Lab & pathology prices at Medicine Lodge Memorial Hospital

Medicine Lodge, KS · every code in this section with a posted price and a Medicare benchmark.

373 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
1 25 Dihydroxy includes fractions if performed (82652) $95.75 $95.75 2.5×
5 Hiaa (83497) $68 $68 5.3×
Acetaminophen level (80143) $54.50 $54.50 2.9×
Actin smooth muscle antibody each (86015) $69 $69 5.7×
Acute hepatitis panel (80074) $193.19 $193.19 4.1×
Afb culture (87116) $140 $140 13.0×
Albumin serum (82040) $28.18 $28.18 5.7×
Aldolase (82085) $45.04 $45.04 4.6×
Aldosterone urine (82088) $172.27 $172.27 4.2×
Alkaline phosphatase isoenzymes (84080) $111.39 $111.39 7.5×
Allergen specific ige (86003) $31.29 $31.29 6.0×
Alpha-1-antitrypsin, total (82103) $85.28 $85.28 6.3×
Alpha-fetoprotein, serum (82105) $69.88 $69.88 4.2×
Alt (sgpt) (84460) $22.39 $22.39 4.2×
Amino acids 6/> amino acids quantitative ea spe (82139) $743.02 $743.02 44.0×
Amino Acids Quant 2-5 (82136) $257.17 $257.17 13.1×
Ammonia (82140) $71.16 $71.16 4.9×
Amylase urine (82150) $32.89 $32.89 5.1×
Angiotensin i enzyme test (82164) $72.06 $72.06 4.9×
Antibody Absorption (86978) $112 $112 2.1×
Antibody coxiella burnetii q fever (86638) $65.25 $65.25 5.4×
Antibody haemophilus influenza (86684) $88.50 $88.50 5.6×
Antibody herpes smplx type 1 (86695) $112.70 $112.70 8.5×
Antibody identification (86870) $124.02 $124.02 0.4×
Antibody identification leukocyte antibodies (86021) $61.76 $61.76 4.1×
Antibody mumps (86735) $90.93 $90.93 7.0×
Antibody Protozoa Nes (86753) $46.79 $46.79 3.8×
Antibody rubeola (86765) $88.66 $88.66 6.9×
Antibody screen (86850) $95.39 $95.39 9.8×
Antibody treponema pallidum (86780) $74.35 $74.35 5.6×
Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) $78.62 $78.62 6.5×
Antinuclear antibodies (86038) $72.66 $72.66 6.0×
Antistreptolysin o titer (86060) $44.19 $44.19 6.1×
Antithrombin iii activity (85300) $59.24 $59.24 5.0×
Apolipoprotein b (82172) $101.23 $101.23 4.8×
Arsenic Urine (82175) $167.83 $167.83 8.8×
Assay Nephelometry Not Spec (83883) $115 $115 8.5×
Assay of acth (82024) $157.44 $157.44 4.1×
Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) $72 $72 4.2×
Assay of androstenedione (82157) $158.40 $158.40 5.4×
Assay of anti-mullerian hormone (82166) $193.55 $193.55 5.0×
Assay of blood chloride (82435) $23.32 $23.32 5.1×
Assay of c-peptide (84681) $89.48 $89.48 4.3×
Assay of ceruloplasmin (82390) $74.58 $74.58 6.9×
Assay of erythropoietin (82668) $99.37 $99.37 5.3×
Assay of ethosuximide (80168) $73.26 $73.26 4.5×
Assay of ferritin (82728) $73.86 $73.86 5.4×
Assay of gammaglobulin igm (82784) $94.94 $94.94 10.2×
Assay of gentamicin (80170) $65.70 $65.70 4.0×
Assay of homocystine (83090) $228.52 $228.52 12.8×
Assay of metanephrines (83835) $97.58 $97.58 5.8×
Assay of parathormone (83970) $215.34 $215.34 5.2×
Assay of phenobarbital (80184) $82.02 $82.02 5.4×
Assay of prealbumin (84134) $70.16 $70.16 4.8×
Assay of serotonin (84260) $144.48 $144.48 4.7×
Assay of somatomedin (84305) $85.81 $85.81 4.0×
Assay of tacrolimus (80197) $91.48 $91.48 6.7×
Assay of volatiles (84600) $94.72 $94.72 5.5×
