| 17 Hydroxyprogesterone (83498) |
$107.20 |
$134 |
3.9× |
| 5-Hiaa (83497) |
$72.80 |
$91 |
5.6× |
| Acetaminophen (80143) |
$147.70 |
$184.62 |
7.9× |
| Acetone, quantitative (82010) |
$59.20 |
$74 |
7.2× |
| Acetylcholn rcptr blckg antb (86042) |
$240.80 |
$301 |
13.1× |
| Acth (82024) |
$168 |
$210 |
4.4× |
| Activated protein c resistance (85307) |
$124 |
$155 |
8.1× |
| Acute hepatitis panel (80074) |
$292 |
$365 |
6.1× |
| Adenovirus ag if (87260) |
$78.40 |
$98 |
5.4× |
| Afb concentration (87015) |
$39.20 |
$49 |
5.9× |
| Afb culture (87116) |
$110.40 |
$138 |
10.2× |
| Afb smear (87206) |
$51.20 |
$64 |
9.5× |
| Albumin body fluid (82042) |
$46.40 |
$58 |
6.0× |
| Albumin serum (82040) |
$55.89 |
$69.86 |
11.3× |
| Alcohol (82077) |
$149.86 |
$187.33 |
8.7× |
| Aldolase (82085) |
$84 |
$105 |
8.7× |
| Aldosterone (82088) |
$182.40 |
$228 |
4.5× |
| Alkaline phosphatase (84075) |
$60.81 |
$76.01 |
11.7× |
| Alkaline phosphatase isoenzymes (84080) |
$83.20 |
$104 |
5.6× |
| Allergen profile perennial allergen (86003) |
$169.05 |
$211.32 |
32.4× |
| Alpha-1-antitrypsin (82103) |
$99.20 |
$124 |
7.4× |
| Alpha-1-antitrypsin phenotype (82104) |
$99.20 |
$124 |
6.9× |
| Alpha-fetoprotein serum (82105) |
$115.20 |
$144 |
6.9× |
| Alt (84460) |
$76.09 |
$95.11 |
14.4× |
| Aluminum (82108) |
$99.20 |
$124 |
3.9× |
| Ammonia (82140) |
$113.60 |
$142 |
7.8× |
| Amylase (82150) |
$81.46 |
$101.82 |
12.6× |
| Ana (86038) |
$60 |
$75 |
5.0× |
| Ana titer (86039) |
$83.20 |
$104 |
7.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$76.80 |
$96 |
5.9× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$76.80 |
$96 |
5.0× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$90.40 |
$113 |
5.0× |
| Androstenedione (82157) |
$116.80 |
$146 |
4.0× |
| Angiotensin converting enzyme (82164) |
$91.20 |
$114 |
6.2× |
| Anti-mitochondrial antibody (86255) |
$105.60 |
$132 |
8.8× |
| Antibody west nile virus igm (86788) |
$85.60 |
$107 |
5.1× |
| Antistreptolysin o titer (86060) |
$59.20 |
$74 |
8.1× |
| Antithrombin iii antigen (85301) |
$122.40 |
$153 |
11.3× |
| Apolipoprotein each (82172) |
$120 |
$150 |
5.7× |
| Arsenic (82175) |
$82.40 |
$103 |
4.3× |
| Aspergillus antibody (86606) |
$102.40 |
$128 |
6.8× |
| Aspergillus antigen (87305) |
$43.20 |
$54 |
3.6× |
| Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) |
$88.80 |
$111 |
5.0× |
| Assay of vitamin not otherwise specified (84591) |
$140 |
$175 |
8.2× |
| Assay, blood catecholamines - catecholamines, total (82383) |
$175.20 |
$219 |
6.0× |
| Ast (84450) |
$69.09 |
$86.36 |
13.3× |
| Bartonella antibody (86611) |
$284.80 |
$356 |
28.0× |
| Basic metabolic panel calcium ionized (80047) |
$118.40 |
$148 |
8.6× |
| Beta lactamase (87185) |
$70.40 |
$88 |
14.8× |
| Beta-2 microglobulin (82232) |
$130.40 |
$163 |
8.1× |
| Bilirubin direct (82248) |
$64.38 |
$80.47 |
12.8× |
| Bilirubin total (82247) |
$54.91 |
$68.64 |
10.9× |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
$27.20 |
$34 |
7.9× |
| Blood count leukocyte wbc automated (85048) |
$34.40 |
$43 |
13.5× |
| Blood count reticulocyte automated (85045) |
$49.60 |
$62 |
12.4× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$24 |
