Lab & pathology prices at Mayo Clinic Health System - New Prague
New Prague, MN · every code in this section with a posted price and a Medicare benchmark.
840 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $168.75 | $225 | 7.4× |
| 5 Nucleotidase (83915) | $103.50 | $138 | 9.3× |
| Abl1 gene analysis kinase domain variants (81170) | $449.25 | $599 | 1.5× |
| Acetylcholine receptor binding antibody (86041) | $168.75 | $225 | 9.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $102 | $136 | 8.5× |
| Acth (82024) | $259.50 | $346 | 6.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $230.25 | $307 | 7.1× |
| Actin smooth muscle antibody each (86015) | $110.25 | $147 | 9.1× |
| Acute hepatitis panel (80074) | $306.75 | $409 | 6.4× |
| Acylcarnitines Quant (82017) | $97.50 | $130 | 5.8× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $301.50 | $402 | 4.7× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$40.50–$51 | $54–$68 | varies |
| Albumin serum (82040) | $27.75 | $37 | 5.6× |
| Aldolase (82085) | $75 | $100 | 7.7× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$201.75–$207.75 | $269–$277 | varies |
| Alkaline phosphatase isoenzymes (84080) | $128.25 | $171 | 8.7× |
| Allergen specific ige (86003) | $30 | $40 | 5.7× |
| Allergen specific igg (86001) | $36 | $48 | 4.6× |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$41.25–$45 | $55–$60 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $128.25 | $171 | 8.9× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$102–$103.50 | $136–$138 | varies |
| Alpha-Fetoprotein Serum (82105) | $105 | $140 | 6.3× |
| Alt (sgpt) (84460) | $33.75 | $45 | 6.4× |
| Aluminum (82108) | $191.25 | $255 | 7.5× |
| Amikacin trough (80150) | $152.25 | $203 | 10.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$155.25–$227.25 | $207–$303 | varies |
| Amino Acids Quant 2-5 (82136) range across 4 matching MRF lines |
$159–$228 | $212–$304 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$114.75–$142.50 | $153–$190 | varies |
| Ammonia (82140) | $72.75 | $97 | 5.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $151.50 | $202 | 1.5× |
| Amylase urine (82150) | $44.25 | $59 | 6.8× |
| Ana Titer (86039) range across 2 matching MRF lines |
$84–$84.75 | $112–$113 | varies |
| Anca screen each antibody (86036) | $105.75 | $141 | 8.8× |
| Androstenedione (82157) | $218.25 | $291 | 7.5× |
| Angiotensin converting enzyme csf (82164) | $148.50 | $198 | 10.2× |
| Anti-Phospholipid Antibody (86148) | $106.50 | $142 | 6.6× |
| Antibody aspergillus (86606) | $85.50 | $114 | 5.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$110.25–$111.75 | $147–$149 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $127.50 | $170 | 7.6× |
| Antibody Encephalitis California La Crosse (86651) | $99 | $132 | 7.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $87 | $116 | 6.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $103.50 | $138 | 6.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $116.25 | $155 | 6.4× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$147.75–$154.50 | $197–$206 | varies |
| Antibody haemophilus influenza (86684) | $158.25 | $211 | 10.0× |
| Antibody Herpes Smplx Type 1 (86695) | $96.75 | $129 | 7.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $85.50 | $114 | 6.2× |
| Antibody HIV-2 (86702) | $139.50 | $186 | 10.3× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $666 | $888 | 2.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $202.50 | $270 | 10.5× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$144.75–$165.75 | $193–$221 | varies |
| Antibody leishmania (86717) | $132.75 | $177 | 10.8× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$99.75–$113.25 | $133–$151 | varies |
| Antibody Titer (86886) | $65.25 | $87 | 12.6× |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$54.75–$79.50 | $73–$106 | varies |
| Antibody; encephalitis, st. louis (86653) | $99 | $132 | 7.5× |
| Antigen typing (86905) | $54 | $72 | 14.1× |
| Antinuclear antibodies (86038) | $102.75 | $137 | 8.5× |
| Antistreptolysin o titer (86060) | $62.25 | $83 | 8.5× |
| Antithrombin iii activity (85300) | $141.75 | $189 | 12.0× |
| Antithrombin iii antigen (85301) | $150.75 | $201 | 13.9× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 3 matching MRF lines |
$1,425–$1,500 | $1,900–$2,000 | varies |
| Apc Gene Analysis Known Familial Variants (81202) | $375 | $500 | 1.3× |
| Apc gene full sequence (81201) range across 2 matching MRF lines |
$82.50–$84.75 | $110–$113 | varies |
| Apolipoprotein a1 (82172) | $70.50 | $94 | 3.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$105.75–$106.50 | $141–$142 | varies |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) | $300 | $400 | 2.2× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) | $375 | $500 | 2.0× |
| Arsenic (82175) range across 2 matching MRF lines |
$137.25–$138.75 | $183–$185 | varies |
| Aspergillus ag eia (87305) | $135.75 | $181 | 11.3× |
| Assay activated protein c (85307) | $158.25 | $211 | 10.3× |
| Assay Blood Carbon Dioxide (82374) | $37.50 | $50 | 7.7× |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
$109.50–$112.50 | $146–$150 | varies |
| Assay of 5-hiaa (83497) | $73.50 | $98 | 5.7× |
| Assay of anti-mullerian hormone (82166) | $189.75 | $253 | 4.9× |
| Assay of b-hexosaminidase each assay (83080) range across 2 matching MRF lines |
$121.50–$122.25 | $162–$163 | varies |
| Assay of blood/uric acid (84550) | $31.50 | $42 | 7.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$36–$36.75 | $48–$49 | varies |
| Assay of corticosterone (82528) | $182.25 | $243 | 8.1× |
| Assay of estrone (82679) | $181.50 | $242 | 7.3× |
| Assay of g6pd enzyme (82955) | $108 | $144 | 11.1× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$62.25–$69 | $83–$92 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$78.75–$90 | $105–$120 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$118.50–$120.75 | $158–$161 | varies |
| Assay of metanephrines (83835) | $185.25 | $247 | 10.9× |
| Assay of proinsulin (84206) | $159 | $212 | 6.0× |
| Assay of pyruvate (84210) | $67.50 | $90 | 4.7× |
| Assay of serotonin (84260) | $227.25 | $303 | 7.3× |
| Assay of serum potassium (84132) | $31.50 | $42 | 6.6× |
| Assay of Sialic Acid (84275) | $84.75 | $113 | 6.3× |
| Assay of sweat sodium (84302) | $48.75 | $65 | 10.0× |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
$111–$111.75 | $148–$149 | varies |
| Assay of urea nitrogen (84520) | $27.75 | $37 | 7.0× |
| Assay of urine vma (84585) | $105 | $140 | 6.8× |
| Assay of vasoactive intestinal peptide (84586) | $372.75 | $497 | 10.6× |
| Assay of vitamin b-1 (84425) | $132 | $176 | 6.2× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$27–$28.50 | $36–$38 | varies |
| Assay Phosphohexose Enzymes (84087) | $132 | $176 | 12.3× |
| Assay spec xcp ur&breath ia (82077) | $155.25 | $207 | 9.0× |
| Asy carbamazepin 10,11-epxid (80161) | $99 | $132 | 5.3× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $375 | $500 | 2.7× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) range across 2 matching MRF lines |
$105–$375 | $140–$500 | varies |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) range across 2 matching MRF lines |