Ast (sgot) (84450) $28.29 $28.29 5.5×
B cells total count (86355) $100.98 $100.98 2.7×
Bcr/abl1 gene major bp (81206) $231.71 $231.71 1.4×
Bcr/abl1 gene minor bp (81207) $234.38 $234.38 1.6×
Beta hydroxybutyrate (82010) $65 $65 8.0×
Beta Lactamase (87185) $45 $45 9.5×
Beta-2 microglobulin (82232) $106.90 $106.90 6.6×
Bilirubin direct (82248) $26.56 $26.56 5.3×
Bilirubin total (82247) $27.23 $27.23 5.4×
Bl Smear W/Diff Wbc Count (85007) $11.77 $11.77 3.1×
Bleeding time (85002) $15 $15 3.1×
Blood count reticulocyte automated (85045) $108.82 $108.82 27.3×
Blood gases (82803) $88.94 $88.94 3.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $39.30 $39.30 2.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $16.66 $16.66 3.8×
Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) $245 $245 38.6×
Blood typing abo (86900) $161.85 $161.85 54.1×
Blood typing serologic rh (d) (86901) $66.44 $66.44 22.2×
Blood typing serologic rh phenotyping complete (86906) $87 $87 11.2×
Body fluid cell count (89051) $58.03 $58.03 10.4×
Breath Alcohol Test (82075) $65 $65 2.2×
C diff amplified probe (87493) $99.75 $99.75 2.7×
C-reactive protein (86140) $37.18 $37.18 7.2×
C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) $85.24 $85.24 6.6×
Ca 125 (86304) $73.20 $73.20 3.5×
Ca 19-9 (86301) $85.40 $85.40 4.1×
Ca 27 29 (86300) $81.30 $81.30 3.9×
Cadmium level (82300) $91.70 $91.70 3.9×
Calcium ionized (82330) $58.39 $58.39 4.3×
Calcium total (82310) $28.72 $28.72 5.6×
Calcium urine (82340) $41.98 $41.98 7.0×
Calculus Spectroscopy (82365) $102.58 $102.58 8.0×
Calprotectin, fecal (83993) $245 $245 12.5×
Carbamazepine (tegretol) total (80156) $128.28 $128.28 8.8×
Carbon dioxide (82374) $25.02 $25.02 5.1×
Carboxyhemoglobin Quantitative (82375) $63.91 $63.91 5.2×
Carcinoembryonic antigen (82378) $104.94 $104.94 5.5×
Cardiolipin ab igg (86147) $111.20 $111.20 4.4×
Catecholamines fraction plasma (82384) $154.26 $154.26 6.1×
Chemiluminescent assay (82397) $137 $137 9.7×
Chloride other source (82438) $37.61 $37.61 7.5×
Cholesterol total (82465) $22.98 $22.98 5.3×
Chromogranin a (86316) $104 $104 5.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $102.32 $102.32 2.9×
Citrate (82507) $132.86 $132.86 4.8×
Ckmb (82553) $70.61 $70.61 6.1×
Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) $271.81 $271.81 11.3×
Compatibility test antiglob (86922) $86.06 $86.06 0.5×
Complement c3 (86160) $76.35 $76.35 6.4×
Complement total ch50 (86162) $105.58 $105.58 5.2×
Concentration Infectious Agent (87015) $45.35 $45.35 6.8×
Coombs direct (86880) $58.01 $58.01 10.8×
Coombs Test Indirect Qual (86885) $48 $48 8.4×
Copper urine (82525) $65.70 $65.70 5.3×
Cortisol free (82530) $136.44 $136.44 8.2×
Cortisol total (82533) $86.42 $86.42 5.3×
Creatine kinase total (82550) $30.36 $30.36 4.7×
Creatinine blood (82565) $18.97 $18.97 3.7×
Creatinine clearance (82575) $47.34 $47.34 5.0×
Creatinine other source (82570) $37 $37 7.1×
Crossmatch immediate spin (86920) $64.05 $64.05 0.4×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $43.25 $43.25 5.4×
Culture Aerobic Identify (87077) $47.61 $47.61 5.9×
Culture anaerobic (87075) $46.40 $46.40 4.9×
Culture blood (87040) $52.18 $52.18 5.1×
Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) $130 $130 16.9×
Culture fungus id yeast (87106) $137 $137 13.3×
Culture genital (87070) $54.74 $54.74 6.4×
Culture screen only (87081) $40.10 $40.10 6.0×
Culture stool (87045) $45.74 $45.74 4.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $43.25 $43.25 8.3×
Culture Typing, Glc Method (87143) $52 $52 4.2×
Culture urine (87086) $43.89 $43.89 5.4×
Culture urine id ea isolate (87088) $38.70 $38.70 4.8×
Cyclic Citrullinated Peptide (86200) $86 $86 6.6×
Cytogenetics DNA probe (88271) $183.43 $183.43 8.6×
Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) $155.38 $155.38 3.6×
Cytopath cell enhance tech (88112) $107.88 $107.88 2.3×
Cytopath Smear Other Source (88160) $108.17 $108.17 4.1×
Cytp concentration smears & interpretation (88108) $107.88 $107.88 3.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $296.62 $296.62 6.2×
D-Dimer (85379) $96.94 $96.94 9.5×
Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) $71.68 $71.68 4.3×
Detect agnt mult DNA ampli (87801) $187 $187 2.7×
Dhea (82626) $121.70 $121.70 4.8×
Dhea sulfate (82627) $97.94 $97.94 4.4×
Digoxin (80162) $71.08 $71.08 5.4×
Dilantin (80185) $73.62 $73.62 5.6×
Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) $90.14 $90.14 6.6×
Dna/Rna Amplified Probe (87150) $140 $140 4.0×
Drug Assay Amiodarone (80151) $100 $100 5.4×
Drug assay carbamazepine -10,11-epoxide (80161) $111.25 $111.25 6.0×
Drug Assay Lacosamide (80235) $217 $217 8.0×
Drug Screen Quant Gabapentin (80171) $100.06 $100.06 4.6×
Drug screen quant zonisamide (80203) $105 $105 7.9×
Drug Screen Quantitative Lamotrigine (80175) $76.85 $76.85 5.8×
Drug Scrn Quan Levetiracetam (80177) $91.78 $91.78 6.9×
Drug scrn quant oxcarbazepin (80183) $50.51 $50.51 3.8×
Drug test prsmv chem anlyzr (80307) $203.86 $203.86 3.3×
Drug Test Prsmv Dir Opt Obs (80305) $87 $87 6.9×
Ebv viral capsid (86665) $114.94 $114.94 6.3×
Ehrlichia antibody (86666) $153.87 $153.87 15.1×
Elastase pancreatic fecal quantitative (82653) $245 $245 10.7×
Electrolyte panel (80051) $30.74 $30.74 4.4×
Endomysial Antibody Each Immunoglobulin Class (86231) $141.05 $141.05 11.7×
Endomysial antibody iga (86255) $65.99 $65.99 5.5×
Eosinophil count (85048) $20.10 $20.10 7.9×
Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) $97.36 $97.36 6.4×
Estradiol (82670) $175.27 $175.27 6.3×
Estrogen fractionated (82671) $117.86 $117.86 3.6×
Estrone (82679) $136.15 $136.15 5.5×
Everolimus (80169) $214 $214 15.6×
Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) $100.22 $100.22 13.7×
F5 gene (81241) $245.20 $245.20 3.3×
Factor v activity (85220) $128.06 $128.06 7.3×
Fecal fat quant (82710) $111 $111 6.6×
Fibrinogen activity (85384) $38.71 $38.71 4.0×
Folate serum (82746) $89.10 $89.10 6.1×
Folic acid rbc (82747) $82.05 $82.05 4.6×
Follicle Stimulating Hormone (83001) $102.70 $102.70 5.5×
Francisella Tularensis (86668) $58.84 $58.84 4.2×
Fructosamine (82985) $99.58 $99.58 5.9×
Gammaglobulin ige (82785) $84.14 $84.14 5.1×
Ggt (82977) $36.19 $36.19 5.0×
Giardia antigen eia stool (87329) $86.90 $86.90 7.3×
Gliadin antibody each immunoglobulin class (86258) $88.50 $88.50 7.3×
