| 17 Hydroxyprogesterone (83498) |
— |
$318.50 |
— |
| 5-Hiaa (83497) |
— |
$43 |
— |
| Acetaminophen (80143) |
— |
$302 |
— |
| Acetone serum qual (82009) |
— |
$63 |
— |
| Acetylcholine receptor binding antibody (86041) |
— |
$205.50 |
— |
| Acth (82024) |
— |
$457 |
— |
| Acth stim adrenal insuff (80400) |
— |
$235.50 |
— |
| Activated protein c resistance (85307) |
— |
$147 |
— |
| Acute hepatitis panel (80074) |
— |
$438 |
— |
| Afb concentration (87015) |
— |
$88.50 |
— |
| Afb culture (87116) |
— |
$153 |
— |
| Afb smear (87206) |
— |
$90 |
— |
| Albumin body fluid (82042) |
— |
$145 |
— |
| Albumin serum (82040) |
— |
$63 |
— |
| Alcohol (82077) |
— |
$206.50 |
— |
| Aldolase (82085) |
— |
$66.50 |
— |
| Aldosterone (82088) |
— |
$472 |
— |
| Alkaline phosphatase (84075) |
— |
$76 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$282 |
— |
| Allergen profile perennial allergen (86003) |
— |
$65 |
— |
| Alpha-1-antitrypsin (82103) |
— |
$159 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$170.50 |
— |
| Alpha-fetoprotein serum (82105) |
— |
$136.50 |
— |
| Alt (84460) |
— |
$82 |
— |
| Amikacin level (80150) |
— |
$183.50 |
— |
| Ammonia (82140) |
— |
$276 |
— |
| Amylase (82150) |
— |
$119.50 |
— |
| Ana (86038) |
— |
$168 |
— |
| Ana titer (86039) |
— |
$132.50 |
— |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
— |
$155 |
— |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
— |
$166 |
— |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
— |
$166 |
— |
| Androstenedione (82157) |
— |
$485 |
— |
| Angiotensin converting enzyme (82164) |
— |
$172 |
— |
| Anti-mitochondrial antibody (86255) |
— |
$546 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$182 |
— |
| Antibody identification platelet antibodies (86022) |
— |
$484 |
— |
| Antibody; Helicobacter pylori (86677) |
— |
$142 |
— |
| Antistreptolysin o titer (86060) |
— |
$92.50 |
— |
| Antithrombin iii activity (85300) |
— |
$143.50 |
— |
| Antithrombin iii antigen (85301) |
— |
$169.50 |
— |
| Apolipoprotein each (82172) |
— |
$147 |
— |
| Arsenic (82175) |
— |
$220.50 |
— |
| Aspergillus antibody (86606) |
— |
$106.50 |
— |
| Aspergillus antigen (87305) |
— |
$150 |
— |
| Assay anti-mullerian horm (82166) |
— |
$247.50 |
— |
| Assay of vitamin b-2 (84252) |
— |
$140 |
— |
| Assay of vitamin not otherwise specified (84591) |
— |
$205 |
— |
| Ast (84450) |
— |
$79.50 |
— |
| B cells total count (86355) |
— |
$447.50 |
— |
| Bacterium antibody (86609) |
— |
$164.50 |
— |
| Bartonella antibody (86611) |
— |
$75 |
— |
| Bcr/abl 1 gene other bp (81208) |
— |
$1,051 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$670.50 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$1,473 |
— |
| Beta 2 glycoprotein i antibody (86146) |
— |
$203 |
— |
| Beta-2 microglobulin (82232) |
— |
$190.50 |
— |
| Bile acids total (82239) |
— |
$124.50 |
— |
| Bilirubin direct (82248) |
— |
$75 |
— |
| Bilirubin total (82247) |
— |
$83 |
— |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
— |
$52.50 |
— |
| Blood count leukocyte wbc automated (85048) |
— |
$28.50 |
— |
| Blood count reticulocyte automated (85045) |
— |
$89.50 |
— |
| Blood gases w/o2 saturation (82805) |
— |
$314 |
— |
