| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$339.50 |
— |
| 5 Hiaa (83497) |
— |
$43 |
— |
| Acetaminophen level (80143) |
— |
$302 |
— |
| Acetylcholine receptor binding antibody (86041) |
— |
$205.50 |
— |
| Acth stimulation panel adrenal (80400) |
— |
$235.50 |
— |
| Activated protein c resistance (85307) |
— |
$147 |
— |
| Acute hepatitis panel (80074) |
— |
$438 |
— |
| Afb culture (87116) |
— |
$153 |
— |
| Agglutinins febrile (86000) |
— |
$304.50 |
— |
| Albumin Fluid (82042) |
— |
$145 |
— |
| Albumin serum (82040) |
— |
$63 |
— |
| Aldolase (82085) |
— |
$66.50 |
— |
| Aldosterone urine (82088) |
— |
$472 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$282 |
— |
| Allergen specific ige (86003) |
— |
$65 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$170.50 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$159 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$136.50 |
— |
| Alt (sgpt) (84460) |
— |
$82 |
— |
| Amikacin trough (80150) |
— |
$183.50 |
— |
| Ammonia (82140) |
— |
$276 |
— |
| Amylase urine (82150) |
— |
$119.50 |
— |
| Ana Titer (86039) |
— |
$132.50 |
— |
| Angiotensin i enzyme test (82164) |
— |
$172 |
— |
| Anti-phosphatidylserine antibody (86148) |
— |
$182 |
— |
| Antibody aspergillus (86606) |
— |
$106.50 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$169.50 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$169.50 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$155 |
— |
| Antibody helicobacter pylori (86677) |
— |
$142 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$156.50 |
— |
| Antibody HIV-2 (86702) |
— |
$105.50 |
— |
| Antibody identification (86870) |
— |
$193 |
— |
| Antibody john cunningham virus (86711) |
— |
$1,963 |
— |
| Antibody mumps (86735) |
— |
$208.50 |
— |
| Antibody rubeola (86765) |
— |
$31 |
— |
| Antibody screen (86850) |
— |
$292.50 |
— |
| Antibody treponema pallidum (86780) |
— |
$66.50 |
— |
| Antibody; Coccidioides (86635) |
— |
$83 |
— |
| Antinuclear antibodies (86038) |
— |
$168 |
— |
| Antistreptolysin o titer (86060) |
— |
$92.50 |
— |
| Antithrombin iii activity (85300) |
— |
$143.50 |
— |
| Antithrombin iii antigen (85301) |
— |
$169.50 |
— |
| Apolipoprotein b (82172) |
— |
$147 |
— |
| Arsenic Urine (82175) |
— |
$220.50 |
— |
| Aspergillus ag eia (87305) |
— |
$150 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$141 |
— |
| Assay of acth (82024) |
— |
$457 |
— |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
— |
$206.50 |
— |
| Assay of androstenedione (82157) |
— |
$485 |
— |
| Assay of anti-mullerian hormone (82166) |
— |
$247.50 |
— |
| Assay of c-peptide (84681) |
— |
$246.50 |
— |
| Assay of calcitonin (82308) |
— |
$250.50 |
— |
| Assay of ceruloplasmin (82390) |
— |
$128 |
— |
| Assay of cyclosporine (80158) |
— |
$140 |
— |
| Assay of erythropoietin (82668) |
— |
$216.50 |
— |
| Assay of ferritin (82728) |
— |
$150 |
— |
| Assay of g6pd enzyme (82955) |
— |
$67 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$110.50 |
— |
| Assay of gentamicin (80170) |
— |
$199 |
— |
| Assay of homocystine (83090) |
— |
$199 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$104.50 |
— |
| Assay of metanephrines (83835) |
— |
$166 |
— |
| Assay of osteocalcin (83937) |
— |
$362 |
— |
| Assay of parathormone (83970) |
— |
$292.50 |
— |
| Assay of phenobarbital (80184) |
— |
$136.50 |
— |
| Assay of prealbumin (84134) |
— |
$70 |
— |
| Assay of proinsulin (84206) |
— |
$216.50 |
— |
| Assay of pyruvate (84210) |
— |
$70 |
— |
| Assay of selenium (84255) |
— |
$310 |
— |
| Assay of serotonin (84260) |
— |
$364.50 |
— |