$30 |
7.9× |
| Blood gases any combination (82803) |
$127.46 |
$159.33 |
4.9× |
| Blood typing rbc antigens (86905) |
$48 |
$60 |
12.5× |
| Blood typing serologic abo (86900) |
$302.40 |
$378 |
101.1× |
| Blood typing serologic rh (d) (86901) |
$91.20 |
$114 |
30.5× |
| Brucella antibody (86622) |
$90.40 |
$113 |
10.1× |
| C diff amplified probe (87493) |
$114.40 |
$143 |
3.1× |
| C-peptide (84681) |
$91.20 |
$114 |
4.4× |
| C-reactive protein (86140) |
$72 |
$90 |
13.9× |
| C-reactive protein high sensitivity (86141) |
$23.20 |
$29 |
1.8× |
| C2 complement functional (86161) |
$99.20 |
$124 |
8.3× |
| Ca 125 (86304) |
$137.60 |
$172 |
6.6× |
| Ca 15-3 (86300) |
$141.60 |
$177 |
6.8× |
| Cadmium (82300) |
$163.20 |
$204 |
6.9× |
| Calcitonin (82308) |
$132 |
$165 |
4.9× |
| Calcium ionized (82330) |
$91.20 |
$114 |
6.7× |
| Calcium total (82310) |
$80.48 |
$100.60 |
15.6× |
| Calcium, random urine (82340) |
$46 |
$57.50 |
7.6× |
| Calprotectin fecal (83993) |
$192 |
$240 |
9.8× |
| Cancer antigen 19-9 (86301) |
$117.60 |
$147 |
5.7× |
| Carbamazepine total (80156) |
$124.80 |
$156 |
8.6× |
| Carbon dioxide (82374) |
$64.26 |
$80.33 |
13.2× |
| Carbon monoxide (82375) |
$94.40 |
$118 |
7.7× |
| Cardiolipin antibody ea ig class (86147) |
$184.40 |
$230.50 |
7.2× |
| Casein igg (86001) |
$53.20 |
$66.50 |
6.8× |
| Catecholamines fractionated (82384) |
$140 |
$175 |
5.5× |
| Cea (82378) |
$128.80 |
$161 |
6.8× |
| Cell count body fluid (89050) |
$88.80 |
$111 |
18.8× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$72.80 |
$91 |
13.0× |
| Ceruloplasmin (82390) |
$72.80 |
$91 |
6.8× |
| Cftr gene com variants (81220) |
$904 |
$1,130 |
1.6× |
| Chlamydia antibody (86631) |
$59.20 |
$74 |
5.0× |
| Chlamydia antibody igm (86632) |
$51.20 |
$64 |
4.0× |
| Chloride blood (82435) |
$69.43 |
$86.79 |
15.1× |
| Chloride other source (82438) |
$61.60 |
$77 |
12.3× |
| Chloride urine (82436) |
$49.60 |
$62 |
8.6× |
| Cholesterol total (82465) |
$57.64 |
$72.05 |
13.3× |
| Chorionic gonadotropin test (84702) |
$141.60 |
$177 |
9.4× |
| Chromogranin a (86316) |
$148 |
$185 |
7.1× |
| Citrate (82507) |
$192 |
$240 |
6.9× |
| Ck mb fraction (82553) |
$108.80 |
$136 |
9.4× |
| Clostridium ag eia (87324) |
$112 |
$140 |
9.3× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$182.40 |
$228 |
8.0× |
| Cmv antibody (86644) |
$90.40 |
$113 |
6.3× |
| Coccidioides antibody (86635) |
$80.80 |
$101 |
7.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$111.20 |
$139 |
4.6× |
| Complement antigen ea component (86160) |
$68 |
$85 |
5.7× |
| Complement total (ch50) (86162) |
$128.80 |
$161 |
6.3× |
| Copper (82525) |
$81.60 |
$102 |
6.6× |
| Cortisol free (82530) |
$109.60 |
$137 |
6.6× |
| Cortisol saliva (82533) |
$94 |
$117.50 |
5.8× |
| COVID-19 antibody (86769) |
$236 |
$295 |
5.6× |
| Creatine kinase isoenzymes (82552) |
$80.80 |
$101 |
6.0× |
| Creatine kinase total (82550) |
$37.60 |
$47 |
5.8× |
| Creatinine (82565) |
$57.81 |
$72.26 |
11.3× |
| Creatinine clearance (82575) |
$98.40 |
$123 |
10.4× |
| Creatinine other source (82570) |
$28 |
$35 |
5.4× |
| Crossmatch ahg (86922) |
$402.72 |
$503.40 |
