Lab & pathology prices at Memorial Medical Center
Port Lavaca, TX · every code in this section with a posted price and a Medicare benchmark.
645 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) | $251.30 | $359 | 6.5× |
| 17-Hydroxycorticosteroids (83491) | $60.90 | $87 | 3.4× |
| 5 Hiaa (83497) | $51.80 | $74 | 4.0× |
| 5 Nucleotidase (83915) | $56 | $80 | 5.0× |
| Acetaminophen level (80143) | $208.60 | $298 | 11.2× |
| Activated protein c resistance (85307) | $126 | $180 | 8.2× |
| Acute hepatitis panel (80074) | $290.50 | $415 | 6.1× |
| Acylcarnitine Plasma (82017) | $393.40 | $562 | 23.3× |
| Afb culture (87116) | $141.75 | $202.50 | 13.1× |
| Agglutinins febrile (86000) | $150.50 | $215 | 21.6× |
| Albumin Fluid (82042) | $44.80 | $64 | 5.8× |
| Albumin serum (82040) | $32.55 | $46.50 | 6.6× |
| Aldolase (82085) | $66.50 | $95 | 6.8× |
| Aldosterone urine (82088) | $270.90 | $387 | 6.6× |
| Alkaline phosphatase isoenzymes (84080) | $79.10 | $113 | 5.4× |
| Allergen specific ige (86003) | $183.40 | $262 | 35.1× |
| Alpha-1-antitrypsin phenotype (82104) | $49 | $70 | 3.4× |
| Alpha-1-antitrypsin, total (82103) | $174.30 | $249 | 13.0× |
| Alpha-Fetoprotein L3 (82107) | $349.30 | $499 | 5.4× |
| Alpha-fetoprotein, serum (82105) | $106.40 | $152 | 6.3× |
| Alt (sgpt) (84460) | $58.80 | $84 | 11.1× |
| Amikacin trough (80150) | $38.15 | $54.50 | 2.5× |
| Amino acid screen urine (82128) | $75.60 | $108 | 5.5× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $215.95 | $308.50 | 12.8× |
| Amino Acids, Single Quantitation (82131) | $102.20 | $146 | 4.4× |
| Aminolevulinic acid (ala) (82135) | $70 | $100 | 4.3× |
| Ammonia (82140) | $135.80 | $194 | 9.3× |
| Amylase urine (82150) | $65.10 | $93 | 10.0× |
| Ana Titer (86039) | $87.50 | $125 | 7.8× |
| Analysis for antibody to borrelia (relapsing fever bacteria) (86619) | $697.20 | $996 | 52.1× |
| Analysis nerve (88356) | $185.33 | $264.75 | 3.5× |
| Analysis skeletal muscle (88355) | $116.76 | $166.80 | 0.7× |
| Angiotensin i enzyme test (82164) | $91.70 | $131 | 6.3× |
| Angiotensin ll (protein) level (82163) | $46.20 | $66 | 2.3× |
| Antibody aspergillus (86606) | $44.80 | $64 | 3.0× |
| Antibody cytomegalovirus cmv (86644) | $128.10 | $183 | 8.9× |
| Antibody cytomegalovirus cmv igm (86645) | $113.40 | $162 | 6.7× |
| Antibody Encephalitis Eastern Equine (86652) | $85.75 | $122.50 | 6.5× |
| Antibody Encephalitis St. Louis (86653) | $85.75 | $122.50 | 6.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $81.20 | $116 | 6.2× |
| Antibody helicobacter pylori (86677) | $91.70 | $131 | 5.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $90.30 | $129 | 6.3× |
| Antibody herpes smplx type 1 (86695) | $87.50 | $125 | 6.6× |
| Antibody identification (86870) | $1,039.82 | $1,485.45 | 2.9× |
| Antibody Listeria Monocytogenes (86723) | $121.80 | $174 | 9.2× |
| Antibody mumps (86735) | $60.20 | $86 | 4.6× |
| Antibody neisseria meningitidis (86741) | $163.80 | $234 | 12.4× |
| Antibody Protozoa Nes (86753) | $101.50 | $145 | 8.2× |
| Antibody rubeola (86765) | $39.20 | $56 | 3.0× |
| Antibody treponema pallidum (86780) | $52.50 | $75 | 4.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $53.90 | $77 | 10.4× |
| Antinuclear antibodies (86038) | $91.70 | $131 | 7.6× |
| Antistreptolysin o titer (86060) | $45.50 | $65 | 6.2× |
| Antithrombin iii activity (85300) | $99.40 | $142 | 8.4× |
| Antithrombin iii antigen (85301) | $115.50 | $165 | 10.7× |
| Apolipoprotein b (82172) | $107.80 | $154 | 5.1× |
| Arsenic Urine (82175) | $296.10 | $423 | 15.6× |
| Aspa gene analysis common variants (81200) | $34.30 | $49 | 0.7× |
| Aspergillus ag eia (87305) | $288.40 | $412 | 24.1× |
| Assay free hydroxyproline (83500) | $104.30 | $149 | 4.6× |
| Assay Lipoprotein Pla2 (83698) | $251.30 | $359 | 5.4× |
| Assay Nephelometry Not Spec (83883) | $260.40 | $372 | 19.1× |
| Assay of 17-hydroxypregnenolone (84143) | $168 | $240 | 7.4× |
| Assay of acth (82024) | $217 | $310 | 5.6× |
| Assay of androstenedione (82157) | $162.40 | $232 | 5.5× |
| Assay of blood chloride (82435) | $49.70 | $71 | 10.8× |
| Assay of c-peptide (84681) | $112 | $160 | 5.4× |
| Assay of calcitonin (82308) | $189.70 | $271 | 7.1× |
| Assay of ceruloplasmin (82390) | $67.20 | $96 | 6.3× |
| Assay of creatine (82540) | $207.20 | $296 | 44.7× |
| Assay of cyclosporine (80158) | $175.70 | $251 | 9.7× |
| Assay of erythropoietin (82668) | $109.20 | $156 | 5.8× |
| Assay of ethosuximide (80168) | $47.95 | $68.50 | 2.9× |
| Assay of ferritin (82728) | $118.30 | $169 | 8.7× |
| Assay of g6pd enzyme (82955) | $58.80 | $84 | 6.1× |
| Assay of gammaglobulin igm (82784) | $60.20 | $86 | 6.5× |
| Assay of gastrin (82941) | $65.10 | $93 | 3.7× |
| Assay of gentamicin (80170) | $108.50 | $155 | 6.6× |
