Lab & pathology prices at Munising Memorial Hospital
Munising, MI · every code in this section with a posted price and a Medicare benchmark.
806 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $135 | $135 | 5.9× |
| 5 Nucleotidase (83915) | $46 | $46 | 4.1× |
| Abl1 gene analysis kinase domain variants (81170) range across 2 matching MRF lines |
$477–$601 | $477–$601 | varies |
| Acetylcholine receptor binding antibody (86041) | $41 | $41 | 2.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $95 | $95 | 7.9× |
| Acth (82024) | $35 | $35 | 0.9× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $93 | $93 | 2.9× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$35–$170 | $35–$170 | varies |
| Acute hepatitis panel (80074) | $1,079 | $1,079 | 22.7× |
| Acylcarnitines Quant (82017) | $97 | $97 | 5.7× |
| Adenovirus antibody (86603) | $75 | $75 | 5.8× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $212 | $212 | 3.3× |
| Albumin Fluid (82042) | $94 | $94 | 12.1× |
| Albumin serum (82040) | $13 | $13 | 2.6× |
| Aldolase (82085) | $31 | $31 | 3.2× |
| Aldosterone urine (82088) | $34 | $34 | 0.8× |
| Alkaline phosphatase isoenzymes (84080) | $71 | $71 | 4.8× |
| Allergen specific ige (86003) | $122 | $122 | 23.4× |
| Allergen specific igg (86001) | $31 | $31 | 4.0× |
| Allg Spec Ige Recomb Ea (86008) | $60 | $60 | 3.3× |
| Alpha-1-antitrypsin phenotype (82104) | $89 | $89 | 6.2× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$33–$136 | $33–$136 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$34–$41 | $34–$41 | varies |
| Alt (sgpt) (84460) | $106 | $106 | 20.0× |
| Aluminum (82108) | $94 | $94 | 3.7× |
| Amikacin trough (80150) | $34 | $34 | 2.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $81 | $81 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $376 | $376 | 22.3× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$130–$216 | $130–$216 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$12–$211 | $12–$211 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $189 | $189 | 1.9× |
| Amylase urine (82150) range across 3 matching MRF lines |
$137–$306 | $137–$306 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$170–$211 | $170–$211 | varies |
| Androstanediol Glucuronide (82154) | $87 | $87 | 3.0× |
| Androstenedione (82157) | $39 | $39 | 1.3× |
| Angiotensin converting enzyme csf (82164) | $280 | $280 | 19.2× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$131–$137 | $131–$137 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$102–$303 | $102–$303 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$71–$485 | $71–$485 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$229–$455 | $229–$455 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $68 | $68 | 4.0× |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$76–$151 | $76–$151 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $146 | $146 | 11.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $94 | $94 | 6.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$94–$186 | $94–$186 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$75–$149 | $75–$149 | varies |
| Antibody haemophilus influenza (86684) | $103 | $103 | 6.5× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$101–$300 | $101–$300 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $88 | $88 | 6.1× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$39–$99 | $39–$99 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $81 | $81 | 5.9× |
| Antibody HIV-2 (86702) | $81 | $81 | 6.0× |
| Antibody identification leukocyte antibodies (86021) | $131 | $131 | 8.7× |
| Antibody Identification Platelet Immunogl Assay (86023) | $42 | $42 | 3.4× |
| Antibody john cunningham virus (86711) | $67 | $67 | 4.0× |
| Antibody Lymphocytic Choriomeningitis (86727) | $129 | $129 | 10.0× |
| Antibody neisseria meningitidis (86741) | $260 | $260 | 19.7× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$61–$120 | $61–$120 | varies |
| Antibody Titer (86886) | $205 | $205 | 39.6× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$34–$60 | $34–$60 | varies |
| Antibody yersinia (86793) | $70 | $70 | 5.3× |
| Antibody; encephalitis, st. louis (86653) | $76 | $76 | 5.8× |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$51–$100 | $51–$100 | varies |
| Antigen typing (86905) | $349 | $349 | 91.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $232 | $232 | 40.6× |
| Antinomyces antibody (86602) range across 2 matching MRF lines |
$103–$205 | $103–$205 | varies |
| Antinuclear antibodies (86038) | $230 | $230 | 19.0× |
| Antistreptolysin O Screen (86063) | $73 | $73 | 12.7× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$33–$113 | $33–$113 | varies |
| Antithrombin iii activity (85300) | $44 | $44 | 3.7× |
| Antithrombin iii antigen (85301) | $38 | $38 | 3.5× |
| Apc gene full sequence (81201) | $1,235 | $1,235 | 1.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$143–$283 | $143–$283 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $389.50 | $389.50 | 10.3× |
| Arsenic (82175) | $140 | $140 | 7.4× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$73–$74 | $73–$74 | varies |
| Assay activated protein c (85307) | $66 | $66 | 4.3× |
| Assay Blood Carbon Dioxide (82374) | $73 | $73 | 15.0× |
| Assay myeloperoxidase (83876) | $67 | $67 | 1.3× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$348–$694 | $348–$694 | varies |
| Assay of 5-hiaa (83497) | $70 | $70 | 5.4× |
| Assay of anti-mullerian hormone (82166) | $71 | $71 | 1.8× |
| Assay of b-hexosaminidase each assay (83080) | $637 | $637 | 37.8× |
| Assay of blood/uric acid (84550) | $85 | $85 | 18.8× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$9.50–$119 | $9.50–$119 | varies |
| Assay of corticosterone (82528) | $70 | $70 | 3.1× |
| Assay of cpk in blood (82552) | $94 | $94 | 7.0× |
| Assay of estrone (82679) | $39 | $39 | 1.6× |
| Assay of g6pd enzyme (82955) | $225 | $225 | 23.2× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$30.75–$213 | $30.75–$213 | varies |
| Assay of lactic acid (83605) | $304 | $304 | 26.3× |
| Assay of manganese (83785) | $140 | $140 | 5.3× |
| Assay of metanephrines (83835) | $103 | $103 | 6.1× |
| Assay of proinsulin (84206) | $520 | $520 | 19.5× |
| Assay of pyruvate (84210) | $256 | $256 | 17.7× |
| Assay of serotonin (84260) | $42 | $42 | 1.4× |
| Assay of serum potassium (84132) | $71 | $71 | 14.9× |
| Assay of sweat sodium (84302) | $57 | $57 | 11.7× |
