Lab & pathology prices at Memorial Hospital & Manor
Bainbridge, GA · every code in this section with a posted price and a Medicare benchmark.
666 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $208.60 | $298 | 5.4× |
| 17-Hydroxycorticosteroids (83491) | $96.60 | $138 | 5.4× |
| 5 Hiaa (83497) | $99.40 | $142 | 7.7× |
| 5 Nucleotidase (83915) | $95.20 | $136 | 8.5× |
| Acetylcholine receptor (achr); blocking antibody (86042) | $226.10 | $323 | 12.3× |
| Acetylcholine receptor binding antibody (86041) | $194.60 | $278 | 10.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $63.70 | $91 | 5.3× |
| Acth stimulation panel adrenal (80400) | $205.10 | $293 | 6.3× |
| Actin smooth muscle antibody each (86015) | $75.60 | $108 | 6.3× |
| Activated protein c resistance (85307) | $90.30 | $129 | 5.9× |
| Acute hepatitis panel (80074) | $203.70 | $291 | 4.3× |
| Acylcarnitine Plasma (82017) | $138.60 | $198 | 8.2× |
| Adenovirus antibody (86603) | $23.10 | $33 | 1.8× |
| Afb culture (87116) | $77.70 | $111 | 7.2× |
| Agglutinins febrile (86000) | $89.60 | $128 | 12.8× |
| Albumin Fluid (82042) | $46.90 | $67 | 6.0× |
| Albumin serum (82040) | $10.50 | $15 | 2.1× |
| Aldolase (82085) | $14.70 | $21 | 1.5× |
| Aldosterone urine (82088) | $93.80 | $134 | 2.3× |
| Alkaline phosphatase isoenzymes (84080) | $24.50 | $35 | 1.7× |
| Allergen specific ige (86003) | $11.90 | $17 | 2.3× |
| Allg Spec Ige Recomb Ea (86008) | $80.50 | $115 | 4.5× |
| Alpha-1-antitrypsin phenotype (82104) | $139.30 | $199 | 9.6× |
| Alpha-1-antitrypsin, total (82103) | $77 | $110 | 5.7× |
| Alpha-fetoprotein, serum (82105) | $46.20 | $66 | 2.8× |
| Alt (sgpt) (84460) | $29.40 | $42 | 5.5× |
| Aluminum (82108) | $72.10 | $103 | 2.8× |
| Amikacin trough (80150) | $67.90 | $97 | 4.5× |
| Amino acid screen urine (82128) | $291.20 | $416 | 21.0× |
| Amino Acids, Single Quantitation (82131) | $77.70 | $111 | 3.4× |
| Aminolevulinic acid (ala) (82135) | $154 | $220 | 9.4× |
| Ammonia (82140) | $152.60 | $218 | 10.5× |
| Amniotic fluid enzyme test (84081) | $165.90 | $237 | 10.0× |
| Amylase urine (82150) | $117.60 | $168 | 18.1× |
| Angiotensin i enzyme test (82164) | $23.10 | $33 | 1.6× |
| Anti-phosphatidylserine antibody (86148) | $74.90 | $107 | 4.7× |
| Antibody aspergillus (86606) | $14.70 | $21 | 1.0× |
| Antibody cytomegalovirus cmv (86644) | $44.10 | $63 | 3.1× |
| Antibody cytomegalovirus cmv igm (86645) | $25.90 | $37 | 1.5× |
| Antibody Encephalitis Eastern Equine (86652) | $54.60 | $78 | 4.1× |
| Antibody Encephalitis St. Louis (86653) | $54.60 | $78 | 4.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $86.10 | $123 | 6.6× |
| Antibody helicobacter pylori (86677) | $81.20 | $116 | 4.8× |
| Antibody herpes smplx type 1 (86695) | $57.40 | $82 | 4.4× |
| Antibody identification (86870) | $495.60 | $708 | 1.6× |
| Antibody identification leukocyte antibodies (86021) | $63 | $90 | 4.2× |
| Antibody influenza virus (86710) | $102.90 | $147 | 7.6× |
| Antibody mumps (86735) | $14 | $20 | 1.1× |
| Antibody neisseria meningitidis (86741) | $89.60 | $128 | 6.8× |
| Antibody Protozoa Nes (86753) | $30.10 | $43 | 2.4× |
| Antibody rubeola (86765) | $60.20 | $86 | 4.7× |
| Antibody screen (86850) | $172.90 | $247 | 17.7× |
| Antibody treponema pallidum (86780) | $70 | $100 | 5.3× |
| Antibody; Coccidioides (86635) | $46.20 | $66 | 4.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $205.10 | $293 | 39.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $35 | $50 | 2.9× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $17.50 | $25 | 1.5× |
| Antinuclear antibodies (86038) | $90.30 | $129 | 7.5× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $46.20 | $66 | 8.0× |
| Antistreptolysin o titer (86060) | $37.80 | $54 | 5.2× |
| Antithrombin iii activity (85300) | $176.40 | $252 | 14.9× |
| Apolipoprotein b (82172) | $41.30 | $59 | 2.0× |
| Arsenic Urine (82175) | $101.50 | $145 | 5.4× |
| Aspergillus ag eia (87305) | $157.50 | $225 | 13.1× |
| Assay galactose transferase (82775) | $231.70 | $331 | 11.0× |
| Assay Lipoprotein Pla2 (83698) | $42 | $60 | 0.9× |
| Assay Nephelometry Not Spec (83883) | $35 | $50 | 2.6× |
| Assay of 17-hydroxypregnenolone (84143) | $53.90 | $77 | 2.4× |
| Assay of acth (82024) | $170.10 | $243 | 4.4× |
| Assay of androstenedione (82157) | $105 | $150 | 3.6× |
| Assay of anti-mullerian hormone (82166) | $88.20 | $126 | 2.3× |
| Assay of blood chloride (82435) | $44.10 | $63 | 9.6× |
| Assay of blood fatty acids (82725) | $105 | $150 | 5.6× |
| Assay of c-peptide (84681) | $37.10 | $53 | 1.8× |
| Assay of calcitonin (82308) | $58.80 | $84 | 2.2× |
| Assay of ceruloplasmin (82390) | $75.60 | $108 | 7.0× |
| Assay of corticosterone (82528) | $126.70 | $181 | 5.6× |
| Assay of cyclosporine (80158) | $46.90 | $67 | 2.6× |
| Assay of erythropoietin (82668) | $39.90 | $57 | 2.1× |
