Lab & pathology prices at Mille Lacs Health System
Onamia, MN · every code in this section with a posted price and a Medicare benchmark.
628 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) | $233.10 | $333 | 6.1× |
| 5 Nucleotidase (83915) | $88.90 | $127 | 8.0× |
| Acetone serum qual (82009) | $38.85 | $55.50 | 8.6× |
| Acute hepatitis panel (80074) | $506.80 | $724 | 10.6× |
| Acylcarnitine Plasma (82017) | $160.30 | $229 | 9.5× |
| Adamts13 activity (85397) | $301 | $430 | 9.8× |
| Adenovirus ag, if (87260) | $162.40 | $232 | 11.3× |
| Adrenocorticotropic hormone (82024) | $364 | $520 | 9.4× |
| Afp maternal serum (82105) | $97.30 | $139 | 5.8× |
| Agglutinins febrile ea antigen (86000) | $114.80 | $164 | 16.4× |
| Albumin body fluid (82042) | $39.20 | $56 | 5.0× |
| Albumin serum (82040) | $32.90 | $47 | 6.6× |
| Aldolase (82085) | $86.80 | $124 | 8.9× |
| Aldosterone urine (82088) | $247.80 | $354 | 6.1× |
| Alkaline phosphatase isoenzymes (84080) | $158.90 | $227 | 10.8× |
| Allergen peanut (86003) | $41.30 | $59 | 7.9× |
| Allergen specific igg (86001) | $67.20 | $96 | 8.6× |
| Allg Spec Ige Recomb Ea (86008) | $37.45 | $53.50 | 2.1× |
| Alpha-1-antitrypsin phenotype (82104) | $122.50 | $175 | 8.5× |
| Alpha-1-antitrypsin, total (82103) | $121.10 | $173 | 9.0× |
| Alt (sgpt) (84460) | $53.55 | $76.50 | 10.1× |
| Aluminum (82108) | $136.50 | $195 | 5.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $153.30 | $219 | 6.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $295.40 | $422 | 17.5× |
| Aminolevulinic acid (ala) (82135) | $117.60 | $168 | 7.1× |
| Amylase urine (82150) | $26.60 | $38 | 4.1× |
| Ana titer (86039) | $106.40 | $152 | 9.5× |
| Angiotensin i enzyme test (82164) | $133 | $190 | 9.1× |
| Antibody aspergillus (86606) | $81.90 | $117 | 5.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $126 | $180 | 8.1× |
| Antibody coxiella burnetii q fever (86638) | $100.80 | $144 | 8.3× |
| Antibody cytomegalovirus cmv (86644) | $75.60 | $108 | 5.3× |
| Antibody Encephalitis Eastern Equine (86652) | $119 | $170 | 9.0× |
| Antibody encephalitis st. louis (86653) | $155.40 | $222 | 11.8× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $97.30 | $139 | 7.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $103.60 | $148 | 8.5× |
| Antibody helicobacter pylori (86677) | $38.50 | $55 | 2.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $31.85 | $45.50 | 2.2× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $67.20 | $96 | 4.9× |
| Antibody HIV-2 (86702) | $88.90 | $127 | 6.6× |
| Antibody identification (86870) | $243.60 | $348 | 0.6× |
| Antibody identification leukocyte antibodies (86021) | $162.40 | $232 | 10.8× |
| Antibody Identification Platelet Immunogl Assay (86023) | $121.80 | $174 | 9.8× |
| Antibody john cunningham virus (86711) | $1,517.60 | $2,168 | 89.9× |
| Antibody mumps (86735) | $96.60 | $138 | 7.4× |
| Antibody Protozoa Nes (86753) | $96.60 | $138 | 7.8× |
| Antibody screen (86850) | $126.70 | $181 | 13.0× |
| Antibody treponema pallidum (86780) | $95.20 | $136 | 7.2× |
| Antibody; Coccidioides (86635) | $95.90 | $137 | 8.4× |
| Antigen typing (86905) | $100.10 | $143 | 26.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $103.60 | $148 | 20.0× |
| Antinuclear antibodies (86038) | $117.25 | $167.50 | 9.7× |
| Antistreptolysin o titer (86060) | $82.60 | $118 | 11.3× |
| Antithrombin iii activity (85300) | $202.30 | $289 | 17.1× |
| Antithrombin iii antigen (85301) | $184.80 | $264 | 17.1× |
| Apolipoprotein each (82172) | $90.30 | $129 | 4.3× |
| Arsenic Urine (82175) | $116.90 | $167 | 6.2× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $87.50 | $125 | 6.8× |
| Assay Lipoprotein Pla2 (83698) | $71.40 | $102 | 1.5× |
| Assay Nephelometry Not Spec (83883) | $97.65 | $139.50 | 7.2× |
| Assay of 17-hydroxypregnenolone (84143) | $105 | $150 | 4.6× |
| Assay of 5-hiaa (83497) | $115.50 | $165 | 9.0× |
| Assay of ammonia (82140) | $26.60 | $38 | 1.8× |
| Assay of androstenedione (82157) | $182.70 | $261 | 6.2× |
| Assay of biotinidase (82261) | $126.70 | $181 | 7.5× |
| Assay of c-peptide (84681) | $151.20 | $216 | 7.3× |
| Assay of ceruloplasmin (82390) | $119.70 | $171 | 11.1× |
| Assay of citrate (82507) | $107.10 | $153 | 3.9× |
| Assay of cpk in blood (82552) | $83.30 | $119 | 6.2× |
| Assay of cyclosporine (80158) | $185.50 | $265 | 10.3× |
| Assay of erythropoietin (82668) | $156.10 | $223 | 8.3× |
| Assay of estrone (82679) | $67.20 | $96 | 2.7× |
| Assay of ferritin (82728) | $26.60 | $38 | 2.0× |
| Assay of g6pd enzyme (82955) | $84 | $120 | 8.7× |
| Assay of gammaglobulin igm (82784) | $97.30 | $139 | 10.5× |
| Assay of gastrin (82941) | $161.70 | $231 | 9.2× |