Glucose (82947) $20.24 $20.24 5.2×
Glucose body fluid (82945) $18.79 $18.79 4.8×
Glucose post dose (82950) $26.50 $26.50 5.6×
Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) $32.46 $32.46 8.3×
Glucose Tolerance Test (Gtt) - Bundled Charge (82951) $63.92 $63.92 5.0×
Haptoglobin (83010) $72.93 $72.93 5.8×
Hcg qualitative (84703) $44.85 $44.85 6.0×
Hcg quant (84702) $94.76 $94.76 6.3×
Hdl Cholesterol (83718) $24.03 $24.03 2.9×
Hematocrit (85014) $15.69 $15.69 6.6×
Hemoglobin (85018) $16.40 $16.40 6.9×
Hemoglobin a1c (83036) $49.69 $49.69 5.1×
Hemosiderin urine (83070) $12.39 $12.39 2.6×
Hepatitis a antibody total (86708) $96.65 $96.65 7.8×
Hepatitis a igm (86709) $65.78 $65.78 5.8×
Hepatitis b core ab igm (86705) $47.73 $47.73 4.1×
Hepatitis b core antibody total (86704) $68.97 $68.97 5.7×
Hepatitis B Surface Ab (86706) $72.90 $72.90 6.8×
Hepatitis B Surface Antigen (87340) $44 $44 4.3×
Hepatitis c antibody (86803) $67.28 $67.28 4.7×
Hepatitis C Genotype (87902) $677.68 $677.68 2.6×
Herpes culture (87252) $130.21 $130.21 5.0×
Herpes simplex type 2 (86696) $147.35 $147.35 7.6×
Heterophile Antibodies,Screen - Mononucleosis Screen (86308) $30.58 $30.58 5.9×
Histoplasma antigen urine (87385) $156.01 $156.01 11.8×
Hla b 27 disease association lc (81374) $142.35 $142.35 1.9×
Hla-b27 (86812) $103 $103 4.0×
Hsv, Dna, Amp Probe - Hsv Pcr (87529) $180.25 $180.25 5.1×
Iaad ia clostridium difficile toxin (87324) $76.78 $76.78 6.4×
Iaad ia cryptosporidium (87328) $69.10 $69.10 5.0×
Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) $88.02 $88.02 3.7×
Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) $88.78 $88.78 6.2×
Iaad ia rotavirus (87425) $65.70 $65.70 5.5×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $71.68 $71.68 2.0×
Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) $74.99 $74.99 6.3×
Iaad Ia Streptococcus Group A (87430) $72.22 $72.22 4.3×
Iaadi influenza b virus (87275) $85 $85 6.9×
Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) $169 $169 3.9×
Iadna HIV-1 quant & reverse transcription (87536) $194.26 $194.26 2.3×
Iadna mycobacteria tuberculosis amp prb (87556) $248 $248 6.0×
Iadna neisseria gonorrhoeae amplified probe tq (87591) $102.32 $102.32 2.9×
Iadna nos amplified probe tq each organism (87798) $233.88 $233.88 6.7×
Iadna nos quantification each organism (87799) $316.97 $316.97 7.4×
Iadna-DNA/RNA probe tq 12-25 (87507) $1,273.26 $1,273.26 3.1×
Igg subclasses (82787) $47.24 $47.24 5.9×
Immunfix e-phorsis/urine/csf (86335) $256.88 $256.88 8.8×
Immunoassay infectious agent antibody quan nos (86317) $138.07 $138.07 9.2×
Immunoassay nonantibody (83516) $93.50 $93.50 8.1×
Immunofixj Electrophoresis Serum (86334) $133.46 $133.46 6.0×
Immunoglobulin light chains free each (83521) $70.65 $70.65 4.1×
Immunohisto Antibody Slide (88344) $379.05 $379.05 1.1×
Immunohistochemistry (88342) $379.05 $379.05 2.4×
India ink prep (87210) $21.74 $21.74 3.7×
Inhibin b (83520) $67.72 $67.72 3.9×
Insulin antibodies (86337) $167.96 $167.96 7.8×
Insulin total (83525) $78.12 $78.12 6.8×
Iron (83540) $37 $37 5.7×
Iron binding capacity (83550) $58.86 $58.86 6.7×
Islet cell antibody (86341) $216.95 $216.95 9.2×