| Assay of ethosuximide (80168) | $93.80 | $134 | 5.7× |
| Assay of ferritin (82728) | $139.30 | $199 | 10.2× |
| Assay of g6pd enzyme (82955) | $51.80 | $74 | 5.3× |
| Assay of gammaglobulin igm (82784) | $72.80 | $104 | 7.8× |
| Assay of gentamicin (80170) | $93.80 | $134 | 5.7× |
| Assay of homovanillic acid (83150) | $85.40 | $122 | 3.8× |
| Assay of lipoprotein(a) (83695) | $50.40 | $72 | 3.5× |
| Assay of manganese (83785) | $93.80 | $134 | 3.5× |
| Assay of metanephrines (83835) | $45.50 | $65 | 2.7× |
| Assay of parathormone (83970) | $156.10 | $223 | 3.8× |
| Assay of phenobarbital (80184) | $36.40 | $52 | 2.4× |
| Assay of phosphatase acid total (84060) | $25.20 | $36 | 3.3× |
| Assay of prealbumin (84134) | $22.40 | $32 | 1.5× |
| Assay of proinsulin (84206) | $35 | $50 | 1.3× |
| Assay of pyruvate (84210) | $63.70 | $91 | 4.4× |
| Assay of selenium (84255) | $67.90 | $97 | 2.7× |
| Assay of semen fructose (82757) | $57.40 | $82 | 3.3× |
| Assay of serotonin (84260) | $254.10 | $363 | 8.2× |
| Assay of sialic acid (84275) | $335.30 | $479 | 24.9× |
| Assay of somatomedin (84305) | $178.50 | $255 | 8.4× |
| Assay of tacrolimus (80197) | $200.90 | $287 | 14.6× |
| Assay of urine vma (84585) | $32.90 | $47 | 2.1× |
| Assay of vitamin k (84597) | $73.50 | $105 | 5.4× |
| Assay of volatiles (84600) | $67.90 | $97 | 4.0× |
| Assay Ph Body Fluid Nos (83986) | $10.50 | $15 | 2.9× |
| Assay Thiopurine S-Methyltransferase (84433) | $443.10 | $633 | 20.0× |
| Ast (sgot) (84450) | $49.70 | $71 | 9.6× |
| Automated rbc count (85041) | $24.50 | $35 | 8.1× |
| Bartonella DNA amp probe (87471) | $210 | $300 | 6.0× |
| Bcr/abl1 gene major bp (81206) | $222.60 | $318 | 1.4× |
| Bcr/abl1 gene minor bp (81207) | $224.70 | $321 | 1.6× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $24.50 | $35 | 1.0× |
| Beta hydroxybutyrate (82010) | $32.20 | $46 | 3.9× |
| Beta-2 microglobulin (82232) | $24.50 | $35 | 1.5× |
| Bile acids, total (82239) | $25.90 | $37 | 1.5× |
| Bilirubin direct (82248) | $36.40 | $52 | 7.3× |
| Bilirubin total (82247) | $30.10 | $43 | 6.0× |
| Bilirubin total transcutaneous (88720) | $36.40 | $52 | 7.3× |
| Bl Smear W/Diff Wbc Count (85007) | $46.20 | $66 | 12.2× |
| Blastomyces antibody (86612) | $46.20 | $66 | 3.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $493.50 | $705 | 3.3× |
| Bleeding time (85002) | $18.20 | $26 | 3.8× |
| Blood gases (82803) | $40.95 | $58.50 | 1.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $60.90 | $87 | 3.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35 | $50 | 8.0× |
| Blood typing abo (86900) | $172.20 | $246 | 57.6× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $48.30 | $69 | 3.0× |
| Blood typing serologic rh (d) (86901) | $93.80 | $134 | 31.4× |
| Body fluid cell count (89051) | $70.70 | $101 | 12.6× |
| Body fluid cell count (89050) | $39.20 | $56 | 8.3× |
| Bordetella antibody (86615) | $84 | $120 | 6.4× |
| Braf gene (81210) | $58.80 | $84 | 0.3× |
| C diff amplified probe (87493) | $116.20 | $166 | 3.1× |
| C-reactive protein (86140) | $91.70 | $131 | 17.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $101.50 | $145 | 7.8× |
| C1q binding assay (86332) | $35.70 | $51 | 1.5× |
| Ca 125 (86304) | $158.90 | $227 | 7.6× |
| Ca 19-9 (86301) | $117.60 | $168 | 5.7× |
| Ca 27 29 (86300) | $35 | $50 | 1.7× |
| Cadmium level (82300) | $149.80 | $214 | 6.3× |
| Caffeine (80155) | $68.60 | $98 | 1.8× |
| Calcium ionized (82330) | $99.40 | $142 | 7.3× |
| Calcium total (82310) | $18.90 | $27 | 3.7× |
| Calcium urine (82340) | $46.90 | $67 | 7.8× |
| Calculus Quantitative Chemical (82360) | $152.60 | $218 | 11.9× |
| California encephalitis ab (86651) | $54.60 | $78 | 4.1× |
| Calprotectin, fecal (83993) | $127.40 | $182 | 6.5× |
| Candida antibody (86628) | $65.80 | $94 | 5.5× |
| Carbamazepine (tegretol) total (80156) | $42 | $60 | 2.9× |
| Carbon dioxide (82374) | $15.40 | $22 | 3.2× |
| Carboxyhemoglobin Quantitative (82375) | $131.60 | $188 | 10.7× |
| Carcinoembryonic antigen (82378) | $38.50 | $55 | 2.0× |
| Cardiolipin ab igg (86147) | $123.90 | $177 | 4.9× |
| Carnitine (82379) | $133.70 | $191 | 7.9× |
| Carotene (82380) | $46.20 | $66 | 5.0× |
| Catecholamines fraction plasma (82384) | $50.40 | $72 | 2.0× |
| Catecholamines Total Urine (82382) | $113.40 | $162 | 4.2× |
| Cd4 absolute count (86361) | $73.50 | $105 | 2.7× |
| Cell marker study (88182) | $329 | $470 | 7.2× |
| Cftr gene com variants (81220) | $702.10 | $1,003 | 1.3× |
| Cftr gene full sequence (81223) | $852.60 | $1,218 | 1.7× |
| Chemiluminescent assay (82397) | $221.90 | $317 | 15.7× |
| Chlamydia antibody (86631) | $136.50 | $195 | 11.5× |
| Chlamydia Igm Antibody (86632) | $143.50 | $205 | 11.3× |
| Chloramphenicol (82415) | $63.70 | $91 | 5.0× |
| Chloride other source (82438) | $39.20 | $56 | 7.8× |
| Chloride urine (82436) | $11.20 | $16 | 1.9× |