| Assay of gentamicin (80170) | $42.70 | $61 | 2.6× |
| Assay of homocystine (83090) | $185.50 | $265 | 10.4× |
| Assay of lactic acid (83605) | $145.60 | $208 | 12.6× |
| Assay of lipoprotein(a) (83695) | $59.50 | $85 | 4.2× |
| Assay of manganese (83785) | $134.40 | $192 | 5.0× |
| Assay of metanephrines (83835) | $207.55 | $296.50 | 12.3× |
| Assay of osteocalcin (83937) | $51.10 | $73 | 1.7× |
| Assay of phenobarbital (80184) | $57.40 | $82 | 3.8× |
| Assay of phosphatase acid total (84060) | $32.20 | $46 | 4.2× |
| Assay of prealbumin (84134) | $126 | $180 | 8.6× |
| Assay of proinsulin (84206) | $155.40 | $222 | 5.8× |
| Assay of prolactin (84146) | $189.70 | $271 | 9.8× |
| Assay of serotonin (84260) | $196.70 | $281 | 6.3× |
| Assay of tacrolimus (80197) | $92.40 | $132 | 6.7× |
| Assay of topiramate (80201) | $136.50 | $195 | 11.5× |
| Assay of transcortin (84449) | $259 | $370 | 14.4× |
| Assay of urine vma (84585) | $131.60 | $188 | 8.5× |
| Assay of vasopressin anti-diuretic hormone (84588) | $57.40 | $82 | 1.7× |
| Assay of vitamin k (84597) | $182.70 | $261 | 13.3× |
| Assay of volatiles (84600) | $137.90 | $197 | 8.1× |
| Ast (sgot) (84450) | $93.10 | $133 | 18.0× |
| B cells total count (86355) | $205.10 | $293 | 5.4× |
| Bartonella antibody (86611) | $71.40 | $102 | 7.0× |
| Bcr/abl1 gene major bp (81206) | $472.50 | $675 | 2.9× |
| Bcr/abl1 gene minor bp (81207) | $405.30 | $579 | 2.8× |
| Beta 2 glycoprotein 1 igm (86146) | $126 | $180 | 5.0× |
| Beta hydroxybutyrate (82010) | $83.30 | $119 | 10.2× |
| Beta lactamase (87185) | $18.20 | $26 | 3.8× |
| Beta-2 microglobulin (82232) | $130.20 | $186 | 8.0× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $795.20 | $1,136 | 6.2× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $795.20 | $1,136 | 6.2× |
| Bile acids, total (82239) | $51.10 | $73 | 3.0× |
| Bilirubin direct (82248) | $26.60 | $38 | 5.3× |
| Bilirubin total (82247) | $26.60 | $38 | 5.3× |
| Bl Smear W/Diff Wbc Count (85007) | $18.20 | $26 | 4.8× |
| Bl Smear W/O Diff Wbc Count (85008) | $18.20 | $26 | 5.3× |
| Blastomyces antibody (86612) | $85.40 | $122 | 6.6× |
| Blood gas (82803) | $276.50 | $395 | 10.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $26.60 | $38 | 1.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $70.70 | $101 | 16.1× |
| Blood Ph (82800) | $26.60 | $38 | 2.4× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $111.30 | $159 | 17.5× |
| Blood typing abo (86900) | $67.20 | $96 | 22.5× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $156.45 | $223.50 | 9.6× |
| Blood typing serologic rh (d) (86901) | $66.50 | $95 | 22.2× |
| Bone Marrow Smear Interpretation (85097) | $287.70 | $411 | 0.3× |
| Bordetella antibody (86615) | $100.80 | $144 | 7.6× |
| Bordetella pertussis dfa (87265) | $67.20 | $96 | 5.6× |
| Brucella antibody (86622) | $103.25 | $147.50 | 11.6× |
| C diff amplified probe (87493) | $184.10 | $263 | 4.9× |
| C-reactive protein (86140) | $59.50 | $85 | 11.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $120.40 | $172 | 9.3× |
| Ca 125 (86304) | $190.40 | $272 | 9.1× |
| Ca 19-9 (86301) | $163.10 | $233 | 7.8× |
| Ca 27 29 (86300) | $160.30 | $229 | 7.7× |
| Cadmium level (82300) | $103.60 | $148 | 4.4× |
| Calcitonin (82308) | $168 | $240 | 6.3× |
| Calcium ionized (82330) | $77.70 | $111 | 5.7× |
| Calcium total (82310) | $47.60 | $68 | 9.2× |
| Calcium urine (82340) | $66.15 | $94.50 | 11.0× |
| Calculus spectroscopy (82365) | $128.80 | $184 | 10.0× |
| California encephalitis ab (86651) | $106.75 | $152.50 | 8.1× |
| Calprotectin, fecal (83993) | $364 | $520 | 18.5× |
| Calr gene com variants (81219) | $471.10 | $673 | 3.9× |
| Candida antibody (86628) | $51.10 | $73 | 4.3× |
| Carbon dioxide (82374) | $26.60 | $38 | 5.5× |
| Carboxyhemoglobin (82375) | $79.80 | $114 | 6.5× |
| Carcinoembryonic antigen (82378) | $195.30 | $279 | 10.3× |
| Cardiolipin ab igg (86147) | $14 | $20 | 0.6× |
| Carnitine (82379) | $160.30 | $229 | 9.5× |
| Catecholamines fraction plasma (82384) | $190.40 | $272 | 7.5× |
| Cell marker study (88182) | $672 | $960 | 12.3× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $695.80 | $994 | 5.1× |
| Cftr gene com variants (81220) | $975.80 | $1,394 | 1.8× |
| Cftr gene dup/delet variants (81222) | $1,069.60 | $1,528 | 2.5× |
| Cftr gene full sequence (81223) | $1,227.10 | $1,753 | 2.5× |
| Chlamydia antibody (86631) | $66.50 | $95 | 5.6× |
| Chlamydia Igm Antibody (86632) | $65.10 | $93 | 5.1× |
| Chloride blood (82435) | $26.60 | $38 | 5.8× |
| Chloride feces (82438) | $16.80 | $24 | 3.4× |
| Chloride urine (82436) | $72.10 | $103 | 12.5× |
| Cholesterol HDL (83718) | $26.60 | $38 | 3.2× |
