| 17 Hydroxypregnenolone (84143) |
$203 |
$203 |
8.9× |
| 5' Nucleotidase (83915) |
$751 |
$751 |
67.4× |
| 5-Hiaa (83497) |
$36 |
$36 |
2.8× |
| Ab; actinomyces (86602) |
$109 |
$109 |
10.7× |
| Ab; coxiella brunetii (86638) |
$191.50 |
$191.50 |
15.8× |
| Ab; encephalitis calif (86651) |
$79 |
$79 |
6.0× |
| Ab; encephalitis e equine (86652) |
$79 |
$79 |
6.0× |
| Ab; encephalitis w equine (86654) |
$184.50 |
$184.50 |
14.0× |
| Ab; htlv or HIV wb (86689) |
$501.50 |
$501.50 |
25.9× |
| Abl1 gene (81170) |
$1,413 |
$1,413 |
4.7× |
| Acetylcholine receptor binding antibody (86041) |
$126.50 |
$126.50 |
6.9× |
| Acetylcholine receptor blocking antibody (86042) |
$232 |
$232 |
12.6× |
| Acetylcholine receptor modulating antibody (86043) |
$654.50 |
$654.50 |
54.3× |
| Acid fast smear only (87206) |
$47 |
$47 |
8.7× |
| Actin smooth muscle antibody each (86015) |
$65 |
$65 |
5.4× |
| Activated protein c resistance (85307) |
$98 |
$98 |
6.4× |
| Acute hepatitis panel (80074) |
$72 |
$72 |
1.5× |
| Acylcarnitines quantitative (82017) |
$325.50 |
$325.50 |
19.3× |
| Adamts13 activity (85397) |
$410 |
$410 |
13.3× |
| Adenovirus antibody (86603) |
$45 |
$45 |
3.5× |
| Adrenocorticotropic hormone (82024) |
$68 |
$68 |
1.8× |
| Afb culture (87116) |
$86 |
$86 |
8.0× |
| Albumin csf (82042) |
$75.50 |
$75.50 |
9.7× |
| Albumin serum (82040) |
$47 |
$47 |
9.5× |
| Aldolase (82085) |
$42 |
$42 |
4.3× |
| Aldosterone urine (82088) |
$591.50 |
$591.50 |
14.5× |
| Alkaline phosphatase (84075) |
$133.50 |
$133.50 |
25.8× |
| Alkaline phosphatase isoenzymes (84080) |
$61 |
$61 |
4.1× |
| Allerg sp igg quan or semiquan (86001) |
$186 |
$186 |
23.8× |
| Allergen specific ige (86003) |
$52.50 |
$52.50 |
10.1× |
| Alpha 2 antiplasmin (85410) |
$199 |
$199 |
25.8× |
| Alpha fetoprotein serum (82105) |
$76.50 |
$76.50 |
4.6× |
| Alpha-1 antitrypsin total (82103) |
$32 |
$32 |
2.4× |
| Alpha-1-antitrypsin phenotype (82104) |
$275.50 |
$275.50 |
19.1× |
| Alt/sgpt (84460) |
$171 |
$171 |
32.3× |
| Aluminum (82108) |
$65 |
$65 |
2.6× |
| Amikacin level (80150) |
$204 |
$204 |
13.5× |
| Amino acids quan 6 or more (82139) |
$384 |
$384 |
22.8× |
| Amino acids quant 2-5 (82136) |
$227 |
$227 |
11.6× |
| Amino acids; sgl quan ea (82131) |
$682 |
$682 |
29.7× |
| Aminolevulinic acid delta (82135) |
$144 |
$144 |
8.8× |
| Amiodarone (80151) |
$68 |
$68 |
3.6× |
| Ammonia (82140) |
$127.50 |
$127.50 |
8.8× |
| Amylase (82150) |
$53.50 |
$53.50 |
8.3× |
| Ana titer (86039) |
$220.50 |
$220.50 |
19.8× |
| Analysis skeletal muscle (88355) |
$494 |
$494 |
2.8× |
| Androstanediol glucuronide (82154) |
$441 |
$441 |
15.3× |
| Androstenedione (82157) |
$95 |
$95 |
3.2× |
| Angiotensin converting enzyme (82164) |
$99.50 |
$99.50 |
6.8× |
| Anti-mitochondrial antibody (86255) |
$465 |
$465 |
38.6× |
| Anti-phosphatidylserine antibody (86148) |
$133.50 |
$133.50 |
8.3× |
| Antibody bacterium nos (86609) |
$237.50 |
$237.50 |
18.4× |
| Antibody elution (86860) |
$285 |
$285 |
1.6× |
| Antibody identification (86870) |
$445 |
$445 |
1.2× |
| Antibody screen rbc each (86850) |
$170 |
$170 |
17.4× |
| Antibody toxoplasma (86777) |
$58 |
$58 |
4.0× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$25 |
$25 |
2.1× |
| Antinuclear antibodies (86038) |
$264 |
$264 |
21.8× |
| Antistreptolysin o titer (86060) |
$57 |
$57 |
7.8× |
| Antithrombin iii activity (85300) |
$718 |
$718 |
60.6× |
| Antithrombin iii antigen (85301) |
$63 |
$63 |
5.8× |
| Apc gene full sequence (81201) |
$399 |
$399 |
0.5× |
| Apolipoprotein b (82172) |
$34 |
$34 |
1.6× |
| Aqaprn-4 antb flo cytmtry ea (86053) |
$474.50 |
$474.50 |
12.6× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$1,611 |
$1,611 |
133.7× |
| Aquaporin-4 antibody elisa (86051) |
$833 |
$833 |
72.2× |
| Arsenic (82175) |
$104 |
$104 |
5.5× |
| Aspergillus antibody (86606) |
$66.50 |
$66.50 |
4.4× |
| Aspergillus antigen (87305) |
$171 |
$171 |
14.3× |
| Assay of anti-mullerian hormone (82166) |
$360 |
$360 |
9.3× |
| Assay of corticosterone (82528) |
$160 |
$160 |
7.1× |
| Assay of g6pd enzyme (82955) |
$64 |
$64 |
6.6× |
| Assay of procainamide (80192) |
$58 |
$58 |
3.5× |
| Assay of vitamin b-2 (84252) |
$116 |
$116 |
5.7× |
| Ast/sgot (84450) |
$171 |
$171 |
33.0× |
| Autologous blood op salvage (86891) |
$3,458 |
$3,458 |
4.1× |
| Automated rbc count (85041) |
$43 |
$43 |
14.2× |
| B cells total count (86355) |
$178 |
$178 |
4.7× |
| B-hexosaminidase ea assay (83080) |
$555 |
$555 |
32.9× |
| Bartonella DNA amp probe (87471) |
$452 |
$452 |
12.9× |
| Bartonella henselae igm (86611) |
$13 |
$13 |
1.3× |
| Basic metabolic panel calcium ionized (80047) |
$386 |
$386 |
28.1× |
| Bc - anaerobe - addtl id (87076) |
$198 |
$198 |
24.5× |
| Bcr/abl 1 gene other bp (81208) |
$318 |
$318 |
1.5× |
| Bcr/abl1 gene major bp (81206) |
$492.50 |
$492.50 |
3.0× |
| Bcr/abl1 gene minor bp (81207) |
$482 |
$482 |
3.3× |
| Beta 2 glycoprotein i ab ea (86146) |
$199 |
$199 |
7.8× |
| Beta hydroxybutyrate (82010) |
$213 |
$213 |
26.1× |
| Beta-2 microglobulin (82232) |
$58 |
$58 |
3.6× |
| Bile acids total (82239) |
$38 |
$38 |
2.2× |
| Bilirubin direct (82248) |
$138.50 |
$138.50 |
27.6× |
| Bilirubin total (82247) |
$93 |
$93 |
18.5× |
| Biotinidase (82261) |
$176 |
$176 |
10.4× |
| Blastomyces antibody (86612) |
$90 |
$90 |
7.0× |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
$58 |
$58 |
16.9× |
| BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Other Outpatient (81209) |
$724.50 |
$724.50 |
18.4× |
| Blood gases 02 sat only (82810) |
$388 |
$388 |
39.7× |
| Blood gases w/o2 saturation (82805) |
$862 |
$862 |
10.9× |
| Blood Smear,Micro Exam,Manual Diff Wbc - Manual Differential (85007) |
$112 |
$112 |
29.5× |
| Blood typing abo (86900) |
$165 |
$165 |
55.2× |
| Blood typing rbc antigens oth/thn abo/rh d each (86905) |
$228.50 |
$228.50 |
59.7× |
| Blood typing serologic rh (d) (86901) |
$153 |
$153 |
51.2× |
| Body Fluid Cell Count W Diff - Body Fluid Cell Count W/Diff (89051) |
$171 |
$171 |
30.5× |
