| 17 Hydroxyprogesterone (83498) |
$169.63 |
$260.98 |
6.2× |
| 5-Hiaa (83497) |
$50.96 |
$78.41 |
4.0× |
| Acetaminophen (80143) |
$170.68 |
$262.59 |
9.2× |
| Acetone serum qual (82009) |
$52.04 |
$80.07 |
11.5× |
| Acetone, quantitative (82010) |
$36.54 |
$56.23 |
4.5× |
| Acth (82024) |
$184.50 |
$283.86 |
4.8× |
| Activated protein c resistance (85307) |
$111.76 |
$171.95 |
7.3× |
| Acute hepatitis panel (80074) |
$251.42 |
$386.81 |
5.3× |
| Acylcarnitines quantitative (82017) |
$81.08 |
$124.74 |
4.8× |
| Afb concentration (87015) |
$17.91 |
$27.56 |
2.7× |
| Afb culture (87116) |
$174.12 |
$267.88 |
16.1× |
| Afb smear (87206) |
$66.84 |
$102.84 |
12.4× |
| Albumin body fluid (82042) |
$39.41 |
$60.64 |
5.1× |
| Albumin serum (82040) |
$53.63 |
$82.51 |
10.8× |
| Alcohol (82077) |
$170.68 |
$262.59 |
9.9× |
| Aldolase (82085) |
$56.90 |
$87.54 |
5.9× |
| Aldosterone (82088) |
$207.25 |
$318.86 |
5.1× |
| Alkaline phosphatase (84075) |
$35.83 |
$55.13 |
6.9× |
| Alkaline phosphatase isoenzymes (84080) |
$156.17 |
$240.27 |
10.6× |
| Allergen profile perennial allergen (86003) |
$34.76 |
$53.48 |
6.7× |
| Alpha-1-antitrypsin (82103) |
$119.67 |
$184.12 |
8.9× |
| Alpha-fetoprotein serum (82105) |
$126.81 |
$195.10 |
7.6× |
| Alt (84460) |
$38.74 |
$59.60 |
7.3× |
| Ammonia (82140) |
$152.63 |
$234.83 |
10.5× |
| Amylase (82150) |
$72.35 |
$111.32 |
11.2× |
| Ana (86038) |
$81.84 |
$125.91 |
6.8× |
| Ana titer (86039) |
$37.22 |
$57.27 |
3.3× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$117.32 |
$180.50 |
8.9× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$105.08 |
$161.67 |
6.9× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$82.15 |
$126.39 |
4.5× |
| Androstenedione (82157) |
$180.93 |
$278.36 |
6.2× |
| Angiotensin converting enzyme (82164) |
$135.71 |
$208.79 |
9.3× |
| Anti-mitochondrial antibody (86255) |
$103.31 |
$158.94 |
8.6× |
| Antibody identification platelet antibodies (86022) |
$193.73 |
$298.05 |
10.5× |
| Antibody west nile virus igm (86788) |
$69.04 |
$106.22 |
4.1× |
| Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) |
$63.61 |
$97.87 |
11.1× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$22.21 |
$34.18 |
1.8× |
| Antistreptolysin o titer (86060) |
$78.88 |
$121.36 |
10.8× |
| Antithrombin iii activity (85300) |
$221.14 |
$340.23 |
18.7× |
| Antithrombin iii antigen (85301) |
$161.32 |
$248.19 |
14.9× |
| Arsenic (82175) |
$71.48 |
$109.97 |
3.8× |
| Aspergillus antibody (86606) |
$134.22 |
$206.50 |
8.9× |
| Assay of vitamin not otherwise specified (84591) |
$85.33 |
$131.29 |
5.0× |
| Ast (84450) |
$34.97 |
$53.80 |
6.8× |
| Bartonella antibody (86611) |
$37.57 |
$57.80 |
3.7× |
| Basic metabolic panel calcium ionized (80047) |
$137.98 |
$212.29 |
10.0× |
| Bcr/abl1 gene major bp (81206) |
$432.70 |
$665.70 |
2.6× |
| Beta 2 glycoprotein i antibody (86146) |
$124.98 |
$192.28 |
4.9× |
| Beta-2 microglobulin (82232) |
$132.86 |
$204.40 |
8.2× |
| Bile acids total (82239) |
$65.89 |
$101.38 |
3.8× |
| Bilirubin direct (82248) |
$73.15 |
$112.54 |
14.6× |
| Bilirubin total (82247) |
$48.04 |
$73.92 |
9.6× |
| Blood count leukocyte wbc automated (85048) |
$35.85 |
$55.16 |
14.1× |
| Blood count reticulocyte automated (85045) |
$56.75 |
$87.32 |
14.2× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$30.34 |
$46.69 |
10.0× |
| Blood gases any combination (82803) |
$326.86 |
$502.87 |
12.5× |
| Blood gases ph only (82800) |
$115.21 |
$177.26 |
10.5× |
| Blood gases w/o2 saturation (82805) |
$191.48 |
$294.59 |
2.4× |
| Blood typing rbc antigens (86905) |
$85.33 |
$131.29 |
22.3× |
| Blood typing serologic abo (86900) |
$57.15 |
