| 5 Nucleotidase (83915) |
— |
$343 |
— |
| Acetylcholn Rcptr Modlg Antb (86043) |
— |
$114 |
— |
| Acth (82024) |
— |
$902 |
— |
| Acute hepatitis panel (80074) |
— |
$902 |
— |
| Acylcarnitines Quant (82017) |
— |
$733 |
— |
| Albumin Fluid (82042) |
— |
$128 |
— |
| Albumin serum (82040) |
— |
$177 |
— |
| Aldolase (82085) |
— |
$227 |
— |
| Aldosterone urine (82088) |
— |
$360 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$501 |
— |
| Allergen specific ige (86003) |
— |
$165 |
— |
| Allg Spec Ige Recomb Ea (86008) |
— |
$16 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$153 |
— |
| Alpha-1-antitrypsin total (82103) |
— |
$361 |
— |
| Alpha-Fetoprotein Serum (82105) |
— |
$771 |
— |
| Alt (sgpt) (84460) |
— |
$177 |
— |
| Aluminum (82108) |
— |
$477 |
— |
| Amikacin trough (80150) |
— |
$422 |
— |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) |
— |
$709 |
— |
| Ammonia (82140) |
— |
$395 |
— |
| Amniotic fluid protein test on cervicovaginal fluid (84112) |
— |
$550 |
— |
| Amylase urine (82150) |
— |
$278 |
— |
| Ana Titer (86039) |
— |
$126 |
— |
| Analysis skeletal muscle (88355) |
$212.67 |
— |
1.0× |
| Androstenedione (82157) |
— |
$902 |
— |
| Angiotensin converting enzyme csf (82164) |
— |
$501 |
— |
| Anti-Phospholipid Antibody (86148) |
— |
$245 |
— |
| Antibody aspergillus (86606) |
— |
$330 |
— |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
— |
$171 |
— |
| Antibody Cytomegalovirus Cmv Igm (86645) |
— |
$596 |
— |
| Antibody Encephalitis California La Crosse (86651) |
— |
$52 |
— |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) |
— |
$954 |
— |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) |
— |
$151 |
— |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) |
— |
$912 |
— |
| Antibody Fungus Not Elsewhere Specified (86671) |
— |
$488 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$167 |
— |
| Antibody Herpes Smplx Type 1 (86695) |
— |
$1,476 |
— |
| Antibody HIV-1&HIV-2 single result (86703) |
— |
$1,200 |
— |
| Antibody HIV-2 (86702) |
— |
$250 |
— |
| Antibody htlv/HIV antibody confirmatory test (86689) |
— |
$138 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$215 |
— |
| Antibody john cunningham virus (86711) |
— |
$1,670 |
— |
| Antibody Protozoa Nes (86753) |
— |
$272 |
— |
| Antibody Titer (86886) |
$212.67 |
— |
41.1× |
| Antibody Treponema Pallidum (86780) |
— |
$470 |
— |
| Antibody; campylobacter (86625) |
— |
$693 |
— |
| Antibody; encephalitis, st. louis (86653) |
— |
$52 |
— |
| Antigen typing (86905) |
$447.44 |
$245 |
116.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
$212.67 |
— |
37.2× |
| Antinuclear antibodies (86038) |
— |
$314 |
— |
| Antistreptolysin o titer (86060) |
— |
$397 |
— |
| Antithrombin iii activity (85300) |
— |
$1,186 |
— |
| Antithrombin iii antigen (85301) |
— |
$1,095 |
— |
| Apolipoprotein a1 (82172) |
— |
$501 |
— |
| Arsenic (82175) |
— |
$1,239 |
— |
| Aspergillus ag eia (87305) |
— |
$723 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$1,107 |
— |
| Assay of 5-hiaa (83497) |
— |
$466 |
— |
| Assay of blood/uric acid (84550) |
— |
$177 |
— |
| Assay of calcium in urine (82340) |
— |
$238 |
— |
| Assay of g6pd enzyme (82955) |
— |
$368 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$368 |
— |
| Assay of lactic acid (83605) |
— |
$382 |
— |
| Assay of metanephrines (83835) |
— |
$997 |
— |
| Assay of proinsulin (84206) |
— |
$185 |
— |
| Assay of pyruvate (84210) |
— |
$343 |
— |
| Assay of serotonin (84260) |
— |
$948 |
— |
| Assay of serum potassium (84132) |
— |
$120 |
— |
| Assay of sweat sodium (84302) |
— |
$60 |
— |
| Assay of urea nitrogen (84520) |
— |
$177 |
— |
| Assay of urine vma (84585) |
— |
$642 |
— |
| Assay of vitamin b-1 (84425) |
— |
$812 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$123 |
— |
| Asstd Fertilization Microtq > 10 Oocytes (89281) |
$212.67 |
— |
1.0× |
| Asstd oocyte fert 10 or less (89280) |
$1,005.72 |
— |
1.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) |
