| 17 Hydroxyprogesterone (83498) |
$121.60 |
$152 |
4.5× |
| 5-Hiaa (83497) |
$57.60 |
$72 |
4.5× |
| Acetone serum qual (82009) |
$23.20 |
$29 |
5.1× |
| Acetone, quantitative (82010) |
$112.80 |
$141 |
13.8× |
| Acetylcholine receptor binding antibody (86041) |
$90.40 |
$113 |
4.9× |
| Acetylcholn rcptr blckg antb (86042) |
$162.40 |
$203 |
8.8× |
| Acetylcholn rcptr modlg antb (86043) |
$162.40 |
$203 |
13.5× |
| Acth (82024) |
$202.40 |
$253 |
5.2× |
| Activated protein c resistance (85307) |
$150 |
$187.50 |
9.8× |
| Acute hepatitis panel (80074) |
$264 |
$330 |
5.5× |
| Adenovirus ag if (87260) |
$73.42 |
$91.78 |
5.1× |
| Afb concentration (87015) |
$36 |
$45 |
5.4× |
| Afb culture (87116) |
$108 |
$135 |
10.0× |
| Afb smear (87206) |
$79.60 |
$99.50 |
14.8× |
| Albumin body fluid (82042) |
$12 |
$15 |
1.5× |
| Albumin serum (82040) |
$41.60 |
$52 |
8.4× |
| Aldolase (82085) |
$86.40 |
$108 |
8.9× |
| Aldosterone (82088) |
$187.60 |
$234.50 |
4.6× |
| Alkaline phosphatase (84075) |
$40.97 |
$51.21 |
7.9× |
| Alkaline phosphatase isoenzymes (84080) |
$20 |
$25 |
1.4× |
| Allergen profile perennial allergen (86003) |
$64 |
$80 |
12.3× |
| Alpha 2 antiplasmin (85410) |
$152 |
$190 |
19.7× |
| Alpha-1-antitrypsin (82103) |
$133.60 |
$167 |
9.9× |
| Alpha-1-antitrypsin phenotype (82104) |
$115.20 |
$144 |
8.0× |
| Alpha-fetoprotein serum (82105) |
$84 |
$105 |
5.0× |
| Alt (84460) |
$41.60 |
$52 |
7.8× |
| Amikacin level (80150) |
$110.40 |
$138 |
7.3× |
| Amino acid screen urine (82128) |
$70.40 |
$88 |
5.1× |
| Amino acids quant 2-5 (82136) |
$241.60 |
$302 |
12.3× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$212 |
$265 |
12.6× |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
$318.40 |
$398 |
13.9× |
| Aminolevulinic acid delta (82135) |
$327.20 |
$409 |
19.9× |
| Ammonia (82140) |
$114.40 |
$143 |
7.9× |
| Amylase (82150) |
$98.40 |
$123 |
15.2× |
| Ana (86038) |
$97.60 |
$122 |
8.1× |
| Ana titer (86039) |
$82.40 |
$103 |
7.4× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$52.80 |
$66 |
4.0× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$63.20 |
$79 |
4.1× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$72.80 |
$91 |
4.0× |
| Analysis for antibody to Haemophilus influenza (respiratory bacteria) (86684) |
$89.60 |
$112 |
5.7× |
| Androstenedione (82157) |
$132 |
$165 |
4.5× |
| Angiotensin converting enzyme (82164) |
$119.20 |
$149 |
8.2× |
| Anti-mitochondrial antibody (86255) |
$136 |
$170 |
11.3× |
| Anti-phosphatidylserine antibody (86148) |
$189.20 |
$236.50 |
11.8× |
| Antibody identification platelet antibodies (86022) |
$467.20 |
$584 |
25.4× |
| Antibody west nile virus igm (86788) |
$101.60 |
$127 |
6.0× |
| Antibody; Helicobacter pylori (86677) |
$95.20 |
$119 |
5.6× |
| Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) |
$111.20 |
$139 |
19.4× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$47.40 |
$59.25 |
3.9× |
| Antistreptolysin o screen (86063) |
$60 |
$75 |
10.4× |
| Antistreptolysin o titer (86060) |
$88.80 |
$111 |
12.2× |
| Antithrombin iii activity (85300) |
$157.20 |
$196.50 |
13.3× |
| Antithrombin iii antigen (85301) |
$76 |
$95 |
7.0× |
| Apolipoprotein each (82172) |
$121.20 |
$151.50 |
5.7× |
| Arsenic (82175) |
$172 |
$215 |
9.1× |
| Aspergillus antibody (86606) |
$130.40 |
$163 |
8.7× |
| Aspergillus antigen (87305) |
$126.24 |
$157.80 |
10.5× |
| Assay of vitamin b-2 (84252) |
$305.60 |
$382 |
15.1× |
| Assay of vitamin not otherwise specified (84591) |
$212.80 |
$266 |
12.5× |
| Ast (84450) |
$41.60 |
$52 |
8.0× |
| Bacterium antibody (86609) |
$85.60 |
$107 |
6.6× |
| Bartonella antibody (86611) |
$73.60 |
$92 |
7.2× |
| Basic metabolic panel calcium ionized (80047) |
$133.60 |
$167 |
9.7× |
| Bcr/abl1 gene major bp (81206) |
$900.80 |
$1,126 |
5.5× |
| Beta 2 glycoprotein i antibody (86146) |
$88.80 |
$111 |
3.5× |
| Beta-2 microglobulin (82232) |
$124 |
$155 |
7.7× |
| Bilirubin direct (82248) |
$34.40 |
$43 |
6.9× |
| Bilirubin total (82247) |
$42.40 |
$53 |
8.4× |
| Bill task fungal identification by maldi-tof ms arup 2009257 2007693 (87158) |
$356.80 |
$446 |
46.1× |
| Blastomyces antibody (86612) |
$476 |
$595 |
36.9× |
| Bleeding time (85002) |
$72 |
$90 |
14.9× |
| Blood count leukocyte wbc automated (85048) |
$34.40 |
