 |
— |
| Calcium ionized (82330) |
— |
$122 |
— |
| Calcium total (82310) |
— |
$46 |
— |
| Calcium urine (82340) |
— |
$54 |
— |
| Calculus analysis (82370) |
— |
$112 |
— |
| Calprotectin, fecal (83993) |
— |
$175 |
— |
| Candida antibody (86628) |
— |
$107 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$130 |
— |
| Carbon dioxide (82374) |
— |
$44 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$110 |
— |
| Carcinoembryonic antigen (82378) |
— |
$169 |
— |
| Cardiolipin ab igg (86147) |
— |
$226 |
— |
| Carnitine (82379) |
— |
$150 |
— |
| Carotene (82380) |
— |
$82 |
— |
| Catecholamines fraction plasma (82384) |
— |
$224 |
— |
| Cd4 absolute count (86361) |
— |
$238 |
— |
| Cell marker study (88182) |
— |
$321 |
— |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
— |
$1,205 |
— |
| Cftr gene com variants (81220) |
— |
$3,997.50 |
— |
| Chemiluminescent assay (82397) |
— |
$126 |
— |
| Chlamydia antibody (86631) |
— |
$105 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$113 |
— |
| Chloride other source (82438) |
— |
$44.50 |
— |
| Chloride urine (82436) |
— |
$45 |
— |
| Cholesterol total (82465) |
— |
$39 |
— |
| Cholinesterase serum (82480) |
— |
$70 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$1,105 |
— |
| Chromium urine (82495) |
— |
$180 |
— |
| Chromogranin a (86316) |
— |
$185 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$312 |
— |
| Citrate (82507) |
— |
$247 |
— |
| Ckmb (82553) |
— |
$103 |
— |
| Clot factor viii vw antigen (85246) |
— |
$204 |
— |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
— |
$159 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$145 |
— |
| Clot retraction (85170) |
— |
$118 |
— |
| Cmv PCR (87496) |
— |
$312 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$3,694.47 |
— |
| Coagulation time activated (85347) |
— |
$38 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$173 |
— |
| Cold agglutinin screen (86156) |
— |
$60 |
— |
| Cold agglutinin titer (86157) |
— |
$72 |
— |
| Collagen cross links (82523) |
— |
$166 |
— |
| Compatibility test antiglob (86922) |
— |
$928 |
— |
| Complement c3 (86160) |
— |
$107 |
— |
| Complement total ch50 (86162) |
— |
$181 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$107 |
— |
| Concentration Infectious Agent (87015) |
— |
$60 |
— |
| Coombs direct (86880) |
— |
$229 |
— |
| Coombs Test Indirect Qual (86885) |
— |
$928 |
— |
| Copper urine (82525) |
— |
$110 |
— |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) |
— |
$5,756 |
— |
| Cortisol free (82530) |
— |
$149 |
— |
| Cortisol total (82533) |
— |
$145 |
— |
| Creatine kinase (CK), (CPK); isoforms Other Outpatient (82554) |
— |
$106 |
— |
| Creatine kinase total (82550) |
— |
$58 |
— |
| Creatinine blood (82565) |
— |
$46 |
— |
| Creatinine clearance (82575) |
— |
$84 |
— |
| Creatinine other source (82570) |
— |
$46 |
— |
| Crossmatch immediate spin (86920) |
— |
$928 |
— |
| Cryoglobulin (82595) |
— |
$58 |
— |
| Cryptococcus antibody (86641) |
— |
$128 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$72 |
— |
| Culture Aerobic Identify (87077) |
— |
$72 |
— |
| Culture anaerobic (87075) |
— |
$84 |
— |
| Culture blood (87040) |
— |
$92 |
— |
| Culture chlamydia (87110) |
— |
$174 |
— |
| Culture fungus id yeast (87106) |
— |
$94 |
— |
| Culture fungus other (87102) |
— |
$75 |
— |
| Culture genital (87070) |
— |
$77 |
— |
| Culture screen only (87081) |
— |
$59 |
— |
| Culture stool (87045) |
— |
$84 |
— |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) |
— |
$3,695 |
— |
| Culture urine (87086) |
— |
$72 |
— |
| Culture urine id ea isolate (87088) |
— |
$72 |
— |
| Cyanide (82600) |
— |
$172 |
— |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
— |
$127 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$115 |