| Cholesterol total (82465) | $71.40 | $102 | 16.4× |
| Cholinesterase serum (82480) | $75.60 | $108 | 9.6× |
| Chrmsm analysis addl high resolution study (88289) | $264.60 | $378 | 7.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $255.50 | $365 | 7.6× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $749.35 | $1,070.50 | 6.0× |
| Chromium urine (82495) | $116.20 | $166 | 5.7× |
| Chromogranin a (86316) | $179.90 | $257 | 8.6× |
| Chromosome analysis 20-25 cells (88264) | $797.30 | $1,139 | 5.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $119 | $170 | 3.4× |
| Clot Factor VIII Multimetric (85247) | $357 | $510 | 15.6× |
| Clot factor viii vw antigen (85246) | $190.40 | $272 | 8.3× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $276.50 | $395 | 15.4× |
| Clotting Inhibitors Protein S Free (85306) | $196 | $280 | 12.8× |
| Clozapine level (80159) | $136.50 | $195 | 6.8× |
| Cmv ab igm (86645) | $84 | $120 | 5.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $108.50 | $155 | 4.5× |
| Cold agglutinin screen (86156) | $45.50 | $65 | 5.6× |
| Cold agglutinin titer (86157) | $88.90 | $127 | 11.0× |
| Collagen cross links (82523) | $128.80 | $184 | 6.9× |
| Complement c3 (86160) | $126.70 | $181 | 10.6× |
| Complement total (ch50) (86162) | $167.30 | $239 | 8.2× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $123.90 | $177 | 10.3× |
| Concentration Infectious Agent (87015) | $57.05 | $81.50 | 8.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $270.20 | $386 | 6.9× |
| Coombs direct (86880) | $83.30 | $119 | 15.5× |
| Copper urine (82525) | $68.25 | $97.50 | 5.5× |
| Cortisol free (82530) | $141.40 | $202 | 8.5× |
| Cortisol total (82533) | $175 | $250 | 10.7× |
| Creatine kinase total (82550) | $26.60 | $38 | 4.1× |
| Creatinine blood (82565) | $26.60 | $38 | 5.2× |
| Creatinine clearance (82575) | $26.60 | $38 | 2.8× |
| Creatinine other source (82570) | $64.40 | $92 | 12.4× |
| Cryofibrinogen (82585) | $41.30 | $59 | 2.9× |
| Cryoglobulin (82595) | $66.50 | $95 | 10.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $18.20 | $26 | 2.3× |
| Culture Aerobic Identify (87077) | $18.20 | $26 | 2.3× |
| Culture afb (87116) | $235.90 | $337 | 21.8× |
| Culture anaerobic (87075) | $18.20 | $26 | 1.9× |
| Culture blood (87040) | $18.20 | $26 | 1.8× |
| Culture chlamydia (87110) | $137.90 | $197 | 7.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $164.50 | $235 | 21.3× |
| Culture fungus blood (87103) | $123.20 | $176 | 6.0× |
| Culture fungus id yeast (87106) | $72.10 | $103 | 7.0× |
| Culture fungus other (87102) | $160.30 | $229 | 19.1× |
| Culture genital (87070) | $18.20 | $26 | 2.1× |
| Culture screen only (87081) | $18.20 | $26 | 2.7× |
| Culture typing if ea antiserum (87140) | $45.15 | $64.50 | 8.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $85.40 | $122 | 16.5× |
| Culture urine (87086) | $68.25 | $97.50 | 8.5× |
| Culture virus (87252) | $221.20 | $316 | 8.5× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $318.50 | $455 | 2.8× |
| Cyanide (82600) | $349.30 | $499 | 18.0× |
| Cyclic Citrullinated Peptide (86200) | $140.70 | $201 | 10.9× |
| Cyp2c19 gene com variants (81225) | $518 | $740 | 1.8× |
| Cyp2c9 gene com variants (81227) | $330.40 | $472 | 1.9× |
| Cyp2d6 gene com variants (81226) | $459.90 | $657 | 1.0× |
| Cystatin c (82610) | $103.60 | $148 | 5.6× |
| Cysticercosis Antibody (86682) | $201.25 | $287.50 | 15.5× |
| Cytogenetics 10-30 (88273) | $130.20 | $186 | 3.7× |
| Cytogenetics 100-300 (88275) | $379.40 | $542 | 7.4× |
| Cytogenetics DNA probe (88271) | $225.75 | $322.50 | 10.5× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $383.60 | $548 | 9.0× |
| Cytopath cell enhance tech (88112) | $199.50 | $285 | 3.7× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $158.90 | $227 | 4.1× |
| Cytopath Smear Other Source (88160) | $74.20 | $106 | 2.4× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $63 | $90 | 3.4× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $85.40 | $122 | 3.2× |
| Cytp concentration smears & interpretation (88108) | $184.10 | $263 | 4.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,083.60 | $1,548 | 6.1× |
| Deoxycortisol (82634) | $105 | $150 | 3.6× |
| Deoxyribonuclease antibody (86215) | $93.80 | $134 | 7.1× |
| Desoxycorticosterone (82633) | $199.50 | $285 | 6.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $111.30 | $159 | 6.7× |
| Detect agnt mult DNA ampli (87801) | $545.30 | $779 | 7.8× |
| Dgp antibody each ig class (86258) | $93.10 | $133 | 7.7× |
| Dhea (82626) | $168 | $240 | 6.6× |
| Dhea-sulfate (82627) | $172.90 | $247 | 7.8× |
| Digoxin (80162) | $26.60 | $38 | 2.0× |