| Blood typing serologic abo (86900) |
— |
$167 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$72.50 |
— |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
— |
$334 |
— |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
— |
$90 |
— |
| C diff amplified probe (87493) |
— |
$383.50 |
— |
| C-peptide (84681) |
— |
$246.50 |
— |
| C-reactive protein (86140) |
— |
$114 |
— |
| C-reactive protein high sensitivity (86141) |
— |
$153 |
— |
| Ca 125 (86304) |
— |
$246.50 |
— |
| Ca 15-3 (86300) |
— |
$246.50 |
— |
| Cadmium (82300) |
— |
$273.50 |
— |
| Calcitonin (82308) |
— |
$250.50 |
— |
| Calcium ionized (82330) |
— |
$189.50 |
— |
| Calcium total (82310) |
— |
$82 |
— |
| Calcium, random urine (82340) |
— |
$75 |
— |
| Calculus; X-ray diffraction Other Outpatient (82370) |
— |
$124.50 |
— |
| Calprotectin fecal (83993) |
— |
$331.50 |
— |
| Cancer antigen 19-9 (86301) |
— |
$252 |
— |
| Carbamazepine total (80156) |
— |
$179 |
— |
| Carbon dioxide (82374) |
— |
$79.50 |
— |
| Carbon monoxide (82375) |
— |
$149.50 |
— |
| Cardiolipin antibody ea ig class (86147) |
— |
$203 |
— |
| Catecholamines fractionated (82384) |
— |
$292.50 |
— |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
— |
$276 |
— |
| Cea (82378) |
— |
$220.50 |
— |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
— |
$183.50 |
— |
| Ceruloplasmin (82390) |
— |
$128 |
— |
| Chemiluminescent assay (82397) |
— |
$199.50 |
— |
| Chloride other source (82438) |
— |
$30 |
— |
| Chloride urine (82436) |
— |
$40 |
— |
| Cholesterol total (82465) |
— |
$64 |
— |
| Chorionic gonadotropin test (84702) |
— |
$179 |
— |
| Chromium (82495) |
— |
$192 |
— |
| Chromogranin a (86316) |
— |
$159 |
— |
| Chromosome analysis 15-20 cells (88262) |
— |
$421 |
— |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
— |
$842 |
— |
| Citrate (82507) |
— |
$323 |
— |
| Ck mb fraction (82553) |
— |
$168.50 |
— |
| Clostridium ag eia (87324) |
— |
$143.50 |
— |
| Clot inhibit prot s total (85305) |
— |
$141 |
— |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
— |
$232 |
— |
| Cmv antibody (86644) |
— |
$169.50 |
— |
| Coccidioides antibody (86635) |
— |
$83 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$167 |
— |
| Cold agglutinins titer (86157) |
— |
$105.50 |
— |
| Complement antigen ea component (86160) |
— |
$142 |
— |
| Complement total (ch50) (86162) |
— |
$313 |
— |
| Copper (82525) |
— |
$145.50 |
— |
| Cortisol free (82530) |
— |
$203.50 |
— |
| Cortisol saliva (82533) |
— |
$269 |
— |
| COVID-19 antibody (86769) |
— |
$163 |
— |
| Creatine kinase isoenzymes (82552) |
— |
$142 |
— |
| Creatine kinase total (82550) |
— |
$102 |
— |
| Creatinine (82565) |
— |
$78.50 |
— |
| Creatinine clearance (82575) |
— |
$143 |
— |
| Creatinine other source (82570) |
— |
$66.50 |
— |
| Crossmatch ahg (86922) |
— |
$129 |
— |
| Cryptosporidium ag eia (87328) |
— |
$142 |
— |
| Cryptosporidium ag if (87272) |
— |
$142 |
— |
| Crystals fluid (89060) |
— |
$84 |
— |
| Culture anaerobic (87075) |
— |
$169.50 |
— |
| Culture blood (87040) |
— |
$128 |
— |
| Culture fungus blood (87103) |
— |
$106.50 |
— |
| Culture fungus skin hair nail (87101) |
— |
$98.50 |
— |
| Culture mycoplasma (87109) |
— |
$50 |
— |
