| 17-Hydroxypregnenolone (84143) |
— |
$350 |
— |
| 5 Nucleotidase (83915) |
— |
$131 |
— |
| Abl1 gene analysis kinase domain variants (81170) |
— |
$2,095 |
— |
| Acetylcholine receptor binding antibody (86041) |
— |
$39 |
— |
| Acetylcholine receptor blocking antibody (86042) |
— |
$216 |
— |
| Acetylcholn Rcptr Modlg Antb (86043) |
— |
$69 |
— |
| Acth (82024) |
— |
$497 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$36 |
— |
| Acylcarnitines Quant (82017) |
— |
$227 |
— |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
— |
$513 |
— |
| Albumin Fluid (82042) |
— |
$82 |
— |
| Albumin serum (82040) |
— |
$64 |
— |
| Aldolase (82085) |
— |
$181 |
— |
| Aldosterone urine (82088) |
— |
$522 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$197 |
— |
| Allergen spec ige qual multiallergen screen (86005) |
$40.44 |
$61.83 |
5.1× |
| Allergen specific ige (86003) |
— |
$84 |
— |
| Allergen specific igg (86001) |
— |
$66 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$288 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$184 |
— |
| Alpha-1-antitrypsin total (82103) |
— |
$221 |
— |
| Alpha-Fetoprotein Serum (82105) |
— |
$298 |
— |
| Alt (sgpt) (84460) |
— |
$117 |
— |
| Aluminum (82108) |
— |
$194 |
— |
| Amikacin trough (80150) |
— |
$204 |
— |
| Amino Acids 1 Quantitative Each Specimen (82131) |
— |
$275 |
— |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) |
— |
$227 |
— |
| Amino Acids Quant 2-5 (82136) |
— |
$104 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$143 |
— |
| Ammonia (82140) |
— |
$223 |
— |
| Amniotic fluid protein test on cervicovaginal fluid (84112) |
— |
$582 |
— |
| Amylase urine (82150) |
— |
$139 |
— |
| Ana Titer (86039) |
— |
$336 |
— |
Analysis skeletal muscle (88355)
range across 2 matching MRF lines |
$809.08 |
$409.95–$1,237.13 |
3.8× |
| Androstenedione (82157) |
— |
$527 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$208 |
— |
| Antibody aspergillus (86606) |
— |
$138 |
— |
| Antibody Bacterium Not Elsewhere Specified (86609) |
— |
$98 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$206 |
— |
| Antibody Cytomegalovirus Cmv Igm (86645) |
— |
$380 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$267 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$288 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$447 |
— |
| Antibody haemophilus influenza (86684) |
— |
$110 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$140 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$183 |
— |
| Antibody HIV-1&HIV-2 single result (86703) |
— |
$552 |
— |
| Antibody HIV-2 (86702) |
— |
$329 |
— |
| Antibody Hla Class I High Definition Panel Qual (86832) |
— |
$2,974 |
— |
| Antibody Hla Class II Phenotype Panel Qual (86831) |
$323.73 |
$495 |
4.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) |
— |
$317 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$256 |
— |
| Antibody john cunningham virus (86711) |
— |
$1,833 |
— |
| Antibody Lymphocytic Choriomeningitis (86727) |
— |
$38 |
— |
| Antibody neisseria meningitidis (86741) |
— |
$171 |
— |
| Antibody Protozoa Nes (86753) |
— |
$248 |
— |
| Antibody Titer (86886) |
— |
$497 |
— |
| Antibody Treponema Pallidum (86780) |
— |
$292 |
— |
| Antibody; influenza virus (86710) |
$68.02 |
$104 |
5.0× |
| Antigen typing (86905) |
— |
$1,245 |
— |
| Antinuclear antibodies (86038) |
— |
$337 |
— |
| Antistreptolysin o titer (86060) |
— |
$200 |
— |
| Antithrombin iii activity (85300) |
— |
$293 |
— |
| Aortic dysfunction/dilation dup/del analysis (81411) |
— |
$4,348 |
— |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) |
— |
$1,624 |
— |
| Apc gene full sequence (81201) |
— |
$3,199 |
— |
| Apolipoprotein a1 (82172) |
— |
$133 |
— |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) |
— |
$122 |
— |
| Aquaporin-4 Antb Cba Each (86052) |
— |
$40 |
— |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) |
— |
$1,300 |
— |
| Arsenic (82175) |
— |
$247 |
— |
| Aspergillus ag eia (87305) |
— |
$169 |
— |
| Assay activated protein c (85307) |
— |
$633 |
— |
| Assay Blood Carbon Dioxide (82374) |
— |
$67 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$183 |
— |
| Assay of 5-hiaa (83497) |
— |
$166 |
— |
| Assay of blood/uric acid (84550) |
— |
$159 |
— |
| Assay of calcium in urine (82340) |
— |
$95 |
— |
| Assay of corticosterone (82528) |
— |
$236 |
— |
| Assay of cpk in blood (82552) |
— |
$117 |
— |
| Assay of estrone (82679) |
— |
$322 |
— |
| Assay of g6pd enzyme (82955) |
— |
$174 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$244 |
— |
| Assay of lactic acid (83605) |
— |
$515 |
— |
| Assay of manganese (83785) |
— |
$243 |
— |
| Assay of metanephrines (83835) |
— |
$342 |
— |
| Assay of proinsulin (84206) |
— |
$173 |
— |
| Assay of pyruvate (84210) |
— |
$185 |
— |
| Assay of serum potassium (84132) |
— |
$92 |
— |
| Assay of sweat sodium (84302) |
— |
$44 |
— |
| Assay of transcortin (84449) |
— |
$60 |
— |
| Assay of Tyrosine (84510) |
— |
$143 |
— |
| Assay of urea nitrogen (84520) |
— |
$78 |
— |
| Assay of urine vma (84585) |
— |
$206 |
— |
| Assay of vasoactive intestinal peptide (84586) |
— |
$420 |
— |
| Assay of vitamin b-1 (84425) |
— |
$273 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$74 |
— |
| Assay Phosphohexose Enzymes (84087) |
— |
$123 |
— |
| Assay spec xcp ur&breath ia (82077) |
— |
$76 |
— |
| Asstd Fertilization Microtq > 10 Oocytes (89281) |
$11,892.99 |
$18,185 |
55.9× |
| Asstd oocyte fert 10 or less (89280) |
$11,892.99 |
$18,185 |
11.8× |
| Asxl1 gene analysis full gene sequence (81175) |
— |
$7,457 |
— |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) |
— |
$1,037 |
— |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) |
— |
$1,037 |
— |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) |
— |
$1,037 |
— |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) |
— |
$1,037 |
— |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) |
— |
$1,037 |
— |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) |
— |
$1,037 |
— |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) |
— |
$1,037 |
— |
| B cells total count (86355) |
— |
$557 |
— |
| Babesia microti amp prb (87469) |
— |
$143 |
— |
| Bartonella antibody (86611) |
— |
$140 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$1,611 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$2,056 |
— |