— |
| Cystatin c (82610) |
— |
$133 |
— |
| Cytogenetics DNA probe (88271) |
— |
$190 |
— |
| Cytopath cell enhance tech (88112) |
— |
$126.88 |
— |
| Cytopath Fl Nongyn Filter (88106) |
— |
$126 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$229 |
— |
| Cytopathology procedures (88199) |
— |
$321 |
— |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
— |
$235 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$86.88 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$321 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$928 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$106 |
— |
| D-Dimer (85379) |
— |
$91 |
— |
| Deoxycortisol (82634) |
— |
$260 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$118 |
— |
| Desoxycorticosterone (82633) |
— |
$275 |
— |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
— |
$356 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$119 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$623 |
— |
| Dhea (82626) |
— |
$225 |
— |
| Dhea sulfate (82627) |
— |
$198 |
— |
| Digoxin (80162) |
— |
$118 |
— |
| Dihydrotestosterone (82642) |
— |
$234 |
— |
| Dilantin (80185) |
— |
$118 |
— |
| Dipropylacetic acid free (80165) |
— |
$121 |
— |
| Dir meas lipoprotein small dense LDL cholesterol (83722) |
— |
$252 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$108 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$122 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$312 |
— |
| Drug Assay Infliximab (80230) |
— |
$100 |
— |
| Drug assay posaconazole (80187) |
— |
$147 |
— |
| Drug assay voriconazole (80285) |
— |
$172 |
— |
| Drug Screen Quant Gabapentin (80171) |
— |
$156 |
— |
| Drug screen quant zonisamide (80203) |
— |
$118 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$118 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$118 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$118 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$516 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$97 |
— |
| Ebv viral capsid (86665) |
— |
$161 |
— |
| Echinococcus ab igg (86682) |
— |
$116 |
— |
| Ehrlichia antibody (86666) |
— |
$91 |
— |
| Electrolyte panel (80051) |
— |
$63 |
— |
| Electron microscopy diagnostic (88348) |
— |
$3,885 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$156 |
— |
| Endomysial antibody iga (86255) |
— |
$107 |
— |
| Enterovirus antibody (86658) |
— |
$116 |
— |
| Enterovirus Pcr (87498) |
— |
$312 |
— |
| Enzyme cell activity (82657) |
— |
$161 |
— |
| Eosinophil count (85048) |
— |
$23 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$136 |
— |
| Estradiol (82670) |
— |
$248 |
— |
| Estriol (82677) |
— |
$215 |
— |
| Estrogen fractionated (82671) |
— |
$287 |
— |
| Estrogens total (82672) |
— |
$193 |
— |
| Estrone (82679) |
— |
$222 |
— |
| Ethylene glycol (82693) |
— |
$133 |
— |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
— |
$705 |
— |
| Everolimus (80169) |
— |
$122 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$64 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$472 |
— |
| F5 gene (81241) |
— |
$542 |
— |
| Factor ii activity (85210) |
— |
$116 |
— |
| Factor inhibitor test (85335) |
— |
$114.09 |
— |
| Factor ix activity (85250) |
— |
$169 |
— |
| Factor v activity (85220) |
— |
$157 |
— |
| Factor vii assay (85230) |
— |
$159 |
— |
| Factor viii ahg (85240) |
— |
$159 |
— |
| Factor xi assay (85270) |
— |
$159 |
— |
| Factor xii assay (85280) |
— |
$172 |
— |
| Fancc gene analysis common variant (81242) |
— |
$263 |
— |
| Fecal fat quant (82710) |
— |
$149 |
— |
| Fetal aneuploidy trisom risk (81507) |
— |
$5,709 |
— |
| Fetal bleed screen (85461) |
— |
$68 |
— |
| Fetal lung maturity fluorescence polarization (83663) |
— |
$168 |
— |
| Fibrin degradation products (85362) |
