| 1 25 Dihydroxy includes fractions if performed (82652) |
$48 |
$48 |
1.2× |
| Acute hepatitis panel (80074) |
$60 |
$60 |
1.3× |
| Afb culture (87116) |
$14 |
$14 |
1.3× |
| Albumin Fluid (82042) |
$10 |
$10 |
1.3× |
| Albumin serum (82040) |
$6 |
$6 |
1.2× |
| Aldolase (82085) |
$12 |
$12 |
1.2× |
| Alkaline phosphatase isoenzymes (84080) |
$18 |
$18 |
1.2× |
| Allergen specific ige (86003) |
$7 |
$7 |
1.3× |
| Allg Spec Ige Recomb Ea (86008) |
$22 |
$22 |
1.2× |
| Alpha-1-antitrypsin, total (82103) |
$17 |
$17 |
1.3× |
| Alpha-Fetoprotein L3 (82107) |
$81 |
$81 |
1.3× |
| Alpha-fetoprotein, serum (82105) |
$21 |
$21 |
1.3× |
| Alt (sgpt) (84460) |
$7 |
$7 |
1.3× |
| Ammonia (82140) |
$18 |
$18 |
1.2× |
| Amylase urine (82150) |
$8 |
$8 |
1.2× |
| Ana Titer (86039) |
$14 |
$14 |
1.3× |
| Analysis skeletal muscle (88355) |
$666 |
$666 |
4.1× |
| Angiotensin i enzyme test (82164) |
$18 |
$18 |
1.2× |
| Antibody aspergillus (86606) |
$19 |
$19 |
1.3× |
| Antibody cytomegalovirus cmv (86644) |
$18 |
$18 |
1.3× |
| Antibody cytomegalovirus cmv igm (86645) |
$92 |
$92 |
5.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$16 |
$16 |
1.2× |
| Antibody helicobacter pylori (86677) |
$21 |
$21 |
1.2× |
| Antibody identification (86870) |
$450 |
$450 |
1.3× |
| Antibody identification leukocyte antibodies (86021) |
$19 |
$19 |
1.3× |
| Antibody mumps (86735) |
$16 |
$16 |
1.2× |
| Antibody rubeola (86765) |
$16 |
$16 |
1.2× |
| Antibody screen (86850) |
$12 |
$12 |
1.2× |
| Antibody; Coccidioides (86635) |
$14 |
$14 |
1.2× |
| Antinuclear antibodies (86038) |
$15 |
$15 |
1.2× |
| Antistreptolysin o titer (86060) |
$9 |
$9 |
1.2× |
| Antithrombin iii activity (85300) |
$15 |
$15 |
1.3× |
| Apolipoprotein b (82172) |
$26 |
$26 |
1.2× |
| Assay Lipoprotein Pla2 (83698) |
$58 |
$58 |
1.3× |
| Assay of acth (82024) |
$48 |
$48 |
1.2× |
| Assay of androstenedione (82157) |
$37 |
$37 |
1.3× |
| Assay of blood chloride (82435) |
$6 |
$6 |
1.3× |
| Assay of c-peptide (84681) |
$26 |
$26 |
1.2× |
| Assay of calcitonin (82308) |
$33 |
$33 |
1.2× |
| Assay of ceruloplasmin (82390) |
$13 |
$13 |
1.2× |
| Assay of erythropoietin (82668) |
$23 |
$23 |
1.2× |
| Assay of ferritin (82728) |
$17 |
$17 |
1.2× |
| Assay of g6pd enzyme (82955) |
$12 |
$12 |
1.2× |
| Assay of gammaglobulin igm (82784) |
$12 |
$12 |
1.3× |
| Assay of gentamicin (80170) |
$20 |
$20 |
1.2× |
| Assay of homocystine (83090) |
$22 |
$22 |
1.2× |
| Assay of lipoprotein(a) (83695) |
$18 |
$18 |
1.3× |
| Assay of metanephrines (83835) |
$56.50 |
$56.50 |
3.3× |
| Assay of osteocalcin (83937) |
$37 |
$37 |
1.2× |
| Assay of parathormone (83970) |
$52 |
$52 |
1.3× |
| Assay of phenobarbital (80184) |
$19 |
$19 |
1.2× |
| Assay of prealbumin (84134) |
$18 |
$18 |
1.2× |
| Assay of proinsulin (84206) |
$33 |
$33 |
1.2× |
| Assay of tacrolimus (80197) |
$17 |
$17 |
1.2× |