$87.93 |
19.1× |
| Blood typing serologic rh (d) (86901) |
$30.26 |
$46.56 |
10.1× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$89.60 |
$137.85 |
14.1× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$116.10 |
$178.62 |
7.3× |
| Bone marrow smear interpretation (85097) |
$1,480.38 |
$2,277.51 |
1.7× |
| Breath alcohol test (82075) |
$69.23 |
$106.52 |
2.3× |
| C diff amplified probe (87493) |
$164.20 |
$252.63 |
4.4× |
| C-peptide (84681) |
$134.29 |
$206.61 |
6.5× |
| C-reactive protein (86140) |
$68.93 |
$106.06 |
13.3× |
| C-reactive protein high sensitivity (86141) |
$56.25 |
$86.54 |
4.3× |
| Ca 125 (86304) |
$152.63 |
$234.83 |
7.3× |
| Ca 15-3 (86300) |
$136.73 |
$210.36 |
6.6× |
| Cadmium (82300) |
$71.48 |
$109.97 |
3.0× |
| Calcium ionized (82330) |
$98.33 |
$151.28 |
7.2× |
| Calcium total (82310) |
$53.31 |
$82.03 |
10.3× |
| Calcium, random urine (82340) |
$78.01 |
$120.02 |
12.9× |
| Calprotectin fecal (83993) |
$176.79 |
$271.99 |
9.0× |
| Calr gene com variants (81219) |
$786.63 |
$1,210.20 |
6.5× |
| Carbamazepine total (80156) |
$88.56 |
$136.26 |
6.1× |
| Carbon dioxide (82374) |
$49.04 |
$75.45 |
10.0× |
| Carbon monoxide (82375) |
$121.10 |
$186.32 |
9.8× |
| Cardiolipin antibody ea ig class (86147) |
$120.10 |
$184.78 |
4.7× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$199.75 |
$307.32 |
11.8× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$172.40 |
$265.24 |
3.7× |
| Cea (82378) |
$146.60 |
$225.55 |
7.7× |
| Cell count body fluid (89050) |
$62.29 |
$95.84 |
13.2× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$76.71 |
$118.03 |
13.7× |
| Ceruloplasmin (82390) |
$126.84 |
$195.14 |
11.8× |
| Cftr gene com variants (81220) |
$321.75 |
$495 |
0.6× |
| Chg fresh frozen plasma thawing each unit (86927) |
$241.50 |
$371.54 |
1.3× |
| Chlamydia pneumoniae PCR (87486) |
$107.49 |
$165.38 |
3.1× |
| Chloride blood (82435) |
$62.10 |
$95.55 |
13.5× |
| Chloride urine (82436) |
$57.18 |
$87.98 |
9.9× |
| Cholesterol total (82465) |
$43.71 |
$67.26 |
10.0× |
| Cholinesterase rbc (82482) |
$106.68 |
$164.13 |
10.9× |
| Cholinesterase serum (82480) |
$49.49 |
$76.14 |
6.3× |
| Chorionic gonadotropin test (84702) |
$116.22 |
$178.80 |
7.7× |
| Chromogranin a (86316) |
$148.20 |
$228 |
7.1× |
| Chromosome analysis 15-20 cells (88262) |
$231.27 |
$355.80 |
1.8× |
| Citrate (82507) |
$27.32 |
$42.04 |
1.0× |
| Clot inhibit prot s total (85305) |
$183.48 |
$282.28 |
15.8× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$92.15 |
$141.78 |
4.0× |
| Cmv antibody (86644) |
$92.16 |
$141.79 |
6.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$199.71 |
$307.25 |
8.3× |
| Collagen cross links (82523) |
$138.26 |
$212.72 |
7.4× |
| Compatibility each unit electronic (86923) |
$172.94 |
$266.07 |
1.0× |
| Complement antigen ea component (86160) |
$113.08 |
$173.97 |
9.4× |
| Complement total (ch50) (86162) |
$126.29 |
$194.30 |
6.2× |
| Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) |
$283.35 |
$435.93 |
1.6× |
| Coombs test indirect titer (86886) |
$192.02 |
$295.43 |
37.1× |
| Copper (82525) |
$108.64 |
$167.14 |
8.8× |
| Cortisol free (82530) |
$125.46 |
$193.02 |
7.5× |
| Cortisol saliva (82533) |
$105.59 |
$162.45 |
6.5× |
| COVID-19 antibody (86769) |
$68.36 |
$105.18 |
1.6× |
| Coxsackie a9 virus antibody (86658) |
$26.61 |
$40.95 |
2.0× |
| Creatine kinase total (82550) |
$60.76 |
$93.49 |
9.3× |
| Creatinine (82565) |
$43.71 |
$67.25 |
8.5× |
| Creatinine clearance (82575) |
$77.39 |
$119.07 |
8.2× |
| Creatinine other source (82570) |
$70.72 |
$108.80 |
13.7× |
| Crossmatch ahg (86922) |
$263.71 |
$405.72 |
1.5× |
| Cryofibrinogen (82585) |