$105–$375 | $140–$500 | varies |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) range across 2 matching MRF lines |
$105–$375 | $140–$500 | varies |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) range across 2 matching MRF lines |
$105–$375 | $140–$500 | varies |
| B cells total count (86355) range across 2 matching MRF lines |
$201–$201.75 | $268–$269 | varies |
| Babesia microti amp prb (87469) | $148.50 | $198 | 4.2× |
| Bartonella antibody (86611) | $91.50 | $122 | 9.0× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$273.75–$392.25 | $365–$523 | varies |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
$323.25–$429.75 | $431–$573 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 2 matching MRF lines |
$279.75–$282.75 | $373–$377 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $162 | $216 | 6.4× |
| Beta hydroxybutyrate (82010) | $69 | $92 | 8.4× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$45–$46.50 | $60–$62 | varies |
| Beta-2 Microglobulin (82232) | $165.75 | $221 | 10.2× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $109.50 | $146 | 0.8× |
| Bile acids total (82239) | $108 | $144 | 6.3× |
| Bilirubin direct (82248) | $33 | $44 | 6.6× |
| Bilirubin total (82247) | $31.50 | $42 | 6.3× |
| Bilirubin total transcutaneous (88720) | $26.25 | $35 | 5.2× |
| Biotinidase (82261) | $34.50 | $46 | 2.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $34.50 | $46 | 10.1× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$109.50–$111.75 | $146–$149 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $132.75 | $177 | 4.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $216 | $288 | 1.2× |
| Bld Typing Serologic Rh Phnt (86906) | $52.50 | $70 | 6.8× |
| Blood count reticulocyte automated (85045) | $33.75 | $45 | 8.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $33.75 | $45 | 8.9× |
| Blood count spun microhematocrit (85013) | $25.50 | $34 | 3.6× |
| Blood gas (82803) | $91.50 | $122 | 3.5× |
| Blood gases w/02 saturation (82805) | $113.25 | $151 | 1.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $74.25 | $99 | 4.7× |
| Blood Sulfhemoglobin Assay (83060) | $69.75 | $93 | 7.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $109.50 | $146 | 17.2× |
| Blood typing serologic abo (86900) | $33 | $44 | 11.0× |
| Bone marrow smear interpretation (85097) | $293.25 | $391 | 0.3× |
| Bordetella antibody (86615) | $126.75 | $169 | 9.6× |
| Borrelia miyamotoi amp prb (87478) range across 2 matching MRF lines |
$152.25–$153.75 | $203–$205 | varies |
| Braf gene analysis (81210) range across 4 matching MRF lines |
$306–$675 | $408–$900 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $1,200 | $1,600 | 2.6× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $375 | $500 | 1.0× |
| Brca1&2 gen full seq dup/del (81162) range across 5 matching MRF lines |
$85.50–$1,500 | $114–$2,000 | varies |
| Brca2 Gene Analysis Known Familial Variant (81217) | $375 | $500 | 1.0× |
| Breath Alcohol Test (82075) | $38.25 | $51 | 1.3× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$91.50–$92.25 | $122–$123 | varies |
| C diff amplified probe (87493) | $141 | $188 | 3.8× |
| C-Peptide (84681) | $150.75 | $201 | 7.2× |
| C-reactive protein (86140) | $56.25 | $75 | 10.9× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$195–$198.75 | $260–$265 | varies |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) range across 2 matching MRF lines |
$105–$375 | $140–$500 | varies |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) | $272.25 | $363 | 0.3× |
| Cadmium (82300) range across 2 matching MRF lines |
$114–$114.75 | $152–$153 | varies |
| Calcitonin (82308) range across 2 matching MRF lines |
$191.25–$240.75 | $255–$321 | varies |
| Calcium ionized (82330) | $83.25 | $111 | 6.1× |
| Calcium total (82310) | $31.50 | $42 | 6.1× |
| Calculus Spectroscopy (82365) | $99 | $132 | 7.7× |
| Calprotectin Fecal (83993) | $162 | $216 | 8.3× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$310.50–$313.50 | $414–$418 | varies |
| Cancer Antigen 125 (86304) | $162.75 | $217 | 7.8× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$156.75–$159 | $209–$212 | varies |
| Candida Dna Dir Probe (87480) | $67.50 | $90 | 3.4× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $1,500 | $2,000 | 2.6× |
| Carbamazepine free (80157) | $93.75 | $125 | 7.1× |
| Carbamazepine total (80156) | $100.50 | $134 | 6.9× |
| Carbohydrate Deficient Transferrin (82373) | $163.50 | $218 | 9.1× |
| Carboxyhemoglobin (82375) | $93.75 | $125 | 7.6× |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$124.50–$132.75 | $166–$177 | varies |
| Cardiolipin ab iga (86147) | $162.75 | $217 | 6.4× |
| Carnitine Quantitative Each Specimen (82379) | $106.50 | $142 | 6.3× |
| Catecholamines fractionated (82384) | $167.25 | $223 | 6.6× |
| Ccp antibody (86200) | $105.75 | $141 | 8.2× |
| Cell count csf (89051) range across 2 matching MRF lines |
$63–$65.25 | $84–$87 | varies |
| Cell marker study (88182) | $374.25 | $499 | 6.9× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$326.25–$333.75 | $435–$445 | varies |
| Ceruloplasmin (82390) | $73.50 | $98 | 6.8× |
| Cftr Gene Analysis Known Familial Variants (81221) | $375 | $500 | 3.9× |
| Cftr gene com variants (81220) range across 3 matching MRF lines |
$210.75–$264 | $281–$352 | varies |
| Cftr gene dup/delet variants (81222) range across 3 matching MRF lines |
$164.25–$206.25 | $219–$275 | varies |
| Cftr gene full sequence (81223) range across 4 matching MRF lines |
$427.50–$750 | $570–$1,000 | varies |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$87–$114.75 | $116–$153 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $403.50 | $538 | 1.5× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$84–$87.75 | $112–$117 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$93–$96.75 | $124–$129 | varies |
| Chlmy trch&neisra gonor mult (87494) | $339 | $452 | 4.8× |
| Chloride other source (82438) | $60 | $80 | 12.0× |
| Chloride Serum (82435) | $26.25 | $35 | 5.7× |
| Chloride urine (82436) | $31.50 | $42 | 5.5× |
| Cholesterol total (82465) | $28.50 | $38 | 6.6× |
| Cholinesterase Serum (82480) | $78.75 | $105 | 10.0× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$97.50–$99 | $130–$132 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $236.25 | $315 | 8.8× |
| Chromium serum (82495) range across 2 matching MRF lines |
$109.50–$110.25 | $146–$147 | varies |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$109.50–$136.50 | $146–$182 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$172.50–$208.50 | $230–$278 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$967.50–$986.25 | $1,290–$1,315 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$969.75–$1,006.50 | $1,293–$1,342 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$156.75–$167.25 | $209–$223 | varies |
| Citric acid urine (82507) | $151.50 | $202 | 5.4× |
| Clostridium Difficile (87324) | $84.75 | $113 | 7.1× |
| Clot Factor VIII Multimetric (85247) | $291 | $388 | 12.7× |
| Clotting factor xii hageman (85280) | $226.50 | $302 | 11.7× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$195–$237.75 | $260–$317 | varies |