2.3× |
| Cryofibrinogen (82585) |
$71.20 |
$89 |
5.0× |
| Cryoglobulins (82595) |
$66.40 |
$83 |
10.3× |
| Cryptosporidium ag eia (87328) |
$72 |
$90 |
5.2× |
| Crystals fluid (89060) |
$61.60 |
$77 |
8.4× |
| Culture anaerobic (87075) |
$126.40 |
$158 |
13.3× |
| Culture blood (87040) |
$109.20 |
$136.50 |
10.6× |
| Culture fungus blood (87103) |
$112.80 |
$141 |
5.5× |
| Culture fungus skin hair nail (87101) |
$83.20 |
$104 |
10.8× |
| Culture stool (87045) |
$102.40 |
$128 |
10.8× |
| Culture urine (87086) |
$84 |
$105 |
10.4× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$57.60 |
$72 |
7.1× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$72.80 |
$91 |
9.0× |
| Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source… (87073) |
$145.60 |
$182 |
15.1× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$48 |
$60 |
5.1× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) |
$800 |
$1,000 |
3.7× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$32 |
$40 |
6.2× |
| Cyclic citrullinated peptide ab (86200) |
$100 |
$125 |
7.7× |
| Cyclosporine (80158) |
$145.60 |
$182 |
8.1× |
| Cyp2c19 gene analysis common variants (81225) |
$796 |
$995 |
2.7× |
| Cystatin c (82610) |
$200.80 |
$251 |
10.8× |
| Cytomegalovirus antibody igm (86645) |
$96 |
$120 |
5.7× |
| Cytopath cell enhance tech (88112) |
$152 |
$190 |
2.9× |
| D-dimer quantitative (85379) |
$159.24 |
$199.05 |
15.6× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$96 |
$120 |
7.0× |
| Dhea (82626) |
$133.60 |
$167 |
5.3× |
| Dhea sulfate (82627) |
$131.20 |
$164 |
5.9× |
| Digoxin (80162) |
$108 |
$135 |
8.1× |
| Dihydrotestosterone (82642) |
$201.60 |
$252 |
6.9× |
| Direct antiglobulin test (86880) |
$93.60 |
$117 |
17.4× |
| DNA/RNA amplified probe (87150) |
$94.74 |
$118.43 |
2.7× |
| Drug assay salicylate (80179) |
$107.20 |
$134 |
5.8× |
| Drug screen quant levetiracetam (80177) |
$156.80 |
$196 |
11.8× |
| Drug screen quantitative oxcarbazepine (80183) |
$125.60 |
$157 |
9.5× |
| Drug test prsmv chem anlyzr (80307) |
$175.20 |
$219 |
2.8× |
| Drug test prsmv dir opt obs (80305) |
$300 |
$375 |
23.8× |
| Ear culture (87070) |
$80 |
$100 |
9.3× |
| Ehrlichia antibody (86666) |
$106.40 |
$133 |
10.5× |
| Elastase pancreatic fecal quantitative (82653) |
$57.60 |
$72 |
2.5× |
| Electrolytes panel (80051) |
$78.39 |
$97.99 |
11.2× |
| Eosinophils urine (87205) |
$38.40 |
$48 |
9.0× |
| Erythropoietin (82668) |
$104.80 |
$131 |
5.6× |
| Estradiol (82670) |
$155.20 |
$194 |
5.6× |
| Estrogen fractionated (82671) |
$109.60 |
$137 |
3.4× |
| Estrone (82679) |
$161.20 |
$201.50 |
6.5× |
| Ethosuximide (80168) |
$115.20 |
$144 |
7.1× |
| Extractable nuclear antigen antibody any method (86235) |
$140 |
$175 |
7.8× |
| F5 gene (81241) |
$218.40 |
$273 |
3.0× |
| Factor v activity (85220) |
$90.40 |
$113 |
5.1× |
| Factor viii activity (85240) |
$166.40 |
$208 |
9.3× |
| Factor viii vw antigen (85246) |
$272 |
$340 |
11.9× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$125.60 |
$157 |
7.5× |
| Fecal fat qualitative (82705) |
$49.60 |
$62 |
9.7× |
| Ferritin (82728) |
$104.80 |
$131 |
7.7× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$2,049.60 |