| Dihydrotestosterone (82642) | $332.15 | $474.50 | 11.3× |
| Dilantin (80185) | $26.60 | $38 | 2.0× |
| Diphtheria antitoxoid (86648) | $84 | $120 | 5.5× |
| Dipropylacetic acid free (80165) | $94.50 | $135 | 7.0× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $765.10 | $1,093 | 5.6× |
| Dna Antibody Single Stranded (86226) | $121.10 | $173 | 10.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $130.20 | $186 | 9.5× |
| DNA/RNA direct probe (87149) | $121.10 | $173 | 6.0× |
| Drug assay adalimumab (80145) | $211.40 | $302 | 5.5× |
| Drug assay itraconazole (80189) | $163.10 | $233 | 6.0× |
| Drug assay voriconazole (80285) | $188.30 | $269 | 6.9× |
| Drug quant nes (80299) | $163.10 | $233 | 8.8× |
| Drug Screen Quantitative Lidocaine (80176) | $153.30 | $219 | 10.4× |
| Drug Scrn Quan Levetiracetam (80177) | $163.10 | $233 | 12.3× |
| Drug test prsmv chem anlyzr (80307) | $199.15 | $284.50 | 3.2× |
| Drug Test Prsmv Dir Opt Obs (80305) | $133 | $190 | 10.6× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $249.20 | $356 | 14.5× |
| E test (87181) | $28 | $40 | 5.9× |
| Ebv viral capsid (86665) | $126 | $180 | 6.9× |
| Ehrlichia antibody (86666) | $126 | $180 | 12.4× |
| Electrolyte panel (80051) | $26.60 | $38 | 3.8× |
| Electron microscopy diagnostic (88348) | $296.10 | $423 | 0.4× |
| Encephalitis Western Equine (86654) | $163.80 | $234 | 12.4× |
| Enterovirus antibody (86658) | $79.10 | $113 | 6.1× |
| Enzyme cell activity (82657) | $208.25 | $297.50 | 9.4× |
| Enzyme histochemistry (88319) | $134.40 | $192 | 0.2× |
| Eosinophil count (85048) | $18.20 | $26 | 7.2× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $104.30 | $149 | 6.8× |
| Estradiol (82670) | $169.40 | $242 | 6.1× |
| Estriol serum (82677) | $123.90 | $177 | 5.1× |
| Estrogens total (82672) | $169.40 | $242 | 7.8× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $164.50 | $235 | 1.7× |
| Everolimus (80169) | $399 | $570 | 29.1× |
| F2 gene analysis 20210g >a variant (81240) | $277.90 | $397 | 4.2× |
| F5 gene analysis, leiden variant (81241) | $231 | $330 | 3.1× |
| Factor ii activity (85210) | $180.60 | $258 | 13.9× |
| Factor inhibitor test (85335) | $301 | $430 | 23.4× |
| Factor ix activity (85250) | $212.10 | $303 | 11.1× |
| Factor vii assay (85230) | $163.80 | $234 | 9.2× |
| Factor viii ahg (85240) | $207.90 | $297 | 11.6× |
| Fecal fat qual (82705) | $57.40 | $82 | 11.3× |
| Fecal fat quant (82710) | $151.20 | $216 | 9.0× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $2,357.60 | $3,368 | 3.1× |
| Fetal fibronectin (82731) | $261.80 | $374 | 4.1× |
| Fibrin degradation products (85362) | $40.60 | $58 | 5.9× |
| Fibrin Degradation Quant (85379) | $18.20 | $26 | 1.8× |
| Fibrinogen activity (85384) | $135.80 | $194 | 14.0× |
| Flow cytometry first marker (88184) | $536.90 | $767 | 1.4× |
| Fluorescent Antibody Screen (86255) | $137.90 | $197 | 11.4× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $116.55 | $166.50 | 9.7× |
| Folate serum (82746) | $84 | $120 | 5.7× |
| Folic acid rbc (82747) | $119 | $170 | 6.7× |
| Follicle Stimulating Hormone (83001) | $139.30 | $199 | 7.5× |
| Frozen Section (88331) | $325.50 | $465 | 1.8× |
| Fructosamine (82985) | $39.20 | $56 | 2.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $72.10 | $103 | 7.0× |
| Galactose (82760) | $92.40 | $132 | 8.3× |
| Galactose transferase test (82776) | $92.40 | $132 | 7.9× |
| Gammaglobulin ige (82785) | $128.80 | $184 | 7.8× |
| Gen Seq Analys Solid Organ Neoplasm 5-50 Gene (81445) | $875 | $1,250 | 1.5× |
| Ggt (82977) | $83.30 | $119 | 11.6× |
| Giardia antigen eia stool (87329) | $18.20 | $26 | 1.5× |
| Glucose (82947) | $26.60 | $38 | 6.8× |
| Glucose Blood Test (82962) | $25.90 | $37 | 7.9× |
| Glucose body fluid (82945) | $79.10 | $113 | 20.1× |
| Glucose post dose (82950) | $26.60 | $38 | 5.6× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $26.60 | $38 | 6.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $26.60 | $38 | 2.1× |
| Growth hormone (83003) | $121.10 | $173 | 7.3× |
| H pylori breath test (83013) | $289.80 | $414 | 4.3× |
| Haptoglobin (83010) | $123.90 | $177 | 9.8× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) | $622.30 | $889 | 6.1× |
| Hcg qualitative (84703) | $73.50 | $105 | 9.8× |
| Hcg quant (84702) | $198.80 | $284 | 13.2× |
| Heavy metal quant each (83018) | $128.10 | $183 | 5.8× |
| Hemoglobin (85018) | $48.65 | $69.50 | 20.5× |
| Hemoglobin a1c (83036) | $71.05 | $101.50 | 7.3× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $115.50 | $165 | 6.4× |
| Hemoglobin electrophoresis (83020) | $125.65 | $179.50 | 9.8× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $168 | $240 | 21.7× |