| Assay of glucagon (82943) | $333.20 | $476 | 23.3× |
| Assay of homocystine (83090) | $147 | $210 | 8.2× |
| Assay of homovanillic acid (83150) | $62.30 | $89 | 2.8× |
| Assay of lipoprotein(a) (83695) | $132.57 | $189.39 | 9.3× |
| Assay of metanephrines (83835) | $178.50 | $255 | 10.5× |
| Assay of osteocalcin (83937) | $168 | $240 | 5.6× |
| Assay of parathormone (83970) | $308 | $440 | 7.5× |
| Assay of phenobarbital (80184) | $89.60 | $128 | 5.9× |
| Assay of phosphatase acid total (84060) | $118.30 | $169 | 15.5× |
| Assay of prealbumin (84134) | $58.80 | $84 | 4.0× |
| Assay of procainamide (80190) | $89.60 | $128 | 1.5× |
| Assay of proinsulin (84206) | $101.50 | $145 | 3.8× |
| Assay of pyruvate (84210) | $20.30 | $29 | 1.4× |
| Assay of selenium (84255) | $128.10 | $183 | 5.0× |
| Assay of serotonin (84260) | $136.85 | $195.50 | 4.4× |
| Assay of somatomedin (84305) | $223.30 | $319 | 10.5× |
| Assay of tacrolimus (80197) | $196.70 | $281 | 14.3× |
| Assay of transcortin (84449) | $47.60 | $68 | 2.6× |
| Assay of urine vma (84585) | $74.20 | $106 | 4.8× |
| Assay of vitamin k (84597) | $203 | $290 | 14.8× |
| Assay Ph Body Fluid Nos (83986) | $26.95 | $38.50 | 7.5× |
| Ast (sgot) (84450) | $58.80 | $84 | 11.4× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,575 | $2,250 | 1.9× |
| Autologous Blood Process (86890) | $142.80 | $204 | 0.8× |
| Automated rbc count (85041) | $21 | $30 | 7.0× |
| Bartonella antibody (86611) | $108.50 | $155 | 10.7× |
| Bcr/abl1 gene major bp (81206) | $206.50 | $295 | 1.3× |
| Bcr/abl1 gene minor bp (81207) | $380.10 | $543 | 2.6× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $95.20 | $136 | 3.7× |
| Beta hydroxybutyrate (82010) | $56.70 | $81 | 6.9× |
| Beta-2 microglobulin (82232) | $99.40 | $142 | 6.1× |
| Bile acids, total (82239) | $352.80 | $504 | 20.6× |
| Bilirubin direct (82248) | $57.40 | $82 | 11.4× |
| Bilirubin total (82247) | $42.70 | $61 | 8.5× |
| Biotinidase ea specimen (82261) | $51.10 | $73 | 3.0× |
| Bl Smear W/Diff Wbc Count (85007) | $60.90 | $87 | 16.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $23.80 | $34 | 6.9× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $36.77 | $52.53 | 0.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $37 | $52.85 | 0.2× |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) | $37 | $52.85 | 1.3× |
| Blood Count Automated Differential Wbc Count (85004) | $58.80 | $84 | 9.1× |
| Blood count reticulocyte automated (85045) | $46.20 | $66 | 11.6× |
| Blood gases (82803) | $236.60 | $338 | 9.1× |
| Blood gases w/02 saturation (82805) | $206.50 | $295 | 2.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $64.75 | $92.50 | 4.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $39.90 | $57 | 9.1× |
| Blood Ph - Ph Venous (82800) | $60.20 | $86 | 5.5× |
| Blood typing abo (86900) | $205.80 | $294 | 68.8× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $205.80 | $294 | 12.6× |
| Blood typing serologic rh (d) (86901) | $205.80 | $294 | 68.8× |
| Body fluid cell count (89051) | $68.95 | $98.50 | 12.3× |
| Body fluid cell count (89050) | $51.45 | $73.50 | 10.9× |
| Bone Marrow Smear Interpretation (85097) | $57.21 | $81.73 | 0.1× |
| Bordetella antibody (86615) | $449.27 | $641.82 | 34.1× |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $610.40 | $872 | 1.0× |
| Brca1&2 seq & full dup/del (81162) | $3,336.90 | $4,767 | 1.8× |
| Breath Alcohol Test (82075) | $44.10 | $63 | 1.5× |
| Brucella antibody (86622) | $27.30 | $39 | 3.1× |
| C diff amplified probe (87493) | $496.30 | $709 | 13.3× |
| C-reactive protein (86140) | $49 | $70 | 9.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $79.10 | $113 | 6.1× |
| Ca 125 (86304) | $102.90 | $147 | 4.9× |
| Ca 19-9 (86301) | $92.40 | $132 | 4.4× |
| Ca 27 29 (86300) | $119 | $170 | 5.7× |
| Cadmium level (82300) | $100.10 | $143 | 4.2× |
| Caffeine (80155) | $42 | $60 | 1.1× |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) | $168.77 | $241.10 | 1.0× |
| Calcium ionized (82330) | $88.90 | $127 | 6.5× |
| Calcium total (82310) | $51.10 | $73 | 9.9× |
| Calcium urine (82340) | $51.80 | $74 | 8.6× |
| Calculus Quantitative Chemical (82360) | $76.30 | $109 | 5.9× |
| Calculus Spectroscopy (82365) | $28.70 | $41 | 2.2× |
| California encephalitis ab (86651) | $85.75 | $122.50 | 6.5× |
| Calprotectin, fecal (83993) | $441 | $630 | 22.5× |
| Candida antibody (86628) | $210 | $300 | 17.5× |
| Carbamazepine (tegretol) total (80156) | $122.50 | $175 | 8.4× |
| Carbamazepine free (80157) | $121.80 | $174 | 9.2× |
| Carbon dioxide (82374) | $31.50 | $45 | 6.5× |
| Carboxyhemoglobin Quantitative (82375) | $113.40 | $162 | 9.2× |
| Carcinoembryonic antigen (82378) | $84 | $120 | 4.4× |
| Cardiolipin ab igg (86147) | $109.90 | $157 | 4.3× |