$212.67 |
— |
1.0× |
| Autol bld/component collj storage salvage (86891) |
$1,005.72 |
— |
1.0× |
| B cells total count (86355) |
— |
$266 |
— |
| Bartonella antibody (86611) |
— |
$154 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$1,795 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$487 |
— |
| Beta 2 glycoprotein i antibody each (86146) |
— |
$1,146 |
— |
| Beta-2 Microglobulin (82232) |
— |
$550 |
— |
| Beta-amyloid 1-40 (abeta 40) (82233) |
— |
$3,327 |
— |
| Beta-amyloid; 1-42 (abeta 42) (82234) |
— |
$3,327 |
— |
| Bilirubin direct (82248) |
— |
$192 |
— |
| Bilirubin total (82247) |
— |
$192 |
— |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) |
$212.67 |
— |
1.0× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) |
$212.67 |
— |
1.0× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
$65.05 |
— |
1.0× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) |
$36.10 |
— |
1.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$212.67 |
— |
1.0× |
| Bld Typing Serologic Rh Phnt (86906) |
$46.62 |
— |
6.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) |
— |
$284 |
— |
| Blood gas (82803) |
— |
$799 |
— |
| Blood gases w/02 saturation (82805) |
— |
$278 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$165 |
— |
| Blood Type Antigen Donor Reagent Serum Each (86902) |
$447.44 |
$245 |
70.5× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$73.64 |
— |
4.5× |
| Blood typing serologic abo (86900) |
$166.08 |
$199 |
55.5× |
| Bone marrow smear interpretation (85097) |
$1,005.72 |
— |
1.0× |
| Bordetella antibody (86615) |
— |
$837 |
— |
| Borrelia Antibody (86619) |
— |
$100 |
— |
| Brucella antibody (86622) |
— |
$503 |
— |
| C diff amplified probe (87493) |
— |
$560 |
— |
| C-Peptide (84681) |
— |
$599 |
— |
| C-reactive protein (86140) |
— |
$266 |
— |
| Ca 19-9 (86301) |
— |
$646 |
— |
| Cadmium (82300) |
— |
$431 |
— |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) |
$212.67 |
— |
1.0× |
| Calcitonin (82308) |
— |
$749 |
— |
| Calcium ionized (82330) |
— |
$501 |
— |
| Calcium total (82310) |
— |
$205 |
— |
| Calculus Spectroscopy (82365) |
— |
$163 |
— |
| Calprotectin Fecal (83993) |
— |
$1,140 |
— |
| Calr gene com variants (81219) |
— |
$1,071 |
— |
| Cancer Antigen 125 (86304) |
— |
$653 |
— |
| Cancer Antigen 27.29 (86300) |
— |
$646 |
— |
| Carbamazepine total (80156) |
— |
$501 |
— |
| Carboxyhemoglobin (82375) |
— |
$812 |
— |
| Carcinoembryonic antigen (82378) |
— |
$623 |
— |
| Cardiolipin ab iga (86147) |
— |
$695 |
— |
| Carnitine Quantitative Each Specimen (82379) |
— |
$956 |
— |
| Carotene (82380) |
— |
$268 |
— |
| Catecholamines fractionated (82384) |
— |
$687 |
— |
| Ccp antibody (86200) |
— |
$640 |
— |
| Cell count csf (89051) |
— |
$368 |
— |
| Cell marker study (88182) |
$65.05 |
$664 |
1.0× |
| Ceruloplasmin (82390) |
— |
$244 |
— |
| Chemiluminescent assay (82397) |
— |
$458 |
— |
| Chg cryopreservation mature oocyte(s) (89337) |
$212.67 |
— |
1.0× |
| Chlamydia antibody (86631) |
— |
$910 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$910 |
— |
| Chloride other source (82438) |
— |
$165 |
— |
| Chloride Serum (82435) |
— |
$159 |
— |
| Chloride urine (82436) |
— |
$167 |
— |
| Cholesterol total (82465) |
— |
$191 |
— |
| Chorionic gonadotropin test (84702) |
— |
$568 |
— |
| Chromogranin a (86316) |
— |
$599 |
— |
| Chromosome Analysis 15-20 (88262) |
— |
$2,015 |
— |
| Chromosome Analysis 20-25 (88264) |
— |
$1,301 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$382 |
— |
| Ckmb (82553) |
— |
$554 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$1,261 |
— |
| Clotting factor xii hageman (85280) |
— |
$1,242 |
— |
| Clotting Funct Activity (85397) |
— |
$1,152 |
— |
| Cns DNA amp probe type 12-25 (87483) |
— |
$1,500 |
— |
| Coccidioides antibody (86635) |
— |
$612 |
— |
| Cold agglutinin titer (86157) |
— |
$87 |
— |
| Collagen crosslinks (82523) |
— |
$965 |
— |
| Column Chromotography Quant (82542) |
— |
$1,007 |