| Bcr/Abl1 Gene Other Bp (81208) |
— |
$818 |
— |
| Beta 2 glycoprotein i antibody each (86146) |
— |
$400 |
— |
| Beta hydroxybutyrate (82010) |
— |
$118 |
— |
| Beta Lactamase (87185) |
— |
$55 |
— |
| Beta-2 Microglobulin (82232) |
— |
$290 |
— |
| Beta-amyloid 1-40 (abeta 40) (82233) |
— |
$2,110 |
— |
| Beta-amyloid; 1-42 (abeta 42) (82234) |
— |
$2,110 |
— |
| Bilirubin direct (82248) |
— |
$78 |
— |
| Bilirubin total (82247) |
— |
$77 |
— |
| Bilirubin total transcutaneous (88720) |
— |
$87 |
— |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) |
$24,852 |
$38,000 |
116.9× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) |
$17,752.83 |
$27,145 |
83.5× |
| Biotinidase (82261) |
— |
$49 |
— |
| Blastomyces antibody (86612) |
— |
$79 |
— |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
$114.91 |
$175.70 |
1.8× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) |
$117.45 |
$179.59 |
3.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$297.57 |
$455 |
1.4× |
| Bleeding time test (85002) |
$29.84 |
$45.90 |
6.2× |
| Blm Gene (81209) |
— |
$420 |
— |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
$19.21 |
$29.37 |
5.1× |
| Blood gas (82803) |
— |
$863 |
— |
| Blood gases w/02 saturation (82805) |
— |
$398 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$179 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$67 |
— |
| Blood Type Antigen Donor Reagent Serum Each (86902) |
— |
$1,019 |
— |
| Blood typing serologic abo (86900) |
— |
$513 |
— |
| Bone marrow smear interpretation (85097) |
— |
$2,429 |
— |
| Bordetella antibody (86615) |
— |
$114 |
— |
| Borrelia Antibody (86619) |
— |
$135 |
— |
| Borrelia miyamotoi amp prb (87478) |
— |
$115 |
— |
| Braf gene analysis (81210) |
— |
$1,150 |
— |
| Brca1&2 gen full seq dup/del (81162) |
— |
$5,878 |
— |
| Brucella antibody (86622) |
— |
$77 |
— |
| Btk Gene Analysis Common Variants (81233) |
— |
$567 |
— |
| C diff amplified probe (87493) |
— |
$444 |
— |
| C-Peptide (84681) |
— |
$529 |
— |
| C-reactive protein (86140) |
— |
$208 |
— |
| Ca 19-9 (86301) |
— |
$374 |
— |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) |
— |
$1,037 |
— |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) |
— |
$2,727 |
— |
| Cadmium (82300) |
— |
$262 |
— |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) |
$211.17 |
$322.89 |
1.0× |
| Calcitonin (82308) |
— |
$352 |
— |
| Calcium ionized (82330) |
— |
$532 |
— |
| Calcium total (82310) |
— |
$95 |
— |
| Calculus assay quant (82360) |
— |
$204 |
— |
| Calprotectin Fecal (83993) |
— |
$312 |
— |
| Calr gene com variants (81219) |
— |
$968 |
— |
| Cancer Antigen 125 (86304) |
— |
$389 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$421 |
— |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
— |
$13,255 |
— |
| Car Ion Chnnlpath Inc 2 Gns (81414) |
— |
$13,255 |
— |
| Carbamazepine total (80156) |
— |
$235 |
— |
| Carbohydrate Deficient Transferrin (82373) |
— |
$334 |
— |
| Carboxyhemoglobin (82375) |
— |
$250 |
— |
| Carcinoembryonic antigen (82378) |
— |
$431 |
— |
| Cardiolipin ab iga (86147) |
— |
$624 |
— |
| Carnitine Quantitative Each Specimen (82379) |
— |
$217 |
— |
| Carotene (82380) |
— |
$124 |
— |
| Catecholamines fractionated (82384) |
— |
$337 |
— |
| Ccp antibody (86200) |
— |
$359 |
— |
| Cell count csf (89051) |
— |
$210 |
— |
| Cell marker study (88182) |
— |
$1,011 |
— |
| Cellular Function Assay Stimul&Detect Biomarke (86352) |
— |
$1,013 |
— |
| Ceruloplasmin (82390) |
— |
$282 |
— |
| Cftr gene com variants (81220) |
— |
$3,271 |
— |
| Cftr gene dup/delet variants (81222) |
— |
$2,962 |
— |
| Cftr gene full sequence (81223) |
— |
$6,323 |
— |
| Chemiluminescent assay (82397) |
— |
$355 |
— |
| Chg cryopreservation mature oocyte(s) (89337) |
$2,835.09 |
$4,335 |
13.3× |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
— |
$1,807 |
— |
| Chimerism w/comp to baseline w/o cell selection (81267) |
— |
$2,192 |
— |
| Chlamydia antibody (86631) |
— |
$190 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$122 |
— |
| Chloride other source (82438) |
— |
$58 |
— |
| Chloride Serum (82435) |
— |
$63 |
— |
| Chloride urine (82436) |
— |
$67 |
— |
| Cholesterol total (82465) |
— |
$121 |
— |
| Cholinesterase Serum (82480) |
— |
$77 |
— |
| Chorionic gonadotropin test (84702) |
— |
$305 |
— |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
— |
$430 |
— |
| Chrmsm Breakage Synds Score 100 Cll (88249) |
— |
$1,686 |
— |
| Chromium serum (82495) |
— |
$236 |
— |
| Chromogenic Substrate Assay (85130) |
— |
$148 |
— |
| Chromogranin a (86316) |
— |
$278 |
— |
| Chromosome Analysis 15-20 (88262) |
— |
$1,451 |
— |
| Chromosome Analysis 20-25 (88264) |
— |
$913 |
— |
| Chromosome analysis 45 cells (88263) |
— |
$2,706 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$612 |
— |
| Citric acid urine (82507) |
— |
$243 |
— |
| Clostridium Difficile (87324) |
— |
$201 |
— |
| Clot Factor VIII Multimetric (85247) |
— |
$312 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$219 |
— |
| Clotting factor viii related antigen (85244) |
$160.23 |
$245 |
7.8× |
| Clotting factor xii hageman (85280) |
— |
$258 |
— |
| Clotting Funct Activity (85397) |
— |
$429 |
— |
| Clotting hi molec weight kininogen assay (85293) |
— |
$182 |
— |
| Clotting prekallikrein assay fletcher fact assay (85292) |
— |
$130 |
— |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) |
— |
$630 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$3,320 |
— |
| Coagulation time activated (85347) |
— |
$108 |
— |
| Coccidioides antibody (86635) |
— |
$152 |
— |
| Cold agglutinin titer (86157) |
— |
$85 |
— |
| Collagen crosslinks (82523) |
— |
$243 |
— |
| Column Chromotography Quant (82542) |
— |
$294 |
— |
| Comparative Anal Str Markers Patient&Comp Spec (81265) |
— |
$1,741 |
— |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) |
— |
$1,281 |
— |
| Compatibility test antiglob (86922) |
— |
$497 |
— |
| Complement Antigen Each Component (86160) |
— |
$339 |
— |
| Complement Total (Ch50) (86162) |
— |
$475 |
— |
| Complement/Function Activity (86161) |
— |
$176 |
— |
Consltj Compre Review Reprt Referred Matrl (88325)
range across 2 matching MRF lines |
$490.38–$1,350.58 |
$749.82–$2,077.82 |
varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) |
— |
$371 |
— |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
— |
$814 |
— |
| Coombs direct (86880) |