| Carnitine (82379) | $68.60 | $98 | 4.1× |
| Carotene (82380) | $25.20 | $36 | 2.7× |
| Catecholamines fraction plasma (82384) | $149.45 | $213.50 | 5.9× |
| Catecholamines Total Urine (82382) | $80.50 | $115 | 2.9× |
| Cd4 absolute count (86361) | $138.60 | $198 | 5.2× |
| Cell marker study (88182) | $71.99 | $102.84 | 1.4× |
| Cftr gene com variants (81220) | $389.90 | $557 | 0.7× |
| Chemiluminescent assay (82397) | $121.10 | $173 | 8.6× |
| Chlamydia antibody (86631) | $99.40 | $142 | 8.4× |
| Chlamydia Igm Antibody (86632) | $82.95 | $118.50 | 6.5× |
| Chloride other source (82438) | $62.30 | $89 | 12.5× |
| Chloride urine (82436) | $41.30 | $59 | 7.2× |
| Cholesterol total (82465) | $51.80 | $74 | 11.9× |
| Cholinesterase rbc (82482) | $21 | $30 | 2.1× |
| Cholinesterase serum (82480) | $77 | $110 | 9.8× |
| Chrmsm analysis addl cells counted each study (88285) | $84 | $120 | 3.1× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $458.50 | $655 | 3.7× |
| Chromium urine (82495) | $149.10 | $213 | 7.4× |
| Chromogranin a (86316) | $164.50 | $235 | 7.9× |
| Chromosome analysis 45 cells (88263) | $652.40 | $932 | 4.3× |
| Chromosome karyotype study (88280) | $396.20 | $566 | 11.8× |
| Chylmd trach assay w/optic (87810) | $79.80 | $114 | 2.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $130.90 | $187 | 3.7× |
| Citrate (82507) | $128.10 | $183 | 4.6× |
| Ck isoenzymes (82552) | $91 | $130 | 6.8× |
| Ckmb (82553) | $166.60 | $238 | 14.4× |
| Clot factor viii vw antigen (85246) | $91 | $130 | 4.0× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $113.40 | $162 | 6.3× |
| Clozapine level (80159) | $86.10 | $123 | 4.3× |
| Cmv PCR (87496) | $542.15 | $774.50 | 15.5× |
| Coagulation time (85348) | $23.80 | $34 | 5.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $279.65 | $399.50 | 11.6× |
| Cold agglutinin titer (86157) | $34.30 | $49 | 4.3× |
| Collagen cross links (82523) | $177.80 | $254 | 9.5× |
| Compatibility test antiglob (86922) | $123.90 | $177 | 0.7× |
| Compatibility Test Incubate (86921) | $205.80 | $294 | 1.2× |
| Complement c3 (86160) | $132.30 | $189 | 11.0× |
| Complement total ch50 (86162) | $140 | $200 | 6.9× |
| Comprehensive review of data (88325) | $417.92 | $597.02 | 2.4× |
| Concentration Infectious Agent (87015) | $50.40 | $72 | 7.5× |
| Coombs direct (86880) | $116.90 | $167 | 21.7× |
| Coombs Test Indirect Qual (86885) | $359.10 | $513 | 62.8× |
| Copper urine (82525) | $68.60 | $98 | 5.5× |
| Cortisol free (82530) | $137.55 | $196.50 | 8.2× |
| Cortisol total (82533) | $82.25 | $117.50 | 5.0× |
| Creatine kinase total (82550) | $91.70 | $131 | 14.1× |
| Creatinine blood (82565) | $38.50 | $55 | 7.5× |
| Creatinine clearance (82575) | $116.20 | $166 | 12.3× |
| Creatinine other source (82570) | $59.50 | $85 | 11.5× |
| Crossmatch immediate spin (86920) | $123.90 | $177 | 0.7× |
| Cryoglobulin (82595) | $23.10 | $33 | 3.6× |
| Cryptococcal Antigen (87327) | $25.55 | $36.50 | 1.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $312.20 | $446 | 38.6× |
| Culture Aerobic Identify (87077) | $120.75 | $172.50 | 14.9× |
| Culture anaerobic (87075) | $97.30 | $139 | 10.3× |
| Culture blood (87040) | $128.10 | $183 | 12.4× |
| Culture chlamydia (87110) | $41.30 | $59 | 2.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $67.90 | $97 | 8.8× |
| Culture fungus id yeast (87106) | $66.50 | $95 | 6.4× |
| Culture genital (87070) | $114.10 | $163 | 13.2× |
| Culture screen only (87081) | $61.60 | $88 | 9.3× |
| Culture stool (87045) | $137.20 | $196 | 14.5× |
| Culture typing id bld pthgn&resist typing 6+trgt (87154) | $818.94 | $1,169.91 | 3.8× |
| Culture urine (87086) | $87.50 | $125 | 10.8× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $402.50 | $575 | 3.5× |
| Cyanide (82600) | $146.30 | $209 | 7.5× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $70.70 | $101 | 4.9× |
| Cyclic amp (82030) | $88.90 | $127 | 3.4× |
| Cyclic Citrullinated Peptide (86200) | $96.60 | $138 | 7.5× |
| Cystatin c (82610) | $219.10 | $313 | 11.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $790.30 | $1,129 | 18.4× |
| Cytopath cell enhance tech (88112) | $41.56 | $59.37 | 0.8× |
| Cytopath Fl Nongyn Filter (88106) | $54.94 | $78.48 | 1.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $48.68 | $69.54 | 1.3× |
| Cytopath smear cerv/vag,index add-on (88155) | $30.10 | $43 | 2.1× |
| Cytopath Smear Other Source (88160) | $42.35 | $60.50 | 1.5× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $107.45 | $153.50 | 4.0× |
| Cytp concentration smears & interpretation (88108) | $51.41 | $73.44 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $176.24 | $251.77 | 3.4× |