$43 |
13.5× |
| Blood count reticulocyte automated (85045) |
$24 |
$30 |
6.0× |
| Blood gases any combination (82803) |
$496.80 |
$621 |
19.1× |
| Blood gases ph only (82800) |
$83.20 |
$104 |
7.6× |
| Blood typing rbc antigens (86905) |
$130.40 |
$163 |
34.0× |
| Blood typing serologic abo (86900) |
$56.80 |
$71 |
19.0× |
| Blood typing serologic rh (d) (86901) |
$56.80 |
$71 |
19.0× |
| Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient (86904) |
$118 |
$147.50 |
7.2× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$130.40 |
$163 |
20.5× |
| Blood unit compatibility test, incubation technique (86921) |
$37.60 |
$47 |
0.2× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$35.20 |
$44 |
2.2× |
| Bordetella pertussis igm (86615) |
$48.80 |
$61 |
3.7× |
| Breath alcohol test (82075) |
$24.80 |
$31 |
0.8× |
| C diff amplified probe (87493) |
$160 |
$200 |
4.3× |
| C-peptide (84681) |
$121.60 |
$152 |
5.8× |
| C-reactive protein (86140) |
$62.80 |
$78.50 |
12.1× |
| C-reactive protein high sensitivity (86141) |
$83.20 |
$104 |
6.4× |
| C2 complement functional (86161) |
$180.80 |
$226 |
15.1× |
| Ca 125 (86304) |
$136 |
$170 |
6.5× |
| Ca 15-3 (86300) |
$142.40 |
$178 |
6.8× |
| Cadmium (82300) |
$123.20 |
$154 |
5.2× |
| Calcitonin (82308) |
$52 |
$65 |
1.9× |
| Calcium ionized (82330) |
$115.20 |
$144 |
8.4× |
| Calcium total (82310) |
$64.80 |
$81 |
12.6× |
| Calcium, random urine (82340) |
$108.52 |
$135.65 |
18.0× |
| Calprotectin fecal (83993) |
$380.80 |
$476 |
19.4× |
| Cancer antigen 19-9 (86301) |
$144 |
$180 |
6.9× |
| Candida antibody (86628) |
$97.20 |
$121.50 |
8.1× |
| Candida DNA amp probe (87481) |
$52.80 |
$66 |
1.5× |
| Carbamazepine total (80156) |
$87.20 |
$109 |
6.0× |
| Carbon dioxide (82374) |
$23.20 |
$29 |
4.8× |
| Carbon monoxide (82375) |
$98.80 |
$123.50 |
8.0× |
| Cardiolipin antibody ea ig class (86147) |
$107.20 |
$134 |
4.2× |
| Casein igg (86001) |
$72.45 |
$90.56 |
9.3× |
| Catecholamines (organic nitrogen) urine level (82382) |
$119.20 |
$149 |
4.4× |
| Catecholamines fractionated (82384) |
$219.20 |
$274 |
8.7× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$147.20 |
$184 |
3.1× |
| Cea (82378) |
$138.40 |
$173 |
7.3× |
| Cell count body fluid (89050) |
$69.60 |
$87 |
14.7× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$76 |
$95 |
13.6× |
| Cell function assay w/stim (86352) |
$456.80 |
$571 |
3.4× |
| Ceruloplasmin (82390) |
$74.40 |
$93 |
6.9× |
| Cftr gene com variants (81220) |
$340 |
$425 |
0.6× |
| Chemiluminescent assay (82397) |
$230.80 |
$288.50 |
16.3× |
| Chg fresh frozen plasma thawing each unit (86927) |
$53.60 |
$67 |
0.3× |
| Chlamydia antibody (86631) |
$219.20 |
$274 |
18.5× |
| Chlamydia antibody igm (86632) |
$140 |
$175 |
11.0× |
| Chlamydia culture (87110) |
$81.60 |
$102 |
4.2× |
| Chlamydia trachomatis ag if (87270) |
$24 |
$30 |
2.0× |
| Chloride blood (82435) |
$40.80 |
$51 |
8.9× |
| Chloride urine (82436) |
$42.40 |
$53 |
7.4× |
| Cholesterol total (82465) |
$52.80 |
$66 |
12.1× |
| Cholinesterase rbc (82482) |
$128 |
$160 |
13.0× |
| Cholinesterase serum (82480) |
$115.20 |
$144 |
14.6× |
| Chorionic gonadotropin test (84702) |
$117.60 |
$147 |
7.8× |
| Chromium (82495) |
$113.60 |
$142 |
5.6× |
| Chromogenic substrate assay (85130) |
$60.80 |
$76 |
5.1× |
| Chromogranin a (86316) |
$152 |
$190 |
7.3× |
| Chromosome analysis 15-20 cells (88262) |
$646.40 |
$808 |
5.2× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$225.60 |
$282 |
8.4× |
| Chromosome analysis for genetic defects, additional high resolution study (88289) |
$131.20 |
$164 |
3.8× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$125.60 |
$157 |
3.8× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$310 |
$387.50 |
1.2× |
| Citrate (82507) |
$125.60 |
$157 |
4.5× |
| Ck mb fraction (82553) |
$163.20 |
$204 |
14.1× |
| Clostridium ag eia (87324) |
$63.20 |
$79 |
5.3× |
| Clot inhibit prot s total (85305) |
$186.40 |
$233 |
16.1× |
| Cmv antibody (86644) |
$76 |
$95 |
5.3× |
| Coccidioides antibody (86635) |
$119.20 |
$149 |
10.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$166.66 |
$208.32 |
6.9× |
| Cold agglutinins titer (86157) |
$95.20 |
$119 |
11.8× |
| Collagen cross links (82523) |
$130.40 |
$163 |
7.0× |
| Complement antigen ea component (86160) |