— |
| Compatibility Each Unit Incubation (86921) |
$212.67 |
— |
1.0× |
| Compatibility test antiglob (86922) |
$212.67 |
$379 |
1.0× |
| Complement Antigen Each Component (86160) |
— |
$993 |
— |
| Complement Total (Ch50) (86162) |
— |
$80 |
— |
| Complement/Function Activity (86161) |
— |
$143 |
— |
| Consltj Compre Review Reprt Referred Matrl (88325) |
$212.67 |
— |
1.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) |
$65.05 |
— |
1.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
$46.62 |
— |
1.0× |
| Coombs direct (86880) |
$73.64 |
$228 |
13.7× |
| Copper urine (82525) |
— |
$327 |
— |
| Cortisol free (82530) |
— |
$414 |
— |
| Cortisol saliva (82533) |
— |
$414 |
— |
| Creatine kinase total (82550) |
— |
$257 |
— |
| Creatinine blood (82565) |
— |
$192 |
— |
| Creatinine Urine (82570) |
— |
$192 |
— |
| Crossmatch electronic (86923) |
$212.67 |
$494 |
1.0× |
| Crossmatch immediate spin (86920) |
$212.67 |
$494 |
1.0× |
| Crp High Sensitivity (86141) |
— |
$180 |
— |
| Cryoglobulin (82595) |
— |
$284 |
— |
| Cryopreservation, reproductive tissue, testicular (89335) |
$65.05 |
— |
1.0× |
| Cryopreservation; embryo(s) (89258) |
$1,005.72 |
— |
1.0× |
| Cryopreservation; sperm (89259) |
$212.67 |
— |
1.0× |
| Cryptococcus ag titer (87899) |
— |
$256 |
— |
| Cryptosporidium ag eia (87328) |
— |
$120 |
— |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) |
— |
$207 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$191 |
— |
| Culture afb (87116) |
— |
$114 |
— |
| Culture blood (87040) |
— |
$284 |
— |
| Culture csf (87070) |
— |
$284 |
— |
| Culture fungus (87102) |
— |
$98 |
— |
| Culture fungus blood (87103) |
— |
$98 |
— |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) |
$212.67 |
— |
1.0× |
| Culture oocyte/embryos<4day (89250) |
$212.67 |
— |
1.0× |
| Culture screen only (87081) |
— |
$200 |
— |
| Culture stool (87045) |
— |
$270 |
— |
| Culture typing if ea antiserum (87140) |
— |
$68 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$1,360 |
— |
| Cyclosporine (80158) |
— |
$923 |
— |
| Cystatin C (82610) |
— |
$384 |
— |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
— |
$8,188 |
— |
| Cytomegalovirus igg (86644) |
— |
$596 |
— |
| Cytopath Cell Enhance Tech (88112) |
$65.05 |
— |
1.0× |
| Cytopath Fl Nongyn Filter (88106) |
$36.10 |
— |
1.0× |
| Cytopath unlstd proc (88199) |
$65.05 |
— |
1.0× |
| Cytp Concentration Smears & Interpretation (88108) |
$46.62 |
$854 |
1.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$65.05 |
$613 |
1.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) |
$212.67 |
$470 |
1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
$46.62 |
$293 |
1.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) |
$212.67 |
— |
1.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) |
$65.05 |
— |
1.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) |
$36.10 |
— |
1.0× |
| Cytp Urine 3-5 Probes Cmptr (88121) |
$212.67 |
— |
1.0× |
| Deoxyribonuclease antibody (86215) |
— |
$732 |
— |
| Detect Agent Nos Dna Amp (87798) |
— |
$1,524 |
— |
| Detect Agent Nos Dna Quant (87799) |
— |
$1,816 |
— |
| Dhea (82626) |
— |
$854 |
— |
| Dhea-S (82627) |
— |
$886 |
— |
| Digoxin (80162) |
— |
$501 |
— |
| Dna Antibody Native/Double Stranded (86225) |
— |
$799 |
— |
| Dpyd gene common variants (81232) |
— |
$202 |
— |
| Drug assay adalimumab (80145) |
— |
$568 |
— |
| Drug Assay Infliximab (80230) |
— |
$973 |
— |
| Drug Screen Quant Clozapine (80159) |
— |
$1,599 |
— |
| Drug Screen Quant Zonisamide (80203) |
— |
$194 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$501 |
— |
| Drug Screen Quantitative Levetiracetam (80177) |
— |
$501 |
— |
| Drug Screen Quantitative Oxcarbazepine (80183) |
— |
$501 |
— |
| Drug Test Prsmv Chem Anlyzr (80307) |
— |
$472 |
— |
| Drug Test Prsmv Dir Opt Obs (80305) |
— |
$47 |
— |
| Ehrlichia antibody (86666) |
— |
$965 |
— |
| Electrolyte panel (80051) |
— |
$238 |
— |
| Electron Microscopy (88348) |
$1,005.72 |
$568 |