| Cytp fna eval dx 1st each site (88172) | $36.32 | $51.88 | 0.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $399.06 | $570.09 | 2.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $45.50 | $65 | 2.5× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $63.29 | $90.41 | 1.2× |
| Cytp urine 3-5 probes cmptr (88121) | $345.17 | $493.10 | 2.0× |
| D-Dimer (85379) | $189.70 | $271 | 18.6× |
| Deoxycortisol (82634) | $51.10 | $73 | 1.7× |
| Deoxyribonuclease antibody (86215) | $118.30 | $169 | 8.9× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $61.15 | $87.36 | 3.7× |
| Detect agnt mult DNA ampli (87801) | $170.10 | $243 | 2.4× |
| Dhea (82626) | $147.70 | $211 | 5.8× |
| Dhea sulfate (82627) | $96.60 | $138 | 4.3× |
| Digoxin (80162) | $102.55 | $146.50 | 7.7× |
| Dilantin (80185) | $113.40 | $162 | 8.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $100.80 | $144 | 7.3× |
| Dna/Rna Amplified Probe (87150) | $818.94 | $1,169.91 | 23.3× |
| Drug Assay Amiodarone (80151) | $230.30 | $329 | 12.4× |
| Drug Assay Lacosamide (80235) | $152.60 | $218 | 5.6× |
| Drug assay leflunomide (80193) | $188.30 | $269 | 4.9× |
| Drug Screen Quant Gabapentin (80171) | $67.20 | $96 | 3.1× |
| Drug screen quant zonisamide (80203) | $86.80 | $124 | 6.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $105.70 | $151 | 8.0× |
| Drug Scrn Quan Levetiracetam (80177) | $140.70 | $201 | 10.6× |
| Drug scrn quant oxcarbazepin (80183) | $116.20 | $166 | 8.8× |
| Drug test prsmv chem anlyzr (80307) | $182 | $260 | 2.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $125.30 | $179 | 9.9× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $200.20 | $286 | 11.7× |
| Ebv viral capsid (86665) | $121.80 | $174 | 6.7× |
| Echinococcus ab igg (86682) | $327.25 | $467.50 | 25.2× |
| Electrolyte panel (80051) | $98.70 | $141 | 14.1× |
| Electron microscopy diagnostic (88348) | $1,026.76 | $1,466.80 | 1.3× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $44.10 | $63 | 0.7× |
| Encephalitis Western Equine (86654) | $85.75 | $122.50 | 6.5× |
| Endomysial antibody iga (86255) | $90.30 | $129 | 7.5× |
| Enterovirus antibody (86658) | $55.13 | $78.75 | 4.2× |
| Enzyme cell activity (82657) | $453.25 | $647.50 | 20.4× |
| Enzyme histochemistry (88319) | $56.14 | $80.20 | 0.1× |
| Eosinophil count (85048) | $26.95 | $38.50 | 10.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $86.10 | $123 | 5.6× |
| Estradiol (82670) | $150.50 | $215 | 5.4× |
| Estriol (82677) | $185.50 | $265 | 7.7× |
| Estrogen fractionated (82671) | $140 | $200 | 4.3× |
| Estrogens total (82672) | $222.60 | $318 | 10.3× |
| Estrone (82679) | $116.20 | $166 | 4.7× |
| Ethylene glycol (82693) | $98 | $140 | 6.6× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $251.30 | $359 | 2.6× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $48.30 | $69 | 6.6× |
| Examination of archival tissue for genetic analysis (88363) | $14.95 | $21.35 | 0.5× |
| F2 gene analysis 20210g >a variant (81240) | $202.30 | $289 | 3.1× |
| F5 gene (81241) | $259.70 | $371 | 3.5× |
| Factor ii activity (85210) | $153.30 | $219 | 11.8× |
| Factor inhibitor test (85335) | $204.40 | $292 | 15.9× |
| Factor ix activity (85250) | $245 | $350 | 12.9× |
| Factor v activity (85220) | $156.10 | $223 | 8.8× |
| Factor vii assay (85230) | $189.70 | $271 | 10.6× |
| Factor viii related antigen (85244) | $180.60 | $258 | 8.8× |
| Factor viii vw multimetric (85247) | $224.70 | $321 | 9.8× |
| Factor xi assay (85270) | $203.70 | $291 | 11.4× |
| Factor xii assay (85280) | $245 | $350 | 12.7× |
| Factor xiii solubility screen (85291) | $84 | $120 | 9.2× |
| Fecal fat qual (82705) | $41.30 | $59 | 8.1× |
| Fecal fat quant (82710) | $72.10 | $103 | 4.3× |
| Fetal fibronectin (82731) | $402.50 | $575 | 6.2× |
| Fibrinogen activity (85384) | $75.60 | $108 | 7.8× |
| Flow cytometry first marker (88184) | $259.70 | $371 | 0.7× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $121.10 | $173 | 10.0× |
| Fmr1 gene detection (81243) | $210 | $300 | 3.7× |
| Folate serum (82746) | $98.70 | $141 | 6.7× |
| Folic acid rbc (82747) | $77 | $110 | 4.4× |
| Follicle Stimulating Hormone (83001) | $89.60 | $128 | 4.8× |
| Forensic (investigation) examination of specimen (88125) | $14.74 | $21.06 | 0.3× |
| Fractionation ketosteroids (83593) | $60.90 | $87 | 2.1× |
| Fresh frozen plasma thawing each unit (86927) | $203 | $290 | 1.2× |
| Frozen Section (88331) | $187.28 | $267.54 | 1.1× |
| Fructosamine (82985) | $117.95 | $168.50 | 7.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $438.20 | $626 | 42.5× |
| Galactose transferase test (82776) | $76.65 | $109.50 | 6.5× |
| Gammaglobulin ige (82785) | $72.80 | $104 | 4.4× |
| Gardner Vag Dna Quant (87512) | $66.50 | $95 | 1.6× |
| Gastric Occult Blood (82271) | $33.60 | $48 | 6.3× |
| Ggt (82977) | $53.90 | $77 | 7.5× |
| Giardia antigen eia stool (87329) | $137.90 | $197 | 11.5× |