| Assay of transcortin (84449) | $64 | $64 | 3.6× |
| Assay of urea nitrogen (84520) | $71 | $71 | 18.0× |
| Assay of urine vma (84585) | $53 | $53 | 3.4× |
| Assay of vasoactive intestinal peptide (84586) | $202 | $202 | 5.7× |
| Assay of vitamin b-1 (84425) | $197 | $197 | 9.3× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9.25–$78 | $9.25–$78 | varies |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $369 | $369 | 2.7× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $369 | $369 | 2.7× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) | $369 | $369 | 2.7× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $369 | $369 | 2.7× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $369 | $369 | 2.7× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $369 | $369 | 2.7× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) | $369 | $369 | 2.7× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) range across 2 matching MRF lines |
$929–$1,122 | $929–$1,122 | varies |
| Bacterial antigens 87802 (87802) | $141 | $141 | 11.1× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$76–$298 | $76–$298 | varies |
| Bcr/abl1 gene major bp (81206) | $512 | $512 | 3.1× |
| Bcr/abl1 gene minor bp (81207) | $453 | $453 | 3.1× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$126–$375 | $126–$375 | varies |
| Beta hydroxybutyrate (82010) | $100 | $100 | 12.2× |
| Beta Lactamase (87185) | $109 | $109 | 22.9× |
| Beta-2 Microglobulin (82232) | $33 | $33 | 2.0× |
| Bile acids total (82239) | $33 | $33 | 1.9× |
| Bilirubin direct (82248) | $140 | $140 | 27.9× |
| Bilirubin total (82247) | $52 | $52 | 10.4× |
| Biotinidase (82261) | $101 | $101 | 6.0× |
| Blastomyces antibody (86612) | $79 | $79 | 6.1× |
| Bld Typing Serologic Rh Phnt (86906) | $170 | $170 | 21.9× |
| Bleeding time test (85002) | $63 | $63 | 13.1× |
| Blood Count Red Blood Cell Automated (85041) | $31 | $31 | 10.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $71 | $71 | 18.7× |
| Blood gas (82803) range across 2 matching MRF lines |
$71–$140 | $71–$140 | varies |
| Blood gases w/02 saturation (82805) | $329 | $329 | 4.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$21–$111 | $21–$111 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$6–$111 | $6–$111 | varies |
| Blood typing serologic abo (86900) | $170 | $170 | 56.9× |
| Bone marrow smear interpretation (85097) | $859 | $859 | 1.1× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$96–$285 | $96–$285 | varies |
| Braf gene analysis (81210) | $411 | $411 | 2.3× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $1,499 | $1,499 | 3.2× |
| Brca1&2 gen full seq dup/del (81162) | $1,529 | $1,529 | 0.8× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $298 | $298 | 0.8× |
| Breath Alcohol Test (82075) | $90 | $90 | 3.0× |
| Brucella antibody (86622) | $153 | $153 | 17.1× |
| C diff amplified probe (87493) | $130 | $130 | 3.5× |
| C-Peptide (84681) | $33 | $33 | 1.6× |
| C-reactive protein (86140) | $20 | $20 | 3.9× |
| Ca 19-9 (86301) | $33 | $33 | 1.6× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $369 | $369 | 2.7× |
| Cadmium (82300) | $73 | $73 | 3.1× |
| Caffeine (80155) | $127 | $127 | 3.3× |
| Calcitonin (82308) | $37 | $37 | 1.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$18–$191 | $18–$191 | varies |
| Calcium total (82310) | $101 | $101 | 19.6× |
| Calculus assay quant (82360) | $458 | $458 | 35.6× |
| Calprotectin Fecal (83993) | $70 | $70 | 3.6× |
| Calr gene com variants (81219) | $204 | $204 | 1.7× |
| Cancer Antigen 125 (86304) | $126 | $126 | 6.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$33–$130 | $33–$130 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$337–$672 | $337–$672 | varies |
| Candida Dna Dir Probe (87480) | $89 | $89 | 4.4× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $2,123 | $2,123 | 3.6× |
| Carbamazepine free (80157) | $48 | $48 | 3.6× |
| Carbamazepine total (80156) | $404 | $404 | 27.7× |
| Carbohydrate Deficient Transferrin (82373) | $80 | $80 | 4.4× |
| Carboxyhemoglobin (82375) | $124 | $124 | 10.1× |
| Carcinoembryonic antigen (82378) | $314 | $314 | 16.6× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$101–$200 | $101–$200 | varies |
| Carnitine Quantitative Each Specimen (82379) | $49 | $49 | 2.9× |
| Carotene (82380) | $37 | $37 | 4.0× |
| Catecholamines fractionated (82384) | $112 | $112 | 4.4× |
| Ccp antibody (86200) | $260 | $260 | 20.1× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $601 | $601 | 2.5× |
| Cell count csf (89051) | $145 | $145 | 25.9× |
| Cell enumeration & id (86152) | $1,299 | $1,299 | 5.2× |
| Cell marker study (88182) | $401 | $401 | 7.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 4 matching MRF lines |
$406–$814 | $406–$814 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$34–$201 | $34–$201 | varies |
| Cftr gene com variants (81220) | $194 | $194 | 0.3× |
| Cftr gene dup/delet variants (81222) | $737 | $737 | 1.7× |
| Cftr gene full sequence (81223) | $844 | $844 | 1.7× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$44–$190 | $44–$190 | varies |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$73–$428 | $73–$428 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$76–$224 | $76–$224 | varies |
| Chloride other source (82438) | $50 | $50 | 10.0× |
| Chloride Serum (82435) | $64 | $64 | 13.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$9.25–$99 | $9.25–$99 | varies |
| Cholesterol total (82465) | $117 | $117 | 26.9× |
| Cholinesterase rbc (82482) | $37 | $37 | 3.8× |
| Cholinesterase Serum (82480) | $36 | $36 | 4.6× |
| Chorionic gonadotropin test (84702) | $43 | $43 | 2.9× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $777 | $777 | 4.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$89–$175 | $89–$175 | varies |
| Chromium serum (82495) range across 2 matching MRF lines |
$30.50–$268 | $30.50–$268 | varies |
| Chromogranin a (86316) | $193 | $193 | 9.3× |
| Chromosome Analysis 15-20 (88262) | $393 | $393 | 3.1× |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$175–$423 | $175–$423 | varies |
| Chromosome analysis, 5 (88261) | $592 | $592 | 2.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$23.50–$211 | $23.50–$211 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$13–$167 | $13–$167 | varies |
| Ckmb (82553) | $52 | $52 | 4.5× |
| Clostridium Difficile (87324) | $39 | $39 | 3.3× |
| Clot Factor VIII Multimetric (85247) | $176 | $176 | 7.7× |