— |
$183 |
— |
| Copper urine (82525) |
— |
$196 |
— |
| Cortisol free (82530) |
— |
$320 |
— |
| Cortisol saliva (82533) |
— |
$225 |
— |
| Creatine kinase total (82550) |
— |
$147 |
— |
| Creatinine blood (82565) |
— |
$105 |
— |
| Creatinine clearance (82575) |
— |
$136 |
— |
| Creatinine Urine (82570) |
— |
$259 |
— |
| Crossmatch electronic (86923) |
— |
$624 |
— |
| Crossmatch immediate spin (86920) |
— |
$497 |
— |
| Crp High Sensitivity (86141) |
— |
$373 |
— |
| Cryoglobulin (82595) |
— |
$90 |
— |
| Cryopreservation; embryo(s) (89258) |
$4,757.85 |
$7,275 |
4.7× |
| Cryptococcus ag titer (87899) |
— |
$175 |
— |
| Cryptosporidium (87272) |
— |
$77 |
— |
| Cryptosporidium ag eia (87328) |
— |
$133 |
— |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) |
— |
$2,606 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$132 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$163 |
— |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) |
— |
$154 |
— |
| Culture afb (87116) |
— |
$210 |
— |
| Culture Anaerobic (87075) |
— |
$182 |
— |
| Culture blood (87040) |
— |
$368 |
— |
Culture chlamydia (87110)
range across 2 matching MRF lines |
$111.18–$139.48 |
$170–$214.58 |
varies |
| Culture csf (87070) |
— |
$282 |
— |
| Culture fungus (87102) |
— |
$207 |
— |
| Culture fungus blood (87103) |
— |
$267 |
— |
| Culture oocyte/embryos<4day (89250) |
$8,430.06 |
$12,890 |
39.6× |
| Culture screen only (87081) |
— |
$227 |
— |
| Culture stool (87045) |
$54.67 |
$83.60 |
5.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$76 |
— |
| Culture urine (87086) |
— |
$232 |
— |
| Cyanide (82600) |
— |
$166 |
— |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) |
— |
$175 |
— |
| Cyclosporine (80158) |
— |
$291 |
— |
| Cyp2c19 gene analysis common variants (81225) |
— |
$1,478 |
— |
| Cyp2c9 gene com variants (81227) |
— |
$1,051 |
— |
| Cyp3a4 gene common variants (81230) |
— |
$565 |
— |
| Cyp3a5 gene common variants (81231) |
— |
$565 |
— |
| Cystatin C (82610) |
— |
$268 |
— |
| Cytogenetics 100-300 (88275) |
— |
$953 |
— |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
— |
$10,457 |
— |
| Cytomegalovirus igg (86644) |
— |
$344 |
— |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) |
— |
$309 |
— |
| Cytopath Cell Enhance Tech (88112) |
— |
$352 |
— |
Cytopath Fl Nongyn Filter (88106)
range across 2 matching MRF lines |
$205.82 |
$130.79–$314.71 |
5.7× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) |
$57.39 |
$87.75 |
1.1× |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) |
$228.90 |
$350 |
12.3× |
| Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) |
$53.48 |
$81.77 |
1.9× |
| Cytp Concentration Smears & Interpretation (88108) |
— |
$344 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$587 |
— |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) |
— |
$449 |
— |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
— |
$289 |
— |
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120)
range across 2 matching MRF lines |
$1,467.38 |
$195.41–$2,243.70 |
6.9× |
Cytp Slides C/V Mnl Scr Under Phys (88150)
range across 2 matching MRF lines |
$81.25–$81.75 |
$125 |
varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) |
— |
$128 |
— |
Cytp smrs any oth src extnd std > 5 slides (88162)
range across 2 matching MRF lines |
$230.90 |
$138.18–$353.06 |
3.5× |
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 4 matching MRF lines |
$155.34–$315.25 |
$140–$485 |
varies |
Cytp Urine 3-5 Probes Cmptr (88121)
range across 2 matching MRF lines |
$1,305.27 |
$171.64–$1,995.83 |
6.1× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) |
$42.18 |
$64.50 |
3.9× |
| Deoxycortisol (82634) |
— |
$293 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$160 |
— |
| Desoxycorticosterone (82633) |
— |
$271 |
— |
| Detect Agent Nos Dna Amp (87798) |
— |
$705 |
— |
| Detect Agent Nos Dna Quant (87799) |
— |
$710 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$580 |
— |
| Dhea (82626) |
— |
$325 |
— |
| Dhea-S (82627) |
— |
$476 |
— |
| Digoxin (80162) |
— |
$229 |
— |
| Dihydrotestosterone (82642) |
— |
$337 |
— |
| Diphtheria antitoxoid (86648) |
— |
$207 |
— |
| Dipropylacetic Acid Free (80165) |
— |
$132 |
— |
| Dmd Duplication/Deletion Analysis (81161) |
— |
$2,563 |
— |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) |
— |
$1,266 |
— |
| Dna Antibody Native/Double Stranded (86225) |
— |
$452 |
— |
| Dpyd gene common variants (81232) |
— |
$805 |
— |
| Drug assay acetaminophen (80143) |
— |
$84 |
— |
| Drug assay adalimumab (80145) |
— |
$576 |
— |
| Drug Assay Amiodarone (80151) |
— |
$66 |
— |
| Drug assay felbamate (80167) |
— |
$84 |
— |
| Drug Assay Infliximab (80230) |
— |
$616 |
— |
| Drug Assay Lacosamide (80235) |
— |
$300 |
— |
| Drug Assay Posaconazole (80187) |
— |
$176 |
— |
| Drug Assay Vedolizumab (80280) |
— |
$597 |
— |
| Drug assay voriconazole (80285) |
— |
$182 |
— |
| Drug Asy Hydroxychloroquine (80220) |
— |
$422 |
— |
| Drug Screen Quant Clozapine (80159) |
— |
$152 |
— |
| Drug Screen Quant Zonisamide (80203) |
— |
$250 |
— |
| Drug Screen Quantitative Gabapentin (80171) |
— |
$160 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$176 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$150 |
— |
| Drug Screen Quantitative Oxcarbazepine (80183) |
— |
$176 |
— |
| Drug Screen Quantitative Procainamide Metabolite (80192) |
— |
$110 |
— |
| Drug Test Prsmv Chem Anlyzr (80307) |
— |
$390 |
— |
| Egfr Gene Analysis Common Variants (81235) |
— |
$1,231 |
— |
| Ehrlichia antibody (86666) |
— |
$248 |
— |
| Electrolyte panel (80051) |
— |
$120 |
— |
| Electron Microscopy (88348) |
— |
$2,524 |
— |
| Embryo hatching microtechnique (89253) |
$7,138.41 |
$10,915 |
33.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$116 |
— |
| Enterovirus Antibody (86658) |
— |
$139 |
— |
| Enterovirus PCR (87498) |
— |
$518 |
— |
| Enzyme cell activity (82657) |
— |
$551 |
— |
| Enzyme histochemistry (88319) |
— |
$2,429 |
— |
| Epilepsy Genomic Sequence Analysis Panel (81419) |
— |
$22,864 |
— |
| Erythropoietin (82668) |
— |
$473 |
— |
| Estradiol serum (82670) |
— |
$629 |
— |
| Estriol (82677) |
— |
$345 |
— |
| Estrogen total (82672) |
— |
$352 |
— |
| Ethosuximide (80168) |
— |
$176 |
— |
| Ethylene Glycol (82693) |
— |
$44 |
— |
| Exam Synovial Fluid Crystals (89060) |
— |
$174 |
— |