| Cns DNA amp probe type 12-25 (87483) | $713.25 | $951 | 1.7× |
| Coagulation time activated (85347) | $30.75 | $41 | 7.2× |
| Coccidioides antibody (86635) | $95.25 | $127 | 8.3× |
| Cold agglutinin titer (86157) | $71.25 | $95 | 8.8× |
| Collagen crosslinks (82523) | $179.25 | $239 | 9.6× |
| Column Chromotography Quant (82542) range across 31 matching MRF lines |
$96–$528 | $128–$704 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$600–$661.50 | $800–$882 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $225 | $300 | 0.7× |
| Compatibility test antiglob (86922) | $111 | $148 | 0.6× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$72–$87.75 | $96–$117 | varies |
| Complement Total (Ch50) (86162) | $171.75 | $229 | 8.5× |
| Complement/Function Activity (86161) range across 7 matching MRF lines |
$91.50–$131.25 | $122–$175 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $521.25 | $695 | 2.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $95.25 | $127 | 1.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $431.25 | $575 | 11.0× |
| Coombs direct (86880) | $42.75 | $57 | 7.9× |
| Copper urine (82525) range across 4 matching MRF lines |
$90–$92.25 | $120–$123 | varies |
| Cortisol free (82530) | $135.75 | $181 | 8.1× |
| Cortisol saliva (82533) | $114.75 | $153 | 7.0× |
| Creatine (82540) | $54.75 | $73 | 11.8× |
| Creatine kinase total (82550) | $39.75 | $53 | 6.1× |
| Creatinine blood (82565) | $30 | $40 | 5.9× |
| Creatinine clearance (82575) | $75.75 | $101 | 8.0× |
| Creatinine Urine (82570) | $39 | $52 | 7.5× |
| Crossmatch electronic (86923) | $76.50 | $102 | 0.4× |
| Crossmatch immediate spin (86920) | $168.75 | $225 | 0.9× |
| Crp High Sensitivity (86141) | $71.25 | $95 | 5.5× |
| Cryofibrinogen (82585) | $78 | $104 | 5.5× |
| Cryoglobulin (82595) | $60 | $80 | 9.3× |
| Cryopreservation; sperm (89259) | $210.75 | $281 | 1.2× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $296.25 | $395 | 22.7× |
| Cryptococcus ag titer (87899) range across 7 matching MRF lines |
$67.50–$79.50 | $90–$106 | varies |
| Cryptosporidium ag eia (87328) | $62.25 | $83 | 4.5× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles… (81188) | $525 | $700 | 3.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$54–$54.75 | $72–$73 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $62.25 | $83 | 7.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $56.25 | $75 | 7.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $327 | $436 | 1.5× |
| Culture afb (87116) range across 2 matching MRF lines |
$85.50–$87 | $114–$116 | varies |
| Culture Anaerobic (87075) | $81.75 | $109 | 8.6× |
| Culture blood (87040) | $77.25 | $103 | 7.5× |
| Culture csf (87070) | $60 | $80 | 7.0× |
| Culture fungus (87102) | $60.75 | $81 | 7.2× |
| Culture fungus blood (87103) | $67.50 | $90 | 3.3× |
| Culture screen only (87081) range across 2 matching MRF lines |
$38.25–$39 | $51–$52 | varies |
| Culture stool (87045) | $72 | $96 | 7.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$33–$38.25 | $44–$51 | varies |
| Culture urine (87086) | $53.25 | $71 | 6.6× |
| Cyclic amp (82030) | $110.25 | $147 | 4.3× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$143.25–$160.50 | $191–$214 | varies |
| Cyp2c19 gene analysis common variants (81225) | $450 | $600 | 1.5× |
| Cyp2c9 gene com variants (81227) | $450 | $600 | 2.6× |
| Cyp3a4 gene common variants (81230) | $450 | $600 | 2.6× |
| Cyp3a5 gene common variants (81231) | $450 | $600 | 2.6× |
| Cystatin C (82610) range across 2 matching MRF lines |
$92.25–$96.75 | $123–$129 | varies |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$164.25–$165.75 | $219–$221 | varies |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$196.50–$240 | $262–$320 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,275 | $1,700 | 1.1× |
| Cytogenomic neo microra alys (81277) | $1,650 | $2,200 | 1.4× |
| Cytomegalovirus igg (86644) | $130.50 | $174 | 9.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $81 | $108 | 4.0× |
| Cytopath Cell Enhance Tech (88112) | $270.75 | $361 | 5.0× |
| Cytp Concentration Smears & Interpretation (88108) | $171.75 | $229 | 4.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $287.25 | $383 | 5.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $96.75 | $129 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $269.25 | $359 | 6.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,463.25 | $1,951 | 8.2× |
| Deoxycortisol (82634) | $179.25 | $239 | 6.1× |
| Deoxyribonuclease antibody (86215) | $146.25 | $195 | 11.0× |
| Desoxycorticosterone (82633) | $226.50 | $302 | 7.3× |
| Detect Agent Nos Dna Amp (87798) range across 34 matching MRF lines |
$48–$307.50 | $64–$410 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$162–$177.75 | $216–$237 | varies |
| Detect agnt mult DNA ampli (87801) range across 8 matching MRF lines |
$246–$566.25 | $328–$755 | varies |
| Dgp Antibody Each Ig Class (86258) | $99 | $132 | 8.2× |
| Dhea (82626) | $212.25 | $283 | 8.4× |
| Dhea-S (82627) | $151.50 | $202 | 6.8× |
| Digoxin (80162) | $89.25 | $119 | 6.7× |
| Digoxin free (80163) | $75.75 | $101 | 5.7× |
| Dihydrotestosterone (82642) | $187.50 | $250 | 6.4× |
| Dipropylacetic Acid Free (80165) | $82.50 | $110 | 6.1× |
| Dmd Duplication/Deletion Analysis (81161) | $525 | $700 | 1.9× |
| Dna Antibody Native/Double Stranded (86225) | $108.75 | $145 | 7.9× |
| Dna/Rna Amplified Probe (87150) range across 9 matching MRF lines |
$143.25–$153.75 | $191–$205 | varies |
| Dna/Rna Sequencing (87153) range across 4 matching MRF lines |
$391.50–$409.50 | $522–$546 | varies |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$450–$750 | $600–$1,000 | varies |
| Drug assay acetaminophen (80143) | $153.75 | $205 | 8.2× |
| Drug assay adalimumab (80145) | $108 | $144 | 2.8× |
| Drug Assay Amiodarone (80151) | $108 | $144 | 5.8× |
| Drug Assay Everolimus (80169) | $168 | $224 | 12.2× |
| Drug assay felbamate (80167) | $100.50 | $134 | 5.4× |
| Drug Assay Infliximab (80230) | $111.75 | $149 | 2.9× |
| Drug Assay Itraconazole (80189) | $102.75 | $137 | 3.8× |
| Drug Assay Lacosamide (80235) | $96 | $128 | 3.5× |
| Drug Assay Leflunomide (80193) | $102 | $136 | 2.6× |
| Drug Assay Posaconazole (80187) | $98.25 | $131 | 3.6× |
| Drug Assay Vedolizumab (80280) | $112.50 | $150 | 2.9× |
| Drug assay voriconazole (80285) | $99.75 | $133 | 3.7× |
| Drug Asy Hydroxychloroquine (80220) | $145.50 | $194 | 7.8× |
| Drug Screen Quant Clozapine (80159) | $101.25 | $135 | 5.0× |
| Drug Screen Quant Zonisamide (80203) | $155.25 | $207 | 11.7× |
| Drug Screen Quantitative Gabapentin (80171) | $108 | $144 | 5.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $104.25 | $139 | 7.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $88.50 | $118 | 6.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $128.25 | $171 | 9.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 14 matching MRF lines |
$87.75–$193.50 | $117–$258 | varies |
| Drug Test Prsmv Instrmnt (80306) | $164.25 | $219 | 9.6× |
| Egfr Gene Analysis Common Variants (81235) range across 3 matching MRF lines |
$675–$900 | $900–$1,200 | varies |