1.0× |
| Embryo hatching microtechnique (89253) |
$212.67 |
— |
1.0× |
| Encephaltis East Eqne Anbdy (86652) |
— |
$442 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$159 |
— |
| Enterovirus Antibody (86658) |
— |
$993 |
— |
| Enzyme cell activity (82657) |
— |
$1,766 |
— |
| Enzyme histochemistry (88319) |
$1,005.72 |
$1,701 |
1.0× |
| Erythropoietin (82668) |
— |
$1,412 |
— |
| Estradiol serum (82670) |
— |
$580 |
— |
| Estriol (82677) |
— |
$266 |
— |
| Estrogen total (82672) |
— |
$554 |
— |
| Ethylene Glycol (82693) |
— |
$514 |
— |
| Exam Synovial Fluid Crystals (89060) |
— |
$210 |
— |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) |
$1,005.72 |
— |
1.0× |
| F2 Gene (81240) |
— |
$329 |
— |
| Factor ii activity (85210) |
— |
$1,802 |
— |
| Factor Inhibitor Test (85335) |
— |
$1,074 |
— |
| Factor ix activity (85250) |
— |
$1,239 |
— |
| Factor v activity (85220) |
— |
$1,095 |
— |
| Factor v leiden mutation (81241) |
— |
$394 |
— |
| Factor vii assay (85230) |
— |
$1,874 |
— |
| Factor viii assay (85240) |
— |
$1,888 |
— |
| Factor X (85260) |
— |
$1,242 |
— |
| Factor xi activity (85270) |
— |
$1,186 |
— |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) |
— |
$883 |
— |
| Fecal Fat Qualitative (82705) |
— |
$230 |
— |
| Ferritin (82728) |
— |
$436 |
— |
| Fetal screen rosette (85461) |
— |
$111 |
— |
| Fibrin degradation products (85362) |
— |
$365 |
— |
| Fibrin dgradj products d-dimer qual/semiquan (85378) |
— |
$695 |
— |
| Fibrinogen activity (85384) |
— |
$308 |
— |
| Fibrinogen antigen (85385) |
— |
$64 |
— |
| Flow cytometry first marker (88184) |
$447.44 |
$872 |
1.0× |
| Fluorescent antibody screen (86255) |
— |
$3,538 |
— |
| Fmr1 gene detection (81243) |
— |
$1,582 |
— |
| Folic acid rbc (82747) |
— |
$569 |
— |
| Folic Acid Serum (82746) |
— |
$569 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$458 |
— |
| Forensic Cytopathology (88125) |
$65.05 |
— |
1.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) |
$212.67 |
— |
1.0× |
| Frozen Blood Each Unit Freezing (86930) |
$212.67 |
— |
1.0× |
| Frozen Blood Each Unit Thawing (86931) |
$212.67 |
— |
1.0× |
| Frozen blood freeze/thaw (86932) |
$46.62 |
— |
1.0× |
| Frozen Section (88331) |
$212.67 |
$203 |
1.0× |
| Fungi Identification Yeast (87106) |
— |
$501 |
— |
| Gammaglobulin ige (82785) |
— |
$452 |
— |
| Gastrin (82941) |
— |
$380 |
— |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
— |
$12,814 |
— |
| Genet Virus Isolate Hsv (87255) |
— |
$332 |
— |
| Gentamicin (80170) |
— |
$501 |
— |
| Ggt (82977) |
— |
$244 |
— |
| Glucagon (82943) |
— |
$159 |
— |
| Glucose body fluid (82945) |
— |
$45 |
— |
| Glucose Serum (82947) |
— |
$177 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$508 |
— |
| Glycated Protein (82985) |
— |
$379 |
— |
| Gonadotropin Chorionic Qualitative (84703) |
— |
$225 |
— |
| Growth hormone (83003) |
— |
$330 |
— |
| Haptoglobin (83010) |
— |
$361 |
— |
| Hba1/Hba2 Gene (81257) |
— |
$2,573 |
— |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) |
— |
$543 |
— |
| Hdl Cholesterol (83718) |
— |
$291 |
— |
| Helicobacter Pylori Stool (87338) |
— |
$345 |
— |
| Helminth Antibody (86682) |
— |
$411 |
— |
| Hemagglutination Inhibition (86280) |
— |
$436 |
— |
| Hematocrit (85014) |
— |
$93 |
— |
| Hemoglobin (85018) |
— |
$93 |
— |
| Hemoglobin a1c (83036) |
— |
$284 |
— |
| Hemoglobin Chromotography (83021) |
— |
$199 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$159 |
— |
| Hemoglobin plasma (83051) |
— |
$34 |
— |
| Hep a ab igm (86709) |
— |
$331 |
— |
| Heparin assay (85520) |
— |
$532 |
— |
| Hepatitis a antibody total (86708) |
— |
$331 |
— |
| Hepatitis b core ab igm (86705) |
— |
$327 |
— |
| Hepatitis B Surface Antibody (86706) |
— |
$331 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$308 |
— |
| Hepatitis Be Antibody (86707) |
— |
$311 |
— |
| Hepatitis Be Antigen (87350) |
— |
$331 |
— |
| Hepatitis C Antibody (86803) |
— |
$785 |
— |
| Hepatitis C Genotype (87902) |