| Exome Sequence Analysis (81415) |
— |
$15,393 |
— |
| Exome sequence analysis each comparator exome (81416) |
— |
$38,641 |
— |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) |
$3,695.10 |
$5,650 |
3.7× |
| F2 Gene (81240) |
— |
$1,492 |
— |
| F9 full gene sequence (81238) |
— |
$5,790 |
— |
| Factor ii activity (85210) |
— |
$237 |
— |
| Factor Inhibitor Test (85335) |
— |
$173 |
— |
| Factor ix activity (85250) |
— |
$254 |
— |
| Factor v activity (85220) |
— |
$416 |
— |
| Factor v leiden mutation (81241) |
— |
$944 |
— |
| Factor vii assay (85230) |
— |
$239 |
— |
| Factor viii assay (85240) |
— |
$371 |
— |
| Factor X (85260) |
— |
$322 |
— |
| Factor xi activity (85270) |
— |
$238 |
— |
| Factor xiii screen (85291) |
— |
$250 |
— |
| Fat/Lipids Feces Quantitative (82710) |
— |
$320 |
— |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) |
— |
$92 |
— |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
— |
$229 |
— |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) |
— |
$250 |
— |
| Fecal Fat Qualitative (82705) |
— |
$106 |
— |
| Ferritin (82728) |
— |
$365 |
— |
| Fetal screen rosette (85461) |
— |
$94 |
— |
| Fibrin degradation products (85362) |
— |
$232 |
— |
| Fibrinogen activity (85384) |
— |
$307 |
— |
| Fibrinogen antigen (85385) |
— |
$87 |
— |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
— |
$86 |
— |
| Flecainide level (80181) |
— |
$89 |
— |
| Flow cytometry first marker (88184) |
— |
$1,245 |
— |
| Flt3 Gene (81245) |
— |
$761 |
— |
| Flt3 gene analysis (81246) |
— |
$383 |
— |
| Fluorescent antibody screen (86255) |
— |
$269 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$168 |
— |
| Fmr1 gene detection (81243) |
— |
$697 |
— |
| Folic acid rbc (82747) |
— |
$253 |
— |
| Folic Acid Serum (82746) |
— |
$369 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$453 |
— |
Forensic Cytopathology (88125)
range across 2 matching MRF lines |
$61.91 |
$50.85–$94.66 |
1.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) |
— |
$444 |
— |
| Frozen Section (88331) |
— |
$537 |
— |
| Fungi Identification Mold (87107) |
— |
$143 |
— |
| Fungi Identification Yeast (87106) |
— |
$138 |
— |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) |
— |
$443 |
— |
| Fxn Gene Analysis Full Gene Sequence (81286) |
— |
$887 |
— |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) |
— |
$557 |
— |
| G6pd gene alys cmn variant (81247) |
— |
$946 |
— |
| Galactokinase rbc (82759) |
— |
$268 |
— |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) |
— |
$279 |
— |
| Gammaglobulin ige (82785) |
— |
$307 |
— |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
— |
$193 |
— |
| Gases blood ph only (82800) |
— |
$144 |
— |
| Gastrin (82941) |
— |
$227 |
— |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) |
— |
$5,990 |
— |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) |
— |
$7,706 |
— |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
— |
$12,691 |
— |
| Genet Virus Isolate Hsv (87255) |
— |
$232 |
— |
| Genetic Tstg Severe Inh Cond (81443) |
— |
$7,886 |
— |
| Genome Sequence Analysis (81425) |
— |
$16,201 |
— |
| Genome sequence analysis each comparator genome (81426) |
— |
$7,792 |
— |
| Gentamicin (80170) |
— |
$213 |
— |
| Ggt (82977) |
— |
$244 |
— |
| Giardia antigen (87329) |
— |
$153 |
— |
| Gluc-6-phosphate dehydrogenase screen (82960) |
— |
$233 |
— |
| Glucagon (82943) |
— |
$124 |
— |
Glucagon tolerance test Facility (82946)
range across 2 matching MRF lines |
$98.10–$101.84 |
$150–$156.68 |
varies |
| Glucose 2 hr pp (82950) |
— |
$63 |
— |
| Glucose Blood Test (82962) |
$15.57 |
$23.96 |
4.7× |
| Glucose body fluid (82945) |
— |
$98 |
— |
| Glucose Serum (82947) |
— |
$86 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$166 |
— |
| Glucosidase beta (82963) |
— |
$396 |
— |
| Glutathione (82978) |
— |
$284 |
— |
| Glycated Protein (82985) |
— |
$173 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$151 |
— |
| Growth hormone (83003) |
— |
$215 |
— |
| Growth Hormone Stimulation Panel (80428) |
— |
$647 |
— |
| Growth Stimulation Gene 2 (83006) |
— |
$259 |
— |
| Gtt-added samples (82952) |
— |
$52 |
— |
| H Pylori (C-13) Breath (83013) |
— |
$765 |
— |
| H Pylori Drug Admin (83014) |
$51.90 |
$79.84 |
6.6× |
| Haptoglobin (83010) |
— |
$216 |
— |
| Hba1/hba2 full gene sequence (81259) |
— |
$1,933 |
— |
| Hba1/Hba2 Gene (81257) |
— |
$1,524 |
— |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) |
— |
$1,451 |
— |
| Hbb duplication/deletion variants (81363) |
— |
$1,217 |
— |
| Hbb Full Gene Sequence (81364) |
— |
$1,756 |
— |
| Hdl Cholesterol (83718) |
— |
$173 |
— |
| Hearing Loss Dup/Del Analysis (81431) |
— |
$8,026 |
— |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) |
— |
$8,026 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$325 |
— |
| Helminth Antibody (86682) |
— |
$332 |
— |
| Hematocrit (85014) |
— |
$41 |
— |
| Hemoglobin (85018) |
— |
$44 |
— |
| Hemoglobin a1c (83036) |
— |
$291 |
— |
| Hemoglobin Chromotography (83021) |
— |
$367 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$179 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$105 |
— |
| Hemoglobin plasma (83051) |
— |
$146 |
— |
| Hemoglobin stability screen (83068) |
— |
$110 |
— |
| Hemolysins&Agglutinins Auto Screen Each (86940) |
$41.74 |
$63.83 |
4.8× |
| Hemosiderin urine (83070) |
— |
$63 |
— |
| Hep a ab igm (86709) |
— |
$342 |
— |
| Heparin assay (85520) |
— |
$699 |
— |
| Hepatitis a antibody total (86708) |
— |
$368 |
— |
| Hepatitis b core ab igm (86705) |
— |
$325 |
— |
| Hepatitis b core ab total (86704) |
— |
$266 |
— |
| Hepatitis b surface ag quan (87467) |
— |
$45 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$288 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$299 |
— |
| Hepatitis Be Antibody (86707) |
— |
$161 |
— |
| Hepatitis Be Antigen (87350) |
— |
$319 |
— |
| Hepatitis C Antibody (86803) |
— |
$404 |
— |
| Hepatitis C Genotype (87902) |
— |
$2,154 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$322 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$590 |
— |
| Hepatitis d quantification (87523) |
— |
$124 |
— |
| Hepatitis Delta Agent Antibody (86692) |
— |
$229 |
— |
| Hereditary peripheral neuropathy gen seq pnl (81448) |
— |
$7,253 |
— |
| Herpes simplex type 2 (86696) |
— |
$449 |
— |
| Heterophile Antibody Screen (86308) |
— |
$174 |
— |