| Assay of somatomedin (84305) |
— |
$233.50 |
— |
| Assay of tacrolimus (80197) |
— |
$300.50 |
— |
| Assay of urine vma (84585) |
— |
$189.50 |
— |
| Assay of vitamin k (84597) |
— |
$132 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$97 |
— |
| Ast (sgot) (84450) |
— |
$79.50 |
— |
| B cells total count (86355) |
— |
$447.50 |
— |
| Bartonella antibody (86611) |
— |
$75 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$670.50 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$1,473 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$203 |
— |
| Beta-2 microglobulin (82232) |
— |
$190.50 |
— |
| Bile acids, total (82239) |
— |
$124.50 |
— |
| Bilirubin direct (82248) |
— |
$75 |
— |
| Bilirubin total (82247) |
— |
$83 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$33.50 |
— |
| Bl Smear W/O Diff Wbc Count (85008) |
— |
$52.50 |
— |
| Blood count reticulocyte automated (85045) |
— |
$89.50 |
— |
| Blood gases w/02 saturation (82805) |
— |
$314 |
— |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
— |
$90 |
— |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
— |
$50 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$334 |
— |
| Blood typing abo (86900) |
— |
$167 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$72.50 |
— |
| Body fluid cell count (89051) |
— |
$183.50 |
— |
| C diff amplified probe (87493) |
— |
$383.50 |
— |
| C-reactive protein (86140) |
— |
$114 |
— |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
— |
$153 |
— |
| Ca 125 (86304) |
— |
$246.50 |
— |
| Ca 19-9 (86301) |
— |
$252 |
— |
| Ca 27 29 (86300) |
— |
$246.50 |
— |
| Cadmium level (82300) |
— |
$273.50 |
— |
| Calcium ionized (82330) |
— |
$189.50 |
— |
| Calcium total (82310) |
— |
$82 |
— |
| Calcium urine (82340) |
— |
$75 |
— |
| Calculus analysis (82370) |
— |
$124.50 |
— |
| Calculus Spectroscopy (82365) |
— |
$95 |
— |
| Calprotectin, fecal (83993) |
— |
$331.50 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$179 |
— |
| Carbon dioxide (82374) |
— |
$79.50 |
— |
| Carboxyhemoglobin Quantitative (82375) |
— |
$149.50 |
— |
| Carcinoembryonic antigen (82378) |
— |
$220.50 |
— |
| Cardiolipin ab igg (86147) |
— |
$203 |
— |
| Catecholamines fraction plasma (82384) |
— |
$292.50 |
— |
| Chemiluminescent assay (82397) |
— |
$199.50 |
— |
| Chloride other source (82438) |
— |
$30 |
— |
| Chloride urine (82436) |
— |
$40 |
— |
| Cholesterol total (82465) |
— |
$64 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$421 |
— |
| Chromium urine (82495) |
— |
$192 |
— |
| Chromogranin a (86316) |
— |
$159 |
— |
| Chromosome karyotype study (88280) |
— |
$842 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$116 |
— |
| Citrate (82507) |
— |
$323 |
— |
| Ck isoenzymes (82552) |
— |
$142 |
— |
| Ckmb (82553) |
— |
$168.50 |
— |
| Clot factor viii vw antigen (85246) |
— |
$279.50 |
— |
| Clozapine level (80159) |
— |
$190 |
— |
| Cmv PCR (87496) |
— |
$413 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$167 |
— |
| Cold agglutinin titer (86157) |
— |
$105.50 |
— |
| Compatibility test antiglob (86922) |
— |
$129 |
— |
| Complement c3 (86160) |
— |
$142 |
— |
| Complement total ch50 (86162) |
— |
$313 |
— |
| Concentration Infectious Agent (87015) |
— |
$88.50 |
— |
| Coombs direct (86880) |
— |
$101 |
— |
| Copper urine (82525) |
— |
$145.50 |
— |
| Cortisol free (82530) |
— |
$203.50 |
— |
| Cortisol total (82533) |
— |
$269 |
— |
| Creatine kinase total (82550) |
— |
$102 |
— |
| Creatinine blood (82565) |
— |
$78.50 |
— |
| Creatinine clearance (82575) |
— |
$143 |
— |
| Creatinine other source (82570) |
— |
$66.50 |
— |