| Bone marrow smear interpretation (85097) |
$311 |
$311 |
0.4× |
| Bordetella pertussis igm (86615) |
$268 |
$268 |
20.3× |
| Borrelia miyamotoi amp prb (87478) |
$197 |
$197 |
5.6× |
| Braf gene analysis (81210) |
$406 |
$406 |
2.3× |
| Brca1&2 seq & full dup/del (81162) |
$213 |
$213 |
0.1× |
| Brucella antibody (86622) |
$64.50 |
$64.50 |
7.2× |
| C diff amplified probe (87493) |
$383 |
$383 |
10.3× |
| C-peptide (84681) |
$51 |
$51 |
2.5× |
| C-reactive protein (86140) |
$127 |
$127 |
24.5× |
| C1 esterase inhibitor functional (86161) |
$295.50 |
$295.50 |
24.6× |
| Ca 125 (86304) |
$50 |
$50 |
2.4× |
| Cadmium blood (82300) |
$86 |
$86 |
3.6× |
| Caffeine level (80155) |
$58 |
$58 |
1.5× |
| Calcitonin (82308) |
$63 |
$63 |
2.4× |
| Calcium ionized (82330) |
$182 |
$182 |
13.3× |
| Calcium total (82310) |
$66 |
$66 |
12.8× |
| Calcium urine (82340) |
$21 |
$21 |
3.5× |
| Calprotectin, stool (83993) |
$433 |
$433 |
22.1× |
| Calr gene com variants (81219) |
$826 |
$826 |
6.8× |
| Cancer antigen 19-9 (86301) |
$56 |
$56 |
2.7× |
| Candida DNA dir probe (87480) |
$225 |
$225 |
11.2× |
| Carbamazepine and Metabolite Component 1 Referred (80161) |
$216 |
$216 |
11.6× |
| Carbamazepine free (80157) |
$110 |
$110 |
8.3× |
| Carbamazepine total (80156) |
$324.50 |
$324.50 |
22.3× |
| Carbohydrate def transferrin (82373) |
$825 |
$825 |
45.7× |
| Carbon dioxide (82374) |
$339 |
$339 |
69.5× |
| Carboxyhemoglobin quant (82375) |
$212 |
$212 |
17.2× |
| Carcinoembryonic antigen (cea) (82378) |
$26 |
$26 |
1.4× |
| Cardiolipin ab ea ig class (86147) |
$68 |
$68 |
2.7× |
| Carnitine quant ea specimen (82379) |
$123.50 |
$123.50 |
7.3× |
| Carotene (82380) |
$42 |
$42 |
4.6× |
| Catecholamines fraction plasma (82384) |
$102 |
$102 |
4.0× |
| CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative,… (81168) |
$899 |
$899 |
4.3× |
| Ccp antibody (86200) |
$61 |
$61 |
4.7× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$159.50 |
$159.50 |
3.4× |
| Cebpa gene full sequence (81218) |
$634 |
$634 |
2.6× |
| Cell Count,Misc Body Fluids - Body Fluid Cell Count (89050) |
$171 |
$171 |
36.2× |
| Cell function assay w/stim (86352) |
$345 |
$345 |
2.5× |
| Ceruloplasmin (82390) |
$32.50 |
$32.50 |
3.0× |
| Cftr gene com variants (81220) |
$323 |
$323 |
0.6× |
| Cftr gene full sequence (81223) |
$3,533 |
$3,533 |
7.1× |
| Chemiluminescent assay (82397) |
$173 |
$173 |
12.3× |
| Chimerism anal no cell selec (81267) |
$2,300 |
$2,300 |
11.1× |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
$994.50 |
$994.50 |
3.8× |
| Chlamydia antibody (86631) |
$57 |
$57 |
4.8× |
| Chlamydia trachomatis igm (86632) |
$42.50 |
$42.50 |
3.4× |
| Chloride blood (82435) |
$161.50 |
$161.50 |
35.1× |
| Chloride fluid (82438) |
$255 |
$255 |
51.0× |
| Chloride urine (82436) |
$86 |
$86 |
15.0× |
| Cholesterol total (82465) |
$127 |
$127 |
29.2× |
| Cholinesterase serum (82480) |
$29 |
$29 |
3.7× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$1,041 |
$1,041 |
8.3× |
| Chrmsm count 45 cell mosaicism 2karyotype (88263) |
$1,270 |
$1,270 |
8.5× |
| Chromium (82495) |
$63 |
$63 |
3.1× |
| Chromogenic substrate assay (85130) |
$1,066 |
$1,066 |
89.7× |
| Chromogranin a (86316) |
$117.50 |
$117.50 |
5.6× |
| Chromosome analysis 20-25 cells (88264) |
$603 |
$603 |
4.2× |
| Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing… (88249) |
$1,163 |
$1,163 |
6.7× |
| Chromosome analysis for genetic defects, additional cells counted, each study (88285) |
$1,025 |
$1,025 |
38.1× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$550 |
$550 |
16.4× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) |
$75 |
$75 |
0.4× |
| Chromosome analysis; count 5 cells, 1 karyotype, with banding Other Outpatient (88261) |
$1,231 |
$1,231 |
4.7× |
| Chylmd Pneum, Dna, Amp Probe - Chlamydia Pneumoniae Dna Probe, Amp (87486) |
$121 |
$121 |
3.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$57 |
$57 |
1.6× |
| Citrate (82507) |
$77 |
$77 |
2.8× |
| Ck isoenzymes (82552) |
$53.50 |
$53.50 |
4.0× |
| Clotting factor viii multimetric analysis (85247) |
$215 |
$215 |
9.4× |
| Clotting factor xiii fibrn stabiliz screen solub (85291) |
$300 |
$300 |
32.9× |
| Clotting; hmw kininogen assay (85293) |
$264 |
$264 |
13.9× |
| Clotting; prekallikrein assay (Fletcher factor assay) Other Outpatient (85292) |
$448 |
$448 |
23.7× |
| Cmv Antibody - Cmv Igg (86644) |
$328 |
$328 |
22.8× |
| Cmv PCR quant (87497) |
$233 |
$233 |
5.4× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$1,105 |
$1,105 |
2.7× |
| Coagulation time activated (85347) |
$198 |
$198 |
46.3× |
| Coccidioides antibody (86635) |
$79 |
$79 |
6.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$441.50 |
$441.50 |
18.3× |
| Cold agglutinins titer (86157) |
$34 |
$34 |
4.2× |
| Collagen cross links (82523) |
$99 |
$99 |
5.3× |
| Collect sweat for test (89230) |
$285 |
$285 |
5.2× |
| Compatibility test incubate (86921) |
$277 |
$277 |
1.6× |
| Complement c3 (86160) |
$108 |
$108 |
9.0× |
| Complement total (ch50) (86162) |
$233 |
$233 |
11.5× |
| Comprehensive consult (88325) |
$621 |
$621 |
3.5× |
| Concentration infectious agents (87015) |
$151 |
$151 |
22.6× |
| Coombs test indirect qual (86885) |
$148 |
$148 |
25.9× |
| Coombs test indirect titer (86886) |
$294 |
$294 |
56.8× |
| Copper liver tissue (82525) |
$163 |
$163 |
13.1× |
| Cortisol free (82530) |
$93 |
$93 |
5.6× |
| Cortisol serum (82533) |
$231.50 |
$231.50 |
14.2× |
| Coxsackie a9 virus antibodies (86658) |
$68.50 |
$68.50 |
5.3× |
| Cp cerv/vag; atl; manual scrn (88142) |
$66 |
$66 |
3.3× |
| Cp concentr tech smear (88108) |
$317 |
$317 |
8.1× |
| Creatine (82540) |
$175 |
$175 |
37.7× |
| Creatine kinase mb fraction only (82553) |
$262 |
$262 |
22.7× |
| Creatine kinase total (82550) |
$109.50 |
$109.50 |
16.8× |
| Creatinine clearance (82575) |
$171 |
$171 |
18.1× |
| Creatinine other source (82570) |
$39 |
$39 |
7.5× |
| Creatinine serum (82565) |
$169 |
$169 |
33.0× |
| Crp-high sensitivity (86141) |
$22 |
$22 |
1.7× |
| Cryoglobulins (82595) |