$2,562 |
2.7× |
| Flow cytometry first marker (88184) |
$415.60 |
$519.50 |
1.1× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$443.20 |
$554 |
7.8× |
| Folate serum (82746) |
$36 |
$45 |
2.4× |
| Follicle stimulating hormone (fsh) (83001) |
$125.60 |
$157 |
6.8× |
| Francisella tularensis ab (86668) |
$128 |
$160 |
9.0× |
| Fructosamine (82985) |
$128.80 |
$161 |
7.7× |
| Ftl cgen abnor four anal (81511) |
$82.40 |
$103 |
0.5× |
| Fungus isolation culture (87102) |
$108.40 |
$135.50 |
12.9× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$96 |
$120 |
7.8× |
| Gamma glutamyl transferase (82977) |
$30.40 |
$38 |
4.2× |
| Gammaglobulin ige (82785) |
$98.40 |
$123 |
6.0× |
| Gastrin (82941) |
$77.20 |
$96.50 |
4.4× |
| Genotype DNA HIV reverse t (87901) |
$695.20 |
$869 |
2.7× |
| Gentamicin (80170) |
$131.20 |
$164 |
8.0× |
| Giardia antigen (87329) |
$82.40 |
$103 |
6.9× |
| Gliadin antibody each immunoglobulin class (86258) |
$104 |
$130 |
8.6× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$32.80 |
$41 |
10.0× |
| Glucose Fasting (82947) |
$63.02 |
$78.78 |
16.0× |
| Glucose other fluid (82945) |
$41.20 |
$51.50 |
10.5× |
| Glucose post glucose dose (82950) |
$63.20 |
$79 |
13.3× |
| Glucose tolerance test (gtt) (82951) |
$110.40 |
$138 |
8.6× |
| Glycated hemoglobin (83036) |
$82.96 |
$103.70 |
8.5× |
| Growth hormone (hgh) (83003) |
$89.60 |
$112 |
5.4× |
| Gtt-added samples (82952) |
$35.20 |
$44 |
9.0× |
| H pylori stool (87338) |
$119.20 |
$149 |
8.3× |
| Haptoglobin (83010) |
$91.20 |
$114 |
7.2× |
| Hcg ql (84703) |
$89.60 |
$112 |
11.9× |
| HDL cholesterol (83718) |
$67.52 |
$84.40 |
8.2× |
| Hematocrit (hct) (85014) |
$34.22 |
$42.78 |
14.4× |
| Hemoglobin (85018) |
$31.05 |
$38.81 |
13.1× |
| Hemoglobin electrophoresis (83020) |
$600 |
$750 |
46.6× |
| Hemoglobin fractj/quantj chromotography (83021) |
$126.40 |
$158 |
7.0× |
| Hep a ab total (86708) |
$76.80 |
$96 |
6.2× |
| Heparin assay (85520) |
$121.60 |
$152 |
9.3× |
| Hepatitis a antibody igm (86709) |
$92.80 |
$116 |
8.2× |
| Hepatitis b core antibody total (86704) |
$84 |
$105 |
7.0× |
| Hepatitis b DNA quant (87517) |
$148 |
$185 |
3.5× |
| Hepatitis b surface ab (86706) |
$84 |
$105 |
7.8× |
| Hepatitis b surface antigen (87340) |
$80 |
$100 |
7.7× |
| Hepatitis be antibody (86707) |
$84 |
$105 |
7.3× |
| Hepatitis be antigen (87350) |
$85.60 |
$107 |
7.4× |
| Hepatitis c antibody (86803) |
$108 |
$135 |
7.6× |
| Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (86804) |
$191.20 |
$239 |
12.3× |
| Hepatitis c genotype (87902) |
$712 |
$890 |
2.8× |
| Hepatitis c RNA quantitative (87522) |
$328.80 |
$411 |
7.7× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$153.60 |
$192 |
10.7× |
| Herpes simplex virus by PCR (87529) |
$180.80 |
$226 |
5.2× |
| Heterophile antibody screen (86308) |
$65.60 |
$82 |
12.7× |
| Hfe gene (81256) |
$376 |
$470 |
5.8× |
| Hhv-6 DNA amp probe (87532) |
$276.80 |
$346 |
7.9× |
| Histamine (83088) |
$140 |
$175 |
4.7× |
| HIV-1 antibody (86701) |
$26.40 |
$33 |
3.0× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$98.40 |
$123 |
7.2× |
| HIV-2 antibody (86702) |
$76.80 |
$96 |
5.7× |