— |
$62 |
— |
| Fibrin Degradproducts,D-Dimer, Ultrasens - D-Dimer, Rapid (85380) |
— |
$91 |
— |
| Fibrinogen activity (85384) |
— |
$76 |
— |
| Fibrinolytic Plasminogen (85415) |
— |
$153 |
— |
| Flow cytometry first marker (88184) |
— |
$1,547 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$107 |
— |
| Fmr1 gene charac alleles (81244) |
— |
$323 |
— |
| Fmr1 gene detection (81243) |
— |
$410 |
— |
| Folate serum (82746) |
— |
$131 |
— |
| Folic acid rbc (82747) |
— |
$154 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$165 |
— |
| Fresh frozen plasma thawing each unit (86927) |
— |
$93 |
— |
| Frozen Section (88331) |
— |
$928 |
— |
| Fructosamine (82985) |
— |
$134 |
— |
| Galectin-3 serum (82777) |
— |
$318 |
— |
| Gammaglobulin ige (82785) |
— |
$146 |
— |
| Gastric Occult Blood (82271) |
— |
$39 |
— |
| Gba Gene (81251) |
— |
$340 |
— |
| Ggt (82977) |
— |
$64 |
— |
| Giardia antigen eia stool (87329) |
— |
$107 |
— |
| Giardia lamblia antibody (86674) |
— |
$131 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$107 |
— |
| Glucose (82947) |
— |
$35 |
— |
| Glucose body fluid (82945) |
— |
$35 |
— |
| Glucose post dose (82950) |
— |
$43 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$35 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$115 |
— |
| Gonadotropin releasing hormone (83727) |
— |
$153 |
— |
| Growth hormone (83003) |
— |
$148 |
— |
| Growth Hormone Antibody (86277) |
— |
$140 |
— |
| Growth stimulation expressed gene 2 (83006) |
— |
$543 |
— |
| Haloperidol (haldol) (80173) |
— |
$130 |
— |
| Haptoglobin (83010) |
— |
$112 |
— |
| Hba1/hba2 gene (81257) |
— |
$735 |
— |
| Hcg qualitative (84703) |
— |
$67 |
— |
| Hcg quant (84702) |
— |
$134 |
— |
| Hdl Cholesterol (83718) |
— |
$73 |
— |
| Heavy metal quant each (83018) |
— |
$194.72 |
— |
| Hematocrit (85014) |
— |
$22 |
— |
| Hematocrit spun (85013) |
— |
$51 |
— |
| Hemoglobin (85018) |
— |
$22 |
— |
| Hemoglobin a1c (83036) |
— |
$87 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$161 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$115 |
— |
| Hemoglobin fetal ql (83033) |
— |
$58 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$65 |
— |
| Hemoglobin plasma (83051) |
— |
$65 |
— |
| Heparin assay (85520) |
— |
$117 |
— |
| Hepatitis a antibody total (86708) |
— |
$110 |
— |
| Hepatitis a igm (86709) |
— |
$100 |
— |
| Hepatitis b core ab igm (86705) |
— |
$105 |
— |
| Hepatitis b core antibody total (86704) |
— |
$107 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$92 |
— |
| Hepatitis b virus genotyping (87912) |
— |
$2,283 |
— |
| Hepatitis be antibody (86707) |
— |
$103 |
— |
| Hepatitis Be Antigen (87350) |
— |
$103 |
— |
| Hepatitis c ab confirm (86804) |
— |
$138 |
— |
| Hepatitis c antibody (86803) |
— |
$127 |
— |
| Hepatitis C Genotype (87902) |
— |
$2,283 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$312 |
— |
| Hepatitis delta ab (86692) |
— |
$153 |
— |
| Hepatitis delta ag (87380) |
— |
$146 |
— |
| Herpes culture (87252) |
— |
$232 |
— |
| Herpes simplex type 2 (86696) |
— |
$172 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$46 |
— |
| Hexa gene analysis common variants (81255) |
— |
$370 |
— |
| Hfe gene (81256) |
— |
$580 |
— |
| Histamine plasma (83088) |
— |
$262 |
— |
| Histoplasma antibody (86698) |
— |
$111 |
— |
| Histoplasma antigen urine (87385) |
— |
$107 |
— |
| HIV confirmation (86689) |
— |
$172 |
— |
| HIV-1 genotype (87901) |
— |
$2,283 |
— |
| HIV-1 integrase genotype (87906) |
— |
$1,142 |
— |
| Hla class i typing high resolution one allele or allele group (81381) |
— |
$1,220 |
— |
| Hla ii low resolution one antigen equivalent ea (81377) |
— |
$814 |
— |
| Hla ii typing 1 allele hr (81383) |
— |
$968 |
— |
| Hla typing dr/dq (86817) |
— |
$763 |
— |