| Clotting factor xii hageman (85280) | $87 | $87 | 4.5× |
| Clotting Funct Activity (85397) | $134 | $134 | 4.3× |
| Clotting hi molec weight kininogen assay (85293) | $70 | $70 | 3.7× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $70 | $70 | 3.7× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$644–$672 | $644–$672 | varies |
| Coagulation time activated (85347) | $91 | $91 | 21.3× |
| Coccidioides antibody (86635) | $71 | $71 | 6.2× |
| Cold agglutinin screen (86156) | $68 | $68 | 8.4× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$34–$272 | $34–$272 | varies |
| Collagen crosslinks (82523) | $113 | $113 | 6.0× |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
$94–$464 | $94–$464 | varies |
| Compatibility test antiglob (86922) | $441 | $441 | 2.6× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$30–$32 | $30–$32 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$33–$399 | $33–$399 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$134–$175 | $134–$175 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$304–$309 | $304–$309 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$109–$406 | $109–$406 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 3 matching MRF lines |
$189–$229 | $189–$229 | varies |
| Coombs direct (86880) | $277 | $277 | 51.4× |
| Copper urine (82525) | $76 | $76 | 6.1× |
| Cortisol free (82530) | $40 | $40 | 2.4× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$99–$345 | $99–$345 | varies |
| Creatine (82540) | $33 | $33 | 7.1× |
| Creatine kinase total (82550) | $115 | $115 | 17.7× |
| Creatinine blood (82565) | $78 | $78 | 15.2× |
| Creatinine clearance (82575) | $187 | $187 | 19.8× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$9.25–$239 | $9.25–$239 | varies |
| Crossmatch immediate spin (86920) | $441 | $441 | 2.6× |
| Crp High Sensitivity (86141) | $559 | $559 | 43.2× |
| Cryofibrinogen (82585) | $31 | $31 | 2.2× |
| Cryoglobulin (82595) | $34 | $34 | 5.3× |
| Cryptococcus ab (86641) | $80 | $80 | 5.6× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$141–$280 | $141–$280 | varies |
| Cryptosporidium (87272) | $188 | $188 | 15.7× |
| Cryptosporidium ag eia (87328) | $101 | $101 | 7.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$79–$141 | $79–$141 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$79–$156 | $79–$156 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$39–$43 | $39–$43 | varies |
| Culture Anaerobic (87075) | $274 | $274 | 28.9× |
| Culture blood (87040) range across 2 matching MRF lines |
$64–$225 | $64–$225 | varies |
| Culture chlamydia (87110) | $681 | $681 | 34.7× |
| Culture csf (87070) | $133 | $133 | 15.4× |
| Culture fungus (87102) | $43 | $43 | 5.1× |
| Culture fungus blood (87103) | $43 | $43 | 2.1× |
| Culture screen only (87081) range across 2 matching MRF lines |
$36–$41 | $36–$41 | varies |
| Culture stool (87045) | $230 | $230 | 24.4× |
| Culture typing if ea antiserum (87140) | $22 | $22 | 3.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $112 | $112 | 21.6× |
| Culture urine (87086) | $171 | $171 | 21.2× |
| Cyanide (82600) | $54 | $54 | 2.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $324 | $324 | 22.6× |
| Cyclosporine (80158) | $42 | $42 | 2.3× |
| Cyp2c19 gene analysis common variants (81225) | $953 | $953 | 3.3× |
| Cyp2c9 gene com variants (81227) | $438 | $438 | 2.5× |
| Cystatin C (82610) | $39 | $39 | 2.1× |
| Cytogenetics 10-30 (88273) | $114 | $114 | 3.3× |
| Cytogenetics 100-300 (88275) range across 7 matching MRF lines |
$220–$1,093 | $220–$1,093 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $729 | $729 | 0.6× |
| Cytogenomic neo microra alys (81277) | $2,679 | $2,679 | 2.3× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$43–$73 | $43–$73 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$27–$199 | $27–$199 | varies |
| Cytopath Cell Enhance Tech (88112) | $308 | $308 | 5.9× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $137 | $137 | 2.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$53–$151 | $53–$151 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $96 | $96 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $353 | $353 | 6.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $333 | $333 | 2.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $93 | $93 | 2.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $130 | $130 | 4.5× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $817 | $817 | 4.8× |
| Deoxycortisol (82634) | $141 | $141 | 4.8× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$44–$94 | $44–$94 | varies |
| Desoxycorticosterone (82633) | $141 | $141 | 4.6× |
| Detect Agent Nos Dna Amp (87798) range across 5 matching MRF lines |
$84–$258 | $84–$258 | varies |
| Detect Agent Nos Dna Quant (87799) | $399 | $399 | 9.3× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$304–$355 | $304–$355 | varies |
| Dhea (82626) | $34 | $34 | 1.3× |
| Dhea-S (82627) | $34 | $34 | 1.5× |
| Digoxin (80162) | $202 | $202 | 15.2× |
| Dihydrotestosterone (82642) | $53 | $53 | 1.8× |
| Dna Antibody Native/Double Stranded (86225) | $149 | $149 | 10.8× |
| Dna Antibody Single Stranded (86226) | $347 | $347 | 28.7× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$86–$2,950 | $86–$2,950 | varies |
| Dpyd gene common variants (81232) | $572 | $572 | 3.3× |
| Drug Assay Amiodarone (80151) | $38 | $38 | 2.0× |
| Drug Assay Everolimus (80169) | $147 | $147 | 10.7× |
| Drug Assay Itraconazole (80189) | $94 | $94 | 3.5× |
| Drug Assay Lacosamide (80235) | $79 | $79 | 2.9× |
| Drug Assay Leflunomide (80193) | $104 | $104 | 2.7× |
| Drug Assay Posaconazole (80187) | $93 | $93 | 3.4× |
| Drug Assay Vedolizumab (80280) range across 2 matching MRF lines |
$104–$121 | $104–$121 | varies |
| Drug Asy Hydroxychloroquine (80220) | $260 | $260 | 13.9× |
| Drug Screen Quant Clozapine (80159) | $49 | $49 | 2.4× |
| Drug Screen Quant Zonisamide (80203) | $37 | $37 | 2.8× |
| Drug Screen Quantitative Gabapentin (80171) | $38 | $38 | 1.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $38 | $38 | 2.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $40 | $40 | 3.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $36 | $36 | 2.7× |
| Drug Screen Quantitative Tiagabine (80199) | $67 | $67 | 2.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$44–$152 | $44–$152 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $77 | $77 | 6.1× |