| Hemoglobin plasma (83051) | $32.90 | $47 | 4.5× |
| Hemosiderin urine (83070) | $72.10 | $103 | 15.2× |
| Heparin assay (85520) | $189 | $270 | 14.4× |
| Hepatitis a antibody total (86708) | $108.50 | $155 | 8.8× |
| Hepatitis a igm (86709) | $116.90 | $167 | 10.4× |
| Hepatitis b core ab igm (86705) | $121.10 | $173 | 10.3× |
| Hepatitis b core antibody total (86704) | $128.80 | $184 | 10.7× |
| Hepatitis B Surface Ab (86706) | $120.40 | $172 | 11.2× |
| Hepatitis B Surface Antigen (87340) | $116.20 | $166 | 11.2× |
| Hepatitis be antibody (86707) | $32.90 | $47 | 2.8× |
| Hepatitis Be Antigen (87350) | $42.70 | $61 | 3.7× |
| Hepatitis C Antibody Confirmatory Test (86804) | $219.80 | $314 | 14.2× |
| Hepatitis C Genotype (87902) | $802.90 | $1,147 | 3.1× |
| Herpes simplex type i (86695) | $93.10 | $133 | 7.1× |
| Herpes simplex type ii (86696) | $107.10 | $153 | 5.5× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $60.55 | $86.50 | 11.7× |
| Hfe gene (81256) | $513.80 | $734 | 7.9× |
| Histamine plasma (83088) | $51.10 | $73 | 1.7× |
| Histoplasma antibody (86698) | $81.90 | $117 | 5.9× |
| Histoplasma antigen urine (87385) | $160.30 | $229 | 12.1× |
| HIV confirmation (86689) | $177.10 | $253 | 9.2× |
| HIV-1 antibody (86701) | $88.90 | $127 | 10.0× |
| HIV-1 genotype (87901) | $1,025.50 | $1,465 | 4.0× |
| Hla class i typing high resolution one allele or allele group (81381) | $152.60 | $218 | 0.9× |
| Hla class ii typing high resolution one locus ea (81382) | $92.40 | $132 | 0.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $240.10 | $343 | 3.2× |
| Hla ii typing 1 allele hr (81383) | $185.50 | $265 | 1.7× |
| Hla ii typing 1 locus lr (81376) | $92.40 | $132 | 0.8× |
| Hla typing dr/dq (86817) | $320.60 | $458 | 3.0× |
| Hla-b27 (86812) | $202.30 | $289 | 7.8× |
| Homovanillic acid urine (83150) | $64.40 | $92 | 2.9× |
| Hpv low-risk types (87623) | $221.90 | $317 | 6.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $267.40 | $382 | 7.6× |
| Htlv-I Antibody (86687) | $81.90 | $117 | 9.0× |
| Htt gene analysis detect abnormal alleles (81271) | $962.50 | $1,375 | 7.0× |
| Hydroxycorticosteroids 17 (83491) | $144.20 | $206 | 8.1× |
| Hydroxyprogesterone 17-d (83498) | $122.50 | $175 | 4.5× |
| Iaad ia clostridium difficile toxin (87324) | $26.60 | $38 | 2.2× |
| Iaad Ia Cryptococcus Neoformans (87327) | $142.10 | $203 | 10.6× |
| Iaad ia cryptosporidium (87328) | $18.20 | $26 | 1.3× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $116.20 | $166 | 4.8× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $80.50 | $115 | 5.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $93.80 | $134 | 2.7× |
| Iaadi inffluenza a virus (87276) | $56 | $80 | 3.5× |
| Iaadi influenza b virus (87275) | $56 | $80 | 4.6× |
| Iaadi Not Otherwise Specified Each Organism (87299) | $69.65 | $99.50 | 4.3× |
| Iaadi parainfluenza virus each type (87279) | $81.90 | $117 | 5.0× |
| Iaadi Pneumocustis Carinii (87281) | $41.30 | $59 | 3.4× |
| Iaadi respiratory synctial virus (87280) | $103.60 | $148 | 7.7× |
| Iaadiadoo not otherwise specified (87899) | $51.10 | $73 | 3.2× |
| Iaadiadoo trichomonas vaginalis (87808) | $64.40 | $92 | 4.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $745.50 | $1,065 | 21.2× |
| Iadna babesia microti amplified probe technique (87469) | $931.70 | $1,331 | 26.6× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $439.60 | $628 | 12.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $249.90 | $357 | 7.1× |
| Iadna chlmyd trchmts&neisra gonorr mult amp prb (87494) | $175 | $250 | 2.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $259.70 | $371 | 3.7× |
| Iadna hepatitis b virus quantification (87517) | $160.30 | $229 | 3.7× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $310.10 | $443 | 8.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $416.50 | $595 | 9.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $479.50 | $685 | 13.7× |
| Iadna HIV-1 quant & reverse transcription (87536) | $469.70 | $671 | 5.5× |
| Iadna human papillomavirus high-risk types (87624) | $116.20 | $166 | 3.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $249.90 | $357 | 7.1× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $59.50 | $85 | 1.7× |
| Iadna nos amplified probe tq each organism (87798) | $263.20 | $376 | 7.5× |
| Iadna nos quantification each organism (87799) | $357 | $510 | 8.3× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $476.70 | $681 | 1.8× |
| Igg subclasses (82787) | $81.90 | $117 | 10.2× |
| Igh gene rearrange amp meth (81261) | $522.20 | $746 | 2.6× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $387.10 | $553 | 1.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $40.60 | $58 | 2.7× |
