| Acute hepatitis panel (80074) |
— |
$238 |
— |
| Agglutinins Febrile Each Antigen (86000) |
— |
$60 |
— |
| Albumin serum (82040) |
— |
$25 |
— |
| Aldolase (82085) |
— |
$78 |
— |
| Aldosterone urine (82088) |
— |
$204 |
— |
| Allergen specific ige (86003) |
— |
$80 |
— |
| Allergen specific igg (86001) |
— |
$60 |
— |
| Alpha-1-antitrypsin total (82103) |
— |
$108 |
— |
| Alpha-Fetoprotein Serum (82105) |
— |
$135 |
— |
| Alt (sgpt) (84460) |
— |
$25 |
— |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) |
— |
$135 |
— |
| Ammonia (82140) |
— |
$117 |
— |
| Amylase urine (82150) |
— |
$52 |
— |
| Ana Titer (86039) |
— |
$90 |
— |
| Androstenedione (82157) |
— |
$146 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$103.25 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$40 |
— |
| Antibody Cytomegalovirus Cmv Igm (86645) |
— |
$135 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$105 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$123 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$145 |
— |
| Antibody helicobacter pylori (86677) |
— |
$70 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$115 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$106 |
— |
| Antibody HIV-1&HIV-2 single result (86703) |
— |
$110 |
— |
| Antibody htlv/HIV antibody confirmatory test (86689) |
— |
$150 |
— |
| Antibody neisseria meningitidis (86741) |
— |
$106 |
— |
| Antibody Treponema Pallidum (86780) |
— |
$106 |
— |
| Antibody; influenza virus (86710) |
— |
$35 |
— |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
— |
$46 |
— |
| Antinuclear antibodies (86038) |
— |
$97 |
— |
| Antistreptolysin o titer (86060) |
— |
$58 |
— |
| Antithrombin iii activity (85300) |
— |
$95 |
— |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) |
— |
$2,520 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$109 |
— |
| Assay of 5-hiaa (83497) |
— |
$144 |
— |
| Assay of blood/uric acid (84550) |
— |
$40 |
— |
| Assay of calcium in urine (82340) |
— |
$48 |
— |
| Assay of estrone (82679) |
— |
$150 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$75 |
— |
| Assay of metanephrines (83835) |
— |
$136 |
— |
| Assay of proinsulin (84206) |
— |
$160 |
— |
| Assay of pyruvate (84210) |
— |
$116 |
— |
| Assay of serotonin (84260) |
— |
$156 |
— |
| Assay of serum potassium (84132) |
— |
$25 |
— |
| Assay of urea nitrogen (84520) |
— |
$25 |
— |
| Assay of vitamin b-1 (84425) |
— |
$130 |
— |
| Automated Leukocyte Count (85048) |
— |
$23 |
— |
| Bilirubin direct (82248) |
— |
$25 |
— |
| Bilirubin total (82247) |
— |
$25 |
— |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) |
— |
$85 |
— |
| Blood Count Red Blood Cell Automated (85041) |
— |
$27 |
— |
| Blood count reticulocyte automated (85045) |
— |
$57.50 |
— |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
— |
$30 |
— |
| Blood gases w/02 saturation (82805) |
— |
$260.75 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$40 |
— |
| Blood typing serologic abo (86900) |
— |
$24 |
— |
| Body fluid cell count (89050) |
— |
$38 |
— |
| Breath Alcohol Test (82075) |
— |
$27.50 |
— |
| Brucella antibody (86622) |
— |
$72 |
— |
| C diff amplified probe (87493) |
— |
$187 |
— |
| C-Peptide (84681) |
— |
$167 |
— |
| C-reactive protein (86140) |
— |
$42 |
— |
| Ca 19-9 (86301) |
— |
$131 |
— |
| Calcium ionized (82330) |
