Lab & pathology prices at Northeastern Health System
Tahlequah, OK · every code in this section with a posted price and a Medicare benchmark.
635 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $99.75 | $133 | 2.6× |
| 5 Hiaa (83497) | $33 | $44 | 2.6× |
| Activated protein c resistance (85307) | $66 | $88 | 4.3× |
| Acute hepatitis panel (80074) | $128.25 | $171 | 2.7× |
| Acylcarnitine Plasma (82017) | $154.50 | $206 | 9.2× |
| Adamts13 activity (85397) | $49.40 | $65.86 | 1.6× |
| Adenovirus antibody (86603) | $32.88 | $43.84 | 2.6× |
| Afb culture (87116) | $37.50 | $50 | 3.5× |
| Agglutinins febrile (86000) | $6.75 | $9 | 1.0× |
| Albumin Fluid (82042) | $17.80 | $23.72 | 2.3× |
| Albumin serum (82040) | $46.12 | $61.50 | 9.3× |
| Aldolase (82085) | $25.50 | $34 | 2.6× |
| Aldosterone urine (82088) | $110.25 | $147 | 2.7× |
| Alkaline phosphatase isoenzymes (84080) | $38.25 | $51 | 2.6× |
| Allerg sp igg quan or semiquan (86001) | $15 | $20 | 1.9× |
| Allergen specific ige (86003) | $14.04 | $18.72 | 2.7× |
| Allg Spec Ige Recomb Ea (86008) | $33.70 | $44.93 | 1.9× |
| Alpha-1-antitrypsin phenotype (82104) | $36.75 | $49 | 2.5× |
| Alpha-1-antitrypsin, total (82103) | $34.50 | $46 | 2.6× |
| Alpha-fetoprotein, serum (82105) | $41.25 | $55 | 2.5× |
| Alt (sgpt) (84460) | $14.62 | $19.50 | 2.8× |
| Amikacin trough (80150) | $38.25 | $51 | 2.5× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $35.57 | $47.42 | 2.1× |
| Aminolevulinic acid (ala) (82135) | $30.85 | $41.13 | 1.9× |
| Ammonia (82140) | $64.12 | $85.50 | 4.4× |
| Amylase urine (82150) | $14.25 | $19 | 2.2× |
| Angiotensin i enzyme test (82164) | $31.50 | $42 | 2.2× |
| Angiotensin ll (protein) level (82163) | $58.50 | $78 | 2.9× |
| Anti-phosphatidylserine antibody (86148) | $43.50 | $58 | 2.7× |
| Antibody aspergillus (86606) | $29.76 | $39.69 | 2.0× |
| Antibody cytomegalovirus cmv (86644) | $37.88 | $50.50 | 2.6× |
| Antibody cytomegalovirus cmv igm (86645) | $42 | $56 | 2.5× |
| Antibody Encephalitis Eastern Equine (86652) | $32.76 | $43.68 | 2.5× |
| Antibody Encephalitis St. Louis (86653) | $32.76 | $43.68 | 2.5× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $51 | $68 | 3.9× |
| Antibody haemophilus influenza (86684) | $45.75 | $61 | 2.9× |
| Antibody helicobacter pylori (86677) | $47.25 | $63 | 2.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $10.50 | $14 | 0.7× |
| Antibody herpes smplx type 1 (86695) | $33.26 | $44.34 | 2.5× |
| Antibody identification (86870) | $177 | $236 | 0.5× |
| Antibody identification leukocyte antibodies (86021) | $30.68 | $40.92 | 2.0× |
| Antibody influenza virus (86710) | $32.76 | $43.68 | 2.4× |
| Antibody john cunningham virus (86711) | $33 | $44 | 2.0× |
| Antibody mumps (86735) | $33.26 | $44.34 | 2.5× |
| Antibody rubeola (86765) | $32.76 | $43.68 | 2.5× |
| Antibody screen (86850) | $33 | $44 | 3.4× |
| Antibody treponema pallidum (86780) | $57.75 | $77 | 4.4× |
| Antibody; campylobacter (86625) | $24.60 | $32.80 | 1.9× |
| Antibody; Coccidioides (86635) | $25.38 | $33.84 | 2.2× |
| Antigen typing (86905) | $21.75 | $29 | 5.7× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $45 | $60 | 8.7× |
| Antinuclear antibodies (86038) | $28.88 | $38.50 | 2.4× |