$119.60 |
$149.50 |
10.0× |
| Complement total (ch50) (86162) |
$175.20 |
$219 |
8.6× |
| Coombs test indirect titer (86886) |
$104.80 |
$131 |
20.2× |
| Copper (82525) |
$20 |
$25 |
1.6× |
| Cortisol free (82530) |
$101.20 |
$126.50 |
6.1× |
| Cortisol saliva (82533) |
$136 |
$170 |
8.3× |
| COVID-19 antibody (86769) |
$84 |
$105 |
2.0× |
| Creatine kinase isoenzymes (82552) |
$96.80 |
$121 |
7.2× |
| Creatine kinase total (82550) |
$85.60 |
$107 |
13.1× |
| Creatinine (82565) |
$60.80 |
$76 |
11.9× |
| Creatinine clearance (82575) |
$82.40 |
$103 |
8.7× |
| Creatinine other source (82570) |
$70.40 |
$88 |
13.6× |
| Crossmatch ahg (86922) |
$156.80 |
$196 |
0.9× |
| Cryofibrinogen (82585) |
$49.60 |
$62 |
3.5× |
| Cryoglobulins (82595) |
$42.80 |
$53.50 |
6.6× |
| Cryptosporidium ag eia (87328) |
$116.80 |
$146 |
8.5× |
| Crystals fluid (89060) |
$72 |
$90 |
9.8× |
| Culture anaerobic (87075) |
$90.40 |
$113 |
9.5× |
| Culture blood (87040) |
$190.40 |
$238 |
18.4× |
| Culture fungus skin hair nail (87101) |
$67.20 |
$84 |
8.7× |
| Culture mycoplasma (87109) |
$70.40 |
$88 |
4.6× |
| Culture stool (87045) |
$120.80 |
$151 |
12.8× |
| Culture typing if ea antiserum (87140) |
$19.20 |
$24 |
3.4× |
| Culture urine (87086) |
$85.60 |
$107 |
10.6× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$56.80 |
$71 |
7.0× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$11.20 |
$14 |
1.4× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$62.40 |
$78 |
6.6× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$71.20 |
$89 |
13.7× |
| Cyanide (82600) |
$154.40 |
$193 |
8.0× |
| Cyclic citrullinated peptide ab (86200) |
$98.40 |
$123 |
7.6× |
| Cyclosporine (80158) |
$165.60 |
$207 |
9.2× |
| Cyp2c19 gene analysis common variants (81225) |
$48.50 |
$60.63 |
0.2× |
| Cyp2c9 gene com variants (81227) |
$48.50 |
$60.63 |
0.3× |
| Cyp2d6 gene analysis common variants (81226) |
$453.05 |
$566.32 |
1.0× |
| CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2,… (81230) |
$48.50 |
$60.63 |
0.3× |
| Cyp3a5 gene common variants (81231) |
$48.50 |
$60.63 |
0.3× |
| Cystatin c (82610) |
$149.60 |
$187 |
8.1× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$329.60 |
$412 |
25.3× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$1,440 |
$1,800 |
1.2× |
| Cytogenetics 25-99 (88274) |
$212.80 |
$266 |
5.0× |
| Cytomegalovirus antibody igm (86645) |
$119.20 |
$149 |
7.1× |
| Cytopath cell enhance tech (88112) |
$100 |
$125 |
1.8× |
| Cytopath tbs c/v manual (88164) |
$69.60 |
$87 |
3.8× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$60 |
$75 |
3.0× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$86.40 |
$108 |
3.2× |
| Cytp eval fine needle aspirate interp & report (88173) |
$167.20 |
$209 |
3.0× |
| Cytp urne 3-5 probes ea spec (88120) |
$312 |
$390 |
1.7× |
| D-dimer quantitative (85379) |
$154.40 |
$193 |
15.2× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$96 |
$120 |
7.0× |
| Dhea (82626) |
$179.20 |
$224 |
7.1× |
| Dhea sulfate (82627) |
$164.80 |
$206 |
7.4× |
| Digoxin (80162) |
$122.40 |
$153 |
9.2× |
| Dihydrotestosterone (82642) |
$54.61 |
$68.26 |
1.9× |
| Diphtheria antibody (86648) |
$76 |
$95 |
5.0× |
| Direct antiglobulin test (86880) |
$82.40 |
$103 |
15.3× |
| Dpyd gene analysis common variants (81232) |
$48.50 |
$60.63 |
0.3× |
| Drug screen quant everolimus (80169) |
$136.40 |
$170.50 |
9.9× |
| Drug screen quant levetiracetam (80177) |
$135.20 |
$169 |
10.2× |
| Drug screen quant mycophenolate (80180) |
$148.08 |
$185.10 |
8.2× |
| Drug screen quant zonisamide (80203) |
$146 |
$182.50 |
11.0× |
| Drug screen quantitative oxcarbazepine (80183) |
$174.40 |
$218 |
13.2× |
| Drug test prsmv chem anlyzr (80307) |
$131.12 |
$163.90 |
2.1× |
| Drug test prsmv instrmnt (80306) |
$168 |
$210 |
9.8× |
| Ear culture (87070) |
$114.40 |
$143 |
13.3× |
| Elastase pancreatic fecal quantitative (82653) |
$338.40 |
$423 |
14.7× |
| Electrolytes panel (80051) |
$89.60 |
$112 |
12.8× |
| Eosinophils urine (87205) |
$63.20 |
$79 |
14.8× |
| Erythropoietin (82668) |
$148.80 |
$186 |
7.9× |
| Estradiol (82670) |
$149.60 |
$187 |
5.4× |
| Estriol (82677) |
$43.68 |
$54.60 |
1.8× |
| Estrogen fractionated (82671) |
$103.20 |
$129 |
3.2× |
| Estrogens total (82672) |
$70.40 |
$88 |