| Hla-b27 (86812) |
— |
$229 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$598 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$312 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$241 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$107 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$107 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$214 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$128 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$107 |
— |
| Iaad ia rotavirus (87425) |
— |
$107 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$107 |
— |
| Iaadi herpes smplx virus type 2 (87273) |
— |
$107 |
— |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
— |
$236 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$116 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$312 |
— |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
— |
$178 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$623 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$380 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$380 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$312 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$755 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$312 |
— |
| Iadna mtb rifampin resistance amp prb tq (87564) |
— |
$347.75 |
— |
| Iadna mycobacteria tuberculosis amp prb (87556) |
— |
$312 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$269 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$312 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$312 |
— |
| Iadna nos quantification each organism (87799) |
— |
$380 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$312 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$3,695 |
— |
| Idh1 common variants (81120) |
— |
$1,388 |
— |
| Idh2 common variants (81121) |
— |
$2,124 |
— |
| Igg subclasses (82787) |
— |
$72 |
— |
| Ikbkap gene analysis (81260) |
— |
$283 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$311 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$133 |
— |
| Immunoassay nonantibody (83516) |
— |
$103 |
— |
| Immunoassay with direct visual observation for streptococcus (87802) |
— |
$107 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$107 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$199 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$1,547 |
— |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) |
— |
$107 |
— |
| Immunofluorescent technique for pneumocystis carinii (87281) |
— |
$107 |
— |
| Immunohistochemistry (88342) |
— |
$1,547 |
— |
| India ink prep (87210) |
— |
$42 |
— |
| Infectious agent enzymatic activity to detect organism (87905) |
— |
$109 |
— |
| Influenza DNA amp probe (87502) |
— |
$755 |
— |
| Inhibin a (86336) |
— |
$139 |
— |
| Inhibin b (83520) |
— |
$124 |
— |
| Insitu hybridization (fish) (88365) |
— |
$927.51 |
— |
| Insulin antibodies (86337) |
— |
$190 |
— |
| Insulin free (83527) |
— |
$115 |
— |
| Insulin total (83525) |
— |
$102 |
— |
| Intraop cyto path consult 1 (88333) |
— |
$3,885 |
— |
| Intrinsic factor antibody (86340) |
— |
$134 |
— |
| Iron (83540) |
— |
$59 |
— |
| Iron binding capacity (83550) |
— |
$78 |
— |
| Islet cell antibody (86341) |
— |
$176 |
— |
| Jak2 gene analysis (81270) |
— |
$813 |
— |
| Ketosteroids 17; total (83586) |
— |
$114 |
— |
| Koh Prep (87220) |
— |
$38 |
— |
| L/s ratio, fetal lung (83661) |
— |
$195 |
— |
| Lactic acid (83605) |
— |
$73 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$175 |
— |
| Ldh (83615) |
— |
$54 |
— |
| Ldh isoenzymes (83625) |
— |
$114 |
— |
| Lead (83655) |
— |
$108 |
— |
| Legionella antibody (86713) |
— |
$136 |
— |
| Legionella antigen urine (87449) |
— |
$107 |
— |
| Leptospira antibody (86720) |
— |
