| Albumin serum (82040) |
— |
$9 |
— |
| Aldolase (82085) |
— |
$177.75 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$56.50 |
— |
| Alt (sgpt) (84460) |
— |
$9 |
— |
| Ammonia (82140) |
— |
$113.75 |
— |
| Amylase urine (82150) |
— |
$15 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$42 |
— |
| Antibody HIV-2 (86702) |
— |
$780 |
— |
| Antibody Protozoa Nes (86753) |
— |
$288 |
— |
| Antibody treponema pallidum (86780) |
— |
$30 |
— |
| Antinuclear antibodies (86038) |
— |
$36 |
— |
| Assay of blood chloride (82435) |
— |
$9 |
— |
| Assay of ferritin (82728) |
— |
$18 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$159.70 |
— |
| Assay of gentamicin (80170) |
— |
$36 |
— |
| Assay of parathormone (83970) |
— |
$36 |
— |
| Assay of prealbumin (84134) |
— |
$97 |
— |
| Assay of tacrolimus (80197) |
— |
$501 |
— |
| Ast (sgot) (84450) |
— |
$9 |
— |
| Bilirubin direct (82248) |
— |
$9 |
— |
| Bilirubin total (82247) |
— |
$9 |
— |
| Blood count reticulocyte automated (85045) |
— |
$24 |
— |
| Blood gases (82803) |
— |
$180.25 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$15 |
— |
| C diff amplified probe (87493) |
— |
$100.50 |
— |
| C-reactive protein (86140) |
— |
$15 |
— |
| Calcium total (82310) |
— |
$29.38 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$42 |
— |
| Chloride urine (82436) |
— |
$24 |
— |
| Chromogranin a (86316) |
— |
$634.65 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$36 |
— |
| Ckmb (82553) |
— |
$412.50 |
— |
| Cmv PCR (87496) |
— |
$321.75 |
— |
| Complement c3 (86160) |
— |
$15.75 |
— |
| Copper urine (82525) |
— |
$243.75 |
— |
| Cortisol total (82533) |
— |
$36 |
— |
| Creatine kinase total (82550) |
— |
$9 |
— |
| Creatinine blood (82565) |
— |
$9 |
— |
| Creatinine other source (82570) |
— |
$9 |
— |
| Crossmatch immediate spin (86920) |
— |
$95 |
— |
| Culture anaerobic (87075) |
— |
$60 |
— |
| Culture blood (87040) |
— |
$15 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$255 |
— |
| Culture fungus other (87102) |
— |
$9 |
— |
| Culture genital (87070) |
— |
$49.35 |
— |
| Culture stool (87045) |
— |
$24 |
— |
| Culture urine (87086) |
— |
$81.50 |
— |
| D-Dimer (85379) |
— |
$47.98 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$75 |
— |
| Digoxin (80162) |
— |
$28.50 |
— |
| Dilantin (80185) |
— |
$103.50 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$399.75 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$399.75 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$390 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$48.25 |
— |
| Echinococcus ab igg (86682) |
— |
$59.50 |
— |
| Ehrlichia antibody (86666) |
— |
$288 |
— |
| Endomysial antibody iga (86255) |
— |
$723.62 |
— |
| Eosinophil count (85048) |
— |
$8.85 |
— |
| Fibrinogen activity (85384) |
— |
$77.55 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$79 |
— |
| Folate serum (82746) |
— |
$18 |
— |
| Ggt (82977) |
— |
$9 |
— |
| Glucose (82947) |
— |
$29.38 |
— |
| Hcg quant (84702) |
— |
$30 |
— |
| Hematocrit (85014) |
— |
$29.30 |
— |
| Hemoglobin (85018) |
— |
$8.85 |
— |
| Hemoglobin a1c (83036) |
— |
$93.75 |
— |
| Hepatitis b core ab igm (86705) |
— |
$240 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$9 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$178.50 |
— |
| HIV-1 antibody (86701) |
— |
$780 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$990 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$465 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$233 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$61.05 |