3.2× |
| Estrone (82679) |
$231.20 |
$289 |
9.3× |
| Extractable nuclear antigen antibody any method (86235) |
$108 |
$135 |
6.0× |
| F2 gene analysis (81240) |
$302 |
$377.50 |
4.6× |
| F5 gene (81241) |
$404.80 |
$506 |
5.5× |
| Factor ii activity (85210) |
$84 |
$105 |
6.5× |
| Factor vii activity (85230) |
$262.40 |
$328 |
14.7× |
| Factor viii activity (85240) |
$67.20 |
$84 |
3.8× |
| Factor viii vw antigen (85246) |
$212.32 |
$265.40 |
9.3× |
| Factor xii (hageman) (85280) |
$227.20 |
$284 |
11.7× |
| Fat stain (89125) |
$38.40 |
$48 |
6.5× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$176.80 |
$221 |
10.5× |
| Fecal fat qualitative (82705) |
$63.20 |
$79 |
12.4× |
| Ferritin (82728) |
$100.80 |
$126 |
7.4× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$2,284.80 |
$2,856 |
3.0× |
| Fetal fibronectin (82731) |
$387.20 |
$484 |
6.0× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$130.40 |
$163 |
16.9× |
| Fibrin split products (85362) |
$18.40 |
$23 |
2.7× |
| Fibrinogen antigen (85385) |
$15.20 |
$19 |
1.1× |
| Fibrinogen, activity (85384) |
$72.80 |
$91 |
7.5× |
| Flow cytometry first marker (88184) |
$240 |
$300 |
0.6× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$292.80 |
$366 |
5.1× |
| Folate serum (82746) |
$84 |
$105 |
5.7× |
| Folic acid rbc (82747) |
$128.80 |
$161 |
7.3× |
| Follicle stimulating hormone (fsh) (83001) |
$111.20 |
$139 |
6.0× |
| Fructosamine (82985) |
$40.80 |
$51 |
2.4× |
| Fungus isolation culture (87102) |
$104.80 |
$131 |
12.5× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$150.40 |
$188 |
12.3× |
| G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-)… (81247) |
$48.50 |
$60.63 |
0.3× |
| Galectin-3 (82777) |
$114.54 |
$143.18 |
2.6× |
| Gamma glutamyl transferase (82977) |
$66.40 |
$83 |
9.2× |
| Gammaglobulin ige (82785) |
$50.40 |
$63 |
3.1× |
| Gardnerella vaginalis amp probe (87511) |
$52.80 |
$66 |
1.5× |
| Gastrin (82941) |
$125.60 |
$157 |
7.1× |
| Genet virus isolate hsv (87255) |
$36 |
$45 |
1.1× |
| Gentamicin (80170) |
$164 |
$205 |
10.0× |
| Giardia antigen (87329) |
$138.40 |
$173 |
11.6× |
| Gliadin antibody each immunoglobulin class (86258) |
$23.60 |
$29.50 |
2.0× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$18.80 |
$23.50 |
5.7× |
| Glucagon (82943) |
$126.40 |
$158 |
8.8× |
| Glucose Fasting (82947) |
$34.40 |
$43 |
8.8× |
| Glucose other fluid (82945) |
$34.40 |
$43 |
8.8× |
| Glucose post glucose dose (82950) |
$34.40 |
$43 |
7.2× |
| Glucose tolerance test (gtt) (82951) |
$45.60 |
$57 |
3.5× |
| Glycated hemoglobin (83036) |
$95.20 |
$119 |
9.8× |
| Glycosylated hb home device (83037) |
$17.60 |
$22 |
1.8× |
| Growth hormone (hgh) (83003) |
$129.60 |
$162 |
7.8× |
| Gtt-added samples (82952) |
$34.40 |
$43 |
8.8× |
| H pylori breath test (83013) |
$232 |
$290 |
3.4× |
| H pylori stool (87338) |
$186.40 |
$233 |
13.0× |
| Haptoglobin (83010) |
$100 |
$125 |
7.9× |
| Hcg ql (84703) |
$157.60 |
$197 |
21.0× |
| HDL cholesterol (83718) |
$62.40 |
$78 |
7.6× |
| Heavy metal quan each nes (83018) |
$84.40 |
$105.50 |
3.8× |
| Hematocrit (hct) (85014) |
$35.20 |
$44 |
14.9× |
| Hematocrit spun (85013) |
$64.80 |
$81 |
9.3× |
| Hemoglobin (85018) |
$33.60 |
$42 |
14.2× |
| Hemoglobin electrophoresis (83020) |
$119.20 |
$149 |
9.3× |
| Hemoglobin fractj/quantj chromotography (83021) |
$168.80 |
$211 |
9.3× |
| Hemoglobin plasma (83051) |
$76.80 |
$96 |
10.5× |
| Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin Other Outpatient (88740) |
$14.40 |
$18 |
1.5× |
| Hemoglobin; by copper sulfate method, non-automated f(fetal), chemical (83030) |
$70.40 |
$88 |
6.6× |
| Hep a ab total (86708) |
$78.40 |
$98 |
6.3× |
| Heparin assay (85520) |
$268 |
$335 |
20.5× |
| Hepatitis a antibody igm (86709) |
$103.20 |
$129 |
9.2× |
| Hepatitis b core antibody igm (86705) |
$86.40 |
$108 |
7.3× |
| Hepatitis b core antibody total (86704) |
$65.60 |
$82 |
5.4× |
| Hepatitis b DNA quant (87517) |
$148 |
$185 |
3.5× |
| Hepatitis b surface ab (86706) |
$76 |
$95 |
7.1× |
| Hepatitis b surface antigen (87340) |
$70.40 |
$88 |
6.8× |
| Hepatitis c antibody (86803) |
$102.40 |
$128 |
7.2× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$219.20 |
$274 |
14.2× |
| Hepatitis c genotype (87902) |
$587.50 |
$734.38 |
2.3× |
