Lab & pathology prices at Mt Sinai Hospital Medical Center

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

1315 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $76.85 $109.78 5.0×
17-Hydroxypregnenolone (84143)
range across 2 matching MRF lines		 $52.52–$115.27 $75.03–$164.67 varies
5 Nucleotidase (83915)
range across 2 matching MRF lines		 $51.77–$53.79 $73.95–$76.84 varies
Abl1 gene analysis kinase domain variants (81170) $312.07 $445.82 1.0×
Acetylcholinesterase Assay (82013)
range across 2 matching MRF lines		 $73–$108.02 $104.29–$154.31 varies
Acth (82024)
range across 2 matching MRF lines		 $165.22–$177.04 $236.03–$252.92 varies
Acth Stimulation Panel Adrenal Insufficiency (80400)
range across 2 matching MRF lines		 $46.81–$153.69 $66.87–$219.56 varies
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $284.33 $406.18 3.3×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $261.27 $373.24 3.3×
Actin smooth muscle antibody each (86015) $17.29 $24.70 1.4×
Acute hepatitis panel (80074)
range across 2 matching MRF lines		 $146.01–$462.11 $208.58–$660.15 varies
Acylcarnitines Quant (82017)
range across 2 matching MRF lines		 $80.69–$180.05 $115.27–$257.22 varies
Acylcarnitines; qualitative, each specimen Facility (82016) $103.74 $148.20 6.3×
Adenovirus antibody (86603)
range across 2 matching MRF lines		 $61.52–$73 $87.89–$104.29 varies
Afp-l3 fraction isoform & total afp w/ratio (82107) $92.43 $132.04 1.4×
Agglutinins Febrile Each Antigen (86000)
range across 3 matching MRF lines		 $21.02–$42.27 $30.03–$60.38 varies
Albumin Fluid (82042)
range across 8 matching MRF lines		 $9.76–$173.31 $13.94–$247.59 varies
Albumin serum (82040)
range across 5 matching MRF lines		 $14.28–$74.30 $20.40–$106.14 varies
Aldolase (82085)
range across 2 matching MRF lines		 $53.79–$84.02 $76.84–$120.03 varies
Aldosterone Suppression Evaluation Panel (80408) $353.49 $504.98 2.8×
Aldosterone urine (82088)
range across 3 matching MRF lines		 $143.28–$189.06 $204.69–$270.09 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines		 $47.29–$80.69 $67.55–$115.27 varies
Allergen spec ige qual multiallergen screen (86005)
range across 2 matching MRF lines		 $11.44–$88.38 $16.34–$126.25 varies
Allergen specific ige (86003)
range across 18 matching MRF lines		 $5.27–$37.53 $7.53–$53.61 varies
Allergen specific igg (86001)
range across 4 matching MRF lines		 $15.03–$58.51 $21.47–$83.59 varies
Allg Spec Ige Recomb Ea (86008) $25.73 $36.76 1.4×
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines		 $38.28–$99.90 $54.68–$142.71 varies
Alpha-1-antitrypsin total (82103)
range across 4 matching MRF lines		 $73–$149.28 $104.29–$213.25 varies
Alpha-Fetoprotein Amniotic Fluid (82106)
range across 2 matching MRF lines		 $72.79–$84.53 $103.99–$120.76 varies
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines		 $50.26–$222.07 $71.80–$317.24 varies
Alt (sgpt) (84460)
range across 5 matching MRF lines		 $23.05–$186.66 $32.93–$266.65 varies
Aluminum (82108)
range across 2 matching MRF lines		 $70.53–$111.43 $100.76–$159.18 varies
Amikacin trough (80150)
range across 2 matching MRF lines		 $73–$154.55 $104.29–$220.79 varies
Amines vaginal fluid qualitative (82120) $111.43 $159.18 18.6×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 4 matching MRF lines		 $19.90–$245.90 $28.43–$351.29 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 4 matching MRF lines		 $245.90–$471.11 $351.29–$673.02 varies
Amino Acids Multiple Qualitative Each Specimen (82128)
range across 2 matching MRF lines		 $19.90–$53.79 $28.43–$76.84 varies
Amino Acids Quant 2-5 (82136)
range across 2 matching MRF lines		 $28.14–$245.90 $40.20–$351.29 varies
Amino acids; single, qualitative, each specimen Facility (82127)
range across 2 matching MRF lines		 $53.79–$198.07 $76.84–$282.95 varies
Aminolevulinic acid (ala) (82135)
range across 2 matching MRF lines		 $45.02–$80.69 $64.32–$115.27 varies
Ammonia (82140)
range across 2 matching MRF lines		 $65.32–$111.03 $93.32–$158.62 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $140.79 $201.13 1.4×
Amniotic fluid scan (82143)
range across 2 matching MRF lines		 $66.01–$69.16 $94.30–$98.80 varies
Amylase urine (82150)
range across 2 matching MRF lines		 $30.74–$89.29 $43.91–$127.56 varies
Ana Titer (86039)
range across 2 matching MRF lines		 $24.04–$61.47 $34.34–$87.82 varies
Analysis skeletal muscle (88355) $253.40 $362 1.4×
Anca screen each antibody (86036) $17.29 $24.70 1.4×
Anca Titer Each Antibody (86037) $17.29 $24.70 1.4×
Androstanediol Glucuronide (82154)
range across 2 matching MRF lines		 $71.28–$119.11 $101.83–$170.16 varies
Androstenedione (82157)
range across 2 matching MRF lines		 $111.43–$177.04 $159.18–$252.92 varies
Androsterone (hormone) level (82160)
range across 2 matching MRF lines		 $36.67–$119.11 $52.38–$170.16 varies
Angiotensin converting enzyme csf (82164)
range across 3 matching MRF lines		 $31.54–$130.55 $45.05–$186.50 varies
Angiotensin II (82163)
range across 2 matching MRF lines		 $111.43–$128.29 $159.18–$183.27 varies
Animal inoculation, small animal, with observation and dissection Facility (87003)
range across 2 matching MRF lines		 $24.16–$69.16 $34.52–$98.80 varies
Anti-Phospholipid Antibody (86148)
range across 5 matching MRF lines		 $22.53–$130.63 $32.19–$186.62 varies
Antibody aspergillus (86606)
range across 3 matching MRF lines		 $21.78–$76.85 $31.11–$109.78 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 5 matching MRF lines		 $17.26–$135.79 $24.65–$193.98 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines		 $28.52–$96.06 $40.74–$137.23 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 4 matching MRF lines		 $16–$92.21 $22.86–$131.73 varies
Antibody Encephalitis California La Crosse (86651)
range across 4 matching MRF lines		 $25.51–$73 $36.44–$104.29 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 3 matching MRF lines		 $13.02–$84.53 $18.60–$120.76 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines		 $13.02–$84.53 $18.60–$120.76 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 4 matching MRF lines		 $13.02–$92.21 $18.60–$131.73 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 5 matching MRF lines		 $24.04–$105.80 $34.34–$151.14 varies
Antibody haemophilus influenza (86684)
range across 2 matching MRF lines		 $86.28–$88.38 $123.26–$126.25 varies
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines		 $27.77–$96.06 $39.67–$137.23 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 3 matching MRF lines		 $20.52–$76.85 $29.32–$109.78 varies
Antibody Herpes Smplx Type 1 (86695)
range across 7 matching MRF lines		 $13.06–$76.85 $18.66–$109.78 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 3 matching MRF lines		 $25.51–$71.28 $36.44–$101.83 varies
Antibody HIV-2 (86702)
range across 2 matching MRF lines		 $88.38–$117.03 $126.25–$167.18 varies
Antibody Hla Class I High Definition Panel Qual (86832)
range across 2 matching MRF lines		 $76.85–$417.84 $109.78–$596.91 varies
Antibody Hla Class I Phenotype Panel Qualitative (86830)
range across 2 matching MRF lines		 $76.85–$137.07 $109.78–$195.82 varies
Antibody Hla Class II Phenotype Panel Qual (86831)
range across 2 matching MRF lines		 $76.85–$117.50 $109.78–$167.85 varies
Antibody hla class ii semiquantitative panel (86835)
range across 2 matching MRF lines		 $76.85–$463.45 $109.78–$662.07 varies
Antibody htlv/HIV antibody confirmatory test (86689)
range across 4 matching MRF lines		 $48.79–$168.79 $69.70–$241.13 varies
Antibody identification leukocyte antibodies (86021)
range across 4 matching MRF lines		 $28.52–$274.55 $40.74–$392.22 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 2 matching MRF lines		 $17.88–$88.38 $25.54–$126.25 varies
Antibody john cunningham virus (86711)
range across 2 matching MRF lines		 $24.23–$57.64 $34.62–$82.34 varies
Antibody leishmania (86717) $73 $104.29 6.0×
Antibody Lymphocytic Choriomeningitis (86727)
range across 5 matching MRF lines		 $43.52–$73 $62.17–$104.29 varies
Antibody neisseria meningitidis (86741)
range across 2 matching MRF lines		 $18.93–$73 $27.04–$104.29 varies
Antibody nocardia (86744)
range across 2 matching MRF lines		 $25.51–$73 $36.44–$104.29 varies
Antibody plasmodium malaria (86750)
range across 2 matching MRF lines		 $18.93–$73 $27.04–$104.29 varies
Antibody Protozoa Nes (86753)
range across 5 matching MRF lines		 $23.28–$111.03 $33.26–$158.62 varies
Antibody rotavirus (86759) $73 $104.29 4.0×
Antibody Titer (86886)
range across 3 matching MRF lines		 $26.90–$132.06 $38.43–$188.65 varies
Antibody Treponema Pallidum (86780)
range across 6 matching MRF lines		 $21.02–$75.01 $30.03–$107.16 varies
Antibody yersinia (86793) $73 $104.29 5.5×
Antibody; campylobacter (86625)
range across 2 matching MRF lines		 $18.83–$88.38 $26.90–$126.25 varies
Antibody; encephalitis, st. louis (86653)
range across 4 matching MRF lines		 $25.51–$73 $36.44–$104.29 varies
Antibody; influenza virus (86710)
range across 5 matching MRF lines		 $20.27–$105.80 $28.96–$151.14 varies
Antibody; mucormycosis Facility (86732) $73 $104.29 4.9×
Antigen typing (86905)
range across 5 matching MRF lines		 $19.22–$42.76 $27.45–$61.09 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 3 matching MRF lines		 $14.64–$93.78 $20.91–$133.97 varies
Antinomyces antibody (86602)
range across 2 matching MRF lines		 $14.61–$73 $20.87–$104.29 varies
Antinuclear antibodies (86038)
range across 3 matching MRF lines		 $61.47–$195.80 $87.82–$279.72 varies
Antistreptolysin O Screen (86063)
range across 2 matching MRF lines		 $8.28–$30.74 $11.83–$43.91 varies
Antistreptolysin o titer (86060)
range across 2 matching MRF lines		 $36.02–$42.27 $51.46–$60.38 varies
Antithrombin iii activity (85300)
range across 4 matching MRF lines		 $9.76–$208.54 $13.94–$297.92 varies
Antithrombin iii antigen (85301)
range across 2 matching MRF lines		 $15.51–$88.38 $22.16–$126.25 varies
Aortic dysfunction/dilation dup/del analysis (81411) $1,937.52 $2,767.89 1.4×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $723.24 $1,033.20 1.4×
Apc Gene Analysis Known Familial Variants (81202)
range across 2 matching MRF lines		 $23.05–$401.80 $32.93–$574 varies
Apc gene dup/delet variants (81203)
range across 2 matching MRF lines		 $23.05–$287 $32.93–$410 varies
Apc gene full sequence (81201) $1,119.30 $1,599 1.4×
Apolipoprotein a1 (82172)
range across 4 matching MRF lines		 $21.02–$87.03 $30.03–$124.33 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $54.15 $77.35 1.4×
Aquaporin-4 Antb Elisa (86051) $16.55 $23.64 1.4×
Arsenic (82175)
range across 6 matching MRF lines		 $12.02–$99.90 $17.17–$142.71 varies
Aspergillus ag eia (87305)
range across 2 matching MRF lines		 $87.79–$102.03 $125.41–$145.76 varies
Assay activated protein c (85307)
range across 2 matching MRF lines		 $56.29–$96.06 $80.41–$137.23 varies
Assay Blood Carbon Dioxide (82374)
range across 3 matching MRF lines		 $21.02–$31.54 $30.03–$45.05 varies
Assay Blood Catecholamines (82383) $157.54 $225.05 5.4×
Assay Duodenal Fluid Trypsin (84485) $34.59 $49.41 4.8×
Assay Nephelometry Not Spec (83883)
range across 12 matching MRF lines		 $18.76–$197.32 $26.80–$281.88 varies
Assay of 5-hiaa (83497)
range across 3 matching MRF lines		 $7.53–$84.53 $10.76–$120.76 varies
Assay of b-hexosaminidase each assay (83080)
range across 2 matching MRF lines		 $24.21–$57.64 $34.58–$82.34 varies
Assay of blood/uric acid (84550)
range across 2 matching MRF lines		 $23.05–$61.52 $32.93–$87.89 varies
Assay of calcium in urine (82340)
range across 3 matching MRF lines		 $12.20–$69.78 $17.43–$99.68 varies
Assay of corticosterone (82528)
range across 2 matching MRF lines		 $51.77–$126.80 $73.95–$181.14 varies
Assay of cpk in blood (82552)
range across 2 matching MRF lines		 $25.51–$84.53 $36.44–$120.76 varies
Assay of estrone (82679)
range across 2 matching MRF lines		 $41.26–$111.43 $58.94–$159.18 varies
Assay of feces for trypsin (84490) $26.90 $38.43 2.7×
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines		 $38.28–$65.32 $54.68–$93.32 varies
Assay of gammaglobulin igm (82784)
range across 9 matching MRF lines		 $15.79–$126.03 $22.55–$180.04 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines		 $57.64–$101.89 $82.34–$145.55 varies
Assay of manganese (83785)
range across 2 matching MRF lines		 $81.04–$115.27 $115.77–$164.67 varies
Assay of metanephrines (83835)
range across 4 matching MRF lines		 $17.26–$162.05 $24.65–$231.50 varies
Assay of phosphatase acid total (84060)
range across 2 matching MRF lines		 $27.77–$46.11 $39.67–$65.87 varies
Assay of phosphatase alkaline heat stable (84078) $46.11 $65.87 5.6×
Assay of procainamide (80190) $65.32 $93.32 1.1×
Assay of proinsulin (84206)
range across 2 matching MRF lines		 $131.31–$142.16 $187.58–$203.09 varies
Assay of prostate specific antigen complexed (84152)
range across 2 matching MRF lines		 $26.39–$96.06 $37.70–$137.23 varies
Assay of pyruvate (84210)
range across 2 matching MRF lines		 $69.16–$110.28 $98.80–$157.54 varies
Assay of semen fructose (82757) $46.11 $65.87 2.7×
Assay of serotonin (84260)
range across 2 matching MRF lines		 $150.78–$176.74 $215.40–$252.49 varies
Assay of serum potassium (84132)
range across 3 matching MRF lines		 $21.02–$58.51 $30.03–$83.59 varies
Assay of Sialic Acid (84275) $61.47 $87.82 4.6×
Assay of sweat sodium (84302) $65.30 $93.28 13.4×
Assay of transcortin (84449)
range across 2 matching MRF lines		 $25.83–$84.53 $36.90–$120.76 varies
Assay of Tyrosine (84510)
range across 2 matching MRF lines		 $15.25–$46.11 $21.79–$65.87 varies
Assay of urea nitrogen (84520)
range across 2 matching MRF lines		 $23.05–$59.27 $32.93–$84.67 varies
Assay of urine vma (84585)
range across 3 matching MRF lines		 $37.53–$99.05 $53.61–$141.50 varies
Assay of vasoactive intestinal peptide (84586)
range across 2 matching MRF lines		 $66.01–$138.32 $94.30–$197.60 varies
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines		 $41.26–$99.90 $58.94–$142.71 varies
Assay Ph Body Fluid Nos (83986)
range across 7 matching MRF lines		 $9–$171.70 $12.86–$245.28 varies
Assay Phosphohexose Enzymes (84087)
range across 2 matching MRF lines		 $15.40–$53.79 $22–$76.84 varies
Assay spec xcp ur&breath ia (82077) $24.78 $35.40 1.4×
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) $347.13 $495.90 1.4×
Asxl1 gene analysis full gene sequence (81175) $970.78 $1,386.83 1.4×
Asy carbamazepin 10,11-epxid (80161) $26.75 $38.21 1.4×
Atomic Absorption (82190) $111.43 $159.18 7.0×
Autol Bld/Component Collj Storage Predeposited (86890)