| Antistreptolysin o titer (86060) | $13.69 | $18.25 | 1.9× |
| Antithrombin iii activity (85300) | $28.50 | $38 | 2.4× |
| Apolipoprotein b (82172) | $56.90 | $75.86 | 2.7× |
| Arsenic Urine (82175) | $45.75 | $61 | 2.4× |
| Assay direct measurement free estradiol (82681) | $72 | $96 | 2.6× |
| Assay free hydroxyproline (83500) | $32.39 | $43.18 | 1.4× |
| Assay Lipoprotein Pla2 (83698) | $86.84 | $115.78 | 1.9× |
| Assay Nephelometry Not Spec (83883) | $166.50 | $222 | 12.2× |
| Assay of acth (82024) | $206.25 | $275 | 5.3× |
| Assay of androstenedione (82157) | $61.07 | $81.43 | 2.1× |
| Assay of blood chloride (82435) | $10.50 | $14 | 2.3× |
| Assay of c-peptide (84681) | $46.14 | $61.52 | 2.2× |
| Assay of calcitonin (82308) | $50.24 | $66.98 | 1.9× |
| Assay of ceruloplasmin (82390) | $27.75 | $37 | 2.6× |
| Assay of cyclosporine (80158) | $40.50 | $54 | 2.2× |
| Assay of erythropoietin (82668) | $48.75 | $65 | 2.6× |
| Assay of ethosuximide (80168) | $35.25 | $47 | 2.2× |
| Assay of ferritin (82728) | $30.40 | $40.54 | 2.2× |
| Assay of g6pd enzyme (82955) | $24 | $32 | 2.5× |
| Assay of gammaglobulin igm (82784) | $19.82 | $26.42 | 2.1× |
| Assay of gastrin (82941) | $45.75 | $61 | 2.6× |
| Assay of gentamicin (80170) | $56.25 | $75 | 3.4× |
| Assay of glucagon (82943) | $39 | $52 | 2.7× |
| Assay of homocystine (83090) | $39.75 | $53 | 2.2× |
| Assay of homovanillic acid (83150) | $42.02 | $56.03 | 1.9× |
| Assay of lipoprotein(a) (83695) | $46.50 | $62 | 3.2× |
| Assay of manganese (83785) | $52.50 | $70 | 2.0× |
| Assay of metanephrines (83835) | $139.50 | $186 | 8.2× |
| Assay of parathormone (83970) | $111.75 | $149 | 2.7× |
| Assay of prealbumin (84134) | $39.75 | $53 | 2.7× |
| Assay of proinsulin (84206) | $160.50 | $214 | 6.0× |
| Assay of pyruvate (84210) | $20.25 | $27 | 1.4× |
| Assay of selenium (84255) | $45 | $60 | 1.8× |
| Assay of serotonin (84260) | $45.75 | $61 | 1.5× |
| Assay of somatomedin (84305) | $54.75 | $73 | 2.6× |
| Assay of tacrolimus (80197) | $72 | $96 | 5.2× |
| Assay of urine vma (84585) | $29.06 | $38.75 | 1.9× |
| Assay of vitamin k (84597) | $96 | $128 | 7.0× |
| Assay Ph Body Fluid Nos (83986) | $19.88 | $26.50 | 5.6× |
| Ast (sgot) (84450) | $15.75 | $21 | 3.0× |
| Automated rbc count (85041) | $4.45 | $5.93 | 1.5× |
| B cells total count (86355) | $81 | $108 | 2.1× |
| Bartonella antibody (86611) | $31.50 | $42 | 3.1× |
| Bcr/abl1 gene major bp (81206) | $390.75 | $521 | 2.4× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $72 | $96 | 2.8× |
| Beta hydroxybutyrate (82010) | $19.12 | $25.50 | 2.3× |
| Beta Lactamase (87185) | $3 | $4 | 0.6× |
| Beta-2 microglobulin (82232) | $36 | $48 | 2.2× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $69.95 | $93.26 | 0.5× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $69.95 | $93.26 | 0.5× |
| Bilirubin direct (82248) | $14.25 | $19 | 2.8× |
| Bilirubin total (82247) | $13.12 | $17.50 | 2.6× |
| Bilirubin total transcutaneous (88720) | $27.75 | $37 | 5.5× |
| Bl Smear W/Diff Wbc Count (85007) | $15.38 | $20.50 | 4.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $10.50 | $14 | 3.1× |
| Blastomyces antibody (86612) | $24.19 | $32.25 | 1.9× |
| Blood count reticulocyte automated (85045) | $13.50 | $18 | 3.4× |
