| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$287 |
— |
| Acetaminophen level (80143) |
— |
$219 |
— |
| Acute hepatitis panel (80074) |
— |
$108 |
— |
| Albumin serum (82040) |
— |
$63 |
— |
| Aldosterone urine (82088) |
— |
$100 |
— |
| Allergen specific ige (86003) |
— |
$482 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$179 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$193 |
— |
| Alt (sgpt) (84460) |
— |
$494 |
— |
| Ammonia (82140) |
— |
$145 |
— |
| Amylase urine (82150) |
— |
$83 |
— |
| Angiotensin i enzyme test (82164) |
— |
$162 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$33 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$142 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$45 |
— |
| Antibody HIV-2 (86702) |
— |
$126 |
— |
| Antibody identification (86870) |
— |
$247 |
— |
| Antibody mumps (86735) |
— |
$32 |
— |
| Antibody rubeola (86765) |
— |
$62 |
— |
| Antibody screen (86850) |
— |
$154 |
— |
| Antinuclear antibodies (86038) |
— |
$184 |
— |
| Assay of acth (82024) |
— |
$347 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$252 |
— |
| Assay of blood chloride (82435) |
— |
$69.50 |
— |
| Assay of c-peptide (84681) |
— |
$103 |
— |
| Assay of ceruloplasmin (82390) |
— |
$92 |
— |
| Assay of ferritin (82728) |
— |
$42 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$138 |
— |
| Assay of gentamicin (80170) |
— |
$109 |
— |
| Assay of homocystine (83090) |
— |
$102 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$26 |
— |
| Assay of metanephrines (83835) |
— |
$96 |
— |
| Assay of parathormone (83970) |
— |
$123 |
— |
| Assay of phenobarbital (80184) |
— |
$95 |
— |
| Assay of phosphatase acid total (84060) |
— |
$123 |
— |
| Assay of prealbumin (84134) |
— |
$59 |
— |
| Assay of somatomedin (84305) |
— |
$236 |
— |
| Assay of tacrolimus (80197) |
— |
$162 |
— |
| Assay of urine vma (84585) |
— |
$210 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$54 |
— |
| Ast (sgot) (84450) |
— |
$30 |
— |
| Automated rbc count (85041) |
— |
$56 |
— |
| Bilirubin direct (82248) |
— |
$8 |
— |
| Bilirubin total (82247) |
— |
$21 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$68 |
— |
| Blood count reticulocyte automated (85045) |
— |
$88 |
— |
| Blood gases (82803) |
— |
$96 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$86 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$75 |
— |
| Blood typing abo (86900) |
— |
$147 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$105 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$150 |
— |
| C diff amplified probe (87493) |
— |
$265.50 |
— |
| C-reactive protein (86140) |
— |
$19 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$60 |
— |
| Ca 125 (86304) |
— |
$41 |
— |
| Ca 27 29 (86300) |
— |
$65 |
— |
| Calcium ionized (82330) |
— |
$102 |
— |
| Calcium total (82310) |
— |
$21 |
— |
| Calprotectin, fecal (83993) |
— |
$460 |
— |
| Carbon dioxide (82374) |
— |
$69.50 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$50 |
— |
| Carcinoembryonic antigen (82378) |
— |
$216 |
— |
| Chemiluminescent assay (82397) |
— |
$294 |
— |
| Cholesterol total (82465) |
— |
$30 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$215 |
— |
| Ckmb (82553) |
— |
$121 |
— |
| Compatibility test antiglob (86922) |
— |
$135.50 |
— |
| Complement c3 (86160) |
— |
$69 |
— |
| Coombs direct (86880) |
— |
$75 |
— |
| Cortisol free (82530) |
— |
$36 |
— |
| Cortisol total (82533) |
— |
$194 |
— |
| Creatine kinase total (82550) |
— |
$21 |
— |
| Creatinine blood (82565) |
— |
$21 |
— |
| Creatinine clearance (82575) |
— |
$126 |
— |
| Creatinine other source (82570) |
— |
$23.50 |
— |
| Crossmatch immediate spin (86920) |
— |
$147 |
— |
| Culture blood (87040) |
— |
$157 |
— |
| Culture genital (87070) |
— |
$172 |
— |