| Hepatitis c RNA quantitative (87522) |
$226.40 |
$283 |
5.3× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$78.40 |
$98 |
5.4× |
| Herpes simplex virus by PCR (87529) |
$294.40 |
$368 |
8.4× |
| Heterophile antibody screen (86308) |
$73.60 |
$92 |
14.2× |
| Hfe gene (81256) |
$373.60 |
$467 |
5.7× |
| Histamine (83088) |
$114.24 |
$142.80 |
3.9× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$84.80 |
$106 |
3.5× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$82.40 |
$103 |
6.0× |
| Hla b27 (86812) |
$384.80 |
$481 |
14.9× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$155.20 |
$194 |
2.1× |
| Hla i typing 1 allele hr (81381) |
$194.05 |
$242.56 |
1.1× |
| Hla ii typing 1 loc hr (81382) |
$200 |
$250 |
1.6× |
| Homocysteine level (83090) |
$104.80 |
$131 |
5.8× |
| Hpv high-risk types (87624) |
$155.20 |
$194 |
4.4× |
| Hpv types 16 & 18 only (87625) |
$152 |
$190 |
3.7× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$188.80 |
$236 |
9.8× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$90.40 |
$113 |
2.6× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$104 |
$130 |
2.0× |
| Ifnl3 gene (81283) |
$48.50 |
$60.63 |
0.7× |
| Igg subclass 1 (82787) |
$84.80 |
$106 |
10.6× |
| Immune complex assay (86332) |
$132.80 |
$166 |
5.4× |
| Immunoassay analyte quantitative nos (83520) |
$144.30 |
$180.38 |
8.4× |
| Immunoassay infectious agent antibody quan nos (86317) |
$173.60 |
$217 |
11.6× |
| Immunofixation electrophoresis (86334) |
$136 |
$170 |
6.1× |
| Immunofixation urine (86335) |
$107.20 |
$134 |
3.7× |
| Immunoglobulin d (82784) |
$72 |
$90 |
7.7× |
| Immunoglobulin light chains free each (83521) |
$184 |
$230 |
10.7× |
| Immunoperoxidase (88342) |
$312.40 |
$390.50 |
1.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$79.20 |
$99 |
5.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$127.20 |
$159 |
7.9× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$315 |
$393.75 |
7.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$70.40 |
$88 |
2.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$310 |
$387.50 |
7.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient (87512) |
$61.58 |
$76.97 |
1.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87506) |
$946.80 |
$1,183.50 |
3.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$150 |
$187.50 |
4.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$424.80 |
$531 |
5.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$436.80 |
$546 |
10.5× |
| Influenza a ag eia (87400) |
$110.40 |
$138 |
7.8× |
| Influenza antibody (86710) |
$54.40 |
$68 |
4.0× |
| Inhibin a (86336) |
$62.40 |
$78 |
4.0× |
| Insulin antibody (86337) |
$380 |
$475 |
17.7× |
| Insulin total (83525) |
$85.60 |
$107 |
7.5× |
| Iron (83540) |
$48.80 |
$61 |
7.5× |
| Iron binding capacity (83550) |
$52 |
$65 |
5.9× |
| Irradiation of blood product, each unit (86945) |
$151.20 |
$189 |
3.8× |
| Islet cell antibody (86341) |
$106.91 |
$133.64 |
4.5× |
| Jak2 gene (81270) |
$299.20 |
$374 |
3.3× |
| John cunningham antibody (86711) |
$1,635.60 |
$2,044.50 |
96.8× |
| Koh prep (87220) |
$40 |
$50 |
9.4× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$73.60 |
$92 |
1.9× |
| Lactate (83605) |
$104 |
$130 |
9.0× |
| Lactate dehydrogenase (83615) |
$35.20 |
$44 |
5.8× |
| Lamotrigine (80175) |
$135.20 |
$169 |
10.2× |
| Ldh isoenzymes (83625) |
$28.80 |
$36 |
2.3× |
| LDL direct (83721) |
$84.80 |
$106 |
8.1× |
| Lead (83655) |
$70.80 |
$88.50 |
5.8× |
| Legionella antibody (86713) |
$177.60 |
$222 |
11.6× |
| Legionella culture (87081) |
$75.60 |
$94.50 |
11.4× |
| Legionella urine antigen (87449) |
$106 |
$132.50 |
8.8× |
| Leucine aminopeptidase (83670) |
$242.40 |
$303 |
24.7× |
| Leukocyte alkaline phosphatase (85540) |
$118.40 |
$148 |
13.8× |
| Leukocyte antibody id (86021) |
$82.40 |
$103 |
5.5× |
| Leukocyte assessment fecal (89055) |
$50.40 |
$63 |
11.8× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$135.20 |
$169 |
3.4× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$126.40 |
$158 |
2.3× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$179.20 |
$224 |
3.3× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$462.40 |
$578 |
1.2× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$528.80 |
$661 |
0.6× |
| Lipase (83690) |