| Cholesterol total (82465) | $15.40 | $22 | 3.5× |
| Cholinesterase rbc (82482) | $49.70 | $71 | 5.1× |
| Cholinesterase serum (82480) | $60.90 | $87 | 7.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $146.30 | $209 | 1.2× |
| Chromium urine (82495) | $30.10 | $43 | 1.5× |
| Chromogranin a (86316) | $197.40 | $282 | 9.5× |
| Chromosome karyotype study (88280) | $188.30 | $269 | 5.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $30.10 | $43 | 0.9× |
| Citrate (82507) | $258.30 | $369 | 9.3× |
| Ckmb (82553) | $79.10 | $113 | 6.8× |
| Clot factor viii vw antigen (85246) | $131.60 | $188 | 5.7× |
| Clotting time (85345) | $37.80 | $54 | 8.1× |
| Clozapine level (80159) | $56 | $80 | 2.8× |
| Cmv PCR (87496) | $105 | $150 | 3.0× |
| Coagulation time (85348) | $37.80 | $54 | 8.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $151.20 | $216 | 6.3× |
| Cold agglutinin titer (86157) | $69.30 | $99 | 8.6× |
| Collagen cross links (82523) | $136.50 | $195 | 7.3× |
| Complement c3 (86160) | $216.30 | $309 | 18.0× |
| Complement total ch50 (86162) | $165.20 | $236 | 8.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $166.60 | $238 | 13.9× |
| Concentration Infectious Agent (87015) | $46.20 | $66 | 6.9× |
| Coombs direct (86880) | $114.10 | $163 | 21.2× |
| Copper urine (82525) | $66.50 | $95 | 5.4× |
| Cortisol free (82530) | $113.40 | $162 | 6.8× |
| Cortisol total (82533) | $90.30 | $129 | 5.5× |
| Creatine kinase total (82550) | $64.40 | $92 | 9.9× |
| Creatinine blood (82565) | $36.40 | $52 | 7.1× |
| Creatinine clearance (82575) | $70.70 | $101 | 7.5× |
| Creatinine other source (82570) | $51.10 | $73 | 9.9× |
| Crossmatch immediate spin (86920) | $150.50 | $215 | 1.0× |
| Cryoglobulin (82595) | $54.60 | $78 | 8.4× |
| Cryptococcal Antigen (87327) | $55.30 | $79 | 4.1× |
| Cryptococcus antibody (86641) | $142.10 | $203 | 9.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $70 | $100 | 8.7× |
| Culture Aerobic Identify (87077) | $39.90 | $57 | 4.9× |
| Culture anaerobic (87075) | $130.20 | $186 | 13.7× |
| Culture blood (87040) | $149.10 | $213 | 14.4× |
| Culture chlamydia (87110) | $198.80 | $284 | 10.1× |
| Culture fungus blood (87103) | $175.70 | $251 | 8.6× |
| Culture fungus id yeast (87106) | $42 | $60 | 4.1× |
| Culture fungus other (87102) | $147 | $210 | 17.5× |
| Culture genital (87070) | $103.60 | $148 | 12.0× |
| Culture herpes (87250) | $66.50 | $95 | 3.4× |
| Culture screen only (87081) | $21.70 | $31 | 3.3× |
| Culture stool (87045) | $53.90 | $77 | 5.7× |
| Culture urine (87086) | $88.90 | $127 | 11.0× |
| Culture urine id ea isolate (87088) | $56 | $80 | 6.9× |
| Cyanide (82600) | $71.40 | $102 | 3.7× |
| Cyclic amp (82030) | $83.30 | $119 | 3.2× |
| Cyclic Citrullinated Peptide (86200) | $141.40 | $202 | 10.9× |
| Cystatin c (82610) | $101.50 | $145 | 5.5× |
| Cytogenetics 10-30 (88273) | $452.20 | $646 | 13.0× |
| Cytogenetics DNA probe (88271) | $452.20 | $646 | 21.1× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $219.10 | $313 | 5.1× |
| Cytotoxic pra quick (86808) | $175 | $250 | 5.9× |
| Cytp concentration smears & interpretation (88108) | $48.30 | $69 | 1.5× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $46.20 | $66 | 2.5× |
| D-Dimer (85379) | $179.90 | $257 | 17.7× |
| Deoxyribonuclease antibody (86215) | $75.60 | $108 | 5.7× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) | $111.30 | $159 | 2.5× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $65.80 | $94 | 4.0× |
| Detection test by immunofluorescent technique for cytomegalovirus (cmv) (87271) | $136.50 | $195 | 10.2× |
| Dhea (82626) | $137.90 | $197 | 5.5× |
| Dhea sulfate (82627) | $87.50 | $125 | 3.9× |
| Digoxin (80162) | $23.10 | $33 | 1.7× |
| Dihydrotestosterone (82642) | $195.30 | $279 | 6.7× |
| Dilantin (80185) | $45.50 | $65 | 3.4× |
| Diphtheria antitoxoid (86648) | $146.30 | $209 | 9.6× |
| Dna Antibody Single Stranded (86226) | $83.30 | $119 | 6.9× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $88.20 | $126 | 6.4× |
| Dna/Rna Amplified Probe (87150) | $64.40 | $92 | 1.8× |
| Drug assay adalimumab (80145) | $184.80 | $264 | 4.8× |
| Drug Assay Infliximab (80230) | $221.90 | $317 | 5.8× |
| Drug Assay Lacosamide (80235) | $85.40 | $122 | 3.2× |
| Drug Screen Quant Gabapentin (80171) | $79.10 | $113 | 3.7× |
| Drug screen quant zonisamide (80203) | $99.40 | $142 | 7.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $28.70 | $41 | 2.2× |
| Drug Scrn Quan Levetiracetam (80177) | $51.10 | $73 | 3.9× |
| Drug scrn quant oxcarbazepin (80183) | $49.70 | $71 | 3.8× |
| Drug test prsmv chem anlyzr (80307) | $88.20 | $126 | 1.4× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $203 | $290 | 11.8× |
| Ebv viral capsid (86665) | $90.30 | $129 | 5.0× |
| Echinococcus ab igg (86682) | $116.20 | $166 | 8.9× |
| Ehrlichia antibody (86666) | $98 | $140 | 9.6× |