range across 2 matching MRF lines		 $126.80–$425.33 $181.14–$607.62 varies
Autol bld/component collj storage salvage (86891) $199.79 $285.42 0.2×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines		 $15.37–$21.02 $21.96–$30.03 varies
B cells total count (86355)
range across 2 matching MRF lines		 $54.03–$76.52 $77.18–$109.32 varies
Bartonella antibody (86611)
range across 3 matching MRF lines		 $21.02–$80.69 $30.03–$115.27 varies
Bckdhb Gene Analysis Common Variants (81205) $165.82 $236.88 1.7×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines		 $70.53–$216.79 $100.76–$309.70 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines		 $45.02–$70.53 $64.32–$100.76 varies
Bcr/Abl1 Gene Other Bp (81208) $307.98 $439.97 1.4×
Beta 2 glycoprotein i antibody each (86146)
range across 5 matching MRF lines		 $12.31–$126.80 $17.58–$181.14 varies
Beta hydroxybutyrate (82010)
range across 3 matching MRF lines		 $22.53–$42.01 $32.19–$60.01 varies
Beta Lactamase (87185)
range across 3 matching MRF lines		 $26.90–$35.45 $38.43–$50.64 varies
Beta-2 Microglobulin (82232)
range across 4 matching MRF lines		 $24.75–$99.90 $35.36–$142.71 varies
Bile acids total (82239)
range across 3 matching MRF lines		 $57.64–$166.53 $82.34–$237.90 varies
Bile acids, cholylglycine (82240) $130.63 $186.62 4.9×
Bilirubin direct (82248)
range across 2 matching MRF lines		 $23.05–$54.78 $32.93–$78.26 varies
Bilirubin total (82247)
range across 6 matching MRF lines		 $23.05–$195.80 $32.93–$279.72 varies
Bilirubin total transcutaneous (88720)
range across 2 matching MRF lines		 $15.03–$21.02 $21.47–$30.03 varies
Bilirubin; feces, qualitative Facility (82252) $15.37 $21.96 3.4×
Biotinidase (82261)
range across 2 matching MRF lines		 $25.51–$26.90 $36.44–$38.43 varies
Bl Smear W/O Diff Wbc Count (85008) $11.53 $16.47 3.4×
Blastomyces antibody (86612)
range across 3 matching MRF lines		 $19.52–$76.85 $27.88–$109.78 varies
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $87.46 $124.94 1.6×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $86 $122.85 2.8×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078)
range across 2 matching MRF lines		 $88.38–$139.55 $126.25–$199.36 varies
Bld Typing Serologic Rh Phnt (86906)
range across 3 matching MRF lines		 $26.90–$60.77 $38.43–$86.82 varies
Bleeding time test (85002)
range across 2 matching MRF lines		 $34.59–$42.01 $49.41–$60.01 varies
Blm Gene (81209) $165.82 $236.88 4.2×
Blood Count Automated Differential Wbc Count (85004) $9.28 $13.26 1.4×
Blood Count Manual Cell Count Each (85032) $23.05 $32.93 5.3×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $19.22 $27.45 3.8×
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines		 $15.37–$21.02 $21.96–$30.03 varies
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines		 $23.05–$36.77 $32.93–$52.53 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines		 $19.22–$59.27 $27.45–$84.67 varies
Blood count spun microhematocrit (85013)
range across 2 matching MRF lines		 $10.05–$15.37 $14.35–$21.96 varies
Blood gas (82803)
range across 3 matching MRF lines		 $26.26–$170.30 $37.52–$243.28 varies
Blood gases w/02 saturation (82805)
range across 3 matching MRF lines		 $96.06–$225.04 $137.23–$321.49 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines		 $6.78–$33.12 $9.69–$47.31 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 3 matching MRF lines		 $11.26–$56.07 $16.09–$80.10 varies
Blood Sulfhemoglobin Assay (83060) $42.27 $60.38 4.8×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 6 matching MRF lines		 $36.77–$132.06 $52.53–$188.65 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904)
range across 2 matching MRF lines		 $23.05–$23.45 $32.93–$33.50 varies
Blood typing serologic abo (86900)
range across 2 matching MRF lines		 $19.22–$42.76 $27.45–$61.09 varies
Body fluid cell count (89050)
range across 2 matching MRF lines		 $6.78–$30.74 $9.68–$43.91 varies
Bone marrow smear interpretation (85097)
range across 2 matching MRF lines		 $182.05–$462.11 $260.07–$660.15 varies
Bordetella antibody (86615)
range across 4 matching MRF lines		 $36.02–$101.49 $51.46–$144.99 varies
Borrelia Antibody (86619)
range across 2 matching MRF lines		 $19.20–$73 $27.43–$104.29 varies
Braf gene analysis (81210)
range across 2 matching MRF lines		 $241.55–$393.83 $345.07–$562.62 varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $631.40 $902 1.4×
Brca1 Gene Analysis Known Familial Variant (81215) $538.48 $769.26 1.4×
Brca1&2 gen full seq dup/del (81162) $2,618.70 $3,741 1.4×
Brca2 gene analysis full sequence analysis (81216) $265.65 $379.50 1.4×
Brca2 Gene Analysis Known Familial Variant (81217) $538.48 $769.26 1.4×
Breath Alcohol Test (82075)
range across 2 matching MRF lines		 $34.59–$43.05 $49.41–$61.50 varies
Brucella antibody (86622)
range across 4 matching MRF lines		 $22.53–$53.79 $32.19–$76.84 varies
C diff amplified probe (87493) $111.79 $159.70 3.0×
C-Peptide (84681)
range across 2 matching MRF lines		 $107.58–$115.56 $153.69–$165.08 varies
C-reactive protein (86140)
range across 3 matching MRF lines		 $14.28–$67.52 $20.40–$96.45 varies
Ca 19-9 (86301)
range across 4 matching MRF lines		 $34.51–$88.38 $49.30–$126.25 varies
Cadmium (82300)
range across 2 matching MRF lines		 $12.78–$115.27 $18.25–$164.67 varies
Caffeine (80155) $152.29 $217.56 3.9×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $468.75 $669.64 2.6×
Calcitonin (82308)
range across 2 matching MRF lines		 $86.28–$161.37 $123.26–$230.53 varies
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $315.06 $450.09 3.9×
Calcium ionized (82330)
range across 3 matching MRF lines		 $36.02–$86.28 $51.46–$123.26 varies
Calcium total (82310)
range across 3 matching MRF lines		 $21.02–$86.28 $30.03–$123.26 varies
Calcium; after calcium infusion test (82331) $34.59 $49.41 2.6×
Calculus assay quant (82360)
range across 2 matching MRF lines		 $18.47–$80.69 $26.38–$115.27 varies
Calculus Spectroscopy (82365)
range across 2 matching MRF lines		 $65.30–$69.78 $93.28–$99.68 varies
Calculus Xray Diffraction (82370) $73 $104.29 5.8×
Calprotectin Fecal (83993) $47.29 $67.55 2.4×
Calr gene com variants (81219)
range across 2 matching MRF lines		 $280.18–$325.56 $400.26–$465.09 varies
Cancer Antigen 125 (86304)
range across 3 matching MRF lines		 $25.25–$122.30 $36.07–$174.71 varies
Cancer Antigen 27.29 (86300)
range across 3 matching MRF lines		 $41.26–$98.30 $58.94–$140.43 varies
Candida antibody (86628)
range across 2 matching MRF lines		 $18.76–$84.53 $26.80–$120.76 varies
Candida Dna Dir Probe (87480)
range across 2 matching MRF lines		 $51.77–$57.64 $73.95–$82.34 varies
Car Ion Chnnlpath Inc 10 Gns (81413) $839.34 $1,199.05 1.4×
Car Ion Chnnlpath Inc 2 Gns (81414) $839.34 $1,199.05 1.4×
Carbamazepine free (80157)
range across 2 matching MRF lines		 $19.01–$65.32 $27.16–$93.32 varies
Carbamazepine total (80156)
range across 2 matching MRF lines		 $65.32–$194.30 $93.32–$277.57 varies
Carbohydrate Deficient Transferrin (82373)
range across 3 matching MRF lines		 $42.01–$359.32 $60.01–$513.32 varies
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $26.90 $38.43 1.9×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines		 $31.54–$73 $45.05–$104.29 varies
Carcinoembryonic antigen (82378)
range across 4 matching MRF lines		 $14.28–$107.58 $20.40–$153.69 varies
Cardiolipin ab iga (86147)
range across 5 matching MRF lines		 $16–$420.10 $22.86–$600.14 varies
Carnitine Quantitative Each Specimen (82379)
range across 3 matching MRF lines		 $107.58–$634.63 $153.69–$906.61 varies
Carotene (82380)
range across 2 matching MRF lines		 $20.27–$61.47 $28.96–$87.82 varies
Catecholamines fractionated (82384)
range across 4 matching MRF lines		 $97.55–$157.54 $139.35–$225.05 varies
Catecholamines total urine (82382)
range across 2 matching MRF lines		 $17.26–$107.58 $24.65–$153.69 varies
Cathepsin-d (82387) $146.01 $208.58 8.1×
Ccp antibody (86200)
range across 3 matching MRF lines		 $16.51–$152.29 $23.58–$217.56 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $292.56 $417.94 1.2×
Cell count csf (89051)
range across 2 matching MRF lines		 $38.42–$126.03 $54.89–$180.04 varies
Cell enumeration & id (86152) $23.05 $32.93 0.1×
Cell marker study (88182)
range across 3 matching MRF lines		 $69.78–$160.46 $99.68–$229.23 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $194.96 $278.51 1.4×
Ceruloplasmin (82390)
range across 2 matching MRF lines		 $65.32–$86.28 $93.32–$123.26 varies
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) $242.16 $345.94 1.4×
Cftr Gene Analysis Known Familial Variants (81221) $139.51 $199.30 1.4×
Cftr gene com variants (81220) $209.87 $299.81 0.4×
Cftr gene dup/delet variants (81222) $297.08 $424.40 0.7×
Cftr gene full sequence (81223) $1,498.82 $2,141.17 3.0×
Chemiluminescent assay (82397)
range across 9 matching MRF lines		 $28.52–$215.15 $40.74–$307.35 varies
Chemotaxis Assay (86155) $49.95 $71.36 3.1×
Chimerism w/comp to baseline w/cell selection ea (81268) $374.23 $534.62 1.4×
Chimerism w/comp to baseline w/o cell selection (81267) $297.70 $425.29 1.4×
Chlamydia antibody (86631)
range across 5 matching MRF lines		 $15.97–$61.47 $22.81–$87.82 varies
Chlamydia Igm Antibody (86632)
range across 5 matching MRF lines		 $15.97–$69.16 $22.81–$98.80 varies
Chlamydia trachomatis ag if (87270) $57.64 $82.34 4.8×
Chloramphenicol level (82415) $103.74 $148.20 8.2×
Chloride other source (82438)
range across 3 matching MRF lines		 $15.79–$51.77 $22.55–$73.95 varies
Chloride Serum (82435)
range across 2 matching MRF lines		 $21.02–$26.90 $30.03–$38.43 varies
Chloride urine (82436)
range across 3 matching MRF lines		 $30.74–$65.30 $43.91–$93.28 varies
Chlorinated Hydrocarbons Screen (82441)
range across 2 matching MRF lines		 $8.62–$76.85 $12.32–$109.78 varies
Cholesterol total (82465)
range across 3 matching MRF lines		 $9–$60.77 $12.86–$86.82 varies
Cholinesterase rbc (82482)
range across 2 matching MRF lines		 $25.51–$76.85 $36.44–$109.78 varies
Cholinesterase Serum (82480)
range across 3 matching MRF lines		 $16.51–$49.95 $23.58–$71.36 varies
Chondroitin B sulfate, quantitative Facility (82485) $126.80 $181.14 6.1×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $115.27 $164.67 2.1×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $115.27 $164.67 2.2×
Chorionic gonadotropin test (84702)
range across 5 matching MRF lines		 $36.02–$221.31 $51.46–$316.16 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)
range across 2 matching MRF lines		 $392.33–$580.18 $560.47–$828.83 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285)
range across 2 matching MRF lines		 $38.62–$153.69 $55.17–$219.56 varies
Chrmsm Analysis Addl High Resolution Study (88289)
range across 2 matching MRF lines		 $107.58–$250.55 $153.69–$357.93 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 3 matching MRF lines		 $69.78–$222.82 $99.68–$318.31 varies
Chrmsm Analysis Addl Specialized Banding (88283)
range across 2 matching MRF lines		 $98.44–$130.63 $140.63–$186.62 varies
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248)
range across 2 matching MRF lines		 $248.50–$438.01 $355–$625.73 varies
Chrmsm Breakage Baseline Sister 20-25 Cll (88245)
range across 2 matching MRF lines		 $219.01–$248.50 $312.87–$355 varies
Chrmsm Breakage Synds Score 100 Cll (88249)
range across 2 matching MRF lines		 $248.50–$487.96 $355–$697.09 varies
Chromium serum (82495)
range across 2 matching MRF lines		 $89.29–$126.80 $127.56–$181.14 varies
Chromogenic Substrate Assay (85130)
range across 2 matching MRF lines		 $17.06–$53.79 $24.37–$76.84 varies
Chromogranin a (86316)
range across 2 matching MRF lines		 $31.54–$88.38 $45.05–$126.25 varies
Chromosome analys amniotic (88269)
range across 2 matching MRF lines		 $222.82–$420.10 $318.31–$600.14 varies
Chromosome Analysis 15-20 (88262)
range across 3 matching MRF lines		 $95.28–$514.86 $136.12–$735.51 varies
Chromosome Analysis 20-25 (88264)
range across 3 matching MRF lines		 $117.78–$503.34 $168.25–$719.05 varies
Chromosome analysis 45 cells (88263)
range across 2 matching MRF lines		 $215.66–$526.39 $308.09–$751.98 varies
Chromosome analysis, 5 (88261)
range across 2 matching MRF lines		 $379.33–$384.22 $541.90–$548.89 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 4 matching MRF lines		 $101.89–$176.29 $145.55–$251.84 varies
Citric acid urine (82507)
range across 3 matching MRF lines		 $26.26–$157.54 $37.52–$225.05 varies
Ckmb (82553)
range across 2 matching MRF lines		 $38.42–$171.05 $54.89–$244.36 varies
Clostridium Difficile (87324)
range across 2 matching MRF lines		 $30.74–$105.10 $43.91–$150.14 varies
Clot Factor VIII Multimetric (85247)
range across 3 matching MRF lines		 $45.02–$142.16 $64.32–$203.09 varies
Clot factor xiii fibrin stab (85290)
range across 2 matching MRF lines		 $23.45–$103.74 $33.50–$148.20 varies
Clot lysis time, whole blood dilution Facility (85175) $34.59 $49.41 1.7×
Clot retraction (85170) $19.22 $27.45 1.2×
Clotting factor viii related antigen (85244) $142.16 $203.09 7.0×
Clotting factor xii hageman (85280)
range across 2 matching MRF lines		 $19.52–$115.27 $27.88–$164.67 varies
Clotting Funct Activity (85397) $105.04 $150.06 3.4×
Clotting hi molec weight kininogen assay (85293)
range across 2 matching MRF lines		 $103.74–$115.56 $148.20–$165.08 varies
Clotting prekallikrein assay fletcher fact assay (85292)
range across 2 matching MRF lines		 $103.74–$115.56 $148.20–$165.08 varies
Cns DNA amp probe type 12-25 (87483) $598.08 $854.40 1.4×
Coagulation time activated (85347)
range across 2 matching MRF lines		 $19.22–$19.52 $27.45–$27.88 varies
Coagulation time other methods (85348)
range across 2 matching MRF lines		 $6.44–$26.90 $9.20–$38.43 varies
Coagulation time; Lee and White Facility (85345) $19.22 $27.45 4.1×
Coccidioides antibody (86635)
range across 5 matching MRF lines		 $17.26–$84.53 $24.65–$120.76 varies
Cold agglutinin screen (86156)
range across 2 matching MRF lines		 $30.74–$52.52 $43.91–$75.03 varies
Cold agglutinin titer (86157)
range across 2 matching MRF lines		 $18.76–$42.27 $26.80–$60.38 varies
Collagen crosslinks (82523)
range across 3 matching MRF lines		 $44.27–$198.07 $63.24–$282.95 varies
Column Chromotography Quant (82542)
range across 21 matching MRF lines		 $37.53–$453.10 $53.61–$647.29 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $2,186.23 $3,123.18 3.8×
Comparative Anal Str Markers Patient&Comp Spec (81265) $201.05 $287.21 0.9×
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) $433.10 $618.71 1.4×
Compatibility Each Unit Incubation (86921)