| Culture stool (87045) |
— |
$177 |
— |
| Culture urine (87086) |
— |
$104.50 |
— |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
— |
$224 |
— |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
— |
$97 |
— |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
— |
$70 |
— |
| Cyclic amp (82030) |
— |
$196 |
— |
| Cyclic citrullinated peptide ab (86200) |
— |
$153 |
— |
| Cyclosporine (80158) |
— |
$140 |
— |
| Cystatin c (82610) |
— |
$128 |
— |
| Cytomeg DNA amp probe (87496) |
— |
$413 |
— |
| Cytomegalovirus antibody igm (86645) |
— |
$169.50 |
— |
| D-dimer quantitative (85379) |
— |
$211.50 |
— |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
— |
$143.50 |
— |
| Dhea (82626) |
— |
$306.50 |
— |
| Dhea sulfate (82627) |
— |
$263 |
— |
| Digoxin (80162) |
— |
$207.50 |
— |
| Direct antiglobulin test (86880) |
— |
$101 |
— |
| Drug assay infliximab (80230) |
— |
$282 |
— |
| Drug assay salicylate (80179) |
— |
$302 |
— |
| Drug screen quant clozapine (80159) |
— |
$190 |
— |
| Drug screen quant everolimus (80169) |
— |
$329.50 |
— |
| Drug screen quant levetiracetam (80177) |
— |
$140 |
— |
| Drug screen quant mycophenolate (80180) |
— |
$131.50 |
— |
| Drug screen quantitative oxcarbazepine (80183) |
— |
$212 |
— |
| Drug test prsmv instrmnt (80306) |
— |
$213 |
— |
| Ear culture (87070) |
— |
$147 |
— |
| Elastase pancreatic fecal quantitative (82653) |
— |
$168.50 |
— |
| Electrolytes panel (80051) |
— |
$123 |
— |
| Endomysial antibody each immunoglobulin class (86231) |
— |
$142 |
— |
| Eosinophils urine (87205) |
— |
$106.50 |
— |
| Erythropoietin (82668) |
— |
$216.50 |
— |
| Estradiol (82670) |
— |
$213 |
— |
| Estriol (82677) |
— |
$293.50 |
— |
| Estrone (82679) |
— |
$140 |
— |
| Ethylene glycol (82693) |
— |
$156.50 |
— |
| Extractable nuclear antigen antibody any method (86235) |
— |
$212 |
— |
| F2 gene analysis (81240) |
— |
$239 |
— |
| F5 gene (81241) |
— |
$149.50 |
— |
| Factor ii activity (85210) |
— |
$157.50 |
— |
| Factor v activity (85220) |
— |
$140 |
— |
| Factor vii activity (85230) |
— |
$140 |
— |
| Factor viii vw antigen (85246) |
— |
$279.50 |
— |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
— |
$102 |
— |
| Ferritin (82728) |
— |
$150 |
— |
| Fibrinogen, activity (85384) |
— |
$104.50 |
— |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
— |
$117.50 |
— |
| Flow cytometry first marker (88184) |
— |
$226 |
— |
| Folate serum (82746) |
— |
$192 |
— |
| Folic acid rbc (82747) |
— |
$125 |
— |
| Follicle stimulating hormone (fsh) (83001) |
— |
$166 |
— |
| Fructosamine (82985) |
— |
$183.50 |
— |
| Ftl cgen abnor four anal (81511) |
— |
$136.50 |
— |
| Fungus isolation culture (87102) |
— |
$135 |
— |
| Gamma glutamyl transferase (82977) |
— |
$111.50 |
— |
| Gammaglobulin ige (82785) |
— |
$110.50 |
— |
| Gentamicin (80170) |
— |
$199 |
— |
| Giardia antigen (87329) |
— |
$142 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$492.50 |
— |
| Glucose Fasting (82947) |
— |
$62 |
— |
| Glucose other fluid (82945) |
— |
$111.50 |
— |
| Glucose post glucose dose (82950) |
— |
$70 |
— |
| Glucose tolerance test (gtt) (82951) |
— |
$199 |
— |
| Glucose-6-pd (82955) |
— |
$67 |
— |
| Glycated hemoglobin (83036) |
