| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$412 |
— |
| Acute hepatitis panel (80074) |
— |
$714.50 |
— |
| Albumin serum (82040) |
— |
$49.50 |
— |
| Aldosterone urine (82088) |
— |
$250 |
— |
| Allergen specific ige (86003) |
— |
$50 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$90 |
— |
| Alt (sgpt) (84460) |
— |
$34 |
— |
| Ammonia (82140) |
— |
$131 |
— |
| Amylase urine (82150) |
— |
$97.20 |
— |
| Ana Titer (86039) |
— |
$86 |
— |
| Antibody helicobacter pylori (86677) |
— |
$153.50 |
— |
| Antibody screen (86850) |
— |
$155 |
— |
| Antinuclear antibodies (86038) |
— |
$86 |
— |
| Antistreptolysin o titer (86060) |
— |
$222.70 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$450 |
— |
| Assay of calcitonin (82308) |
— |
$45.80 |
— |
| Assay of ceruloplasmin (82390) |
— |
$241 |
— |
| Assay of erythropoietin (82668) |
— |
$73.30 |
— |
| Assay of ferritin (82728) |
— |
$136.30 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$35 |
— |
| Assay of homocystine (83090) |
— |
$247.70 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$267 |
— |
| Assay of metanephrines (83835) |
— |
$1,835 |
— |
| Assay of parathormone (83970) |
— |
$180 |
— |
| Assay of phenobarbital (80184) |
— |
$155 |
— |
| Assay of prealbumin (84134) |
— |
$300.30 |
— |
| Assay of prostate specific antigen complexed (84152) |
— |
$30 |
— |
| Ast (sgot) (84450) |
— |
$36 |
— |
| Automated rbc count (85041) |
— |
$44.50 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$1,000 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$1,000 |
— |
| Bilirubin direct (82248) |
— |
$89 |
— |
| Blood count reticulocyte automated (85045) |
— |
$98 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$45.40 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$45.40 |
— |
| Blood typing abo (86900) |
— |
$132 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$132 |
— |
| C diff amplified probe (87493) |
— |
$205 |
— |
| C-reactive protein (86140) |
— |
$60 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$194.30 |
— |
| Ca 125 (86304) |
— |
$312.20 |
— |
| Ca 19-9 (86301) |
— |
$312.20 |
— |
| Ca 27 29 (86300) |
— |
$312.20 |
— |
| Calcium total (82310) |
— |
$27 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$130 |
— |
| Carcinoembryonic antigen (82378) |
— |
$284.40 |
— |
| Cell saver (86891) |
— |
$7,500 |
— |
| Cholesterol total (82465) |
— |
$20 |
— |
| Chromogranin a (86316) |
— |
$1,022 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$182.60 |
— |
| Cmv PCR (87496) |
— |
$1,670 |
— |
| Complement c3 (86160) |
— |
$263.20 |
— |
| Copper urine (82525) |
— |
$245 |
— |
| Cortisol total (82533) |
— |
$244.50 |
— |
| Creatine kinase total (82550) |
— |
$69.60 |
— |
| Creatinine blood (82565) |
— |
$51.20 |
— |
| Creatinine clearance (82575) |
— |
$45.50 |
— |
| Culture anaerobic (87075) |
— |
$189.40 |
— |
| Culture blood (87040) |
— |
$154 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$152.50 |
— |
| Culture genital (87070) |
— |
$102 |
— |
| Culture screen only (87081) |
— |
$161.90 |
— |
| Culture stool (87045) |
— |
$188.80 |
— |
| Culture urine (87086) |
— |
$102.50 |
— |
| Culture urine id ea isolate (87088) |
— |
$90 |
— |
| D-Dimer (85379) |
— |
$184.60 |
— |
| Dhea sulfate (82627) |
— |
$161 |
— |
| Digoxin (80162) |
— |
$78.75 |
— |
| Digoxin free (80163) |
— |
$134 |
— |
| Dilantin (80185) |
— |
$366 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$1,032.50 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$750 |
— |
| Estradiol (82670) |
— |
$172 |
— |
| Estrogens total (82672) |
— |
$432 |
— |
| Estrone (82679) |
— |
$356.50 |
— |
| Fibrinogen antigen (85385) |
— |
$1,587.50 |
— |
| Flow cytometry first marker (88184) |
— |
$500 |
— |
| Folate serum (82746) |
— |
$220.50 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$278.80 |
— |
| Gammaglobulin ige (82785) |
— |
$300 |
— |
| Glucose (82947) |
— |
$88.90 |
— |
| Haptoglobin (83010) |
— |
$50 |
— |
| Hba1/hba2 gene (81257) |
— |
$4,500 |
— |
| Hcg qualitative (84703) |
— |
$77.50 |
— |
| Hcg quant (84702) |
— |
$87.50 |
— |
| Hdl Cholesterol (83718) |
— |
$42.50 |
— |