| Hla b27 (86812) |
$130.40 |
$163 |
5.1× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$130.40 |
$163 |
1.8× |
| Hla i typing 1 allele hr (81381) |
$458.40 |
$573 |
2.7× |
| Hla ii typing 1 locus lr (81376) |
$149.60 |
$187 |
1.2× |
| Homocysteine level (83090) |
$123.20 |
$154 |
6.9× |
| Homovanillic acid urine (83150) |
$80.80 |
$101 |
3.6× |
| Human epididymis protein 4 (86305) |
$34.40 |
$43 |
1.7× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$134.40 |
$168 |
6.9× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$76 |
$95 |
2.2× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$103.60 |
$129.50 |
2.0× |
| Igg subclass 1 (82787) |
$252 |
$315 |
31.4× |
| Immunoassay analyte quantitative nos (83520) |
$198.40 |
$248 |
11.5× |
| Immunoassay infectious agent antibody quan nos (86317) |
$116.80 |
$146 |
7.8× |
| Immunofixation electrophoresis (86334) |
$126.40 |
$158 |
5.7× |
| Immunofixation urine (86335) |
$198.40 |
$248 |
6.8× |
| Immunoglobulin d (82784) |
$88 |
$110 |
9.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87337) |
$56 |
$70 |
4.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$113.60 |
$142 |
8.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) |
$26.40 |
$33 |
1.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87332) |
$75.20 |
$94 |
6.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$42.40 |
$53 |
2.6× |
| Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other… (87299) |
$86.40 |
$108 |
5.4× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$130.40 |
$163 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$120 |
$150 |
3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$442.40 |
$553 |
10.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$240 |
$300 |
6.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$347.20 |
$434 |
4.1× |
| Influenza a ag eia (87400) |
$59.60 |
$74.50 |
4.2× |
| Influenza a ag if (87276) |
$78.40 |
$98 |
4.9× |
| Influenza assay w/optic (87804) |
$86.26 |
$107.82 |
5.2× |
| Influenza b ag if (87275) |
$78.40 |
$98 |
6.4× |
| Inhibin a (86336) |
$80 |
$100 |
5.1× |
| Insulin antibody (86337) |
$192 |
$240 |
9.0× |
| Insulin free (83527) |
$109.60 |
$137 |
8.5× |
| Insulin total (83525) |
$80 |
$100 |
7.0× |
| Iron (83540) |
$63.20 |
$79 |
9.8× |
| Iron binding capacity (83550) |
$60.80 |
$76 |
7.0× |
| Islet cell antibody (86341) |
$96.80 |
$121 |
4.1× |
| Jak2 gene (81270) |
$2,044.80 |
$2,556 |
22.3× |
| Koh prep (87220) |
$47.20 |
$59 |
11.1× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$232 |
$290 |
6.1× |
| Lactate (83605) |
$130.67 |
$163.34 |
11.3× |
| Lactate dehydrogenase (83615) |
$25.60 |
$32 |
4.2× |
| Lactoferrin fecal (qual) (83630) |
$76.80 |
$96 |
3.9× |
| Lamotrigine (80175) |
$119.20 |
$149 |
9.0× |
| LDL direct (83721) |
$58.40 |
$73 |
5.6× |
| Lead (83655) |
$68 |
$85 |
5.6× |
| Legionella antibody (86713) |
$76 |
$95 |
5.0× |
| Legionella culture (87081) |
$85.20 |
$106.50 |
12.9× |
| Legionella urine antigen (87449) |
$79.60 |
$99.50 |
6.6× |
| Leptospira antibody (86720) |
$91.20 |
$114 |
5.6× |
| Leukocyte antibody id (86021) |
$139.20 |
$174 |
9.2× |
| Leukocyte assessment fecal (89055) |