$28.50 |
$28.50 |
4.4× |
| Cryopreservation, freezing and storage of cells, each cell line Other Outpatient (88240) |
$520 |
$520 |
39.8× |
| Cryptococcal Antigen (87899) |
$314 |
$314 |
19.5× |
| Cryptosporidium (87272) |
$632 |
$632 |
52.8× |
| Cryptosporidium antigen (87328) |
$40 |
$40 |
2.9× |
| Cul typ id bld pthgn 6+ trgt (87154) |
$886 |
$886 |
4.1× |
| Cult aerobic defin id ea isol (87077) |
$165 |
$165 |
20.4× |
| Culture anaerobic (87075) |
$255 |
$255 |
26.9× |
| Culture blood (87040) |
$412 |
$412 |
39.9× |
| Culture chlamydia (87110) |
$133 |
$133 |
6.8× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$147.50 |
$147.50 |
19.1× |
| Culture fungus blood (87103) |
$99 |
$99 |
4.8× |
| Culture fungus id (87106) |
$127 |
$127 |
12.3× |
| Culture fungus other (87102) |
$148 |
$148 |
17.6× |
| Culture genital (87070) |
$175.50 |
$175.50 |
20.4× |
| Culture stool (87045) |
$361 |
$361 |
38.2× |
| Culture typing if ea antiserum (87140) |
$133 |
$133 |
23.9× |
| Culture typing serologic (87147) |
$85.50 |
$85.50 |
16.5× |
| Culture urine (87086) |
$303 |
$303 |
37.5× |
| Cyclic amp (82030) |
$715 |
$715 |
27.7× |
| Cyclosporine (80158) |
$375 |
$375 |
20.8× |
| Cyp2c19 gene analysis common variants (81225) |
$675 |
$675 |
2.3× |
| Cystatin c (82610) |
$121 |
$121 |
6.5× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$4,264 |
$4,264 |
3.7× |
| Cytogenomic neoplasia microarray analysis (81277) |
$2,436 |
$2,436 |
2.1× |
| Cytomegalov amplif na probe (87496) |
$173 |
$173 |
4.9× |
| Cytomegalovirus antibody igm (86645) |
$31.50 |
$31.50 |
1.9× |
| Cytopath cell enhance technique (88112) |
$229 |
$229 |
4.2× |
| Cytopath fl nongyn filter (88106) |
$148 |
$148 |
4.9× |
| Cytopath fl nongyn smears (88104) |
$148 |
$148 |
3.8× |
| Cytp dx eval fna 1st ea site (88172) |
$317 |
$317 |
1.8× |
| Cytp eval fine needle aspirate interp & report (88173) |
$1,295 |
$1,295 |
23.8× |
| D-dimer quant (85379) |
$260.50 |
$260.50 |
25.6× |
| Deoxycortisol (82634) |
$63 |
$63 |
2.2× |
| Deoxyribonuclease antibody (86215) |
$68 |
$68 |
5.1× |
| Desoxycorticosterone (82633) |
$323 |
$323 |
10.4× |
| Detect agent nos DNA amp (87798) |
$343 |
$343 |
9.8× |
| Detect agent nos DNA quant (87799) |
$666.50 |
$666.50 |
15.6× |
| Dhea (82626) |
$31 |
$31 |
1.2× |
| Dhea-s (82627) |
$65 |
$65 |
2.9× |
| Digoxin (80162) |
$417 |
$417 |
31.4× |
| Dihydrotestosterone (82642) |
$159 |
$159 |
5.4× |
| Diphtheria antibody (86648) |
$223 |
$223 |
14.7× |
| Direct antiglobulin test (86880) |
$183 |
$183 |
34.0× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded)… (81234) |
$885 |
$885 |
6.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$37.50 |
$37.50 |
2.7× |
| DNA/RNA amplified probe (87150) |
$105 |
$105 |
3.0× |
| Donath landsteiner test (86941) |
$451 |
$451 |
37.2× |
| Drug assay adalimumab (80145) |
$173 |
$173 |
4.5× |
| Drug assay felbamate (80167) |
$115 |
$115 |
6.2× |
| Drug assay infliximab (80230) |
$459 |
$459 |
11.9× |
| Drug assay methotrexate (80204) |
$604 |
$604 |
15.7× |
| Drug assay rufinamide (80210) |
$153 |
$153 |
5.6× |
| Drug screen quant clozapine (80159) |
$81 |
$81 |
4.0× |
| Drug screen quant gabapentin (80171) |
$98 |
$98 |
4.5× |
| Drug screen quant zonisamide (80203) |
$149 |
$149 |
11.2× |
| Drug screen quantitative oxcarbazepine (80183) |
$50 |
$50 |
3.8× |
| Drug test presumptive instrument (80306) |
$358 |
$358 |
20.9× |
| Drug test prsmv chem anlyzr (80307) |
$289.50 |
$289.50 |
4.7× |
| Echinococcus ab igg (86682) |
$166.50 |
$166.50 |
12.8× |
| Egfr gene analysis common variants (81235) |
$399 |
$399 |
1.2× |
| Ehrlichia antibody (86666) |
$146 |
$146 |
14.3× |
| Elastase pancreatic fecal quantitative (82653) |
$249 |
$249 |
10.8× |
| Electrolytes panel (80051) |
$383 |
$383 |
54.6× |
| Electron microscopy diagnostic (88348) |
$2,143 |
$2,143 |
2.5× |
| Electrophoretic test (82664) |
$264 |
$264 |
4.3× |
| Encephalitis st louis ab (86653) |
$79 |
$79 |
6.0× |
| Endomysial antibody each immunoglobulin class (86231) |
$225.50 |
$225.50 |
18.7× |
| Entamoeba histolytica antigen (87337) |
$152 |
$152 |
12.7× |
| Enterovirus by PCR (87498) |
$202 |
$202 |
5.8× |
| Enzyme cell activity (82657) |
$1,106 |
$1,106 |
49.9× |
| Enzyme histochemistry (88319) |
$445 |
$445 |
0.5× |
| Eosinophil smear (89190) |
$106 |
$106 |
18.3× |
| Epstein-Barr Antibody - Epstein-Barr Virus Early Igg (86663) |
$80 |
$80 |
6.1× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$34 |
$34 |
2.2× |
| Erythropoietin (82668) |
$20 |
$20 |
1.1× |
| Estradiol (82670) |
$91 |
$91 |
3.3× |
| Estrogen serum fractionated (82671) |
$125.50 |
$125.50 |
3.9× |
| Estrogens total (82672) |
$52 |
$52 |
2.4× |
| Estrone (82679) |
$60 |
$60 |
2.4× |
| Ethosuximide (80168) |
$50 |
$50 |
3.1× |
| Everolimus (80169) |
$147 |
$147 |
10.7× |
| Exam archive tissue molec anal (88363) |
$62 |
$62 |
2.1× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$106 |
$106 |
14.5× |
| F2 gene (81240) |
$269 |
$269 |
4.1× |
| Factor ii activity (85210) |
$198 |
$198 |
15.3× |
| Factor ix assay (85250) |
$183 |
$183 |
9.6× |
| Factor v activity (85220) |
$201 |
$201 |
11.4× |
| Factor v leiden (81241) |
$189 |
$189 |
2.6× |
| Factor vii activity (85230) |
$195 |
$195 |
10.9× |
| Factor viii assay (85240) |
$117.50 |
$117.50 |
6.6× |
| Factor viii inhibitor (85335) |
$751 |
$751 |
58.4× |
| Factor viii vw antigen (85246) |
$221 |
$221 |
9.6× |
| Factor x (stuart-prower) (85260) |
$346 |
$346 |
19.3× |
| Factor xi activity (85270) |
$267 |
$267 |
14.9× |
| Factor xii (hageman) (85280) |
$275 |
$275 |
14.2× |
| Fancc gene analysis common variant (81242) |
$351 |
$351 |
9.6× |
| Fatty acids nonesterified (82725) |
$390 |
$390 |
20.8× |
| Fatty acids very long chain (82726) |
$332 |
$332 |
16.8× |
| Fbrnlyc factors&inhibitors plsmng activator (85415) |
$390 |
$390 |
22.7× |
| Fecal fat (82710) |
$116 |
$116 |
6.9× |
| Fecal fat qual (82705) |
$14 |
$14 |
2.7× |
| Ferritin (82728) |
$332 |
$332 |
24.4× |
| Ffp thawing ea unit (86927) |
$412 |
$412 |