— |
$77 |
— |
| Calcium total (82310) |
— |
$25 |
— |
| Calculus Xray Diffraction (82370) |
— |
$100 |
— |
| Calprotectin Fecal (83993) |
— |
$157 |
— |
| Cancer Antigen 125 (86304) |
— |
$131 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$131 |
— |
| Carbamazepine total (80156) |
— |
$117 |
— |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) |
— |
$25 |
— |
| Carcinoembryonic antigen (82378) |
— |
$152 |
— |
| Cardiolipin ab iga (86147) |
— |
$153 |
— |
| Catecholamines fractionated (82384) |
— |
$152 |
— |
| Ccp antibody (86200) |
— |
$138 |
— |
| Chlamydia antibody (86631) |
— |
$95 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$102 |
— |
| Chloride Serum (82435) |
— |
$25 |
— |
| Cholesterol total (82465) |
— |
$25 |
— |
| Chorionic gonadotropin test (84702) |
— |
$120 |
— |
| Chromogranin a (86316) |
— |
$83.50 |
— |
| Citric acid urine (82507) |
— |
$167 |
— |
| Ckmb (82553) |
— |
$140 |
— |
| Clostridium Difficile (87324) |
— |
$96 |
— |
| Coccidioides antibody (86635) |
— |
$92 |
— |
| Collagen crosslinks (82523) |
— |
$150 |
— |
| Column Chromotography Quant (82542) |
— |
$128.50 |
— |
| Compatibility test antiglob (86922) |
— |
$72 |
— |
| Complement Antigen Each Component (86160) |
— |
$96 |
— |
| Complement Total (Ch50) (86162) |
— |
$163 |
— |
| Complement/Function Activity (86161) |
— |
$62 |
— |
| Coombs direct (86880) |
— |
$43 |
— |
| Copper urine (82525) |
— |
$100 |
— |
| Cortisol free (82530) |
— |
$134 |
— |
| Cortisol saliva (82533) |
— |
$130 |
— |
| Creatine kinase total (82550) |
— |
$52 |
— |
| Creatinine blood (82565) |
— |
$25 |
— |
| Creatinine clearance (82575) |
— |
$70 |
— |
| Creatinine Urine (82570) |
— |
$42 |
— |
| Crossmatch immediate spin (86920) |
— |
$162 |
— |
| Crp High Sensitivity (86141) |
— |
$103 |
— |
| Cryptosporidium (87272) |
— |
$96 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$65 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$65 |
— |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
— |
$62 |
— |
| Culture afb (87116) |
— |
$87 |
— |
| Culture Anaerobic (87075) |
— |
$76 |
— |
| Culture blood (87040) |
— |
$155 |
— |
Culture csf (87070)
range across 2 matching MRF lines |
— |
$57–$69 |
— |
| Culture fungus (87102) |
— |
$67 |
— |
| Culture screen only (87081) |
— |
$53 |
— |
| Culture stool (87045) |
— |
$76 |
— |
| Culture urine (87086) |
— |
$65 |
— |
| Cyclosporine (80158) |
— |
$145 |
— |
| Cystatin C (82610) |
— |
$148 |
— |
| Cytogenetics 100-300 (88275) |
— |
$256 |
— |
| Cytomegalovirus igg (86644) |
— |
$115 |
— |
| Cytopath Cell Enhance Tech (88112) |
— |
$115 |
— |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) |
— |
$122 |
— |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
— |
$119.50 |
— |
| Cytp Slides C/V Mnl Scr Under Phys (88150) |
— |
$25 |
— |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) |
— |
$247.50 |
— |
| Detect Agent Nos Dna Amp (87798) |
— |
$150 |
— |
| Detect Agent Nos Dna Quant (87799) |
— |
$215 |
— |
| Dgp Antibody Each Ig Class (86258) |
— |
$96 |
— |
| Dhea (82626) |
— |
$152 |
— |
| Dhea-S (82627) |
— |
$134 |
— |
| Digoxin (80162) |
— |
$107 |
— |
| Dihydrotestosterone (82642) |
— |
$80 |
— |
| Dna Antibody Native/Double Stranded (86225) |
— |