range across 3 matching MRF lines		 $22.53–$211.55 $32.19–$302.22 varies
Compatibility test antiglob (86922)
range across 3 matching MRF lines		 $19.22–$31.54 $27.45–$45.05 varies
Complement Antigen Each Component (86160)
range across 6 matching MRF lines		 $28.52–$87.79 $40.74–$125.41 varies
Complement Fixation Tests Each Antigen (86171)
range across 2 matching MRF lines		 $14.36–$53.79 $20.52–$76.84 varies
Complement Total (Ch50) (86162)
range across 2 matching MRF lines		 $111.43–$298.59 $159.18–$426.55 varies
Complement/Function Activity (86161)
range across 2 matching MRF lines		 $22.53–$80.69 $32.19–$115.27 varies
Consltj Compre Review Reprt Referred Matrl (88325)
range across 3 matching MRF lines		 $195.04–$308.31 $278.63–$440.44 varies
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 2 matching MRF lines		 $165.06–$184.43 $235.80–$263.47 varies
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 3 matching MRF lines		 $110.21–$216.79 $157.44–$309.70 varies
Coombs direct (86880)
range across 4 matching MRF lines		 $9.76–$25.51 $13.94–$36.44 varies
Copper urine (82525)
range across 3 matching MRF lines		 $22.53–$84.53 $32.19–$120.76 varies
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $783.81 $1,119.73 1.0×
Cortisol free (82530)
range across 2 matching MRF lines		 $68.27–$115.27 $97.53–$164.67 varies
Cortisol saliva (82533)
range across 4 matching MRF lines		 $68.27–$153.04 $97.53–$218.63 varies
Creatine (82540) $30.74 $43.91 6.6×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $73 $104.29 6.1×
Creatine kinase total (82550)
range across 4 matching MRF lines		 $9–$111.03 $12.86–$158.62 varies
Creatinine blood (82565)
range across 3 matching MRF lines		 $21.02–$26.90 $30.03–$38.43 varies
Creatinine clearance (82575)
range across 2 matching MRF lines		 $61.47–$111.03 $87.82–$158.62 varies
Creatinine Urine (82570)
range across 13 matching MRF lines		 $7.53–$201.05 $10.76–$287.21 varies
Crossmatch electronic (86923) $84.02 $120.03 0.5×
Crossmatch immediate spin (86920)
range across 3 matching MRF lines		 $22.53–$180.05 $32.19–$257.22 varies
Crp High Sensitivity (86141) $59.27 $84.67 4.6×
Cryofibrinogen (82585)
range across 2 matching MRF lines		 $20.29–$42.27 $28.99–$60.38 varies
Cryoglobulin (82595)
range across 2 matching MRF lines		 $42.27–$51.77 $60.38–$73.95 varies
Cryopreservation, reproductive tissue, testicular (89335) $384.22 $548.89 6.9×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240)
range across 2 matching MRF lines		 $161.37–$389.35 $230.53–$556.22 varies
Cryptococcal Antigen (87327)
range across 2 matching MRF lines		 $22.53–$30.74 $32.19–$43.91 varies
Cryptococcus ab (86641)
range across 3 matching MRF lines		 $30.78–$53.79 $43.97–$76.84 varies
Cryptococcus ag titer (87899)
range across 4 matching MRF lines		 $11.66–$103.54 $16.66–$147.91 varies
Cryptosporidium (87272)
range across 2 matching MRF lines		 $57.64–$82.55 $82.34–$117.93 varies
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines		 $23.32–$30.74 $33.31–$43.91 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines		 $28.52–$53.79 $40.74–$76.84 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines		 $9.76–$53.79 $13.94–$76.84 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines		 $9.47–$38.42 $13.53–$54.89 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $312.91 $447.02 1.4×
Culture aerobic quant other (87071)
range across 2 matching MRF lines		 $49.95–$173.31 $71.36–$247.59 varies
Culture afb (87116)
range across 4 matching MRF lines		 $22.53–$502.61 $32.19–$718.01 varies
Culture Anaerobic (87075)
range across 2 matching MRF lines		 $15.14–$53.79 $21.63–$76.84 varies
Culture bacteria anaerobic (87073)
range across 2 matching MRF lines		 $13.86–$53.79 $19.80–$76.84 varies
Culture blood (87040)
range across 3 matching MRF lines		 $11.34–$198.82 $16.20–$284.03 varies
Culture chlamydia (87110)
range across 2 matching MRF lines		 $62.94–$126.78 $89.91–$181.12 varies
Culture csf (87070)
range across 5 matching MRF lines		 $15.03–$46.11 $21.47–$65.87 varies
Culture fungus (87102)
range across 2 matching MRF lines		 $9.47–$46.11 $13.53–$65.87 varies
Culture fungus blood (87103)
range across 2 matching MRF lines		 $11.34–$53.79 $16.20–$76.84 varies
Culture oocyte/embryos<4day (89250) $1,290.98 $1,844.26 7.1×
Culture screen only (87081)
range across 6 matching MRF lines		 $7.57–$36.02 $10.81–$51.46 varies
Culture stool (87045)
range across 2 matching MRF lines		 $15.14–$49.95 $21.63–$71.36 varies
Culture Typing Gas/High Pres Liq Chromatography (87143)
range across 2 matching MRF lines		 $17.97–$65.32 $25.67–$93.32 varies
Culture typing if ea antiserum (87140)
range across 3 matching MRF lines		 $15.79–$42.76 $22.55–$61.09 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 3 matching MRF lines		 $8.86–$35.45 $12.66–$50.64 varies
Culture typing other methods (87158)
range across 2 matching MRF lines		 $7.53–$23.05 $10.76–$32.93 varies
Culture urine (87086)
range across 3 matching MRF lines		 $7.57–$42.27 $10.81–$60.38 varies
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084)
range across 2 matching MRF lines		 $34.59–$38.84 $49.41–$55.49 varies
Culture, typing; identification by pulse field gel typing Facility (87152)
range across 2 matching MRF lines		 $11.11–$23.05 $15.87–$32.93 varies
Cyanide (82600)
range across 2 matching MRF lines		 $84.53–$114.80 $120.76–$164 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608)
range across 2 matching MRF lines		 $28.52–$96.06 $40.74–$137.23 varies
Cyclic amp (82030)
range across 2 matching MRF lines		 $89.29–$126.80 $127.56–$181.14 varies
Cyclosporine (80158)
range across 3 matching MRF lines		 $13.74–$99.90 $19.63–$142.71 varies
Cyp2c19 gene analysis common variants (81225) $437.35 $624.79 1.5×
Cyp2c9 gene com variants (81227) $171.81 $245.44 1.0×
Cyp2d6 gene com variants (81226) $647.06 $924.37 1.4×
Cyp3a4 gene common variants (81230) $210.05 $300.07 1.2×
Cyp3a5 gene common variants (81231) $250.85 $358.36 1.4×
Cystatin C (82610)
range across 2 matching MRF lines		 $61.52–$325.56 $87.89–$465.09 varies
Cytogenetics 10-30 (88273)
range across 3 matching MRF lines		 $77.27–$576.33 $110.39–$823.33 varies
Cytogenetics 100-300 (88275)
range across 19 matching MRF lines		 $10.51–$191.29 $15.02–$273.27 varies
Cytogenom Const Microarray Copy Number Variants (81228) $1,291.50 $1,845 1.4×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 3 matching MRF lines		 $171.81–$1,340.54 $245.44–$1,915.06 varies
Cytogenomic neo microra alys (81277) $1,664.60 $2,378 1.4×
Cytomegalovirus igg (86644)
range across 7 matching MRF lines		 $12.02–$86.28 $17.17–$123.26 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines		 $50.26–$62.94 $71.80–$89.91 varies
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines		 $63.04–$307.38 $90.05–$439.11 varies
Cytopath Fl Nongyn Filter (88106) $79.77 $113.96 2.6×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $42.27 $60.38 2.3×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $42.27 $60.38 1.0×
Cytotoxic Antibody Screen Std (86807)
range across 2 matching MRF lines		 $88.38–$112.86 $126.25–$161.23 varies
Cytotoxic pra quick (86808)
range across 2 matching MRF lines		 $42.59–$99.90 $60.84–$142.71 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines		 $38.42–$60.77 $54.89–$86.82 varies
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines		 $93.67–$119.29 $133.82–$170.41 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines		 $218.09–$739.67 $311.56–$1,056.67 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines		 $137.41–$355.59 $196.30–$507.99 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 3 matching MRF lines		 $48.03–$79.77 $68.62–$113.96 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $817.24 $1,167.48 4.5×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 2 matching MRF lines		 $36.02–$45.02 $51.46–$64.32 varies
Cytp smrs any oth src extnd std > 5 slides (88162)
range across 2 matching MRF lines		 $107.58–$365.93 $153.69–$522.75 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 2 matching MRF lines		 $38.42–$41.26 $54.89–$58.94 varies
Cytp Urine 3-5 Probes Cmptr (88121) $1,607.20 $2,296 8.8×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164)
range across 2 matching MRF lines		 $15.41–$46.11 $22.02–$65.87 varies
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166)
range across 2 matching MRF lines		 $34.59–$91.52 $49.41–$130.74 varies
Deoxycortisol (82634)
range across 2 matching MRF lines		 $119.11–$188.31 $170.16–$269.01 varies
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines		 $69.16–$111.79 $98.80–$159.70 varies
Desoxycorticosterone (82633)
range across 2 matching MRF lines		 $45.02–$138.32 $64.32–$197.60 varies
Detect Agent Nos Dna Amp (87798)
range across 24 matching MRF lines		 $41.97–$339.09 $59.96–$484.42 varies
Detect Agent Nos Dna Quant (87799)
range across 8 matching MRF lines		 $86.28–$1,002.96 $123.26–$1,432.80 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines		 $98.28–$115.27 $140.40–$164.67 varies
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $276.64 $395.20 1.7×
Dgp Antibody Each Ig Class (86258) $17.29 $24.70 1.4×
Dhea (82626)
range across 2 matching MRF lines		 $119.11–$165.06 $170.16–$235.80 varies
Dhea-S (82627)
range across 2 matching MRF lines		 $103.74–$138.05 $148.20–$197.21 varies
Dibucaine number (82638)
range across 2 matching MRF lines		 $24.75–$49.95 $35.36–$71.36 varies
Digoxin (80162)
range across 2 matching MRF lines		 $61.47–$128.29 $87.82–$183.27 varies
Dihydrotestosterone (82642) $42.01 $60.02 1.4×
Diphtheria antitoxoid (86648)
range across 2 matching MRF lines		 $39.03–$76.85 $55.76–$109.78 varies
Dipropylacetic Acid Free (80165) $65.47 $93.53 4.8×
Dmd Duplication/Deletion Analysis (81161) $23.05 $32.93 0.1×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines		 $76.85–$162.05 $109.78–$231.50 varies
Dna Antibody Single Stranded (86226)
range across 2 matching MRF lines		 $72.79–$76.85 $103.99–$109.78 varies
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines		 $1.58–$1.59 $2.26–$2.27 varies
DNA/RNA direct probe (87149)
range across 4 matching MRF lines		 $21.88–$69.16 $31.26–$98.80 varies
Dna/Rna Sequencing (87153)
range across 2 matching MRF lines		 $111.03–$278.32 $158.62–$397.60 varies
Dpyd gene common variants (81232) $250.85 $358.36 1.4×
Drug assay acetaminophen (80143) $26.45 $37.78 1.4×
Drug assay adalimumab (80145)
range across 2 matching MRF lines		 $200.29–$215.15 $286.13–$307.35 varies
Drug Assay Amiodarone (80151) $26.75 $38.21 1.4×
Drug Assay Everolimus (80169)
range across 2 matching MRF lines		 $20.63–$109.53 $29.47–$156.47 varies
Drug assay felbamate (80167) $26.75 $38.21 1.4×
Drug Assay Infliximab (80230) $105.80 $151.14 2.7×
Drug Assay Itraconazole (80189) $38.91 $55.58 1.4×
Drug Assay Lacosamide (80235) $72.79 $103.99 2.7×
Drug Assay Leflunomide (80193) $55.35 $79.07 1.4×
Drug Assay Posaconazole (80187) $38.91 $55.58 1.4×
Drug Assay Vedolizumab (80280) $55.35 $79.07 1.4×
Drug assay voriconazole (80285) $166.53 $237.90 6.1×
Drug Screen Quant Clozapine (80159) $108.02 $154.31 5.4×
Drug Screen Quant Zonisamide (80203) $43.52 $62.17 3.3×
Drug Screen Quantitative Gabapentin (80171) $36.02 $51.46 1.7×
Drug Screen Quantitative Lamotrigine (80175) $36.02 $51.46 2.7×
Drug Screen Quantitative Levetiracetam (80177) $124.52 $177.89 9.4×
Drug Screen Quantitative Oxcarbazepine (80183) $65.30 $93.28 4.9×
Drug Screen Quantitative Procainamide Metabolite (80192)
range across 2 matching MRF lines		 $33.01–$88.38 $47.15–$126.25 varies
Drug Screen Quantitative Tiagabine (80199) $38.91 $55.58 1.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 12 matching MRF lines		 $19.52–$249.80 $27.88–$356.85 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines		 $18.08–$22.88 $25.83–$32.68 varies
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines		 $24.60–$30.10 $35.14–$43 varies
Egfr Gene Analysis Common Variants (81235)
range across 4 matching MRF lines		 $23.05–$972.22 $32.93–$1,388.88 varies
Ehrlichia antibody (86666)
range across 2 matching MRF lines		 $42.01–$80.69 $60.01–$115.27 varies
El-1 Fecal Quantitative (82653) $32.96 $47.09 1.4×
Electrolyte panel (80051)
range across 2 matching MRF lines		 $26.90–$94.53 $38.43–$135.04 varies
Electron Microscopy (88348)
range across 2 matching MRF lines		 $115.50–$1,336.78 $165–$1,909.68 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 2 matching MRF lines		 $80.69–$235.56 $115.27–$336.51 varies
Encephaltis East Eqne Anbdy (86652)
range across 4 matching MRF lines		 $25.51–$73 $36.44–$104.29 varies
Encephaltis West Eqne Antbdy (86654)
range across 4 matching MRF lines		 $25.51–$73 $36.44–$104.29 varies
Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) $23.05 $32.93 0.3×
Endomysial Antibody Each Immunoglobulin Class (86231) $17.35 $24.78 1.4×
Enterovirus Antibody (86658)
range across 6 matching MRF lines		 $17.26–$127.53 $24.65–$182.19 varies
Enterovirus PCR (87498) $406.61 $580.87 11.6×
Enzyme cell activity (82657)
range across 4 matching MRF lines		 $88.38–$2,831.07 $126.25–$4,044.39 varies
Enzyme histochemistry (88319)
range across 4 matching MRF lines		 $26.26–$166.53 $37.52–$237.90 varies
Eosinophil Smear (89190)
range across 2 matching MRF lines		 $26.90–$51.77 $38.43–$73.95 varies
Erythropoietin (82668)
range across 2 matching MRF lines		 $111.43–$134.28 $159.18–$191.83 varies
Estradiol serum (82670)
range across 3 matching MRF lines		 $80.69–$163.56 $115.27–$233.65 varies
Estriol (82677)
range across 3 matching MRF lines		 $51.77–$73 $73.95–$104.29 varies
Estrogen total (82672)
range across 2 matching MRF lines		 $103.74–$131.31 $148.20–$187.58 varies
Estrogens fractionated (82671)
range across 2 matching MRF lines		 $146.01–$245.32 $208.58–$350.45 varies
Ethosuximide (80168)
range across 2 matching MRF lines		 $51.77–$73 $73.95–$104.29 varies
Ethylene Glycol (82693)
range across 3 matching MRF lines		 $28.52–$138.05 $40.74–$197.21 varies
Euglobulin lysis (85360)
range across 4 matching MRF lines		 $46.53–$114.80 $66.47–$164 varies
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines		 $53.79–$91.52 $76.84–$130.74 varies
Exome Sequence Analysis (81415) $68.59 $97.99 0.0×
Exome sequence analysis each comparator exome (81416) $17,220 $24,600 1.4×
F2 Gene (81240)
range across 2 matching MRF lines		 $60.02–$81.04 $85.74–$115.77 varies
F9 full gene sequence (81238) $861 $1,230 1.4×
Factor ii activity (85210)
range across 2 matching MRF lines		 $28.52–$53.79 $40.74–$76.84 varies