— |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
— |
$135 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$990 |
— |
| Immunoassay nonantibody (83516) |
— |
$310 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$159.70 |
— |
| Immunohistochemistry (88342) |
— |
$272.38 |
— |
| Influenza DNA amp probe (87502) |
— |
$302.40 |
— |
| Inhibin b (83520) |
— |
$99 |
— |
| Iron (83540) |
— |
$9 |
— |
| Islet cell antibody (86341) |
— |
$837.38 |
— |
| Ldh (83615) |
— |
$9 |
— |
| Lipase (83690) |
— |
$15 |
— |
| Lithium (80178) |
— |
$13.74 |
— |
| Lyme disease antibody (86618) |
— |
$288 |
— |
| Lyme disease antibody confirm (86617) |
— |
$225 |
— |
| Magnesium (83735) |
— |
$46 |
— |
| Methylmalonic acid serum (83921) |
— |
$630.75 |
— |
| Microalbumin urine (82043) |
— |
$9 |
— |
| Natriuretic peptide (83880) |
— |
$85.68 |
— |
| Niacin (84591) |
— |
$85 |
— |
| Nuclear antigen antibody (86235) |
— |
$159.34 |
— |
| Osmolality serum (83930) |
— |
$15 |
— |
| Osmolality urine (83935) |
— |
$15 |
— |
| Pancreatic polypeptide (83519) |
— |
$1,363.50 |
— |
| Phosphatase alkaline (84075) |
— |
$9 |
— |
| Phosphorus blood (84100) |
— |
$9 |
— |
| Platelet count (85049) |
— |
$8.85 |
— |
| Potassium (84132) |
— |
$29.38 |
— |
| Potassium urine (84133) |
— |
$9 |
— |
| Procalcitonin (pct) (84145) |
— |
$109.65 |
— |
| Prolactin (84146) |
— |
$30 |
— |
| Protein electrophoresis serum (84165) |
— |
$159.70 |
— |
| Protein Total Serum (84155) |
— |
$9 |
— |
| Protein urine (84156) |
— |
$9 |
— |
| Protein Western Blot (84182) |
— |
$796.50 |
— |
| Quantiferon tb gold (86480) |
— |
$132.45 |
— |
| Rheumatoid factor quant (86431) |
— |
$15 |
— |
| Rickettsia antibody (86757) |
— |
$317 |
— |
| Rpr Titer (86593) |
— |
$9 |
— |
| Rubella antibody (86762) |
— |
$30 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$300 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$126.39 |
— |
| Sed rate automated (85652) |
— |
$9 |
— |
| Smear gram stain (87205) |
— |
$24 |
— |
| Sodium (84295) |
— |
$29.38 |
— |
| Sodium urine (84300) |
— |
$9 |
— |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
— |
$99.75 |
— |
| T3 total (84480) |
— |
$15 |
— |
| T4 Free (84439) |
— |
$15 |
— |
| T4 total (84436) |
— |
$91.50 |
— |
| Testosterone total (84403) |
— |
$27 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$166 |
— |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) |
— |
$779 |
— |
| Tobramycin peak (80200) |
— |
$36 |
— |
| Transferrin (84466) |
— |
$24 |
— |
| Troponin (84484) |
— |
$45.60 |
— |
| Urea nitrogen (84520) |
— |
$9 |
— |
| Urea nitrogen urine (84540) |
— |
$9 |
— |
| Uric acid blood (84550) |
— |
$9 |
— |
| Uric acid other source (84560) |
— |
$87.75 |
— |
| Urinalysis microscopic only (81015) |
— |
$78 |
— |
| Urinalysis w/microscopic (81001) |
— |
$78 |
— |
| Urine pregnancy test (81025) |
— |
$24 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$78 |
— |
| Valproic acid level (80164) |
— |
$42 |
— |
| Vancomycin trough (80202) |
— |
$36 |
— |
| Vdrl csf (86592) |
— |
$25.77 |
— |
| Vitamin b-12 (82607) |
— |
$129.50 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$294.75 |
— |
| Vitamin b6 (84207) |
— |
$475.50 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$54 |
— |
| Voltage-gated calcium channel antibody each (86596) |
— |
$296 |
— |
| West nile virus ab, igm (86788) |
— |
$216 |
— |
| West nile virus antibody (86789) |
— |
$216 |
— |