— |
$85 |
— |
| Growth hormone (hgh) (83003) |
— |
$196.50 |
— |
| Gtt-added samples (82952) |
— |
$62 |
— |
| H pylori breath test (83013) |
— |
$142 |
— |
| H pylri clrthmcn rst amp prb (87513) |
— |
$235.50 |
— |
| Haloperidol (80173) |
— |
$200 |
— |
| Haptoglobin (83010) |
— |
$147 |
— |
| Hcg ql (84703) |
— |
$122 |
— |
| Hematocrit (hct) (85014) |
— |
$46.50 |
— |
| Hematocrit spun (85013) |
— |
$32 |
— |
| Hemoglobin (85018) |
— |
$46.50 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$141 |
— |
| Hemoglobin fractj/quantj chromotography (83021) |
— |
$125 |
— |
| Hemoglobin plasma (83051) |
— |
$257 |
— |
| Hemoglobin; thermolabile Other Outpatient (83065) |
— |
$101 |
— |
| Hemosiderin qual (83070) |
— |
$31 |
— |
| Hep a ab total (86708) |
— |
$130.50 |
— |
| Hepatitis a antibody igm (86709) |
— |
$103 |
— |
| Hepatitis b core antibody igm (86705) |
— |
$140 |
— |
| Hepatitis b core antibody total (86704) |
— |
$114 |
— |
| Hepatitis b DNA quant (87517) |
— |
$130 |
— |
| Hepatitis b surface ab (86706) |
— |
$131.50 |
— |
| Hepatitis b surface antigen (87340) |
— |
$122 |
— |
| Hepatitis be antibody (86707) |
— |
$137.50 |
— |
| Hepatitis be antigen (87350) |
— |
$137.50 |
— |
| Hepatitis c antibody (86803) |
— |
$188 |
— |
| Hepatitis c genotype (87902) |
— |
$464 |
— |
| Hepatitis c RNA quantitative (87522) |
— |
$769 |
— |
| Herpes simplex virus by PCR (87529) |
— |
$358.75 |
— |
| Heterophile antibody screen (86308) |
— |
$110.50 |
— |
| Hfe gene (81256) |
— |
$589.50 |
— |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
— |
$229.50 |
— |
| HIV-1 antibody (86701) |
— |
$140 |
— |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
— |
$129 |
— |
| HIV-2 antibody (86702) |
— |
$105.50 |
— |
| Hla b27 (86812) |
— |
$271 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$893.50 |
— |
| Homocysteine level (83090) |
— |
$199 |
— |
| Homogenization tissue (87176) |
— |
$71 |
— |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
— |
$243 |
— |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
— |
$169.50 |
— |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
— |
$355 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$847 |
— |
| Igg subclass 1 (82787) |
— |
$59 |
— |
| Immunoassay analyte quantitative nos (83520) |
— |
$280 |
— |
| Immunofixation electrophoresis (86334) |
— |
$263 |
— |
| Immunofixation urine (86335) |
— |
$347 |
— |
| Immunoglobulin d (82784) |
— |
$110.50 |
— |
| Immunoglobulin light chains free each (83521) |
— |
$193 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
— |
$186 |
— |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
— |
$117.50 |
— |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87811) |
— |
$128 |
— |
| Infectious agent antigen detection by immunofluorescent technique; giardia Other Outpatient (87269) |
— |
$211.50 |
— |
| Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Other Outpatient (87281) |
— |
$157.50 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
— |
$245 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
— |
$451 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
— |
$116 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli,… (87505) |
— |