Factor Inhibitor Test (85335)
range across 7 matching MRF lines		 $31.54–$258.05 $45.05–$368.64 varies
Factor ix activity (85250)
range across 3 matching MRF lines		 $28.52–$150.78 $40.74–$215.40 varies
Factor v activity (85220)
range across 2 matching MRF lines		 $21.78–$103.74 $31.11–$148.20 varies
Factor v leiden mutation (81241)
range across 3 matching MRF lines		 $36.77–$303.83 $52.53–$434.04 varies
Factor vii assay (85230)
range across 2 matching MRF lines		 $19.52–$103.74 $27.88–$148.20 varies
Factor viii assay (85240)
range across 5 matching MRF lines		 $28.52–$228.06 $40.74–$325.80 varies
Factor X (85260)
range across 3 matching MRF lines		 $19.52–$170.30 $27.88–$243.28 varies
Factor xi activity (85270)
range across 2 matching MRF lines		 $19.52–$115.27 $27.88–$164.67 varies
Factor xiii screen (85291)
range across 2 matching MRF lines		 $32.29–$49.95 $46.13–$71.36 varies
Fancc Gene (81242)
range across 2 matching MRF lines		 $165.82–$464.08 $236.88–$662.97 varies
Fat differential, feces, quantitative Facility (82715) $42.27 $60.38 1.8×
Fat stain feces urine/respir secretions (89125)
range across 2 matching MRF lines		 $24.75–$30.74 $35.36–$43.91 varies
Fat/Lipids Feces Quantitative (82710)
range across 2 matching MRF lines		 $96.06–$114.80 $137.23–$164 varies
Fatty acids free (82725)
range across 2 matching MRF lines		 $42.27–$81.04 $60.38–$115.77 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410)
range across 2 matching MRF lines		 $11.07–$84.53 $15.81–$120.76 varies
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 2 matching MRF lines		 $65.32–$124.52 $93.32–$177.89 varies
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $103.74 $148.20 10.2×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420)
range across 3 matching MRF lines		 $84.53–$176.29 $120.76–$251.84 varies
Fecal Fat Qualitative (82705)
range across 2 matching MRF lines		 $26.90–$53.28 $38.43–$76.11 varies
Ferritin (82728)
range across 2 matching MRF lines		 $65.32–$183.04 $93.32–$261.48 varies
Fetal Aneuploidy Trisom Risk (81507) $552.87 $789.81 0.7×
Fetal Chrmoml Aneuploidy (81420)
range across 2 matching MRF lines		 $1,514.57–$1,926.13 $2,163.67–$2,751.61 varies
Fetal Congenital Abnor Assay Four Anal (81511)
range across 2 matching MRF lines		 $23.05–$220.28 $32.93–$314.68 varies
Fetal Congenital Abnor Assay Two Proteins (81508)
range across 2 matching MRF lines		 $23.05–$77.92 $32.93–$111.32 varies
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $23.05 $32.93 0.3×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510)
range across 2 matching MRF lines		 $23.05–$79.70 $32.93–$113.86 varies
Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) $23.05 $32.93 0.0×
Fetal Fibronectin (82731)
range across 2 matching MRF lines		 $65.32–$164.31 $93.32–$234.73 varies
Fetal hemoglobin assay qual (83033)
range across 2 matching MRF lines		 $26.90–$39.03 $38.43–$55.76 varies
Fetal lung maturity assessment; foam stability test Facility (83662) $46.11 $65.87 2.4×
Fetal Lung Maturity Fluorescence Polarization (83663)
range across 2 matching MRF lines		 $27.14–$46.11 $38.77–$65.87 varies
Fetal screen rosette (85461)
range across 2 matching MRF lines		 $46.11–$109.53 $65.87–$156.47 varies
Fibrin degradation products (85362)
range across 2 matching MRF lines		 $38.42–$108.77 $54.89–$155.39 varies
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines		 $53.79–$108.77 $76.84–$155.39 varies
Fibrin dgradj products d-dimer qual/semiquan (85378)
range across 2 matching MRF lines		 $13.95–$46.11 $19.93–$65.87 varies
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $57.64 $82.34 4.6×
Fibrinogen activity (85384)
range across 2 matching MRF lines		 $34.59–$108.77 $49.41–$155.39 varies
Fibrinogen antigen (85385)
range across 2 matching MRF lines		 $20.75–$42.27 $29.64–$60.38 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 2 matching MRF lines		 $22.21–$29.83 $31.73–$42.61 varies
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $84.53 $120.76 11.0×
Flow cytometry first marker (88184)
range across 11 matching MRF lines		 $11.26–$176.29 $16.09–$251.84 varies
Flt3 Gene (81245)
range across 2 matching MRF lines		 $292.56–$381.10 $417.94–$544.43 varies
Flt3 gene analysis (81246) $292.56 $417.94 3.5×
Fluorescent antibody screen (86255)
range across 29 matching MRF lines		 $6.78–$1,647.35 $9.69–$2,353.35 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 12 matching MRF lines		 $6.78–$93.78 $9.69–$133.97 varies
Fluoride serum (82735) $73 $104.29 3.9×
Fmr1 Gene Charac Alleles (81244) $64.41 $92.02 1.4×
Fmr1 gene detection (81243) $283.56 $405.08 5.0×
Folic acid rbc (82747)
range across 2 matching MRF lines		 $58.51–$84.53 $83.59–$120.76 varies
Folic Acid Serum (82746)
range across 2 matching MRF lines		 $73–$217.55 $104.29–$310.78 varies
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines		 $44.27–$273.08 $63.24–$390.12 varies
Forensic Cytopathology (88125) $35.32 $50.45 0.6×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593)
range across 2 matching MRF lines		 $82.55–$161.37 $117.93–$230.53 varies
Francisella tularensis (86668)
range across 2 matching MRF lines		 $38.28–$53.79 $54.68–$76.84 varies
Fresh Frozen Plasma Thawing Each Unit (86927)
range across 2 matching MRF lines		 $19.22–$21.78 $27.45–$31.11 varies
Frozen Blood Each Unit Freezing (86930) $157.54 $225.05 0.9×
Frozen Blood Each Unit Thawing (86931) $172.90 $247 0.9×
Frozen blood freeze/thaw (86932) $192.11 $274.44 4.8×
Frozen Section (88331)
range across 2 matching MRF lines		 $105–$365.35 $150–$521.93 varies
Fungi Identification Mold (87107)
range across 2 matching MRF lines		 $24.75–$46.11 $35.36–$65.87 varies
Fungi Identification Yeast (87106)
range across 2 matching MRF lines		 $24.75–$46.11 $35.36–$65.87 varies
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250)
range across 2 matching MRF lines		 $165.82–$606.90 $236.88–$867 varies
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) $538.48 $769.26 1.4×
G6pd gene alys cmn variant (81247) $250.85 $358.36 1.4×
G6pd gene analysis full gene sequence (81249) $861 $1,230 1.4×
Galactokinase rbc (82759)
range across 2 matching MRF lines		 $53.79–$302.32 $76.84–$431.88 varies
Galactose (82760)
range across 2 matching MRF lines		 $16.07–$57.64 $22.96–$82.34 varies
Galactose transferase test (82776)
range across 2 matching MRF lines		 $14.28–$23.05 $20.40–$32.93 varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 2 matching MRF lines		 $73–$138.05 $104.29–$197.21 varies
Galectin-3 (82777) $23.05 $32.93 0.5×
Gammaglobulin ige (82785)
range across 3 matching MRF lines		 $19.99–$73 $28.55–$104.29 varies
Gardner vag DNA dir probe (87510)
range across 2 matching MRF lines		 $51.77–$57.64 $73.95–$82.34 varies
Gases Blood O2 Saturation Only Direct Meas (82810)
range across 2 matching MRF lines		 $49.95–$51.77 $71.36–$73.95 varies
Gases blood ph only (82800)
range across 2 matching MRF lines		 $44.27–$46.11 $63.24–$65.87 varies
Gastric Analy W/Ph Ea Spec (82930) $41.26 $58.94 6.1×
Gastrin (82941)
range across 2 matching MRF lines		 $64.54–$84.53 $92.20–$120.76 varies
Gastrin after secretin stim (82938) $84.53 $120.76 4.8×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $598.08 $854.40 1.4×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $165.82 $236.88 3.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines		 $577.50–$1,089.93 $825–$1,557.04 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 2 matching MRF lines		 $1,750–$4,189.63 $2,500–$5,985.18 varies
Genet Virus Isolate Hsv (87255) $111.79 $159.70 3.3×
Genetic Tstg Severe Inh Cond (81443) $3,513.69 $5,019.55 1.4×
Gentamicin (80170)
range across 2 matching MRF lines		 $65.32–$91.52 $93.32–$130.74 varies
Ggt (82977)
range across 5 matching MRF lines		 $23.05–$186.66 $32.93–$266.65 varies
Giardia antigen (87329) $23.32 $33.31 1.9×
Giardia lamblia antibody (86674)
range across 2 matching MRF lines		 $64.54–$73 $92.20–$104.29 varies
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253)
range across 2 matching MRF lines		 $23.05–$88.28 $32.93–$126.12 varies
Gjb2 Gene Analysis Full Gene Sequence (81252)
range across 2 matching MRF lines		 $23.05–$145.11 $32.93–$207.30 varies
Gjb6 Gene Analysis Common Variants (81254)
range across 2 matching MRF lines		 $23.05–$50.23 $32.93–$71.75 varies
Gluc-6-phosphate dehydrogenase screen (82960)
range across 2 matching MRF lines		 $8.68–$34.59 $12.40–$49.41 varies
Glucagon (82943)
range across 2 matching MRF lines		 $88.54–$103.74 $126.49–$148.20 varies
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $172.90 $247 3.8×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $169.06 $241.51 3.3×
Glucagon tolerance test Facility (82946) $57.64 $82.34 3.2×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines		 $30.74–$45.02 $43.91–$64.32 varies
Glucose Blood Test (82962)
range across 2 matching MRF lines		 $5.27–$14.46 $7.53–$20.65 varies
Glucose body fluid (82945)
range across 3 matching MRF lines		 $21.02–$73 $30.03–$104.29 varies
Glucose Serum (82947)
range across 2 matching MRF lines		 $23.05–$76.52 $32.93–$109.32 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines		 $65.32–$76.52 $93.32–$109.32 varies
Glucosidase beta (82963) $88.38 $126.25 4.1×
Glutamate dehydrogenase Facility (82965) $23.05 $32.93 1.8×
Glutathione (82978)
range across 2 matching MRF lines		 $22.17–$61.47 $31.67–$87.82 varies
Glutathione reductase, RBC Facility (82979) $42.27 $60.38 4.5×
Glycated Protein (82985)
range across 3 matching MRF lines		 $34.59–$49.51 $49.41–$70.73 varies
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines		 $42.27–$107.63 $60.38–$153.75 varies
Gonadotropin releasing hormone (83727)
range across 2 matching MRF lines		 $24.67–$99.90 $35.24–$142.71 varies
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $407.27 $581.82 2.7×
Growth hormone (83003)
range across 2 matching MRF lines		 $88.38–$110.28 $126.25–$157.54 varies
Growth hormone antibody (86277) $61.47 $87.82 3.9×
Growth Hormone Stimulation Panel (80428)
range across 2 matching MRF lines		 $95.72–$203.64 $136.74–$290.92 varies
Gtt-added samples (82952)
range across 3 matching MRF lines		 $15.37–$76.52 $21.96–$109.32 varies
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines		 $315.09–$799.18 $450.13–$1,141.69 varies
H Pylori Drug Admin (83014) $122.95 $175.64 15.6×
Haloperidol (80173)
range across 2 matching MRF lines		 $80.69–$130.55 $115.27–$186.50 varies
Haptoglobin (83010)
range across 4 matching MRF lines		 $69.16–$125.28 $98.80–$178.97 varies
Haptoglobin; phenotypes Facility (83012) $73 $104.29 2.7×
HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) $538.48 $769.26 1.4×
Hba1/hba2 full gene sequence (81259) $861 $1,230 1.4×
Hba1/Hba2 Gene (81257) $165.82 $236.88 1.6×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $596.03 $851.47 2.9×
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) $538.48 $769.26 1.4×
Hbb duplication/deletion variants (81363) $290.44 $414.92 1.4×
Hbb Full Gene Sequence (81364) $465.77 $665.39 1.4×
Hbb Gene Com Variants (81361) $250.85 $358.36 1.4×
Hdl Cholesterol (83718)
range across 2 matching MRF lines		 $34.59–$95.28 $49.41–$136.12 varies
Heavy metal qualitative any analytes (83015) $122.95 $175.64 5.9×
Heinz Bodies Direct (85441) $15.37 $21.96 3.7×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $23.05 $32.93 3.4×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines		 $180.59–$210.81 $257.98–$301.15 varies
Helminth Antibody (86682)
range across 4 matching MRF lines		 $42.01–$99.90 $60.01–$142.71 varies
Hemagglutination Inhibition (86280) $53.79 $76.84 6.6×
Hematocrit (85014)
range across 3 matching MRF lines		 $15.37–$33.01 $21.96–$47.15 varies
Hemoglobin (85018)
range across 2 matching MRF lines		 $6.78–$33.76 $9.69–$48.23 varies
Hemoglobin a1c (83036)
range across 4 matching MRF lines		 $9.76–$94.53 $13.94–$135.04 varies
Hemoglobin Chromotography (83021)
range across 7 matching MRF lines		 $26.26–$235.56 $37.52–$336.51 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026) $15.37 $21.96 3.8×
Hemoglobin electrophoresis (83020)
range across 5 matching MRF lines		 $32.94–$235.56 $47.05–$336.51 varies
Hemoglobin F Fetal Chemical (83030) $46.11 $65.87 4.3×
Hemoglobin Methemoglobin Quantitative (83050)
range across 3 matching MRF lines		 $23.05–$231.83 $32.93–$331.18 varies
Hemoglobin plasma (83051)
range across 2 matching MRF lines		 $23.05–$70.53 $32.93–$100.76 varies
Hemoglobin stability screen (83068)
range across 2 matching MRF lines		 $13.59–$19.22 $19.41–$27.45 varies
Hemoglobin Thermolabile (83065) $15.37 $21.96 1.7×
Hemoglobin urine (83069) $15.37 $21.96 3.9×
Hemoglobin-Oxygen Affinity (82820)
range across 2 matching MRF lines		 $61.47–$235.56 $87.82–$336.51 varies
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037)
range across 2 matching MRF lines		 $11.26–$16.10 $16.09–$23 varies
Hemoglobin; methemoglobin, qualitative Facility (83045) $19.22 $27.45 3.0×
Hemolysin Acid (85475) $61.47 $87.82 6.9×
Hemolysins&Agglutinins Auto Screen Each (86940)
range across 2 matching MRF lines		 $12.59–$34.59 $17.98–$49.41 varies
Hemolysins&Agglutinins Incubated (86941)
range across 2 matching MRF lines		 $34.59–$48.79 $49.41–$69.70 varies
Hemosiderin urine (83070)
range across 2 matching MRF lines		 $22.53–$23.05 $32.19–$32.93 varies
Hep a ab igm (86709)
range across 3 matching MRF lines		 $21.78–$128.29 $31.11–$183.27 varies
Heparin assay (85520)
range across 3 matching MRF lines		 $47.29–$285.82 $67.55–$408.31 varies
Heparin Neutralization (85525) $69.16 $98.80 5.8×
Heparin-Protamine Tolerance Tst (85530) $69.16 $98.80 5.3×
Hepatitis a antibody total (86708)
range across 3 matching MRF lines		 $37.53–$138.80 $53.61–$198.29 varies
Hepatitis b core ab igm (86705)
range across 3 matching MRF lines		 $27.77–$98.30 $39.67–$140.43 varies
Hepatitis b core ab total (86704)
range across 2 matching MRF lines		 $22.53–$61.47 $32.19–$87.82 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines		 $53.79–$81.04 $76.84–$115.77 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines		 $38.42–$144.80 $54.89–$206.85 varies
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines		 $61.47–$88.54 $87.82–$126.49 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines		 $49.95–$88.54 $71.36–$126.49 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines		 $88.38–$177.04 $126.25–$252.92 varies
Hepatitis c antibody confirmatory test (86804)
range across 2 matching MRF lines		 $61.52–$122.95 $87.89–$175.64 varies
Hepatitis C Genotype (87902)