2.3× |
| Fibrin split products (85362) |
$263 |
$263 |
38.2× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$415 |
$415 |
5.2× |
| Fibrinogen activity (85384) |
$149 |
$149 |
15.3× |
| Fibrinogen antigen (85385) |
$341 |
$341 |
23.6× |
| Fibrinolysins or coag screen (85390) |
$128 |
$128 |
8.3× |
| Flecainide (80181) |
$184 |
$184 |
9.9× |
| Flow cytometry first marker (88184) |
$296 |
$296 |
0.8× |
| Flt3 gene analysis (81246) |
$489 |
$489 |
5.9× |
| Flt3 gene analysis (81245) |
$552 |
$552 |
3.3× |
| Fluorescent antibody titer (86256) |
$153 |
$153 |
12.7× |
| FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) |
$552 |
$552 |
12.3× |
| Fmr1 gene detection (81243) |
$899 |
$899 |
15.8× |
| Folate rbc (82747) |
$42 |
$42 |
2.4× |
| Folate serum (82746) |
$32 |
$32 |
2.2× |
| Francisella tularensis ab (86668) |
$125 |
$125 |
8.8× |
| Free t4 (84439) |
$212 |
$212 |
23.5× |
| Fructosamine (82985) |
$65 |
$65 |
3.9× |
| Fsh (83001) |
$55 |
$55 |
3.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$175 |
$175 |
17.0× |
| G6pd screen (82960) |
$20 |
$20 |
3.3× |
| Galactokinase rbc (82759) |
$511 |
$511 |
23.8× |
| Galactose (82760) |
$516 |
$516 |
46.1× |
| Galactose-1-phosphate uridyl transferase; quantitative Other Outpatient (82775) |
$456 |
$456 |
21.6× |
| Gamma glutamyl transferase (82977) |
$198 |
$198 |
27.5× |
| Gammaglobulin ige (82785) |
$31 |
$31 |
1.9× |
| Gardner vag DNA dir probe (87510) |
$225 |
$225 |
11.2× |
| Gases blood (82803) |
$417 |
$417 |
16.0× |
| Gastric occult blood (82271) |
$93 |
$93 |
17.5× |
| Gastrin (82941) |
$31 |
$31 |
1.8× |
| Gba gene (81251) |
$676 |
$676 |
14.3× |
| Genotype cytomegalovirus (87910) |
$1,958 |
$1,958 |
7.6× |
| Genotype DNA HIV other region (87906) |
$419.50 |
$419.50 |
3.3× |
| Gentamicin (80170) |
$438 |
$438 |
26.7× |
| Giardia ag by if (87269) |
$255 |
$255 |
18.7× |
| Giardia antigen eia stool (87329) |
$55 |
$55 |
4.6× |
| Giardia lamblia antibody (86674) |
$99 |
$99 |
6.7× |
| Gliadin antibody each immunoglobulin class (86258) |
$22 |
$22 |
1.8× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$68.50 |
$68.50 |
20.9× |
| Glucagon (82943) |
$136 |
$136 |
9.5× |
| Glucose (82947) |
$171 |
$171 |
43.5× |
| Glucose body fluid (82945) |
$90.50 |
$90.50 |
23.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$339 |
$339 |
26.3× |
| Glutathione (82978) |
$402 |
$402 |
26.0× |
| Gonadotropin releasing hormone (83727) |
$670 |
$670 |
39.0× |
| Gram stain smear (87205) |
$42 |
$42 |
9.8× |
| Gross & micro level ii (88302) |
$255 |
$255 |
6.5× |
| Gross & micro level iii (88304) |
$424 |
$424 |
7.8× |
| Group a strep PCR (87651) |
$323 |
$323 |
9.2× |
| Growth hormone (83003) |
$57 |
$57 |
3.4× |
| Haloperidol (80173) |
$57 |
$57 |
3.6× |
| Haptoglobin (83010) |
$50 |
$50 |
4.0× |
| Hba1/hba2 full gene sequence (81259) |
$735 |
$735 |
1.2× |
| Hba1/hba2 gene (81257) |
$994 |
$994 |
9.7× |
| Hba1/hba2 gene analysis dup/del variants (81269) |
$1,051 |
$1,051 |
5.2× |
| Hbb full gene sequence (81364) |
$733.50 |
$733.50 |
2.3× |
| Hbb gene dup/del variants (81363) |
$1,007 |
$1,007 |
5.0× |
| Hcg quant (84702) |
$76 |
$76 |
5.0× |
| Heavy metal quan each nes (83018) |
$165 |
$165 |
7.5× |
| Hemagglutination inhibition (86280) |
$135 |
$135 |
16.5× |
| Hematocrit (85014) |
$63 |
$63 |
26.6× |
| Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants,… (81450) |
$2,501.50 |
$2,501.50 |
3.3× |
| Hemoglobin (85018) |
$58 |
$58 |
24.5× |
| Hemoglobin a1c (83036) |
$184 |
$184 |
18.9× |
| Hemoglobin electrophoresis (83020) |
$104.50 |
$104.50 |
8.1× |
| Hemoglobin fractj/quantj chromotography (83021) |
$118 |
$118 |
6.5× |
| Hemoglobin plasma (83051) |
$88 |
$88 |
12.0× |
| Hemoglobin stability screen (83068) |
$129 |
$129 |
13.6× |
| Hep B Core Ab Test, Igm - Hepatitis B Core Antibody, Igm (86705) |
$68 |
$68 |
5.8× |
| Heparin assay (85520) |
$419 |
$419 |
32.0× |
| Heparin induced platelet ab (86022) |
$421.50 |
$421.50 |
22.9× |
| Hepatitis a antibody (haab) total (86708) |
$49 |
$49 |
4.0× |
| Hepatitis a igm (86709) |
$52 |
$52 |
4.6× |
| Hepatitis b core antibody total (86704) |
$38.50 |
$38.50 |
3.2× |
| Hepatitis b surface antibody (86706) |
$44 |
$44 |
4.1× |
| Hepatitis B Surface Antigen (87340) |
$46 |
$46 |
4.5× |
| Hepatitis b virus DNA, quantitative, real-time PCR (87517) |
$300 |
$300 |
7.0× |
| Hepatitis be antibody (86707) |
$49 |
$49 |
4.2× |
| Hepatitis be antigen (87350) |
$53 |
$53 |
4.6× |
| Hepatitis c antibody (86803) |
$55.50 |
$55.50 |
3.9× |
| Hepatitis c RNA quantitative (87522) |
$344 |
$344 |
8.0× |
| Hepatitis c virus genotype (87902) |
$558 |
$558 |
2.2× |
| Hepatitis d quantification (87523) |
$1,050 |
$1,050 |
24.5× |
| Hepatitis delta antibody (86692) |
$295 |
$295 |
17.2× |
| Herpes 6 amplif na probe (87532) |
$374 |
$374 |
10.7× |
| Herpes simplex type 1 ab (86695) |
$92 |
$92 |
7.0× |
| Herpes simplex type 2 antibody (86696) |
$55 |
$55 |
2.8× |
| Herpes simplex virus igm ab (86694) |
$65 |
$65 |
4.5× |
| Heterophile ab screen (86308) |
$225 |
$225 |
43.4× |
| Hexagnal phosph pltlt neutrl (85598) |
$265 |
$265 |
14.7× |
| Hfe gene (81256) |
$305 |
$305 |
4.7× |
| Hhv-6 DNA quant (87533) |
$414 |
$414 |
9.9× |
| High density lipoprotein (83718) |
$116 |
$116 |
14.2× |
| Histamine plasma (83088) |
$22 |
$22 |
0.7× |
| Histoplasma antibody (86698) |
$43.50 |
$43.50 |
3.2× |
| Histoplasma antigen by eia (87385) |
$326.50 |
$326.50 |
24.6× |
| HIV genotype (87901) |
$1,358 |
$1,358 |
5.3× |
| HIV-1 antibody (86701) |
$286 |
$286 |
32.2× |
| HIV-1 DNA by PCR (87535) |
$221 |
$221 |
6.3× |
| HIV-1 quant&revrse trnscrpj (87536) |
$282 |
$282 |
3.3× |
| HIV-1/HIV-2 single result (86703) |
$292 |
$292 |
21.3× |
| HIV-2 antibody (86702) |
$286 |
$286 |
21.2× |
| Hla b5701 (81381) |
$583 |
$583 |
3.4× |
| Hla class i high defin qual (86832) |
$662.50 |
$662.50 |
2.0× |
| Hla class i phenotype qual (86830) |
$549 |
$549 |
5.7× |
| Hla class i semiquant panel (86834) |
$462 |
$462 |
1.3× |
| Hla class i typing high resolution complete (81379) |