Koh Prep (87220) $22.94 $22.94 5.4×
Lactic acid (83605) $61.88 $61.88 5.3×
Ldh (83615) $33.24 $33.24 5.5×
LDL cholesterol direct (83721) $59.69 $59.69 5.7×
Lead (83655) $87 $87 7.2×
Legionella antibody (86713) $87.33 $87.33 5.7×
Legionella antigen urine (87449) $72.22 $72.22 6.0×
Leptospira antibody (86720) $69.83 $69.83 4.3×
Leukocyte Assmt Fecal Qual/Semiquantitative (89055) $38.63 $38.63 9.0×
Level ii surg pathology gross&microscopic exam (88302) $106.09 $106.09 3.1×
Level v surg pathology gross&microscopic exam (88307) $357.93 $357.93 1.1×
Level vi surg pathology gross&microscopic exam (88309) $483.07 $483.07 0.7×
Lh (83002) $94.49 $94.49 5.1×
Lipase (83690) $36.68 $36.68 5.3×
Lithium (80178) $58.94 $58.94 8.9×
Lyme disease antibody (86618) $85.84 $85.84 5.0×
Magnesium (83735) $37 $37 5.5×
Malaria smear (87207) $77 $77 12.9×
Mcg interphase insitu 25 (88274) $183.43 $183.43 4.3×
Mercury (83825) $157.59 $157.59 9.7×
Methotrexate (80299) $138.95 $138.95 7.5×
Methylmalonic acid serum (83921) $79 $79 3.7×
Microalbumin urine (82043) $32.43 $32.43 5.6×
Microsomal antibodies (86376) $75.48 $75.48 5.2×
Mitochondrial antibody each (86381) $91 $91 3.6×
Molec cytg interphase ish analyze 100-300 cll (88275) $183.43 $183.43 3.6×
Mopath procedure level 6 (81405) $193.29 $193.29 0.6×
Muramidase (85549) $107 $107 5.7×
Mycobacteric Identification (87118) $125 $125 8.6×
Myoglobin urine (83874) $74.84 $74.84 5.8×
Natriuretic peptide (83880) $184.80 $184.80 4.7×
Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) $311.94 $311.94 4.3×
Nk cells total count (86357) $100.98 $100.98 2.7×
Nuclear antigen antibody (86235) $73.16 $73.16 4.1×
Osmolality serum (83930) $51.80 $51.80 7.8×
Osmolality urine (83935) $54.82 $54.82 8.0×
Ova and parasite direct-id lca (87177) $73.99 $73.99 8.3×
Oxalate urine (83945) $83.88 $83.88 5.8×
Pancreatic polypeptide (83519) $281.10 $281.10 15.3×
Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) $149.55 $149.55 2.1×
Phenytoin free (80186) $68.83 $68.83 5.0×
Phosphatase alkaline (84075) $29.92 $29.92 5.8×
Phosphorus blood (84100) $21.66 $21.66 4.6×
Phosphorus urine (84105) $52.54 $52.54 9.1×
Platelet count (85049) $19.84 $19.84 4.4×
Potassium (84132) $20.31 $20.31 4.3×
Potassium urine (84133) $37.61 $37.61 8.0×
Primidone (80188) $77.58 $77.58 4.7×
Procalcitonin (pct) (84145) $249 $249 9.1×
Progesterone (84144) $103.48 $103.48 5.0×
Prolactin (84146) $101.19 $101.19 5.2×
Protein body fluid (84157) $37.25 $37.25 9.3×
Protein c antigen (85302) $111.66 $111.66 9.3×
Protein electrophoresis serum (84165) $89.33 $89.33 8.3×
Protein Electrophoresis Urine (84166) $154.75 $154.75 8.7×
Protein Total Serum (84155) $40.46 $40.46 11.0×
Protein urine (84156) $53.63 $53.63 14.6×
Prothrombin time substitution (85611) $97 $97 24.6×
Quantiferon tb gold (86480) $180.66 $180.66 2.9×
Rbc antibody elution (86860) $104 $104 0.7×
Reagent strip/blood glucose (82948) $11.38 $11.38 2.3×
Renin activity plasma (84244) $139.40 $139.40 6.3×
Respiratory viral panel PCR (87633) $230 $230 0.6×
Reticulocyte separation (86972) $152 $152 1.0×
Rheumatoid factor quant (86431) $44.90 $44.90 7.9×