| Ehrlichia antibody (86666) | $100.50 | $134 | 9.9× |
| El-1 Fecal Quantitative (82653) | $117 | $156 | 5.1× |
| Electrolyte panel (80051) | $54.75 | $73 | 7.8× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$757.50–$1,025.25 | $1,010–$1,367 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $207.75 | $277 | 3.4× |
| Encephaltis East Eqne Anbdy (86652) | $122.25 | $163 | 9.3× |
| Encephaltis West Eqne Antbdy (86654) | $99 | $132 | 7.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $121.50 | $162 | 10.0× |
| Enterovirus PCR (87498) | $196.50 | $262 | 5.6× |
| Enzyme cell activity (82657) range across 11 matching MRF lines |
$105–$135.75 | $140–$181 | varies |
| Enzyme histochemistry (88319) | $319.50 | $426 | 0.4× |
| Eosinophil Smear (89190) | $45.75 | $61 | 7.9× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $1,875 | $2,500 | 0.8× |
| Erythropoietin (82668) | $163.50 | $218 | 8.7× |
| Estradiol serum (82670) | $121.50 | $162 | 4.3× |
| Estriol (82677) | $121.50 | $162 | 5.0× |
| Estrogens fractionated (82671) | $219.75 | $293 | 6.8× |
| Ethosuximide (80168) | $144.75 | $193 | 8.9× |
| Exam Synovial Fluid Crystals (89060) | $75.75 | $101 | 10.3× |
| Exome Re-Evaluation (81417) | $1,125 | $1,500 | 3.5× |
| Exome Sequence Analysis (81415) range across 2 matching MRF lines |
$2,250–$4,000.50 | $3,000–$5,334 | varies |
| Exome sequence analysis each comparator exome (81416) range across 3 matching MRF lines |
$930–$1,125 | $1,240–$1,500 | varies |
| F2 Gene (81240) | $300 | $400 | 4.6× |
| F9 full gene sequence (81238) range across 2 matching MRF lines |
$222–$750 | $296–$1,000 | varies |
| Factor ii activity (85210) | $157.50 | $210 | 12.1× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$153–$243.75 | $204–$325 | varies |
| Factor ix activity (85250) | $228.75 | $305 | 12.0× |
| Factor v activity (85220) | $258 | $344 | 14.6× |
| Factor v leiden mutation (81241) | $300 | $400 | 4.1× |
| Factor vii assay (85230) | $217.50 | $290 | 12.2× |
| Factor viii assay (85240) | $186.75 | $249 | 10.4× |
| Factor X (85260) range across 2 matching MRF lines |
$207.75–$211.50 | $277–$282 | varies |
| Factor xi activity (85270) | $222 | $296 | 12.4× |
| Factor xiii screen (85291) | $152.25 | $203 | 16.7× |
| Fat/Lipids Feces Quantitative (82710) | $165 | $220 | 9.8× |
| Fatty acids free (82725) | $72 | $96 | 3.8× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $159 | $212 | 20.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $209.25 | $279 | 12.2× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $161.25 | $215 | 24.7× |
| Ferritin (82728) | $96.75 | $129 | 7.1× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $355.50 | $474 | 2.3× |
| Fetal Fibronectin (82731) | $409.50 | $546 | 6.4× |
| Fetal screen rosette (85461) | $48 | $64 | 5.1× |
| Fibrin Degradation Quant (85379) | $98.25 | $131 | 9.7× |
| Fibrinogen activity (85384) | $75 | $100 | 7.7× |
| Fibrinogen antigen (85385) | $72 | $96 | 5.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $77.25 | $103 | 5.0× |
| Flecainide level (80181) | $99 | $132 | 5.3× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$224.25–$303 | $299–$404 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$201.75–$259.50 | $269–$346 | varies |
| Flt3 gene analysis (81246) range across 2 matching MRF lines |
$102–$178.50 | $136–$238 | varies |
| Fluorescent antibody screen (86255) range across 23 matching MRF lines |
$86.25–$102 | $115–$136 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$82.50–$99.75 | $110–$133 | varies |
| Fluoride serum (82735) | $102 | $136 | 5.5× |
| Fmr1 Gene Charac Alleles (81244) | $312 | $416 | 7.0× |
| Fmr1 gene detection (81243) | $375 | $500 | 6.6× |
| Folic Acid Serum (82746) | $106.50 | $142 | 7.2× |
| Follicle Stimulating Hormone (83001) | $109.50 | $146 | 5.9× |
| Francisella tularensis (86668) | $87.75 | $117 | 6.2× |
| Frozen Section (88331) | $153 | $204 | 0.9× |
| Fungi Identification Mold (87107) | $74.25 | $99 | 7.2× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$60.75–$65.25 | $81–$87 | varies |
| FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) | $375 | $500 | 2.0× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) | $525 | $700 | 3.8× |
| G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) | $375 | $500 | 1.0× |
| G6pd gene analysis full gene sequence (81249) range across 2 matching MRF lines |
$750.75–$756 | $1,001–$1,008 | varies |
| Galactose (82760) | $48.75 | $65 | 4.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $47.25 | $63 | 2.2× |
| Galectin-3 (82777) | $64.50 | $86 | 1.5× |
| Gammaglobulin ige (82785) | $87.75 | $117 | 5.3× |
| Gardner vag DNA dir probe (87510) | $68.25 | $91 | 3.4× |
| Gastrin (82941) | $135 | $180 | 7.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $625.50 | $834 | 1.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 5 matching MRF lines |
$1,582.50–$1,906.50 | $2,110–$2,542 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,350 | $1,800 | 0.5× |
| Genetic Tstg Severe Inh Cond (81443) range across 45 matching MRF lines |
$780–$1,875 | $1,040–$2,500 | varies |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427) | $1,125 | $1,500 | 0.5× |
| Genome Sequence Analysis (81425) range across 2 matching MRF lines |
$3,000–$4,125 | $4,000–$5,500 | varies |
| Genome sequence analysis each comparator genome (81426) range across 2 matching MRF lines |
$1,500–$2,250 | $2,000–$3,000 | varies |
| Gentamicin (80170) range across 2 matching MRF lines |
$82.50–$83.25 | $110–$111 | varies |
| Ggt (82977) | $33 | $44 | 4.6× |
| Giardia antigen (87329) | $62.25 | $83 | 5.2× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $375 | $500 | 6.1× |
| Glucagon (82943) | $162.75 | $217 | 11.4× |
| Glucose 2 hr pp (82950) | $36.75 | $49 | 7.7× |
| Glucose body fluid (82945) | $56.25 | $75 | 14.3× |
| Glucose Serum (82947) | $30 | $40 | 7.6× |
| Glucose tolerance test (gtt) (82951) | $77.25 | $103 | 6.0× |
| Glucosidase beta (82963) | $121.50 | $162 | 5.7× |
| Glutathione (82978) | $78.75 | $105 | 5.1× |
| Glycated Protein (82985) | $66.75 | $89 | 4.0× |
| Growth hormone (83003) | $112.50 | $150 | 6.7× |
| Gtt-added samples (82952) | $39.75 | $53 | 10.1× |
| H Pylori (C-13) Breath (83013) | $228.75 | $305 | 3.4× |
| H pylri clrthmcn rst amp prb (87513) | $151.50 | $202 | 4.3× |
| Haloperidol (80173) | $73.50 | $98 | 4.7× |
| Haptoglobin (83010) | $108 | $144 | 8.6× |
| HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) | $375 | $500 | 1.0× |
| Hba1/hba2 full gene sequence (81259) | $375 | $500 | 0.6× |
| Hba1/Hba2 Gene (81257) | $32.25 | $43 | 0.3× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $525 | $700 | 2.6× |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) | $375 | $500 | 1.0× |
| Hbb duplication/deletion variants (81363) range across 3 matching MRF lines |
$54.75–$525 | $73–$700 | varies |
| Hbb Full Gene Sequence (81364) | $375 | $500 | 1.2× |
| Hbb Gene Com Variants (81361) | $54.75 | $73 | 0.3× |
| Hdl Cholesterol (83718) | $45 | $60 | 5.5× |
| Hearing Loss Dup/Del Analysis (81431) | $552.75 | $737 | 0.8× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $1,322.25 | $1,763 | 0.8× |