| Assay of transcortin (84449) |
$23 |
$23 |
1.3× |
| Assay of vitamin k (84597) |
$17 |
$17 |
1.2× |
| Ast (sgot) (84450) |
$6 |
$6 |
1.2× |
| Autologous Blood Process (86890) |
$214 |
$214 |
1.3× |
| Automated rbc count (85041) |
$16 |
$16 |
5.3× |
| Bartonella antibody (86611) |
$50 |
$50 |
4.9× |
| Bartonella DNA amp probe (87471) |
$44 |
$44 |
1.3× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
$32 |
$32 |
1.3× |
| Beta hydroxybutyrate (82010) |
$10 |
$10 |
1.2× |
| Bilirubin direct (82248) |
$6 |
$6 |
1.2× |
| Bilirubin total (82247) |
$6 |
$6 |
1.2× |
| Blastomyces antibody (86612) |
$16 |
$16 |
1.2× |
| Bleeding time (85002) |
$6 |
$6 |
1.2× |
| Blood count reticulocyte automated (85045) |
$5 |
$5 |
1.3× |
| Blood gases (82803) |
$33 |
$33 |
1.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$8 |
$8 |
1.3× |
| Blood typing abo (86900) |
$4 |
$4 |
1.3× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) |
$56 |
$56 |
3.4× |
| Blood typing serologic rh (d) (86901) |
$4 |
$4 |
1.3× |
| Body fluid cell count (89051) |
$7 |
$7 |
1.3× |
| Body fluid cell count (89050) |
$20 |
$20 |
4.2× |
| Bone Marrow Smear Interpretation (85097) |
$1,021 |
$1,021 |
1.3× |
| Breath Alcohol Test (82075) |
$38 |
$38 |
1.3× |
| Brucella antibody (86622) |
$11 |
$11 |
1.2× |
| C-reactive protein (86140) |
$6 |
$6 |
1.2× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$16 |
$16 |
1.2× |
| Ca 125 (86304) |
$26 |
$26 |
1.2× |
| Ca 19-9 (86301) |
$26 |
$26 |
1.2× |
| Ca 27 29 (86300) |
$26 |
$26 |
1.2× |
| Calcium ionized (82330) |
$17 |
$17 |
1.2× |
| Calcium total (82310) |
$6 |
$6 |
1.2× |
| Calcium urine (82340) |
$8 |
$8 |
1.3× |
| Calculus Spectroscopy (82365) |
$16 |
$16 |
1.2× |
| Calprotectin, fecal (83993) |
$25 |
$25 |
1.3× |
| Candida DNA dir probe (87480) |
$25 |
$25 |
1.2× |
| Carbamazepine (tegretol) total (80156) |
$18 |
$18 |
1.2× |
| Carbon dioxide (82374) |
$6 |
$6 |
1.2× |
| Carboxyhemoglobin Quantitative (82375) |
$15 |
$15 |
1.2× |
| Carcinoembryonic antigen (82378) |
$24 |
$24 |
1.3× |
| Cardiolipin ab igg (86147) |
$32 |
$32 |
1.3× |
| Catecholamines fraction plasma (82384) |
$32 |
$32 |
1.3× |
| Cd4 absolute count (86361) |
$33 |
$33 |
1.2× |
| Cell marker study (88182) |
$67 |
$67 |
1.3× |
| Chemiluminescent assay (82397) |
$18 |
$18 |
1.3× |
| Cholesterol total (82465) |
$5 |
$5 |
1.1× |
| Cholinesterase serum (82480) |
$10 |
$10 |
1.3× |
| Chromium urine (82495) |
$25 |
$25 |
1.2× |
| Ck isoenzymes (82552) |
$17 |
$17 |
1.3× |
| Ckmb (82553) |
$14 |
$14 |
1.2× |
| Clot factor viii vw antigen (85246) |
$29 |
$29 |
1.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$30 |
$30 |
1.2× |
| Cold agglutinin titer (86157) |
$10 |
$10 |
1.2× |
| Collagen cross links (82523) |
$23 |
$23 |
1.2× |
| Compatibility test antiglob (86922) |
$214 |
$214 |
1.3× |
| Complement c3 (86160) |
$40.50 |
$40.50 |
3.4× |