$408.50 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
— |
$243 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
— |
$1,003.50 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)… (87636) |
— |
$275 |
— |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) |
— |
$300 |
— |
| Influenza assay w/optic (87804) |
— |
$84 |
— |
| Influenza DNA amp probe (87502) |
— |
$197 |
— |
| Inhibin a (86336) |
— |
$108 |
— |
| Insulin antibody (86337) |
— |
$276 |
— |
| Insulin total (83525) |
— |
$70 |
— |
| Iron (83540) |
— |
$91.50 |
— |
| Iron binding capacity (83550) |
— |
$104.50 |
— |
| Islet cell antibody (86341) |
— |
$255.60 |
— |
| John cunningham antibody (86711) |
— |
$1,963 |
— |
| Koh prep (87220) |
— |
$37 |
— |
| Lacosamide (80235) |
— |
$150 |
— |
| Lactate (83605) |
— |
$204.50 |
— |
| Lactate dehydrogenase (83615) |
— |
$95.50 |
— |
| Lactoferrin fecal (qual) (83630) |
— |
$144.50 |
— |
| Lactoferrin, fecal; quantitative Other Outpatient (83631) |
— |
$272.40 |
— |
| LDL direct (83721) |
— |
$112.50 |
— |
| Lead (83655) |
— |
$144.50 |
— |
| Legionella culture (87081) |
— |
$123 |
— |
| Legionella urine antigen (87449) |
— |
$99 |
— |
| Leukocyte assessment fecal (89055) |
— |
$51 |
— |
| Lipase (83690) |
— |
$131.50 |
— |
| Lipoprotein (a) (83695) |
— |
$104.50 |
— |
| Lithium (80178) |
— |
$93 |
— |
| Luteinizing hormone (lh) (83002) |
— |
$219 |
— |
| Lyme disease antibody (86617) |
— |
$180 |
— |
| Lyme disease antibody (86618) |
— |
$200 |
— |
| Magnesium (83735) |
— |
$80 |
— |
| Manual differential (85007) |
— |
$33.50 |
— |
| Mercury (83825) |
— |
$198 |
— |
| Metanephrines (83835) |
— |
$166 |
— |
| Methemoglobin quant (83050) |
— |
$70 |
— |
| Methylmalonic acid serum (83921) |
— |
$234.50 |
— |
| Microalbumin urine (82043) |
— |
$121 |
— |
| Mitochondrial antibody each (86381) |
— |
$143.50 |
— |
| Mold id (87107) |
— |
$122 |
— |
| Mononuclear cell antigen (86356) |
— |
$276 |
— |
| Mopath procedure level 2 (81401) |
— |
$868 |
— |
| Mrsa PCR (87641) |
— |
$405 |
— |
| Mthfr gene (81291) |
— |
$454 |
— |
| Mumps antibody (86735) |
— |
$208.50 |
— |
| Mycoplasma antibody (86738) |
— |
$156.50 |
— |
| Myelin associated glycoprotein (mag) antibody (83516) |
— |
$190 |
— |
| Myoglobin (83874) |
— |
$140 |
— |
| N.gonorrhoeae DNA amp prob (87591) |
— |
$116 |
— |
| Natriuretic peptide (83880) |
— |
$199 |
— |
| Nephelometry ea analyte (83883) |
— |
$141 |
— |
| Nfct ds bv&vaginitis DNA alg (81515) |
— |
$300 |
— |
| Nfct ds chrnc hcv 6 assays (81596) |
— |
$549.50 |
— |
| Nk cells total count (86357) |
— |
$276 |
— |
| Occult bld feces 1-3 tests (82272) |
— |
$52.50 |
— |
| Occult blood screening (82270) |
— |
$50 |
— |
| Osmolality serum (83930) |
— |
$79 |
— |
| Osmolality urine (83935) |
— |
$132.50 |
— |
| Osteocalcin (83937) |
— |
$362 |
— |
| Ova and parasite exam (87177) |
— |
$172 |
— |
| Oxalate urine (83945) |
— |
$136.50 |
— |
| Pancreatic polypeptide (83519) |
— |
$135 |
— |
| Parathyroid hormone (83970) |
— |
$292.50 |
— |
| Parvovirus antibody (86747) |
— |
$179 |
— |
| Pertussis by PCR (87798) |
— |
$256 |
— |
| Ph body fluid (83986) |
— |
$97 |
— |
| Phenobarbital (80184) |
— |
$136.50 |
— |
| Phenylalanine (84030) |
— |
$103 |
— |