| Helicobacter Pylori Stool (87338) | $100.50 | $134 | 7.0× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$150–$153.75 | $200–$205 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$16.50–$25.50 | $22–$34 | varies |
| Hemoglobin (85018) | $24.75 | $33 | 10.4× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$22.50–$57 | $30–$76 | varies |
| Hemoglobin Chromotography (83021) | $163.50 | $218 | 9.1× |
| Hemoglobin electrophoresis (83020) | $89.25 | $119 | 6.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $45.75 | $61 | 5.6× |
| Hemoglobin plasma (83051) | $45 | $60 | 6.2× |
| Hemoglobin stability screen (83068) | $72 | $96 | 7.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $260.25 | $347 | 29.7× |
| Hemosiderin urine (83070) | $70.50 | $94 | 14.8× |
| Hep a ab igm (86709) | $90 | $120 | 8.0× |
| Heparin assay (85520) | $183 | $244 | 14.0× |
| Hepatitis a antibody total (86708) | $87 | $116 | 7.0× |
| Hepatitis b core ab igm (86705) | $105 | $140 | 8.9× |
| Hepatitis b core ab total (86704) | $77.25 | $103 | 6.4× |
| Hepatitis b surface ag quan (87467) | $118.50 | $158 | 4.7× |
| Hepatitis B Surface Antibody (86706) | $78 | $104 | 7.3× |
| Hepatitis B Surface Antigen (87340) | $63 | $84 | 6.1× |
| Hepatitis Be Antibody (86707) | $87 | $116 | 7.5× |
| Hepatitis Be Antigen (87350) | $87 | $116 | 7.5× |
| Hepatitis C Antibody (86803) | $108 | $144 | 7.6× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$933.75–$955.50 | $1,245–$1,274 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $312.75 | $417 | 7.3× |
| Hepatitis Delta Agent Antibody (86692) | $161.25 | $215 | 9.4× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) range across 5 matching MRF lines |
$1,500–$1,875 | $2,000–$2,500 | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) range across 3 matching MRF lines |
$1,500–$1,875 | $2,000–$2,500 | varies |
| Hereditary peripheral neuropathy gen seq pnl (81448) range across 4 matching MRF lines |
$1,500–$1,875 | $2,000–$2,500 | varies |
| Heredtry Nurondcrn Tum Dsrdr (81437) range across 4 matching MRF lines |
$1,500–$1,875 | $2,000–$2,500 | varies |
| Herpes simplex type 2 (86696) | $99.75 | $133 | 5.2× |
| Heterophile Antibody Screen (86308) | $38.25 | $51 | 7.4× |
| Hfe Gene (81256) | $300 | $400 | 4.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $242.25 | $323 | 31.3× |
| Histoplasma antibody (86698) | $84.75 | $113 | 6.1× |
| Histoplasma antigen urine (87385) | $156 | $208 | 11.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $87.75 | $117 | 3.6× |
| Hiv-1 Antibody (86701) | $75 | $100 | 8.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $366 | $488 | 4.3× |
| HIV-2 probe&revrse trnscripj (87538) | $516.75 | $689 | 14.7× |
| Hla class ii high defin qual (86833) | $625.50 | $834 | 1.9× |
| Hla I Typing 1 Allele Hr (81381) range across 3 matching MRF lines |
$225–$450 | $300–$600 | varies |
| Hla ii typing 1 locus lr (81376) range across 4 matching MRF lines |
$315.75–$335.25 | $421–$447 | varies |
| Hla-b27 (86812) | $144.75 | $193 | 5.6× |
| Homocysteine (83090) range across 2 matching MRF lines |
$114.75–$117 | $153–$156 | varies |
| Homogenization Tissue (87176) | $51.75 | $69 | 8.8× |
| Homovanillic acid urine (83150) | $87.75 | $117 | 3.9× |
| Hpv High-Risk Types (87624) | $132.75 | $177 | 3.8× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$136.50–$137.25 | $182–$183 | varies |
| Hpv Types 16 & 18 Only (87625) | $173.25 | $231 | 4.3× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$185.25–$370.50 | $247–$494 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $300 | $400 | 2.2× |
| Human Epididymis Protein 4 (86305) | $306 | $408 | 14.7× |
| Hydroxyprogesterone 17-d (83498) | $165.75 | $221 | 6.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $84.75 | $113 | 8.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $57 | $76 | 1.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $153.75 | $205 | 4.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $195 | $260 | 5.6× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 3 matching MRF lines |
$59.25–$112.50 | $79–$150 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$165–$189.75 | $220–$253 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $393 | $524 | 9.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $119.25 | $159 | 1.7× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $153.75 | $205 | 4.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $411 | $548 | 9.6× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $210 | $280 | 6.0× |
| Iadna Herpes Virus-6 Quantification (87533) | $219 | $292 | 5.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $393 | $524 | 11.2× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $351.75 | $469 | 4.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $304.50 | $406 | 7.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $135 | $180 | 3.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$159.75–$171.75 | $213–$229 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $81.75 | $109 | 1.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$311.25–$312 | $415–$416 | varies |
| Ibmfs sequence analysis panel at least 30 genes (81441) | $1,875 | $2,500 | 0.8× |
| Idh1 common variants (81120) | $181.50 | $242 | 0.9× |
| Idh2 common variants (81121) | $454.50 | $606 | 1.5× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $450 | $600 | 6.1× |
| Ig Light Chains Free Each (83521) range across 3 matching MRF lines |
$114–$116.25 | $152–$155 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$97.50–$121.50 | $130–$162 | varies |
| Igh gene rearrange amp meth (81261) | $419.25 | $559 | 2.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $576 | $768 | 2.0× |
| Igk rearrangeabn clonal pop (81264) | $298.50 | $398 | 1.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $423.75 | $565 | 1.1× |
| Immunfix e-phorsis/urine/csf (86335) | $222.75 | $297 | 7.6× |
| Immunoassay analyte qual/semiqual single step (83518) | $44.25 | $59 | 4.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $155.25 | $207 | 8.4× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$87–$90.75 | $116–$121 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$96.75–$111.75 | $129–$149 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$165.75–$168 | $221–$224 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $226.50 | $302 | 1.3× |
| Immunohistochemistry (88342) | $228.75 | $305 | 1.3× |
| In situ hybridization 1st probe stain (88365) | $316.50 | $422 | 1.8× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $140.25 | $187 | 4.0× |
| Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2… (87913) | $578.25 | $771 | 2.2× |
| Influenza DNA amp probe (87502) | $227.25 | $303 | 2.4× |
| Inherited Cardmypthy 5 Gns (81439) range across 8 matching MRF lines |
$1,425–$1,875 | $1,900–$2,500 | varies |
| Inhibin A (86336) | $148.50 | $198 | 9.5× |
| Inhibin b (83520) range across 23 matching MRF lines |
$24–$121.50 | $32–$162 | varies |
| Insulin antibodies (86337) | $246.75 | $329 | 11.5× |
| Insulin free (83527) | $127.50 | $170 | 9.8× |
| Insulin total (83525) | $93 | $124 | 8.1× |
| Interleukin-6 (83529) range across 2 matching MRF lines |