| Hematocrit (85014) |
— |
$40 |
— |
| Hemoglobin (85018) |
— |
$40 |
— |
| Hemoglobin a1c (83036) |
— |
$97.50 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$216.50 |
— |
| Heparin assay (85520) |
— |
$1,750 |
— |
| Hepatitis a antibody total (86708) |
— |
$228.60 |
— |
| Hepatitis a igm (86709) |
— |
$155 |
— |
| Hepatitis b core antibody total (86704) |
— |
$120.90 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$230 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$93 |
— |
| Hepatitis Be Antigen (87350) |
— |
$93 |
— |
| Hepatitis c antibody (86803) |
— |
$139 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$120 |
— |
| Histamine plasma (83088) |
— |
$2,515 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$740 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$36.50 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$1,646 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$140 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$130 |
— |
| Immunoassay nonantibody (83516) |
— |
$182 |
— |
| India ink prep (87210) |
— |
$76.70 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Other Outpatient (87650) |
— |
$650 |
— |
| Inhibin b (83520) |
— |
$573 |
— |
| Insulin total (83525) |
— |
$65 |
— |
| Iron (83540) |
— |
$72 |
— |
| Iron binding capacity (83550) |
— |
$131.10 |
— |
| Lactic acid (83605) |
— |
$240 |
— |
| Ldh (83615) |
— |
$60.40 |
— |
| Lead (83655) |
— |
$126 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$400 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$4,450 |
— |
| Lh (83002) |
— |
$106 |
— |
| Lipase (83690) |
— |
$103.40 |
— |
| Lithium (80178) |
— |
$90 |
— |
| Lyme disease antibody (86618) |
— |
$151.70 |
— |
| Magnesium (83735) |
— |
$100.50 |
— |
| Microalbumin urine (82043) |
— |
$30 |
— |
| Mrsa amp probe (87641) |
— |
$945 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$1,555 |
— |
| Mycoplasma antibody (86738) |
— |
$358.50 |
— |
| Natriuretic peptide (83880) |
— |
$588.90 |
— |
| Niacin (84591) |
— |
$2,070 |
— |
| Nuclear antigen antibody (86235) |
— |
$100 |
— |
| Phosphorus blood (84100) |
— |
$47.40 |
— |
| Platelet count (85049) |
— |
$33 |
— |
| Potassium (84132) |
— |
$47.60 |
— |
| Progesterone (84144) |
— |
$312.90 |
— |
| Prolactin (84146) |
— |
$122 |
— |
| Protein electrophoresis serum (84165) |
— |
$46.60 |
— |
| Protein urine (84156) |
— |
$47.50 |
— |
| PSA free (84154) |
— |
$275.90 |
— |
| Reagent strip/blood glucose (82948) |
— |
$50 |
— |
| Renin activity plasma (84244) |
— |
$250 |
— |
| Reticulocyte Count (85046) |
— |
$102.50 |
— |
| Rheumatoid factor quant (86431) |
— |
$141.80 |
— |
| Sed rate automated (85652) |
— |
$50 |
— |
| Sensitivity mic (87186) |
— |
$90 |
— |
| Sex hormone binding globulin (84270) |
— |
$410 |
— |
| Smear gram stain (87205) |
— |
$94.30 |
— |
| Spectrophotometry (84311) |
— |
$1,605.10 |
— |
| Surg path level iii (88304) |
— |
$600 |
— |
| Surgical pathology level IV (88305) |
— |
$800 |
— |
| T3 free (84481) |
— |
$254.10 |
— |
| T3 reverse (84482) |
— |
$145 |
— |
| T3 total (84480) |
— |
$354.50 |
— |
| T4 Free (84439) |
— |
$90.20 |
— |
| T4 total (84436) |
— |
$171.80 |
— |
| Testosterone total (84403) |
— |
$645.30 |
— |
| Thin prep pap (88142) |
— |
$350 |
— |
| Toxin or antitoxin assay (87230) |
— |
$1,200 |
— |
| Triglycerides (84478) |
— |
$89.10 |
— |
| Troponin (84484) |
— |
$147 |
— |
| Urea nitrogen (84520) |
— |
$39.50 |
— |
| Uric acid blood (84550) |
— |
$113 |
— |
| Urinalysis w/microscopic (81001) |
— |
$35 |
— |
| Urine pregnancy test (81025) |
— |
$55 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$80 |
— |
| Valproic acid level (80164) |
— |
$134 |
— |
| Vancomycin trough (80202) |
— |
$178 |
— |
| Varicella-zoster antibody (86787) |
— |
$885 |
— |
| Viscosity serum (85810) |
— |
$157 |
— |
| Vitamin A (84590) |
— |
$117.50 |
— |
| Vitamin b-12 (82607) |
— |
$150.80 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$162.50 |
— |
| Vitamin b6 (84207) |
— |
$1,585 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$222 |
— |
| Vitamin e serum (84446) |
— |
$431.50 |
— |
| Zinc (84630) |
— |
$419.20 |
— |