| Crossmatch immediate spin (86920) |
— |
$111.50 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$97 |
— |
| Culture Aerobic Identify (87077) |
— |
$224 |
— |
| Culture anaerobic (87075) |
— |
$169.50 |
— |
| Culture blood (87040) |
— |
$128 |
— |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
— |
$98.50 |
— |
| Culture fungus blood (87103) |
— |
$106.50 |
— |
| Culture fungus id yeast (87106) |
— |
$122 |
— |
| Culture fungus other (87102) |
— |
$135 |
— |
| Culture genital (87070) |
— |
$147 |
— |
| Culture screen only (87081) |
— |
$123 |
— |
| Culture stool (87045) |
— |
$177 |
— |
| Culture urine (87086) |
— |
$104.50 |
— |
| Cyclic amp (82030) |
— |
$196 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$153 |
— |
| Cystatin c (82610) |
— |
$128 |
— |
| D-Dimer (85379) |
— |
$211.50 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$84 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$245 |
— |
| Dhea (82626) |
— |
$306.50 |
— |
| Dhea sulfate (82627) |
— |
$263 |
— |
| Digoxin (80162) |
— |
$207.50 |
— |
| Dilantin (80185) |
— |
$200 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$143.50 |
— |
| Drug Assay Infliximab (80230) |
— |
$282 |
— |
| Drug Assay Lacosamide (80235) |
— |
$150 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$140 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$212 |
— |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
— |
$213 |
— |
| Ebv viral capsid (86665) |
— |
$166 |
— |
| Elastase pancreatic fecal quantitative (82653) |
— |
$168.50 |
— |
| Electrolyte panel (80051) |
— |
$123 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$142 |
— |
| Endomysial antibody iga (86255) |
— |
$546 |
— |
| Enzyme cell activity (82657) |
— |
$154 |
— |
| Eosinophil count (85048) |
— |
$28.50 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$166 |
— |
| Estradiol (82670) |
— |
$213 |
— |
| Estriol (82677) |
— |
$293.50 |
— |
| Estrone (82679) |
— |
$140 |
— |
| Ethylene glycol (82693) |
— |
$156.50 |
— |
| Everolimus (80169) |
— |
$329.50 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$84 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$239 |
— |
| F5 gene (81241) |
— |
$149.50 |
— |
| Factor ii activity (85210) |
— |
$157.50 |
— |
| Factor v activity (85220) |
— |
$140 |
— |
| Factor vii assay (85230) |
— |
$140 |
— |
| Factor viii vw multimetric (85247) |
— |
$232 |
— |
| Fecal fat quant (82710) |
— |
$102 |
— |
| Fibrinogen activity (85384) |
— |
$104.50 |
— |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
— |
$117.50 |
— |
| Flow cytometry first marker (88184) |
— |
$226 |
— |
| Folate serum (82746) |
— |
$192 |
— |
| Folic acid rbc (82747) |
— |
$125 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$166 |
— |
| Fructosamine (82985) |
— |
$183.50 |
— |
| Ftl cgen abnor four anal (81511) |
— |
$136.50 |
— |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
— |
$122 |
— |
| Gammaglobulin ige (82785) |
— |
$110.50 |
— |
| Ggt (82977) |
— |
$111.50 |
— |
| Giardia ag by if (87269) |
— |
$211.50 |
— |
| Giardia antigen eia stool (87329) |
— |
$142 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$492.50 |
— |
| Glucose (82947) |
— |
$62 |
— |
| Glucose body fluid (82945) |
— |
$111.50 |
— |
| Glucose post dose (82950) |
— |
$70 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$62 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$199 |
— |
| Growth hormone (83003) |
— |
$196.50 |
— |
| H pylri clrthmcn rst amp prb (87513) |
— |
$235.50 |
— |
| Haloperidol (haldol) (80173) |
— |
$200 |
— |
| Haptoglobin (83010) |
— |
$147 |
— |
| Hcg qualitative (84703) |
— |
$122 |
— |