| Elastase pancreatic fecal quantitative (82653) | $105.70 | $151 | 4.6× |
| Electrolyte panel (80051) | $18.20 | $26 | 2.6× |
| Encephalitis Western Equine (86654) | $54.60 | $78 | 4.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $88.20 | $126 | 7.3× |
| Endomysial antibody iga (86255) | $105 | $150 | 8.7× |
| Entamoeb Hist Dispr Ag Eia (87336) | $31.50 | $45 | 2.0× |
| Entamoeba histolytica antigen (87337) | $105.70 | $151 | 8.8× |
| Enterovirus antibody (86658) | $132.65 | $189.50 | 10.2× |
| Enterovirus Pcr (87498) | $134.40 | $192 | 3.8× |
| Enzyme cell activity (82657) | $196 | $280 | 8.8× |
| Enzyme histochemistry (88319) | $146.30 | $209 | 0.2× |
| Eosinophil count (85048) | $11.20 | $16 | 4.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $79.10 | $113 | 5.2× |
| Estradiol (82670) | $175.70 | $251 | 6.3× |
| Estriol (82677) | $94.50 | $135 | 3.9× |
| Estrogens total (82672) | $48.30 | $69 | 2.2× |
| Estrone (82679) | $123.20 | $176 | 4.9× |
| Ethylene glycol (82693) | $75.60 | $108 | 5.1× |
| Euglobulin lysis (85360) | $75.60 | $108 | 9.0× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $200.90 | $287 | 2.0× |
| Everolimus (80169) | $189 | $270 | 13.8× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $75.60 | $108 | 10.3× |
| F2 gene analysis 20210g >a variant (81240) | $191.80 | $274 | 2.9× |
| F5 gene (81241) | $118.30 | $169 | 1.6× |
| F9 full gene sequence (81238) | $1,890 | $2,700 | 3.2× |
| Factor ii activity (85210) | $158.90 | $227 | 12.2× |
| Factor ix activity (85250) | $74.90 | $107 | 3.9× |
| Factor v activity (85220) | $199.50 | $285 | 11.3× |
| Factor vii assay (85230) | $170.10 | $243 | 9.5× |
| Factor viii ahg (85240) | $102.90 | $147 | 5.7× |
| Factor viii vw multimetric (85247) | $105.70 | $151 | 4.6× |
| Factor xii assay (85280) | $121.80 | $174 | 6.3× |
| Factor xiii solubility screen (85291) | $142.80 | $204 | 15.7× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) | $113.40 | $162 | 14.7× |
| Fecal fat qual (82705) | $49.70 | $71 | 9.7× |
| Fecal fat quant (82710) | $134.40 | $192 | 8.0× |
| Fetal chrmoml aneuploidy (81420) | $1,252.30 | $1,789 | 1.6× |
| Fetal fibronectin (82731) | $182 | $260 | 2.8× |
| Fetal lung maturity fluorescence polarization (83663) | $98 | $140 | 5.2× |
| Fibrin degradation products (85362) | $145.60 | $208 | 21.1× |
| Fibrinogen activity (85384) | $23.80 | $34 | 2.4× |
| Fibrinolytic Plasminogen (85415) | $61.60 | $88 | 3.6× |
| Flow cytometry first marker (88184) | $231.70 | $331 | 0.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $75.60 | $108 | 6.3× |
| Fmr1 gene charac alleles (81244) | $574 | $820 | 12.8× |
| Folate serum (82746) | $133 | $190 | 9.0× |
| Folic acid rbc (82747) | $142.80 | $204 | 8.1× |
| Follicle Stimulating Hormone (83001) | $147.70 | $211 | 7.9× |
| Fructosamine (82985) | $45.50 | $65 | 2.7× |
| Gammaglobulin ige (82785) | $27.30 | $39 | 1.7× |
| Gastric Occult Blood (82271) | $42 | $60 | 7.9× |
| Gastrin after secretin stim (82938) | $153.30 | $219 | 8.7× |
| Ggt (82977) | $58.10 | $83 | 8.1× |
| Giardia ag by if (87269) | $68.60 | $98 | 5.0× |
| Giardia antigen eia stool (87329) | $54.60 | $78 | 4.6× |
| Gliadin antibody each immunoglobulin class (86258) | $88.20 | $126 | 7.3× |
| Glucose (82947) | $51.10 | $73 | 13.0× |
| Glucose Blood Test (82962) | $12.95 | $18.50 | 3.9× |
| Glucose body fluid (82945) | $46.20 | $66 | 11.8× |
| Glucose post dose (82950) | $67.90 | $97 | 14.3× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $72.10 | $103 | 18.4× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $147.70 | $211 | 11.5× |
| Gonadotropin releasing hormone (83727) | $540.40 | $772 | 31.4× |
| Growth hormone (83003) | $92.40 | $132 | 5.5× |
| Haptoglobin (83010) | $54.60 | $78 | 4.3× |
| Hba1/hba2 gene (81257) | $546.70 | $781 | 5.3× |
| Hcg qualitative (84703) | $163.80 | $234 | 21.8× |
| Hcg quant (84702) | $248.50 | $355 | 16.5× |
| Heavy metal quant each (83018) | $126 | $180 | 5.7× |
| Hematocrit (85014) | $54.60 | $78 | 23.0× |
| Hematocrit spun (85013) | $23.10 | $33 | 3.3× |
| Hemoglobin (85018) | $36.40 | $52 | 15.4× |
| Hemoglobin a1c (83036) | $109.90 | $157 | 11.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $63.70 | $91 | 3.5× |
| Hemoglobin electrophoresis (83020) | $93.10 | $133 | 7.2× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $131.60 | $188 | 17.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $39.90 | $57 | 4.9× |
| Hemoglobin plasma (83051) | $63.70 | $91 | 8.7× |
| Hemolysins And Agglutinins Incubated (86941) | $61.60 | $88 | 5.1× |
| Hemolysins/agglutinins auto screen (86940) | $147 | $210 | 16.8× |
| Hemosiderin urine (83070) | $32.90 | $47 | 6.9× |
| Heparin assay (85520) | $297.50 | $425 | 22.7× |
| Hepatitis a antibody total (86708) | $91.70 | $131 | 7.4× |
| Hepatitis a igm (86709) | $88.20 | $126 | 7.8× |
| Hepatitis b core ab igm (86705) | $86.10 | $123 | 7.3× |