| Complement total ch50 (86162) |
$25 |
$25 |
1.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$66 |
$66 |
5.5× |
| Concentration Infectious Agent (87015) |
$8 |
$8 |
1.2× |
| Coombs direct (86880) |
$7 |
$7 |
1.3× |
| Copper urine (82525) |
$16 |
$16 |
1.3× |
| Cortisol free (82530) |
$21 |
$21 |
1.3× |
| Cortisol total (82533) |
$20 |
$20 |
1.2× |
| Creatine kinase total (82550) |
$8 |
$8 |
1.2× |
| Creatinine blood (82565) |
$6 |
$6 |
1.2× |
| Creatinine clearance (82575) |
$12 |
$12 |
1.3× |
| Creatinine other source (82570) |
$6 |
$6 |
1.2× |
| Crossmatch immediate spin (86920) |
$214 |
$214 |
1.3× |
| Cryoglobulin (82595) |
$8 |
$8 |
1.2× |
| Culture anaerobic (87075) |
$12 |
$12 |
1.3× |
| Culture blood (87040) |
$13 |
$13 |
1.3× |
| Culture chlamydia (87110) |
$107 |
$107 |
5.5× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$10 |
$10 |
1.3× |
| Culture fungus other (87102) |
$11 |
$11 |
1.3× |
| Culture genital (87070) |
$11 |
$11 |
1.3× |
| Culture screen only (87081) |
$8 |
$8 |
1.2× |
| Culture stool (87045) |
$12 |
$12 |
1.3× |
| Culture Typing, Glc Method (87143) |
$16 |
$16 |
1.3× |
| Culture urine (87086) |
$10 |
$10 |
1.2× |
| Cyclic Citrullinated Peptide (86200) |
$16 |
$16 |
1.2× |
| Cytopath cell enhance tech (88112) |
$67 |
$67 |
1.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$67 |
$67 |
1.3× |
| D-Dimer (85378) |
$12 |
$12 |
1.2× |
| Deoxyribonuclease antibody (86215) |
$17 |
$17 |
1.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$21 |
$21 |
1.3× |
| Detect agnt mult DNA ampli (87801) |
$88 |
$88 |
1.3× |
| Dhea (82626) |
$32 |
$32 |
1.3× |
| Dhea sulfate (82627) |
$28 |
$28 |
1.3× |
| Digoxin (80162) |
$17 |
$17 |
1.3× |
| Dilantin (80185) |
$22 |
$22 |
1.7× |
| Diphtheria antitoxoid (86648) |
$19 |
$19 |
1.2× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$17 |
$17 |
1.2× |
| DNA/RNA direct probe (87149) |
$25 |
$25 |
1.2× |
| Drug Scrn Quan Levetiracetam (80177) |
$17 |
$17 |
1.3× |
| Drug scrn quant oxcarbazepin (80183) |
$17 |
$17 |
1.3× |
| Drug test prsmv chem anlyzr (80307) |
$78 |
$78 |
1.3× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$16 |
$16 |
1.3× |
| Ebv viral capsid (86665) |
$23 |
$23 |
1.3× |
| Echinococcus ab igg (86682) |
$16 |
$16 |
1.2× |
| Elastase pancreatic fecal quantitative (82653) |
$29 |
$29 |
1.3× |
| Electrolyte panel (80051) |
$9 |
$9 |
1.3× |
| Endomysial antibody iga (86255) |
$15 |
$15 |
1.2× |
| Enterovirus antibody (86658) |
$16 |
$16 |
1.2× |
| Enzyme histochemistry (88319) |
$1,021 |
$1,021 |
1.3× |
| Eosinophil count (85048) |
$3 |
$3 |
1.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$19 |
$19 |
1.2× |
| Estradiol (82670) |
$35 |
$35 |
1.3× |
| Estriol (82677) |
$30 |
$30 |
1.2× |
| Estrogens total (82672) |
$27 |
$27 |
1.2× |
| Estrone (82679) |
$31 |
$31 |
1.2× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$9 |