range across 4 matching MRF lines		 $115.27–$527.37 $164.67–$753.38 varies
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines		 $104.29–$115.27 $148.98–$164.67 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines		 $97.55–$168.79 $139.35–$241.13 varies
Hepatitis delta ag (87380)
range across 2 matching MRF lines		 $53.79–$111.03 $76.84–$158.62 varies
Hepatitis Delta Agent Antibody (86692)
range across 3 matching MRF lines		 $88.38–$221.31 $126.25–$316.16 varies
Hepatitis G Dna Quant (87527) $115.27 $164.67 2.8×
Hereditary brst ca-related gen seq analys 10 gen (81432) $974.44 $1,392.05 0.7×
Hereditary peripheral neuropathy gen seq pnl (81448) $839.34 $1,199.05 1.4×
Herpes simplex type 2 (86696)
range across 7 matching MRF lines		 $13.06–$76.85 $18.66–$109.78 varies
Heterophile antibodies titer (86309) $38.42 $54.89 5.9×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $42.27 $60.38 5.7×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines		 $30.74–$74.26 $43.91–$106.09 varies
Hexa gene analysis common variants (81255) $165.82 $236.88 3.2×
Hfe Gene (81256) $448.62 $640.88 6.9×
Hgb Quantitative Transcutaneous (88738) $7.20 $10.29 1.4×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 2 matching MRF lines		 $46.11–$51.77 $65.87–$73.95 varies
Histamine urine (83088)
range across 3 matching MRF lines		 $69.78–$142.16 $99.68–$203.09 varies
Histoplasma antibody (86698)
range across 4 matching MRF lines		 $19.52–$73 $27.88–$104.29 varies
Histoplasma antigen urine (87385)
range across 3 matching MRF lines		 $30.74–$159.03 $43.91–$227.19 varies
Hiv Genotype (87901)
range across 5 matching MRF lines		 $149.97–$4,503.14 $214.24–$6,433.05 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 3 matching MRF lines		 $48.79–$69.16 $69.70–$98.80 varies
Hiv-1 Antibody (86701)
range across 3 matching MRF lines		 $14.46–$79.53 $20.65–$113.62 varies
HIV-1 p24 antigen (87390)
range across 2 matching MRF lines		 $41.26–$69.16 $58.94–$98.80 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 4 matching MRF lines		 $109.53–$192.79 $156.47–$275.42 varies
HIV-2 probe&revrse trnscripj (87538) $115.27 $164.67 3.3×
Hla class i semiquant panel (86834)
range across 2 matching MRF lines		 $76.85–$513.10 $109.78–$733 varies
Hla Class I Typing High Resolution Complete (81379) $481.27 $687.53 1.4×
Hla Class I Typing High Resolution One Locus Ea (81380) $336.83 $481.19 1.9×
Hla Class I Typing Low Resolution Complete (81372) $579.15 $827.36 1.4×
Hla Class I Typing Low Resolution One Locus Each (81373) $231.07 $330.10 1.8×
Hla class i&ii antibody qual (86828)
range across 2 matching MRF lines		 $76.85–$92.11 $109.78–$131.59 varies
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $577.05 $824.35 1.4×
Hla class i/ii antibody qual (86829)
range across 2 matching MRF lines		 $76.85–$92.11 $109.78–$131.59 varies
Hla class ii high defin qual (86833) $467.52 $667.89 1.4×
Hla class ii typing high resolution one locus ea (81382)
range across 3 matching MRF lines		 $52.52–$454.61 $75.03–$649.44 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $157.12 $224.45 1.4×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826)
range across 2 matching MRF lines		 $52.42–$76.85 $74.89–$109.78 varies
Hla I Low Resolution One Antigen Equivalent Each (81374) $106.67 $152.38 1.4×
Hla I Typing 1 Allele Hr (81381) $133.53 $190.75 0.8×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $495.89 $708.42 1.4×
Hla i&li low resolution hla-a -b&-drb1 (81371) $577.05 $824.35 1.4×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $316.76 $452.52 1.4×
Hla ii type 1 ag equiv lr (81377) $117.03 $167.18 1.2×
Hla ii typing 1 allele hr (81383) $139.55 $199.36 1.3×
Hla ii typing 1 locus lr (81376) $52.52 $75.03 0.4×
Hla Typing a/B/C Multiple Antigens (86813)
range across 2 matching MRF lines		 $99.05–$176.74 $141.50–$252.49 varies
Hla Typing Dr/Dq Multiple Antigens (86817)
range across 2 matching MRF lines		 $152.31–$487.96 $217.59–$697.09 varies
Hla Typing Dr/Dq Single Antigen (86816)
range across 2 matching MRF lines		 $43.30–$169.06 $61.85–$241.51 varies
Hla-b27 (86812)
range across 2 matching MRF lines		 $122.95–$170.30 $175.64–$243.28 varies
Homocysteine (83090)
range across 2 matching MRF lines		 $42.76–$53.79 $61.09–$76.84 varies
Homogenization Tissue (87176)
range across 2 matching MRF lines		 $26.90–$75.24 $38.43–$107.48 varies
Homovanillic acid urine (83150)
range across 3 matching MRF lines		 $14.28–$99.05 $20.40–$141.50 varies
Hpa-1 genotyping gene analysis common variant (81105) $175.39 $250.55 1.4×
Hpa-15 genotyping gene analysis common variant (81112) $175.39 $250.55 1.4×
Hpa-2 genotyping gene analysis common variant (81106) $175.39 $250.55 1.4×
Hpa-3 genotyping gene analysis common variant (81107) $175.39 $250.55 1.4×
Hpa-4 genotyping gene analysis common variant (81108) $175.39 $250.55 1.4×
Hpa-5 genotyping gene analysis common variant (81109) $175.39 $250.55 1.4×
Hpa-6 genotyping gene analysis common variant (81110) $175.39 $250.55 1.4×
Hpa-9 Genotyping (81111) $175.39 $250.55 1.4×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines		 $133–$157.56 $190–$225.09 varies
Hpv low-risk types (87623) $73 $104.29 2.1×
Hpv sep hi-rsk typ&pool rslt (87626) $85.53 $122.18 1.2×
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines		 $150.50–$165.82 $215–$236.88 varies
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines		 $115.27–$378.08 $164.67–$540.12 varies
Hsv Dna Quant (87530)
range across 2 matching MRF lines		 $76.55–$115.27 $109.35–$164.67 varies
Htlv-I Antibody (86687)
range across 2 matching MRF lines		 $13.04–$73 $18.63–$104.29 varies
Htlv-ii antibody (86688) $69.16 $98.80 4.9×
Htt Gene Detc Abnor Alleles (81271) $196.60 $280.85 1.4×
Human Epididymis Protein 4 (86305) $373.60 $533.72 18.0×
Hydroxycorticosteroids 17 (83491)
range across 2 matching MRF lines		 $107.58–$221.31 $153.69–$316.16 varies
Hydroxyprogesterone 17-d (83498)
range across 3 matching MRF lines		 $39.03–$126.80 $55.76–$181.14 varies
Hydroxyproline free (83500)
range across 2 matching MRF lines		 $32.50–$92.21 $46.43–$131.73 varies
Hydroxyproline total (83505)
range across 2 matching MRF lines		 $103.54–$119.11 $147.91–$170.16 varies
Iaad Ia Adenovirus Enteric Typ 40/41 (87301)
range across 2 matching MRF lines		 $25.51–$30.74 $36.44–$43.91 varies
Iaad Ia Cytomegalovirus (87332)
range across 2 matching MRF lines		 $17.19–$30.74 $24.56–$43.91 varies
Iaad Ia Entamoeba Histolytica Grp (87337)
range across 2 matching MRF lines		 $30.74–$39.03 $43.91–$55.76 varies
Iaad Ia Escherichia Coli 0157 (87335) $30.74 $43.91 2.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 2 matching MRF lines		 $30.74–$98.30 $43.91–$140.43 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $19.96 $28.52 1.4×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $18.76 $26.80 0.5×
Iaad ia shiga-like toxin (87427) $30.74 $43.91 2.6×
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines		 $30.74–$122.30 $43.91–$174.71 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265)
range across 2 matching MRF lines		 $17.19–$57.64 $24.56–$82.34 varies
Iaadi herpes smplx virus type 1 (87274)
range across 2 matching MRF lines		 $17.19–$57.64 $24.56–$82.34 varies
Iaadi herpes smplx virus type 2 (87273)
range across 2 matching MRF lines		 $17.19–$57.64 $24.56–$82.34 varies
Iaadi inffluenza a virus (87276)
range across 2 matching MRF lines		 $49.51–$57.64 $70.73–$82.34 varies
Iaadi not otherwise specified each organism (87299)
range across 2 matching MRF lines		 $50.26–$57.64 $71.80–$82.34 varies
Iaadi parainfluenza virus each type (87279)
range across 2 matching MRF lines		 $23.58–$57.64 $33.68–$82.34 varies
Iaadi pneumocustis carinii (87281)
range across 2 matching MRF lines		 $18.76–$57.64 $26.80–$82.34 varies
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $49.95 $71.36 4.2×
Iaadi respiratory synctial virus (87280)
range across 2 matching MRF lines		 $19.26–$57.64 $27.51–$82.34 varies
Iaadi Varicella Zoster Virus (87290)
range across 2 matching MRF lines		 $19.26–$57.64 $27.51–$82.34 varies
Iaadiadoo trichomonas vaginalis (87808) $21.94 $31.34 1.4×
Iadna Bartonella Amplified Probe Technique (87471) $50.35 $71.93 1.4×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $233.30 $333.28 6.6×
Iadna chlamydia pneumoniae amplified probe tq (87486) $66.01 $94.30 1.9×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 2 matching MRF lines		 $57.64–$105.80 $82.34–$151.14 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $282.80 $404 8.1×
Iadna Cytomegalovirus Direct Probe Tq (87495) $57.64 $82.34 1.9×
Iadna Cytomegalovirus Quantification (87497) $544.62 $778.03 12.7×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $174.78 $249.69 2.5×
Iadna hepatitis b virus amplified probe tq (87516) $115.27 $164.67 3.3×
Iadna Hepatitis B Virus Quantification (87517)
range across 3 matching MRF lines		 $115.27–$219.05 $164.67–$312.93 varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532)
range across 2 matching MRF lines		 $115.27–$224.29 $164.67–$320.42 varies
Iadna Herpes Virus-6 Quantification (87533)
range across 2 matching MRF lines		 $115.27–$291.98 $164.67–$417.12 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines		 $115.27–$363.85 $164.67–$519.78 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $115.27 $164.67 2.0×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $50.35 $71.93 1.4×
Iadna Multiple Organisms Direct Probe Tq (87800)
range across 2 matching MRF lines		 $115.27–$168.79 $164.67–$241.13 varies
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $57.64 $82.34 2.1×
Iadna Mycobacteria Species Amplified Probe Tq (87551)
range across 2 matching MRF lines		 $64.02–$115.27 $91.46–$164.67 varies
Iadna Mycobacteria Species Direct Probe Tq (87550) $57.64 $82.34 2.9×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 5 matching MRF lines		 $64.02–$221.31 $91.46–$316.16 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $57.64 $82.34 2.1×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $66.01 $94.30 1.9×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines		 $72.79–$115.27 $103.99–$164.67 varies
Iadna Nos Direct Probe Tq Each Organism (87797) $57.64 $82.34 1.9×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $157.56 $225.09 3.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 2 matching MRF lines		 $57.64–$232.58 $82.34–$332.25 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $377.39 $539.13 1.4×
Idh1 common variants (81120) $277.31 $396.16 1.4×
Idh2 common variants (81121) $424.46 $606.37 1.4×
Ifnl3 gene analysis rs12979860 variant (81283) $112.46 $160.66 1.5×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines		 $24.78–$55.55 $35.40–$79.35 varies
Igg subclasses (82787)
range across 3 matching MRF lines		 $18.76–$217.55 $26.80–$310.78 varies
Igh gene rearrange amp meth (81261) $252.81 $361.16 1.3×
IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) $98.37 $140.53 1.4×
Igh@ Variable Region Somatic Mutation Analysis (81263) $561.88 $802.68 1.9×
Igk rearrangeabn clonal pop (81264) $189.81 $271.16 1.1×
Ikbkap Gene Analysis Common Variants (81260) $165.82 $236.88 4.2×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 3 matching MRF lines		 $105–$420.10 $150–$600.14 varies
Immune Complex Assay (86332)
range across 2 matching MRF lines		 $34.97–$99.90 $49.96–$142.71 varies
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines		 $66.01–$122.30 $94.30–$174.71 varies
Immunoassay analyte qual/semiqual single step (83518)
range across 2 matching MRF lines		 $13.83–$38.42 $19.76–$54.89 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 16 matching MRF lines		 $27.77–$1,647.35 $39.67–$2,353.35 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294)
range across 2 matching MRF lines		 $36.69–$88.38 $52.42–$126.25 varies
Immunoassay infectious agent (86318)
range across 2 matching MRF lines		 $25.96–$42.27 $37.08–$60.38 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 8 matching MRF lines		 $10.51–$174.78 $15.02–$249.69 varies
Immunoassay nonantibody (83516)
range across 22 matching MRF lines		 $9.08–$1,647.35 $12.97–$2,353.35 varies
Immunodiffusion not elsewhere specified (86329)
range across 2 matching MRF lines		 $20.16–$80.69 $28.80–$115.27 varies
Immunodiffusion Ouchterlony (86331)
range across 3 matching MRF lines		 $24.75–$76.85 $35.36–$109.78 varies
Immunoelectrophoresis Other Fluids Concentration (86325) $32.94 $47.05 1.4×
Immunoelectrophoresis Serum (86320) $32.94 $47.05 1.1×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines		 $32.94–$193.54 $47.05–$276.49 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 8 matching MRF lines		 $54.78–$1,336.78 $78.26–$1,909.68 varies
Immunohistochemistry (88342)
range across 3 matching MRF lines		 $31.54–$492.85 $45.05–$704.07 varies
In situ hybridization 1st probe stain (88365)
range across 5 matching MRF lines		 $31.54–$133 $45.05–$190 varies
In situ hybridization ea multiplex probe stain (88366)
range across 2 matching MRF lines		 $84–$792.84 $120–$1,132.63 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $69.16 $98.80 3.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $30.74 $43.91 1.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320)
range across 2 matching MRF lines		 $21.53–$30.74 $30.75–$43.91 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $73 $104.29 6.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $30.74 $43.91 1.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $20.27 $28.96 0.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $31.23 $44.61 1.4×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $49.95 $71.36 1.4×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260)
range across 2 matching MRF lines		 $20.71–$57.64 $29.58–$82.34 varies
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $19.26 $27.51 1.4×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275)
range across 2 matching MRF lines		 $25.51–$57.64 $36.44–$82.34 varies