| Hcg quant (84702) |
— |
$179 |
— |
| Hematocrit (85014) |
— |
$46.50 |
— |
| Hematocrit spun (85013) |
— |
$32 |
— |
| Hemoglobin (85018) |
— |
$46.50 |
— |
| Hemoglobin a1c (83036) |
— |
$85 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$125 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$141 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$70 |
— |
| Hemoglobin plasma (83051) |
— |
$257 |
— |
| Hemoglobin thermolabile (83065) |
— |
$101 |
— |
| Hemosiderin urine (83070) |
— |
$31 |
— |
| Hepatitis a antibody total (86708) |
— |
$130.50 |
— |
| Hepatitis a igm (86709) |
— |
$103 |
— |
| Hepatitis b core ab igm (86705) |
— |
$140 |
— |
| Hepatitis b core antibody total (86704) |
— |
$114 |
— |
| 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 |
— |
| Herpes culture (87252) |
— |
$306.50 |
— |
| Herpes simplex type 2 (86696) |
— |
$228.50 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$110.50 |
— |
| Hfe gene (81256) |
— |
$589.50 |
— |
| Histoplasma antigen urine (87385) |
— |
$117.50 |
— |
| HIV-1 antibody (86701) |
— |
$140 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$129 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$243 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$893.50 |
— |
| Hla-b27 (86812) |
— |
$271 |
— |
| Homogenization tissue (87176) |
— |
$71 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$142 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$358.75 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$318.50 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$143.50 |
— |
| Iaad ia cryptosporidium (87328) |
— |
$142 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$229.50 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$186 |
— |
| Iaad ia rotavirus (87425) |
— |
$142 |
— |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) |
— |
$210.50 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$130 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$769 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$243 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$1,003.50 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$116 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$256 |
— |
| Iadna nos quantification each organism (87799) |
— |
$451 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$248 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$847 |
— |
| If cryptosporidium antigen (87272) |
— |
$142 |
— |
| Igg subclasses (82787) |
— |
$59 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$347 |
— |
| Immunoassay nonantibody (83516) |
— |
$190 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$263 |
— |
| Immunofluorescent technique for pneumocystis carinii (87281) |
— |
$157.50 |
— |
| Immunoglobulin light chains free each (83521) |
— |
$193 |
— |
| India ink prep (87210) |
— |
$56 |
— |
| Influenza DNA amp probe (87502) |
— |
$197 |
— |
| Inhibin a (86336) |
— |
$108 |
— |
| Inhibin b (83520) |
— |
$280 |
— |
| Insulin antibodies (86337) |
— |
$276 |
— |
| Insulin total (83525) |
— |
$70 |
— |
| Iron (83540) |
— |
$91.50 |
— |
| Iron binding capacity (83550) |
— |
$104.50 |
— |
| Islet cell antibody (86341) |
— |
$255.60 |
— |
| Koh Prep (87220) |
— |
$37 |
— |
| Lactic acid (83605) |
— |
$204.50 |
— |
| Lactoferrin fecal qualitative (83630) |
— |
$144.50 |
— |
| Lactoferrin Fecal Quantitative (83631) |
— |
$272.40 |
— |
| Ldh (83615) |
— |
$95.50 |
— |
| LDL cholesterol direct (83721) |
— |
$112.50 |
— |
| Lead (83655) |
— |
$144.50 |
— |
| Legionella antigen urine (87449) |
— |
$99 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$51 |
— |