| Hfe Gene (81256) |
— |
$752 |
— |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) |
— |
$105 |
— |
| Histamine urine (83088) |
— |
$221 |
— |
| Histoplasma antibody (86698) |
— |
$112 |
— |
| Histoplasma antigen urine (87385) |
— |
$251 |
— |
| Hiv Antigen W/Hiv Antibodies (87806) |
— |
$174 |
— |
| Hiv Genotype (87901) |
— |
$1,441 |
— |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
— |
$427 |
— |
| Hiv-1 Antibody (86701) |
— |
$160 |
— |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
— |
$1,096 |
— |
| Hla Class I Typing Low Resolution One Locus Each (81373) |
— |
$633 |
— |
| Hla class i&ii antibody qual (86828) |
— |
$394 |
— |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) |
— |
$1,994 |
— |
| Hla class ii high defin qual (86833) |
— |
$3,503 |
— |
| Hla class ii typing high resolution one locus ea (81382) |
— |
$1,441 |
— |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) |
— |
$622 |
— |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) |
— |
$394 |
— |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
— |
$557 |
— |
| Hla I Typing 1 Allele Hr (81381) |
— |
$1,012 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$1,350 |
— |
Hla Typing a/B/C Multiple Antigens (86813)
range across 2 matching MRF lines |
$287.76–$868.40 |
$440–$1,336 |
varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) |
$320.46 |
$490 |
3.0× |
| Hla-b27 (86812) |
— |
$357 |
— |
| Homocysteine (83090) |
— |
$334 |
— |
| Homogenization Tissue (87176) |
— |
$72 |
— |
| Homovanillic acid urine (83150) |
— |
$277 |
— |
| Hpa-1 genotyping gene analysis common variant (81105) |
— |
$935 |
— |
| Hpa-15 genotyping gene analysis common variant (81112) |
— |
$1,590 |
— |
| Hpa-2 genotyping gene analysis common variant (81106) |
— |
$728 |
— |
| Hpa-3 genotyping gene analysis common variant (81107) |
— |
$728 |
— |
| Hpa-4 genotyping gene analysis common variant (81108) |
— |
$1,590 |
— |
| Hpa-5 genotyping gene analysis common variant (81109) |
— |
$1,590 |
— |
| Hpa-6 genotyping gene analysis common variant (81110) |
— |
$1,590 |
— |
| Hpa-9 Genotyping (81111) |
— |
$1,590 |
— |
| Hpv High-Risk Types (87624) |
— |
$584 |
— |
| Hsv Dna Amp Probe (87529) |
— |
$452 |
— |
| Hsv Dna Quant (87530) |
— |
$396 |
— |
Htlv-I Antibody (86687)
range across 2 matching MRF lines |
$45.78–$89.05 |
$70–$137 |
varies |
| Htt Gene Detc Abnor Alleles (81271) |
— |
$443 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$386 |
— |
| Iaad Ia Entamoeba Histolytica Grp (87337) |
— |
$131 |
— |
| Iaad ia shiga-like toxin (87427) |
$60.17 |
$92 |
5.0× |
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines |
$65.40–$74.75 |
$100–$115 |
varies |
| Iaadi pneumocustis carinii (87281) |
— |
$141 |
— |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) |
— |
$154 |
— |
| Iadna Bartonella Amplified Probe Technique (87471) |
— |
$375 |
— |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) |
— |
$377 |
— |
| Iadna Candida Species Amplified Probe Tq (87481) |
— |
$271 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$551 |
— |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) |
— |
$213 |
— |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) |
— |
$447 |
— |
| Iadna Cytomegalovirus Quantification (87497) |
— |
$1,525 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$279 |
— |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) |
— |
$154 |
— |
| Iadna hepatitis b virus amplified probe tq (87516) |
— |
$164 |
— |
| Iadna Hepatitis B Virus Quantification (87517) |
— |
$1,044 |
— |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) |
— |
$244 |
— |
| Iadna Herpes Virus-6 Quantification (87533) |
— |
$643 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$335 |
— |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) |
— |
$243 |
— |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) |
— |
$580 |
— |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) |
— |
$411 |
— |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) |
— |
$463 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$561 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$612 |
— |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) |
— |
$154 |
— |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) |
— |
$1,074 |
— |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) |
— |
$2,780 |
— |
| Ibmfs sequence analysis panel at least 30 genes (81441) |
— |
$7,040 |
— |
| Ig Light Chains Free Each (83521) |
— |
$104 |
— |
| Igg subclasses (82787) |
— |
$151 |
— |
| Igh gene rearrange amp meth (81261) |
— |
$1,670 |
— |
| Igh@ Variable Region Somatic Mutation Analysis (81263) |
— |
$949 |
— |
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines |
$269.95 |
$133.03–$412.76 |
0.6× |
| Immune Complex Assay (86332) |
— |
$325 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$394 |
— |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
— |
$463 |
— |
| Immunoassay infectious agent (86318) |
— |
$175 |
— |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
— |
$436 |
— |
| Immunoassay nonantibody (83516) |
— |
$442 |
— |
| Immunodiffusion not elsewhere specified (86329) |
— |
$186 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$100 |
— |
| Immunoelectrophoresis Other Fluids Concentration (86325) |
$42.18 |
$64.50 |
1.8× |
| Immunoelectrophoresis Serum (86320) |
$42.18 |
$64.50 |
1.4× |
| Immunofixation electrophoresis (86334) |
— |
$490 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$1,019 |
— |
| Immunohistochemistry (88342) |
— |
$1,166 |
— |
| In situ hybridization 1st probe stain (88365) |
— |
$549 |
— |
In situ hybridization ea multiplex probe stain (88366)
range across 2 matching MRF lines |
$341.75 |
$207.91–$522.55 |
1.6× |
| Influenza a/b ag eia (87400) |
— |
$106 |
— |
Influenza assay w/optic (87804)
range across 2 matching MRF lines |
$110.50–$111.18 |
$170 |
varies |
| Inherited Cardmypthy 5 Gns (81439) |
— |
$13,255 |
— |
| Inhibin A (86336) |
— |
$351 |
— |
| Inhibin b (83520) |
— |
$357 |
— |
| Insemination of oocytes (89268) |
$3,695.10 |
$5,650 |
17.4× |
Insitu hybridization auto (88367)
range across 2 matching MRF lines |
$826.30 |
$292.67–$1,263.45 |
1.8× |
| Insitu hybridization manual (88368) |
— |
$1,019 |
— |
| Insulin antibodies (86337) |
— |
$429 |
— |
| Insulin free (83527) |
— |
$150 |
— |
| Insulin total (83525) |
— |
$166 |
— |