$110 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$26 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$106 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$114 |
— |
| Electrolyte panel (80051) |
— |
$63 |
— |
| Encephaltis West Eqne Antbdy (86654) |
— |
$106 |
— |
| Erythropoietin (82668) |
— |
$150 |
— |
| Estradiol serum (82670) |
— |
$168 |
— |
| Estriol (82677) |
— |
$145 |
— |
| Estrogen total (82672) |
— |
$130 |
— |
| Estrogens fractionated (82671) |
— |
$162 |
— |
| Ethosuximide (80168) |
— |
$130 |
— |
| Exam Synovial Fluid Crystals (89060) |
— |
$59 |
— |
| Factor v leiden mutation (81241) |
— |
$78 |
— |
| Factor viii assay (85240) |
— |
$143 |
— |
| Ferritin (82728) |
— |
$98.75 |
— |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) |
— |
$250 |
— |
| Fluorescent antibody screen (86255) |
— |
$97 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$97 |
— |
| Folic Acid Serum (82746) |
— |
$118 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$50 |
— |
| Francisella tularensis (86668) |
— |
$114 |
— |
| Fungi Identification Yeast (87106) |
— |
$83 |
— |
| Gammaglobulin ige (82785) |
— |
$132 |
— |
| Gentamicin (80170) |
— |
$131 |
— |
| Ggt (82977) |
— |
$58 |
— |
| Glucose 2 hr pp (82950) |
— |
$50 |
— |
| Glucose Blood Test (82962) |
— |
$25 |
— |
| Glucose body fluid (82945) |
— |
$36.75 |
— |
| Glucose Serum (82947) |
— |
$25 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$100 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$68 |
— |
| Growth hormone (83003) |
— |
$149 |
— |
| Haptoglobin (83010) |
— |
$148 |
— |
| Hdl Cholesterol (83718) |
— |
$41 |
— |
| Heavy metal qualitative any analytes (83015) |
— |
$134 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$115 |
— |
| Hematocrit (85014) |
— |
$29.75 |
— |
| Hemoglobin (85018) |
— |
$20 |
— |
| Hemoglobin a1c (83036) |
— |
$113 |
— |
| Hep a ab igm (86709) |
— |
$90 |
— |
| Hepatitis a antibody total (86708) |
— |
$100 |
— |
| Hepatitis b core ab total (86704) |
— |
$97 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$86 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$83 |
— |
| Hepatitis C Antibody (86803) |
— |
$114 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$215 |
— |
| Herpes simplex type 2 (86696) |
— |
$150 |
— |
| Heterophile Antibody Screen (86308) |
— |
$42 |
— |
| Hfe Gene (81256) |
— |
$327 |
— |
| Histoplasma antibody (86698) |
— |
$110 |
— |
| Hiv-1 Antibody (86701) |
— |
$102.25 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$200 |
— |
| Hla Typing Dr/Dq Single Antigen (86816) |
— |
$181 |
— |
| Hla-b27 (86812) |
— |
$154 |
— |
| Homocysteine (83090) |
— |
$126 |
— |
| Hpv High-Risk Types (87624) |
— |
$176 |
— |
| Hpv low-risk types (87623) |
— |
$125.25 |
— |
| Hsv Dna Amp Probe (87529) |
— |
$176 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$163 |
— |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
— |
$83 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$111 |
— |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) |
— |
$176 |
— |
| Iaadi giardia (87269) |
— |
$35 |
— |
| Iadna Cytomegalovirus Quantification (87497) |
— |
$215 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$175 |
— |
| Igg subclasses (82787) |
— |
$64 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$130 |
— |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
— |
$120 |
— |
| Immunoassay nonantibody (83516) |