$26.25–$115.50 | $35–$154 | varies |
| Intrinsic factor antibody (86340) | $155.25 | $207 | 10.3× |
| Iron (83540) | $33.75 | $45 | 5.2× |
| Iron Binding Capacity (83550) | $53.25 | $71 | 6.1× |
| Islet cell antibody (86341) | $132 | $176 | 5.6× |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$286.50–$446.25 | $382–$595 | varies |
| Jt spc pthgn&rx rsist gen26+ (87627) | $664.50 | $886 | 1.0× |
| Kit Gene Analysis D816 Variant(S) (81273) range across 2 matching MRF lines |
$363–$534 | $484–$712 | varies |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $716.25 | $955 | 2.2× |
| Koh Prep (87220) | $34.50 | $46 | 8.1× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 3 matching MRF lines |
$307.50–$337.50 | $410–$450 | varies |
| Kras Gene Variants Exon 2 (81275) range across 4 matching MRF lines |
$337.50–$531 | $450–$708 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $40.50 | $54 | 6.7× |
| Lactoferrin Fecal Quantitative (83631) | $115.50 | $154 | 5.9× |
| Lead (83655) | $76.50 | $102 | 6.3× |
| Legionella antibody (86713) | $110.25 | $147 | 7.2× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$91.50–$109.50 | $122–$146 | varies |
| Leptospira antibody (86720) | $157.50 | $210 | 9.7× |
| Leukocyte Assessment Fecal (89055) | $48.75 | $65 | 11.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $71.25 | $95 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $148.50 | $198 | 3.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $509.25 | $679 | 1.4× |
| Lidocaine (80176) | $44.25 | $59 | 3.0× |
| Lipase (83690) | $56.25 | $75 | 8.2× |
| Lipoprotein A (83695) | $72.75 | $97 | 5.1× |
| Lipoprotein Bld Quan Part (83704) | $125.25 | $167 | 3.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $96.75 | $129 | 8.6× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $229.50 | $306 | 6.8× |
| Lithium (80178) | $48 | $64 | 7.3× |
| Luteinizing Hormone (Lh) (83002) | $108.75 | $145 | 5.9× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$123–$123.75 | $164–$165 | varies |
| Lymphocyte transformation (86353) range across 5 matching MRF lines |
$276.75–$355.50 | $369–$474 | varies |
| Lysozyme serum (85549) | $127.50 | $170 | 6.8× |
| M. Genitalium Amp Probe (87563) | $140.25 | $187 | 4.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 7 matching MRF lines |
$950.25–$1,096.50 | $1,267–$1,462 | varies |
| Macroscopic exam arthropod (87168) | $53.25 | $71 | 12.5× |
| Macroscopic Exam Parasite (87169) | $36.75 | $49 | 8.5× |
| Magnesium Urine (83735) | $44.25 | $59 | 6.6× |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$104.25–$106.50 | $139–$142 | varies |
| Mecp2 gene full seq (81302) | $750 | $1,000 | 1.4× |
| Mercury urine (83825) | $145.50 | $194 | 8.9× |
| Metabolic panel ionized ca (80047) | $72.75 | $97 | 5.3× |
| Methotrexate (80204) | $109.50 | $146 | 2.8× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$106.50–$108.75 | $142–$145 | varies |
| Mgmt methylation analysis (81287) | $375 | $500 | 3.0× |
| Microalbumin, quantitative (82043) | $63.75 | $85 | 11.0× |
| Microbe Suscept Macrobroth (87188) | $63.75 | $85 | 9.6× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) | $24 | $32 | 1.1× |
| Microsatellite instability (81301) | $900 | $1,200 | 2.6× |
| Microsomal Antibodies Each (86376) | $102 | $136 | 7.0× |
| Mitochondrial Antibody Each (86381) | $116.25 | $155 | 4.6× |
| Mlh1 Gene (81288) | $375 | $500 | 1.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 3 matching MRF lines |
$31.50–$74.25 | $42–$99 | varies |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $375 | $500 | 1.1× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $100.50 | $134 | 2.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
$114–$121.50 | $152–$162 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$172.50–$180 | $230–$240 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$267–$525 | $356–$700 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 36 matching MRF lines |
$16.50–$1,125 | $22–$1,500 | varies |
| Mononuclear cell antigen (86356) range across 6 matching MRF lines |
$153–$162 | $204–$216 | varies |
| Mopath procedure level 2 (81401) range across 8 matching MRF lines |
$9.75–$600 | $13–$800 | varies |
| Mopath procedure level 4 (81403) range across 30 matching MRF lines |
$17.25–$629.25 | $11–$839 | varies |
| Mopath procedure level 5 (81404) range across 26 matching MRF lines |
$15.75–$1,100.25 | $21–$1,467 | varies |
| Mopath procedure level 7 (81406) range across 43 matching MRF lines |
$15.75–$1,200 | $21–$1,600 | varies |
| Mopath procedure level 8 (81407) range across 23 matching MRF lines |
$47.25–$1,341.75 | $53–$1,789 | varies |
| Mopath procedure level 9 (81408) range across 20 matching MRF lines |
$113.25–$1,425 | $151–$1,900 | varies |
| Morphometric analysis nerve (88356) | $291.75 | $389 | 5.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $374.25 | $499 | 2.0× |
| Mrsa Pcr (87641) | $83.25 | $111 | 2.4× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$18–$41.25 | $24–$55 | varies |
| Msh2 Gene Analysis Known Familial Variants (81296) | $375 | $500 | 1.1× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$30–$189 | $40–$252 | varies |
| Msh6 Gene Known Variants (81299) | $375 | $500 | 1.2× |
| Mucopolysaccharides acid quantitative (83864) | $190.50 | $254 | 6.7× |
| Mumps antibody (86735) | $103.50 | $138 | 7.9× |
| Muscle-Specific Kinase Antb (86366) | $168.75 | $225 | 9.2× |
| Mycobacteric Identification (87118) | $59.25 | $79 | 4.1× |
| Mycophenolic Acid (80180) | $159.75 | $213 | 8.9× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$84–$86.25 | $112–$115 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) range across 2 matching MRF lines |
$311.25–$330 | $415–$440 | varies |
| Myoglobin urine (83874) | $105 | $140 | 8.1× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$148.50–$150 | $198–$200 | varies |
| Neurofilament light chain (83884) | $447.75 | $597 | 3.9× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $207 | $276 | 1.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $309 | $412 | 4.3× |
| Niacin (84591) range across 2 matching MRF lines |
$84–$84.75 | $112–$113 | varies |
| Nickel level (83885) | $107.25 | $143 | 4.4× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$201–$201.75 | $268–$269 | varies |
| Noonan Spectrum Disorders (81442) | $1,500 | $2,000 | 0.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $442.50 | $590 | 1.8× |
| Ntrk translocation analysis (81194) | $1,500 | $2,000 | 2.9× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$61.50–$75 | $82–$100 | varies |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) range across 2 matching MRF lines |
$1,875–$2,247 | $2,500–$2,996 | varies |
| Obstetric panel (80081) | $342.75 | $457 | 4.6× |
| Occult blood feces (82272) | $25.50 | $34 | 6.0× |
| Occult Blood Other Sources (82271) | $21 | $28 | 3.9× |
| Oligoclonal bands (83916) | $147.75 | $197 | 5.4× |
| Oncoprotein dcp (83951) | $444 | $592 | 6.9× |
| Organic Acids Qualitative Each Specimen (83919) | $192 | $256 | 11.7× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$191.25–$194.25 | $255–$259 | varies |