| Hepatitis b core antibody total (86704) | $90.30 | $129 | 7.5× |
| Hepatitis B Surface Ab (86706) | $116.20 | $166 | 10.8× |
| Hepatitis B Surface Antigen (87340) | $76.30 | $109 | 7.4× |
| Hepatitis b virus genotyping (87912) | $467.60 | $668 | 1.8× |
| Hepatitis be antibody (86707) | $72.80 | $104 | 6.3× |
| Hepatitis Be Antigen (87350) | $92.40 | $132 | 8.0× |
| Hepatitis c antibody (86803) | $175.70 | $251 | 12.3× |
| Hepatitis C Genotype (87902) | $462.70 | $661 | 1.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $421.40 | $602 | 12.0× |
| Hepatitis delta ab (86692) | $88.20 | $126 | 5.1× |
| Herpes culture (87252) | $60.20 | $86 | 2.3× |
| Herpes simplex type 2 (86696) | $58.80 | $84 | 3.0× |
| Hfe gene (81256) | $278.60 | $398 | 4.3× |
| Histamine plasma (83088) | $365.40 | $522 | 12.4× |
| Histoplasma antibody (86698) | $52.50 | $75 | 3.8× |
| Histoplasma antigen urine (87385) | $264.60 | $378 | 20.0× |
| HIV confirmation (86689) | $106.40 | $152 | 5.5× |
| HIV-1 antibody (86701) | $216.30 | $309 | 24.3× |
| HIV-1 genotype (87901) | $171.50 | $245 | 0.7× |
| HIV-1 integrase genotype (87906) | $308.70 | $441 | 2.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $144.20 | $206 | 10.5× |
| Hla class i typing high resolution one allele or allele group (81381) | $56 | $80 | 0.3× |
| Hla ii low resolution one antigen equivalent ea (81377) | $262.50 | $375 | 2.8× |
| Hla ii typing ag equiv lr (81375) | $192.50 | $275 | 0.9× |
| Hla typing a/b/c multiple antigens (86813) | $599.20 | $856 | 10.3× |
| Hla-b27 (86812) | $184.10 | $263 | 7.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $105.70 | $151 | 3.0× |
| Human epididymis protein 4 (86305) | $365.40 | $522 | 17.6× |
| Hydroxyprogesterone 17-d (83498) | $56.70 | $81 | 2.1× |
| Hydroxyproline total (83505) | $76.30 | $109 | 3.1× |
| Iaad ia clostridium difficile toxin (87324) | $105 | $150 | 8.8× |
| Iaad ia cryptosporidium (87328) | $45.50 | $65 | 3.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $51.80 | $74 | 5.0× |
| Iaad ia HIV-1 (87390) | $67.90 | $97 | 2.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $71.05 | $101.50 | 2.0× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $52.50 | $75 | 4.4× |
| Iaadi herpes smplx virus type 2 (87273) | $35 | $50 | 2.9× |
| Iaadi respiratory synctial virus (87280) | $75.60 | $108 | 5.6× |
| Iaadiadoo not otherwise specified (87899) | $107.10 | $153 | 6.7× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $189.70 | $271 | 5.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $175 | $250 | 5.0× |
| Iadna hepatitis b virus quantification (87517) | $304.50 | $435 | 7.1× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $109.90 | $157 | 2.6× |
| Iadna herpes virus-6 quantification (87533) | $84 | $120 | 2.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $54.60 | $78 | 1.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $82.60 | $118 | 1.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $175 | $250 | 5.0× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $97.30 | $139 | 2.8× |
| Iadna nos amplified probe tq each organism (87798) | $368.90 | $527 | 10.5× |
| Iadna nos quantification each organism (87799) | $336 | $480 | 7.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $97.30 | $139 | 2.8× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $1,026.90 | $1,467 | 2.5× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $276.50 | $395 | 1.1× |
| If cryptosporidium antigen (87272) | $49 | $70 | 4.1× |
| Igg subclasses (82787) | $150.50 | $215 | 18.8× |
| Igh gene rearrange amp meth (81261) | $619.50 | $885 | 3.1× |
| Igk rearrangeabn clonal pop (81264) | $602.70 | $861 | 3.5× |
| Igvh somatic hypermutation (81263) | $389.90 | $557 | 1.3× |
| Immunfix e-phorsis/urine/csf (86335) | $42 | $60 | 1.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $202.30 | $289 | 13.5× |
| Immunoassay nonantibody (83516) | $105 | $150 | 9.1× |
| Immunoassay with direct visual observation for streptococcus (87802) | $69.30 | $99 | 5.4× |
| Immunodiffusion not elsewhere specified (86329) | $32.90 | $47 | 2.3× |
| Immunodiffusion Ouchterlony (86331) | $11.90 | $17 | 1.0× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $117.60 | $168 | 5.1× |
| Immunoelectrophoresis serum (86320) | $90.30 | $129 | 3.0× |
| Immunofixj Electrophoresis Serum (86334) | $126 | $180 | 5.6× |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) | $105.70 | $151 | 8.8× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $228.90 | $327 | 19.1× |
| Immunoglobulin assay (86023) | $37.80 | $54 | 3.0× |
| Immunoglobulin light chains free each (83521) | $33.60 | $48 | 1.9× |
| Immunohistochemistry (88342) | $368.20 | $526 | 2.5× |
| India ink prep (87210) | $64.40 | $92 | 11.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Other Outpatient (87495) | $105 | $150 | 3.5× |