| Interleukin-6 (83529) |
— |
$130 |
— |
| Intrinsic factor antibody (86340) |
— |
$208 |
— |
| Iron (83540) |
— |
$146 |
— |
| Iron Binding Capacity (83550) |
— |
$179 |
— |
| Iron stain peripheral blood (85536) |
$32.61 |
$49.86 |
4.7× |
| Irradiation Blood Product Each Unit (86945) |
— |
$108 |
— |
| Islet cell antibody (86341) |
— |
$468 |
— |
| Isocitric dehydrogenase (IDH) Facility (83570) |
— |
$114 |
— |
| Jak2 gene analysis p.val617phe variant (81270) |
— |
$1,274 |
— |
| Jak2 Gene Trgt Sequence Alys (81279) |
— |
$1,088 |
— |
| Kit Gene Analysis D816 Variant(S) (81273) |
— |
$404 |
— |
| Kit Gene Analysis Targeted Sequence Analysis (81272) |
— |
$1,521 |
— |
| Koh Prep (87220) |
$39 |
$60 |
9.1× |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$173 |
— |
| Ldh Isoenzymes (83625) |
— |
$122 |
— |
| LDL direct (83721) |
— |
$189 |
— |
| Lead (83655) |
— |
$148 |
— |
| Legionella antigen urine (87449) |
— |
$160 |
— |
| Leptospira antibody (86720) |
— |
$130 |
— |
| Leukocyte Histamine Release (86343) |
— |
$197 |
— |
| Level I Surg Pathology Gross Examination Only (88300) |
— |
$247 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$669 |
— |
| Level V Surg Pathology Gross&Microscopic Exam (88307) |
— |
$1,295 |
— |
| Lidocaine (80176) |
— |
$162 |
— |
| Lipase (83690) |
— |
$329 |
— |
| Lipoprotein A (83695) |
— |
$243 |
— |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) |
— |
$144 |
— |
| Lithium (80178) |
— |
$194 |
— |
| Liver ds alys 3 bmrk srm alg (81517) |
— |
$507 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$399 |
— |
| Lyme disease antibody (86618) |
— |
$641 |
— |
Lymphocyte Culture Mixed (86821)
range across 2 matching MRF lines |
$251.79–$502.45 |
$385–$773 |
varies |
| Lymphocyte transformation (86353) |
— |
$649 |
— |
| Lymphocytotoxicity Assay (86805) |
— |
$972 |
— |
| Lysozyme serum (85549) |
— |
$251 |
— |
| M. Genitalium Amp Probe (87563) |
— |
$337 |
— |
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines |
$492.58 |
$214.20–$753.18 |
2.3× |
M/phmtrc alys ishquant/semiq (88374)
range across 2 matching MRF lines |
$475.90 |
$148.41–$727.68 |
2.2× |
| Macroscopic exam arthropod (87168) |
— |
$79 |
— |
| Macroscopic Exam Parasite (87169) |
— |
$132 |
— |
| Magnesium Urine (83735) |
— |
$258 |
— |
| Mass Spectrometry Quant (83789) |
— |
$812 |
— |
| Mecp2 gene dup/delet variant (81304) |
— |
$903 |
— |
| Mecp2 gene full seq (81302) |
— |
$4,329 |
— |
| Mercury urine (83825) |
— |
$216 |
— |
| Methotrexate (80204) |
— |
$146 |
— |
| Methylmalonic acid serum (83921) |
— |
$319 |
— |
| Mgmt methylation analysis (81287) |
$412.02 |
$630 |
3.3× |
| Microalbumin, quantitative (82043) |
— |
$256 |
— |
| Microsomal Antibodies Each (86376) |
— |
$399 |
— |
| Mitochondrial Antibody Each (86381) |
— |
$221 |
— |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) |
— |
$1,087 |
— |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
— |
$5,538 |
— |
| Mog-Igg1 Antb Cba Each (86362) |
— |
$330 |
— |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) |
— |
$720 |
— |
| Molecular Cytogenetics Dna Probe Each (88271) |
— |
$496 |
— |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
— |
$334 |
— |
| Molecular Pathology Procedure Level 3 (81402) |
— |
$1,279 |
— |
| Molecular Pathology Procedure Level 6 (81405) |
— |
$2,781 |
— |
| Mononuclear cell antigen (86356) |
— |
$269 |
— |
| Mopath procedure level 1 (81400) |
— |
$549 |
— |
| Mopath procedure level 2 (81401) |
— |
$1,097 |
— |
| Mopath procedure level 4 (81403) |
— |
$1,930 |
— |
| Mopath procedure level 5 (81404) |
— |
$2,523 |
— |
| Mopath procedure level 7 (81406) |
— |
$2,897 |
— |
| Mopath procedure level 8 (81407) |
— |
$8,273 |
— |
| Mopath procedure level 9 (81408) |
— |
$8,472 |
— |
Morphometric analysis nerve (88356)
range across 2 matching MRF lines |
$961.88 |
$651.65–$1,470.77 |
14.8× |
Morphometric Analysis Tumor (88358)
range across 2 matching MRF lines |
$190.71 |
$149.36–$291.60 |
0.9× |
| Mpl gene analysis sequence analysis exon 10 (81339) |
— |
$1,789 |
— |
| Mrsa Pcr (87641) |
— |
$233 |
— |
| Msh2 Gene Analysis Full Sequence Analysis (81295) |
— |
$2,681 |
— |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) |
$788.07 |
$1,205 |
3.3× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) |
— |
$2,697 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$582 |
— |
| Mucopolysaccharides acid quantitative (83864) |
— |
$83 |
— |
| Mumps antibody (86735) |
— |
$336 |
— |
| Muscle-Specific Kinase Antb (86366) |
— |
$54 |
— |
| Mycobacteric Identification (87118) |
— |
$147 |
— |
| Mycophenolic Acid (80180) |
— |
$319 |
— |
| Mycoplasma antibody (86738) |
— |
$200 |
— |
| Myd88 Gene P.Leu265pro Vrnt (81305) |
— |
$1,831 |
— |
| Myelin basic protein csf (83873) |
— |
$446 |
— |
| Myoglobin urine (83874) |
— |
$189 |
— |
| Natriuretic peptide (83880) |
— |
$524 |
— |
Neisseria Dir Na Probe (87590)
range across 2 matching MRF lines |
$101.74–$194.72 |
$155.57–$299.57 |
varies |
| Nerve teasing preparations (88362) |
— |
$615 |
— |
| Neurofilament light chain (83884) |
— |
$357 |
— |
| Neutralization Test Viral (86382) |
— |
$196 |
— |
| Nfct Agent Genotype Hepatitis B Virus (87912) |
— |
$1,758 |
— |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) |
— |
$3,636 |
— |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
— |
$622 |
— |
| Nfct ds chrnc hcv 6 assays (81596) |
— |
$1,122 |
— |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) |
— |
$953 |
— |
| Niacin (84591) |
— |
$183 |
— |
| Nickel level (83885) |
— |
$305 |
— |
| Nk cells total count (86357) |
— |
$555 |
— |
| Noonan Spectrum Disorders (81442) |
— |
$21,533 |
— |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
— |
$1,134 |
— |
| Nuclear antigen antibody (86235) |
— |
$373 |
— |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) |
— |
$35,055 |
— |
| Nudt15 Gene Common Variants (81306) |
— |
$938 |
— |
| Nzym actv blood cells/tiss radact substrate ea (82658) |
— |
$463 |
— |
| Occult blood feces (82272) |
$26 |
$40 |
6.1× |
Occult Blood Other Sources (82271)
range across 2 matching MRF lines |
$19.62–$22.70 |
$30–$34.92 |
varies |
| Oligoclonal bands (83916) |
— |
$382 |
— |
| Oncoprotein dcp (83951) |
— |
$465 |
— |
| Oocyte identification from follicular fluid (89254) |
$2,841.63 |
$4,345 |
13.4× |
| Organic Acids Qualitative Each Specimen (83919) |
— |
$94 |
— |