$53.75 |
$82.70 |
3.8× |
| Cryoglobulins (82595) |
$37.35 |
$57.47 |
5.8× |
| Cryptococcal antigen (87327) |
$46.94 |
$72.22 |
3.5× |
| Cryptosporidium ag eia (87328) |
$138.89 |
$213.68 |
10.0× |
| Crystals fluid (89060) |
$87.76 |
$135.03 |
12.0× |
| Culture anaerobic (87075) |
$104.25 |
$160.39 |
11.0× |
| Culture blood (87040) |
$117.70 |
$181.09 |
11.4× |
| Culture fungus blood (87103) |
$146.72 |
$225.73 |
7.2× |
| Culture stool (87045) |
$94.86 |
$145.95 |
10.0× |
| Culture urine (87086) |
$56.84 |
$87.45 |
7.0× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$47.09 |
$72.46 |
5.8× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$83.41 |
$128.33 |
10.3× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$94.86 |
$145.95 |
10.0× |
| Cyclic citrullinated peptide ab (86200) |
$127.99 |
$196.91 |
9.9× |
| Cyclosporine (80158) |
$181.40 |
$279.08 |
10.0× |
| Cytomeg DNA amp probe (87496) |
$119.48 |
$183.82 |
3.4× |
| Cytomegalovirus antibody igm (86645) |
$81.95 |
$126.08 |
4.9× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$104.06 |
$160.10 |
5.1× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$110.14 |
$169.46 |
4.1× |
| Cytp eval fine needle aspirate interp & report (88173) |
$157.05 |
$241.62 |
2.9× |
| D-dimer quantitative (85379) |
$162.55 |
$250.09 |
16.0× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$100.18 |
$154.13 |
7.3× |
| Dhea (82626) |
$55.39 |
$85.23 |
2.2× |
| Dhea sulfate (82627) |
$117.81 |
$181.25 |
5.3× |
| Digoxin (80162) |
$127.10 |
$195.55 |
9.6× |
| Direct antiglobulin test (86880) |
$66.50 |
$102.31 |
12.3× |
| DNA/RNA amplified probe (87150) |
$70.21 |
$108.03 |
2.0× |
| Drug assay salicylate (80179) |
$170.68 |
$262.59 |
9.2× |
| Drug screen quant levetiracetam (80177) |
$77.48 |
$119.21 |
5.8× |
| Drug screen quantitative oxcarbazepine (80183) |
$45.48 |
$69.98 |
3.4× |
| Drug test prsmv chem anlyzr (80307) |
$185.31 |
$285.10 |
3.0× |
| Drug test prsmv dir opt obs (80305) |
$87.68 |
$134.88 |
7.0× |
| Drug test prsmv instrmnt (80306) |
$120.82 |
$185.88 |
7.0× |
| Ear culture (87070) |
$127.61 |
$196.33 |
14.8× |
| Electrolytes panel (80051) |
$85.33 |
$131.29 |
12.2× |
| Enterovirus by PCR (87498) |
$238.11 |
$366.33 |
6.8× |
| Eosinophils urine (87205) |
$54.32 |
$83.57 |
12.7× |
| Erythropoietin (82668) |
$153.64 |
$236.37 |
8.2× |
| Estradiol (82670) |
$154.50 |
$237.70 |
5.5× |
| Estriol (82677) |
$95.58 |
$147.06 |
4.0× |
| Estrogen fractionated (82671) |
$53.58 |
$82.44 |
1.7× |
| Estrone (82679) |
$140.82 |
$216.65 |
5.6× |
| Eval amniotic fluid protein (84112) |
$236.40 |
$363.70 |
2.4× |
| Extractable nuclear antigen antibody any method (86235) |
$99.97 |
$153.80 |
5.6× |
| F2 gene analysis (81240) |
$184.89 |
$284.45 |
2.8× |
| F5 gene (81241) |
$238.32 |
$366.65 |
3.2× |
| Factor ii activity (85210) |
$170.20 |
$261.85 |
13.1× |
| Factor inhibitor test (85335) |
$107.51 |
$165.41 |
8.4× |
| Factor ix activity (85250) |
$107.51 |
$165.41 |
5.6× |
| Factor viii activity (85240) |
$228.30 |
$351.24 |
12.8× |
| Factor viii vw antigen (85246) |
$182.65 |
$281 |
8.0× |
| Factor x (stuart-prower) (85260) |
$58.90 |
$90.62 |
3.3× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$166.41 |
$256.03 |
9.9× |
| Ferritin (82728) |
$73.35 |
$112.85 |
5.4× |
| Fetal fibronectin (82731) |
$536.82 |
$825.89 |
8.3× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$77.68 |
$119.51 |
10.0× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$85.13 |
$130.97 |
9.1× |
| Fibrin degradation products, D-dimer; qualitative or semiquantitative Other Outpatient (85378) |
$100.19 |
$154.15 |
10.3× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$98.54 |