— |
$2,089 |
— |
| Hepatitis C Revrs Trnscrpj (87522) |
— |
$1,104 |
— |
| Hepatitis Delta Agent Antibody (86692) |
— |
$57 |
— |
| Herpes simplex type 2 (86696) |
— |
$345 |
— |
| Heterophile Antibody Screen (86308) |
— |
$177 |
— |
| Hfe Gene (81256) |
— |
$1,142 |
— |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) |
— |
$517 |
— |
| Histamine urine (83088) |
— |
$114 |
— |
| Histoplasma antigen urine (87385) |
— |
$426 |
— |
| Hiv Genotype (87901) |
— |
$2,209 |
— |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) |
— |
$140 |
— |
| Hiv-1 Antibody (86701) |
— |
$674 |
— |
| Hiv-1 Quant&Revrse Trnscrpj (87536) |
— |
$1,845 |
— |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
— |
$693 |
— |
| Hla I Typing 1 Allele Hr (81381) |
— |
$1,643 |
— |
| Hla-b27 (86812) |
— |
$883 |
— |
| Homocysteine (83090) |
— |
$185 |
— |
| Homovanillic acid urine (83150) |
— |
$170 |
— |
| Hsv Dna Amp Probe (87529) |
— |
$910 |
— |
| Hsv Dna Quant (87530) |
— |
$365 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$292 |
— |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) |
— |
$148 |
— |
| Iaad Ia Entamoeba Histolytica Grp (87337) |
— |
$391 |
— |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
— |
$162 |
— |
| Iaadi inffluenza a virus (87276) |
— |
$94 |
— |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) |
— |
$1,600 |
— |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) |
— |
$1,171 |
— |
| Iadna Cytomegalovirus Quantification (87497) |
— |
$827 |
— |
| Iadna Hepatitis B Virus Quantification (87517) |
— |
$1,617 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$508 |
— |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) |
— |
$382 |
— |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) |
— |
$949 |
— |
| Igg subclasses (82787) |
— |
$529 |
— |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) |
$447.44 |
$935 |
1.0× |
| Immune Complex Assay (86332) |
— |
$915 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$319 |
— |
| Immunoassay Analyte Quant Radioimmunoassay (83519) |
— |
$1,080 |
— |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) |
— |
$1,135 |
— |
| Immunoassay nonantibody (83516) |
— |
$365 |
— |
| Immunodiffusion not elsewhere specified (86329) |
— |
$37 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$110 |
— |
| Immunofixation electrophoresis (86334) |
— |
$1,273 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$212.67 |
$715 |
1.0× |
| Immunohistochemistry (88342) |
$212.67 |
$1,008 |
1.0× |
| In situ hybridization 1st probe stain (88365) |
$212.67 |
$470 |
1.0× |
| In situ hybridization ea multiplex probe stain (88366) |
$212.67 |
— |
1.0× |
| Influenza a/b ag eia (87400) |
— |
$723 |
— |
| Inhibin b (83520) |
— |
$965 |
— |
| Insemination of oocytes (89268) |
$212.67 |
— |
1.0× |
| Insitu hybridization auto (88367) |
$447.44 |
— |
1.0× |
| Insitu hybridization manual (88368) |
$447.44 |
$599 |
1.0× |
| Insulin antibodies (86337) |
— |
$569 |
— |
| Insulin free (83527) |
— |
$115 |
— |
| Insulin total (83525) |
— |
$278 |
— |
| Intrinsic factor antibody (86340) |
— |
$569 |
— |
| Iron (83540) |
— |
$278 |
— |
| Iron Binding Capacity (83550) |
— |
$278 |
— |
| Irradiation Blood Product Each Unit (86945) |
$46.62 |
— |
1.0× |
| Islet cell antibody (86341) |
— |
$664 |
— |
| Jak2 gene analysis p.val617phe variant (81270) |
— |
$1,951 |
— |
| Lactate (ld) (ldh) enzyme (83615) |
— |
$187 |
— |
| Ldh Isoenzymes (83625) |
— |
$599 |
— |
| LDL direct (83721) |
— |
$154 |
— |
| Lead (83655) |
— |
$327 |
— |
| Legionella antibody (86713) |
— |
$535 |
— |
| Legionella antigen urine (87449) |
— |
$1,118 |
— |
| Leptospira antibody (86720) |
— |
$251 |
— |
| Leukocyte transfusion (86950) |
$212.67 |
— |
1.0× |
| Level I Surg Pathology Gross Examination Only (88300) |
$36.10 |
$353 |
1.0× |
| Level ii surg pathology grossµscopic exam (88302) |
$46.62 |
$824 |
1.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) |
$447.44 |
$2,303 |
1.0× |
| Lipase (83690) |