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $57.64 $82.34 4.7×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $57.64 $82.34 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $57.64 $82.34 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $57.64 $82.34 1.8×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $115.27 $164.67 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $57.64 $82.34 1.9×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $57.64 $82.34 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $57.64 $82.34 1.0×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $57.64 $82.34 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $57.64 $82.34 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $115.27 $164.67 2.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $57.64 $82.34 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $115.27 $164.67 2.7×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $57.64 $82.34 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $115.27 $164.67 2.8×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $110.45 $157.78 2.2×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $17.54 $25.05 1.4×
Influenza a/b ag eia (87400)
range across 2 matching MRF lines		 $20.28–$30.74 $28.97–$43.91 varies
Influenza assay w/optic (87804)
range across 2 matching MRF lines		 $25.25–$58.51 $36.07–$83.59 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines		 $97.34–$216.04 $139.05–$308.63 varies
Inherited Cardmypthy 5 Gns (81439) $839.34 $1,199.05 1.4×
Inhibin A (86336) $47.29 $67.55 3.0×
Inhibin b (83520)
range across 35 matching MRF lines		 $17.26–$1,204 $24.65–$1,720 varies
Insitu hybridization auto (88367)
range across 2 matching MRF lines		 $178.50–$620.64 $255–$886.63 varies
Insitu hybridization manual (88368)
range across 2 matching MRF lines		 $192.50–$220.56 $275–$315.09 varies
Insulin antibodies (86337)
range across 3 matching MRF lines		 $28.52–$148.56 $40.74–$212.23 varies
Insulin free (83527)
range across 2 matching MRF lines		 $80.69–$97.55 $115.27–$139.35 varies
Insulin tolerance panel growth horm defncy (80435) $311.22 $444.60 3.0×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $295.86 $422.65 1.0×
Insulin total (83525)
range across 2 matching MRF lines		 $73–$97.55 $104.29–$139.35 varies
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $441.86 $631.23 2.7×
Interleukin-6 (83529) $24.78 $35.40 1.4×
Intrinsic factor (stomach protein) level (83528) $96.06 $137.23 4.8×
Intrinsic factor antibody (86340)
range across 2 matching MRF lines		 $76.85–$135.79 $109.78–$193.98 varies
Iron (83540)
range across 3 matching MRF lines		 $23.05–$153.04 $32.93–$218.63 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines		 $30.74–$111.79 $43.91–$159.70 varies
Iron stain peripheral blood (85536) $30.74 $43.91 4.5×
Irradiation Blood Product Each Unit (86945)
range across 2 matching MRF lines		 $46.11–$52.52 $65.87–$75.03 varies
Islet cell antibody (86341)
range across 5 matching MRF lines		 $38.28–$175.54 $54.68–$250.77 varies
Isocitric dehydrogenase (IDH) Facility (83570) $46.11 $65.87 5.2×
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines		 $195.06–$261.07 $278.65–$372.95 varies
Ketosteroids 17 total (83586)
range across 2 matching MRF lines		 $73–$221.31 $104.29–$316.16 varies
Kit Gene Analysis D816 Variant(S) (81273) $324.09 $462.99 2.6×
Kit Gene Analysis Targeted Sequence Analysis (81272) $218.30 $311.86 0.7×
Koh Prep (87220)
range across 3 matching MRF lines		 $5.67–$119.29 $8.10–$170.41 varies
Kras Gene Analysis Additional Variant(S) (81276) $84.02 $120.03 0.4×
Kras Gene Variants Exon 2 (81275)
range across 4 matching MRF lines		 $84.02–$419.34 $120.03–$599.06 varies
L/s ratio (83661)
range across 2 matching MRF lines		 $130.55–$157.54 $186.50–$225.05 varies
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines		 $23.05–$111.03 $32.93–$158.62 varies
Lactoferrin fecal qualitative (83630) $28.27 $40.39 1.4×
Lactogen Hpl Human Chorionic Somatomammotropin (83632)
range across 2 matching MRF lines		 $119.11–$154.55 $170.16–$220.79 varies
Lactose urine qual (83633) $23.05 $32.93 2.0×
Lamellar Body Count (83664)
range across 2 matching MRF lines		 $27.73–$46.11 $39.61–$65.87 varies
Ldh Isoenzymes (83625)
range across 2 matching MRF lines		 $28.52–$73 $40.74–$104.29 varies
LDL direct (83721)
range across 2 matching MRF lines		 $36.77–$38.42 $52.53–$54.89 varies
Lead (83655)
range across 6 matching MRF lines		 $12.02–$162.05 $17.17–$231.50 varies
Legionella antibody (86713)
range across 3 matching MRF lines		 $16.43–$84.53 $23.47–$120.76 varies
Legionella antigen urine (87449)
range across 4 matching MRF lines		 $30.74–$325.56 $43.91–$465.09 varies
Legionella DNA probe (87540) $57.64 $82.34 2.9×
Legionella pneumophila dfa (87278)
range across 2 matching MRF lines		 $56.29–$57.64 $80.41–$82.34 varies
Leptospira antibody (86720)
range across 2 matching MRF lines		 $36.77–$73 $52.53–$104.29 varies
Leucine Aminopeptidase Lap (83670) $65.32 $93.32 6.7×
Leukocyte Histamine Release (86343)
range across 2 matching MRF lines		 $47.29–$73 $67.55–$104.29 varies
Leukocyte phagocytosis (86344) $42.27 $60.38 4.1×
Leukocyte transfusion (86950) $88.38 $126.25 0.5×
Level I Surg Pathology Gross Examination Only (88300)
range across 2 matching MRF lines		 $10.85–$122.30 $15.50–$174.71 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines		 $14–$137.29 $20–$196.13 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines		 $150.50–$406.61 $215–$580.87 varies
Lidocaine (80176)
range across 2 matching MRF lines		 $37.53–$65.32 $53.61–$93.32 varies
Lipase (83690)
range across 3 matching MRF lines		 $24.40–$95.28 $34.85–$136.12 varies
Lipoprotein A (83695) $30.03 $42.90 2.1×
Lipoprotein Bld Quan Part (83704) $41.26 $58.94 1.2×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $16.16 $23.08 1.4×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $36.77 $52.53 1.1×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $38.42 $54.89 3.0×
Lipoprotein-Associated Phospholipase A2 (83698) $66.46 $94.94 1.4×
Listeria Monocytogenes (86723) $73 $104.29 5.5×
Lithium (80178)
range across 2 matching MRF lines		 $38.42–$52.52 $54.89–$75.03 varies
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines		 $20.27–$249.08 $28.96–$355.83 varies
Lyme disease antibody (86618)
range across 4 matching MRF lines		 $20.52–$182.32 $29.32–$260.45 varies
Lymphocyte Culture Mixed (86821) $380.38 $543.40 10.4×
Lymphocyte transformation (86353)
range across 3 matching MRF lines		 $176.29–$467.34 $251.84–$667.63 varies
Lymphocytotoxicity Assay (86805) $265.12 $378.74 1.4×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806)
range across 2 matching MRF lines		 $68.29–$88.38 $97.56–$126.25 varies
Lysozyme serum (85549)
range across 3 matching MRF lines		 $85.53–$114.80 $122.18–$164 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines		 $154–$189.81 $220–$271.16 varies
M/phmtrc alys ishquant/semiq (88374)
range across 2 matching MRF lines		 $105–$620.39 $150–$886.27 varies
Macroscopic exam arthropod (87168)
range across 2 matching MRF lines		 $6.13–$11.53 $8.75–$16.47 varies
Macroscopic Exam Parasite (87169)
range across 3 matching MRF lines		 $7.57–$12.78 $10.81–$18.25 varies
Magnesium Urine (83735)
range across 5 matching MRF lines		 $26.90–$99.05 $38.43–$141.50 varies
Malate dehydrogenase Facility (83775) $42.27 $60.38 5.7×
Mass Spectrometry Quant (83789)
range across 9 matching MRF lines		 $41.26–$180.05 $58.94–$257.22 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $165.82 $236.88 4.2×
Meat fibers, feces (89160)
range across 2 matching MRF lines		 $19.22–$31.54 $27.45–$45.05 varies
Mechanical fragility rbc (85547) $38.42 $54.89 4.5×
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $172.20 $246 1.4×
Mecp2 gene dup/delet variant (81304) $1,011.21 $1,444.58 6.7×
Mecp2 gene full seq (81302) $620.39 $886.27 1.2×
Mercury urine (83825)
range across 5 matching MRF lines		 $12.02–$141.02 $17.17–$201.46 varies
Metabolic panel ionized ca (80047) $157.56 $225.09 11.5×
Methemalbumin (83857) $57.64 $82.34 5.4×
Methotrexate (80204) $55.35 $79.07 1.4×
Methylmalonic acid serum (83921)
range across 3 matching MRF lines		 $59.27–$96.06 $84.67–$137.23 varies
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $288.17 $411.67 3.2×
Mgmt methylation analysis (81287) $330.84 $472.63 2.7×
Microalbumin, quantitative (82043)
range across 3 matching MRF lines		 $8.25–$78.03 $11.79–$111.47 varies
Microbe Suscept Macrobroth (87188)
range across 2 matching MRF lines		 $34.59–$86.28 $49.41–$123.26 varies
Microsatellite instability (81301) $330.09 $471.55 0.9×
Microsomal Antibodies Each (86376)
range across 5 matching MRF lines		 $36.02–$103.54 $51.46–$147.91 varies
Mitochondrial Antibody Each (86381) $36.52 $52.17 1.4×
Mlh1 Gene (81288) $140 $200 0.7×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $186.80 $266.86 0.9×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $650.38 $929.11 1.0×
Mlh1 Gene Analysis Known Familial Variants (81293) $474.99 $678.55 1.4×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $54.15 $77.35 1.4×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272)
range across 2 matching MRF lines		 $58.41–$576.33 $83.44–$823.33 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 48 matching MRF lines		 $10.51–$717.89 $15.02–$1,025.56 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 5 matching MRF lines		 $45.02–$576.33 $64.32–$823.33 varies
Molecular Pathology Procedure Level 3 (81402) $376.58 $537.97 2.5×
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines		 $192.04–$465.12 $274.34–$664.46 varies
Mononuclear cell antigen (86356) $38.43 $54.90 1.4×
Mopath procedure level 1 (81400)
range across 3 matching MRF lines		 $50.26–$165.82 $71.80–$236.88 varies
Mopath procedure level 2 (81401)
range across 2 matching MRF lines		 $182.32–$556.64 $260.45–$795.20 varies
Mopath procedure level 4 (81403)
range across 7 matching MRF lines		 $76.52–$282.09 $109.32–$402.98 varies
Mopath procedure level 5 (81404) $481.62 $688.03 1.8×
Mopath procedure level 7 (81406)
range across 4 matching MRF lines		 $171.81–$570.88 $245.44–$815.54 varies
Mopath procedure level 8 (81407) $192.04 $274.34 0.2×
Mopath procedure level 9 (81408)
range across 3 matching MRF lines		 $192.04–$1,659.33 $274.34–$2,370.47 varies
Morphometric analysis nerve (88356) $420 $600 7.5×
Morphometric Analysis Tumor (88358)
range across 2 matching MRF lines		 $206.32–$224 $294.74–$320 varies
Mpl gene analysis sequence analysis exon 10 (81339) $265.76 $379.66 1.4×
Mrsa Pcr (87641) $66.77 $95.38 1.9×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $186.80 $266.86 0.9×
Msh2 Gene Analysis Full Sequence Analysis (81295) $186.80 $266.86 0.5×
Msh2 Gene Analysis Known Familial Variants (81296) $484.65 $692.35 1.4×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $278.32 $397.60 1.2×
Msh6 Gene Analysis Full Sequence Analysis (81298) $278.32 $397.60 0.4×
Msh6 Gene Known Variants (81299) $441.98 $631.40 1.4×
Mthfr Gene Analysis Common Variants (81291) $134.28 $191.83 2.1×
Mucin Clot Body Fluid (83872)
range across 2 matching MRF lines		 $23.05–$42.76 $32.93–$61.09 varies
Mucopolysaccharides acid quantitative (83864)
range across 2 matching MRF lines		 $57.64–$196.56 $82.34–$280.80 varies
Mumps antibody (86735)
range across 2 matching MRF lines		 $16–$73 $22.86–$104.29 varies
Mycobacteric Identification (87118)
range across 2 matching MRF lines		 $46.11–$81.80 $65.87–$116.85 varies
Mycophenolic Acid (80180) $114.80 $164 6.4×
Mycoplasma antibody (86738)
range across 5 matching MRF lines		 $16.43–$74.26 $23.47–$106.09 varies
Mycoplasma culture (87109)
range across 3 matching MRF lines		 $37.53–$99.90 $53.61–$142.71 varies
Myd88 Gene P.Leu265pro Vrnt (81305)
range across 2 matching MRF lines		 $251.70–$332.50 $359.57–$475 varies
Myelin basic protein csf (83873)
range across 2 matching MRF lines		 $72.79–$103.74 $103.99–$148.20 varies
Myoglobin urine (83874)
range across 3 matching MRF lines		 $33.01–$93.78 $47.15–$133.97 varies
Natriuretic peptide (83880)
range across 3 matching MRF lines		 $69.16–$227.30 $98.80–$324.72 varies
Neisseria Dir Na Probe (87590)
range across 2 matching MRF lines		 $50.26–$57.64 $71.80–$82.34 varies
Nerve teasing preparations (88362)
range across 2 matching MRF lines		 $288.83–$325.50 $412.61–$465 varies
Neutralization Test Viral (86382)
range across 3 matching MRF lines		 $49.51–$84.02 $70.73–$120.03 varies
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408) $60.46 $86.37 1.4×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $184.09 $262.99 1.4×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $72.79 $103.99 2.5×
Nfct Agent Genotype Hepatitis B Virus (87912)
range across 2 matching MRF lines		 $153.69–$430.61 $219.56–$615.15 varies
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910)
range across 2 matching MRF lines		 $153.69–$369.44 $219.56–$527.77 varies
Nfct ds chrnc hcv 6 assays (81596) $103.59 $147.99 1.4×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906)
range across 4 matching MRF lines		 $149.96–$381.10 $214.23–$544.43 varies
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $37.41 $53.44 1.4×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903)
range across 2 matching MRF lines		 $476.43–$701.23 $680.62–$1,001.75 varies
Niacin (84591)
range across 4 matching MRF lines		 $80.69–$153.04 $115.27–$218.63 varies
Nickel level (83885)
range across 2 matching MRF lines		 $35.18–$99.90 $50.25–$142.71 varies
Nitroblue Tetrazolium Dye (86384)
range across 2 matching MRF lines		 $42.76–$61.47 $61.09–$87.82 varies
Nk cells total count (86357) $54.15 $77.35 1.4×
Noonan Spectrum Disorders (81442) $3,076.07 $4,394.38 1.4×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310)
range across 2 matching MRF lines		 $185.30–$292.56 $264.71–$417.94 varies
Nras gene variants exon 2&3 (81311) $166.53 $237.90 0.6×
Nuclear antigen antibody (86235)
range across 13 matching MRF lines		 $22.42–$159.03 $32.03–$227.19 varies
Nzym actv blood cells/tiss radact substrate ea (82658) $63.18 $90.26 1.4×
Obstetric panel (80081) $220.56 $315.09 2.9×
Occult blood feces (82272)
range across 2 matching MRF lines		 $5.31–$6.07 $7.59–$8.67 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines		 $8.25–$19.22 $11.79–$27.45 varies
Oligoclonal bands (83916)
range across 4 matching MRF lines		 $25.51–$108.77 $36.44–$155.39 varies
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $23.05 $32.93 0.1×
Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) $3,602.15 $5,145.93 1.4×
Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) $5,557.76 $7,939.65 1.4×
Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541) $5,557.76 $7,939.65 1.4×
Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551) $2,913.05 $4,161.50 1.4×
Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) $746.20 $1,066 1.4×
Oncology breast mrna gene expression 21 genes (81519) $5,557.76 $7,939.65 1.4×
Oncoprotein dcp (83951) $92.43 $132.04 1.4×
Organic Acids Qualitative Each Specimen (83919)
range across 2 matching MRF lines		 $23.60–$96.06 $33.72–$137.23 varies