| Egfr Gene Analysis Common Variants (81235) | $721 | $721 | 2.2× |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$122–$245 | $122–$245 | varies |
| El-1 Fecal Quantitative (82653) | $401 | $401 | 17.5× |
| Electrolyte panel (80051) | $211 | $211 | 30.1× |
| Electron Microscopy (88348) | $1,338 | $1,338 | 1.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $151 | $151 | 2.5× |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$76–$151 | $76–$151 | varies |
| Encephaltis West Eqne Antbdy (86654) | $76 | $76 | 5.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $35 | $35 | 2.9× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$49–$672 | $49–$672 | varies |
| Enterovirus PCR (87498) | $137 | $137 | 3.9× |
| Enzyme cell activity (82657) | $168 | $168 | 7.6× |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$79–$859 | $79–$859 | varies |
| Eosinophil Smear (89190) | $57 | $57 | 9.8× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $6,577 | $6,577 | 2.7× |
| Erythropoietin (82668) | $37 | $37 | 2.0× |
| Estradiol serum (82670) | $193 | $193 | 6.9× |
| Estriol (82677) | $35 | $35 | 1.4× |
| Estrogen total (82672) | $35 | $35 | 1.6× |
| Estrogens fractionated (82671) | $97 | $97 | 3.0× |
| Ethosuximide (80168) | $39 | $39 | 2.4× |
| Ethylene Glycol (82693) | $42 | $42 | 2.8× |
| Exam Synovial Fluid Crystals (89060) | $150 | $150 | 20.5× |
| F2 Gene (81240) range across 2 matching MRF lines |
$262–$1,070 | $262–$1,070 | varies |
| Factor ii activity (85210) | $44 | $44 | 3.4× |
| Factor Inhibitor Test (85335) | $75 | $75 | 5.8× |
| Factor ix activity (85250) | $46 | $46 | 2.4× |
| Factor v activity (85220) | $42 | $42 | 2.4× |
| Factor v leiden mutation (81241) | $64 | $64 | 0.9× |
| Factor vii assay (85230) | $150 | $150 | 8.4× |
| Factor viii assay (85240) | $44 | $44 | 2.5× |
| Factor X (85260) | $49 | $49 | 2.7× |
| Factor xi activity (85270) | $59 | $59 | 3.3× |
| Factor xiii screen (85291) | $39 | $39 | 4.3× |
| Fancc Gene (81242) | $68 | $68 | 1.9× |
| Fat/Lipids Feces Quantitative (82710) | $140 | $140 | 8.3× |
| Fatty acids free (82725) | $69 | $69 | 3.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $126 | $126 | 7.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $24 | $24 | 2.4× |
| Fecal Fat Qualitative (82705) | $34 | $34 | 6.7× |
| Ferritin (82728) | $248 | $248 | 18.2× |
| Fetal Chrmoml Aneuploidy (81420) | $1,524 | $1,524 | 2.0× |
| Fetal Fibronectin (82731) | $585 | $585 | 9.1× |
| Fetal screen rosette (85461) | $35 | $35 | 3.7× |
| Fibrin Degradation Quant (85379) | $37 | $37 | 3.6× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $109 | $109 | 11.2× |
| Fibrinogen activity (85384) | $33 | $33 | 3.4× |
| Fibrinogen antigen (85385) | $46 | $46 | 3.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $183 | $183 | 11.8× |
| Flow cytometry first marker (88184) range across 5 matching MRF lines |
$56–$406 | $56–$406 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$332–$356.20 | $332–$356.20 | varies |
| Flt3 gene analysis (81246) range across 2 matching MRF lines |
$167–$356.20 | $167–$356.20 | varies |
| Fluorescent antibody screen (86255) range across 10 matching MRF lines |
$96–$2,268 | $96–$2,268 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$21–$655 | $21–$655 | varies |
| Fluoride serum (82735) | $59 | $59 | 3.2× |
| Fmr1 gene detection (81243) | $127 | $127 | 2.2× |
| Folic acid rbc (82747) | $85 | $85 | 4.8× |
| Folic Acid Serum (82746) | $300 | $300 | 20.4× |
| Follicle Stimulating Hormone (83001) | $409 | $409 | 22.0× |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$61–$120 | $61–$120 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $349 | $349 | 2.1× |
| Frozen Section (88331) | $365 | $365 | 2.2× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$80–$140 | $80–$140 | varies |
| Fungi Identification Yeast (87106) | $115 | $115 | 11.1× |
| FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) | $606 | $606 | 3.3× |
| Galactokinase rbc (82759) | $752 | $752 | 35.0× |
| Galactose (82760) | $146 | $146 | 13.0× |
| Galectin-3 (82777) | $74 | $74 | 1.7× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$52–$316 | $52–$316 | varies |
| Gardner vag DNA dir probe (87510) | $89 | $89 | 4.4× |
| Gases blood ph only (82800) | $204 | $204 | 18.5× |
| Gastrin (82941) | $34 | $34 | 1.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$996–$1,176 | $996–$1,176 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$1,929–$2,679 | $1,929–$2,679 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $5,277 | $5,277 | 1.8× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$43–$108 | $43–$108 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $5,557 | $5,557 | 2.3× |
| Gentamicin (80170) | $201 | $201 | 12.3× |
| Ggt (82977) | $101 | $101 | 14.0× |
| Glucagon (82943) range across 2 matching MRF lines |
$46–$79 | $46–$79 | varies |
| Glucose 2 hr pp (82950) | $232 | $232 | 48.8× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$6–$78 | $6–$78 | varies |
| Glucose body fluid (82945) | $88 | $88 | 22.4× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$6–$190 | $6–$190 | varies |
| Glucose tolerance test (gtt) (82951) | $254 | $254 | 19.7× |
| Glucosidase beta (82963) | $374 | $374 | 17.4× |
| Glutathione (82978) | $104 | $104 | 6.7× |
| Glycated Protein (82985) | $34 | $34 | 2.0× |
| Gonadotropin Chorionic Qualitative (84703) | $182 | $182 | 24.2× |
| Gonadotropin releasing hormone (83727) | $99 | $99 | 5.8× |
| Growth hormone (83003) | $37 | $37 | 2.2× |
| Growth hormone antibody (86277) | $91 | $91 | 5.8× |
| Gtt-added samples (82952) range across 4 matching MRF lines |
$136–$538 | $136–$538 | varies |
| H Pylori (C-13) Breath (83013) | $49 | $49 | 0.7× |
| H Pylori Drug Admin (83014) | $36 | $36 | 4.6× |
| Haloperidol (80173) | $43 | $43 | 2.7× |
| Haptoglobin (83010) | $33 | $33 | 2.6× |
| Hba1/Hba2 Gene (81257) | $315 | $315 | 3.1× |
| Hdl Cholesterol (83718) | $155 | $155 | 18.9× |
| Helicobacter Pylori Stool (87338) | $258 | $258 | 17.9× |
| Helminth Antibody (86682) | $85 | $85 | 6.5× |
| Hematocrit (85014) | $31 | $31 | 13.1× |
| Hemoglobin (85018) | $6 | $6 | 2.5× |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$21–$162 | $21–$162 | varies |
| Hemoglobin Chromotography (83021) | $140 | $140 | 7.8× |
| Hemoglobin electrophoresis (83020) | $39 | $39 | 3.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $224 | $224 | 27.3× |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$38–$64 | $38–$64 | varies |