— |
$55 |
— |
| Immunofixation electrophoresis (86334) |
— |
$135 |
— |
| Immunohistochemistry (88342) |
— |
$120 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) |
— |
$176 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) |
— |
$215 |
— |
| Influenza a/b ag eia (87400) |
— |
$129 |
— |
| Inhibin A (86336) |
— |
$125 |
— |
| Inhibin b (83520) |
— |
$105 |
— |
| Insulin free (83527) |
— |
$104 |
— |
| Insulin total (83525) |
— |
$93 |
— |
| Iron (83540) |
— |
$52 |
— |
| Iron Binding Capacity (83550) |
— |
$70 |
— |
| Islet cell antibody (86341) |
— |
$142 |
— |
| Koh Prep (87220) |
— |
$46 |
— |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$48 |
— |
| LDL direct (83721) |
— |
$84 |
— |
| Lead (83655) |
— |
$97 |
— |
| Legionella antibody (86713) |
— |
$123 |
— |
| Legionella antigen urine (87449) |
— |
$96 |
— |
| Leukocyte Assessment Fecal (89055) |
— |
$40 |
— |
| Lipase (83690) |
— |
$55 |
— |
| Lithium (80178) |
— |
$53 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$85 |
— |
| Lyme disease antibody (86618) |
— |
$136 |
— |
| Magnesium Urine (83735) |
— |
$54 |
— |
| Mass Spectrometry Quant (83789) |
— |
$145 |
— |
| Methylmalonic acid serum (83921) |
— |
$128 |
— |
| Microalbumin, quantitative (82043) |
— |
$47 |
— |
| Microsomal Antibodies Each (86376) |
— |
$117 |
— |
| Molecular Cytogenetics Dna Probe Each (88271) |
— |
$129 |
— |
| Myoglobin urine (83874) |
— |
$104 |
— |
| Natriuretic peptide (83880) |
— |
$294 |
— |
| Nuclear antigen antibody (86235) |
— |
$144 |
— |
| Occult blood feces (82272) |
— |
$40 |
— |
| Organic Acids Qualitative Each Specimen (83919) |
— |
$132 |
— |
| Osmolality serum (83930) |
— |
$53 |
— |
| Osmolality Urine (83935) |
— |
$55 |
— |
| Ova and parasites smears (87177) |
— |
$71 |
— |
| Oxalate urine (83945) |
— |
$116 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$27.50 |
— |
| Parvovirus antibody (86747) |
— |
$240 |
— |
| Phenobarbital Level (80184) |
— |
$123 |
— |
| Phenylalanine (84030) |
— |
$44 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$106 |
— |
| Phosphatase alkaline (84075) |
— |
$25 |
— |
| Phosphorus Serum (84100) |
— |
$38 |
— |
| Platelet count automated (85049) |
— |
$40 |
— |
| Potassium Urine (84133) |
— |
$38 |
— |
| Prealbumin (84134) |
— |
$117 |
— |
| Progesterone (84144) |
— |
$125 |
— |
| Prolactin (84146) |
— |
$130 |
— |
| Protein C Activity (85303) |
— |
$111 |
— |
| Protein c antigen (85302) |
— |
$96 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$143 |
— |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$86 |
— |
| Protein S Free (85306) |
— |
$123 |
— |
| Protein total serum (84155) |
— |
$25 |
— |
| Protein Total Urine (84156) |
— |
$30 |
— |
| PSA free (84154) |
— |
$129 |
— |
| Pth Intact (83970) |
— |
$207 |
— |
| Q Fever Antibody (86638) |
— |
$242 |
— |
| Quantiferon tb gold plus (86480) |
— |
$310 |
— |
| Quantitative assay drug (80299) |
— |
$149 |
— |
| Rbc antibody screen (86850) |
— |
$78 |
— |
| Renin activity plasma (84244) |
— |
$132 |
— |
| Reticulocyte Count (85046) |
— |
$45 |
— |
| Rh (86901) |
— |
$24 |
— |
| Rheumatoid factor quant (86431) |
— |
$45 |
— |
| Rickettsia antibody (86757) |
— |
$150 |
— |
| Rotavirus ag eia (87425) |
— |
$96 |
— |
| Rpr qualitative (86592) |
— |
$35 |
— |
| Rubella Antibody (86762) |
— |
$115 |
— |