$1,458 |
$1,458 |
4.3× |
| Hla class i typing low resolution complete (81372) |
$552.50 |
$552.50 |
1.4× |
| Hla class i&ii antibody qual (86828) |
$500 |
$500 |
7.8× |
| Hla class ii high defin qual (86833) |
$662.50 |
$662.50 |
2.0× |
| Hla class ii phenotype qual (86831) |
$552 |
$552 |
6.7× |
| Hla class ii semiquant panel (86835) |
$462 |
$462 |
1.4× |
| Hla i typing 1 antigen lr (81374) |
$76 |
$76 |
1.0× |
| Hla i typing 1 locus hr (81380) |
$1,211 |
$1,211 |
6.8× |
| Hla ii type 1 ag equiv lr (81377) |
$440 |
$440 |
4.6× |
| Hla ii typing 1 allele hr (81383) |
$440 |
$440 |
4.0× |
| Hla ii typing 1 loc hr (81382) |
$1,064 |
$1,064 |
8.6× |
| Hla ii typing 1 locus lr (81376) |
$583 |
$583 |
4.8× |
| Hla typing a/b/c multiple antigens (86813) |
$1,723 |
$1,723 |
29.7× |
| Hla typing dr/dq (86817) |
$918 |
$918 |
8.6× |
| Homocystine (83090) |
$225.50 |
$225.50 |
12.6× |
| Homogenization tissue (87176) |
$47 |
$47 |
8.0× |
| Homovanillic acid (83150) |
$169.50 |
$169.50 |
7.6× |
| Hpv high-risk types (87624) |
$110 |
$110 |
3.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$146.50 |
$146.50 |
4.2× |
| Htlv-i antibody (86687) |
$58 |
$58 |
6.4× |
| Htt gene analysis detect abnormal alleles (81271) |
$1,043 |
$1,043 |
7.6× |
| Hydroxyprogesterone 17-d (83498) |
$66 |
$66 |
2.4× |
| Iaad ia clostridium difficile toxin (87324) |
$42 |
$42 |
3.5× |
| Iaad ia HIV-1 ag w/HIV-1 & HIV-2 antbdy single (87389) |
$144 |
$144 |
6.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$87 |
$87 |
6.1× |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
$87 |
$87 |
2.5× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) |
$112 |
$112 |
1.6× |
| Iadna legionella pneumophila amplified probe tq (87541) |
$277 |
$277 |
7.9× |
| Iadna multiple organisms amplified probe tq (87801) |
$892.50 |
$892.50 |
12.7× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$315 |
$315 |
6.1× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$330 |
$330 |
2.3× |
| Idh1 common variants (81120) |
$826 |
$826 |
4.3× |
| Idh2 common variants (81121) |
$826 |
$826 |
2.8× |
| Igg subclass 4 (82787) |
$62.50 |
$62.50 |
7.8× |
| Igh gene rearrange amp meth (81261) |
$567 |
$567 |
2.9× |
| Igh vari regional mutation (81263) |
$1,235 |
$1,235 |
4.2× |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) |
$899 |
$899 |
4.3× |
| Igk rearrangeabn clonal pop (81264) |
$567 |
$567 |
3.3× |
| Ikbkap gene analysis (81260) |
$682 |
$682 |
17.3× |
| Immune complex assay (86332) |
$388 |
$388 |
15.9× |
| Immunoassay infectious agent antibody quan nos (86317) |
$97.50 |
$97.50 |
6.5× |
| Immunodiffusion ouchterlony (86331) |
$68 |
$68 |
5.7× |
| Immunofixation Electrophoresis Serum (86334) |
$453 |
$453 |
20.3× |
| Immunofixation urine (86335) |
$399 |
$399 |
13.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$510.50 |
$510.50 |
2.9× |
| Immunoglobulin assay (86023) |
$386 |
$386 |
31.0× |
| Immunoglobulin d (82784) |
$96 |
$96 |
10.3× |
| Immunoglobulin light chains free each (83521) |
$65 |
$65 |
3.8× |
| Immunoperoxidase (88342) |
$314 |
$314 |
1.8× |
| In situ hybridization 1st probe stain (88365) |
$500 |
$500 |
2.8× |
| In situ hybridization ea multiplex probe stain (88366) |
$994 |
$994 |
5.6× |
| Infec agent det,gi 12-25 targets (87507) |
$566 |
$566 |
1.4× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) |
$311 |
$311 |
7.5× |
| Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient (87278) |
$375.50 |
$375.50 |
24.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) |
$360 |
$360 |
10.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) |
$197 |
$197 |
5.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex… (87494) |
$439 |
$439 |
6.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Other… (87484) |
$360 |
$360 |
10.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Other Outpatient (87512) |
$213 |
$213 |
5.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$138 |
$138 |
3.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) |
$143 |
$143 |
4.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique… (87561) |
$564 |
$564 |
16.1× |
| Influenza a ag if (87276) |
$178 |
$178 |
11.1× |
| Influenza b ag if (87275) |
$178 |
$178 |
14.5× |
| Influenza DNA amp probe (87502) |
$531 |
$531 |
5.5× |
| Influenza virus antibody (86710) |
$38.50 |
$38.50 |
2.8× |
| Inhibin a (86336) |
$363 |
$363 |
23.3× |
| Inhibin b (83520) |
$303 |
$303 |
17.5× |
| Insitu hybridization auto (88367) |
$588 |
$588 |
1.6× |
| Insitu hybridization manual (88368) |
$588 |
$588 |
1.6× |
| Insulin antibody (86337) |
$125 |
$125 |
5.8× |
| Insulin free (83527) |
$96 |
$96 |
7.4× |
| Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human… (80435) |
$2,049 |
$2,049 |
19.9× |
| Insulin total (83525) |
$142.50 |
$142.50 |
12.5× |
| Intraop cyto path consult 1 (88333) |
$494 |
$494 |
0.6× |
| Intrinsic factor ab (86340) |
$36 |
$36 |
2.4× |
| Ip stain (87253) |
$293 |
$293 |
14.5× |
| Iron (83540) |
$203 |
$203 |
31.4× |
| Iron binding capacity total (83550) |
$255 |
$255 |
29.2× |
| Irradiate bld product ea unit (86945) |
$531 |
$531 |
13.6× |
| Islet cell antibody (86341) |
$134.50 |
$134.50 |
5.7× |
| Isohemagglutinin titer (86940) |
$285.50 |
$285.50 |
32.6× |
| Itraconazole (80189) |
$590 |
$590 |
21.8× |
| Jak2 gene (81270) |
$644 |
$644 |
7.0× |
| Jak2 targeted sequence analysis (81279) |
$881 |
$881 |
4.8× |
| Kit gene analys d816 variant (81273) |
$794.50 |
$794.50 |
6.4× |
| Kit gene targeted seq analys (81272) |
$399 |
$399 |
1.2× |
| Kras gene (81275) |
$399 |
$399 |
2.1× |
| L117054ptt substitut (85732) |
$114.50 |
$114.50 |
17.7× |
| L164657fungus ab nos (86671) |
$120 |
$120 |
9.8× |
| L216655epst-barr vca (86665) |
$175.50 |
$175.50 |
9.7× |
| Lactate dehydrogenase (83615) |
$12 |
$12 |
2.0× |
| Lactic acid (83605) |
$133 |
$133 |
11.5× |
| Lactoferrin fecal qual (83630) |
$300 |
$300 |
15.2× |
| Lactoferrin fecal quantitative (83631) |
$400 |
$400 |
20.4× |
| Lamotrigine (80175) |
$80 |
$80 |
6.0× |
| Ldh isoenzymes (83625) |