| Hep a ab igm (86709) | $150 | $150 | 13.3× |
| Heparin assay (85520) | $192 | $192 | 14.7× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$34–$247 | $34–$247 | varies |
| Hepatitis b core ab igm (86705) | $88 | $88 | 7.5× |
| Hepatitis b core ab total (86704) | $34 | $34 | 2.8× |
| Hepatitis B Surface Antibody (86706) | $201 | $201 | 18.7× |
| Hepatitis B Surface Antigen (87340) | $204 | $204 | 19.7× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$32–$114 | $32–$114 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$32–$67 | $32–$67 | varies |
| Hepatitis C Antibody (86803) | $175 | $175 | 12.3× |
| Hepatitis c antibody confirmatory test (86804) | $94 | $94 | 6.1× |
| Hepatitis C Genotype (87902) | $983 | $983 | 3.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $112 | $112 | 3.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $434 | $434 | 10.1× |
| Hepatitis Delta Agent Antibody (86692) | $140 | $140 | 8.2× |
| Herpes simplex type 2 (86696) | $219 | $219 | 11.3× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$10–$270 | $10–$270 | varies |
| Hexa gene analysis common variants (81255) | $237 | $237 | 4.6× |
| Hfe Gene (81256) | $91 | $91 | 1.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $107 | $107 | 13.8× |
| Histamine urine (83088) | $130 | $130 | 4.4× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$117–$347 | $117–$347 | varies |
| Histoplasma antigen urine (87385) | $202 | $202 | 15.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$36–$167 | $36–$167 | varies |
| Hiv-1 Antibody (86701) | $44 | $44 | 4.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,408 | $1,408 | 16.5× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $644 | $644 | 3.6× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,319 | $1,319 | 3.3× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $77 | $77 | 0.6× |
| Hla class i&ii antibody qual (86828) | $211 | $211 | 3.3× |
| Hla class ii typing high resolution one locus ea (81382) | $616 | $616 | 5.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $48 | $48 | 0.6× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$92–$180 | $92–$180 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $667 | $667 | 3.0× |
| Hla ii type 1 ag equiv lr (81377) | $546 | $546 | 5.8× |
| Hla ii typing 1 allele hr (81383) | $564 | $564 | 5.2× |
| Homocysteine (83090) | $44 | $44 | 2.5× |
| Homogenization Tissue (87176) | $101 | $101 | 17.2× |
| Homovanillic acid urine (83150) | $159 | $159 | 7.1× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$48–$503 | $48–$503 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $172 | $172 | 2.5× |
| Hpv Types 16 & 18 Only (87625) | $121 | $121 | 3.0× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$130–$517 | $130–$517 | varies |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$126–$209 | $126–$209 | varies |
| Hydroxycorticosteroids 17 (83491) | $65 | $65 | 3.6× |
| Hydroxyprogesterone 17-d (83498) | $39 | $39 | 1.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $106 | $106 | 3.0× |
| Iaadi giardia (87269) | $99 | $99 | 7.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $129 | $129 | 3.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $153 | $153 | 4.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $153 | $153 | 4.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$100–$129 | $100–$129 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$107–$517 | $107–$517 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $630 | $630 | 14.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$100–$172 | $100–$172 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $119 | $119 | 3.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $402 | $402 | 9.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $129 | $129 | 3.7× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $100 | $100 | 2.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$100–$110 | $100–$110 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$23.50–$211 | $23.50–$211 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $95 | $95 | 1.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $616 | $616 | 4.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $743 | $743 | 2.8× |
| Idh1 common variants (81120) | $356.20 | $356.20 | 1.8× |
| Idh2 common variants (81121) | $356.20 | $356.20 | 1.2× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$57–$242 | $57–$242 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$40–$409 | $40–$409 | varies |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$517–$676 | $517–$676 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $479 | $479 | 1.6× |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
$389–$676 | $389–$676 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$104–$406 | $104–$406 | varies |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$68–$134 | $68–$134 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $175 | $175 | 6.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$63–$408 | $63–$408 | varies |
| Immunoassay infectious agent (86318) | $173 | $173 | 9.6× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$93–$1,781 | $93–$1,781 | varies |
| Immunoassay nonantibody (83516) range across 14 matching MRF lines |
$46–$853 | $46–$853 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$158–$245 | $158–$245 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$10.25–$167 | $10.25–$167 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $406 | $406 | 2.4× |
| Immunohistochemistry (88342) range across 6 matching MRF lines |
$65–$644 | $65–$644 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$209–$448 | $209–$448 | varies |
| Influenza a/b ag eia (87400) | $37 | $37 | 2.6× |
| Influenza assay w/optic (87804) | $303 | $303 | 18.3× |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$121–$859 | $121–$859 | varies |
| Inhibin A (86336) | $115 | $115 | 7.4× |
| Inhibin b (83520) range across 9 matching MRF lines |
$50–$722 | $50–$722 | varies |
| Insitu hybridization auto (88367) | $372 | $372 | 1.0× |
| Insitu hybridization manual (88368) | $425 | $425 | 1.2× |
| Insulin antibodies (86337) | $124 | $124 | 5.8× |
| Insulin free (83527) | $143 | $143 | 11.0× |
| Insulin total (83525) | $29 | $29 | 2.5× |
| Interleukin-6 (83529) | $83 | $83 | 4.8× |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$34–$132 | $34–$132 | varies |