$48 |
$60 |
11.2× |
| Lipase (83690) |
$93.72 |
$117.15 |
13.6× |
| Lipopro bld electrophoretic (83700) |
$72 |
$90 |
6.4× |
| Lipoprotein (a) (83695) |
$52.80 |
$66 |
3.7× |
| Lipoprotein bld by nmr (83704) |
$187.20 |
$234 |
5.5× |
| Listeria antibody (86723) |
$19.20 |
$24 |
1.5× |
| Lithium (80178) |
$72 |
$90 |
10.9× |
| Luteinizing hormone (lh) (83002) |
$124.80 |
$156 |
6.7× |
| Lyme disease antibody (86618) |
$160.80 |
$201 |
9.4× |
| Magnesium (83735) |
$52 |
$65 |
7.8× |
| Manual differential (85007) |
$37.60 |
$47 |
9.9× |
| Mercury (83825) |
$76.80 |
$96 |
4.7× |
| Metanephrines (83835) |
$183.20 |
$229 |
10.8× |
| Methemoglobin quant (83050) |
$27.20 |
$34 |
3.3× |
| Methylmalonic acid serum (83921) |
$188 |
$235 |
8.9× |
| Microalbumin urine (82043) |
$64.80 |
$81 |
11.2× |
| Mold id (87107) |
$70.40 |
$88 |
6.8× |
| Molecular cytogenetics DNA probe each (88271) |
$120 |
$150 |
5.6× |
| Mrsa PCR (87641) |
$142.40 |
$178 |
4.1× |
| Mthfr gene (81291) |
$219.20 |
$274 |
3.4× |
| Mumps antibody (86735) |
$76.80 |
$96 |
5.9× |
| Mycoplasma antibody (86738) |
$92.80 |
$116 |
7.0× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$131.20 |
$164 |
11.4× |
| Myoglobin (83874) |
$102.40 |
$128 |
7.9× |
| N.gonorrhoeae DNA amp prob (87591) |
$120 |
$150 |
3.4× |
| Natriuretic peptide (83880) |
$186.95 |
$233.68 |
4.8× |
| Nephelometry ea analyte (83883) |
$171.20 |
$214 |
12.6× |
| Neutralization test viral (86382) |
$136 |
$170 |
8.0× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$710.40 |
$888 |
2.7× |
| Nfct ds chrnc hcv 6 assays (81596) |
$332 |
$415 |
4.6× |
| Occult bld feces 1-3 tests (82272) |
$41.20 |
$51.50 |
9.7× |
| Occult blood other sources (82271) |
$44 |
$55 |
8.3× |
| Occult blood screening (82270) |
$40.40 |
$50.50 |
9.2× |
| Osmolality serum (83930) |
$71.20 |
$89 |
10.8× |
| Osmolality urine (83935) |
$68.80 |
$86 |
10.1× |
| Ova and parasite exam (87177) |
$153.60 |
$192 |
17.3× |
| Pancreatic polypeptide (83519) |
$240.80 |
$301 |
13.1× |
| Parainfluenza ag if (87279) |
$78.40 |
$98 |
4.8× |
| Parathyroid hormone (83970) |
$96.80 |
$121 |
2.3× |
| Parvovirus antibody (86747) |
$93.20 |
$116.50 |
6.2× |
| Pertussis by PCR (87798) |
$135.20 |
$169 |
3.9× |
| Ph body fluid (83986) |
$37.60 |
$47 |
10.5× |
| Phenobarbital (80184) |
$116.80 |
$146 |
7.6× |
| Phenytoin level total (80185) |
$116.80 |
$146 |
8.8× |
| Phosphorus (84100) |
$50.92 |
$63.64 |
10.7× |
| Phosphorus urine (84105) |
$44.80 |
$56 |
7.8× |
| Platelet count automated (85049) |
$48 |
$60 |
10.7× |
| Pml/raralpha com breakpoints (81315) |
$861.60 |
$1,077 |
4.2× |
| Porphobilinogen urine (84110) |
$40.80 |
$51 |
4.8× |
| Porphyrins total plasma (84311) |
$29.60 |
$37 |
3.7× |
| Potassium (84132) |
$55.29 |
$69.11 |
11.6× |
| Potassium urine (84133) |
$49.60 |
$62 |
10.5× |
| Prealbumin (84134) |
$86.40 |
$108 |
5.9× |
| Pregnenolone (84140) |
$99.20 |
$124 |
4.8× |
| Primidone (80188) |
$118.40 |
$148 |
7.1× |
| Procalcitonin (pct) (84145) |
$120.80 |
$151 |
4.4× |
| Progesterone (84144) |
$120 |
$150 |
5.8× |
| Proinsulin (84206) |
$88 |
$110 |
3.3× |
| Prolactin (84146) |
$139.20 |
$174 |
7.2× |