$117 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$38 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$229 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$1,547 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$3,885 |
— |
| Lh (83002) |
— |
$165 |
— |
| Lidocaine level (80176) |
— |
$131 |
— |
| Lipase (83690) |
— |
$62 |
— |
| Lipopro bld electrophoretic (83700) |
— |
$100 |
— |
| Lipoprotein Bld Hr Fraction (83701) |
— |
$244 |
— |
| Listeria ab (86609) |
— |
$115 |
— |
| Lithium (80178) |
— |
$59 |
— |
| Lyme disease antibody (86618) |
— |
$151 |
— |
| Lyme disease antibody confirm (86617) |
— |
$137 |
— |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
— |
$928 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$1,547 |
— |
| Magnesium (83735) |
— |
$60 |
— |
| Malaria smear (87207) |
— |
$54 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$174 |
— |
| Mcoln1 mucolipin1 gene analysis common variants (81290) |
— |
$283 |
— |
| Measurement of substance using spectroscopy (light) (82190) |
— |
$133 |
— |
| Mercury (83825) |
— |
$145 |
— |
| Methotrexate (80299) |
— |
$134 |
— |
| Methylmalonic acid serum (83921) |
— |
$153 |
— |
| Microalbumin urine (82043) |
— |
$52 |
— |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
— |
$321 |
— |
| Microsomal antibodies (86376) |
— |
$129 |
— |
| Mlh1 gene analysis duplication/deletion variants (81294) |
— |
$1,453 |
— |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
— |
$4,849 |
— |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
— |
$31 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$368 |
— |
| Molecular pathology procedure level 2 (81401) |
— |
$984 |
— |
| Molecular pathology procedure level 7 (81406) |
— |
$2,032 |
— |
| Mopath procedure level 4 (81403) |
— |
$1,330 |
— |
| Mopath procedure level 5 (81404) |
— |
$1,973 |
— |
| Mopath procedure level 6 (81405) |
— |
$2,164 |
— |
| Mopath procedure level 8 (81407) |
— |
$6,076 |
— |
| Mopath procedure level 9 (81408) |
— |
$14,361 |
— |
| Morphometric analysis tumor (88358) |
— |
$1,547 |
— |
| Mrsa amp probe (87641) |
— |
$312 |
— |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
— |
$2,741 |
— |
| Msh2 gene dup/delete variant (81297) |
— |
$1,531 |
— |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
— |
$4,608 |
— |
| Msh6 gene dup/delete variant (81300) |
— |
$1,709 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$469.50 |
— |
| Muramidase (85549) |
— |
$167 |
— |
| Mycoplasma antibody (86738) |
— |
$118 |
— |
| Mycoplasma culture (87109) |
— |
$137 |
— |
| Mycoplasma genitalium PCR (87563) |
— |
$380 |
— |
| Myelin basic protein csf (83873) |
— |
$153 |
— |
| Myoglobin urine (83874) |
— |
$116 |
— |
| N.gonorrhoeae, DNA, dir prob (87590) |
— |
$193 |
— |
| Nasal smear for eosinophils (89190) |
— |
$43 |
— |
| Natriuretic peptide (83880) |
— |
$301 |
— |
| Neutralization test, viral (86382) |
— |
$150 |
— |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
— |
$518 |
— |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
— |
$232 |
— |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
— |
$4,332 |
— |
| Niacin (84591) |
— |
$123 |
— |
| Nuclear antigen antibody (86235) |
— |
$159 |
— |
| Occult blood stool (82272) |
— |
$31 |
— |
| Oligoclonal bands (83916) |
— |
$197 |
— |
| Oncology Breast Mrna Gene Expression 11 Genes (81518) |
— |
$27,809 |
— |
| Oncoprotein dcp (83951) |
— |
$571 |
— |
| Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) |
— |
$571 |
— |
| Organic Acids Qual Each (83919) |
— |
$145 |
— |
| Osmolality serum (83930) |
— |
$59 |
— |
| Osmolality urine (83935) |
— |
$61 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$79 |
— |
| Oxalate urine (83945) |
— |
$115 |
— |
| Pancreatic elastase fecal (82656) |
— |
$103 |
— |
| Pancreatic polypeptide (83519) |
— |
$133 |