| Iron (83540) | $80 | $80 | 12.4× |
| Iron Binding Capacity (83550) | $122 | $122 | 14.0× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$56.45–$484 | $56.45–$484 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$137–$243 | $137–$243 | varies |
| Ketosteroids 17 total (83586) | $78 | $78 | 6.1× |
| Kit Gene Analysis D816 Variant(S) (81273) | $543 | $543 | 4.3× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $533 | $533 | 1.6× |
| Kras Gene Variants Exon 2 (81275) | $506 | $506 | 2.6× |
| Lactate (ld) (ldh) enzyme (83615) | $103 | $103 | 17.1× |
| Lactoferrin fecal qualitative (83630) | $88 | $88 | 4.5× |
| Lactoferrin Fecal Quantitative (83631) | $92 | $92 | 4.7× |
| Ldh Isoenzymes (83625) | $103 | $103 | 8.1× |
| LDL direct (83721) range across 2 matching MRF lines |
$52–$96 | $52–$96 | varies |
| Lead (83655) range across 3 matching MRF lines |
$21–$90 | $21–$90 | varies |
| Legionella antibody (86713) | $337 | $337 | 22.0× |
| Legionella antigen urine (87449) | $74 | $74 | 6.2× |
| Leptospira antibody (86720) | $54 | $54 | 3.3× |
| Leukocyte Assessment Fecal (89055) | $75 | $75 | 17.6× |
| Leukocyte Histamine Release (86343) | $105 | $105 | 8.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $119 | $119 | 4.1× |
| Level ii surg pathology grossµscopic exam (88302) | $488 | $488 | 13.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $561 | $561 | 1.6× |
| Lipase (83690) range across 2 matching MRF lines |
$114–$202 | $114–$202 | varies |
| Lipoprotein A (83695) | $38 | $38 | 2.7× |
| Lipoprotein Bld Quan Part (83704) | $62 | $62 | 1.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $18 | $18 | 1.6× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $337 | $337 | 10.0× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $48 | $48 | 3.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $130 | $130 | 2.8× |
| Listeria Monocytogenes (86723) | $167 | $167 | 12.7× |
| Lithium (80178) | $178 | $178 | 26.9× |
| Luteinizing Hormone (Lh) (83002) | $51 | $51 | 2.8× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$53–$117 | $53–$117 | varies |
| Lymphocyte transformation (86353) | $179 | $179 | 3.7× |
| Lysozyme serum (85549) | $34 | $34 | 1.8× |
| M. Genitalium Amp Probe (87563) | $27 | $27 | 0.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 4 matching MRF lines |
$350–$564 | $350–$564 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$231–$378 | $231–$378 | varies |
| Macroscopic exam arthropod (87168) | $66 | $66 | 15.5× |
| Macroscopic Exam Parasite (87169) | $69 | $69 | 16.0× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$9.50–$119 | $9.50–$119 | varies |
| Mass Spectrometry Quant (83789) | $74 | $74 | 3.1× |
| Mercury urine (83825) | $103 | $103 | 6.3× |
| Metabolic panel ionized ca (80047) | $17 | $17 | 1.2× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$39–$66 | $39–$66 | varies |
| Microalbumin, quantitative (82043) | $119 | $119 | 20.6× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) | $27 | $27 | 1.2× |
| Microsatellite instability (81301) | $667 | $667 | 1.9× |
| Microsomal Antibodies Each (86376) | $108 | $108 | 7.4× |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$35–$171 | $35–$171 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $365 | $365 | 1.8× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,222 | $1,222 | 1.8× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $389.50 | $389.50 | 10.3× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 12 matching MRF lines |
$88–$867 | $88–$867 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 3 matching MRF lines |
$114–$977.50 | $114–$977.50 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $438 | $438 | 2.9× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$193–$1,009 | $193–$1,009 | varies |
| Mononuclear cell antigen (86356) | $99 | $99 | 3.7× |
| Mopath procedure level 1 (81400) range across 4 matching MRF lines |
$181–$423 | $181–$423 | varies |
| Mopath procedure level 2 (81401) | $199 | $199 | 1.5× |
| Mopath procedure level 4 (81403) range across 3 matching MRF lines |
$264–$561 | $264–$561 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$93–$829 | $93–$829 | varies |
| Mopath procedure level 7 (81406) | $2,904 | $2,904 | 10.3× |
| Mopath procedure level 8 (81407) range across 2 matching MRF lines |
$264–$1,531 | $264–$1,531 | varies |
| Mopath procedure level 9 (81408) range across 3 matching MRF lines |
$1,464.50–$2,524 | $1,464.50–$2,524 | varies |
| Mpl gene common variants (81338) | $329 | $329 | 2.2× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$94–$100 | $94–$100 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $387 | $387 | 1.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $692 | $692 | 1.8× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $432 | $432 | 1.8× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,161 | $1,161 | 1.8× |
| Mthfr Gene Analysis Common Variants (81291) | $84 | $84 | 1.3× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$96–$191 | $96–$191 | varies |
| Mycophenolic Acid (80180) | $69 | $69 | 3.8× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$81–$162 | $81–$162 | varies |
| Mycoplasma culture (87109) | $91 | $91 | 5.9× |
| Myelin basic protein csf (83873) | $335 | $335 | 19.5× |
| Myoglobin urine (83874) | $34 | $34 | 2.6× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$74–$449 | $74–$449 | varies |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$56–$102 | $56–$102 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $363 | $363 | 2.8× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $672 | $672 | 2.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $119 | $119 | 1.6× |
| Niacin (84591) | $175 | $175 | 10.3× |
| Nickel level (83885) | $64 | $64 | 2.6× |
| Nk cells total count (86357) | $182 | $182 | 4.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $450 | $450 | 1.8× |
| Nras gene variants exon 2&3 (81311) | $540 | $540 | 1.8× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$55–$413 | $55–$413 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$6–$111 | $6–$111 | varies |
| Occult Blood Other Sources (82271) | $71 | $71 | 13.3× |
| Oligoclonal bands (83916) | $58 | $58 | 2.1× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $650 | $650 | 2.5× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $5,542 | $5,542 | 1.5× |
| Oncology breast mrna gene expression 21 genes (81519) | $6,416 | $6,416 | 1.7× |