$9 |
1.2× |
| F2 gene analysis 20210g >a variant (81240) |
$82 |
$82 |
1.2× |
| F5 gene (81241) |
$92 |
$92 |
1.3× |
| Factor ii activity (85210) |
$16 |
$16 |
1.2× |
| Factor ix activity (85250) |
$24 |
$24 |
1.3× |
| Factor viii ahg (85240) |
$22 |
$22 |
1.2× |
| Factor xii assay (85280) |
$106 |
$106 |
5.5× |
| Fecal fat qual (82705) |
$6 |
$6 |
1.2× |
| Fibrin degradation products (85362) |
$9 |
$9 |
1.3× |
| Fibrinogen activity (85384) |
$12 |
$12 |
1.2× |
| Flow cytometry first marker (88184) |
$450 |
$450 |
1.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$15 |
$15 |
1.2× |
| Folate serum (82746) |
$18 |
$18 |
1.2× |
| Follicle Stimulating Hormone (83001) |
$23 |
$23 |
1.2× |
| Francisella Tularensis (86668) |
$57 |
$57 |
4.0× |
| Fresh frozen plasma thawing each unit (86927) |
$214 |
$214 |
1.3× |
| Frozen Section (88331) |
$214 |
$214 |
1.3× |
| Gammaglobulin ige (82785) |
$21 |
$21 |
1.3× |
| Gardner vag DNA dir probe (87510) |
$25 |
$25 |
1.2× |
| Gastric Occult Blood (82271) |
$7 |
$7 |
1.3× |
| Ggt (82977) |
$9 |
$9 |
1.3× |
| Glucose (82947) |
$5 |
$5 |
1.3× |
| Glucose Blood Test (82962) |
$4 |
$4 |
1.2× |
| Glucose body fluid (82945) |
$5 |
$5 |
1.3× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
$13 |
$13 |
3.3× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$16 |
$16 |
1.2× |
| Haptoglobin (83010) |
$16 |
$16 |
1.3× |
| Hcg qualitative (84703) |
$9 |
$9 |
1.2× |
| Hcg quant (84702) |
$50.50 |
$50.50 |
3.4× |
| Hdl Cholesterol (83718) |
$10 |
$10 |
1.2× |
| Heavy metal quant each (83018) |
$27 |
$27 |
1.2× |
| Hematocrit (85014) |
$3 |
$3 |
1.3× |
| Hemoglobin (85018) |
$3 |
$3 |
1.3× |
| Hemoglobin a1c (83036) |
$12 |
$12 |
1.2× |
| Hemoglobin electrophoresis (83020) |
$16 |
$16 |
1.2× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$10 |
$10 |
1.2× |
| Hepatitis a antibody total (86708) |
$15 |
$15 |
1.2× |
| Hepatitis a igm (86709) |
$61 |
$61 |
5.4× |
| Hepatitis b core ab igm (86705) |
$15 |
$15 |
1.3× |
| Hepatitis b core antibody total (86704) |
$15 |
$15 |
1.2× |
| Hepatitis B Surface Ab (86706) |
$13 |
$13 |
1.2× |
| Hepatitis B Surface Antigen (87340) |
$13 |
$13 |
1.3× |
| Hepatitis c ab confirm (86804) |
$85 |
$85 |
5.5× |
| Hepatitis c antibody (86803) |
$18 |
$18 |
1.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
$191 |
$191 |
5.4× |
| Herpes culture (87252) |
$33 |
$33 |
1.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$6 |
$6 |
1.2× |
| Histoplasma antibody (86698) |
$17 |
$17 |
1.2× |
| Histoplasma antigen urine (87385) |
$17 |
$17 |
1.3× |
| HIV-1 antibody (86701) |
$11 |
$11 |
1.2× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
$17 |
$17 |
1.2× |
| Hla-b27 (86812) |
$32 |
$32 |
1.2× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
$84 |
$84 |
1.2× |
| Hydroxyprogesterone 17-d (83498) |
$34 |
$34 |
1.3× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