— |
$284 |
— |
| Lipoprotein A (83695) |
— |
$137 |
— |
| Lithium (80178) |
— |
$284 |
— |
| Luteinizing Hormone (Lh) (83002) |
— |
$458 |
— |
| Lyme disease antibody (86618) |
— |
$883 |
— |
| Lysozyme serum (85549) |
— |
$449 |
— |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) |
$212.67 |
$453 |
1.0× |
| M/phmtrc alys ishquant/semiq (88374) |
$212.67 |
$453 |
1.0× |
| Magnesium Urine (83735) |
— |
$215 |
— |
| Mass Spectrometry Quant (83789) |
— |
$198 |
— |
| Mercury urine (83825) |
— |
$490 |
— |
| Methylmalonic acid serum (83921) |
— |
$712 |
— |
| Microalbumin, quantitative (82043) |
— |
$368 |
— |
| Microsatellite instability (81301) |
— |
$1,005 |
— |
| Microsomal Antibodies Each (86376) |
— |
$550 |
— |
| Mopath procedure level 1 (81400) |
— |
$873 |
— |
| Mopath procedure level 4 (81403) |
— |
$1,863 |
— |
| Morphometric analysis nerve (88356) |
$65.05 |
— |
1.0× |
| Morphometric Analysis Tumor (88358) |
$212.67 |
— |
1.0× |
| Mrsa Pcr (87641) |
— |
$221 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$394 |
— |
| Mumps antibody (86735) |
— |
$550 |
— |
| Mycoplasma antibody (86738) |
— |
$483 |
— |
| Myelin basic protein csf (83873) |
— |
$681 |
— |
| Myoglobin urine (83874) |
— |
$596 |
— |
| Natriuretic peptide (83880) |
— |
$330 |
— |
| Nerve teasing preparations (88362) |
$1,005.72 |
— |
1.0× |
| Neurofilament light chain (83884) |
— |
$965 |
— |
| Nfct Agent Genotype Hepatitis B Virus (87912) |
— |
$2,226 |
— |
| Nk cells total count (86357) |
— |
$391 |
— |
| Nuclear antigen antibody (86235) |
— |
$812 |
— |
| Nudt15 Gene Common Variants (81306) |
— |
$752 |
— |
| Oligoclonal bands (83916) |
— |
$902 |
— |
| Oocyte identification from follicular fluid (89254) |
$212.67 |
— |
1.0× |
| Organic acids urine (83918) |
— |
$1,294 |
— |
| Osmolality serum (83930) |
— |
$257 |
— |
| Osmolality Urine (83935) |
— |
$257 |
— |
| Osteocalcin (83937) |
— |
$308 |
— |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) |
$212.67 |
— |
1.0× |
| Ova and parasites smears (87177) |
— |
$395 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$758 |
— |
| Parvovirus antibody (86747) |
— |
$768 |
— |
| Path Clin Consltj Mod 21-40 (80504) |
$212.67 |
— |
1.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$1,005.72 |
$255 |
1.0× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) |
$212.67 |
— |
1.0× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
$65.05 |
— |
1.0× |
| Pathology Consultation During Surgery (88329) |
$73.64 |
— |
1.0× |
| Ph urine (81003) |
— |
$138 |
— |
| Phenobarbital Level (80184) |
— |
$361 |
— |
| Phenytoin (Dilantin) (80185) |
— |
$361 |
— |
| Phenytoin free (80186) |
— |
$529 |
— |
| Phosphatase alkaline (84075) |
— |
$225 |
— |
| Phosphorus Serum (84100) |
— |
$177 |
— |
| Pinworm exam (87172) |
— |
$93 |
— |
| Platelet Aggregation (85576) |
— |
$238 |
— |
| Platelet Antibodies (86022) |
— |
$1,476 |
— |
| Platelet count automated (85049) |
— |
$178 |
— |
| Pooling blood platelets (86965) |
$212.67 |
— |
1.0× |
| Porphobilinogen, urine; quantitative (84110) |
— |
$103 |
— |
| Porphyrins Urine Quantitation & Fractionation (84120) |
— |
$501 |
— |
| Potassium Urine (84133) |
— |
$120 |
— |
| Prealbumin (84134) |
— |
$176 |
— |
| Pregnenolone (84140) |
— |
$215 |
— |
| Preparation of embryo for transfer (89255) |
$65.05 |
— |
1.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) |
$212.67 |
— |
1.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) |
$73.64 |
$270 |
1.0× |
| Pretx serum rbc antibody identification dilution (86976) |
$36.10 |
— |
1.0× |
| Procalcitonin (Pct) (84145) |
— |
$1,146 |
— |
| Progesterone (84144) |
— |
$458 |
— |
| Prolactin (84146) |
— |
$550 |
— |
| Protein body fluid (84157) |
— |
$115 |
— |
| Protein C Activity (85303) |
— |
$715 |
— |
| Protein c antigen (85302) |
— |
$1,424 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$198 |
— |
| Protein Electrophoretic Fractj&Quantj Serum (84165) |
— |
$361 |
— |
| Protein S Free (85306) |
— |