| Oncoprotein dcp (83951) | $188 | $188 | 2.9× |
| Organic Acids Qualitative Each Specimen (83919) | $140 | $140 | 8.5× |
| Osmolality serum (83930) | $155 | $155 | 23.4× |
| Osmolality Urine (83935) | $111 | $111 | 16.3× |
| Osteocalcin (83937) | $96 | $96 | 3.2× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$41–$380 | $41–$380 | varies |
| Ova1 (81503) | $1,277 | $1,277 | 1.4× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$12–$261 | $12–$261 | varies |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$167–$333 | $167–$333 | varies |
| Pathology Consultation During Surgery (88329) | $304 | $304 | 5.2× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $601 | $601 | 1.8× |
| Ph urine (81003) range across 2 matching MRF lines |
$6–$55 | $6–$55 | varies |
| Phenobarbital Level (80184) | $79 | $79 | 5.2× |
| Phenotype Infect Agent Drug (87900) | $474 | $474 | 3.6× |
| Phenylalanine (84030) | $528 | $528 | 96.0× |
| Phenytoin (Dilantin) (80185) | $252 | $252 | 19.0× |
| Phenytoin free (80186) | $36 | $36 | 2.6× |
| Phosphatase alkaline (84075) | $130 | $130 | 25.1× |
| Phospholipid Neutralization Hexagonal (85598) | $63 | $63 | 3.5× |
| Phosphorus Serum (84100) | $57 | $57 | 12.0× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$9.25–$155 | $9.25–$155 | varies |
| Pinworm exam (87172) | $60 | $60 | 14.1× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$94–$279 | $94–$279 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $516 | $516 | 2.5× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $989 | $989 | 1.3× |
| Pms2 gene full seq analysis (81317) | $2,182 | $2,182 | 3.2× |
| Pneumcysts jirovecii amp prb (87594) | $734 | $734 | 20.9× |
| Porphobilinogen, urine; quantitative (84110) | $53 | $53 | 6.3× |
| Porphyrins Feces Quantitative (84126) | $262 | $262 | 6.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $45 | $45 | 3.1× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$9.25–$122 | $9.25–$122 | varies |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) | $369 | $369 | 2.7× |
| Prealbumin (84134) | $197 | $197 | 13.5× |
| Pregnancy-Associated Plasma Protein-A (84163) | $138 | $138 | 9.2× |
| Pregnenolone (84140) | $284 | $284 | 13.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $120 | $120 | 2.0× |
| Primidone (80188) | $108 | $108 | 6.5× |
| Procalcitonin (Pct) (84145) | $243 | $243 | 8.9× |
| Progesterone (84144) | $51 | $51 | 2.4× |
| Prolactin (84146) | $430 | $430 | 22.2× |
| Prostaglandin (84150) | $147 | $147 | 3.5× |
| Protein body fluid (84157) | $86 | $86 | 21.5× |
| Protein C Activity (85303) | $44 | $44 | 3.2× |
| Protein c antigen (85302) | $36 | $36 | 3.0× |
| Protein Electrophoresis Urine (84166) | $101 | $101 | 5.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$18.50–$96 | $18.50–$96 | varies |
| Protein S Free (85306) | $219 | $219 | 14.3× |
| Protein s total (85305) | $277 | $277 | 23.9× |
| Protein total serum (84155) range across 2 matching MRF lines |
$18.50–$83 | $18.50–$83 | varies |
| Protein Total Urine (84156) | $83 | $83 | 22.6× |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$56.45–$318 | $56.45–$318 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $137 | $137 | 34.8× |
| Protoporphyrin rbc quantitative (84202) | $47 | $47 | 3.3× |
| PSA free (84154) | $147 | $147 | 8.0× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $543 | $543 | 1.8× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,093 | $1,093 | 1.8× |
| Pth Intact (83970) | $425 | $425 | 10.3× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$88–$386 | $88–$386 | varies |
| Quantiferon tb gold plus (86480) | $371 | $371 | 6.0× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$64–$1,524 | $64–$1,524 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$30.50–$86 | $30.50–$86 | varies |
| Rbc antibody elution (86860) | $231 | $231 | 1.4× |
| Rbc antibody identification (86870) | $404 | $404 | 1.1× |
| Rbc antibody screen (86850) | $247 | $247 | 25.3× |
| Rbc pretreatment serum (86978) | $128 | $128 | 2.2× |
| Rbc pretx incubatj w/enzymes (86971) | $349 | $349 | 2.1× |
| Reagent Strip/Blood Glucose (82948) | $7 | $7 | 1.4× |
| Renin activity plasma (84244) | $34 | $34 | 1.5× |
| Reptilase test (85635) | $212 | $212 | 21.5× |
| Resp virus 12-25 targets (87633) | $672 | $672 | 1.6× |
| Resp Virus 6-11 Targets (87632) | $616 | $616 | 2.8× |
| Reticulocyte Count Manual (85044) | $111 | $111 | 25.8× |
| Rh (86901) | $170 | $170 | 56.9× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$72–$522 | $72–$522 | varies |
| Rickettsia antibody (86757) | $69 | $69 | 3.6× |
| Ristocetin cofactor (85245) | $219 | $219 | 9.5× |
| Rotavirus ag eia (87425) | $438 | $438 | 36.6× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$28–$31 | $28–$31 | varies |
| Rsv Assay W/Optic (87807) | $394 | $394 | 30.1× |
| Rubella Antibody (86762) | $260 | $260 | 18.1× |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$32–$288 | $32–$288 | varies |
| Russell Viper Venom Time Diluted (85613) | $60 | $60 | 6.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$138–$162 | $138–$162 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $158 | $158 | 3.8× |
| Sarscov2 & inf a&b amp prb (87636) | $366 | $366 | 2.6× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $444 | $444 | 3.1× |
| Sedimentation rate (85651) | $92 | $92 | 21.5× |
| Sedimentation Rate, Automated (85652) | $32 | $32 | 11.9× |
| Selenium (84255) | $212 | $212 | 8.3× |
| Semen Anal Sperm Detection (89321) | $346 | $346 | 28.7× |
| Sensitivity mic (87186) | $211 | $211 | 24.4× |
| Serpina 1 gene (81332) range across 2 matching MRF lines |
$136–$192 | $136–$192 | varies |
| Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) | $158 | $158 | 3.1× |
| Sex Hormone Binding Globulin (84270) | $54 | $54 | 2.5× |
| Sickling of rbc reduction (85660) | $103 | $103 | 18.7× |
| Sirolimus (80195) | $46 | $46 | 3.4× |
| Skin test tuberculosis intradermal (86580) range across 4 matching MRF lines |
$36–$130 | $36–$130 | varies |
| Smear acid fast (87206) | $31 | $31 | 5.8× |
| Smear complex stain (87209) | $6 | $6 | 0.3× |
| Smear gram stain (87205) | $75 | $75 | 17.6× |
| Smear Special Stain (87207) | $139 | $139 | 23.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$9–$87 | $9–$87 | varies |
| Sodium Serum (84295) | $83 | $83 | 17.3× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$9.25–$57 | $9.25–$57 | varies |