| Immunoassay nonantibody (83516) | $120.40 | $172 | 10.4× |
| Immunodiffusion Ouchterlony (86331) | $51.10 | $73 | 4.3× |
| Immunofixation (86334) | $179.20 | $256 | 8.0× |
| Immunofixation urine (86335) | $326.20 | $466 | 11.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $241.15 | $344.50 | 1.4× |
| Immunohistochemistry (88342) | $254.10 | $363 | 1.4× |
| In situ hybridization (88365) | $423.85 | $605.50 | 2.4× |
| Indirect coombs (86885) | $30.80 | $44 | 5.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) | $122.50 | $175 | 5.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique… (87560) | $90.30 | $129 | 3.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Facility (87555) | $90.30 | $129 | 3.4× |
| Influenza a/b ag eia (87400) | $26.60 | $38 | 1.9× |
| Influenza DNA amp probe (87502) | $212.10 | $303 | 2.2× |
| Inhibin a (86336) | $119.70 | $171 | 7.7× |
| Inhibin b (83520) | $86.10 | $123 | 5.0× |
| Insulin antibodies (86337) | $199.50 | $285 | 9.3× |
| Insulin total (83525) | $104.30 | $149 | 9.1× |
| Intrinsic factor antibody (86340) | $119 | $170 | 7.9× |
| Iron (83540) | $26.60 | $38 | 4.1× |
| Iron binding capacity (83550) | $26.60 | $38 | 3.0× |
| Irradiation Blood Product Each Unit (86945) | $51.80 | $74 | 1.3× |
| Islet cell antibody (86341) | $199.50 | $285 | 8.5× |
| Jak2 gene analysis (81270) | $647.50 | $925 | 7.1× |
| Jak2 targeted sequence analysis (81279) | $794.50 | $1,135 | 4.3× |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) | $456.40 | $652 | 16.0× |
| Lactoferrin fecal qual (83630) | $122.50 | $175 | 6.2× |
| Ldh body fluid (83615) | $51.80 | $74 | 8.6× |
| Ldh isoenzymes (83625) | $93.80 | $134 | 7.3× |
| LDL cholesterol direct (83721) | $46.90 | $67 | 4.5× |
| Lead (83655) | $88.20 | $126 | 7.3× |
| Legion pneumo, DNA, amp prob (87541) | $249.90 | $357 | 7.1× |
| Legionella antibody (86713) | $107.10 | $153 | 7.0× |
| Legionella antigen urine (87449) | $177.45 | $253.50 | 14.8× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $18.20 | $26 | 4.3× |
| Level ii surg pathology grossµscopic exam (88302) | $175.70 | $251 | 4.5× |
| Level v surg pathology grossµscopic exam (88307) | $480.20 | $686 | 1.3× |
| Level vi surg pathology grossµscopic exam (88309) | $634.20 | $906 | 0.8× |
| Lh (83002) | $139.30 | $199 | 7.5× |
| Lipase (83690) | $26.60 | $38 | 3.9× |
| Lipoprotein Bld Hr Fraction (83701) | $71.40 | $102 | 2.1× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $144.20 | $206 | 4.2× |
| Lithium (80178) | $100.80 | $144 | 15.2× |
| Liver ds alys 3 bmrk srm alg (81517) | $1,689.10 | $2,413 | 9.6× |
| Lyme disease antibody (86618) | $81.20 | $116 | 4.8× |
| Lymph Choriomeningitis Ab (86727) | $74.90 | $107 | 5.8× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $620.20 | $886 | 3.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $275.10 | $393 | 1.5× |
| Macroscopic exam arthropod (87168) | $26.60 | $38 | 6.2× |
| Macroscopic exam parasite (87169) | $58.80 | $84 | 13.6× |
| Magnesium (83735) | $41.30 | $59 | 6.2× |
| Malaria smear (87207) | $88.90 | $127 | 14.8× |
| Manual reticulocyte count (85044) | $18.20 | $26 | 4.2× |
| Mass spectrometry qual/quan (83789) | $168 | $240 | 7.0× |
| Mercury urine (83825) | $103.95 | $148.50 | 6.4× |
| Metabolic Panel Ionized Ca (80047) | $262.50 | $375 | 19.1× |
| Methylmalonic acid serum (83921) | $168 | $240 | 7.9× |
| Microalbumin urine (82043) | $59.85 | $85.50 | 10.4× |
| Microsomal antibodies (86376) | $116.20 | $166 | 8.0× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $273.70 | $391 | 1.4× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $510.30 | $729 | 42.3× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $285.25 | $407.50 | 6.7× |
| Molecular pathology procedure level 7 (81406) | $1,086.40 | $1,552 | 3.8× |
| Mopath procedure level 3 (81402) | $486.50 | $695 | 3.2× |
| Mopath procedure level 4 (81403) | $291.90 | $417 | 1.6× |
| Mopath procedure level 5 (81404) | $676.20 | $966 | 2.5× |
| Mopath procedure level 6 (81405) | $741.30 | $1,059 | 2.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $786.80 | $1,124 | 4.2× |
| Mtb PCR (87556) | $443.45 | $633.50 | 10.6× |
| Mthfr Gene Analysis Common Variants (81291) | $342.30 | $489 | 5.2× |
| Mycobacteric identification (87118) | $231.70 | $331 | 15.9× |
| Mycoplasma antibody (86738) | $107.10 | $153 | 8.1× |
| Mycoplasma culture (87109) | $128.80 | $184 | 8.4× |
| Mycoplasma genitalium PCR (87563) | $171.50 | $245 | 4.9× |
| Myelin basic protein csf (83873) | $154 | $220 | 9.0× |
| Myoglobin urine (83874) | $156.80 | $224 | 12.1× |
| Nasal smear for eosinophils (89190) | $26.60 | $38 | 4.6× |