| Organic acids urine (83918) |
— |
$307 |
— |
| Osmolality serum (83930) |
— |
$89 |
— |
| Osmolality Urine (83935) |
— |
$87 |
— |
| Osmotic fragility rbc incubated (85557) |
— |
$130 |
— |
| Osmotic Fragility RBC Unincubated (85555) |
— |
$90 |
— |
| Osteocalcin (83937) |
— |
$474 |
— |
| Ova and parasites smears (87177) |
— |
$314 |
— |
| Oxalate urine (83945) |
— |
$106 |
— |
| Pancreatic Elastase Fecal (82656) |
— |
$185 |
— |
| Particle Agglut Antbdy Titr (86406) |
— |
$154 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$164 |
— |
| Parvovirus antibody (86747) |
— |
$207 |
— |
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines |
$247.07 |
$218.56–$377.79 |
0.2× |
| Pathology Consultation During Surgery (88329) |
$170.04 |
$260 |
2.3× |
| Ph urine (81003) |
— |
$92 |
— |
| Phenobarbital Level (80184) |
— |
$196 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$844 |
— |
| Phenylalanine (84030) |
— |
$60 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$178 |
— |
| Phenytoin free (80186) |
— |
$184 |
— |
| Phosphatase alkaline (84075) |
— |
$87 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$363 |
— |
| Phosphorus Serum (84100) |
— |
$144 |
— |
| Phosphorus urine (84105) |
— |
$69 |
— |
| Pik3ca gene analysis targeted sequence analysis (81309) |
— |
$2,008 |
— |
| Platelet Aggregation (85576) |
— |
$354 |
— |
| Platelet Antibodies (86022) |
— |
$481 |
— |
| Platelet count automated (85049) |
— |
$78 |
— |
| Platelet neutralization (85597) |
— |
$260 |
— |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) |
— |
$938 |
— |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) |
— |
$2,056 |
— |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) |
— |
$4,704 |
— |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) |
— |
$3,713 |
— |
| Pms2 gene full seq analysis (81317) |
— |
$782 |
— |
| Porphobilinogen, urine; quantitative (84110) |
— |
$130 |
— |
| Porphyrins Feces Quantitative (84126) |
— |
$414 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$166 |
— |
| Potassium Urine (84133) |
— |
$61 |
— |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) |
— |
$443 |
— |
| Prealbumin (84134) |
— |
$196 |
— |
| Pregnenolone (84140) |
— |
$262 |
— |
| Preparation of embryo for transfer (89255) |
$2,145.12 |
$3,280 |
33.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) |
— |
$404 |
— |
| Primidone (80188) |
— |
$166 |
— |
| Procalcitonin (Pct) (84145) |
— |
$404 |
— |
| Progesterone (84144) |
— |
$380 |
— |
| Prolactin (84146) |
— |
$507 |
— |
| Prostaglandin (84150) |
— |
$368 |
— |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) |
$42.18 |
$64.50 |
1.6× |
| Protein body fluid (84157) |
— |
$97 |
— |
| Protein C Activity (85303) |
— |
$666 |
— |
| Protein c antigen (85302) |
— |
$161 |
— |
Protein Electrophoresis Urine (84166)
range across 4 matching MRF lines |
$165.68–$290.12 |
$115–$446.34 |
varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$148 |
— |
| Protein S Free (85306) |
— |
$377 |
— |
| Protein s total (85305) |
— |
$317 |
— |
| Protein Total Refractometry Any Src (84160) |
— |
$69 |
— |
| Protein total serum (84155) |
— |
$110 |
— |
| Protein Total Urine (84156) |
— |
$90 |
— |
| Protein Western Blot Test (84182) |
— |
$212 |
— |
| Protein, western blot tissue (88371) |
$42.18 |
$64.50 |
1.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
— |
$71 |
— |
| Protoporphyrin rbc quantitative (84202) |
— |
$79 |
— |
| PSA free (84154) |
— |
$246 |
— |
| Pth Intact (83970) |
— |
$551 |
— |
| Pyruvate kinase (84220) |
— |
$115 |
— |
| Q Fever Antibody (86638) |
— |
$148 |
— |
| Quantiferon tb gold plus (86480) |
— |
$1,141 |
— |
| Quantitative assay drug (80299) |
— |
$319 |
— |
| Quantitative Screen Metals (83018) |
— |
$214 |
— |
| Rbc antibody elution (86860) |
— |
$497 |
— |
| Rbc antibody identification (86870) |
— |
$1,019 |
— |
| Rbc antibody screen (86850) |
— |
$690 |
— |
| Rbc serum pretx incubj drugs (86975) |
— |
$979 |
— |
| Reagent Strip/Blood Glucose (82948) |
— |
$82 |
— |
| Renin activity plasma (84244) |
— |
$283 |
— |
| Reptilase test (85635) |
— |
$133 |
— |
| Resp virus 12-25 targets (87633) |
— |
$4,115 |
— |
| Resp Virus 6-11 Targets (87632) |
— |
$1,516 |
— |
| Reticulated Platelet Assay (85055) |
— |
$138 |
— |
| Reticulocyte Count (85046) |
— |
$94 |
— |
| Reticulocyte Count Manual (85044) |
— |
$56 |
— |
| Rh (86901) |
— |
$485 |
— |
| Rheumatoid factor quant (86431) |
— |
$197 |
— |
| Rickettsia antibody (86757) |
— |
$261 |
— |
| Ristocetin cofactor (85245) |
— |
$317 |
— |
| Rpr qualitative (86592) |
— |
$117 |
— |
Rsv ab (86756)
range across 2 matching MRF lines |
$64.09–$94.25 |
$98–$145 |
varies |
| Rsv Assay W/Optic (87807) |
$87.75 |
$135 |
6.7× |
| Rubella Antibody (86762) |
— |
$283 |
— |
| Rubeola antibody (86765) |
— |
$331 |
— |
| Rufinamide (80210) |
— |
$120 |
— |
| Russell Viper Venom Time Diluted (85613) |
— |
$588 |
— |
| Rx metab gen seq alys pnl 6 (81418) |
— |
$2,136 |
— |
| Salicylate Level (80179) |
— |
$84 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$193 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$164 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$473 |
— |
| Sedimentation rate (85651) |
— |
$87 |
— |
| Sedimentation Rate, Automated (85652) |
— |
$108 |
— |
| Selenium (84255) |
— |
$237 |
— |
| Semen analysis complete (89320) |
— |
$225 |
— |
| Semen analysis motility and count (89310) |
$107.91 |
$165 |
12.5× |
| Sensitivity mic (87186) |
— |
$118 |
— |
| Sex Hormone Binding Globulin (84270) |
— |
$291 |
— |
| Shigella Antibody (86771) |
— |
$79 |
— |
| Sickling of rbc reduction (85660) |
— |
$156 |
— |
| Sirolimus (80195) |
— |
$208 |
— |
Skin Test Candida (86485)
range across 2 matching MRF lines |
$43.05–$83.73 |
$65.82–$128.82 |
varies |
| Skin test tuberculosis intradermal (86580) |
— |
$79 |
— |
Skin test unlisted antigen each (86486)
range across 2 matching MRF lines |
$18.15–$36.24 |
$27.75–$55.75 |
varies |
Skin test; histoplasmosis (86510)
range across 2 matching MRF lines |
$24.68–$112.92 |
$37.73–$173.73 |
varies |
| Smear acid fast (87206) |
— |
$132 |
— |
| Smear complex stain (87209) |
— |
$309 |
— |
| Smear gram stain (87205) |
— |
$208 |
— |
| Smear Special Stain (87207) |
— |
$245 |
— |
| Smn1 Gen Nown Famil Seq Vrnt (81337) |
— |
$2,004 |
— |
| Smn1 Gene Analysis Full Gene Sequence (81336) |
— |
$971 |
— |