$151.61 |
1.2× |
| Fibrinogen, activity (85384) |
$111.76 |
$171.95 |
11.5× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$98.54 |
$151.61 |
6.4× |
| Flow cytometry first marker (88184) |
$249.98 |
$384.59 |
0.7× |
| Folate serum (82746) |
$123.54 |
$190.07 |
8.4× |
| Follicle stimulating hormone (fsh) (83001) |
$98.17 |
$151.04 |
5.3× |
| Francisella tularensis ab (86668) |
$77.64 |
$119.46 |
5.5× |
| Frozen blood thaw (86931) |
$246.42 |
$379.12 |
1.4× |
| Ftl cgen abnor four anal (81511) |
$117.77 |
$181.19 |
0.8× |
| Fungus isolation culture (87102) |
$99.89 |
$153.69 |
11.9× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$25.61 |
$39.40 |
2.2× |
| Gamma glutamyl transferase (82977) |
$68.91 |
$106.02 |
9.6× |
| Gammaglobulin ige (82785) |
$84.39 |
$129.84 |
5.1× |
| Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) |
$98.18 |
$151.05 |
10.0× |
| Gastrin (82941) |
$102.39 |
$157.53 |
5.8× |
| Genotype DNA HIV reverse t (87901) |
$943.88 |
$1,452.13 |
3.7× |
| Gentamicin (80170) |
$164.61 |
$253.26 |
10.0× |
| Giardia antigen (87329) |
$120.39 |
$185.23 |
10.0× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$31.68 |
$48.75 |
9.7× |
| Glucose Fasting (82947) |
$34.82 |
$53.58 |
8.9× |
| Glucose other fluid (82945) |
$72.92 |
$112.19 |
18.6× |
| Glucose post glucose dose (82950) |
$54.63 |
$84.05 |
11.5× |
| Glucose tolerance test (gtt) (82951) |
$131.77 |
$202.73 |
10.2× |
| Glucose-6-pd (82955) |
$87.89 |
$135.22 |
9.1× |
| Glycated hemoglobin (83036) |
$54.59 |
$83.99 |
5.6× |
| Glycosylated hb home device (83037) |
$23.20 |
$35.70 |
2.4× |
| Gtt-added samples (82952) |
$41.09 |
$63.23 |
10.5× |
| H pylori breath test (83013) |
$211.26 |
$325.02 |
3.1× |
| H pylori stool (87338) |
$102.55 |
$157.77 |
7.1× |
| Haptoglobin (83010) |
$126.98 |
$195.36 |
10.1× |
| Hbsag neutralization (87341) |
$87.06 |
$133.94 |
8.4× |
| Hcg ql (84703) |
$54.56 |
$83.95 |
7.3× |
| HDL cholesterol (83718) |
$88.41 |
$136.03 |
10.8× |
| Heavy metal quan each nes (83018) |
$89.60 |
$137.85 |
4.1× |
| Hematocrit (hct) (85014) |
$25.18 |
$38.75 |
10.6× |
| Hemoglobin (85018) |
$18.63 |
$28.67 |
7.9× |
| Hemoglobin electrophoresis (83020) |
$46.10 |
$70.93 |
3.6× |
| Hemoglobin fractj/quantj chromotography (83021) |
$49.40 |
$76.01 |
2.7× |
| Hemolysins and agglutinins; incubated Other Outpatient (86941) |
$58.24 |
$89.61 |
4.8× |
| Hep a ab total (86708) |
$78.90 |
$121.39 |
6.4× |
| Heparin assay (85520) |
$161.32 |
$248.19 |
12.3× |
| Hepatitis b core antibody igm (86705) |
$90.29 |
$138.92 |
7.7× |
| Hepatitis b core antibody total (86704) |
$92.67 |
$142.58 |
7.7× |
| Hepatitis b surface ab (86706) |
$102.79 |
$158.14 |
9.6× |
| Hepatitis b surface antigen (87340) |
$97.55 |
$150.08 |
9.4× |
| Hepatitis c antibody (86803) |
$136.58 |
$210.13 |
9.6× |
| Hepatitis c genotype (87902) |
$943.88 |
$1,452.13 |
3.7× |
| Hepatitis c RNA quantitative (87522) |
$322.30 |
$495.86 |
7.5× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$100.70 |
$154.93 |
7.0× |
| Herpes simplex virus by PCR (87529) |
$187.90 |
$289.08 |
5.4× |
| Heterophile antibody screen (86308) |
$78.01 |
$120.02 |
15.1× |
| Hfe gene (81256) |
$263.70 |
$405.70 |
4.0× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$128.38 |
$197.51 |
5.3× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$137.78 |
$211.98 |
10.0× |
| Hla b27 (86812) |
$155.64 |
$239.46 |
6.0× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$101.04 |
$155.45 |
1.4× |
| Homocysteine level (83090) |
$97.60 |
$150.16 |
5.4× |
| Homogenization tissue (87176) |
$82.41 |
$126.79 |
14.0× |
| Hpv high-risk types (87624) |