— |
| Parvovirus antibody (86747) |
— |
$134 |
— |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
— |
$321 |
— |
| Pertussis dfa (87265) |
— |
$107 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$1,156 |
— |
| Phenylalanine (84030) |
— |
$49 |
— |
| Phenytoin free (80186) |
— |
$122 |
— |
| Phosphatase acid prostatic (84066) |
— |
$86 |
— |
| Phosphatase alkaline (84075) |
— |
$46 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$160 |
— |
| Phosphorus blood (84100) |
— |
$43 |
— |
| Phosphorus urine (84105) |
— |
$46 |
— |
| Pinworm exam (87172) |
— |
$38 |
— |
| Plasminogen (85420) |
— |
$58 |
— |
| Platelet count (85049) |
— |
$40 |
— |
| Platelet neutralization (85597) |
— |
$160 |
— |
| Pms2 gene analysis duplication/deletion variants (81319) |
— |
$1,461 |
— |
| Pms2 gene analysis full sequence (81317) |
— |
$5,076 |
— |
| Porphobilinogen urine quant (84110) |
— |
$75 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$131 |
— |
| Potassium (84132) |
— |
$41 |
— |
| Potassium urine (84133) |
— |
$39 |
— |
| Pregnenolone (84140) |
— |
$184 |
— |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
— |
$928 |
— |
| Primidone (80188) |
— |
$148 |
— |
| Procainamide napa (80192) |
— |
$149 |
— |
| Procalcitonin (pct) (84145) |
— |
$238 |
— |
| Progesterone (84144) |
— |
$185 |
— |
| Prolactin (84146) |
— |
$172 |
— |
| Protein c activity (85303) |
— |
$123 |
— |
| Protein c antigen (85302) |
— |
$107 |
— |
| Protein electrophoresis serum (84165) |
— |
$96 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$159 |
— |
| Protein S Functional (85306) |
— |
$136 |
— |
| Protein s total (85305) |
— |
$103 |
— |
| Protein Total Serum (84155) |
— |
$33 |
— |
| Protein urine (84156) |
— |
$33 |
— |
| Prothrombin time substitution (85611) |
— |
$39 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$128 |
— |
| PSA free (84154) |
— |
$164 |
— |
| Pten Gene Dup/Delet Variant (81323) |
— |
$2,154 |
— |
| Pten Gene Full Sequence (81321) |
— |
$4,308 |
— |
| Quantiferon tb gold (86480) |
— |
$550 |
— |
| Quinidine (80194) |
— |
$130 |
— |
| Rbc antibody elution (86860) |
— |
$928 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$229 |
— |
| Reducing substances, stool (84376) |
— |
$48.75 |
— |
| Renin activity plasma (84244) |
— |
$195 |
— |
| Resp virus 3-5 targets (87631) |
— |
$1,138 |
— |
| Respiratory viral panel PCR (87633) |
— |
$3,694.50 |
— |
| Respiratory Virus (86756) |
— |
$115 |
— |
| Reticulated platelet assay (85055) |
— |
$257 |
— |
| Reticulocyte Count (85046) |
— |
$50 |
— |
| Reticulocyte separation (86972) |
— |
$928 |
— |
| Rheumatoid factor quant (86431) |
— |
$51 |
— |
| Rickettsia antibody (86757) |
— |
$172 |
— |
| Rubella antibody (86762) |
— |
$128 |
— |
| Russell viper venom time diluted (85613) |
— |
$85 |
— |
| Saccharomyces ab iga (86671) |
— |
$109 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$134 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$70 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$364 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$479 |
— |
| Sed rate automated (85652) |
— |
$24 |
— |
| Sensitivity mic (87186) |
— |
$77 |
— |
| Serotonin Release Assay (86022) |
— |
$163 |
— |
| Sex hormone binding globulin (84270) |
— |
$193 |
— |
| Sickle cell screen (85660) |
— |
$49 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$122 |
— |
| Smear acid fast (87206) |
— |
$48 |
— |
| Smear gram stain (87205) |
— |
$38 |
— |
| Smn1 Gene Dos/Deletion Alys (81329) |
— |
$984 |
— |
| Smpd1 Gene Common Variants (81330) |
— |
$338 |
— |
| Sodium (84295) |
— |
$43 |
— |
| Sodium other source (84302) |
— |
$44 |
— |
| Sodium urine (84300) |
— |
$44 |
— |
| Soluble transferrin receptor (84238) |
— |
$325 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$229 |