| Russell Viper Venom Time Diluted (85613) |
— |
$77 |
— |
| Russell Viper Venon Time Undiluted (85612) |
— |
$140 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$130 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$231 |
— |
| Sedimentation rate (85651) |
— |
$48 |
— |
| Sedimentation Rate, Automated (85652) |
— |
$44.75 |
— |
| Sensitivity mic (87186) |
— |
$69 |
— |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) |
— |
$64 |
— |
| Sex Hormone Binding Globulin (84270) |
— |
$131 |
— |
| Sirolimus (80195) |
— |
$110 |
— |
| Skin test tuberculosis intradermal (86580) |
— |
$26.25 |
— |
| Smear acid fast (87206) |
— |
$43 |
— |
| Smear complex stain (87209) |
— |
$82 |
— |
| Smear gram stain (87205) |
— |
$34 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$46 |
— |
| Sodium Serum (84295) |
— |
$25 |
— |
| Sodium Urine (84300) |
— |
$41 |
— |
| Somatomedin (84305) |
— |
$130 |
— |
| Special Stains Group 1 (88312) |
— |
$210 |
— |
| Special Stains Group 2 (88313) |
— |
$174.50 |
— |
| Specimen infect agnt concntj (87015) |
— |
$54 |
— |
| Stone Analysis (82355) |
— |
$93 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$76 |
— |
| Strep a assay w/optic (87880) |
— |
$116 |
— |
| Surg path level iii (88304) |
— |
$180 |
— |
| Surgical pathology level IV (88305) |
— |
$215 |
— |
| T3 Free (84481) |
— |
$136 |
— |
| T3 reverse (84482) |
— |
$126 |
— |
| T3 Total (84480) |
— |
$114 |
— |
| T3 Uptake (84479) |
— |
$52 |
— |
| T4 Free (84439) |
— |
$72 |
— |
| T4 total (84436) |
— |
$55 |
— |
| Tacrolimus (80197) |
— |
$110 |
— |
| Testosterone Bioavailable (84410) |
— |
$257 |
— |
| Testosterone total (84403) |
— |
$155 |
— |
| Testosterone, Free (84402) |
— |
$153 |
— |
| Theophylline (80198) |
— |
$113 |
— |
| Thrombin Time (85670) |
— |
$47 |
— |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
— |
$52 |
— |
| Thyroglobulin (84432) |
— |
$129 |
— |
| Thyroglobulin Antibody (86800) |
— |
$127 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$255 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$185 |
— |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
— |
$150 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$25 |
— |
| Transferrin (84466) |
— |
$103 |
— |
| Triglycerides (84478) |
— |
$25 |
— |
| Troponin Quant (84484) |
— |
$116 |
— |
| Uric acid other source (84560) |
— |
$40 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$40 |
— |
| Urinalysis Volume Measure (81050) |
— |
$29 |
— |
| Urine Bacteria Culture (87088) |
— |
$65 |
— |
| Urine Pregnancy Test (81025) |
— |
$50 |
— |
| Valproic acid (80164) |
— |
$109 |
— |
| Vancomycin (80202) |
— |
$108 |
— |
| Varicella-zoster antibody (86787) |
— |
$103 |
— |
| Viral Culture (87252) |
— |
$157 |
— |
| Virus antibody nos (86790) |
— |
$103 |
— |
| Virus inoculation, shell via (87254) |
— |
$150 |
— |
| Viscosity serum (85810) |
— |
$94 |
— |
| Vit D 1 25-Dihydroxy (82652) |
— |
$193 |
— |
| Vitamin b-12 (82607) |
— |
$121 |
— |
| Vitamin B6 (84207) |
— |
$169 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$178 |
— |
| Vitamin E (84446) |
— |
$114 |
— |
| Von willebrand factor ag (85246) |
— |
$137 |
— |
| Wbc Alkaline Phosphatase Count (85540) |
— |
$69 |
— |
| West nile virus ab igm (86788) |
— |
$134 |
— |
| West Nile Virus Antibody (86789) |
— |
$115 |
— |
| Zinc (84630) |
— |
$92 |
— |