| Inhibin a (86336) | $98 | $140 | 6.3× |
| Inhibin b (83520) | $140 | $200 | 8.1× |
| Insitu hybridization manual (88368) | $354.90 | $507 | 1.1× |
| Insulin antibodies (86337) | $37.10 | $53 | 1.7× |
| Insulin free (83527) | $79.80 | $114 | 6.2× |
| Insulin total (83525) | $45.50 | $65 | 4.0× |
| Interleukin 6 (83529) | $193.90 | $277 | 11.2× |
| Intraop cyto path consult 1 (88333) | $43.40 | $62 | 0.1× |
| Intrinsic factor antibody (86340) | $113.40 | $162 | 7.5× |
| Iron (83540) | $91 | $130 | 14.1× |
| Iron binding capacity (83550) | $114.80 | $164 | 13.1× |
| Irradiation of blood product (86945) | $130.20 | $186 | 4.0× |
| Islet cell antibody (86341) | $98 | $140 | 4.2× |
| Jak2 gene analysis (81270) | $632.10 | $903 | 6.9× |
| Ketosteroids 17; total (83586) | $33.60 | $48 | 2.6× |
| Koh Prep (87220) | $13.30 | $19 | 3.1× |
| L/s ratio, fetal lung (83661) | $203 | $290 | 9.2× |
| Lactic acid (83605) | $78.40 | $112 | 6.8× |
| Lactoferrin Fecal Quantitative (83631) | $232.40 | $332 | 11.8× |
| Ldh (83615) | $48.30 | $69 | 8.0× |
| Ldh isoenzymes (83625) | $80.50 | $115 | 6.3× |
| LDL cholesterol direct (83721) | $9.10 | $13 | 0.9× |
| Lead (83655) | $18.20 | $26 | 1.5× |
| Legionella antibody (86713) | $81.20 | $116 | 5.3× |
| Legionella antigen urine (87449) | $146.30 | $209 | 12.2× |
| Leptospira antibody (86720) | $79.10 | $113 | 4.9× |
| Leucine aminopeptidase (lap) (83670) | $119.70 | $171 | 12.2× |
| Leukocyte histamine release test (86343) | $114.80 | $164 | 9.2× |
| Level ii surg pathology grossµscopic exam (88302) | $125.30 | $179 | 3.8× |
| Level v surg pathology grossµscopic exam (88307) | $473.20 | $676 | 1.5× |
| Level vi surg pathology grossµscopic exam (88309) | $359.10 | $513 | 0.5× |
| Lh (83002) | $158.20 | $226 | 8.5× |
| Lidocaine level (80176) | $63.70 | $91 | 4.3× |
| Lipase (83690) | $133.70 | $191 | 19.4× |
| Lipoprotein Bld Hr Fraction (83701) | $37.10 | $53 | 1.1× |
| Listeria ab (86609) | $19.60 | $28 | 1.5× |
| Lithium (80178) | $30.80 | $44 | 4.7× |
| Lyme disease antibody (86618) | $268.80 | $384 | 15.8× |
| Lyme disease antibody confirm (86617) | $115.50 | $165 | 7.5× |
| Lymphocyte transformation (86353) | $240.80 | $344 | 4.9× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $459.20 | $656 | 1.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $218.75 | $312.50 | 1.5× |
| Macroscopic exam parasite (87169) | $70 | $100 | 16.2× |
| Magnesium (83735) | $61.60 | $88 | 9.2× |
| Malaria smear (87207) | $63.70 | $91 | 10.6× |
| Manual reticulocyte count (85044) | $10.50 | $15 | 2.4× |
| Mass spectrometry qual/quan (83789) | $236.60 | $338 | 9.8× |
| Mercury (83825) | $25.20 | $36 | 1.5× |
| Methotrexate (80299) | $170.80 | $244 | 9.2× |
| Microalbumin urine (82043) | $73.50 | $105 | 12.7× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $298.90 | $427 | 6.5× |
| Microsomal antibodies (86376) | $170.80 | $244 | 11.7× |
| Mitochondrial antibody each (86381) | $75.60 | $108 | 3.0× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $700 | $1,000 | 58.1× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $79.10 | $113 | 1.5× |
| Molecular pathology procedure level 2 (81401) | $341.60 | $488 | 2.5× |
| Molecular pathology procedure level 7 (81406) | $1,050 | $1,500 | 3.7× |
| Mononuclear cell antigen (86356) | $70 | $100 | 2.6× |
| Mopath procedure level 3 (81402) | $367.50 | $525 | 2.4× |
| Mopath procedure level 4 (81403) | $347.90 | $497 | 1.9× |
| Mopath procedure level 5 (81404) | $853.30 | $1,219 | 3.1× |
| Mopath procedure level 6 (81405) | $965.30 | $1,379 | 3.2× |
| Muramidase (85549) | $44.80 | $64 | 2.4× |
| Muscle-specific kinase (musk) antibody (86366) | $787.50 | $1,125 | 42.8× |
| Mycophenolic acid (80180) | $63.70 | $91 | 3.5× |
| Mycoplasma antibody (86738) | $68.60 | $98 | 5.2× |
| Mycoplasma culture (87109) | $102.20 | $146 | 6.6× |
| Mycoplasma genitalium PCR (87563) | $30.10 | $43 | 0.9× |
| Myelin basic protein csf (83873) | $44.10 | $63 | 2.6× |
| Myoglobin urine (83874) | $60.20 | $86 | 4.7× |
| N.gonorrhoeae, DNA, dir prob (87590) | $71.40 | $102 | 2.7× |
| Nasal smear for eosinophils (89190) | $41.30 | $59 | 7.1× |
| Natriuretic peptide (83880) | $157.15 | $224.50 | 4.0× |
| Neutralization test, viral (86382) | $167.30 | $239 | 9.9× |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) | $280 | $400 | 2.2× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $210 | $300 | 2.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,274 | $1,820 | 2.6× |
| Niacin (84591) | $212.80 | $304 | 12.5× |
| Nitroblue tetrazolium dye test to measure white blood cell function (86384) | $338.10 | $483 | 24.8× |
| Nk cells total count (86357) | $70 | $100 | 1.9× |
| Nmr Lipoprofile (83704) | $30.80 | $44 | 0.9× |
| Nuclear antigen antibody (86235) | $138.60 | $198 | 7.7× |
| Obstetric panel (80081) | $392 | $560 | 5.2× |