| Giardia lamblia antibody (86674) | $268.10 | $383 | 18.2× |
| Gliadin antibody each immunoglobulin class (86258) | $117.95 | $168.50 | 9.8× |
| Glucose (82947) | $33.60 | $48 | 8.5× |
| Glucose Blood Test (82962) | $14.70 | $21 | 4.5× |
| Glucose body fluid (82945) | $48.65 | $69.50 | 12.4× |
| Glucose post dose (82950) | $79.80 | $114 | 16.8× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $62.65 | $89.50 | 16.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $112.70 | $161 | 8.8× |
| Growth hormone (83003) | $62.30 | $89 | 3.7× |
| Haptoglobin (83010) | $78.40 | $112 | 6.2× |
| Hba1/hba2 gene dup/del vrnts (81269) | $354.20 | $506 | 1.8× |
| Hcg qualitative (84703) | $47.60 | $68 | 6.3× |
| Hcg quant (84702) | $114.10 | $163 | 7.6× |
| Hdl Cholesterol (83718) | $70.70 | $101 | 8.6× |
| Heavy metal quant each (83018) | $139.30 | $199 | 6.3× |
| Hematocrit (85014) | $26.60 | $38 | 11.2× |
| Hemoglobin (85018) | $16.80 | $24 | 7.1× |
| Hemoglobin a1c (83036) | $60.90 | $87 | 6.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $97.30 | $139 | 5.4× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $57.40 | $82 | 7.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $61.60 | $88 | 7.5× |
| Hemoglobin plasma (83051) | $40.60 | $58 | 5.6× |
| Hemosiderin urine (83070) | $18.90 | $27 | 4.0× |
| Heparin neutralization (85525) | $66.50 | $95 | 5.6× |
| Hepatitis a antibody total (86708) | $68.60 | $98 | 5.5× |
| Hepatitis a igm (86709) | $52.50 | $75 | 4.7× |
| Hepatitis b core ab igm (86705) | $92.40 | $132 | 7.9× |
| Hepatitis b core antibody total (86704) | $66.85 | $95.50 | 5.5× |
| Hepatitis B Surface Ab (86706) | $63 | $90 | 5.9× |
| Hepatitis B Surface Antigen (87340) | $61.60 | $88 | 6.0× |
| Hepatitis be antibody (86707) | $88.90 | $127 | 7.7× |
| Hepatitis Be Antigen (87350) | $79.80 | $114 | 6.9× |
| Hepatitis c antibody (86803) | $70.70 | $101 | 5.0× |
| Hepatitis C Genotype (87902) | $781.90 | $1,117 | 3.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $325.50 | $465 | 9.3× |
| Hepatitis delta ab (86692) | $127.40 | $182 | 7.4× |
| Herpes culture (87252) | $232.40 | $332 | 8.9× |
| Herpes simplex type 2 (86696) | $120.40 | $172 | 6.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $63.70 | $91 | 12.3× |
| Hfe gene (81256) | $399 | $570 | 6.1× |
| Histamine plasma (83088) | $251.30 | $359 | 8.5× |
| Histoplasma antibody (86698) | $35 | $50 | 2.5× |
| Histoplasma antigen urine (87385) | $158.90 | $227 | 12.0× |
| HIV confirmation (86689) | $219.10 | $313 | 11.3× |
| HIV-1 genotype (87901) | $450.80 | $644 | 1.8× |
| HIV-1 integrase genotype (87906) | $225.40 | $322 | 1.8× |
| Hla typing a/b/c multiple antigens (86813) | $92.75 | $132.50 | 1.6× |
| Hla-b27 (86812) | $143.50 | $205 | 5.6× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $357.70 | $511 | 5.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $161 | $230 | 4.6× |
| Htlv-i antibody (86687) | $175.61 | $250.87 | 19.3× |
| Hydroxyprogesterone 17-d (83498) | $135.10 | $193 | 5.0× |
| Hydroxyproline total (83505) | $100.10 | $143 | 4.1× |
| Ia infectious agt antibody qual/semiq 1step meth (86318) | $71.40 | $102 | 3.9× |
| Iaad ia cryptosporidium (87328) | $100.10 | $143 | 7.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $114.80 | $164 | 11.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $92.40 | $132 | 3.8× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $389.90 | $557 | 27.1× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $76.30 | $109 | 6.4× |
| Iaad Ia Streptococcus Group A (87430) | $75.60 | $108 | 4.5× |
| Iaadiadoo not otherwise specified (87899) | $92.75 | $132.50 | 5.8× |
| Iadna candida species amplified probe tq (87481) | $115.50 | $165 | 3.3× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $72.10 | $103 | 3.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $108.50 | $155 | 1.5× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) | $236.25 | $337.50 | 4.6× |
| Iadna hepatitis b virus quantification (87517) | $490.70 | $701 | 11.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $447.30 | $639 | 10.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $77 | $110 | 2.2× |
| Iadna HIV-1 quant & reverse transcription (87536) | $500.50 | $715 | 5.9× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $372.40 | $532 | 8.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $164.50 | $235 | 4.7× |
| Iadna nos amplified probe tq each organism (87798) | $405.51 | $579.30 | 11.6× |
| Iadna nos quantification each organism (87799) | $506.10 | $723 | 11.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $196 | $280 | 5.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $488.25 | $697.50 | 1.2× |
| Igg subclasses (82787) | $105.70 | $151 | 13.2× |