$22 |
$22 |
1.7× |
| LDL direct (83721) |
$26 |
$26 |
2.5× |
| Lead (83655) |
$37 |
$37 |
3.1× |
| Leflunomide (80193) |
$528 |
$528 |
13.7× |
| Legionella antibody (86713) |
$45 |
$45 |
2.9× |
| Legionella antigen urine (87449) |
$240 |
$240 |
20.0× |
| Legionella culture (87081) |
$215.50 |
$215.50 |
32.5× |
| Leptospira antibody (86720) |
$283 |
$283 |
17.5× |
| Leukocyte (Wbc) Count - White Blood Count (85048) |
$51 |
$51 |
20.1× |
| Leukocyte Count,Fecal - Fecal Leukocytes (89055) |
$119 |
$119 |
27.9× |
| Levetiracetam (keppra) (80177) |
$140 |
$140 |
10.6× |
| Lidocaine (80176) |
$150 |
$150 |
10.2× |
| Lipase (83690) |
$151.50 |
$151.50 |
22.0× |
| Lipoprotein (a) (83695) |
$50 |
$50 |
3.5× |
| Lipoprotein bld hr fraction (83701) |
$44 |
$44 |
1.3× |
| Lithium (80178) |
$17 |
$17 |
2.6× |
| Luteinizing hormone (lh) (83002) |
$116 |
$116 |
6.3× |
| Lyme ab igm western blot (86617) |
$102 |
$102 |
6.6× |
| Lyme disease antibody (86618) |
$213 |
$213 |
12.5× |
| Lymes amplified na probe (87476) |
$112 |
$112 |
3.2× |
| Lymph choriomeningitis ab (86727) |
$131 |
$131 |
10.2× |
| Lymphocyte transformation (86353) |
$459 |
$459 |
9.4× |
| M.Pneumon, Dna, Amp Probe - Mycoplasma Pneumoniae Pcr (87581) |
$142 |
$142 |
4.0× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) |
$1,085 |
$1,085 |
6.1× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$988 |
$988 |
5.6× |
| Macroscopic exam arthropod (87168) |
$59 |
$59 |
13.8× |
| Macroscopic exam parasite (87169) |
$25 |
$25 |
5.8× |
| Magnesium urine (83735) |
$96 |
$96 |
14.3× |
| Malaria smear (87207) |
$180 |
$180 |
30.1× |
| Manganese (83785) |
$173 |
$173 |
6.5× |
| Manual tumor im histochem ea ab (88360) |
$930 |
$930 |
5.2× |
| Mcg; ip situ 100-300 cells (88275) |
$217.50 |
$217.50 |
4.2× |
| Mcg; ip situ 25-99 cells (88274) |
$98 |
$98 |
2.3× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Other Outpatient (81302) |
$2,031 |
$2,031 |
3.8× |
| Mercury urine (83825) |
$61 |
$61 |
3.8× |
| Metanephrines (83835) |
$76 |
$76 |
4.5× |
| Methemoglobin quant (83050) |
$212 |
$212 |
25.9× |
| Methylmalonic acid serum (83921) |
$129 |
$129 |
6.1× |
| Mgmt methylation analysis (81287) |
$1,122 |
$1,122 |
9.0× |
| Microalbumin urine (82043) |
$25.50 |
$25.50 |
4.4× |
| Microsatellite instability (81301) |
$1,223 |
$1,223 |
3.5× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$233 |
$233 |
4.3× |
| Microsomal Antibody - Thyroid Peroxidase Antibody (86376) |
$67.50 |
$67.50 |
4.6× |
| Mitochondrial antibody each (86381) |
$34 |
$34 |
1.3× |
| Mlh1 gene dup/delete variant (81294) |
$399 |
$399 |
2.0× |
| Mlh1 gene full seq (81292) |
$399 |
$399 |
0.6× |
| Mog-igg1 antb flo cytmtry ea (86363) |
$944 |
$944 |
25.0× |
| Molecular cytogenetics DNA probe each (88271) |
$272 |
$272 |
12.7× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Other Outpatient (88273) |
$200 |
$200 |
5.7× |
| Mopath procedure level 1 (81400) |
$213 |
$213 |
3.3× |
| Mopath procedure level 2 (81401) |
$742 |
$742 |
5.4× |
| Mopath procedure level 3 (81402) |
$1,103 |
$1,103 |
7.3× |
| Mopath procedure level 4 (81403) |
$879.50 |
$879.50 |
4.7× |
| Mopath procedure level 5 (81404) |
$913 |
$913 |
3.3× |
| Mopath procedure level 6 (81405) |
$1,100.50 |
$1,100.50 |
3.7× |
| Mopath procedure level 7 (81406) |
$1,021 |
$1,021 |
3.6× |
| Mopath procedure level 8 (81407) |
$656 |
$656 |
0.8× |
| Mopath procedure level 9 (81408) |
$1,021 |
$1,021 |
0.5× |
| Mpl gene analysis common variants (81338) |
$881 |
$881 |
5.9× |
| Mrsa PCR (87641) |
$342 |
$342 |
9.7× |
| Msh2 gene dup/delete variant (81297) |
$399 |
$399 |
1.9× |
| Msh2 gene full seq (81295) |
$399 |
$399 |
1.0× |
| Msh6 gene dup/delete variant (81300) |
$399 |
$399 |
1.7× |
| Msh6 gene full seq (81298) |
$399 |
$399 |
0.6× |
| Mthfr gene analysis (81291) |
$260 |
$260 |
4.0× |
| Mucopolysaccharides (83864) |
$139 |
$139 |
4.9× |
| Mumps igg antibody (86735) |
$77 |
$77 |
5.9× |
| Muramidase (85549) |
$112 |
$112 |
6.0× |
| Muscle-specific kinase antibody (86366) |
$1,682 |
$1,682 |
91.4× |
| Mycobacteria DNA amp probe (87551) |
$854 |
$854 |
17.7× |
| Mycobacteria t amplif na probe (87556) |
$510 |
$510 |
12.2× |
| Mycophenolic Acid (80180) |
$88 |
$88 |
4.9× |
| Mycoplasma antibody (86738) |
$72 |
$72 |
5.4× |
| Myelin basic protein csf (83873) |
$48 |
$48 |
2.8× |
| Myeloperoxidase antibody (86021) |
$348 |
$348 |
23.1× |
| Myoglobin (83874) |
$37 |
$37 |
2.9× |
| N.gonorrhoeae DNA amp prob (87591) |
$65 |
$65 |
1.9× |
| Natriuretic peptide (83880) |
$388 |
$388 |
9.9× |
| Nerve teasing preparations (88362) |
$980 |
$980 |
1.2× |
| Neurofilament light chain (NfL) Other Outpatient (83884) |
$1,710 |
$1,710 |
14.7× |
| Neutralization test viral (86382) |
$340.50 |
$340.50 |
20.1× |
| Nfct agt drug suscept phenotype prediction (87900) |
$492.50 |
$492.50 |
3.8× |
| Nfct ds bv RNA vag flu alg (81513) |
$796 |
$796 |
5.6× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$606 |
$606 |
2.3× |
| Nfct ds bv&vaginitis DNA alg (81514) |
$1,694.50 |
$1,694.50 |
6.4× |
| Nk cells total count (86357) |
$258 |
$258 |
6.8× |
| Npm1 gene (81310) |
$801 |
$801 |
3.2× |
| Nras gene variants exon 2&3 (81311) |
$399 |
$399 |
1.3× |
| Occult blood stool (82270) |
$84 |
$84 |
19.2× |
| Oligoclonal bands (83916) |
$92 |
$92 |
3.4× |
| Oncoprotein dcp (83951) |
$520 |
$520 |
8.1× |
| Organic acids total quant (83918) |
$512 |
$512 |
21.7× |
| Osmolality serum (83930) |
$127 |
$127 |
19.2× |
| Osmolality urine (83935) |
$62.50 |
$62.50 |
9.2× |
| Osmotic fragility rbc incubated (85557) |
$272 |
$272 |
20.4× |
| Osmotic fragility rbc unincubated (85555) |
$414 |
$414 |
55.4× |
| Osteocalcin (83937) |
$75 |
$75 |
2.5× |
| Ova and parasite exam (87177) |
$98 |
$98 |
11.0× |
| Oxalate urine (83945) |
$92 |
$92 |
6.4× |
| Pa; screen ea ab (86403) |
$125.50 |
$125.50 |
10.9× |
| Pa; titer ea ab (86406) |
$186 |
$186 |
17.5× |
| Pancreatic polypeptide (83519) |
$205 |
$205 |
11.1× |
| Parathyroid hormone (83970) |
$582 |
$582 |
14.1× |