| Soluble Transferrin Receptor (84238) | $324 | $324 | 8.9× |
| Somatomedin (84305) | $36 | $36 | 1.7× |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$77–$232 | $77–$232 | varies |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$51–$401 | $51–$401 | varies |
| Specimen infect agnt concntj (87015) | $90 | $90 | 13.5× |
| Spectrophotometry (84311) | $24 | $24 | 3.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $232 | $232 | 1.4× |
| Stool cultr aerobic bact ea (87046) | $125 | $125 | 13.2× |
| Strep a assay w/optic (87880) | $181 | $181 | 10.9× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$50–$178 | $50–$178 | varies |
| Strep b DNA amp probe (87653) | $130 | $130 | 3.7× |
| Sugars Single Qual (84376) | $32 | $32 | 5.8× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$9.25–$20 | $9.25–$20 | varies |
| Surg path level iii (88304) | $511 | $511 | 9.8× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$46–$514 | $46–$514 | varies |
| Surgical pathology level vi (88309) | $859 | $859 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $58 | $58 | 12.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $197 | $197 | 26.3× |
| Syphilis Test Non-Trep Quant (86593) | $32 | $32 | 7.3× |
| T cells absolute cd4 count (86361) | $118 | $118 | 4.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $281 | $281 | 6.0× |
| T cells total count (86359) | $226 | $226 | 6.0× |
| T3 Free (84481) | $188 | $188 | 11.1× |
| T3 reverse (84482) | $35 | $35 | 2.2× |
| T3 Total (84480) | $182 | $182 | 12.8× |
| T3 Uptake (84479) | $41 | $41 | 6.3× |
| T4 Free (84439) | $212 | $212 | 23.5× |
| T4 total (84436) | $43 | $43 | 6.3× |
| Tacrolimus (80197) | $92 | $92 | 6.7× |
| Tau phosphorylated each (84393) | $343 | $343 | 2.7× |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) | $369 | $369 | 2.7× |
| Test for urine cystines (82615) | $9.50 | $9.50 | 1.0× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$68–$160 | $68–$160 | varies |
| Testosterone total (84403) | $63 | $63 | 2.4× |
| Testosterone, Free (84402) | $154 | $154 | 6.0× |
| Tetanus antibody (86774) | $93 | $93 | 6.3× |
| Theophylline (80198) | $155 | $155 | 11.0× |
| Thiopurine methyltransferase (84433) | $224 | $224 | 10.1× |
| Thrombin Time (85670) | $133 | $133 | 23.1× |
| Thromboplastin Inhibition Tissue (85705) | $44 | $44 | 4.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$44–$96.75 | $44–$96.75 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$90–$179 | $90–$179 | varies |
| Thyroglobulin Antibody (86800) | $36 | $36 | 2.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $779 | $779 | 15.3× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $218 | $218 | 4.3× |
| Thyroxine binding globulin (84442) | $39 | $39 | 2.6× |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$125–$398 | $125–$398 | varies |
| Tissue Culture Lymphocyte (88230) | $367 | $367 | 3.2× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$35–$40 | $35–$40 | varies |
| Topiramate (80201) | $143 | $143 | 12.0× |
| Total Tau (84394) | $343 | $343 | 2.7× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$37–$278 | $37–$278 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$35–$191 | $35–$191 | varies |
| Tp53 gene analysis targeted sequence analysis (81352) | $356.20 | $356.20 | 1.1× |
| Tpmt gene com variants (81335) | $600 | $600 | 3.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $106 | $106 | 20.5× |
| Transferrin (84466) | $198 | $198 | 15.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $569 | $569 | 2.7× |
| Trg gene rearrangement anal (81342) | $603 | $603 | 3.0× |
| Trichinella Antibody (86784) | $97 | $97 | 7.7× |
| Trichomonas vagin dir probe (87660) | $89 | $89 | 4.4× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$27–$124 | $27–$124 | varies |
| Triglycerides (84478) | $140 | $140 | 24.4× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$26–$225 | $26–$225 | varies |
| Tumor immunohistochem/comput (88361) range across 5 matching MRF lines |
$156–$537 | $156–$537 | varies |
| Tumor Immunohistochem/Manual (88360) range across 7 matching MRF lines |
$79–$349 | $79–$349 | varies |
| Ugt1a1 gene analysis common variants (81350) | $274 | $274 | 1.2× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$9.25–$71 | $9.25–$71 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$9.25–$30 | $9.25–$30 | varies |
| Urinalysis Volume Measure (81050) | $9.25 | $9.25 | 2.5× |
| Urine Albumin Semiquantitative (82044) | $8 | $8 | 1.3× |
| Urine Bacteria Culture (87088) | $197 | $197 | 24.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$12–$172 | $12–$172 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $103 | $103 | 32.5× |
| Valproic acid (80164) range across 2 matching MRF lines |
$132–$262 | $132–$262 | varies |
| Vancomycin (80202) | $219 | $219 | 16.2× |
| Varicella-zoster antibody (86787) | $278 | $278 | 21.6× |
| Vasopressin (84588) range across 2 matching MRF lines |
$254–$269 | $254–$269 | varies |
| Very Long Chain Fatty Acids (82726) | $183 | $183 | 9.3× |
| Viral Culture (87252) range across 2 matching MRF lines |
$59–$89 | $59–$89 | varies |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$79–$203 | $79–$203 | varies |
| Virus inoculate tissue addl (87253) | $103 | $103 | 5.1× |
| Virus inoculation, shell via (87254) | $63 | $63 | 3.2× |
| Viscosity serum (85810) range across 2 matching MRF lines |
$40–$147 | $40–$147 | varies |
| Vit D 1 25-Dihydroxy (82652) | $628 | $628 | 16.3× |
| Vitamin A (84590) | $39 | $39 | 3.4× |
| Vitamin b-12 (82607) | $256 | $256 | 17.0× |
| Vitamin B2 (Riboflavin) (84252) | $491 | $491 | 24.3× |
| Vitamin B6 (84207) | $37 | $37 | 1.3× |
| Vitamin c (82180) | $46 | $46 | 4.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$94–$104 | $94–$104 | varies |
| Vitamin E (84446) | $38 | $38 | 2.7× |
| Vitamin K (84597) | $84 | $84 | 6.1× |
| Volatiles (84600) | $175 | $175 | 10.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$31–$63 | $31–$63 | varies |
| Von willebrand factor ag (85246) | $173 | $173 | 7.5× |
| Wbc Alkaline Phosphatase Count (85540) | $288 | $288 | 33.5× |
| West nile virus ab igm (86788) | $89 | $89 | 5.3× |
| West Nile Virus Antibody (86789) | $89 | $89 | 6.2× |
| Western Blot Test (84181) | $230 | $230 | 13.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $223 | $223 | 4.3× |
| Zinc (84630) | $176 | $176 | 15.5× |
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.