$1,424 |
— |
| Protein s total (85305) |
— |
$1,424 |
— |
| Protein Total Refractometry Any Src (84160) |
— |
$95 |
— |
| Protein total serum (84155) |
— |
$177 |
— |
| Protein Total Urine (84156) |
— |
$272 |
— |
| Protein Western Blot Test (84182) |
— |
$2,027 |
— |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
— |
$15 |
— |
| PSA free (84154) |
— |
$447 |
— |
| Pth Intact (83970) |
— |
$1,642 |
— |
| Quantiferon tb gold plus (86480) |
— |
$812 |
— |
| Quantitative assay drug (80299) |
— |
$501 |
— |
| Quantitative Screen Metals (83018) |
— |
$718 |
— |
| Rbc antibody elution (86860) |
$212.67 |
$163 |
1.0× |
| Rbc antibody identification (86870) |
$447.44 |
$284 |
1.0× |
| Rbc antibody screen (86850) |
$65.05 |
$268 |
6.7× |
| Rbc pretreatment serum (86978) |
$73.64 |
— |
1.0× |
| Rbc pretx incubatj w/enzymes (86971) |
$212.67 |
— |
1.0× |
| Rbc serum pretx incubj drugs (86975) |
$557.64 |
— |
1.0× |
| Renin activity plasma (84244) |
— |
$548 |
— |
| Resp Virus 6-11 Targets (87632) |
— |
$1,991 |
— |
| Reticulocyte Count (85046) |
— |
$71 |
— |
| Reticulocyte separation (86972) |
$212.67 |
— |
1.0× |
| Rh (86901) |
$46.62 |
$176 |
15.6× |
| Rheumatoid factor quant (86431) |
— |
$380 |
— |
| Rickettsia antibody (86757) |
— |
$225 |
— |
| Ristocetin cofactor (85245) |
— |
$1,570 |
— |
| Rpr qualitative (86592) |
— |
$230 |
— |
| Rubella Antibody (86762) |
— |
$361 |
— |
| Rubeola antibody (86765) |
— |
$361 |
— |
| Russell Viper Venom Time Diluted (85613) |
— |
$569 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$234 |
— |
| Sars-cov-2 COVID-19 antibody (86769) |
— |
$148 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$313 |
— |
| Sedimentation Rate, Automated (85652) |
— |
$167 |
— |
| Selenium (84255) |
— |
$266 |
— |
| Sensitivity mic (87186) |
— |
$106 |
— |
| Serpina 1 gene (81332) |
— |
$548 |
— |
| Sex Hormone Binding Globulin (84270) |
— |
$167 |
— |
| Shigella Antibody (86771) |
— |
$64 |
— |
| Sickling of rbc reduction (85660) |
— |
$167 |
— |
| Sirolimus (80195) |
— |
$1,069 |
— |
| Skin Test Candida (86485) |
$36.10 |
— |
1.0× |
| Skin test tuberculosis intradermal (86580) |
$36.10 |
— |
1.0× |
| Skin test unlisted antigen each (86486) |
$36.10 |
— |
1.0× |
| Skin test; histoplasmosis (86510) |
$46.62 |
— |
1.0× |
| Smear acid fast (87206) |
— |
$60 |
— |
| Smear complex stain (87209) |
— |
$187 |
— |
| Smear gram stain (87205) |
— |
$167 |
— |
| Smear Special Stain (87207) |
— |
$410 |
— |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) |
— |
$4,018 |
— |
| Sodium Serum (84295) |
— |
$120 |
— |
| Sodium Urine (84300) |
— |
$257 |
— |
| Somatomedin (84305) |
— |
$857 |
— |
| Special Stains Group 1 (88312) |
$65.05 |
$1,187 |
1.0× |
| Special Stains Group 2 (88313) |
$166.08 |
$219 |
1.0× |
| Specific gravity body fluid (84315) |
— |
$37 |
— |
| Specimen infect agnt concntj (87015) |
— |
$198 |
— |
| Spectrophotometry (84311) |
— |
$812 |
— |
| Sperm identification from aspiration (89257) |
$65.05 |
— |
1.0× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) |
$65.05 |
— |
1.0× |
| Splitting Blood/Blood Products Each Unit (86985) |
$212.67 |
— |
1.0× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) |
$65.05 |
— |
1.0× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) |
$65.05 |
— |
1.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
$212.67 |
— |
1.0× |
| Staph a DNA amp probe (87640) |
— |
$221 |
— |
| Stool cultr aerobic bact ea (87046) |
— |
$268 |
— |
| Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) |
$212.67 |
— |
1.0× |
| Storage per Year Embryo (89342) |
$212.67 |
— |
1.0× |
| Storage per year sperm/semen (89343) |
$212.67 |
— |
1.0× |
| Strep a assay w/optic (87880) |
— |
$94 |
— |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
— |
$1,135 |
— |
| Sugars Single Qual (84376) |
— |
$60 |
— |
| Surg path level iii (88304) |
$65.05 |
$1,033 |
1.0× |
| Surgical pathology level IV (88305) |
$65.05 |
$1,428 |
1.0× |
| Surgical pathology level vi (88309) |