| Immunfix e-phorsis/urine/csf (86335) | $179.20 | $256 | 6.1× |
| Immunoassay analyte qual/semiqual single step (83518) | $168 | $240 | 17.4× |
| Immunoassay infectious agent antibody quan nos (86317) | $94.85 | $135.50 | 6.3× |
| Immunoassay nonantibody (83516) | $157.15 | $224.50 | 13.6× |
| Immunodiffusion not elsewhere specified (86329) | $54.60 | $78 | 3.9× |
| Immunoelectrophoresis serum (86320) | $147.70 | $211 | 4.9× |
| Immunofixj Electrophoresis Serum (86334) | $115.85 | $165.50 | 5.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $434.34 | $620.48 | 2.5× |
| Immunoglobulin assay (86023) | $136.50 | $195 | 11.0× |
| Immunohistochemistry (88342) | $392 | $560 | 2.3× |
| India ink prep (87210) | $24.15 | $34.50 | 4.1× |
| Infectious agent enzymatic activity to detect organism (87905) | $60.90 | $87 | 5.0× |
| Influenza DNA amp probe (87502) | $217.35 | $310.50 | 2.3× |
| Inhibin a (86336) | $103.60 | $148 | 6.6× |
| Inhibin b (83520) | $188.30 | $269 | 10.9× |
| Insitu hybridization (fish) (88365) | $238.66 | $340.95 | 1.4× |
| Insitu hybridization auto (88367) | $166.59 | $237.99 | 0.5× |
| Insitu hybridization manual (88368) | $151.89 | $216.99 | 0.4× |
| Insulin antibodies (86337) | $154 | $220 | 7.2× |
| Insulin free (83527) | $88.20 | $126 | 6.8× |
| Insulin total (83525) | $87.50 | $125 | 7.7× |
| Intraop cyto path consult 1 (88333) | $69.48 | $99.25 | 0.1× |
| Intrinsic factor antibody (86340) | $110.60 | $158 | 7.3× |
| Iron (83540) | $86.45 | $123.50 | 13.4× |
| Irradiation of blood product (86945) | $84 | $120 | 2.2× |
| Islet cell antibody (86341) | $155.40 | $222 | 6.6× |
| Jak2 gene analysis (81270) | $1,043 | $1,490 | 11.4× |
| Koh Prep (87220) | $51.10 | $73 | 12.0× |
| Lactic acid (83605) | $81.20 | $116 | 7.0× |
| Lactoferrin fecal qualitative (83630) | $133 | $190 | 6.8× |
| Ldh (83615) | $175 | $250 | 29.0× |
| Ldh isoenzymes (83625) | $63.70 | $91 | 5.0× |
| LDL cholesterol direct (83721) | $52.50 | $75 | 5.0× |
| Lead (83655) | $85.40 | $122 | 7.1× |
| Legionella antibody (86713) | $61.60 | $88 | 4.0× |
| Legionella antigen urine (87449) | $132.30 | $189 | 11.0× |
| Leptospira antibody (86720) | $28 | $40 | 1.7× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $45.50 | $65 | 10.7× |
| Leukocyte phagocytosis (86344) | $97.30 | $139 | 9.4× |
| Level ii surg pathology grossµscopic exam (88302) | $65.41 | $93.44 | 1.7× |
| Level v surg pathology grossµscopic exam (88307) | $304.06 | $434.38 | 0.8× |
| Level vi surg pathology grossµscopic exam (88309) | $287 | $410 | 0.4× |
| Lh (83002) | $99.40 | $142 | 5.4× |
| Lidocaine level (80176) | $77.70 | $111 | 5.3× |
| Lipase (83690) | $88.90 | $127 | 12.9× |
| Lipopro bld electrophoretic (83700) | $60.20 | $86 | 5.3× |
| Lipoprotein Bld Hr Fraction (83701) | $114.80 | $164 | 3.4× |
| Listeria ab (86609) | $104.30 | $149 | 8.1× |
| Lithium (80178) | $116.90 | $167 | 17.7× |
| Lyme disease antibody (86618) | $123.20 | $176 | 7.2× |
| Lyme disease antibody confirm (86617) | $112.70 | $161 | 7.3× |
| Lymphocyte transformation (86353) | $268.80 | $384 | 5.5× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $284.90 | $407 | 1.7× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $464.10 | $663 | 2.7× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $351.43 | $502.04 | 1.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $174.40 | $249.14 | 1.0× |
| Magnesium (83735) | $94.50 | $135 | 14.1× |
| Malaria smear (87207) | $55.30 | $79 | 9.2× |
| Manual Diff Wbc Count B-Coat (85009) | $32.20 | $46 | 6.4× |
| Mass spectrometry qual/quan (83789) | $300.30 | $429 | 12.5× |
| Measurement of substance using spectroscopy (light) (82190) | $65.10 | $93 | 4.1× |
| Mercury (83825) | $102.55 | $146.50 | 6.3× |
| Methotrexate (80299) | $67.90 | $97 | 3.6× |
| Methylmalonic acid serum (83921) | $123.20 | $176 | 5.8× |
| Microalbumin urine (82043) | $56.70 | $81 | 9.8× |
| Microbe susceptible diffuse (87181) | $91.70 | $131 | 19.3× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $135.28 | $193.26 | 2.6× |
| Microsomal antibodies (86376) | $91 | $130 | 6.3× |
| Molecular pathology procedure level 2 (81401) | $788.20 | $1,126 | 5.8× |
| Mopath procedure level 1 (81400) | $410.90 | $587 | 6.4× |
| Mopath procedure level 4 (81403) | $1,038.80 | $1,484 | 5.6× |
| Morphometric analysis tumor (88358) | $55.42 | $79.17 | 0.3× |
| Mthfr Gene Analysis Common Variants (81291) | $224.70 | $321 | 3.4× |
| Mucin synovial fluid ropes test (83872) | $26.60 | $38 | 4.5× |
| Muramidase (85549) | $53.20 | $76 | 2.8× |
| Mycophenolic acid (80180) | $144.90 | $207 | 8.0× |
| Mycoplasma antibody (86738) | $95.90 | $137 | 7.2× |
| Mycoplasma culture (87109) | $82.60 | $118 | 5.4× |
| Mycoplasma genitalium PCR (87563) | $348.60 | $498 | 9.9× |
| Myelin basic protein csf (83873) | $72.80 | $104 | 4.2× |