$262.01 |
$403.10 |
7.5× |
| Hpv types 16 & 18 only (87625) |
$74.25 |
$114.24 |
1.8× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$227.87 |
$350.57 |
11.8× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
— |
$0.01 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,662.13 |
$2,557.13 |
4.0× |
| Igg subclass 1 (82787) |
$63.17 |
$97.19 |
7.9× |
| Immune complex assay (86332) |
$62.29 |
$95.84 |
2.6× |
| Immunoassay analyte quantitative nos (83520) |
$103.24 |
$158.84 |
6.0× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) |
$79.76 |
$122.71 |
1.8× |
| Immunoassay infectious agent antibody quan nos (86317) |
$86.59 |
$133.22 |
5.8× |
| Immunofixation electrophoresis (86334) |
$184.02 |
$283.12 |
8.2× |
| Immunofixation urine (86335) |
$189.33 |
$291.28 |
6.5× |
| Immunoglobulin d (82784) |
$77.10 |
$118.63 |
8.3× |
| Immunoglobulin light chains free each (83521) |
$31.53 |
$48.51 |
1.8× |
| Immunoperoxidase (88342) |
$216.64 |
$333.30 |
1.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) |
$100.08 |
$153.97 |
6.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) |
$94.59 |
$145.53 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$273.93 |
$421.44 |
3.9× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$78.52 |
$120.81 |
1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$211.82 |
$325.89 |
6.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$126.17 |
$194.12 |
3.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Other Outpatient (87490) |
$141.65 |
$217.93 |
6.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$340.54 |
$523.91 |
7.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$465.12 |
$715.58 |
13.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$235.05 |
$361.62 |
2.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$249.21 |
$383.41 |
6.0× |
| Influenza assay w/optic (87804) |
$16.48 |
$25.36 |
1.0× |
| Influenza DNA amp probe (87502) |
$183.83 |
$282.82 |
1.9× |
| Inhibin a (86336) |
$57.18 |
$87.98 |
3.7× |
| Insulin antibody (86337) |
$176.61 |
$271.71 |
8.2× |
| Insulin free (83527) |
$28.17 |
$43.34 |
2.2× |
| Insulin total (83525) |
$20.61 |
$31.72 |
1.8× |
| Iron (83540) |
$61.50 |
$94.63 |
9.5× |
| Iron binding capacity (83550) |
$49.95 |
$76.85 |
5.7× |
| Irradiation of blood product, each unit (86945) |
$86.01 |
$132.33 |
2.2× |
| Islet cell antibody (86341) |
$96.47 |
$148.42 |
4.1× |
| Jak2 gene (81270) |
$461.50 |
$710.01 |
5.0× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$139.10 |
$214 |
3.5× |
| Lactate (83605) |
$82.55 |
$127.01 |
7.1× |
| Lactate dehydrogenase (83615) |
$62.29 |
$95.84 |
10.3× |
| Lactoferrin fecal (qual) (83630) |
$114.80 |
$176.62 |
5.8× |
| Lamotrigine (80175) |
$44.94 |
$69.14 |
3.4× |
| LDL direct (83721) |
$52.41 |
$80.64 |
5.0× |
| Lead (83655) |
$80.24 |
$123.45 |
6.6× |
| Legionella antibody (86713) |
$34.13 |
$52.52 |
2.2× |
| Legionella culture (87081) |
$54.69 |
$84.15 |
8.2× |
| Legionella urine antigen (87449) |
$136.96 |
$210.71 |
11.4× |
| Leukocyte assessment fecal (89055) |
$36.57 |
$56.27 |
8.6× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$141.89 |
$218.30 |
3.6× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$171.70 |
$264.16 |
3.1× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$200.51 |
$308.48 |
3.6× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$548.96 |
$844.56 |
1.5× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$1,490.33 |
$2,292.82 |
1.8× |
| Lipase (83690) |
$84.41 |
$129.87 |
12.3× |
| Lipoprotein (a) (83695) |
$37.57 |
$57.80 |
2.6× |
| Lipoprotein bld by nmr (83704) |
$23.17 |
$35.65 |
0.7× |
| Lithium (80178) |