Rickettsia antibody (86757) $112.71 $112.71 5.8×
Rsv (87807) $56.90 $56.90 4.3×
Rubella antibody (86762) $56.86 $56.86 4.0×
Russell viper venom time diluted (85613) $43.40 $43.40 4.5×
Saccharomyces ab iga (86671) $132 $132 10.8×
Salicylate (80179) $121.63 $121.63 6.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $150 $150 2.9×
Sars-Cov-2 Covid-19 Antibody (86769) $78 $78 1.9×
Sed rate automated (85652) $19.67 $19.67 7.3×
Semen analysis sperm presence&/motility sprm (89321) $60.72 $60.72 5.0×
Sensitivity mic (87186) $48.82 $48.82 5.6×
Sex hormone binding globulin (84270) $153.99 $153.99 7.1×
Sickle cell screen (85660) $106.14 $106.14 19.3×
Smear acid fast (87206) $57.80 $57.80 10.7×
Smear complex stain (87209) $73.99 $73.99 4.1×
Smear gram stain (87205) $44.10 $44.10 10.3×
Sodium (84295) $26.82 $26.82 5.6×
Sodium urine (84300) $36.74 $36.74 7.3×
Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) $79.40 $79.40 0.6×
Special stains group 1 (88312) $102.29 $102.29 2.1×
Staph aureus amplified probe (87640) $67 $67 1.9×
Stool Cultr Aerobic Bact Ea (87046) $37.41 $37.41 4.0×
Surg path level iii (88304) $153.12 $153.12 3.2×
Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) $41.90 $41.90 1.6×
Surgical pathology level IV (88305) $257.58 $257.58 5.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $100.98 $100.98 2.1×
T cells, total count (86359) $100.98 $100.98 2.7×
T3 free (84481) $114.45 $114.45 6.8×
T3 reverse (84482) $110.54 $110.54 7.0×
T3 total (84480) $62.77 $62.77 4.4×
T4 Free (84439) $220.22 $220.22 24.4×
T4 total (84436) $37.50 $37.50 5.5×
Tb intradermal test (86580) $53.17 $53.17 2.0×
Testosterone free (84402) $157.72 $157.72 6.2×
Testosterone total (84403) $149.88 $149.88 5.8×
Theophylline (80198) $79.12 $79.12 5.6×
Thyroglobulin Ab (86800) $108.15 $108.15 6.8×
Thyroid Stimulating Immunoglobulin (84445) $624.89 $624.89 12.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $144.46 $144.46 12.5×
Transferrin (84466) $109.10 $109.10 8.6×
Translocation analysis (bcr/abl1) other breakpoint (81208) $152.98 $152.98 0.7×
Triglycerides (84478) $18.97 $18.97 3.3×
Troponin (84484) $89.64 $89.64 7.2×
Urea nitrogen (84520) $18.97 $18.97 4.8×
Uric acid blood (84550) $26.82 $26.82 5.9×
Uric acid other source (84560) $37.76 $37.76 7.4×
Urinalysis microscopic only (81015) $18.70 $18.70 6.1×
Urinalysis w/microscopic (81001) $18.04 $18.04 5.7×
Urine microalbumin (protein) analysis (82044) $29.90 $29.90 4.8×
Urine pregnancy test (81025) $37.18 $37.18 4.3×
Urnls dip stick/tablet rgnt auto w/o microscopy (81003) $14.49 $14.49 6.4×
Valproic acid level (80164) $86.92 $86.92 6.4×
Vancomycin trough (80202) $77.92 $77.92 5.8×
Varicella-zoster antibody (86787) $92.68 $92.68 7.2×
Vasopressin (84588) $170.90 $170.90 5.0×
Vdrl csf (86592) $45 $45 10.5×
Vitamin A (84590) $78.22 $78.22 6.7×
Vitamin b-12 (82607) $80.93 $80.93 5.4×
Vitamin b1 (thiamine) (84425) $99.52 $99.52 4.7×
Vitamin C (82180) $106.70 $106.70 10.8×
Vitamin D 25-Hydroxy (82306) $296.72 $296.72 10.0×
Vitamin e serum (84446) $114.68 $114.68 8.1×
West nile virus ab, igm (86788) $96.88 $96.88 5.7×
West nile virus antibody (86789) $91.82 $91.82 6.4×
Zinc (84630) $88 $88 7.7×