| Myoglobin urine (83874) | $163.10 | $233 | 12.6× |
| Nasal smear for eosinophils (89190) | $29.40 | $42 | 5.1× |
| Natriuretic peptide (83880) | $346.15 | $494.50 | 8.8× |
| Nerve teasing preparations (88362) | $201.76 | $288.23 | 0.2× |
| Neutralization test, viral (86382) | $79.80 | $114 | 4.7× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $399 | $570 | 5.5× |
| Niacin (84591) | $170.80 | $244 | 10.0× |
| Nmr Lipoprofile (83704) | $147 | $210 | 4.3× |
| Nuclear antigen antibody (86235) | $118.30 | $169 | 6.6× |
| Occult blood stool (82272) | $39.20 | $56 | 9.3× |
| Oligoclonal bands (83916) | $148.40 | $212 | 5.4× |
| Oncoprotein dcp (83951) | $386.40 | $552 | 6.0× |
| Organic Acids Total Quantitative Each Specimen (83918) | $159.60 | $228 | 6.8× |
| Osmolality serum (83930) | $51.80 | $74 | 7.8× |
| Osmolality urine (83935) | $66.50 | $95 | 9.8× |
| Ova and parasite direct-id lca (87177) | $111.16 | $158.80 | 12.5× |
| Oxalate urine (83945) | $28 | $40 | 1.9× |
| Pancreatic elastase fecal (82656) | $385.70 | $551 | 33.5× |
| Pancreatic polypeptide (83519) | $212.10 | $303 | 11.5× |
| Pappa, serum (84163) | $323.40 | $462 | 21.5× |
| Particle Agglutination Screen Each Antibody (86403) | $83.65 | $119.50 | 7.2× |
| Particle agglutination titer each antibody (86406) | $44.80 | $64 | 4.2× |
| Parvovirus antibody (86747) | $99.75 | $142.50 | 6.6× |
| Path Consult During Surgery (88329) | $38.06 | $54.37 | 0.6× |
| Pathology lab procedure (89240) | $147 | $210 | 2.8× |
| Pertussis dfa (87265) | $66.50 | $95 | 5.6× |
| Phenylalanine (84030) | $164.50 | $235 | 29.9× |
| Phenytoin free (80186) | $105 | $150 | 7.6× |
| Phosphatase alkaline (84075) | $53.90 | $77 | 10.4× |
| Phosphorus blood (84100) | $46.90 | $67 | 9.9× |
| Phosphorus urine (84105) | $50.40 | $72 | 8.7× |
| Pinworm exam (87172) | $41.30 | $59 | 9.7× |
| Plasminogen (85420) | $295.40 | $422 | 45.2× |
| Platelet aggregation (85576) | $196 | $280 | 7.9× |
| Platelet count (85049) | $46.90 | $67 | 10.5× |
| Platelet neutralization (85597) | $315 | $450 | 17.5× |
| Porphyrins qn & fraction urine (84120) | $51.10 | $73 | 3.5× |
| Potassium (84132) | $41.65 | $59.50 | 8.8× |
| Potassium urine (84133) | $30.45 | $43.50 | 6.4× |
| Pregnenolone (84140) | $134.40 | $192 | 6.5× |
| Primidone (80188) | $91 | $130 | 5.5× |
| Procainamide napa (80192) | $84 | $120 | 5.0× |
| Procalcitonin (pct) (84145) | $420 | $600 | 15.4× |
| Progesterone (84144) | $77.70 | $111 | 3.7× |
| Prolactin (84146) | $248.42 | $354.89 | 12.8× |
| Protein body fluid (84157) | $50.75 | $72.50 | 12.7× |
| Protein c activity (85303) | $79.80 | $114 | 5.8× |
| Protein c antigen (85302) | $332.85 | $475.50 | 27.7× |
| Protein electrophoresis serum (84165) | $76.30 | $109 | 7.1× |
| Protein Electrophoresis Urine (84166) | $63 | $90 | 3.5× |
| Protein S Functional (85306) | $132.65 | $189.50 | 8.7× |
| Protein s total (85305) | $108.50 | $155 | 9.3× |
| Protein total by refractometry any source (84160) | $30.10 | $43 | 5.4× |
| Protein Total Serum (84155) | $40.60 | $58 | 11.1× |
| Protein urine (84156) | $62.65 | $89.50 | 17.1× |
| Prothrombin time substitution (85611) | $32.20 | $46 | 8.2× |
| PSA free (84154) | $118.65 | $169.50 | 6.5× |
| Quantiferon tb gold (86480) | $235.90 | $337 | 3.8× |
| Quinidine (80194) | $93.10 | $133 | 6.4× |
| Reagent strip/blood glucose (82948) | $13.30 | $19 | 2.6× |
| Reducing substances, stool (84376) | $44.10 | $63 | 8.0× |
| Ref consult prep elsewhere (88321) | $64.28 | $91.83 | 1.7× |
| Renin activity plasma (84244) | $141.40 | $202 | 6.4× |
| Reptilase test (85635) | $272.30 | $389 | 27.6× |
| Respiratory viral panel PCR (87633) | $779.11 | $1,113.01 | 1.9× |
| Rheumatoid Factor Qual (86430) | $162.40 | $232 | 26.4× |
| Rheumatoid factor quant (86431) | $126 | $180 | 22.2× |
| Rickettsia antibody (86757) | $64.40 | $92 | 3.3× |
| Rotavirus (86759) | $116.20 | $166 | 6.4× |
| Rsv (87807) | $40.40 | $57.72 | 3.1× |
| Rubella antibody (86762) | $109.20 | $156 | 7.6× |
| Russell viper venom time diluted (85613) | $123.20 | $176 | 12.9× |
| Saccharomyces ab iga (86671) | $172.20 | $246 | 14.1× |
| Salicylate (80179) | $101.50 | $145 | 5.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $105.70 | $151 | 2.1× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $88.20 | $126 | 2.1× |
| Sed rate automated (85652) | $46.20 | $66 | 17.1× |
| Sensitivity mic (87186) | $218.05 | $311.50 | 25.2× |
| Serotonin Release Assay (86022) | $172.20 | $246 | 9.4× |
| Sex hormone binding globulin (84270) | $111.30 | $159 | 5.1× |
| Sickle cell screen (85660) | $46.20 | $66 | 8.4× |
| Silica (84285) | $402.50 | $575 | 16.0× |
| Sirolimus (rapamycin) (80195) | $135.80 | $194 | 9.9× |
| Skin test histoplasmosis (86510) | $4.11 | $5.87 | 0.1× |