| Natriuretic peptide (83880) | $26.60 | $38 | 0.7× |
| Neutralization Test Viral (86382) | $132.30 | $189 | 7.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $135.80 | $194 | 0.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $256.20 | $366 | 3.5× |
| Nickel level (83885) | $100.80 | $144 | 4.1× |
| Nk cells total count (86357) | $205.10 | $293 | 5.4× |
| Nuclear antigen antibody (86235) | $128.80 | $184 | 7.2× |
| Occult blood gastric (82271) | $26.60 | $38 | 5.0× |
| Occult blood stool (82272) | $40.60 | $58 | 9.6× |
| Oligoclonal bands (83916) | $39.20 | $56 | 1.4× |
| Organic acids total quantitative each specimen (83918) | $569.80 | $814 | 24.1× |
| Osmolality serum (83930) | $96.60 | $138 | 14.6× |
| Osmolality urine (83935) | $96.60 | $138 | 14.2× |
| Osmotic fragility rbc incubated (85557) | $138.60 | $198 | 10.4× |
| Ova and parasite direct-id lca (87177) | $104.30 | $149 | 11.7× |
| Oxalate urine (83945) | $128.45 | $183.50 | 8.9× |
| Pancreatic elastase, fecal (82656) | $382.20 | $546 | 33.1× |
| Pancreatic polypeptide (83519) | $208.25 | $297.50 | 11.3× |
| Particle Agglutination Screen Each Antibody (86403) | $31.50 | $45 | 2.7× |
| Particle agglutination titer each antibody (86406) | $31.50 | $45 | 3.0× |
| Parvovirus antibody (86747) | $102.20 | $146 | 6.8× |
| Ph body fluid (83986) | $23.10 | $33 | 6.5× |
| Ph urine (81003) | $31.85 | $45.50 | 14.2× |
| Phosphatase alkaline (84075) | $26.60 | $38 | 5.1× |
| Phosphorus blood (84100) | $26.60 | $38 | 5.6× |
| Phosphorus urine (84105) | $40.60 | $58 | 7.0× |
| Pinworm exam (87172) | $26.60 | $38 | 6.2× |
| Plasminogen (85420) | $119 | $170 | 18.2× |
| Platelet count automated (85049) | $18.20 | $26 | 4.1× |
| Platelet neutralization (85597) | $164.50 | $235 | 9.1× |
| Porphobilinogen urine quant (84110) | $74.90 | $107 | 8.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $112.70 | $161 | 7.7× |
| Potassium (84132) | $26.60 | $38 | 5.6× |
| Potassium urine (84133) | $42.35 | $60.50 | 9.0× |
| Pregnenolone (84140) | $113.40 | $162 | 5.5× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $90.30 | $129 | 0.5× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $85.40 | $122 | 0.5× |
| Primidone (80188) | $46.90 | $67 | 2.8× |
| Procalcitonin (pct) (84145) | $294 | $420 | 10.8× |
| Protein c activity (85303) | $198.80 | $284 | 14.4× |
| Protein c antigen (85302) | $162.40 | $232 | 13.5× |
| Protein electrophoresis serum (84165) | $119.70 | $171 | 11.1× |
| Protein Electrophoresis Urine (84166) | $137.90 | $197 | 7.7× |
| Protein s total (85305) | $167.30 | $239 | 14.4× |
| Protein total serum (84155) | $42 | $60 | 11.4× |
| Protein urine (84156) | $42.35 | $60.50 | 11.5× |
| Protein Western Blot (84182) | $116.90 | $167 | 4.0× |
| Protein westrn blot i&r blood/other fluid (84181) | $221.20 | $316 | 13.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $57.40 | $82 | 14.6× |
| Protoporphyrin rbc quantitative (84202) | $85.05 | $121.50 | 5.9× |
| PSA free (84154) | $40.60 | $58 | 2.2× |
| Pth intact (83970) | $280.70 | $401 | 6.8× |
| Quinidine (80194) | $93.80 | $134 | 6.4× |
| Rbc (85041) | $18.20 | $26 | 6.0× |
| Rbc antibody elution (86860) | $182.70 | $261 | 1.0× |
| Rbc pretreatment serum (86978) | $170.10 | $243 | 2.8× |
| Rbc pretx incubatj w/chemicl (86970) | $72.10 | $103 | 1.2× |
| Renin activity plasma (84244) | $227.50 | $325 | 10.3× |
| Reptilase test (85635) | $123.20 | $176 | 12.5× |
| Resp virus 12-25 targets (87633) | $779.80 | $1,114 | 1.9× |
| Rheumatoid Factor Qual (86430) | $26.60 | $38 | 4.3× |
| Rheumatoid factor quant (86431) | $116.20 | $166 | 20.5× |
| Rickettsia antibody (86757) | $135.10 | $193 | 7.0× |
| Ristocetin cofactor (85245) | $103.60 | $148 | 4.5× |
| Rotavirus ag eia (87425) | $26.60 | $38 | 2.2× |
| Rpr Titer (86593) | $39.20 | $56 | 8.9× |
| Rsv (87807) | $87.15 | $124.50 | 6.7× |
| Rubella antibody (86762) | $29.40 | $42 | 2.0× |
| Rubeola Antibody Igg (86765) | $64.75 | $92.50 | 5.0× |
| Russell viper venom time diluted (85613) | $69.30 | $99 | 7.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $96.25 | $137.50 | 1.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $207.20 | $296 | 1.5× |
| Sedimentation rate auto (85652) | $18.20 | $26 | 6.7× |
| Selenium (84255) | $128.80 | $184 | 5.0× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $26.60 | $38 | 2.7× |
| Sensitivity kb (87184) | $18.20 | $26 | 2.4× |
| Sensitivity mic (87186) | $18.20 | $26 | 2.1× |
| Sex hormone binding globulin (84270) | $119.70 | $171 | 5.5× |
| Sickling of rbc reduction (85660) | $80.50 | $115 | 14.6× |
| Sirolimus (rapamycin) (80195) | $162.40 | $232 | 11.8× |
| Smear acid fast (87206) | $81.90 | $117 | 15.2× |