| Culture screen only (87081) |
— |
$286 |
— |
| Culture stool (87045) |
— |
$132 |
— |
| Culture urine (87086) |
— |
$52 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$80 |
— |
| D-Dimer (85379) |
— |
$102 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$95 |
— |
| Dhea (82626) |
— |
$173 |
— |
| Dhea sulfate (82627) |
— |
$79 |
— |
| Digoxin (80162) |
— |
$62 |
— |
| Dilantin (80185) |
— |
$49 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$47 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$286 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$137 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$65 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$182 |
— |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
— |
$74.50 |
— |
| Ebv viral capsid (86665) |
— |
$62 |
— |
| Ehrlichia antibody (86666) |
— |
$479 |
— |
| Electrolyte panel (80051) |
— |
$59 |
— |
| Endomysial antibody iga (86255) |
— |
$164 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$45 |
— |
| Estradiol (82670) |
— |
$86 |
— |
| Estrogens total (82672) |
— |
$67 |
— |
| F5 gene (81241) |
— |
$228 |
— |
| Factor v activity (85220) |
— |
$228 |
— |
| Factor viii ahg (85240) |
— |
$388 |
— |
| Fecal fat qual (82705) |
— |
$118 |
— |
| Fibrinogen activity (85384) |
— |
$101 |
— |
| Flow cytometry first marker (88184) |
— |
$247 |
— |
| Folate serum (82746) |
— |
$48 |
— |
| Folic acid rbc (82747) |
— |
$150 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$156 |
— |
| Fresh frozen plasma thawing each unit (86927) |
— |
$131 |
— |
| Fructosamine (82985) |
— |
$21 |
— |
| Gammaglobulin ige (82785) |
— |
$173 |
— |
| Gastric Occult Blood (82271) |
— |
$65 |
— |
| Ggt (82977) |
— |
$55 |
— |
| Glucose (82947) |
— |
$16 |
— |
| Glucose body fluid (82945) |
— |
$60 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$51 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$158 |
— |
| Hcg qualitative (84703) |
— |
$75.50 |
— |
| Hcg quant (84702) |
— |
$100.50 |
— |
| Hdl Cholesterol (83718) |
— |
$91 |
— |
| Hematocrit (85014) |
— |
$28 |
— |
| Hemoglobin (85018) |
— |
$30 |
— |
| Hemoglobin a1c (83036) |
— |
$56 |
— |
| Heparin assay (85520) |
— |
$257 |
— |
| Hepatitis a antibody total (86708) |
— |
$48 |
— |
| Hepatitis a igm (86709) |
— |
$42 |
— |
| Hepatitis b core ab igm (86705) |
— |
$160 |
— |
| Hepatitis b core antibody total (86704) |
— |
$160 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$52 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$20 |
— |
| Hepatitis C Genotype (87902) |
— |
$594 |
— |
| Herpes simplex type 2 (86696) |
— |
$294 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$113 |
— |
| Hfe gene (81256) |
— |
$264 |
— |
| Histoplasma antibody (86698) |
— |
$251 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$198 |
— |
| Hpv types 16 & 18 only (87625) |
— |
$160 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$460 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$50 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$77 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$407 |
— |
| Iadna human papillomavirus high-risk types (87624) |
— |
$160 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$215 |
— |
| Iadna nos quantification each organism (87799) |
— |
$564 |
— |
| Igg subclasses (82787) |
— |
$44 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$207 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$860 |
— |
| Immunoassay nonantibody (83516) |
— |
$67 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$159 |
— |
| India ink prep (87210) |
— |
$82 |
— |
| Inhibin b (83520) |
— |
$283 |
— |
| Insulin total (83525) |
— |
$62 |
— |
| Iron (83540) |
— |
$42 |
— |
| Iron binding capacity (83550) |
— |
$60 |
— |
| Lactic acid (83605) |
— |
$44.50 |
— |
| Ldh (83615) |