| Parietal cell antibody (83516) |
$155 |
$155 |
13.4× |
| Parvovirus antibody (86747) |
$172 |
$172 |
11.4× |
| Path consult during surgery (88329) |
$466 |
$466 |
7.6× |
| Pdgfra mutation analysis (81314) |
$612.50 |
$612.50 |
1.9× |
| Ph body fluid (83986) |
$32 |
$32 |
8.9× |
| Phenobarbital (80184) |
$169 |
$169 |
11.0× |
| Phenytoin free (80186) |
$143 |
$143 |
10.4× |
| Phenytoin total (80185) |
$433 |
$433 |
32.7× |
| Phosphohexose isomerase (84087) |
$119 |
$119 |
11.1× |
| Phospholipid pltlt neutraliz (85597) |
$237 |
$237 |
13.2× |
| Phosphorus blood (84100) |
$140 |
$140 |
29.5× |
| Phosphorus urine (84105) |
$62.50 |
$62.50 |
10.8× |
| Pinworm exam (87172) |
$212 |
$212 |
49.6× |
| Plasma renin activity (84244) |
$47 |
$47 |
2.1× |
| Plasminogen activity (85420) |
$73 |
$73 |
11.2× |
| Platelet Aggregation (85576) |
$384.50 |
$384.50 |
15.4× |
| Platelet count automated (85049) |
$100 |
$100 |
22.3× |
| Pml/raralpha com breakpoints (81315) |
$968 |
$968 |
4.7× |
| Pneumocystis jirovecii amp probe (87594) |
$389 |
$389 |
11.1× |
| Pooling platelets/other blood products (86965) |
$228 |
$228 |
1.3× |
| Porphobilinogen urine quant (84110) |
$33 |
$33 |
3.9× |
| Porphyrins total plasma (84311) |
$411 |
$411 |
50.7× |
| Porphyrins urine quantitation & fractionation (84120) |
$41 |
$41 |
2.8× |
| Potassium serum (84132) |
$119.50 |
$119.50 |
25.1× |
| Potassium urine (84133) |
$86 |
$86 |
18.2× |
| Prealbumin (84134) |
$104 |
$104 |
7.1× |
| Pregnancy test serum (84703) |
$142 |
$142 |
18.9× |
| Pregnancy test urine (81025) |
$150 |
$150 |
17.4× |
| Pregnenolone (84140) |
$98 |
$98 |
4.7× |
| Pretreat serum ab id incubate (86977) |
$273 |
$273 |
1.5× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, by dilution (86976) |
$242 |
$242 |
8.0× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with drugs (86975) |
$242 |
$242 |
0.5× |
| Pretx rbc antibody incubat w/chem agnts/drugs ea (86970) |
$273 |
$273 |
4.4× |
| Pretx rbc antibody incubat w/density grad sep (86972) |
$684 |
$684 |
3.8× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$257.50 |
$257.50 |
1.4× |
| Pretx serum rbc antibody id diffial each absrpj (86978) |
$236 |
$236 |
3.8× |
| Primidone (80188) |
$63 |
$63 |
3.8× |
| Procalcitonin (pct) (84145) |
$175 |
$175 |
6.4× |
| Progesterone (84144) |
$29 |
$29 |
1.4× |
| Prolactin (84146) |
$72.50 |
$72.50 |
3.7× |
| Protein c antigen (85302) |
$219.50 |
$219.50 |
18.3× |
| Protein c functional (85303) |
$96 |
$96 |
6.9× |
| Protein electrophoresis serum (84165) |
$175 |
$175 |
16.3× |
| Protein electrophoresis urine (84166) |
$26 |
$26 |
1.5× |
| Protein s free (85306) |
$107 |
$107 |
7.0× |
| Protein s total (85305) |
$51 |
$51 |
4.4× |
| Protein total other source (84157) |
$127 |
$127 |
31.8× |
| Protein total serum (84155) |
$69.50 |
$69.50 |
18.9× |
| Protein total urine (84156) |
$103 |
$103 |
28.1× |
| Protein western blot test (84182) |
$824 |
$824 |
28.2× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$144.50 |
$144.50 |
36.7× |
| Pten gene dup/delet variant (81323) |
$399 |
$399 |
1.3× |
| Pten gene full sequence (81321) |
$770 |
$770 |
1.3× |
| Pyruvate (84210) |
$148.50 |
$148.50 |
10.3× |
| Pyruvate kinase (84220) |
$194.50 |
$194.50 |
20.6× |
| Qual organic acids ea specim (83919) |
$162 |
$162 |
9.8× |
| Quinidine (80194) |
$128 |
$128 |
8.8× |
| Ref consult prep elsewhere (88321) |
$282 |
$282 |
7.2× |
| Reptilase test (85635) |
$147 |
$147 |
14.9× |
| Resp virus 12-25 targets (87633) |
$330.50 |
$330.50 |
0.8× |
| Resp virus 3-5 targets (87631) |
$487 |
$487 |
3.4× |
| Reticulocyte count auto (85045) |
$157 |
$157 |
39.3× |
| Retinol binding protein (83883) |
$66 |
$66 |
4.9× |
| Rh phenotyping complete (86906) |
$1,967 |
$1,967 |
253.8× |
| Rheumatoid factor quant (86431) |
$43 |
$43 |
7.6× |
| Rickettsia antibody (86757) |
$107.50 |
$107.50 |
5.6× |
| Rnp antibody (86235) |
$56 |
$56 |
3.1× |
| Rotavirus antigen (87425) |
$185.50 |
$185.50 |
15.5× |
| Rpr (86592) |
$69 |
$69 |
16.2× |
| Rpr titer (86593) |
$62 |
$62 |
14.1× |
| Rsv ag eia (87420) |
$255 |
$255 |
18.3× |
| Rubella antibody (86762) |
$50.50 |
$50.50 |
3.5× |
| Rubeola antibody (86765) |
$23 |
$23 |
1.8× |
| RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated… (81334) |
$552 |
$552 |
1.7× |
| Russell viper venom diluted (85613) |
$161 |
$161 |
16.8× |
| Salmonella typhi and paratyphi antibodies (86768) |
$88 |
$88 |
6.7× |
| Sars-cov-2 COVID-19 antibody (86769) |
$150 |
$150 |
3.6× |
| Sed rate (85651) |
$162 |
$162 |
37.9× |
| Selenium serum (84255) |
$87 |
$87 |
3.4× |
| Serotonin (84260) |
$72 |
$72 |
2.3× |
| Serum bactericidal titer (87197) |
$303 |
$303 |
20.2× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Other Outpatient (86807) |
$1,024 |
$1,024 |
13.0× |
| Sex hormone binding globulin (84270) |
$126 |
$126 |
5.8× |
| Sickle cell screen (85660) |
$124 |
$124 |
22.5× |
| Silica (84285) |
$330 |
$330 |
13.1× |
| Sirolimus (rapamycin) (80195) |
$293.50 |
$293.50 |
21.4× |
| Skin test tuberculosis intradermal (86580) |
$65 |
$65 |
2.2× |
| Smear wet mount (87210) |
$127 |
$127 |
21.8× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$1,917 |
$1,917 |
14.0× |
| Snrpn/ube3a methylation analysis (81331) |
$833 |
$833 |
16.3× |
| So neo gsap DNA mcrstl ins (81457) |
$5,530.50 |
$5,530.50 |
6.2× |
| Sodium feces (84302) |
$100.50 |
$100.50 |
20.7× |
| Sodium serum (84295) |
$97.50 |
$97.50 |
20.3× |
| Sodium urine (84300) |
$105 |
$105 |
20.8× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81456) |
$5,648 |
$5,648 |
1.9× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) |
$4,128.50 |
$4,128.50 |
1.4× |
| Soluble transferrin receptor (84238) |
$78.50 |
$78.50 |
2.1× |
| Somatomedin-c (84305) |
$79 |
$79 |
3.7× |
| Sp consult; 1st tb w fs sgl sp (88331) |
$508 |
$508 |
2.9× |
| Special stains group i (88312) |
$281.50 |
$281.50 |
5.2× |
| Special stains group ii (88313) |
$199 |
$199 |
1.4× |
| Splitting blood/blood products each unit (86985) |
$481 |
$481 |
2.7× |
| Stone analysis (82365) |