$57 |
$57 |
1.3× |
| Iaad ia clostridium difficile toxin (87324) |
$15 |
$15 |
1.3× |
| Iaad Ia Streptococcus Group A (87430) |
$65 |
$65 |
3.9× |
| Iaadi respiratory synctial virus (87280) |
$17 |
$17 |
1.3× |
| Iaadiadoo not otherwise specified (87899) |
$20 |
$20 |
1.2× |
| Iadna hepatitis b virus quantification (87517) |
$54 |
$54 |
1.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$54 |
$54 |
1.3× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$106 |
$106 |
1.2× |
| Iadna mycobacteria tuberculosis amp prb (87556) |
$52 |
$52 |
1.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$191 |
$191 |
5.4× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$44 |
$44 |
1.3× |
| Iadna nos amplified probe tq each organism (87798) |
$44 |
$44 |
1.3× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$273 |
$273 |
1.3× |
| Iadna-DNA/RNA probe tq 6-11 (87506) |
$329 |
$329 |
1.3× |
| Igg subclasses (82787) |
$10 |
$10 |
1.2× |
| Immunoassay infectious agent antibody quan nos (86317) |
$19 |
$19 |
1.3× |
| Immunoassay nonantibody (83516) |
$14 |
$14 |
1.2× |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
$29 |
$29 |
1.3× |
| Immunoelectrophoresis serum (86320) |
$122 |
$122 |
4.1× |
| Immunofixj Electrophoresis Serum (86334) |
$28 |
$28 |
1.3× |
| Immunohistochemistry (88342) |
$214 |
$214 |
1.3× |
| India ink prep (87210) |
$7 |
$7 |
1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Other Outpatient (87650) |
$25 |
$25 |
1.2× |
| Influenza a/b ag eia (87400) |
$18 |
$18 |
1.3× |
| Inhibin a (86336) |
$19 |
$19 |
1.2× |
| Inhibin b (83520) |
$22 |
$22 |
1.3× |
| Insulin antibodies (86337) |
$27 |
$27 |
1.3× |
| Insulin free (83527) |
$16 |
$16 |
1.2× |
| Insulin total (83525) |
$14 |
$14 |
1.2× |
| Iron (83540) |
$8 |
$8 |
1.2× |
| Iron binding capacity (83550) |
$11 |
$11 |
1.3× |
| Irradiation of blood product (86945) |
$49 |
$49 |
1.4× |
| Islet cell antibody (86341) |
$29 |
$29 |
1.2× |
| Jak2 gene analysis (81270) |
$115 |
$115 |
1.3× |
| Jak2 Targeted Sequence Analysis (81279) |
$232 |
$232 |
1.3× |
| Koh Prep (87220) |
$5 |
$5 |
1.2× |
| Lactic acid (83605) |
$14 |
$14 |
1.2× |
| Ldh (83615) |
$8 |
$8 |
1.3× |
| Ldh isoenzymes (83625) |
$16 |
$16 |
1.3× |
| LDL cholesterol direct (83721) |
$13 |
$13 |
1.2× |
| Lead (83655) |
$15 |
$15 |
1.2× |
| Legionella antigen urine (87449) |
$65 |
$65 |
5.4× |
| Leishmania antibody (86717) |
$15 |
$15 |
1.2× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$5 |
$5 |
1.2× |
| Leukocyte histamine release test (86343) |
$16 |
$16 |
1.3× |
| Level ii surg pathology grossµscopic exam (88302) |
$49 |
$49 |
1.4× |
| Level v surg pathology grossµscopic exam (88307) |
$450 |
$450 |
1.3× |
| Level vi surg pathology grossµscopic exam (88309) |
$1,021 |
$1,021 |
1.3× |
| Lh (83002) |
$23 |
$23 |
1.2× |
| Lipase (83690) |
$9 |
$9 |
1.3× |