| Phenytoin level total (80185) |
— |
$200 |
— |
| Phosphorus (84100) |
— |
$73.50 |
— |
| Phosphorus urine (84105) |
— |
$146.50 |
— |
| Pinworm exam (87172) |
— |
$38 |
— |
| Plasminogen activity (85420) |
— |
$71 |
— |
| Platelet count automated (85049) |
— |
$58 |
— |
| Potassium (84132) |
— |
$90.50 |
— |
| Potassium urine (84133) |
— |
$52.50 |
— |
| Prealbumin (84134) |
— |
$70 |
— |
| Pregnenolone (84140) |
— |
$151.50 |
— |
| Primidone (80188) |
— |
$202.50 |
— |
| Procalcitonin (pct) (84145) |
— |
$240 |
— |
| Progesterone (84144) |
— |
$246.50 |
— |
| Proinsulin (84206) |
— |
$216.50 |
— |
| Prolactin (84146) |
— |
$228.50 |
— |
| Protein c activity (85303) |
— |
$244 |
— |
| Protein c antigen (85302) |
— |
$145.50 |
— |
| Protein electrophoresis serum (84165) |
— |
$155.50 |
— |
| Protein electrophoresis urine (84166) |
— |
$190.50 |
— |
| Protein s antigen, free (85306) |
— |
$257.50 |
— |
| Protein total other source (84157) |
— |
$141 |
— |
| Protein total serum (84155) |
— |
$68.50 |
— |
| Protein total urine (84156) |
— |
$89.50 |
— |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
— |
$81 |
— |
| PSA free (84154) |
— |
$183.50 |
— |
| Pyruvate (84210) |
— |
$70 |
— |
| Quinidine (80194) |
— |
$140 |
— |
| Rbc antibody identification (86870) |
— |
$193 |
— |
| Rbc antibody screen (86850) |
— |
$292.50 |
— |
| Reagent strip/blood glucose (82948) |
— |
$32 |
— |
| Receptor assay non-endocrine specify receptor (84238) |
— |
$72.50 |
— |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
— |
$156.50 |
— |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
— |
$228.50 |
— |
| Renin (84244) |
— |
$260.50 |
— |
| Reticulated platelet assay (85055) |
— |
$220.50 |
— |
| Reticyte/hgb concentrate (85046) |
— |
$89.50 |
— |
| Rheumatoid factor quant (86431) |
— |
$219 |
— |
| Rickettsia antibody (86757) |
— |
$220.50 |
— |
| Rl immediate spin crossmatch (86920) |
— |
$111.50 |
— |
| Rotavirus ag eia (87425) |
— |
$142 |
— |
| Rpr qual (86592) |
— |
$66.50 |
— |
| Rsv DNA/RNA amp probe (87634) |
— |
$210.50 |
— |
| Rubella antibody (86762) |
— |
$75 |
— |
| Rubeola antibody (86765) |
— |
$31 |
— |
| Russell viper venom diluted (85613) |
— |
$97.50 |
— |
| Russell viper venom time (includes venom); undiluted Other Outpatient (85612) |
— |
$112.50 |
— |
| Sedimentation rate rbc automated (85652) |
— |
$71 |
— |
| Sedimentation rate rbc non-automated (85651) |
— |
$59.50 |
— |
| Selenium (84255) |
— |
$310 |
— |
| Semen analysis post vasectomy (89321) |
— |
$118.50 |
— |
| Serotonin (84260) |
— |
$364.50 |
— |
| Sex hormone binding globulin (84270) |
— |
$159 |
— |
| Sickle cell screen (85660) |
— |
$82 |
— |
| Smear wet mount (87210) |
— |
$56 |
— |
| Sodium (84295) |
— |
$71 |
— |
| Sodium other source (84302) |
— |
$109.50 |
— |
| Sodium urine (84300) |
— |
$109.50 |
— |
| Somatomedin (84305) |
— |
$233.50 |
— |
| Specific gravity except urine (84315) |
— |
$32 |
— |
| Splitting of blood or blood products, each unit (86985) |
— |
$33 |
— |
| Staph a DNA amp probe (87640) |
— |
$405 |
— |
| Stone analysis (82365) |
— |
$95 |
— |
| Strep a assay w/optic (87880) |
— |
$84 |
— |
| Strep a DNA amp probe (87651) |
— |
$125 |
— |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