| Osmolality serum (83930) | $53.25 | $71 | 8.1× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$60.75–$69.75 | $81–$93 | varies |
| Osmotic fragility rbc incubated (85557) | $105.75 | $141 | 7.9× |
| Osteocalcin (83937) | $212.25 | $283 | 7.1× |
| Ova and parasites smears (87177) | $64.50 | $86 | 7.2× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$85.50–$87 | $114–$116 | varies |
| Palb2 gene analysis known familial variant (81308) | $375 | $500 | 1.2× |
| Palb2 gene full gene seq (81307) range across 3 matching MRF lines |
$135–$201 | $180–$268 | varies |
| Parvovirus antibody (86747) | $104.25 | $139 | 6.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $126.75 | $169 | 0.2× |
| Pathology Consultation During Surgery (88329) | $156.75 | $209 | 2.5× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $429 | $572 | 1.3× |
| Ph urine (81003) range across 3 matching MRF lines |
$17.25–$25.50 | $23–$34 | varies |
| Phenobarbital Level (80184) | $84.75 | $113 | 5.5× |
| Phenylalanine (84030) | $45 | $60 | 8.2× |
| Phenytoin (Dilantin) (80185) | $91.50 | $122 | 6.9× |
| Phenytoin free (80186) | $106.50 | $142 | 7.7× |
| Phosphatase acid prostatic (84066) | $93 | $124 | 9.6× |
| Phosphatase alkaline (84075) | $30 | $40 | 5.8× |
| Phospholipid Neutralization Hexagonal (85598) | $155.25 | $207 | 8.6× |
| Phosphorus Serum (84100) | $27 | $36 | 5.7× |
| Phosphorus urine (84105) | $39 | $52 | 6.7× |
| Pik3ca gene analysis targeted sequence analysis (81309) | $900 | $1,200 | 3.3× |
| Pinworm exam (87172) | $45 | $60 | 10.5× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$234–$236.25 | $312–$315 | varies |
| Platelet count automated (85049) | $30.75 | $41 | 6.9× |
| Platelet neutralization (85597) | $135.75 | $181 | 7.6× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $481.50 | $642 | 2.3× |
| PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) | $375 | $500 | 8.0× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $375 | $500 | 0.5× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $22.50 | $30 | 0.1× |
| Pms2 gene analysis known familial variants (81318) | $375 | $500 | 1.1× |
| Pms2 gene full seq analysis (81317) range across 3 matching MRF lines |
$31.50–$75.75 | $42–$101 | varies |
| Pneumcysts jirovecii amp prb (87594) | $151.50 | $202 | 4.3× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$74.25–$94.50 | $99–$126 | varies |
| Porphyrins Feces Quantitative (84126) | $166.50 | $222 | 4.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$129–$165.75 | $172–$221 | varies |
| Potassium Urine (84133) | $33.75 | $45 | 7.1× |
| Prealbumin (84134) | $105 | $140 | 7.2× |
| Pregnancy-Associated Plasma Protein-A (84163) | $81.75 | $109 | 5.4× |
| Pregnenolone (84140) | $169.50 | $226 | 8.2× |
| Primidone (80188) | $117 | $156 | 7.1× |
| Procalcitonin (Pct) (84145) | $135 | $180 | 5.0× |
| Progesterone (84144) | $124.50 | $166 | 6.0× |
| Prolactin (84146) | $149.25 | $199 | 7.7× |
| Prostaglandin (84150) | $262.50 | $350 | 6.3× |
| Protein body fluid (84157) | $45.75 | $61 | 11.4× |
| Protein C Activity (85303) | $172.50 | $230 | 12.5× |
| Protein c antigen (85302) | $237.75 | $317 | 19.8× |
| Protein Electrophoresis Urine (84166) | $132 | $176 | 7.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $212.25 | $283 | 19.8× |
| Protein S Free (85306) | $168 | $224 | 11.0× |
| Protein s total (85305) | $204.75 | $273 | 17.6× |
| Protein total serum (84155) | $29.25 | $39 | 8.0× |
| Protein Total Urine (84156) | $39 | $52 | 10.6× |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$302.25–$305.25 | $403–$407 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $43.50 | $58 | 11.0× |
| PSA free (84154) | $111 | $148 | 6.0× |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 5 matching MRF lines |
$65.25–$750 | $87–$1,000 | varies |
| Pten gene analysis known familial variant (81322) | $375 | $500 | 8.0× |
| Pth Intact (83970) range across 2 matching MRF lines |
$246.75–$272.25 | $329–$363 | varies |
| Pyruvate kinase (84220) | $166.50 | $222 | 17.6× |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$48–$66.75 | $64–$89 | varies |
| Quantiferon tb gold plus (86480) | $148.50 | $198 | 2.4× |
| Quantitative assay drug (80299) range across 19 matching MRF lines |
$111–$149.25 | $148–$199 | varies |
| Quantitative Screen Metals (83018) range across 6 matching MRF lines |
$111.75–$155.25 | $149–$207 | varies |
| Quinidine (80194) | $129.75 | $173 | 8.9× |
| Rbc antibody elution (86860) | $129 | $172 | 0.7× |
| Rbc antibody identification (86870) | $106.50 | $142 | 0.3× |
| Rbc antibody screen (86850) | $64.50 | $86 | 6.6× |
| Rbc pretreatment serum (86978) | $105 | $140 | 1.7× |
| Rbc pretx incubatj w/enzymes (86971) | $76.50 | $102 | 0.4× |
| Reagent Strip/Blood Glucose (82948) | $30 | $40 | 6.0× |
| Renin activity plasma (84244) | $151.50 | $202 | 6.9× |
| Reptilase test (85635) | $102 | $136 | 10.4× |
| Resp virus 12-25 targets (87633) | $625.50 | $834 | 1.5× |
| Reticulocyte Count (85046) | $30.75 | $41 | 5.5× |
| Rh (86901) | $32.25 | $43 | 10.8× |
| Rheumatoid factor quant (86431) | $54 | $72 | 9.5× |
| Rickettsia antibody (86757) | $103.50 | $138 | 5.3× |
| Ristocetin cofactor (85245) | $207 | $276 | 9.0× |
| Rotavirus ag eia (87425) | $111 | $148 | 9.3× |
| Rpr qualitative (86592) | $42 | $56 | 9.8× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$61.50–$63 | $82–$84 | varies |
| Rubeola antibody (86765) | $101.25 | $135 | 7.9× |
| Rufinamide (80210) | $99 | $132 | 3.7× |
| Russell Viper Venom Time Diluted (85613) | $86.25 | $115 | 9.0× |
| Rx metab gen seq alys pnl 6 (81418) | $1,125 | $1,500 | 1.2× |
| Salicylate Level (80179) | $131.25 | $175 | 7.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $81.75 | $109 | 1.6× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$69–$69.75 | $92–$93 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $235.50 | $314 | 1.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $296.25 | $395 | 2.1× |
| Sedimentation Rate, Automated (85652) | $35.25 | $47 | 13.1× |
| Selenium (84255) | $147 | $196 | 5.8× |
| Semen Anal Sperm Detection (89321) | $87 | $116 | 7.2× |
| Semen analysis complete (89322) | $217.50 | $290 | 14.0× |
| Semen analysis motility and count (89310) | $91.50 | $122 | 10.6× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$57.75–$62.25 | $77–$83 | varies |
| Sex Hormone Binding Globulin (84270) | $153 | $204 | 7.0× |
| Sickling of rbc reduction (85660) | $52.50 | $70 | 9.5× |
| Sirolimus (80195) | $177.75 | $237 | 12.9× |
| Skin test tuberculosis intradermal (86580) | $32.25 | $43 | 1.1× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $450 | $600 | 2.6× |
| Smear acid fast (87206) | $43.50 | $58 | 8.1× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$78–$78.75 | $104–$105 | varies |
| Smear gram stain (87205) | $31.50 | $42 | 7.4× |
| Smear Special Stain (87207) | $70.50 | $94 | 11.8× |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $750 | $1,000 | 2.5× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 4 matching MRF lines |
$104.25–$300 | $139–$400 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $28.50 | $38 | 4.9× |
| Snrpn/Ube3a Methylation Analysis (81331) | $375 | $500 | 7.3× |