| Lipoprotein Bld Hr Fraction (83701) |
$42 |
$42 |
1.2× |
| Lithium (80178) |
$8 |
$8 |
1.2× |
| Lyme disease antibody (86618) |
$21 |
$21 |
1.2× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) |
$44 |
$44 |
1.3× |
| Magnesium (83735) |
$8 |
$8 |
1.2× |
| Manual reticulocyte count (85044) |
$5 |
$5 |
1.2× |
| Mass spectrometry qual/quan (83789) |
$30 |
$30 |
1.2× |
| Metabolic Panel Ionized Ca (80047) |
$17 |
$17 |
1.2× |
| Methylmalonic acid serum (83921) |
$27 |
$27 |
1.3× |
| Microalbumin urine (82043) |
$7 |
$7 |
1.2× |
| Microsomal antibodies (86376) |
$18 |
$18 |
1.2× |
| Molecular pathology procedure level 2 (81401) |
$171 |
$171 |
1.2× |
| Mucin synovial fluid ropes test (83872) |
$7 |
$7 |
1.2× |
| Muramidase (85549) |
$23 |
$23 |
1.2× |
| Mycobacteria Dna Amp Probe (87551) |
$60 |
$60 |
1.2× |
| Mycobacteric Identification (87118) |
$18 |
$18 |
1.2× |
| Mycoplasma antibody (86738) |
$17 |
$17 |
1.3× |
| Myoglobin urine (83874) |
$16 |
$16 |
1.2× |
| Natriuretic peptide (83880) |
$49 |
$49 |
1.2× |
| Nmr Lipoprofile (83704) |
$43 |
$43 |
1.3× |
| Nuclear antigen antibody (86235) |
$22 |
$22 |
1.2× |
| Occult blood stool (82272) |
$5 |
$5 |
1.2× |
| Osmolality serum (83930) |
$8 |
$8 |
1.2× |
| Osmolality urine (83935) |
$9 |
$9 |
1.3× |
| Ova and parasite direct-id lca (87177) |
$11 |
$11 |
1.2× |
| Pancreatic polypeptide (83519) |
$23 |
$23 |
1.3× |
| Particle Agglutination Screen Each Antibody (86403) |
$14 |
$14 |
1.2× |
| Parvovirus antibody (86747) |
$19 |
$19 |
1.3× |
| Path Consult During Surgery (88329) |
$74 |
$74 |
1.3× |
| Phosphatase alkaline (84075) |
$6 |
$6 |
1.2× |
| Phosphorus blood (84100) |
$6 |
$6 |
1.3× |
| Platelet aggregation (85576) |
$31 |
$31 |
1.2× |
| Platelet count (85049) |
$6 |
$6 |
1.3× |
| Pneumcysts jirovecii amp prb (87594) |
$44 |
$44 |
1.3× |
| Potassium (84132) |
$6 |
$6 |
1.3× |
| Potassium urine (84133) |
$6 |
$6 |
1.3× |
| Procalcitonin (pct) (84145) |
$34 |
$34 |
1.2× |
| Progesterone (84144) |
$26 |
$26 |
1.2× |
| Prolactin (84146) |
$24 |
$24 |
1.2× |
| Protein body fluid (84157) |
$5 |
$5 |
1.3× |
| Protein c activity (85303) |
$17 |
$17 |
1.2× |
| Protein electrophoresis serum (84165) |
$13 |
$13 |
1.2× |
| Protein Electrophoresis Urine (84166) |
$22 |
$22 |
1.2× |
| Protein S Functional (85306) |
$19 |
$19 |
1.2× |
| Protein Total Serum (84155) |
$5 |
$5 |
1.4× |
| Protein urine (84156) |
$5 |
$5 |
1.4× |
| Protein westrn blot i&r blood/other fluid (84181) |
$21 |
$21 |
1.2× |
| PSA free (84154) |
$23 |
$23 |
1.3× |
| Quantiferon tb gold (86480) |
$77 |
$77 |
1.2× |
| Quinidine (80194) |
$18 |
$18 |
1.2× |
| Renin activity plasma (84244) |
$27 |
$27 |
1.2× |
| Rheumatoid Factor Qual (86430) |
$8 |
$8 |
1.3× |
| Rheumatoid factor quant (86431) |
$7 |
$7 |
1.2× |
| Rickettsia antibody (86757) |
$24 |
$24 |
1.2× |
| Rubella antibody (86762) |
$18 |
$18 |
1.3× |