$71.51 |
$110.03 |
10.8× |
| Luteinizing hormone (lh) (83002) |
$131.14 |
$201.76 |
7.1× |
| Lyme disease antibody (86617) |
$81.43 |
$125.29 |
5.3× |
| Lyme disease antibody (86618) |
$113.14 |
$174.07 |
6.6× |
| Macroscopic exam parasite (87169) |
$43.31 |
$66.64 |
10.0× |
| Magnesium (83735) |
$71.51 |
$110.03 |
10.7× |
| Malaria smear (87207) |
$106.68 |
$164.13 |
17.8× |
| Manual differential (85007) |
$35.83 |
$55.13 |
9.4× |
| Manual reticulocyte count (85044) |
$60.58 |
$93.21 |
14.1× |
| Mercury (83825) |
$70.75 |
$108.86 |
4.4× |
| Metanephrines (83835) |
$198.34 |
$305.14 |
11.7× |
| Methemoglobin quant (83050) |
$82.41 |
$126.79 |
10.1× |
| Methylmalonic acid serum (83921) |
$152.21 |
$234.17 |
7.2× |
| Microalbumin urine (82043) |
$70.37 |
$108.27 |
12.2× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) |
$122.03 |
$187.74 |
3.5× |
| Mopath procedure level 4 (81403) |
$679.32 |
$1,045.11 |
3.7× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$268.82 |
$413.58 |
1.5× |
| Mrsa PCR (87641) |
$157.65 |
$242.55 |
4.5× |
| Mthfr gene (81291) |
$270.54 |
$416.23 |
4.1× |
| Mumps antibody (86735) |
$135.51 |
$208.49 |
10.4× |
| Mycoplasma antibody (86738) |
$44.73 |
$68.83 |
3.4× |
| Mycoplasma pneumoniae by PCR (87581) |
$119.67 |
$184.12 |
3.4× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$104.86 |
$161.33 |
9.1× |
| Myoglobin (83874) |
$161.76 |
$248.87 |
12.5× |
| N.gonorrhoeae DNA amp prob (87591) |
$129.83 |
$199.74 |
3.7× |
| Natriuretic peptide (83880) |
$186.03 |
$286.21 |
4.7× |
| Nephelometry ea analyte (83883) |
$122.29 |
$188.15 |
9.0× |
| Neutralization test viral (86382) |
$45.22 |
$69.58 |
2.7× |
| Occult blood other sources (82271) |
$53.46 |
$82.25 |
10.0× |
| Occult blood screening (82270) |
$30.71 |
$47.25 |
7.0× |
| Oligoclonal bands (83916) |
$53.70 |
$82.62 |
2.0× |
| Organic acids total quant (83918) |
$106.68 |
$164.13 |
4.5× |
| Osmolality serum (83930) |
$88.14 |
$135.61 |
13.3× |
| Osmolality urine (83935) |
$99.61 |
$153.25 |
14.6× |
| Osteocalcin (83937) |
$54.63 |
$84.05 |
1.8× |
| Ova and parasite exam (87177) |
$50.88 |
$78.28 |
5.7× |
| Oxalate urine (83945) |
$27.32 |
$42.04 |
1.9× |
| Pancreatic elastase fecal (82656) |
$96.42 |
$148.35 |
8.4× |
| Pancreatic polypeptide (83519) |
$224.43 |
$345.29 |
12.2× |
| Parathyroid hormone (83970) |
$204.95 |
$315.32 |
5.0× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$285.79 |
$439.68 |
1.6× |
| Pertussis by PCR (87798) |
$132.93 |
$204.52 |
3.8× |
| Ph body fluid (83986) |
$121.68 |
$187.21 |
34.0× |
| Phenobarbital (80184) |
$84.68 |
$130.28 |
5.5× |
| Phenytoin level total (80185) |
$126.27 |
$194.27 |
9.5× |
| Phosphorus (84100) |
$47.47 |
$73.04 |
10.0× |
| Phosphorus urine (84105) |
$27.32 |
$42.04 |
4.7× |
| Pinworm exam (87172) |
$42.90 |
$66.01 |
10.0× |
| Platelet count automated (85049) |
$24.94 |
$38.37 |
5.6× |
| Pooling of platelets or other blood products (86965) |
$188.19 |
$289.53 |
1.0× |
| Porphobilinogen urine (84110) |
$116.93 |
$179.90 |
13.9× |
| Porphyrins total plasma (84311) |
$38.40 |
$59.08 |
4.7× |
| Potassium (84132) |
$36.12 |
$55.57 |
7.6× |
| Potassium urine (84133) |
$45.86 |
$70.56 |
9.7× |
| Prealbumin (84134) |
$84.05 |
$129.31 |
5.8× |
| Pregnenolone (84140) |
$74.78 |
$115.06 |
3.6× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$88.77 |
$136.57 |
1.4× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with inhibitors (86977) |
$66.56 |
$102.40 |
0.4× |
| Procalcitonin (pct) (84145) |
$178.66 |
$274.87 |
6.6× |
| Progesterone (84144) |
$148.51 |
$228.48 |
7.1× |
| Proinsulin (84206) |
$166.41 |
$256.03 |
6.2× |
| Prolactin (84146) |