| So neo gsap cll fr DNA alys cpy nmbr&mcrstl ins (81463) | $2,700 | $3,600 | 2.0× |
| So neo gsap DNA mcrstl ins (81457) range across 13 matching MRF lines |
$634.50–$2,100 | $846–$2,800 | varies |
| So neo gsap DNA/DNA&RNA (81459) | $2,700 | $3,600 | 0.9× |
| Sodium Serum (84295) | $32.25 | $43 | 6.7× |
| Sodium Urine (84300) | $35.25 | $47 | 7.0× |
| Soluble fibrin monomer (85366) | $111 | $148 | 1.4× |
| Soluble Transferrin Receptor (84238) | $261.75 | $349 | 7.2× |
| Somatomedin (84305) | $234 | $312 | 11.0× |
| Special Stains Group 1 (88312) | $240.75 | $321 | 4.4× |
| Special Stains Group 2 (88313) | $198.75 | $265 | 1.4× |
| Specimen infect agnt concntj (87015) | $48 | $64 | 7.2× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$46.50–$47.25 | $62–$63 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $130.50 | $174 | 0.7× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$51–$51.75 | $68–$69 | varies |
| Strep a DNA amp probe (87651) | $121.50 | $162 | 3.5× |
| Strep b DNA amp probe (87653) | $117 | $156 | 3.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $425.25 | $567 | 4.6× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $67.50 | $90 | 5.9× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 2 matching MRF lines |
$102.75–$105 | $137–$140 | varies |
| Sugars Single Qual (84376) | $74.25 | $99 | 13.5× |
| Sulfate urine (84392) | $34.50 | $46 | 6.3× |
| Surg path level iii (88304) | $174.75 | $233 | 3.2× |
| Surgical pathology level IV (88305) | $142.50 | $190 | 2.6× |
| Surgical pathology level vi (88309) | $783.75 | $1,045 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$34.50–$40.50 | $46–$54 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $49.50 | $66 | 6.6× |
| Syphilis Test Non-Trep Quant (86593) | $36.75 | $49 | 8.4× |
| T cells absolute cd4 count (86361) | $235.50 | $314 | 8.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $219.75 | $293 | 4.7× |
| T cells total count (86359) range across 2 matching MRF lines |
$165–$168 | $220–$224 | varies |
| T3 Free (84481) | $130.50 | $174 | 7.7× |
| T3 reverse (84482) | $144.75 | $193 | 9.2× |
| T3 Total (84480) | $99.75 | $133 | 7.0× |
| T3 Uptake (84479) | $45.75 | $61 | 7.1× |
| T4 Free (84439) | $75 | $100 | 8.3× |
| T4 total (84436) | $55.50 | $74 | 8.1× |
| Tacrolimus (80197) | $143.25 | $191 | 10.4× |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$105.75–$109.50 | $141–$146 | varies |
| Tert gene targeted seq alys (81345) | $675 | $900 | 3.6× |
| Testosterone Bioavailable (84410) | $213.75 | $285 | 4.2× |
| Testosterone total (84403) range across 2 matching MRF lines |
$132–$134.25 | $176–$179 | varies |
| Testosterone, Free (84402) | $140.25 | $187 | 5.5× |
| Tgsap so/hl 51/< RNA alys (81456) range across 6 matching MRF lines |
$1,350–$2,065.50 | $1,800–$2,754 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 4 matching MRF lines |
$1,116.75–$2,097 | $1,489–$2,796 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $900 | $1,200 | 1.5× |
| Theophylline (80198) | $120.75 | $161 | 8.5× |
| Thiopurine methyltransferase (84433) | $144 | $192 | 6.5× |
| Thrombin Time (85670) | $57 | $76 | 9.9× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $66 | $88 | 10.2× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$120.75–$123.75 | $161–$165 | varies |
| Thyroglobulin Antibody (86800) | $96 | $128 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $356.25 | $475 | 7.0× |
| Thyroxine binding globulin (84442) | $126.75 | $169 | 8.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $108 | $144 | 9.4× |
| Tissue Culture (88233) | $492.75 | $657 | 3.5× |
| Tissue Culture Amniotic Fluid (88235) | $519.75 | $693 | 3.5× |
| Tissue culture bone marrow (88237) | $766.50 | $1,022 | 5.3× |
| Tissue Culture Lymphocyte (88230) | $606.75 | $809 | 5.2× |
| Tobramycin peak (80200) | $121.50 | $162 | 7.5× |
| Topiramate (80201) | $141 | $188 | 11.8× |
| Total Tau (84394) | $109.50 | $146 | 0.8× |
| Toxoplasma ab igm (86778) | $132.75 | $177 | 9.2× |
| Toxoplasma antibody (86777) | $129 | $172 | 9.0× |
| Tp53 gene analysis full gene sequence (81351) range across 6 matching MRF lines |
$69.75–$1,037.25 | $93–$1,383 | varies |
| Tp53 gene analysis targeted sequence analysis (81352) | $487.50 | $650 | 1.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $34.50 | $46 | 6.7× |
| Transferrin (84466) | $87 | $116 | 6.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $428.25 | $571 | 2.0× |
| Trg gene rearrangement anal (81342) | $412.50 | $550 | 2.0× |
| Trichinella Antibody (86784) | $124.50 | $166 | 9.9× |
| Trichomonas vagin dir probe (87660) | $72 | $96 | 3.6× |
| Trichomonas Vaginalis Amplif (87661) | $134.25 | $179 | 3.8× |
| Triglycerides (84478) | $32.25 | $43 | 5.6× |
| Troponin Quant (84484) | $83.25 | $111 | 6.7× |
| Tumor immunohistochem/comput (88361) | $603.75 | $805 | 1.6× |
| Tumor Immunohistochem/Manual (88360) | $345 | $460 | 1.9× |
| Ugt1a1 gene analysis common variants (81350) range across 2 matching MRF lines |
$450–$750 | $600–$1,000 | varies |
| Urea nitrogen urine (84540) | $32.25 | $43 | 5.8× |
| Uric acid other source (84560) | $33.75 | $45 | 6.6× |
| Urinalysis Microscopic Only (81015) | $23.25 | $31 | 7.6× |
| Urinalysis Volume Measure (81050) | $23.25 | $31 | 6.4× |
| Urine Pregnancy Test (81025) | $38.25 | $51 | 4.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $33 | $44 | 10.4× |
| Valproic acid (80164) | $84 | $112 | 6.2× |
| Vancomycin (80202) | $133.50 | $178 | 9.9× |
| Varicella-zoster antibody (86787) | $89.25 | $119 | 6.9× |
| Vasopressin (84588) | $373.50 | $498 | 11.0× |
| Very Long Chain Fatty Acids (82726) | $91.50 | $122 | 4.6× |
| Virus antibody nos (86790) range across 8 matching MRF lines |
$102–$132 | $136–$176 | varies |
| Virus inoculate tissue addl (87253) | $120.75 | $161 | 6.0× |
| Virus inoculation, shell via (87254) | $131.25 | $175 | 6.7× |
| Viscosity serum (85810) | $89.25 | $119 | 7.6× |
| Vit D 1 25-Dihydroxy (82652) | $203.25 | $271 | 5.3× |
| Vitamin A (84590) range across 2 matching MRF lines |
$111–$114.75 | $148–$153 | varies |
| Vitamin b-12 (82607) | $113.25 | $151 | 7.5× |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$153–$155.25 | $204–$207 | varies |
| Vitamin B6 (84207) | $209.25 | $279 | 7.4× |
| Vitamin c (82180) | $101.25 | $135 | 10.2× |
| Vitamin D 25-Hydroxy (82306) | $180.75 | $241 | 6.1× |
| Vitamin E (84446) range across 2 matching MRF lines |
$98.25–$100.50 | $131–$134 | varies |
| Vitamin K (84597) | $110.25 | $147 | 8.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $141.75 | $189 | 11.8× |
| Von willebrand factor ag (85246) | $225 | $300 | 9.8× |
| West nile virus ab igm (86788) | $104.25 | $139 | 6.2× |
| West Nile Virus Antibody (86789) | $104.25 | $139 | 7.2× |
| Whole Mitochondrial Genome (81460) range across 3 matching MRF lines |
$701.25–$1,280.25 | $935–$1,707 | varies |
| Whole mitochondrial genome analysis panel (81465) range across 3 matching MRF lines |
$393.75–$633 | $525–$844 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $361.50 | $482 | 7.0× |
| Zika Virus Igm Antibody (86794) | $125.25 | $167 | 7.4× |
| Zinc (84630) | $100.50 | $134 | 8.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.