— |
| Special stains group 1 (88312) |
— |
$321 |
— |
| Specific gravity body fluid (84315) |
— |
$24 |
— |
| Spectrophotometry (84311) |
— |
$62 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$84 |
— |
| Strep a assay w/optic (87880) |
— |
$119 |
— |
| Strep a DNA amp probe (87651) |
— |
$312 |
— |
| Strep b DNA amp probe (87653) |
— |
$312 |
— |
| Sugars Multiple Qual (84377) |
— |
$49 |
— |
| Sulfate urine (84392) |
— |
$43 |
— |
| Surg path level iii (88304) |
— |
$321 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$126 |
— |
| Surgical pathology level IV (88305) |
— |
$321 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$417 |
— |
| T cells, total count (86359) |
— |
$335 |
— |
| T3 free (84481) |
— |
$151 |
— |
| T3 reverse (84482) |
— |
$140 |
— |
| T3 total (84480) |
— |
$126 |
— |
| T3 uptake (84479) |
— |
$58 |
— |
| T4 Free (84439) |
— |
$80 |
— |
| T4 total (84436) |
— |
$61 |
— |
| Tb intradermal test (86580) |
— |
$29 |
— |
| Test for acetone/ketones (82009) |
— |
$41 |
— |
| Testosterone bioavailable (84410) |
— |
$455 |
— |
| Testosterone free (84402) |
— |
$226 |
— |
| Testosterone total (84403) |
— |
$229 |
— |
| Theophylline (80198) |
— |
$126 |
— |
| Thin prep pap (88142) |
— |
$180 |
— |
| Thrombin time plasma (85670) |
— |
$52 |
— |
| Thromboplastin Inhibition Tissue (85705) |
— |
$86 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$58 |
— |
| Thyroglobulin (84432) |
— |
$143 |
— |
| Thyroglobulin Ab (86800) |
— |
$142 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$451 |
— |
| Thyroxine binding globulin (84442) |
— |
$132 |
— |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
— |
$1,248 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$107 |
— |
| Tissue culture bone marrow (88237) |
— |
$1,120 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$1,033 |
— |
| Tobramycin peak (80200) |
— |
$143 |
— |
| Topiramate (80201) |
— |
$106 |
— |
| Toxoplasma ab igm (86778) |
— |
$128 |
— |
| Toxoplasma antibody igg (86777) |
— |
$128 |
— |
| Tp53 gene analysis full gene sequence (81351) |
— |
$4,000 |
— |
| Transferrin (84466) |
— |
$114 |
— |
| Triglycerides (84478) |
— |
$51 |
— |
| Troponin (84484) |
— |
$90 |
— |
| Tyrosine (84510) |
— |
$93 |
— |
| Unlisted Surgical Pathology Procedure (88399) |
— |
$321 |
— |
| Urea nitrogen (84520) |
— |
$36 |
— |
| Urea nitrogen urine (84540) |
— |
$43 |
— |
| Uric acid blood (84550) |
— |
$41 |
— |
| Uric acid other source (84560) |
— |
$43 |
— |
| Urinalysis w/microscopic (81001) |
— |
$29 |
— |
| Urine pregnancy test (81025) |
— |
$62 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$20 |
— |
| Valproic acid level (80164) |
— |
$121 |
— |
| Vancomycin trough (80202) |
— |
$121 |
— |
| Varicella-zoster antibody (86787) |
— |
$115 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$314 |
— |
| Vasopressin (84588) |
— |
$301 |
— |
| Vdrl csf (86592) |
— |
$38 |
— |
| Virus antibody nos (86790) |
— |
$115 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$301 |
— |
| Virus inoculation, shell via (87254) |
— |
$174 |
— |
| Viscosity serum (85810) |
— |
$104 |
— |
| Vitamin A (84590) |
— |
$103 |
— |
| Vitamin b-12 (82607) |
— |
$134 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$180 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$189 |
— |
| Vitamin b6 (84207) |
— |
$250 |
— |
| Vitamin C (82180) |
— |
$88 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$263 |
— |
| Vitamin e serum (84446) |
— |
$126 |
— |
| Von willebrand factor activity (85245) |
— |
$204 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$77 |
— |
| West nile virus ab, igm (86788) |
— |
$150 |
— |
| West nile virus antibody (86789) |
— |
$128 |
— |
| Zika Virus Igm Antibody (86794) |
— |
$150 |
— |
| Zinc (84630) |
— |
$101 |
— |