$131.71 |
$202.64 |
6.8× |
| Protein c activity (85303) |
$187.01 |
$287.71 |
13.5× |
| Protein c antigen (85302) |
$203.98 |
$313.83 |
17.0× |
| Protein electrophoresis serum (84165) |
$122.40 |
$188.31 |
11.4× |
| Protein electrophoresis urine (84166) |
$121.19 |
$186.46 |
6.8× |
| Protein s antigen, free (85306) |
$181.25 |
$278.85 |
11.8× |
| Protein total other source (84157) |
$55.03 |
$84.67 |
13.8× |
| Protein total serum (84155) |
$24.36 |
$37.49 |
6.6× |
| Protein total urine (84156) |
$49.56 |
$76.26 |
13.5× |
| Protein, total, by refractometry, any source Other Outpatient (84160) |
$23.64 |
$36.38 |
4.2× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$29.87 |
$45.96 |
7.6× |
| PSA free (84154) |
$115.42 |
$177.58 |
6.3× |
| Q fever antibody (86638) |
$64.84 |
$99.76 |
5.3× |
| Rbc antibody elution (86860) |
$152.34 |
$234.37 |
0.8× |
| Rbc antibody identification (86870) |
$507.79 |
$781.23 |
1.3× |
| Rbc antibody screen (86850) |
$60.04 |
$92.37 |
6.1× |
| Reducing substances fecal (84376) |
$80.24 |
$123.45 |
14.6× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$104.12 |
$160.20 |
8.6× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$92.15 |
$141.78 |
7.0× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$135.71 |
$208.79 |
7.0× |
| Renin (84244) |
$126.29 |
$194.30 |
5.7× |
| Reptilase test (85635) |
$41.84 |
$64.37 |
4.2× |
| Resp virus 12-25 targets (87633) |
$1,224.64 |
$1,884.07 |
2.9× |
| Resp virus 3-5 targets (87631) |
$490.83 |
$755.13 |
3.4× |
| Rheumatoid factor quant (86431) |
$60.16 |
$92.56 |
10.6× |
| Rickettsia antibody (86757) |
$56.31 |
$86.64 |
2.9× |
| Ristocetin cofactor (85245) |
$203.93 |
$313.75 |
8.9× |
| Rl immediate spin crossmatch (86920) |
$158.76 |
$244.25 |
0.9× |
| Rotavirus ag eia (87425) |
$120.32 |
$185.12 |
10.0× |
| Rpr qual (86592) |
$65.64 |
$101 |
15.4× |
| Rsv DNA/RNA amp probe (87634) |
$142.25 |
$218.85 |
2.0× |
| Rubella antibody (86762) |
$149.19 |
$229.53 |
10.4× |
| Rubeola antibody (86765) |
$82.86 |
$127.49 |
6.4× |
| Russell viper venom diluted (85613) |
$111.76 |
$171.95 |
11.7× |
| Sedimentation rate rbc automated (85652) |
$46.15 |
$71 |
17.1× |
| Sedimentation rate rbc non-automated (85651) |
$60.58 |
$93.21 |
14.2× |
| Selenium (84255) |
$176.33 |
$271.28 |
6.9× |
| Semen analysis post vasectomy (89321) |
$74.80 |
$115.08 |
6.2× |
| Sex hormone binding globulin (84270) |
$98.31 |
$151.26 |
4.5× |
| Sialidase enzyme assay (87905) |
$55.15 |
$84.85 |
4.5× |
| Sickle cell screen (85660) |
$66.56 |
$102.40 |
12.1× |
| Sirolimus (80195) |
$113.50 |
$174.62 |
8.3× |
| Skin test tuberculosis intradermal (86580) |
$29.38 |
$45.20 |
1.0× |
| Smear wet mount (87210) |
$63.20 |
$97.24 |
10.9× |
| Sodium (84295) |
$32.24 |
$49.61 |
6.7× |
| Sodium urine (84300) |
$37.55 |
$57.77 |
7.4× |
| Somatomedin (84305) |
$77.48 |
$119.21 |
3.6× |
| Special stains group i (88312) |
$145 |
$223.09 |
2.6× |
| Special stains group ii (88313) |
$361 |
$555.39 |
2.6× |
| Specific gravity except urine (84315) |
$32.96 |
$50.72 |
10.0× |
| Splitting of blood or blood products, each unit (86985) |
$169.38 |
$260.59 |
0.9× |
| Sputum, obtaining specimen, aerosol induced technique (separate procedure) (89220) |
$288.49 |
$443.84 |
1.6× |
| Staph a DNA amp probe (87640) |
$183.68 |
$282.59 |
5.2× |
| Stone analysis (82365) |
$97.74 |
$150.38 |
7.6× |
| Strep a ag ia (87430) |
$111.76 |
$171.94 |
6.6× |
| Strep a assay w/optic (87880) |
$66.08 |
$101.67 |
4.0× |
| Strep b DNA amp probe (87653) |
$151.39 |
$232.92 |
4.3× |
| Sulfate urine (84392) |
$27.32 |
$42.04 |
5.0× |
| Surg path level 1 (88300) |
$67.39 |
$103.68 |