Organic acids urine (83918)
range across 2 matching MRF lines		 $139.55–$142.16 $199.36–$203.09 varies
Osmolality serum (83930)
range across 2 matching MRF lines		 $26.90–$69.78 $38.43–$99.68 varies
Osmolality Urine (83935)
range across 2 matching MRF lines		 $42.27–$49.51 $60.38–$70.73 varies
Osmotic fragility rbc incubated (85557)
range across 3 matching MRF lines		 $31.54–$186.80 $45.05–$266.86 varies
Osmotic Fragility RBC Unincubated (85555)
range across 2 matching MRF lines		 $42.27–$49.51 $60.38–$70.73 varies
Osteocalcin (83937)
range across 2 matching MRF lines		 $75.77–$138.32 $108.24–$197.60 varies
Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) $384.22 $548.89 2.1×
Ova and parasites smears (87177)
range across 4 matching MRF lines		 $13.73–$126.03 $19.61–$180.04 varies
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830)
range across 2 matching MRF lines		 $39.03–$46.11 $55.76–$65.87 varies
Oxalate urine (83945)
range across 3 matching MRF lines		 $36.02–$94.53 $51.46–$135.04 varies
Pancreatic Elastase Fecal (82656) $16.55 $23.64 1.4×
Particle Agglut Antbdy Titr (86406)
range across 3 matching MRF lines		 $21.02–$294.82 $30.03–$421.17 varies
Particle Agglutination Screen Each Antibody (86403)
range across 3 matching MRF lines		 $21.02–$26.90 $30.03–$38.43 varies
Parvovirus antibody (86747)
range across 2 matching MRF lines		 $39.03–$88.38 $55.76–$126.25 varies
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines		 $42.01–$105 $60.01–$150 varies
Pathology Consultation During Surgery (88329)
range across 2 matching MRF lines		 $133.56–$139.55 $190.80–$199.36 varies
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $157.54 $225.05 3.6×
Ph urine (81003)
range across 2 matching MRF lines		 $4.58–$45.70 $6.54–$65.29 varies
Phenobarbital Level (80184)
range across 3 matching MRF lines		 $25.51–$111.03 $36.44–$158.62 varies
Phenotype Infect Agent Drug (87900)
range across 4 matching MRF lines		 $102.03–$864.19 $145.76–$1,234.56 varies
Phenylalanine (84030)
range across 2 matching MRF lines		 $9–$26.90 $12.86–$38.43 varies
Phenylketones qual (84035) $19.22 $27.45 4.8×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines		 $61.47–$121.55 $87.82–$173.64 varies
Phenytoin free (80186)
range across 2 matching MRF lines		 $65.32–$183.79 $93.32–$262.55 varies
Phosphatase acid prostatic (84066)
range across 2 matching MRF lines		 $24.75–$61.47 $35.36–$87.82 varies
Phosphatase alkaline (84075)
range across 3 matching MRF lines		 $23.05–$81.04 $32.93–$115.77 varies
Phosphatidylglycerol (84081)
range across 2 matching MRF lines		 $42.01–$115.27 $60.01–$164.67 varies
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $49.95 $71.36 5.3×
Phospholipid Neutralization Hexagonal (85598) $32.29 $46.13 1.8×
Phosphorus Serum (84100)
range across 2 matching MRF lines		 $23.05–$65.30 $32.93–$93.28 varies
Phosphorus urine (84105)
range across 2 matching MRF lines		 $30.74–$65.30 $43.91–$93.28 varies
Pinworm exam (87172)
range across 3 matching MRF lines		 $2.30–$15.03 $3.28–$21.47 varies
Platelet Aggregation (85576)
range across 4 matching MRF lines		 $32.20–$204.81 $46–$292.59 varies
Platelet Antibodies (86022)
range across 9 matching MRF lines		 $18.01–$264.83 $25.73–$378.33 varies
Platelet count automated (85049) $69.78 $99.68 15.6×
Platelet neutralization (85597)
range across 3 matching MRF lines		 $32.29–$63.78 $46.13–$91.12 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $153.80 $219.71 0.7×
PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) $297.49 $424.99 1.4×
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326)
range across 2 matching MRF lines		 $23.05–$66.87 $32.93–$95.53 varies
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $523.64 $748.05 0.7×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $1,104.35 $1,577.64 1.4×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $278.32 $397.60 1.4×
Pms2 gene analysis known familial variants (81318) $474.99 $678.55 1.4×
Pms2 gene full seq analysis (81317) $834.92 $1,192.74 1.2×
Pooling blood platelets (86965)
range across 2 matching MRF lines		 $23.05–$135.79 $32.93–$193.98 varies
Porphobilinogen Urine Qualitative (84106) $34.59 $49.41 5.9×
Porphobilinogen, urine; quantitative (84110)
range across 3 matching MRF lines		 $28.52–$46.11 $40.74–$65.87 varies
Porphyrins Feces Quantitative (84126) $84.53 $120.76 2.2×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 3 matching MRF lines		 $36.02–$157.56 $51.46–$225.09 varies
Porphyrins, urine; qualitative (84119) $49.95 $71.36 3.7×
Potassium Urine (84133)
range across 2 matching MRF lines		 $26.90–$65.30 $38.43–$93.28 varies
Pr assay of bradykinin (82286) $146.01 $208.58 28.3×
Pr assay of etiocholanolone (82696) $119.11 $170.16 4.5×
Prealbumin (84134)
range across 2 matching MRF lines		 $57.64–$58.51 $82.34–$83.59 varies
Pregnancy-Associated Plasma Protein-A (84163)
range across 2 matching MRF lines		 $36.02–$175.54 $51.46–$250.77 varies
Pregnanediol (84135) $96.06 $137.23 4.5×
Pregnanetriol (84138)
range across 2 matching MRF lines		 $30.21–$96.06 $43.15–$137.23 varies
Pregnenolone (84140)
range across 2 matching MRF lines		 $71.28–$115.27 $101.83–$164.67 varies
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977)
range across 3 matching MRF lines		 $15.37–$49.51 $21.96–$70.73 varies
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 3 matching MRF lines		 $26.90–$88.54 $38.43–$126.49 varies
Pretx serum rbc antibody identification dilution (86976)
range across 2 matching MRF lines		 $11.53–$30.03 $16.47–$42.90 varies
Primidone (80188)
range across 2 matching MRF lines		 $31.54–$65.32 $45.05–$93.32 varies
Procalcitonin (Pct) (84145) $217.55 $310.78 8.0×
Progesterone (84144)
range across 3 matching MRF lines		 $48.03–$276.82 $68.62–$395.45 varies
Prolactin (84146)
range across 3 matching MRF lines		 $47.29–$285.82 $67.55–$408.31 varies
Prostaglandin (84150)
range across 2 matching MRF lines		 $103.74–$559.62 $148.20–$799.45 varies
Protein Alys Wstrn Blot I&R Immunological Ea (88372)
range across 2 matching MRF lines		 $37.63–$53.79 $53.75–$76.84 varies
Protein body fluid (84157)
range across 3 matching MRF lines		 $30.03–$75.01 $42.90–$107.16 varies
Protein C Activity (85303)
range across 3 matching MRF lines		 $21.78–$103.74 $31.11–$148.20 varies
Protein c antigen (85302)
range across 3 matching MRF lines		 $18.01–$96.06 $25.73–$137.23 varies
Protein Electrophoresis Urine (84166) $42.01 $60.01 2.4×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines		 $32.94–$144.04 $47.05–$205.77 varies
Protein S Free (85306)
range across 3 matching MRF lines		 $16.51–$84.02 $23.58–$120.03 varies
Protein s total (85305)
range across 2 matching MRF lines		 $16.66–$115.27 $23.80–$164.67 varies
Protein test for diagnosis and monitoring of bladder cancer (86386) $31.26 $44.65 1.4×
Protein Total Refractometry Any Src (84160) $19.22 $27.45 3.4×
Protein total serum (84155)
range across 2 matching MRF lines		 $23.05–$31.54 $32.93–$45.05 varies
Protein Total Urine (84156)
range across 4 matching MRF lines		 $30.74–$81.80 $43.91–$116.85 varies
Protein Western Blot Test (84182)
range across 7 matching MRF lines		 $31.47–$1,647.35 $44.96–$2,353.35 varies
Protein, western blot tissue (88371) $53.79 $76.84 2.4×
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 2 matching MRF lines		 $26.90–$208.54 $38.43–$297.92 varies
Protoporphyrin rbc quantitative (84202)
range across 2 matching MRF lines		 $37.53–$61.47 $53.61–$87.82 varies
Protoporphyrin, RBC; screen Facility (84203) $34.59 $49.41 3.6×
PSA free (84154)
range across 2 matching MRF lines		 $36.77–$96.06 $52.53–$137.23 varies
Pten Gene Analysis Duplication/Deletion Variant (81323)
range across 2 matching MRF lines		 $23.05–$430.50 $32.93–$615 varies
Pten Gene Analysis Full Sequence Analysis (81321)
range across 2 matching MRF lines		 $861 $32.93–$1,230 1.4×
Pten gene analysis known familial variant (81322)
range across 2 matching MRF lines		 $23.05–$66.87 $32.93–$95.53 varies
Pth Intact (83970)
range across 3 matching MRF lines		 $153.69–$553.62 $219.56–$790.89 varies
Pyruvate kinase (84220)
range across 2 matching MRF lines		 $57.64–$84.02 $82.34–$120.03 varies
Q Fever Antibody (86638)
range across 3 matching MRF lines		 $26.26–$73 $37.52–$104.29 varies
Quantiferon tb gold plus (86480) $97.55 $139.35 1.6×
Quantitative assay drug (80299)
range across 21 matching MRF lines		 $33.01–$100.45 $47.15–$143.50 varies
Quantitative Screen Metals (83018)
range across 4 matching MRF lines		 $28.52–$126.80 $40.74–$181.14 varies
Quinidine (80194)
range across 2 matching MRF lines		 $65.32–$82.55 $93.32–$117.93 varies
Quinine (84228) $76.85 $109.78 6.6×
Rbc antibody elution (86860)
range across 4 matching MRF lines		 $30.74–$63.78 $43.91–$91.12 varies
Rbc antibody identification (86870)
range across 3 matching MRF lines		 $57.64–$70.53 $82.34–$100.76 varies
Rbc antibody screen (86850)
range across 5 matching MRF lines		 $20.27–$93.78 $28.96–$133.97 varies
Rbc pretreatment serum (86978)
range across 4 matching MRF lines		 $32.29–$63 $46.13–$90 varies
Rbc pretx incubatj w/enzymes (86971)
range across 3 matching MRF lines		 $20.27–$58.51 $28.96–$83.59 varies
Rbc serum pretx incubj drugs (86975) $15.37 $21.96 0.0×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines		 $15.03–$15.37 $21.47–$21.96 varies
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235)
range across 2 matching MRF lines		 $124.52–$134.48 $177.89–$192.12 varies
Receptor assay estrogen (84233) $134.48 $192.12 1.5×
Receptor assay progesterone (84234) $134.48 $192.12 2.1×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $365.02 $521.45 1.7×
Renin activity plasma (84244)
range across 2 matching MRF lines		 $122.95–$195.06 $175.64–$278.65 varies
Reptilase test (85635)
range across 2 matching MRF lines		 $34.59–$94.53 $49.41–$135.04 varies
Resp virus 12-25 targets (87633)
range across 3 matching MRF lines		 $57.64–$754.67 $82.34–$1,078.10 varies
Resp Virus 6-11 Targets (87632)
range across 2 matching MRF lines		 $57.64–$387.09 $82.34–$552.99 varies
Reticulocyte Count (85046)
range across 2 matching MRF lines		 $7.99–$122.95 $11.42–$175.64 varies
Reticulocyte Count Manual (85044)
range across 2 matching MRF lines		 $6.19–$23.05 $8.84–$32.93 varies
Reticulocyte separation (86972)
range across 3 matching MRF lines		 $23.05–$120.04 $32.93–$171.48 varies
Rh (86901)
range across 2 matching MRF lines		 $15.37–$60.77 $21.96–$86.82 varies
Rheumatoid Factor Qualitative (86430)
range across 2 matching MRF lines		 $21.78–$34.59 $31.11–$49.41 varies
Rheumatoid factor quant (86431)
range across 3 matching MRF lines		 $21.78–$58.51 $31.11–$83.59 varies
Rickettsia antibody (86757)
range across 5 matching MRF lines		 $73–$95.28 $104.29–$136.12 varies
Ristocetin cofactor (85245)
range across 4 matching MRF lines		 $39.79–$567.11 $56.84–$810.16 varies
Rotavirus ag eia (87425)
range across 2 matching MRF lines		 $10.08–$30.74 $14.40–$43.91 varies
Rpr qualitative (86592)
range across 3 matching MRF lines		 $6.38–$65.30 $9.12–$93.28 varies
Rsv ab (86756) $73 $104.29 4.6×
Rsv Assay W/Optic (87807) $42.01 $60.01 3.2×
Rubella Antibody (86762)
range across 3 matching MRF lines		 $12.02–$128.29 $17.17–$183.27 varies
Rubeola antibody (86765)
range across 6 matching MRF lines		 $11.30–$152.29 $16.14–$217.56 varies
Rufinamide (80210) $38.91 $55.58 1.4×
Runx1 gene analysis targeted sequence analysis (81334) $472.85 $675.50 1.4×
Russell Viper Venom Time Diluted (85613)
range across 6 matching MRF lines		 $5.27–$57.64 $7.53–$82.34 varies
Russell Viper Venon Time Undiluted (85612) $49.95 $71.36 2.9×
Salicylate Level (80179) $26.75 $38.21 1.4×
Salmonella antibody (86768)
range across 2 matching MRF lines		 $25.51–$73 $36.44–$104.29 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines		 $99.77–$120.04 $142.53–$171.48 varies
Sars-cov-2 COVID-19 antibody (86769) $48.03 $68.62 1.1×
Sars-Cov-2 Covid19 W/Optic (87811) $59.38 $84.83 1.4×
Sedimentation rate (85651)
range across 2 matching MRF lines		 $23.05–$38.28 $32.93–$54.68 varies
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines		 $23.05–$50.26 $32.93–$71.80 varies
Selenium (84255)
range across 3 matching MRF lines		 $54.78–$96.06 $78.26–$137.23 varies
Semen Anal Sperm Detection (89321)
range across 2 matching MRF lines		 $17.29–$57.64 $24.70–$82.34 varies
Semen analysis complete (89322) $215.17 $307.38 13.9×
Semen analysis complete (89320)
range across 2 matching MRF lines		 $96.06–$165.06 $137.23–$235.80 varies
Semen analysis motility and count (89310) $61.47 $87.82 7.1×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $69.16 $98.80 7.0×
Sensitivity mic (87186)
range across 4 matching MRF lines		 $34.59–$49.51 $49.41–$70.73 varies
Serpina 1 gene (81332) $62.64 $89.48 1.4×
Serum Bactericidal Titer (87197)
range across 2 matching MRF lines		 $46.11–$82.55 $65.87–$117.93 varies
Sex Chromatin Identification Barr Bodies (88130) $53.79 $76.84 3.0×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $46.11 $65.87 5.8×
Sex Hormone Binding Globulin (84270)
range across 3 matching MRF lines		 $42.01–$99.90 $60.01–$142.71 varies
Shigella Antibody (86771) $73 $104.29 3.0×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines		 $23.05–$42.01 $32.93–$60.01 varies
Silica (84285) $130.63 $186.62 5.2×
Sirolimus (80195)
range across 2 matching MRF lines		 $17.29–$34.59 $24.70–$49.41 varies
Skin Test Candida (86485)
range across 2 matching MRF lines		 $26.90–$42.99 $38.43–$61.42 varies
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines		 $21.02–$25.25 $30.03–$36.07 varies
Skin test unlisted antigen each (86486)
range across 2 matching MRF lines		 $15.37–$108.02 $21.96–$154.31 varies
Skin test; histoplasmosis (86510) $20.68 $29.54 0.5×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $250.85 $358.36 1.4×
Smear acid fast (87206)
range across 3 matching MRF lines		 $5.67–$34.59 $8.10–$49.41 varies
Smear complex stain (87209)
range across 2 matching MRF lines		 $34.98–$41.97 $49.97–$59.96 varies
Smear gram stain (87205)
range across 3 matching MRF lines		 $19.22–$56.29 $27.45–$80.41 varies
Smear Special Stain (87207)
range across 3 matching MRF lines		 $5.67–$46.11 $8.10–$65.87 varies
Smn1 Gene Dos/Deletion Alys (81329) $281.33 $401.90 2.1×
Smpd1 Gene Analysis Common Variants (81330) $453.03 $647.19 9.6×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines		 $15.37–$42.01 $21.96–$60.01 varies
Snrpn/Ube3a Methylation Analysis (81331) $361.59 $516.55 7.1×
Sodium Serum (84295)
range across 2 matching MRF lines		 $23.05–$58.51 $32.93–$83.59 varies