| Lh (83002) |
— |
$219 |
— |
| Lipase (83690) |
— |
$131.50 |
— |
| Listeria ab (86609) |
— |
$164.50 |
— |
| Lithium (80178) |
— |
$93 |
— |
| Lyme disease antibody (86618) |
— |
$200 |
— |
| Lyme disease antibody confirm (86617) |
— |
$180 |
— |
| Magnesium (83735) |
— |
$80 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$170 |
— |
| Mercury (83825) |
— |
$198 |
— |
| Methotrexate (80299) |
— |
$137 |
— |
| Methylmalonic acid serum (83921) |
— |
$234.50 |
— |
| Microalbumin urine (82043) |
— |
$121 |
— |
| Microbe suscept macrobroth (87188) |
— |
$98.50 |
— |
| Microbe susceptible diffuse (87181) |
— |
$57 |
— |
| Microsomal antibodies (86376) |
— |
$166 |
— |
| Mitochondrial antibody each (86381) |
— |
$143.50 |
— |
| Molecular pathology procedure level 2 (81401) |
— |
$868 |
— |
| Mononuclear cell antigen (86356) |
— |
$276 |
— |
| Mrsa amp probe (87641) |
— |
$405 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$454 |
— |
| Mycophenolic acid (80180) |
— |
$131.50 |
— |
| Mycoplasma antibody (86738) |
— |
$156.50 |
— |
| Mycoplasma culture (87109) |
— |
$50 |
— |
| Myoglobin urine (83874) |
— |
$140 |
— |
| Natriuretic peptide (83880) |
— |
$199 |
— |
| Nfct agent DNA/RNA gastrointestinal pathogen (87505) |
— |
$408.50 |
— |
| Nfct ds bv&vaginitis DNA alg (81515) |
— |
$300 |
— |
| Nfct ds bv&vaginitis DNA alg (81514) |
— |
$300 |
— |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) |
— |
$549.50 |
— |
| Niacin (84591) |
— |
$205 |
— |
| Nk cells total count (86357) |
— |
$276 |
— |
| Nuclear antigen antibody (86235) |
— |
$212 |
— |
| Occult blood stool (82272) |
— |
$52.50 |
— |
| Osmolality serum (83930) |
— |
$79 |
— |
| Osmolality urine (83935) |
— |
$132.50 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$172 |
— |
| Oxalate urine (83945) |
— |
$136.50 |
— |
| Pancreatic polypeptide (83519) |
— |
$135 |
— |
| Parvovirus antibody (86747) |
— |
$179 |
— |
| Phenylalanine (84030) |
— |
$103 |
— |
| Phosphatase alkaline (84075) |
— |
$76 |
— |
| Phosphorus blood (84100) |
— |
$73.50 |
— |
| Phosphorus urine (84105) |
— |
$146.50 |
— |
| Pinworm exam (87172) |
— |
$38 |
— |
| Plasminogen (85420) |
— |
$71 |
— |
| Platelet count (85049) |
— |
$58 |
— |
| Potassium (84132) |
— |
$90.50 |
— |
| Potassium urine (84133) |
— |
$52.50 |
— |
| Pregnenolone (84140) |
— |
$151.50 |
— |
| Primidone (80188) |
— |
$202.50 |
— |
| Procalcitonin (pct) (84145) |
— |
$240 |
— |
| Progesterone (84144) |
— |
$246.50 |
— |
| Prolactin (84146) |
— |
$228.50 |
— |
| Protein body fluid (84157) |
— |
$141 |
— |
| 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 Functional (85306) |
— |
$257.50 |
— |
| Protein s total (85305) |
— |
$141 |
— |
| Protein Total Serum (84155) |
— |
$68.50 |
— |
| Protein urine (84156) |
— |
$89.50 |
— |
| Prothrombin time substitution (85611) |
— |
$81 |
— |
| PSA free (84154) |
— |
$183.50 |
— |
| Quantiferon tb gold (86480) |
— |
$128 |
— |
| Quinidine (80194) |
— |
$140 |
— |
| Reagent strip/blood glucose (82948) |
— |
$32 |
— |
| Renin activity plasma (84244) |
— |
$260.50 |
— |
| Reticulated platelet assay (85055) |
— |
$220.50 |
— |
| Reticulocyte Count (85046) |
— |
$89.50 |
— |
| Rheumatoid factor quant (86431) |
— |
$219 |
— |
| Rickettsia antibody (86757) |
— |
$220.50 |
— |
| Rubella antibody (86762) |
— |
$75 |
— |
| Russell viper venom time diluted (85613) |
— |
$97.50 |
— |
| Russell Viper Venom Time Undiluted (85612) |
— |
$112.50 |
— |
| Salicylate (80179) |
— |
$302 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$169.50 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$163 |
— |