| Smear complex stain (87209) | $97.30 | $139 | 5.4× |
| Smear gram stain (87205) | $18.20 | $26 | 4.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $26.60 | $38 | 4.6× |
| Sodium (84295) | $26.60 | $38 | 5.5× |
| Sodium feces (84302) | $18.20 | $26 | 3.7× |
| Sodium urine (84300) | $71.40 | $102 | 14.1× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) | $1,122.10 | $1,603 | 0.4× |
| Soluble transferrin receptor (84238) | $243.60 | $348 | 6.7× |
| Somatomedin (84305) | $163.10 | $233 | 7.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $170.10 | $243 | 1.2× |
| Special stains group 1 (88312) | $175 | $250 | 3.2× |
| Specific gravity body fluid (84315) | $26.60 | $38 | 8.1× |
| Spectrophotometry (84311) | $26.60 | $38 | 3.3× |
| Strep a assay w/optic (87880) | $59.50 | $85 | 3.6× |
| Strep a DNA amp probe (87651) | $95.90 | $137 | 2.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $339.50 | $485 | 3.7× |
| Sugars Single Qualitative, Each Specimen (84376) | $28 | $40 | 5.1× |
| Surg path level 1 (88300) | $100.80 | $144 | 3.3× |
| Surg path level iii (88304) | $227.50 | $325 | 4.2× |
| Surgical pathology level IV (88305) | $301 | $430 | 5.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $236.60 | $338 | 5.0× |
| T cells total count (86359) | $205.10 | $293 | 5.4× |
| T3 free (84481) | $26.60 | $38 | 1.6× |
| T3 total (84480) | $137.20 | $196 | 9.7× |
| T3 uptake (84479) | $62.65 | $89.50 | 9.7× |
| T4 free (84439) | $26.60 | $38 | 2.9× |
| T4 total (84436) | $93.80 | $134 | 13.7× |
| Tau phosphorylated each (84393) | $1,855.70 | $2,651 | 14.4× |
| Tb intradermal test (86580) | $79.80 | $114 | 2.6× |
| Tb test, cell immun measure (86480) | $98 | $140 | 1.6× |
| Testosterone free (84402) | $137.90 | $197 | 5.4× |
| Testosterone total (84403) | $124.95 | $178.50 | 4.8× |
| Tetanus antibody (86774) | $123.20 | $176 | 8.3× |
| Theophylline (80198) | $89.25 | $127.50 | 6.3× |
| Thin prep pap (88142) | $121.80 | $174 | 6.0× |
| Thrombin time plasma (85670) | $32.20 | $46 | 5.6× |
| Thyroglobulin (84432) | $122.50 | $175 | 7.6× |
| Thyroglobulin antibody (86800) | $117.60 | $168 | 7.4× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $296.80 | $424 | 5.8× |
| Thyroxine binding globulin (84442) | $21 | $30 | 1.4× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $247.80 | $354 | 1.8× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $46.20 | $66 | 10.8× |
| Tissue culture bone marrow (88237) | $546.70 | $781 | 3.8× |
| Tissue culture lymphocyte (88230) | $382.90 | $547 | 3.3× |
| Tissue culture solid tumor (88239) | $713.30 | $1,019 | 4.8× |
| Tissue transglutaminase ab iga (86364) | $120.40 | $172 | 10.4× |
| Tobramycin peak (80200) | $39.20 | $56 | 2.4× |
| Touch prep (88161) | $112 | $160 | 3.7× |
| Toxoplasma ab igm (86778) | $74.55 | $106.50 | 5.2× |
| Toxoplasma antibody igg (86777) | $75.95 | $108.50 | 5.3× |
| Transferrin (84466) | $123.20 | $176 | 9.7× |
| Triglycerides (84478) | $83.30 | $119 | 14.5× |
| Troponin (84484) | $26.60 | $38 | 2.1× |
| Unlisted reproductive medicine lab procedure (89398) | $31.50 | $45 | 0.6× |
| Unlisted Transfusion Medicine Procedure (86999) | $19.60 | $28 | 0.6× |
| Urea nitrogen (84520) | $26.60 | $38 | 6.7× |
| Uric acid blood (84550) | $26.60 | $38 | 5.9× |
| Uric acid other source (84560) | $63 | $90 | 12.4× |
| Urinalysis auto w/scope (81001) | $84 | $120 | 26.5× |
| Urine pregnancy test (81025) | $26.60 | $38 | 3.1× |
| Urine volume measurement (81050) | $24.85 | $35.50 | 6.8× |
| Valproic acid (80164) | $26.60 | $38 | 2.0× |
| Vancomycin trough (80202) | $26.60 | $38 | 2.0× |
| Varicella-zoster antibody (86787) | $106.40 | $152 | 8.3× |
| Vasoactive intestinal peptide (vip) (84586) | $247.80 | $354 | 7.0× |
| Vdrl csf (86592) | $39.20 | $56 | 9.2× |
| Virus antibody nos (86790) | $123.90 | $177 | 9.6× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $190.40 | $272 | 5.6× |
| Virus inoculation, shell via (87254) | $135.10 | $193 | 6.9× |
| Vitamin A (84590) | $103.60 | $148 | 8.9× |
| Vitamin b-12 (82607) | $26.60 | $38 | 1.8× |
| Vitamin b1 (thiamine) (84425) | $160.30 | $229 | 7.6× |
| Vitamin b2 (84252) | $174.30 | $249 | 8.6× |
| Vitamin b3 niacin (84591) | $110.60 | $158 | 6.5× |
| Vitamin b6 (84207) | $184.10 | $263 | 6.6× |
| Vitamin c (82180) | $88.90 | $127 | 9.0× |
| Vitamin D 25-Hydroxy (82306) | $203 | $290 | 6.9× |
| Vitamin e serum (84446) | $106.40 | $152 | 7.5× |
| Vkorc1 gene (81355) | $330.40 | $472 | 3.7× |
| West nile virus antibody (86789) | $86.10 | $123 | 6.0× |
| West nile virus igm (86788) | $90.30 | $129 | 5.4× |
| Whole mitochondrial genome (81460) | $2,163.70 | $3,091 | 1.7× |
| Zinc (84630) | $96.60 | $138 | 8.5× |