| Russell viper venom time diluted (85613) |
$12 |
$12 |
1.3× |
| Saccharomyces ab iga (86671) |
$15 |
$15 |
1.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$64 |
$64 |
1.2× |
| Sed rate automated (85652) |
$3 |
$3 |
1.1× |
| Sedimentation rate (85651) |
$5 |
$5 |
1.2× |
| Sex hormone binding globulin (84270) |
$27 |
$27 |
1.2× |
| Sickle cell screen (85660) |
$7 |
$7 |
1.3× |
| Smear acid fast (87206) |
$7 |
$7 |
1.3× |
| Smear gram stain (87205) |
$14 |
$14 |
3.3× |
| Sodium (84295) |
$6 |
$6 |
1.2× |
| Sodium other source (84302) |
$6 |
$6 |
1.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$161 |
$161 |
1.3× |
| Special stains group 1 (88312) |
$67 |
$67 |
1.3× |
| Surg path level iii (88304) |
$67 |
$67 |
1.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$31 |
$31 |
1.1× |
| Surgical pathology level IV (88305) |
$67 |
$67 |
1.3× |
| T3 free (84481) |
$21 |
$21 |
1.2× |
| T3 reverse (84482) |
$20 |
$20 |
1.3× |
| T3 total (84480) |
$18 |
$18 |
1.3× |
| T3 uptake (84479) |
$8 |
$8 |
1.2× |
| T4 Free (84439) |
$11 |
$11 |
1.2× |
| T4 total (84436) |
$9 |
$9 |
1.3× |
| Tb intradermal test (86580) |
$31 |
$31 |
1.1× |
| Testosterone free (84402) |
$32 |
$32 |
1.3× |
| Testosterone total (84403) |
$32 |
$32 |
1.2× |
| Tetanus antibody (86774) |
$19 |
$19 |
1.3× |
| Theophylline (80198) |
$18 |
$18 |
1.3× |
| Thyroglobulin (84432) |
$20 |
$20 |
1.2× |
| Thyroglobulin Ab (86800) |
$20 |
$20 |
1.3× |
| Thyroid Stimulating Immunoglobulin (84445) |
$64 |
$64 |
1.3× |
| Topiramate (80201) |
$15 |
$15 |
1.3× |
| Transferrin (84466) |
$16 |
$16 |
1.3× |
| Trichomonas vagin dir probe (87660) |
$25 |
$25 |
1.2× |
| Triglycerides (84478) |
$7 |
$7 |
1.2× |
| Troponin (84484) |
$35 |
$35 |
2.8× |
| Unlisted Surgical Pathology Procedure (88399) |
$67 |
$67 |
1.3× |
| Urea nitrogen (84520) |
$5 |
$5 |
1.3× |
| Uric acid blood (84550) |
$6 |
$6 |
1.3× |
| Uric acid other source (84560) |
$6 |
$6 |
1.2× |
| Urinalysis microscopic only (81015) |
$4 |
$4 |
1.3× |
| Urinalysis w/microscopic (81001) |
$4 |
$4 |
1.3× |
| Urine pregnancy test (81025) |
$11 |
$11 |
1.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$3 |
$3 |
1.3× |
| Valproic acid level (80164) |
$17 |
$17 |
1.3× |
| Vancomycin trough (80202) |
$17 |
$17 |
1.3× |
| Varicella-zoster antibody (86787) |
$16 |
$16 |
1.2× |
| Vdrl csf (86592) |
$5 |
$5 |
1.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$42 |
$42 |
1.2× |
| Vitamin A (84590) |
$15 |
$15 |
1.3× |
| Vitamin b-12 (82607) |
$19 |
$19 |
1.3× |
| Vitamin b1 (thiamine) (84425) |
$27 |
$27 |
1.3× |
| Vitamin b6 (84207) |
$35 |
$35 |
1.2× |
| Vitamin D 25-Hydroxy (82306) |
$99.50 |
$99.50 |
3.4× |
| Vitamin e serum (84446) |
$18 |
$18 |
1.3× |
| Von willebrand factor activity (85245) |
$29 |
$29 |
1.3× |
| West nile virus antibody (86789) |
$18 |
$18 |
1.3× |
| Zinc (84630) |
$14 |
$14 |
1.2× |