$112 |
$140 |
16.3× |
| Lipoprotein (a) (83695) |
$90.40 |
$113 |
6.3× |
| Lipoprotein bld by nmr (83704) |
$76.18 |
$95.23 |
2.2× |
| Lipoprotein-associated phospholipase a2 (83698) |
$76.40 |
$95.50 |
1.6× |
| Lithium (80178) |
$38.40 |
$48 |
5.8× |
| Luteinizing hormone (lh) (83002) |
$111.20 |
$139 |
6.0× |
| Lyme disease antibody (86617) |
$140.80 |
$176 |
9.1× |
| Lyme disease antibody (86618) |
$100 |
$125 |
5.9× |
| M/phmtrc alys ishquant/semiq (88377) |
$210.38 |
$262.98 |
1.2× |
| Magnesium (83735) |
$52.40 |
$65.50 |
7.8× |
| Malaria smear (87207) |
$73.60 |
$92 |
12.3× |
| Manual differential (85007) |
$56 |
$70 |
14.7× |
| Manual reticulocyte count (85044) |
$38.40 |
$48 |
8.9× |
| Measurement of antibody to streptokinase (enzyme) (86590) |
$113.60 |
$142 |
9.0× |
| Mercury (83825) |
$161.20 |
$201.50 |
9.9× |
| Metanephrines (83835) |
$166.40 |
$208 |
9.8× |
| Methemoglobin quant (83050) |
$72.80 |
$91 |
8.9× |
| Methylmalonic acid serum (83921) |
$207.20 |
$259 |
9.8× |
| Microalbumin urine (82043) |
$110.40 |
$138 |
19.1× |
| Mitochondrial antibody each (86381) |
$95.20 |
$119 |
3.7× |
| Molecular cytogenetics DNA probe each (88271) |
$76 |
$95 |
3.5× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$172 |
$215 |
3.4× |
| Mononuclear cell antigen (86356) |
$169.20 |
$211.50 |
6.3× |
| Mopath procedure level 1 (81400) |
$48.50 |
$60.63 |
0.8× |
| Mopath procedure level 2 (81401) |
$529.60 |
$662 |
3.9× |
| Mopath procedure level 5 (81404) |
$748.80 |
$936 |
2.7× |
| Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) |
$500.80 |
$626 |
2.8× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$240 |
$300 |
1.3× |
| Mthfr gene (81291) |
$48.50 |
$60.63 |
0.7× |
| Mumps antibody (86735) |
$94 |
$117.50 |
7.2× |
| Mycoplasma antibody (86738) |
$84.80 |
$106 |
6.4× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$120.80 |
$151 |
10.5× |
| Myoglobin (83874) |
$60.68 |
$75.85 |
4.7× |
| N.gonorrhoeae DNA amp prob (87591) |
$70.40 |
$88 |
2.0× |
| Nasal smear for eosinophils (89190) |
$52.80 |
$66 |
9.1× |
| Natriuretic peptide (83880) |
$191.58 |
$239.48 |
4.9× |
| Nephelometry ea analyte (83883) |
$185.60 |
$232 |
13.6× |
| Nfct ds chrnc hcv 6 assays (81596) |
$346.50 |
$433.12 |
4.8× |
| NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Other… (81306) |
$48.50 |
$60.63 |
0.2× |
| Occult bld feces 1-3 tests (82272) |
$28.80 |
$36 |
6.8× |
| Occult blood other sources (82271) |
$44.80 |
$56 |
8.4× |
| Occult blood screening (82270) |
$32 |
$40 |
7.3× |
| Organic acids total quant (83918) |
$284.80 |
$356 |
12.1× |
| Osmolality serum (83930) |
$60.80 |
$76 |
9.2× |
| Osmolality urine (83935) |
$76 |
$95 |
11.1× |
| Ova and parasite exam (87177) |
$63.20 |
$79 |
7.1× |
| Oxalate urine (83945) |
$56 |
$70 |
3.9× |
| Pancreatic polypeptide (83519) |
$189.20 |
$236.50 |
10.3× |
| Parathyroid hormone (83970) |
$206.40 |
$258 |
5.0× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$230.40 |
$288 |
20.0× |
| Parvovirus antibody (86747) |
$77.60 |
$97 |
5.2× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$85.84 |
$107.30 |
0.2× |
| Pertussis by PCR (87798) |
$274.80 |
$343.50 |
7.8× |
| Ph body fluid (83986) |
$115.20 |
$144 |
32.2× |
| Phenobarbital (80184) |
$105.60 |
$132 |
6.9× |
| Phenotype infect agent drug (87900) |
$308.70 |
$385.87 |
2.4× |
| Phenylalanine (84030) |
$100.80 |
$126 |
18.3× |
| Phenytoin (dilantin) free (80186) |
$115.20 |
$144 |
8.4× |
| Phenytoin level total (80185) |
$118.40 |
$148 |
8.9× |
| Phosphorus (84100) |
$41.60 |
$52 |
8.8× |
| Pinworm exam (87172) |
$44 |
$55 |
10.3× |
| Platelet count automated (85049) |
$50.40 |
$63 |
11.2× |
| Potassium (84132) |
$34.40 |
$43 |
7.2× |
| Potassium urine (84133) |
$24 |
$30 |
5.1× |
| Prealbumin (84134) |
$127.20 |
$159 |
8.7× |
| Pregnenolone (84140) |
$104 |
$130 |
5.0× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density… (86972) |
$151.20 |
$189 |
0.8× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) |
$87.20 |
$109 |
1.4× |
| Primidone (80188) |
$80.80 |
$101 |
4.9× |
| Procalcitonin (pct) (84145) |
$231.20 |
$289 |
8.5× |
| Progesterone (84144) |
$115.20 |
$144 |
5.5× |
| Progesterone (reproductive hormone) receptor analysis (84234) |
$272 |
$340 |
4.2× |
| Proinsulin (84206) |
$320.80 |
$401 |