| Occult blood stool (82272) | $35.70 | $51 | 8.4× |
| Oligoclonal bands (83916) | $30.80 | $44 | 1.1× |
| Oncoprotein dcp (83951) | $210 | $300 | 3.3× |
| Oncoprotein,Her-2/Neu - Her-2/Neu, Serum (83950) | $273 | $390 | 4.2× |
| Organic Acids Total Quantitative Each Specimen (83918) | $451.50 | $645 | 19.1× |
| Orthopoxvirus Amp Prb Each (87593) | $105 | $150 | 2.0× |
| Osmolality serum (83930) | $21.70 | $31 | 3.3× |
| Osmolality urine (83935) | $17.50 | $25 | 2.6× |
| Osmotic fragility rbc incubated (85557) | $329 | $470 | 24.6× |
| Ova and parasite direct-id lca (87177) | $105.70 | $151 | 11.9× |
| Oxalate urine (83945) | $65.80 | $94 | 4.6× |
| Pancreatic polypeptide (83519) | $168 | $240 | 9.1× |
| Particle Agglutination Screen Each Antibody (86403) | $151.90 | $217 | 13.2× |
| Parvovirus antibody (86747) | $86.10 | $123 | 5.7× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $113.40 | $162 | 1.6× |
| Phenylalanine (84030) | $63.70 | $91 | 11.6× |
| Phenytoin free (80186) | $29.40 | $42 | 2.1× |
| Phosphatase acid prostatic (84066) | $84.70 | $121 | 8.8× |
| Phosphatase alkaline (84075) | $10.50 | $15 | 2.0× |
| Phospholipid Neutralization Hexagonal (85598) | $105 | $150 | 5.8× |
| Phosphorus blood (84100) | $30.80 | $44 | 6.5× |
| Phosphorus urine (84105) | $29.40 | $42 | 5.1× |
| Pinworm exam (87172) | $18.90 | $27 | 4.4× |
| Platelet count (85049) | $11.20 | $16 | 2.5× |
| Pml/raralpha com breakpoints (81315) | $293.30 | $419 | 1.4× |
| Pmp22 gene dup/delet (81324) | $519.40 | $742 | 0.7× |
| Porphobilinogen urine quant (84110) | $63 | $90 | 7.5× |
| Porphyrins qn & fraction urine (84120) | $74.90 | $107 | 5.1× |
| Potassium (84132) | $32.20 | $46 | 6.8× |
| Potassium urine (84133) | $7 | $10 | 1.5× |
| Pregnanetriol (84138) | $422.10 | $603 | 20.1× |
| Pregnenolone (84140) | $97.30 | $139 | 4.7× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $93.10 | $133 | 0.6× |
| Primidone (80188) | $102.90 | $147 | 6.2× |
| Procainamide napa (80192) | $68.60 | $98 | 4.1× |
| Procalcitonin (pct) (84145) | $78.40 | $112 | 2.9× |
| Progesterone (84144) | $189 | $270 | 9.1× |
| Prolactin (84146) | $138.60 | $198 | 7.2× |
| Prostaglandin Ea (84150) | $452.20 | $646 | 10.8× |
| Protein body fluid (84157) | $53.90 | $77 | 13.5× |
| Protein c activity (85303) | $105 | $150 | 7.6× |
| Protein c antigen (85302) | $90.30 | $129 | 7.5× |
| Protein electrophoresis serum (84165) | $112 | $160 | 10.4× |
| Protein Electrophoresis Urine (84166) | $75.60 | $108 | 4.2× |
| Protein S Functional (85306) | $100.10 | $143 | 6.5× |
| Protein s total (85305) | $90.30 | $129 | 7.8× |
| Protein Total Serum (84155) | $26.60 | $38 | 7.2× |
| Protein urine (84156) | $91.70 | $131 | 25.0× |
| Protein Western Blot (84182) | $300.30 | $429 | 10.3× |
| Protein westrn blot i&r blood/other fluid (84181) | $300.30 | $429 | 17.6× |
| Protoporphyrin rbc quantitative (84202) | $93.10 | $133 | 6.5× |
| PSA free (84154) | $133.70 | $191 | 7.3× |
| Quantiferon tb gold (86480) | $87.50 | $125 | 1.4× |
| Quinidine (80194) | $76.30 | $109 | 5.2× |
| Rbc antibody elution (86860) | $97.30 | $139 | 0.7× |
| Rbc osmotic fragility (85555) | $44.10 | $63 | 5.9× |
| Reducing substances, stool (84376) | $58.80 | $84 | 10.7× |
| Renin activity plasma (84244) | $68.60 | $98 | 3.1× |
| Respiratory viral panel PCR (87633) | $175 | $250 | 0.4× |
| Respiratory Virus (86756) | $57.40 | $82 | 3.6× |
| Rheumatoid Factor Qual (86430) | $39.20 | $56 | 6.4× |
| Rheumatoid factor quant (86431) | $91.70 | $131 | 16.2× |
| Rickettsia antibody (86757) | $19.60 | $28 | 1.0× |
| Rotavirus (86759) | $92.40 | $132 | 5.1× |
| Rpr Titer (86593) | $85.40 | $122 | 19.4× |
| Rsv (87807) | $34.30 | $49 | 2.6× |
| Rubella antibody (86762) | $66.50 | $95 | 4.6× |
| Russell viper venom time diluted (85613) | $37.10 | $53 | 3.9× |
| Saccharomyces ab iga (86671) | $11.90 | $17 | 1.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $77.70 | $111 | 1.5× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $98 | $140 | 2.3× |
| Sedimentation rate (85651) | $56.70 | $81 | 13.3× |
| Semen analysis complete (89320) | $180.60 | $258 | 14.7× |
| Semen analysis sperm presence&/motility sprm (89321) | $77.70 | $111 | 6.4× |
| Sensitivity mic (87186) | $65.80 | $94 | 7.6× |
| Serotonin Release Assay (86022) | $247.10 | $353 | 13.5× |
| Sex hormone binding globulin (84270) | $179.90 | $257 | 8.3× |
| Sickle cell screen (85660) | $52.50 | $75 | 9.5× |
| Skin test unlisted antigen (86486) | $30.80 | $44 | 1.2× |
| Smear acid fast (87206) | $70.70 | $101 | 13.1× |
| Smear complex stain (87209) | $17.50 | $25 | 1.0× |
| Smear gram stain (87205) | $46.20 | $66 | 10.8× |
| Smn1 Gene Dos/Deletion Alys (81329) | $700 | $1,000 | 5.1× |
| Sodium (84295) | $11.20 | $16 | 2.3× |
| Sodium other source (84302) | $32.90 | $47 | 6.8× |
| Sodium urine (84300) | $9.10 | $13 | 1.8× |