| Prostate specific antigen (PSA); complexed (direct measurement) Other Outpatient (84152) |
$113.60 |
$142 |
6.2× |
| Protein c activity (85303) |
$161.60 |
$202 |
11.7× |
| Protein electrophoresis serum (84165) |
$72.80 |
$91 |
6.8× |
| Protein electrophoresis urine (84166) |
$93.60 |
$117 |
5.2× |
| Protein s antigen, free (85306) |
$140 |
$175 |
9.1× |
| Protein total other source (84157) |
$52 |
$65 |
13.0× |
| Protein total serum (84155) |
$71.67 |
$89.59 |
19.5× |
| Protein total urine (84156) |
$45.20 |
$56.50 |
12.3× |
| Protein, total, by refractometry, any source Other Outpatient (84160) |
$27.20 |
$34 |
4.8× |
| PSA free (84154) |
$94.40 |
$118 |
5.1× |
| Q fever antibody (86638) |
$94.40 |
$118 |
7.8× |
| Rbc antibody identification (86870) |
$193.60 |
$242 |
0.5× |
| Rbc antibody screen (86850) |
$86.40 |
$108 |
8.8× |
| Reagent strip/blood glucose (82948) |
$47.60 |
$59.50 |
9.4× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$89.60 |
$112 |
7.4× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$100.80 |
$126 |
7.6× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$100.80 |
$126 |
5.2× |
| Renin (84244) |
$128.80 |
$161 |
5.9× |
| Resp virus 12-25 targets (87633) |
$667.20 |
$834 |
1.6× |
| Respiratory syncytial vi (87280) |
$78.40 |
$98 |
5.8× |
| Rheumatoid factor quant (86431) |
$59.20 |
$74 |
10.4× |
| Rickettsia antibody (86757) |
$83.20 |
$104 |
4.3× |
| Ristocetin cofactor (85245) |
$139.20 |
$174 |
6.1× |
| Rl immediate spin crossmatch (86920) |
$402.72 |
$503.40 |
2.3× |
| Rotavirus ag eia (87425) |
$89.60 |
$112 |
7.5× |
| Rotavirus antibody (86759) |
$110.40 |
$138 |
6.1× |
| Rpr qual (86592) |
$48.80 |
$61 |
11.4× |
| Rubella antibody (86762) |
$74.40 |
$93 |
5.2× |
| Rubeola antibody (86765) |
$80 |
$100 |
6.2× |
| Russell viper venom diluted (85613) |
$120.80 |
$151 |
12.6× |
| Sedimentation rate rbc automated (85652) |
$58.22 |
$72.77 |
21.6× |
| Sedimentation rate rbc non-automated (85651) |
$47.20 |
$59 |
11.1× |
| Semen analysis post vasectomy (89321) |
$64.80 |
$81 |
5.4× |
| Serotonin (84260) |
$130.40 |
$163 |
4.2× |
| Sex hormone binding globulin (84270) |
$116 |
$145 |
5.3× |
| Shiga-like toxin ag eia (87427) |
$86.40 |
$108 |
7.2× |
| Sickle cell screen (85660) |
$80.80 |
$101 |
14.7× |
| Sirolimus (80195) |
$133.60 |
$167 |
9.7× |
| Skin test tuberculosis intradermal (86580) |
$60.84 |
$76.05 |
2.1× |
| Smear wet mount (87210) |
$52.80 |
$66 |
9.1× |
| Sodium (84295) |
$51.68 |
$64.60 |
10.7× |
| Sodium other source (84302) |
$44.80 |
$56 |
9.2× |
| Sodium urine (84300) |
$51.20 |
$64 |
10.1× |
| Somatomedin (84305) |
$137.60 |
$172 |
6.5× |
| Stone analysis (82365) |
$89.60 |
$112 |
6.9× |
| Strep a assay w/optic (87880) |
$56 |
$70 |
3.4× |
| Susceptibility mic per plate (87186) |
$73.60 |
$92 |
8.5× |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
$38.40 |
$48 |
8.1× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$62.40 |
$78 |
8.3× |
| T cells cd4 count (86361) |
$148.40 |
$185.50 |
5.5× |
| T3 free (84481) |
$120.80 |
$151 |
7.1× |
| T3 reverse (84482) |
$103.20 |
$129 |
6.5× |
| T3 uptake (84479) |
$64.80 |
$81 |
10.0× |
| T4 (thyroxine) total (84436) |
$68.80 |