$1,005.72 |
$868 |
1.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) |
— |
$410 |
— |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) |
— |
$380 |
— |
| Sweat Collection Iontophoresis (89230) |
$65.05 |
— |
1.0× |
| Syphilis Test Non-Trep Quant (86593) |
— |
$230 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$384 |
— |
| T cells total count (86359) |
— |
$334 |
— |
| T3 Free (84481) |
— |
$841 |
— |
| T3 reverse (84482) |
— |
$841 |
— |
| T3 Total (84480) |
— |
$447 |
— |
| T3 Uptake (84479) |
— |
$382 |
— |
| T4 Free (84439) |
— |
$436 |
— |
| T4 total (84436) |
— |
$361 |
— |
| Tacrolimus (80197) |
— |
$756 |
— |
| Tau phosphorylated each (84393) |
— |
$965 |
— |
| Test for acetone/ketones (82009) |
— |
$200 |
— |
| Testosterone total (84403) |
— |
$550 |
— |
| Testosterone, Free (84402) |
— |
$553 |
— |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) |
— |
$6,305 |
— |
| Thaw cryoprsvrd reprod tiss (89354) |
$212.67 |
— |
1.0× |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) |
$212.67 |
— |
1.0× |
| Thawing Cryopresrved Sperm (89353) |
$65.05 |
— |
1.0× |
| Thawing of cryopreserved embryos (89352) |
$212.67 |
— |
1.0× |
| Theophylline (80198) |
— |
$436 |
— |
| Thrombin Time (85670) |
— |
$430 |
— |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) |
— |
$993 |
— |
| Thyroglobulin (84432) |
— |
$177 |
— |
| Thyroglobulin Antibody (86800) |
— |
$577 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$614 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$36 |
— |
| Tissue culture bone marrow (88237) |
— |
$1,024 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$749 |
— |
| Tobramycin peak (80200) |
— |
$501 |
— |
| Topiramate (80201) |
— |
$418 |
— |
| Touch prep (88161) |
$36.10 |
— |
1.0× |
| Toxoplasma ab igm (86778) |
— |
$632 |
— |
| Toxoplasma antibody (86777) |
— |
$596 |
— |
| Tpmt gene com variants (81335) |
— |
$735 |
— |
| Transferase Aspartate Amino Ast Sgot (84450) |
— |
$177 |
— |
| Transferrin (84466) |
— |
$1,040 |
— |
| Trichinella Antibody (86784) |
— |
$273 |
— |
| Trichomonas Vaginalis Amplif (87661) |
— |
$721 |
— |
| Triglycerides (84478) |
— |
$205 |
— |
| Troponin Quant (84484) |
— |
$397 |
— |
| Tumor immunohistochem/comput (88361) |
$447.44 |
— |
1.0× |
| Tumor Immunohistochem/Manual (88360) |
$212.67 |
$1,436 |
1.0× |
| Unlisted Cytogenetic Study (88299) |
$65.05 |
— |
1.0× |
| Unlisted miscellaneous pathology test (89240) |
$65.05 |
— |
1.0× |
| Unlisted reproductive medicine lab procedure (89398) |
$65.05 |
— |
1.0× |
| Unlisted Surgical Pathology Procedure (88399) |
$65.05 |
— |
1.0× |
| Unlisted Transfusion Medicine Procedure (86999) |
$36.10 |
— |
1.0× |
| Uric acid other source (84560) |
— |
$133 |
— |
| Urinalysis Microscopic Only (81015) |
— |
$91 |
— |
| Urinalysis Volume Measure (81050) |
— |
$64 |
— |
| Urine Bacteria Culture (87088) |
— |
$278 |
— |
| Urine Pregnancy Test (81025) |
— |
$30 |
— |
| Valproic acid (80164) |
— |
$436 |
— |
| Vancomycin (80202) |
— |
$501 |
— |
| Varicella-zoster antibody (86787) |
— |
$330 |
— |
| Vasopressin (84588) |
— |
$1,916 |
— |
| Viral Culture (87252) |
— |
$1,487 |
— |
| Virus antibody nos (86790) |
— |
$814 |
— |
| Virus inoculate tissue addl (87253) |
— |
$279 |
— |
| Viscosity serum (85810) |
— |
$501 |
— |
| Vit D 1 25-Dihydroxy (82652) |
— |
$1,256 |
— |
| Vitamin A (84590) |
— |
$345 |
— |
| Vitamin b-12 (82607) |
— |
$501 |
— |
| Vitamin B6 (84207) |
— |
$1,242 |
— |
| Vitamin c (82180) |
— |
$368 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$655 |
— |
| Vitamin E (84446) |
— |
$508 |
— |
| Vitamin K (84597) |
— |
$1,197 |
— |
| Volatiles (84600) |
— |
$667 |
— |
| Volume Reduction Blood/Blood Product Each Unit (86960) |
$212.67 |
— |
1.0× |
| Von willebrand factor ag (85246) |
— |
$1,203 |
— |
| West nile virus ab igm (86788) |
— |
$188 |
— |
| West Nile Virus Antibody (86789) |
— |
$123 |
— |
| Xm Archive Tissue Molec Anal (88363) |
$36.10 |
— |
1.0× |
| Zinc (84630) |
— |
$284 |
— |