| Smn1 Gene Dos/Deletion Alys (81329) |
— |
$879 |
— |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
— |
$97 |
— |
| Snrpn/Ube3a Methylation Analysis (81331) |
— |
$470 |
— |
| Sodium Serum (84295) |
— |
$89 |
— |
| Sodium Urine (84300) |
— |
$64 |
— |
| Soluble Transferrin Receptor (84238) |
— |
$367 |
— |
| Somatomedin (84305) |
— |
$384 |
— |
| Somatostatin (84307) |
— |
$357 |
— |
| Special Stains Group 1 (88312) |
— |
$454 |
— |
| Special Stains Group 2 (88313) |
— |
$797 |
— |
| Specimen infect agnt concntj (87015) |
— |
$90 |
— |
| Spectrophotometry (84311) |
— |
$117 |
— |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) |
$719.40 |
$1,100 |
11.1× |
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220)
range across 2 matching MRF lines |
$53.37–$106.34 |
$81.60–$163.60 |
varies |
| Stem cells total count (86367) |
— |
$417 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$146 |
— |
| Strep a assay w/optic (87880) |
— |
$153 |
— |
| Strep a DNA amp probe (87651) |
— |
$200 |
— |
| Strep b DNA amp probe (87653) |
— |
$166 |
— |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
— |
$436 |
— |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) |
— |
$146 |
— |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) |
— |
$72 |
— |
| Sugars Single Qual (84376) |
— |
$79 |
— |
| Surg path level iii (88304) |
— |
$806 |
— |
| Surgical pathology level IV (88305) |
— |
$892 |
— |
| Surgical pathology level vi (88309) |
— |
$3,567 |
— |
| Susceptibility Study Antimicrobial Disk Method (87184) |
— |
$101 |
— |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
— |
$58 |
— |
| Sweat Collection Iontophoresis (89230) |
$14.24 |
$21.77 |
0.2× |
| Syphilis Test Non-Trep Quant (86593) |
— |
$153 |
— |
| T cells absolute cd4 count (86361) |
— |
$253 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$408 |
— |
| T cells total count (86359) |
— |
$276 |
— |
| T3 Free (84481) |
— |
$305 |
— |
| T3 reverse (84482) |
— |
$210 |
— |
| T3 Total (84480) |
— |
$230 |
— |
| T3 Uptake (84479) |
— |
$120 |
— |
| T4 Free (84439) |
— |
$415 |
— |
| T4 total (84436) |
— |
$213 |
— |
| Tacrolimus (80197) |
— |
$508 |
— |
| Tau phosphorylated each (84393) |
— |
$357 |
— |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) |
— |
$443 |
— |
| Tert gene targeted seq alys (81345) |
— |
$598 |
— |
| Testosterone total (84403) |
— |
$753 |
— |
| Testosterone, Free (84402) |
— |
$519 |
— |
| Tetanus antibody (86774) |
— |
$192 |
— |
| Thawing Cryopresrved Sperm (89353) |
$65.40 |
$100 |
1.0× |
| Thawing of cryopreserved embryos (89352) |
$1,700.40 |
$2,600 |
8.0× |
| Theophylline (80198) |
— |
$192 |
— |
| Thrombin Time (85670) |
— |
$143 |
— |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
— |
$146 |
— |
| Thyroglobulin (84432) |
— |
$235 |
— |
| Thyroglobulin Antibody (86800) |
— |
$483 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$769 |
— |
| Thyroxine binding globulin (84442) |
— |
$202 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$63 |
— |
Tissue Culture (88233)
range across 2 matching MRF lines |
$805.32–$1,106.55 |
$1,231.38–$1,702.38 |
varies |
| Tissue Culture Amniotic Fluid (88235) |
— |
$766 |
— |
| Tissue culture bone marrow (88237) |
— |
$1,462 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$835 |
— |
| Tobramycin peak (80200) |
— |
$243 |
— |
| Topiramate (80201) |
— |
$229 |
— |
| Total Tau (84394) |
— |
$357 |
— |
Touch prep (88161)
range across 2 matching MRF lines |
$139.88 |
$85.82–$213.88 |
3.9× |
| Toxoplasma ab igm (86778) |
— |
$217 |
— |
| Toxoplasma antibody (86777) |
— |
$359 |
— |
| Tp53 gene analysis targeted sequence analysis (81352) |
— |
$1,516 |
— |
| Tpmt gene com variants (81335) |
— |
$1,674 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$95 |
— |
| Transferrin (84466) |
— |
$335 |
— |
| Trb@ Rearrangement Anal Amplification Method (81340) |
— |
$1,058 |
— |
| Trichinella Antibody (86784) |
— |
$160 |
— |
| Trichomonas Vaginalis Amplif (87661) |
— |
$661 |
— |
| Triglycerides (84478) |
— |
$78 |
— |
| Troponin Quant (84484) |
— |
$302 |
— |
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines |
$389.93 |
$198.57–$596.22 |
0.9× |
| Tumor Immunohistochem/Manual (88360) |
— |
$898 |
— |
| Ugt1a1 gene analysis common variants (81350) |
— |
$871 |
— |
| Urea nitrogen urine (84540) |
— |
$77 |
— |
| Uric acid other source (84560) |
— |
$64 |
— |
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 2 matching MRF lines |
$9.81–$30.62 |
$15–$47.10 |
varies |
| Urinalysis Volume Measure (81050) |
— |
$40 |
— |
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007)
range across 2 matching MRF lines |
$94.25–$94.83 |
$145 |
varies |
| Urine Albumin Semiquantitative (82044) |
$28.54 |
$43.90 |
4.6× |
| Urine Bacteria Culture (87088) |
— |
$76 |
— |
| Urine Pregnancy Test (81025) |
— |
$114 |
— |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) |
— |
$114 |
— |
| Valproic acid (80164) |
— |
$181 |
— |
| Vancomycin (80202) |
— |
$182 |
— |
| Varicella-zoster antibody (86787) |
— |
$377 |
— |
| Very Long Chain Fatty Acids (82726) |
— |
$293 |
— |
Viral Culture (87252)
range across 2 matching MRF lines |
$325–$327 |
$500 |
varies |
| Virus antibody nos (86790) |
— |
$365 |
— |
| Virus inoculation, shell via (87254) |
— |
$276 |
— |
| Viscosity serum (85810) |
— |
$156 |
— |
| Vit D 1 25-Dihydroxy (82652) |
— |
$695 |
— |
| Vitamin A (84590) |
— |
$173 |
— |
| Vitamin b-12 (82607) |
— |
$317 |
— |
| Vitamin B2 (Riboflavin) (84252) |
— |
$262 |
— |
| Vitamin B6 (84207) |
— |
$385 |
— |
| Vitamin c (82180) |
— |
$128 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$744 |
— |
| Vitamin E (84446) |
— |
$190 |
— |
| Vitamin K (84597) |
— |
$176 |
— |
| Voltage-Gated Calcium Channel Antibody Each (86596) |
— |
$397 |
— |
| Von willebrand factor ag (85246) |
— |
$491 |
— |
| West nile virus ab igm (86788) |
— |
$150 |
— |
| West Nile Virus Antibody (86789) |
— |
$140 |
— |
| Western Blot Test (84181) |
— |
$194 |
— |
| Whole Mitochondrial Genome (81460) |
— |
$4,146 |
— |
| Whole mitochondrial genome analysis panel (81465) |
— |
$3,015 |
— |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) |
— |
$2,944 |
— |
| Xm Archive Tissue Molec Anal (88363) |
$156.96 |
$240 |
4.3× |
| Zika Virus Dna/Rna Amp Probe (87662) |
— |
$375 |
— |
| Zika Virus Igm Antibody (86794) |
— |
$154 |
— |
| Zinc (84630) |
— |
$152 |
— |