2.2× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$211.64 |
$325.61 |
3.9× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$358.44 |
$551.45 |
9.1× |
| Susceptibility mic per plate (87186) |
$94.45 |
$145.31 |
10.9× |
| T3 free (84481) |
$120.01 |
$184.64 |
7.1× |
| T3 reverse (84482) |
$109.38 |
$168.28 |
6.9× |
| T3 uptake (84479) |
$37.57 |
$57.80 |
5.8× |
| T4 (thyroxine) total (84436) |
$76.42 |
$117.57 |
11.1× |
| Tacrolimus (80197) |
$153.64 |
$236.37 |
11.2× |
| Tb test cell immun measure (86480) |
$154.32 |
$237.42 |
2.5× |
| Testosterone free (84402) |
$124.57 |
$191.66 |
4.9× |
| Testosterone total (84403) |
$224.84 |
$345.92 |
8.7× |
| Tetanus antibody (86774) |
$94.71 |
$145.72 |
6.4× |
| Theophylline (80198) |
$139.17 |
$214.11 |
9.8× |
| Thiopurine drug metabolites (83789) |
$83.63 |
$128.67 |
3.5× |
| Thiopurine metabolites (80299) |
$99.04 |
$152.38 |
5.3× |
| Thiopurine methyltransferase, rbc (82657) |
$248.33 |
$382.05 |
11.2× |
| Thrombin time plasma (85670) |
$98.54 |
$151.61 |
17.1× |
| Thyroglobulin (84432) |
$110.14 |
$169.46 |
6.9× |
| Thyroglobulin antibody (86800) |
$96.60 |
$148.62 |
6.1× |
| Thyroid peroxidase antibody (86376) |
$87.76 |
$135.03 |
6.0× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$385.39 |
$592.92 |
7.6× |
| Thyroxine free (ft4) (84439) |
$94.88 |
$145.97 |
10.5× |
| Tissue culture bone marrow (88237) |
$243.23 |
$374.20 |
1.7× |
| Tissue culture lymphocyte (88230) |
$246.77 |
$379.65 |
2.1× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$20.78 |
$31.97 |
1.8× |
| Tobramycin (80200) |
$186.04 |
$286.22 |
11.5× |
| Toxoplasma antibody igg (86777) |
$24.76 |
$38.10 |
1.7× |
| Toxoplasma antibody igm (86778) |
$91.32 |
$140.50 |
6.3× |
| Transferrin (84466) |
$58.13 |
$89.44 |
4.6× |
| Treponema pallidum antibody (86780) |
$88.14 |
$135.61 |
6.7× |
| Trichomonas assay w/optic (87808) |
$68.52 |
$105.42 |
4.5× |
| Trichrome stain (87209) |
$85.95 |
$132.24 |
4.8× |
| Triglycerides (84478) |
$54.93 |
$84.51 |
9.6× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$98.33 |
$151.28 |
6.9× |
| Troponin t (84484) |
$147.10 |
$226.31 |
11.8× |
| Urea nitrogen quantitative (84520) |
$51.19 |
$78.76 |
13.0× |
| Urea nitrogen urine (84540) |
$56.08 |
$86.28 |
10.1× |
| Uric acid blood (84550) |
$32.94 |
$50.68 |
7.3× |
| Uric acid other source (84560) |
$54.63 |
$84.05 |
10.8× |
| Urinalysis auto w/micro (81001) |
$53.74 |
$82.69 |
17.0× |
| Urinalysis microscopic only (81015) |
$30.66 |
$47.17 |
10.1× |
| Urinalysis volume measure (81050) |
$34.83 |
$53.59 |
9.6× |
| Urine bacteria culture (87088) |
$83.88 |
$129.05 |
10.4× |
| Urine Pregnancy Test POC (81025) |
$64.49 |
$99.23 |
7.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$38.29 |
$58.92 |
17.0× |
| Valproic acid (80164) |
$122.42 |
$188.35 |
9.0× |
| Vancomycin (80202) |
$117.83 |
$181.29 |
8.7× |
| Varicella zoster antibody igg (86787) |
$123.27 |
$189.66 |
9.6× |
| Vasoactive intestinal peptide (vip) (84586) |
$265.03 |
$407.75 |
7.5× |
| Viral culture non-respiratory (87252) |
$228.44 |
$351.46 |
8.8× |
| Vitamin a (84590) |
$44.94 |
$69.14 |
3.9× |
| Vitamin b-12 (82607) |
$86.79 |
$133.52 |
5.8× |
| Vitamin b1 whole blood (84425) |
$210.11 |
$323.25 |
9.9× |
| Vitamin b6 (84207) |
$145.90 |
$224.47 |
5.2× |
| Vitamin d 25 hydroxy (82306) |
$93.16 |
$143.34 |
3.1× |
| Vitamin e (84446) |
$157.65 |
$242.55 |
11.1× |
| Vitamin k1 (84597) |
$100.32 |
$154.35 |
7.3× |
| West nile virus antibody (86789) |
$69.04 |
$106.22 |
4.8× |
| Yeast id (87106) |
$87.89 |
$135.22 |
8.5× |
| Z t cells total count (86359) |
$138.26 |
$212.72 |
3.7× |
| Zinc (84630) |
$74.78 |
$115.06 |
6.6× |