Sodium Urine (84300)
range across 3 matching MRF lines		 $26.90–$65.30 $38.43–$93.28 varies
Soluble fibrin monomer (85366)
range across 2 matching MRF lines		 $57.64–$115.46 $82.34–$164.94 varies
Soluble Transferrin Receptor (84238)
range across 3 matching MRF lines		 $94.53–$192.11 $135.04–$274.44 varies
Somatomedin (84305)
range across 3 matching MRF lines		 $125.03–$312.07 $178.61–$445.82 varies
Somatostatin (84307)
range across 2 matching MRF lines		 $103.74–$174.78 $148.20–$249.69 varies
Special Stains Group 1 (88312)
range across 5 matching MRF lines		 $21.78–$54.78 $31.11–$78.26 varies
Special Stains Group 2 (88313)
range across 4 matching MRF lines		 $31.50–$128.29 $45–$183.27 varies
Specific gravity body fluid (84315)
range across 2 matching MRF lines		 $4.70–$15.37 $6.72–$21.96 varies
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines		 $10.51–$38.42 $15.02–$54.89 varies
Spectrophotometry (84311)
range across 2 matching MRF lines		 $15.79–$42.27 $22.55–$60.38 varies
Sperm Antibodies (89325) $161.37 $230.53 15.1×
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $384.22 $548.89 19.6×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $107.58 $153.69 10.4×
Sperm evaluation; hamster penetration test Facility (89329) $430.33 $614.75 22.0×
Splitting Blood/Blood Products Each Unit (86985) $34.59 $49.41 0.2×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220)
range across 2 matching MRF lines		 $38.42–$270.79 $54.89–$386.84 varies
Staph a DNA amp probe (87640) $50.35 $71.93 1.4×
Stone Analysis (82355) $73 $104.29 6.3×
Stool cultr aerobic bact ea (87046)
range across 5 matching MRF lines		 $3.77–$49.95 $5.38–$71.36 varies
Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) $384.22 $548.89 2.1×
Storage per Year Embryo (89342) $384.22 $548.89 2.1×
Strep a assay w/optic (87880)
range across 2 matching MRF lines		 $25.07–$28.52 $35.81–$40.74 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines		 $46.64–$115.27 $66.63–$164.67 varies
Strep b DNA amp probe (87653) $50.35 $71.93 1.4×
Streptokinase, antibody Facility (86590) $30.74 $43.91 2.4×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378)
range across 2 matching MRF lines		 $16.55–$38.42 $23.64–$54.89 varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377)
range across 2 matching MRF lines		 $7.90–$38.42 $11.28–$54.89 varies
Sugars Multiple Quant (84379) $38.42 $54.89 3.3×
Sugars Single Qual (84376)
range across 2 matching MRF lines		 $8.25–$38.42 $11.79–$54.89 varies
Sugars, chromatographic, TLC or paper chromatography Facility (84375)
range across 2 matching MRF lines		 $76.85–$149.28 $109.78–$213.25 varies
Sulfate urine (84392)
range across 2 matching MRF lines		 $7.88–$38.42 $11.25–$54.89 varies
Surg path level iii (88304)
range across 2 matching MRF lines		 $24.50–$310.57 $35–$443.67 varies
Surgical pathology level IV (88305)
range across 4 matching MRF lines		 $61.52–$605.39 $87.89–$864.84 varies
Surgical pathology level vi (88309)
range across 2 matching MRF lines		 $242.24–$508.60 $346.06–$726.57 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 3 matching MRF lines		 $19.52–$60.77 $27.88–$86.82 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 4 matching MRF lines		 $26.90–$59.27 $38.43–$84.67 varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $57.65 $82.35 1.4×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190)
range across 2 matching MRF lines		 $23.05–$66.01 $32.93–$94.30 varies
Sweat Collection Iontophoresis (89230)
range across 2 matching MRF lines		 $15.37–$165.06 $21.96–$235.80 varies
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines		 $8–$23.05 $11.43–$32.93 varies
T cells absolute cd4 count (86361)
range across 2 matching MRF lines		 $38.43–$142.16 $54.90–$203.09 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 3 matching MRF lines		 $15.79–$172.90 $22.55–$247 varies
T cells total count (86359)
range across 3 matching MRF lines		 $15.79–$115.27 $22.55–$164.67 varies
T3 Free (84481)
range across 2 matching MRF lines		 $96.06–$110.28 $137.23–$157.54 varies
T3 reverse (84482)
range across 2 matching MRF lines		 $31.54–$80.69 $45.05–$115.27 varies
T3 Total (84480)
range across 2 matching MRF lines		 $22.53–$73 $32.19–$104.29 varies
T3 Uptake (84479)
range across 2 matching MRF lines		 $9–$30.74 $12.86–$43.91 varies
T4 Free (84439)
range across 3 matching MRF lines		 $17.26–$133.53 $24.65–$190.75 varies
T4 total (84436)
range across 3 matching MRF lines		 $8.25–$102.03 $11.79–$145.76 varies
T4-neonatal (84437) $34.59 $49.41 5.3×
Tacrolimus (80197)
range across 2 matching MRF lines		 $20.63–$99.90 $29.47–$142.71 varies
Tb ag response t-cell susp (86481) $118.46 $169.23 1.2×
Tert gene targeted seq alys (81345) $265.76 $379.66 1.4×
Test for acetone/ketones (82009)
range across 2 matching MRF lines		 $19.22–$49.51 $27.45–$70.73 varies
Test for urine cystines (82615)
range across 2 matching MRF lines		 $13.71–$61.47 $19.58–$87.82 varies
Testosterone Bioavailable (84410) $73.58 $105.12 1.4×
Testosterone total (84403)
range across 5 matching MRF lines		 $60.02–$342.83 $85.74–$489.75 varies
Testosterone, Free (84402)
range across 3 matching MRF lines		 $60.02–$337.58 $85.74–$482.26 varies
Tetanus antibody (86774)
range across 2 matching MRF lines		 $72.04–$88.38 $102.91–$126.25 varies
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines		 $502.25–$858.09 $717.50–$1,225.84 varies
Thaw cryoprsvrd reprod tiss (89354) $384.22 $548.89 2.1×
Thawing and expansion of frozen cells, each aliquot Facility (88241)
range across 2 matching MRF lines		 $17.35–$180.59 $24.78–$257.98 varies
Thawing Cryopreserved Oocytes Each Aliquot (89356) $384.22 $548.89 2.1×
Thawing Cryopresrved Sperm (89353) $384.22 $548.89 6.9×
Thawing of cryopreserved embryos (89352) $384.22 $548.89 2.1×
Theophylline (80198)
range across 2 matching MRF lines		 $61.47–$198.07 $87.82–$282.95 varies
Thiocyanate (84430)
range across 2 matching MRF lines		 $61.47–$111.03 $87.82–$158.62 varies
Thrombin Time (85670)
range across 4 matching MRF lines		 $3.77–$42.01 $5.38–$60.01 varies
Thrombin time titer (85675) $38.42 $54.89 5.6×
Thrombomodulin Facility (85337) $88.38 $126.25 5.1×
Thromboplastin Inhibition Tissue (85705)
range across 2 matching MRF lines		 $65.32–$74.26 $93.32–$106.09 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines		 $34.59–$208.54 $49.41–$297.92 varies
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $50.39 $71.98 1.4×
Thyroglobulin (84432)
range across 2 matching MRF lines		 $88.38–$139.55 $126.25–$199.36 varies
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines		 $33.01–$69.16 $47.15–$98.80 varies
Thyroid Stimulating Immunoglobulin (84445)
range across 2 matching MRF lines		 $230.53–$484.60 $329.33–$692.29 varies
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $138.32 $197.60 2.7×
Thyroxine binding globulin (84442)
range across 2 matching MRF lines		 $37.53–$61.47 $53.61–$87.82 varies
Tiss cul neo disorders solid tumor (88239)
range across 2 matching MRF lines		 $115.27–$276.82 $164.67–$395.45 varies
Tiss Trnsgltmnase Ea Ig Clas (86364) $16.55 $23.64 1.4×
Tissue Culture (88233)
range across 4 matching MRF lines		 $65.32–$389.35 $93.32–$556.22 varies
Tissue Culture Amniotic Fluid (88235)
range across 5 matching MRF lines		 $207.79–$728.41 $296.84–$1,040.58 varies
Tissue culture bone marrow (88237)
range across 6 matching MRF lines		 $117.78–$594.88 $168.25–$849.83 varies
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines		 $176.74–$315.09 $252.49–$450.13 varies
Tobramycin peak (80200)
range across 2 matching MRF lines		 $73–$154.55 $104.29–$220.79 varies
Topiramate (80201)
range across 2 matching MRF lines		 $52.52–$65.32 $75.03–$93.32 varies
Touch prep (88161)
range across 2 matching MRF lines		 $45.02–$69.16 $64.32–$98.80 varies
Toxin/Antitoxin Assay Tissue Culture (87230)
range across 2 matching MRF lines		 $28.33–$65.32 $40.47–$93.32 varies
Toxoplasma ab igm (86778)
range across 2 matching MRF lines		 $84.53–$131.31 $120.76–$187.58 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines		 $20.02–$69.16 $28.60–$98.80 varies
Tp53 gene analysis full gene sequence (81351) $921.05 $1,315.79 1.4×
Tp53 gene analysis targeted sequence analysis (81352) $472.85 $675.50 1.4×
Tpmt gene com variants (81335) $250.85 $358.36 1.4×
Transferase Aspartate Amino Ast Sgot (84450)
range across 3 matching MRF lines		 $23.05–$186.66 $32.93–$266.65 varies
Transferrin (84466)
range across 2 matching MRF lines		 $58.51–$61.47 $83.59–$87.82 varies
Trb@ gene rearrange dirprobe (81341) $71.16 $101.66 1.4×
Trb@ Rearrangement Anal Amplification Method (81340) $176.29 $251.84 0.8×
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines		 $176.29–$328.58 $251.84–$469.40 varies
Trichinella Antibody (86784)
range across 2 matching MRF lines		 $41.26–$73 $58.94–$104.29 varies
Trichomonas vagin dir probe (87660) $51.77 $73.95 2.6×
Trichomonas Vaginalis Amplif (87661) $72.79 $103.99 2.1×
Triglycerides (84478)
range across 2 matching MRF lines		 $23.05–$103.54 $32.93–$147.91 varies
Troponin Quant (84484)
range across 2 matching MRF lines		 $34.59–$48.03 $49.41–$68.62 varies
Troponin, qualitative (84512) $38.42 $54.89 3.8×
Trypsin feces qual (84488)
range across 2 matching MRF lines		 $10.48–$23.05 $14.97–$32.93 varies
Tumor immunohistochem/comput (88361)
range across 3 matching MRF lines		 $175–$310.57 $250–$443.67 varies
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines		 $62.28–$206.32 $88.97–$294.74 varies
Tyms Gene Analysis Common Variants (81346) $250.85 $358.36 1.4×
Ugt1a1 gene analysis common variants (81350) $335.79 $479.70 1.4×
Unlisted Cytogenetic Study (88299) $208.08 $297.25 3.7×
Unlisted reproductive medicine lab procedure (89398) $384.22 $548.89 6.9×
Unlisted Surgical Pathology Procedure (88399) $88.97 $127.10 1.6×
Unlisted Transfusion Medicine Procedure (86999) $20.27 $28.96 0.7×
Urea Nitrogen Clearance (84545) $34.59 $49.41 4.8×
Urea nitrogen urine (84540)
range across 3 matching MRF lines		 $26.90–$243.81 $38.43–$348.30 varies
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $19.22 $27.45 3.7×
Uric acid other source (84560)
range across 3 matching MRF lines		 $7.53–$42.01 $10.76–$60.01 varies
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines		 $15.37–$36.77 $21.96–$52.53 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 2 matching MRF lines		 $15.37–$36.77 $21.96–$52.53 varies
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines		 $11.53–$15.03 $16.47–$21.47 varies
Urinalysis; 2 or 3 glass test Facility (81020) $19.22 $27.45 4.1×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $19.22 $27.45 0.6×
Urine Albumin Semiquantitative (82044)
range across 2 matching MRF lines		 $8.94–$34.59 $12.77–$49.41 varies
Urine Bacteria Culture (87088)
range across 2 matching MRF lines		 $7.57–$42.27 $10.81–$60.38 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines		 $23.05–$84.02 $32.93–$120.03 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines		 $22.14–$70.53 $31.63–$100.76 varies
Urobilinogen urine qual (84578) $15.37 $21.96 3.4×
Urobilinogen, feces, quantitative Facility (84577) $34.59 $49.41 2.1×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $34.59 $49.41 3.6×
Urobilinogen, urine; semiquantitative Facility (84583) $15.37 $21.96 2.5×
Valproic acid (80164)
range across 4 matching MRF lines		 $50.26–$65.47 $71.80–$93.53 varies
Vancomycin (80202)
range across 2 matching MRF lines		 $65.32–$143.28 $93.32–$204.69 varies
Varicella-zoster antibody (86787)
range across 5 matching MRF lines		 $16–$76.85 $22.86–$109.78 varies
Vasopressin (84588)
range across 4 matching MRF lines		 $60.77–$146.01 $86.82–$208.58 varies
Very Long Chain Fatty Acids (82726)
range across 2 matching MRF lines		 $37.53–$253.59 $53.61–$362.27 varies
Viral Culture (87252)
range across 5 matching MRF lines		 $52.52–$69.16 $75.03–$98.80 varies
Virus antibody nos (86790)
range across 6 matching MRF lines		 $36.02–$99.90 $51.46–$142.71 varies
Virus inoculate tissue addl (87253)
range across 2 matching MRF lines		 $69.16–$84.02 $98.80–$120.03 varies
Virus inoculation, shell via (87254)
range across 2 matching MRF lines		 $48.03–$69.16 $68.62–$98.80 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250)
range across 2 matching MRF lines		 $28.07–$76.85 $40.10–$109.78 varies
Viscosity serum (85810)
range across 2 matching MRF lines		 $38.42–$51.77 $54.89–$73.95 varies
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines		 $138.32–$162.05 $197.60–$231.50 varies
Vitamin A (84590)
range across 2 matching MRF lines		 $61.52–$84.53 $87.89–$120.76 varies
Vitamin b-12 (82607)
range across 2 matching MRF lines		 $58.37–$222.07 $83.38–$317.24 varies
Vitamin B2 (Riboflavin) (84252)
range across 2 matching MRF lines		 $59.27–$80.69 $84.67–$115.27 varies
Vitamin B6 (84207)
range across 2 matching MRF lines		 $142.16–$216.79 $203.09–$309.70 varies
Vitamin c (82180)
range across 2 matching MRF lines		 $33.01–$53.79 $47.15–$76.84 varies
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines		 $7.07–$157.54 $10.10–$225.05 varies
Vitamin E (84446)
range across 2 matching MRF lines		 $50.26–$73 $71.80–$104.29 varies
Vitamin K (84597)
range across 2 matching MRF lines		 $80.69–$195.06 $115.27–$278.65 varies
Vkorc1 gene (81355) $171.81 $245.44 1.9×
Volatiles (84600)
range across 3 matching MRF lines		 $37.53–$61.47 $53.61–$87.82 varies
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 2 matching MRF lines		 $17.29–$30.03 $24.70–$42.90 varies
Von willebrand factor ag (85246)
range across 4 matching MRF lines		 $61.52–$142.16 $87.89–$203.09 varies
Wbc Alkaline Phosphatase Count (85540)
range across 2 matching MRF lines		 $21.02–$42.27 $30.03–$60.38 varies
West nile virus ab igm (86788)
range across 2 matching MRF lines		 $33.47–$43.52 $47.82–$62.17 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines		 $33.47–$42.76 $47.82–$61.09 varies
Western Blot Test (84181)
range across 4 matching MRF lines		 $31.47–$330.09 $44.96–$471.55 varies
Whole Mitochondrial Genome (81460) $1,846.85 $2,638.35 1.4×
Xm Archive Tissue Molec Anal (88363)
range across 2 matching MRF lines		 $17.50–$144.94 $25–$207.05 varies
Xylose Absorption Test (84620)
range across 2 matching MRF lines		 $76.85–$99.77 $109.78–$142.53 varies
Zika Virus Dna/Rna Amp Probe (87662) $73.63 $105.19 1.4×
Zika Virus Igm Antibody (86794) $297.08 $424.40 17.6×
Zinc (84630)
range across 3 matching MRF lines		 $25.51–$73 $36.44–$104.29 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.