| Blood gases (82803) | $52.50 | $70 | 2.0× |
| Blood gases w/02 saturation (82805) | $116.25 | $155 | 1.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $64.50 | $86 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $39.75 | $53 | 6.3× |
| Blood typing abo (86900) | $187.50 | $250 | 62.7× |
| Blood Typing Antigen Screen Patient Serum/Unit - Blood Typing, Pat (86904) | $86.25 | $115 | 5.3× |
| Blood typing serologic rh (d) (86901) | $57 | $76 | 19.1× |
| Body fluid cell count (89051) | $12.38 | $16.50 | 2.2× |
| Body fluid cell count (89050) | $33.75 | $45 | 7.2× |
| Bordetella antibody (86615) | $34.12 | $45.50 | 2.6× |
| Borrelia miyamotoi amp prb (87478) | $65.80 | $87.73 | 1.9× |
| Brca1&2 seq & full dup/del (81162) | $3,801.75 | $5,069 | 2.1× |
| Brucella antibody (86622) | $22.88 | $30.50 | 2.6× |
| C diff amplified probe (87493) | $96.75 | $129 | 2.6× |
| C-reactive protein (86140) | $20.40 | $27.19 | 3.9× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $45 | $60 | 3.5× |
| Ca 125 (86304) | $54 | $72 | 2.6× |
| Ca 19-9 (86301) | $54 | $72 | 2.6× |
| Ca 27 29 (86300) | $54 | $72 | 2.6× |
| Caffeine (80155) | $30.75 | $41 | 0.8× |
| Calcium ionized (82330) | $35.25 | $47 | 2.6× |
| Calcium total (82310) | $15.75 | $21 | 3.1× |
| Calcium urine (82340) | $17.62 | $23.50 | 2.9× |
| Calculus Spectroscopy (82365) | $39 | $52 | 3.0× |
| California encephalitis ab (86651) | $32.76 | $43.68 | 2.5× |
| Calprotectin, fecal (83993) | $51.75 | $69 | 2.6× |
| Calr gene com variants (81219) | $228.06 | $304.08 | 1.9× |
| Carbamazepine (tegretol) total (80156) | $52.50 | $70 | 3.6× |
| Carbon dioxide (82374) | $69 | $92 | 14.1× |
| Carboxyhemoglobin Quantitative (82375) | $95.62 | $127.50 | 7.8× |
| Carcinoembryonic antigen (82378) | $42.90 | $57.20 | 2.3× |
| Cardiolipin ab igg (86147) | $68.25 | $91 | 2.7× |
| Carnitine (82379) | $70.50 | $94 | 4.2× |
| Carotene (82380) | $28.50 | $38 | 3.1× |
| Catecholamines fraction plasma (82384) | $65.25 | $87 | 2.6× |
| Cd4 absolute count (86361) | $71.62 | $95.50 | 2.7× |
| Cebpa gene full sequence (81218) | $514.50 | $686 | 2.1× |
| Cftr gene analysis known familial variants (81221) | $182.29 | $243.05 | 1.9× |
| Cftr gene com variants (81220) | $160.50 | $214 | 0.3× |
| Chemiluminescent assay (82397) | $82.50 | $110 | 5.8× |
| Chlamydia antibody (86631) | $40.12 | $53.50 | 3.4× |
| Chlamydia Igm Antibody (86632) | $40.12 | $53.50 | 3.2× |
| Chloride other source (82438) | $9.38 | $12.50 | 1.9× |
| Chloride urine (82436) | $23.25 | $31 | 4.0× |
| Cholesterol total (82465) | $19.50 | $26 | 4.5× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $281.25 | $375 | 2.2× |
| Chromium urine (82495) | $43.50 | $58 | 2.1× |
| Chromogranin a (86316) | $43.37 | $57.83 | 2.1× |
| Chromosome analysis 20-25 cells (88264) | $272.25 | $363 | 1.9× |
| Chromosome Analysis 5 (88261) | $510 | $680 | 1.9× |
| Chromosome karyotype study (88280) | $63.75 | $85 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $65.80 | $87.73 | 1.9× |
| Citrate (82507) | $66.75 | $89 | 2.4× |
| Ck isoenzymes (82552) | $34.50 | $46 | 2.6× |
| Ckmb (82553) | $42.75 | $57 | 3.7× |