— |
$15 |
— |
| Lead (83655) |
— |
$83 |
— |
| Lh (83002) |
— |
$99 |
— |
| Lipase (83690) |
— |
$74 |
— |
| Lithium (80178) |
— |
$57 |
— |
| Lyme disease antibody (86618) |
— |
$53 |
— |
| Magnesium (83735) |
— |
$116 |
— |
| Malaria smear (87207) |
— |
$77 |
— |
| Methylmalonic acid serum (83921) |
— |
$140 |
— |
| Microalbumin urine (82043) |
— |
$46 |
— |
| Microsomal antibodies (86376) |
— |
$72 |
— |
| Mrsa amp probe (87641) |
— |
$155 |
— |
| Mucin synovial fluid ropes test (83872) |
— |
$18 |
— |
| Mycoplasma antibody (86738) |
— |
$95 |
— |
| Natriuretic peptide (83880) |
— |
$267 |
— |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) |
— |
$237 |
— |
| Nuclear antigen antibody (86235) |
— |
$88 |
— |
| Occult blood stool (82272) |
— |
$62.50 |
— |
| Osmolality serum (83930) |
— |
$26 |
— |
| Osmolality urine (83935) |
— |
$34 |
— |
| Pancreatic polypeptide (83519) |
— |
$245 |
— |
| Phenytoin free (80186) |
— |
$40 |
— |
| Phosphatase acid prostatic (84066) |
— |
$33 |
— |
| Phosphatase alkaline (84075) |
— |
$65 |
— |
| Phosphorus blood (84100) |
— |
$21 |
— |
| Platelet count (85049) |
— |
$61 |
— |
| Potassium (84132) |
— |
$21 |
— |
| Procalcitonin (pct) (84145) |
— |
$83 |
— |
| Progesterone (84144) |
— |
$65 |
— |
| Prolactin (84146) |
— |
$202 |
— |
| Protein Total Serum (84155) |
— |
$21 |
— |
| Protein urine (84156) |
— |
$95 |
— |
| PSA free (84154) |
— |
$71 |
— |
| Quantiferon tb gold (86480) |
— |
$184 |
— |
| Rbc antibody elution (86860) |
— |
$160 |
— |
| Renin activity plasma (84244) |
— |
$191 |
— |
| Resp virus 3-5 targets (87631) |
— |
$434 |
— |
| Rheumatoid factor quant (86431) |
— |
$115 |
— |
| Rsv (87807) |
— |
$81 |
— |
| Rubella antibody (86762) |
— |
$73 |
— |
| Russell viper venom time diluted (85613) |
— |
$208 |
— |
| Salicylate (80179) |
— |
$62 |
— |
| Sed rate automated (85652) |
— |
$73 |
— |
| Sedimentation rate (85651) |
— |
$73 |
— |
| Sex hormone binding globulin (84270) |
— |
$154 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$123 |
— |
| Smear acid fast (87206) |
— |
$403 |
— |
| Smear gram stain (87205) |
— |
$63.50 |
— |
| Sodium (84295) |
— |
$63 |
— |
| Sodium urine (84300) |
— |
$91 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$115 |
— |
| Strep a assay w/optic (87880) |
— |
$102.50 |
— |
| Strep a DNA amp probe (87651) |
— |
$158 |
— |
| Surg path level iii (88304) |
— |
$80 |
— |
| Surgical pathology level IV (88305) |
— |
$153 |
— |
| T3 free (84481) |
— |
$142 |
— |
| T3 reverse (84482) |
— |
$166 |
— |
| T3 total (84480) |
— |
$174 |
— |
| T3 uptake (84479) |
— |
$67 |
— |
| T4 Free (84439) |
— |
$99 |
— |
| T4 total (84436) |
— |
$90 |
— |
| Test for acetone/ketones (82009) |
— |
$30 |
— |
| Testosterone free (84402) |
— |
$370 |
— |
| Testosterone total (84403) |
— |
$88 |
— |
| Theophylline (80198) |
— |
$136 |
— |
| Thin prep pap (88142) |
— |
$291 |
— |
| Thrombin time plasma (85670) |
— |
$80 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$73 |
— |
| Thyroglobulin (84432) |
— |
$38 |
— |
| Thyroglobulin Ab (86800) |
— |
$87 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$165 |
— |
| Transferrin (84466) |
— |
$160 |
— |
| Triglycerides (84478) |
— |
$83 |
— |
| Troponin (84484) |
— |
$76 |
— |
| Urea nitrogen (84520) |
— |
$21 |
— |
| Uric acid blood (84550) |
— |
$30 |
— |
| Urinalysis microscopic only (81015) |
— |
$40 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$8 |
— |
| Valproic acid level (80164) |
— |
$77 |
— |
| Vancomycin trough (80202) |
— |
$75 |
— |
| Varicella-zoster antibody (86787) |
— |
$109 |
— |
| Vdrl csf (86592) |
— |
$69 |
— |
| Vitamin b-12 (82607) |
— |
$150 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$88 |
— |
| Vitamin C (82180) |
— |
$30 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$89.50 |
— |