| Sars-cov-2 covid19 w/optic (87811) |
— |
$128 |
— |
| Sarscov2 & inf a&b amp prb (87636) |
— |
$275 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$355 |
— |
| Sed rate automated (85652) |
— |
$71 |
— |
| Sedimentation rate (85651) |
— |
$59.50 |
— |
| Semen analysis sperm presence&/motility sprm (89321) |
— |
$118.50 |
— |
| Sensitivity mic (87186) |
— |
$133.50 |
— |
| Serotonin Release Assay (86022) |
— |
$484 |
— |
| Sex hormone binding globulin (84270) |
— |
$159 |
— |
| Sickle cell screen (85660) |
— |
$82 |
— |
| Smear acid fast (87206) |
— |
$90 |
— |
| Smear complex stain (87209) |
— |
$163.50 |
— |
| Smear gram stain (87205) |
— |
$106.50 |
— |
| Sodium (84295) |
— |
$71 |
— |
| Sodium other source (84302) |
— |
$109.50 |
— |
| Sodium urine (84300) |
— |
$109.50 |
— |
| Soluble transferrin receptor (84238) |
— |
$72.50 |
— |
| Specific gravity body fluid (84315) |
— |
$32 |
— |
| Splitting blood/blood products each unit (86985) |
— |
$33 |
— |
| Staph aureus amplified probe (87640) |
— |
$405 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$70 |
— |
| Strep a assay w/optic (87880) |
— |
$84 |
— |
| Strep a DNA amp probe (87651) |
— |
$125 |
— |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
— |
$53 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$93.50 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$276 |
— |
| T cells, total count (86359) |
— |
$276 |
— |
| T3 free (84481) |
— |
$200 |
— |
| T3 reverse (84482) |
— |
$119.50 |
— |
| T3 total (84480) |
— |
$186 |
— |
| T3 uptake (84479) |
— |
$71 |
— |
| T4 Free (84439) |
— |
$151 |
— |
| T4 total (84436) |
— |
$112.50 |
— |
| T4-neonatal (84437) |
— |
$112.50 |
— |
| Test for acetone/ketones (82009) |
— |
$63 |
— |
| Testosterone bioavailable (84410) |
— |
$375 |
— |
| Testosterone free (84402) |
— |
$213 |
— |
| Testosterone total (84403) |
— |
$219 |
— |
| Thrombin time plasma (85670) |
— |
$70 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$66.50 |
— |
| Thyroglobulin (84432) |
— |
$189.50 |
— |
| Thyroglobulin Ab (86800) |
— |
$187 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$617.50 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$187 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$244.50 |
— |
| Tobramycin peak (80200) |
— |
$175.50 |
— |
| Topiramate (80201) |
— |
$144.50 |
— |
| Transferrin (84466) |
— |
$142 |
— |
| Translocation analysis (bcr/abl1) other breakpoint (81208) |
— |
$1,051 |
— |
| Triglycerides (84478) |
— |
$90 |
— |
| Troponin (84484) |
— |
$206.50 |
— |
| Urea nitrogen (84520) |
— |
$62 |
— |
| Urea nitrogen urine (84540) |
— |
$62 |
— |
| Uric acid blood (84550) |
— |
$73.50 |
— |
| Uric acid other source (84560) |
— |
$57 |
— |
| Urinalysis microscopic only (81015) |
— |
$30 |
— |
| Urinalysis w/microscopic (81001) |
— |
$80.50 |
— |
| Urine pregnancy test (81025) |
— |
$99.50 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$73.50 |
— |
| Valproic acid level (80164) |
— |
$187 |
— |
| Vancomycin trough (80202) |
— |
$211 |
— |
| Varicella-zoster antibody (86787) |
— |
$153 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$363 |
— |
| Vdrl csf (86592) |
— |
$66.50 |
— |
| Virus inoculation, shell via (87254) |
— |
$143.50 |
— |
| Vitamin A (84590) |
— |
$193 |
— |
| Vitamin b-12 (82607) |
— |
$151 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$140 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$250 |
— |
| Vitamin b6 (84207) |
— |
$330.50 |
— |
| Vitamin C (82180) |
— |
$242 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$290 |
— |
| Vitamin e serum (84446) |
— |
$168 |
— |
| Zinc (84630) |
— |
$136.50 |
— |