— |
$53 |
— |
| Susceptibility mic per plate (87186) |
— |
$133.50 |
— |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
— |
$57 |
— |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
— |
$93.50 |
— |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
— |
$98.50 |
— |
| T3 free (84481) |
— |
$200 |
— |
| T3 reverse (84482) |
— |
$119.50 |
— |
| T3 uptake (84479) |
— |
$71 |
— |
| T4 (thyroxine) total (84436) |
— |
$112.50 |
— |
| Tacrolimus (80197) |
— |
$300.50 |
— |
| Tb test cell immun measure (86480) |
— |
$128 |
— |
| Testosterone bioavailable (84410) |
— |
$375 |
— |
| Testosterone free (84402) |
— |
$213 |
— |
| Testosterone total (84403) |
— |
$219 |
— |
| Thiopurine drug metabolites (83789) |
— |
$170 |
— |
| Thiopurine metabolites (80299) |
— |
$137 |
— |
| Thiopurine methyltransferase, rbc (82657) |
— |
$154 |
— |
| Thrombin time plasma (85670) |
— |
$70 |
— |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
— |
$66.50 |
— |
| Thyroglobulin (84432) |
— |
$189.50 |
— |
| Thyroglobulin antibody (86800) |
— |
$187 |
— |
| Thyroid peroxidase antibody (86376) |
— |
$166 |
— |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
— |
$617.50 |
— |
| Thyroxine free (ft4) (84439) |
— |
$151 |
— |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
— |
$112.50 |
— |
| Tissue culture lymphocyte (88230) |
— |
$244.50 |
— |
| Tissue transglutaminase ea immunoglobulin class (86364) |
— |
$187 |
— |
| Tobramycin (80200) |
— |
$175.50 |
— |
| Topiramate (80201) |
— |
$144.50 |
— |
| Transferrin (84466) |
— |
$142 |
— |
| Treponema pallidum antibody (86780) |
— |
$66.50 |
— |
| Trichomonas vaginalis amplif (87661) |
— |
$248 |
— |
| Trichrome stain (87209) |
— |
$163.50 |
— |
| Triglycerides (84478) |
— |
$90 |
— |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
— |
$186 |
— |
| Troponin t (84484) |
— |
$206.50 |
— |
| Tularemia antibody (86000) |
— |
$304.50 |
— |
| Urea nitrogen quantitative (84520) |
— |
$62 |
— |
| Urea nitrogen urine (84540) |
— |
$62 |
— |
| Uric acid blood (84550) |
— |
$73.50 |
— |
| Uric acid other source (84560) |
— |
$57 |
— |
| Urinalysis auto w/micro (81001) |
— |
$80.50 |
— |
| Urinalysis microscopic only (81015) |
— |
$30 |
— |
| Urine Pregnancy Test POC (81025) |
— |
$99.50 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$73.50 |
— |
| Valproic acid (80164) |
— |
$187 |
— |
| Vancomycin (80202) |
— |
$211 |
— |
| Varicella zoster antibody igg (86787) |
— |
$153 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$363 |
— |
| Viral culture non-respiratory (87252) |
— |
$306.50 |
— |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
— |
$143.50 |
— |
| Vitamin a (84590) |
— |
$193 |
— |
| Vitamin b-12 (82607) |
— |
$151 |
— |
| Vitamin b1 whole blood (84425) |
— |
$250 |
— |
| Vitamin b6 (84207) |
— |
$330.50 |
— |
| Vitamin c (82180) |
— |
$242 |
— |
| Vitamin d 25 hydroxy (82306) |
— |
$290 |
— |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
— |
$339.50 |
— |
| Vitamin e (84446) |
— |
$168 |
— |
| Vitamin k1 (84597) |
— |
$132 |
— |
| Vma (84585) |
— |
$189.50 |
— |
| Yeast id (87106) |
— |
$122 |
— |
| Z t cells total count (86359) |
— |
$276 |
— |
| Zinc (84630) |
— |
$136.50 |
— |