$86 |
10.0× |
| Tacrolimus (80197) |
$165.60 |
$207 |
12.1× |
| Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) |
$348.08 |
$435.10 |
2.7× |
| Tb test cell immun measure (86480) |
$206.40 |
$258 |
3.3× |
| Testosterone free (84402) |
$145.60 |
$182 |
5.7× |
| Testosterone total (84403) |
$72.80 |
$91 |
2.8× |
| Theophylline (80198) |
$107.20 |
$134 |
7.6× |
| Thiopurine metabolites (80299) |
$126.40 |
$158 |
6.8× |
| Thyroglobulin (84432) |
$109.60 |
$137 |
6.8× |
| Thyroglobulin antibody (86800) |
$80.80 |
$101 |
5.1× |
| Thyroid peroxidase antibody (86376) |
$83.60 |
$104.50 |
5.7× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$408.80 |
$511 |
8.0× |
| Thyroxine binding globulin (84442) |
$84 |
$105 |
5.7× |
| Thyroxine free (ft4) (84439) |
$91.20 |
$114 |
10.1× |
| Tissue culture lymphocyte (88230) |
$371.20 |
$464 |
3.2× |
| Topiramate (80201) |
$115.20 |
$144 |
9.7× |
| Transferrin (84466) |
$88.40 |
$110.50 |
6.9× |
| Treponema pallidum antibody (86780) |
$24 |
$30 |
1.8× |
| Trichrome stain (87209) |
$68.80 |
$86 |
3.8× |
| Triglycerides (84478) |
$83.30 |
$104.12 |
14.5× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$103.20 |
$129 |
7.3× |
| Troponin t (84484) |
$181.60 |
$227 |
14.6× |
| Unlisted molecular pathology (81479) |
$870.40 |
$1,088 |
— |
| Urea nitrogen quantitative (84520) |
$65.21 |
$81.51 |
16.5× |
| Urea nitrogen urine (84540) |
$48 |
$60 |
8.6× |
| Uric acid blood (84550) |
$68.80 |
$86 |
15.2× |
| Uric acid other source (84560) |
$48.80 |
$61 |
9.6× |
| Urinalysis auto w/micro (81001) |
$56.17 |
$70.21 |
17.7× |
| Urinalysis microscopic only (81015) |
$33.60 |
$42 |
11.0× |
| Urinalysis volume measure (81050) |
$20.80 |
$26 |
5.7× |
| Urinalysis; bacteriuria screen, except by culture or dipstick Other Outpatient (81007) |
$48.80 |
$61 |
1.6× |
| Urinalysis; qualitative or semiquantitative, except immunoassays Other Outpatient (81005) |
$12.80 |
$16 |
5.9× |
| Urine bacteria culture (87088) |
$84 |
$105 |
10.4× |
| Urine Pregnancy Test POC (81025) |
$37.60 |
$47 |
4.4× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$39.20 |
$49 |
17.4× |
| Valproic acid (80164) |
$119.20 |
$149 |
8.8× |
| Vancomycin (80202) |
$132 |
$165 |
9.7× |
| Varicella zoster antibody igg (86787) |
$73.60 |
$92 |
5.7× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$224.40 |
$280.50 |
6.6× |
| Viral culture non-respiratory (87252) |
$161.60 |
$202 |
6.2× |
| Vitamin a (84590) |
$83.60 |
$104.50 |
7.2× |
| Vitamin b-12 (82607) |
$104.80 |
$131 |
6.9× |
| Vitamin b1 whole blood (84425) |
$320 |
$400 |
15.1× |
| Vitamin b6 (84207) |
$106.40 |
$133 |
3.8× |
| Vitamin d 25 hydroxy (82306) |
$156 |
$195 |
5.3× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$408 |
$510 |
10.6× |
| Vitamin e (84446) |
$73.60 |
$92 |
5.2× |
| Vitamin k1 (84597) |
$167.20 |
$209 |
12.2× |
| Vma (84585) |
$87.20 |
$109 |
5.6× |
| West nile virus antibody (86789) |
$88.80 |
$111 |
6.2× |
| Xylose absorption test, blood and/or urine Other Outpatient (84620) |
$68.80 |
$86 |
5.3× |
| Yeast id (87106) |
$72.80 |
$91 |
7.1× |
| Z t cells total count (86359) |
$105.60 |
$132 |
2.8× |
| Zinc (84630) |
$70.40 |
$88 |
6.2× |