12.0× |
| Prolactin (84146) |
$136 |
$170 |
7.0× |
| Prostatic acid phosphatase (84066) |
$96 |
$120 |
9.9× |
| Protein c activity (85303) |
$84.80 |
$106 |
6.1× |
| Protein c antigen (85302) |
$186.40 |
$233 |
15.5× |
| Protein electrophoresis serum (84165) |
$79.20 |
$99 |
7.4× |
| Protein electrophoresis urine (84166) |
$98.40 |
$123 |
5.5× |
| Protein s antigen, free (85306) |
$212.80 |
$266 |
13.9× |
| Protein total other source (84157) |
$71.60 |
$89.50 |
17.9× |
| Protein total serum (84155) |
$48.80 |
$61 |
13.3× |
| Protein total urine (84156) |
$39.20 |
$49 |
10.7× |
| Protein western blot (84181) |
$357.60 |
$447 |
21.0× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$40 |
$50 |
10.2× |
| Protozoa antibody nos (86753) |
$196.80 |
$246 |
15.9× |
| PSA free (84154) |
$107.20 |
$134 |
5.8× |
| Rbc antibody elution (86860) |
$137.60 |
$172 |
0.8× |
| Rbc antibody identification (86870) |
$226 |
$282.50 |
0.6× |
| Rbc antibody screen (86850) |
$123.60 |
$154.50 |
12.7× |
| Receptor assay non-endocrine specify receptor (84238) |
$267.60 |
$334.50 |
7.3× |
| Receptor assay; estrogen Other Outpatient (84233) |
$272 |
$340 |
3.1× |
| Ref john hopkins telomere length measurement flow cytometry and fish (88182) |
$341.60 |
$427 |
6.2× |
| Ref labcorp, 451840, titrate resistant acid phosphate (trap) (84060) |
$89.60 |
$112 |
11.7× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$154.40 |
$193 |
12.8× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$89.60 |
$112 |
6.8× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$135.20 |
$169 |
7.0× |
| Renin (84244) |
$141.20 |
$176.50 |
6.4× |
| Resp virus 12-25 targets (87633) |
$801.60 |
$1,002 |
1.9× |
| Reticyte/hgb concentrate (85046) |
$52 |
$65 |
9.3× |
| Rh phenotyping complete (86906) |
$172 |
$215 |
22.2× |
| Rheumatoid factor (86430) |
$56 |
$70 |
9.1× |
| Rheumatoid factor quant (86431) |
$57.60 |
$72 |
10.2× |
| Rickettsia antibody (86757) |
$144 |
$180 |
7.4× |
| Ristocetin cofactor (85245) |
$186.28 |
$232.85 |
8.1× |
| Rl immediate spin crossmatch (86920) |
$198.40 |
$248 |
1.1× |
| Rotavirus ag eia (87425) |
$90.40 |
$113 |
7.5× |
| Rpr qual (86592) |
$32.40 |
$40.50 |
7.6× |
| Rpr titer (86593) |
$76.80 |
$96 |
17.5× |
| Rubella antibody (86762) |
$82.40 |
$103 |
5.7× |
| Rubeola antibody (86765) |
$76.80 |
$96 |
6.0× |
| Russell viper venom diluted (85613) |
$64 |
$80 |
6.7× |
| Russell viper venom time (includes venom); undiluted Other Outpatient (85612) |
$235.20 |
$294 |
13.4× |
| Sedimentation rate rbc automated (85652) |
$56.80 |
$71 |
21.0× |
| Sedimentation rate rbc non-automated (85651) |
$48.80 |
$61 |
11.4× |
| Selenium (84255) |
$67.20 |
$84 |
2.6× |
| Semen analysis complete (89320) |
$117.60 |
$147 |
9.6× |
| Semen analysis post vasectomy (89321) |
$38.40 |
$48 |
3.2× |
| Semen analysis; motility and count (not including Huhner test) Other Outpatient (89310) |
$38.40 |
$48 |
4.5× |
| Serotonin (84260) |
$200 |
$250 |
6.5× |
| Sex hormone binding globulin (84270) |
$147.20 |
$184 |
6.8× |
| Shiga-like toxin ag eia (87427) |
$64 |
$80 |
5.3× |
| Sickle cell screen (85660) |
$34.18 |
$42.72 |
6.2× |
| Sirolimus (80195) |
$81.60 |
$102 |
5.9× |
| Skin test tuberculosis intradermal (86580) |
$51.20 |
$64 |
1.7× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) |
$48.50 |
$60.63 |
0.3× |
| Smear wet mount (87210) |
$57.60 |
$72 |
9.9× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$876.80 |
$1,096 |
6.4× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Other… (81336) |
$482.40 |
$603 |
1.6× |
| Snrpn/ube3a methylation analysis (81331) |
$434.40 |
$543 |
8.5× |
| Sodium (84295) |
$56.80 |
$71 |
11.8× |
| Sodium other source (84302) |
$89.60 |
$112 |
18.4× |
| Sodium urine (84300) |
$32 |
$40 |
6.3× |
| Somatomedin (84305) |
$193.60 |
$242 |
9.1× |
| Somatostatin (84307) |
$141.12 |
$176.40 |
7.7× |
| Special stains group i (88312) |
$131.20 |
$164 |
2.4× |
| Special stains group ii (88313) |
$118 |
$147.50 |
0.8× |
| Stone analysis (82365) |
$120 |
$150 |
9.3× |
| Strep a ag ia (87430) |
$58.40 |
$73 |
3.5× |
| Strep b DNA amp probe (87653) |
$197.60 |
$247 |
5.6× |
| Surg path level 1 (88300) |
$59.20 |
$74 |
1.9× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$114.40 |
$143 |
2.1× |