| Soluble transferrin receptor (84238) | $226.10 | $323 | 6.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $135.10 | $193 | 1.2× |
| Special stains group 1 (88312) | $95.90 | $137 | 2.1× |
| Specific gravity body fluid (84315) | $27.30 | $39 | 8.3× |
| Spectrophotometry (84311) | $63.70 | $91 | 7.9× |
| Stool Cultr Aerobic Bact Ea (87046) | $62.30 | $89 | 6.6× |
| Strep a assay w/optic (87880) | $53.90 | $77 | 3.3× |
| Sugars single quant (84378) | $120.40 | $172 | 10.4× |
| Sulfate urine (84392) | $18.90 | $27 | 3.4× |
| Surg path level iii (88304) | $113.40 | $162 | 2.5× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $54.60 | $78 | 2.2× |
| Surgical pathology level IV (88305) | $182 | $260 | 4.0× |
| Susceptibility study antimicrobial disk method (87184) | $44.10 | $63 | 5.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $81.20 | $116 | 1.7× |
| T cells, total count (86359) | $73.50 | $105 | 1.9× |
| T3 free (84481) | $124.60 | $178 | 7.4× |
| T3 reverse (84482) | $81.90 | $117 | 5.2× |
| T3 total (84480) | $117.60 | $168 | 8.3× |
| T3 uptake (84479) | $59.50 | $85 | 9.2× |
| T4 Free (84439) | $108.50 | $155 | 12.0× |
| T4 total (84436) | $94.50 | $135 | 13.8× |
| Tb intradermal test (86580) | $30.80 | $44 | 1.2× |
| Test for acetone/ketones (82009) | $51.10 | $73 | 11.3× |
| Testosterone bioavailable (84410) | $130.20 | $186 | 2.5× |
| Testosterone free (84402) | $115.50 | $165 | 4.5× |
| Testosterone total (84403) | $184.10 | $263 | 7.1× |
| Tetanus antibody (86774) | $107.10 | $153 | 7.2× |
| Theophylline (80198) | $54.60 | $78 | 3.9× |
| Thiocyanate (84430) | $75.60 | $108 | 6.5× |
| Thrombin time plasma (85670) | $46.90 | $67 | 8.1× |
| Thromboplastin Inhibition Tissue (85705) | $154 | $220 | 16.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $168 | $240 | 26.0× |
| Thyroglobulin Ab (86800) | $107.10 | $153 | 6.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $380.80 | $544 | 7.5× |
| Thyroxine binding globulin (84442) | $27.30 | $39 | 1.8× |
| Tiagabine (80199) | $192.50 | $275 | 7.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $114.80 | $164 | 10.0× |
| Tissue culture bone marrow (88237) | $33.60 | $48 | 0.2× |
| Tissue Culture Lymphocyte (88230) | $146.30 | $209 | 1.3× |
| Tissue culture solid tumor (88239) | $188.30 | $269 | 1.3× |
| Tobramycin peak (80200) | $79.10 | $113 | 4.9× |
| Topiramate (80201) | $41.30 | $59 | 3.5× |
| Touch prep (88161) | $38.50 | $55 | 1.5× |
| Toxin or antitoxin assay (87230) | $138.60 | $198 | 7.0× |
| Toxoplasma ab igm (86778) | $116.20 | $166 | 8.1× |
| Toxoplasma antibody igg (86777) | $86.10 | $123 | 6.0× |
| Tpmt gene com variants (81335) | $350 | $500 | 2.0× |
| Transferrin (84466) | $86.10 | $123 | 6.7× |
| Trichinella antibody (86784) | $110.60 | $158 | 8.8× |
| Triglycerides (84478) | $8.40 | $12 | 1.5× |
| Troponin (84484) | $145.60 | $208 | 11.7× |
| Trypsin feces qual (84488) | $60.90 | $87 | 8.3× |
| Trypsin feces quantitative 24-hr collection (84490) | $84 | $120 | 8.5× |
| Tyrosine (84510) | $83.30 | $119 | 7.8× |
| Urea nitrogen (84520) | $59.15 | $84.50 | 15.0× |
| Urea Nitrogen Clearance (84545) | $12.60 | $18 | 1.8× |
| Urea nitrogen urine (84540) | $46.20 | $66 | 8.3× |
| Uric acid blood (84550) | $64.40 | $92 | 14.2× |
| Uric acid other source (84560) | $46.20 | $66 | 9.1× |
| Urinalysis w/microscopic (81001) | $59.50 | $85 | 18.8× |
| Urine pregnancy test (81025) | $51.80 | $74 | 6.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $7 | $10 | 3.1× |
| Valproic acid level (80164) | $24.50 | $35 | 1.8× |
| Vancomycin trough (80202) | $114.10 | $163 | 8.4× |
| Varicella-zoster antibody (86787) | $73.50 | $105 | 5.7× |
| Vasoactive intestinal peptide (vip) (84586) | $200.90 | $287 | 5.7× |
| Vasopressin (84588) | $202.30 | $289 | 6.0× |
| Vdrl csf (86592) | $84 | $120 | 19.7× |
| Very long chain fatty acids (82726) | $271.60 | $388 | 13.8× |
| Virus antibody nos (86790) | $249.90 | $357 | 19.4× |
| Virus inoculate tissue addl (87253) | $46.90 | $67 | 2.3× |
| Viscosity serum (85810) | $30.80 | $44 | 2.6× |
| Vitamin A (84590) | $49 | $70 | 4.2× |
| Vitamin b-12 (82607) | $130.20 | $186 | 8.6× |
| Vitamin b-2 (riboflavin) (84252) | $158.20 | $226 | 7.8× |
| Vitamin b1 (thiamine) (84425) | $103.60 | $148 | 4.9× |
| Vitamin b6 (84207) | $169.40 | $242 | 6.0× |
| Vitamin C (82180) | $46.20 | $66 | 4.7× |
| Vitamin D 25-Hydroxy (82306) | $154.70 | $221 | 5.2× |
| Vitamin e serum (84446) | $35 | $50 | 2.5× |
| Voltage-gated calcium channel antibody each (86596) | $451.50 | $645 | 37.5× |
| Von willebrand factor activity (85245) | $131.60 | $188 | 5.7× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $184.10 | $263 | 21.4× |
| West nile virus ab, igm (86788) | $25.90 | $37 | 1.5× |
| West nile virus antibody (86789) | $17.50 | $25 | 1.2× |
| Xylose Absorption Test (84620) | $120.40 | $172 | 9.3× |
| Zinc (84630) | $58.80 | $84 | 5.2× |