$73 |
$73 |
5.7× |
| Stool cultr aerobic bact ea (87046) |
$127 |
$127 |
13.5× |
| Str markers specimen anal (81265) |
$2,239 |
$2,239 |
9.6× |
| Strep a ag eia (87430) |
$171 |
$171 |
10.2× |
| Strep b DNA amp probe (87653) |
$100 |
$100 |
2.8× |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
$75 |
$75 |
0.8× |
| Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Other Outpatient (84377) |
$387 |
$387 |
70.4× |
| Sugars; single qual ea specimen (84376) |
$266.50 |
$266.50 |
48.5× |
| Sulfate urine (84392) |
$62.50 |
$62.50 |
11.4× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$83 |
$83 |
2.7× |
| Surg Path,Level V - Lab Surg Path,Level V (88307) |
$932 |
$932 |
2.5× |
| Surgical path level vi (88309) |
$1,100 |
$1,100 |
1.3× |
| Surgical pathology level IV (88305) |
$479 |
$479 |
8.8× |
| Susceptbilty stdy antimicrbial agnt agar dilutj (87181) |
$119 |
$119 |
25.1× |
| Susceptibility broth dilution panel (87186) |
$296 |
$296 |
34.2× |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
$386 |
$386 |
58.1× |
| Susceptibility study antimicrobial disk method (87184) |
$144 |
$144 |
19.3× |
| T cells cd4 count (86361) |
$440.50 |
$440.50 |
16.4× |
| T cells total count (86359) |
$258 |
$258 |
6.8× |
| T3 free (84481) |
$45 |
$45 |
2.7× |
| T3 reverse (84482) |
$91 |
$91 |
5.8× |
| T3 total (84480) |
$39 |
$39 |
2.8× |
| T3 uptake (84479) |
$116.50 |
$116.50 |
18.0× |
| Tacrolimus (80197) |
$466 |
$466 |
33.9× |
| Targeted genomic seq analys (81445) |
$179 |
$179 |
0.3× |
| Tb test cell immun measure (86480) |
$452 |
$452 |
7.3× |
| Telomere length testing (88182) |
$777 |
$777 |
14.3× |
| Testosterone bioavailable (84410) |
$48 |
$48 |
0.9× |
| Testosterone free (84402) |
$46 |
$46 |
1.8× |
| Testosterone total (84403) |
$46 |
$46 |
1.8× |
| Tetanus antibody (86774) |
$260 |
$260 |
17.6× |
| Theophylline (80198) |
$152 |
$152 |
10.7× |
| Thiamine (84425) |
$111 |
$111 |
5.2× |
| Thiopurine drug metabolites (83789) |
$974 |
$974 |
40.4× |
| Thiopurine metabolites (80299) |
$361 |
$361 |
19.4× |
| Thrombin time plasma (85670) |
$224 |
$224 |
38.8× |
| Thromboplastin inhibition (85705) |
$86 |
$86 |
8.9× |
| Thyroglobulin (84432) |
$50 |
$50 |
3.1× |
| Thyroglobulin antibody (86800) |
$64 |
$64 |
4.0× |
| Thyroid stimulating immunoglob (84445) |
$222 |
$222 |
4.4× |
| Thyroxine binding globulin (84442) |
$36 |
$36 |
2.4× |
| Thyroxine t4 total (84436) |
$113.50 |
$113.50 |
16.5× |
| Tissue culture bone marrow (88237) |
$603 |
$603 |
4.2× |
| Tissue culture lymphocyte (88230) |
$692.50 |
$692.50 |
5.9× |
| Tissue culture placenta (88235) |
$702 |
$702 |
4.7× |
| Tissue culture skin/biopsy (88233) |
$682 |
$682 |
4.8× |
| Tissue culture solid tumor (88239) |
$702 |
$702 |
4.8× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$83 |
$83 |
7.2× |
| Tobramycin (80200) |
$383 |
$383 |
23.7× |
| Topiramate (80201) |
$91 |
$91 |
7.6× |
| Toxoplasma antibody igm (86778) |
$50 |
$50 |
3.5× |
| Tpmt gene com variants (81335) |
$814 |
$814 |
4.7× |
| Tpmt3, thiopurine methyltransferase activity profile, erythrocytes mayo clinic (84433) |
$306 |
$306 |
13.8× |
| Transcortin (84449) |
$134 |
$134 |
7.4× |
| Transferrin (84466) |
$50 |
$50 |
3.9× |
| Transfusion reaction - immediate (86078) |
$913 |
$913 |
5.1× |
| Trb gene rearrange amplify (81340) |
$792.50 |
$792.50 |
3.8× |
| Treponema pallidum antibody (86780) |
$155.50 |
$155.50 |
11.7× |
| Trg gene rearrangement anal (81342) |
$706 |
$706 |
3.5× |
| Trichomonas vagin dir probe (87660) |
$225 |
$225 |
11.2× |
| Trichomonas vaginalis amplif (87661) |
$178 |
$178 |
5.1× |
| Trichrome stain (87209) |
$11 |
$11 |
0.6× |
| Triglycerides (84478) |
$336.50 |
$336.50 |
58.6× |
| Troponin i (84484) |
$143 |
$143 |
11.5× |
| Trypanosoma cruzi igg (86753) |
$214 |
$214 |
17.3× |
| Tularemia agglutinins (86000) |
$371 |
$371 |
53.2× |
| Uf hb allergen food alpha gal ige (86008) |
$43 |
$43 |
2.4× |
| UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated… (81350) |
$1,485 |
$1,485 |
6.3× |
| Urea nitrogen quantitative (84520) |
$69.50 |
$69.50 |
17.6× |
| Urea nitrogen urine (84540) |
$39 |
$39 |
7.0× |
| Uric acid blood (84550) |
$184 |
$184 |
40.7× |
| Uric acid other source (84560) |
$39 |
$39 |
7.7× |
| Urinalysis auto w/micro (81001) |
$181 |
$181 |
57.1× |
| Urinalysis microscopic only (81015) |
$112 |
$112 |
36.7× |
| Urinalysis; 2 or 3 glass test Other Outpatient (81020) |
$58 |
$58 |
12.3× |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
$57 |
$57 |
26.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$84 |
$84 |
37.3× |
| Valproic acid (80164) |
$225 |
$225 |
16.6× |
| Valproic acid free (80165) |
$127 |
$127 |
9.4× |
| Vancomycin (80202) |
$383 |
$383 |
28.3× |
| Vanomycin DNA amp probe (87500) |
$339 |
$339 |
9.7× |
| Varicella zoster antibody igg (86787) |
$93 |
$93 |
7.2× |
| Vasoactive intestinal polypeptide (84586) |
$220 |
$220 |
6.2× |
| Vasopressin (84588) |
$193 |
$193 |
5.7× |
| Viral culture non-respiratory (87252) |
$310 |
$310 |
11.9× |
| Virus antibody nos (86790) |
$191.50 |
$191.50 |
14.9× |
| Virus isol shell vial techn (87254) |
$42 |
$42 |
2.1× |
| Vitamin a (84590) |
$64 |
$64 |
5.5× |
| Vitamin b12 (82607) |
$51.50 |
$51.50 |
3.4× |
| Vitamin b12 binding capacity (82608) |
$84 |
$84 |
5.9× |
| Vitamin b5 (84591) |
$449 |
$449 |
26.3× |
| Vitamin b6 (84207) |
$95 |
$95 |
3.4× |
| Vitamin c (82180) |
$99 |
$99 |
10.0× |
| Vitamin d 1 25 dihydroxy (82652) |
$93 |
$93 |
2.4× |
| Vitamin d, 25-hydroxy, labcorp (82306) |
$55 |
$55 |
1.9× |
| Vitamin e (84446) |
$63 |
$63 |
4.4× |
| Vitamin k1 (84597) |
$194 |
$194 |
14.1× |
| Vma (84585) |
$51 |
$51 |
3.3× |
| Vol reduction of blood/prod (86960) |
$118 |
$118 |
0.7× |
| Von willebrand factor activity (85245) |
$204.50 |
$204.50 |
8.9× |
| Voriconazole (80285) |
$113 |
$113 |
4.2× |
| West nile virus ab igm (86788) |
$111 |
$111 |
6.6× |
| West nile virus antibody (86789) |
$121 |
$121 |
8.4× |
| Zinc (84630) |
$54 |
$54 |
4.7× |
| Zinc protoporphyrin blood (84202) |
$108 |
$108 |
7.5× |