| Skin test unlisted antigen (86486) | $3.19 | $4.56 | 0.1× |
| Smear acid fast (87206) | $57.40 | $82 | 10.6× |
| Smear complex stain (87209) | $115.50 | $165 | 6.4× |
| Smear gram stain (87205) | $51.10 | $73 | 12.0× |
| Sodium (84295) | $43.40 | $62 | 9.0× |
| Sodium other source (84302) | $120.40 | $172 | 24.8× |
| Sodium urine (84300) | $34.65 | $49.50 | 6.8× |
| Soluble transferrin receptor (84238) | $210.70 | $301 | 5.8× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $443.46 | $633.52 | 3.3× |
| Special stains group 1 (88312) | $104.36 | $149.09 | 2.0× |
| Specific gravity body fluid (84315) | $16.10 | $23 | 4.9× |
| Spectrophotometry (84311) | $240.68 | $343.82 | 29.7× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $67.45 | $96.36 | 0.4× |
| Stool analysis for bilirubin (82252) | $23.80 | $34 | 5.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $70.70 | $101 | 7.5× |
| Strep a assay w/optic (87880) | $47.50 | $67.86 | 2.9× |
| Strep a DNA amp probe (87651) | $105.70 | $151 | 3.0× |
| Strep b DNA amp probe (87653) | $174.30 | $249 | 5.0× |
| Sugars single quant (84378) | $308 | $440 | 26.7× |
| Surg path level iii (88304) | $87.60 | $125.14 | 1.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $26.82 | $38.31 | 0.9× |
| Surgical pathology level IV (88305) | $116.14 | $165.92 | 2.2× |
| Sweat collection (89230) | $3.19 | $4.56 | 0.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $266.70 | $381 | 5.7× |
| T cells, total count (86359) | $149.80 | $214 | 4.0× |
| T3 free (84481) | $123.20 | $176 | 7.3× |
| T3 reverse (84482) | $110.60 | $158 | 7.0× |
| T3 total (84480) | $100.10 | $143 | 7.1× |
| T3 uptake (84479) | $66.50 | $95 | 10.3× |
| T4 Free (84439) | $254.80 | $364 | 28.2× |
| T4 total (84436) | $67.90 | $97 | 9.9× |
| Tb intradermal test (86580) | $19.25 | $27.50 | 0.7× |
| Testosterone free (84402) | $121.10 | $173 | 4.8× |
| Testosterone total (84403) | $165.90 | $237 | 6.4× |
| Theophylline (80198) | $90.30 | $129 | 6.4× |
| Thiocyanate (84430) | $28.70 | $41 | 2.5× |
| Thrombin time plasma (85670) | $74.90 | $107 | 13.0× |
| Thromboplastin Inhibition Tissue (85705) | $90.30 | $129 | 9.4× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $53.20 | $76 | 8.2× |
| Thyroglobulin (84432) | $82.60 | $118 | 5.1× |
| Thyroglobulin Ab (86800) | $94.15 | $134.50 | 5.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $221.90 | $317 | 4.4× |
| Thyroxine binding globulin (84442) | $84 | $120 | 5.7× |
| Tissue culture bone marrow (88237) | $505.40 | $722 | 3.5× |
| Tissue Culture Lymphocyte (88230) | $506.10 | $723 | 4.3× |
| Tobramycin peak (80200) | $121.80 | $174 | 7.6× |
| Topiramate (80201) | $102.90 | $147 | 8.6× |
| Touch prep (88161) | $38.68 | $55.25 | 1.3× |
| Toxoplasma ab igm (86778) | $77.70 | $111 | 5.4× |
| Toxoplasma antibody igg (86777) | $94.15 | $134.50 | 6.5× |
| Transferrin (84466) | $105 | $150 | 8.2× |
| Trichinella antibody (86784) | $157.50 | $225 | 12.5× |
| Triglycerides (84478) | $58.80 | $84 | 10.2× |
| Troponin (84484) | $176.40 | $252 | 14.1× |
| Urea nitrogen (84520) | $23.45 | $33.50 | 5.9× |
| Urea nitrogen urine (84540) | $51.80 | $74 | 9.3× |
| Uric acid blood (84550) | $48.30 | $69 | 10.7× |
| Uric acid other source (84560) | $43.40 | $62 | 8.5× |
| Urinalysis microscopic only (81015) | $16.80 | $24 | 5.5× |
| Urinalysis qual/semiquant except immunoassays (81005) | $31.15 | $44.50 | 14.4× |
| Urinalysis w/microscopic (81001) | $36.75 | $52.50 | 11.6× |
| Urine pregnancy test (81025) | $49.35 | $70.50 | 5.7× |
| Urine volume measurement (81050) | $21.70 | $31 | 6.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $20.30 | $29 | 9.0× |
| Urobilinogen (84578) | $28.70 | $41 | 6.4× |
| Valproic acid level (80164) | $101.15 | $144.50 | 7.5× |
| Vancomycin trough (80202) | $98.70 | $141 | 7.3× |
| Varicella-zoster antibody (86787) | $105 | $150 | 8.2× |
| Vasoactive intestinal peptide (vip) (84586) | $102.90 | $147 | 2.9× |
| Vasopressin (84588) | $460.95 | $658.50 | 13.6× |
| Vdrl csf (86592) | $50.40 | $72 | 11.8× |
| Virus antibody nos (86790) | $198.10 | $283 | 15.4× |
| Viscosity serum (85810) | $83.30 | $119 | 7.1× |
| Vitamin A (84590) | $86.80 | $124 | 7.5× |
| Vitamin b-12 (82607) | $99.40 | $142 | 6.6× |
| Vitamin b-2 (riboflavin) (84252) | $154 | $220 | 7.6× |
| Vitamin b1 (thiamine) (84425) | $78.40 | $112 | 3.7× |
| Vitamin b6 (84207) | $164.50 | $235 | 5.9× |
| Vitamin C (82180) | $142.28 | $203.25 | 14.4× |
| Vitamin D 25-Hydroxy (82306) | $177.80 | $254 | 6.0× |
| Vitamin e serum (84446) | $84 | $120 | 5.9× |
| Von willebrand factor activity (85245) | $151.55 | $216.50 | 6.6× |
| Xylose Absorption Test (84620) | $39.20 | $56 | 3.0× |
| Yersinia antibody (86793) | $263.20 | $376 | 20.0× |
| Zinc (84630) | $79.80 | $114 | 7.0× |