| Susceptibility mic per plate (87186) |
$104.80 |
$131 |
12.1× |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
$233.67 |
$292.09 |
49.2× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$12 |
$15 |
1.6× |
| T3 free (84481) |
$162.40 |
$203 |
9.6× |
| T3 reverse (84482) |
$183.20 |
$229 |
11.6× |
| T3 uptake (84479) |
$30.40 |
$38 |
4.7× |
| T4 (thyroxine) total (84436) |
$54.40 |
$68 |
7.9× |
| Tacrolimus (80197) |
$193.60 |
$242 |
14.1× |
| Tb test cell immun measure (86480) |
$249.60 |
$312 |
4.0× |
| Testosterone free (84402) |
$136.80 |
$171 |
5.4× |
| Testosterone total (84403) |
$136.80 |
$171 |
5.3× |
| Tetanus antibody (86774) |
$91.20 |
$114 |
6.2× |
| Theophylline (80198) |
$114.40 |
$143 |
8.1× |
| Thiopurine drug metabolites (83789) |
$300.80 |
$376 |
12.5× |
| Thiopurine metabolites (80299) |
$193 |
$241.25 |
10.4× |
| Thiopurine methyltransferase, rbc (82657) |
$223.20 |
$279 |
10.1× |
| Thrombin time plasma (85670) |
$35.20 |
$44 |
6.1× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$168.80 |
$211 |
26.1× |
| Thyroglobulin (84432) |
$125.60 |
$157 |
7.8× |
| Thyroglobulin antibody (86800) |
$72 |
$90 |
4.5× |
| Thyroid peroxidase antibody (86376) |
$101.20 |
$126.50 |
7.0× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$238.40 |
$298 |
4.7× |
| Thyroxine free (ft4) (84439) |
$96.80 |
$121 |
10.7× |
| Tissue culture bone marrow (88237) |
$616 |
$770 |
4.3× |
| Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Other Outpatient (88233) |
$539.20 |
$674 |
3.8× |
| Tissue culture lymphocyte (88230) |
$336 |
$420 |
2.9× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$86 |
$107.50 |
7.5× |
| Tobramycin (80200) |
$121.60 |
$152 |
7.5× |
| Topiramate (80201) |
$136.80 |
$171 |
11.5× |
| Toxoplasma antibody igg (86777) |
$23.52 |
$29.40 |
1.6× |
| Tpmt gene com variants (81335) |
$48.50 |
$60.63 |
0.3× |
| Transferrin (84466) |
$104 |
$130 |
8.2× |
| Treponema pallidum antibody (86780) |
$48.90 |
$61.12 |
3.7× |
| Trichomonas vaginalis amplif (87661) |
$95.20 |
$119 |
2.7× |
| Trichrome stain (87209) |
$72 |
$90 |
4.0× |
| Triglycerides (84478) |
$42.80 |
$53.50 |
7.5× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$70.40 |
$88 |
5.0× |
| Troponin t (84484) |
$172 |
$215 |
13.8× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$168 |
$210 |
1.7× |
| Tularemia antibody (86000) |
$20.80 |
$26 |
3.0× |
| UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated… (81350) |
$48.50 |
$60.63 |
0.2× |
| Unlisted molecular pathology (81479) |
$104.65 |
$130.82 |
— |
| Urea nitrogen quantitative (84520) |
$47.20 |
$59 |
11.9× |
| Urea nitrogen urine (84540) |
$26.40 |
$33 |
4.7× |
| Uric acid blood (84550) |
$19.20 |
$24 |
4.2× |
| Uric acid other source (84560) |
$52.80 |
$66 |
10.4× |
| Urinalysis auto w/micro (81001) |
$57.60 |
$72 |
18.2× |
| Urinalysis microscopic only (81015) |
$31.20 |
$39 |
10.2× |
| Urinalysis volume measure (81050) |
$36 |
$45 |
9.9× |
| Urine bacteria culture (87088) |
$69.60 |
$87 |
8.6× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$39.20 |
$49 |
17.4× |
| Valproic acid (80164) |
$84.80 |
$106 |
6.3× |
| Vancomycin (80202) |
$164.80 |
$206 |
12.2× |
| Varicella zoster antibody igg (86787) |
$96.40 |
$120.50 |
7.5× |
| Vasoactive intestinal peptide (vip) (84586) |
$165.60 |
$207 |
4.7× |
| Viral culture non-respiratory (87252) |
$144 |
$180 |
5.5× |
| Virus antibody nos (86790) |
$177.20 |
$221.50 |
13.8× |
| Vitamin a (84590) |
$80.80 |
$101 |
7.0× |
| Vitamin b-12 (82607) |
$127.20 |
$159 |
8.4× |
| Vitamin b1 whole blood (84425) |
$181.60 |
$227 |
8.6× |
| Vitamin b6 (84207) |
$224 |
$280 |
8.0× |
| Vitamin c (82180) |
$91.20 |
$114 |
9.2× |
| Vitamin d 25 hydroxy (82306) |
$140.40 |
$175.50 |
4.7× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$240 |
$300 |
6.2× |
| Vitamin e (84446) |
$111.20 |
$139 |
7.8× |
| Vitamin k1 (84597) |
$291.20 |
$364 |
21.2× |
| Vkorc1 gene (81355) |
$48.50 |
$60.63 |
0.5× |
| Vma (84585) |
$160.80 |
$201 |
10.4× |
| Volatiles (84600) |
$100.80 |
$126 |
5.9× |
| West nile virus antibody (86789) |
$100.80 |
$126 |
7.0× |
| White blood cell histamine (immune system chemical) release test (86343) |
$306.40 |
$383 |
24.6× |
| Z t cells total count (86359) |
$328.80 |
$411 |
8.7× |
| Zinc (84630) |
$103.20 |
$129 |
9.1× |