| Clot factor viii vw antigen (85246) | $110.25 | $147 | 4.8× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $33.56 | $44.75 | 1.9× |
| Clozapine level (80159) | $83.25 | $111 | 4.1× |
| Cmv PCR (87496) | $65.27 | $87.03 | 1.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $47.62 | $63.50 | 2.0× |
| Cold agglutinin titer (86157) | $17.25 | $23 | 2.1× |
| Collagen cross links (82523) | $72.64 | $96.85 | 3.9× |
| Compatibility test antiglob (86922) | $188.25 | $251 | 1.1× |
| Complement c3 (86160) | $58.50 | $78 | 4.9× |
| Complement total ch50 (86162) | $52.50 | $70 | 2.6× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $43.50 | $58 | 3.6× |
| Concentration Infectious Agent (87015) | $14.14 | $18.85 | 2.1× |
| Coombs direct (86880) | $43.50 | $58 | 8.1× |
| Copper urine (82525) | $29.62 | $39.50 | 2.4× |
| Cortisol free (82530) | $88.50 | $118 | 5.3× |
| Cortisol total (82533) | $42 | $56 | 2.6× |
| Creatine kinase total (82550) | $20.25 | $27 | 3.1× |
| Creatinine blood (82565) | $33 | $44 | 6.4× |
| Creatinine clearance (82575) | $72 | $96 | 7.6× |
| Creatinine other source (82570) | $12.52 | $16.69 | 2.4× |
| Cryoglobulin (82595) | $51.75 | $69 | 8.0× |
| Culture Aerobic Identify (87077) | $18 | $24 | 2.2× |
| Culture anaerobic (87075) | $59.25 | $79 | 6.3× |
| Culture blood (87040) | $43.50 | $58 | 4.2× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $25.50 | $34 | 3.3× |
| Culture fungus blood (87103) | $25.50 | $34 | 1.2× |
| Culture fungus other (87102) | $25.50 | $34 | 3.0× |
| Culture genital (87070) | $41.62 | $55.50 | 4.8× |
| Culture screen only (87081) | $32.25 | $43 | 4.9× |
| Culture stool (87045) | $33.08 | $44.12 | 3.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $18 | $24 | 3.5× |
| Culture urine (87086) | $39.91 | $53.22 | 4.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $32.25 | $43 | 2.3× |
| Cyclic Citrullinated Peptide (86200) | $102 | $136 | 7.9× |
| Cyp2c19 gene com variants (81225) | $514.88 | $686.50 | 1.8× |
| Cyp2c9 gene com variants (81227) | $327.77 | $437.03 | 1.9× |
| Cystatin c (82610) | $79.88 | $106.50 | 4.3× |
| Cytogenetics 10-30 (88273) | $91.50 | $122 | 2.6× |
| Cytogenetics DNA probe (88271) | $91.50 | $122 | 4.3× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $274.50 | $366 | 6.4× |
| Cytopath cell enhance tech (88112) | $119.25 | $159 | 2.4× |
| Cytopath Fl Nongyn Filter (88106) | $135 | $180 | 4.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $47.25 | $63 | 1.3× |
| Cytopath Smear Other Source (88160) | $75 | $100 | 2.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $63.38 | $84.50 | 2.4× |
| Cytp concentration smears & interpretation (88108) | $33.38 | $44.50 | 0.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $105.75 | $141 | 2.1× |
| Cytp fna eval dx 1st each site (88172) | $42.38 | $56.50 | 0.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,206 | $1,608 | 7.4× |
| Cytp urine 3-5 probes cmptr (88121) | $1,053.75 | $1,405 | 6.4× |
| D-Dimer (85379) | $42 | $56 | 4.1× |
| Deoxyribonuclease antibody (86215) | $30 | $40 | 2.3× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $28.50 | $38 | 1.7× |
| Detect agnt mult DNA ampli (87801) | $146.25 | $195 | 2.1× |
| Dhea (82626) | $57 | $76 | 2.3× |
| Dhea sulfate (82627) | $57.75 | $77 | 2.6× |
| Digoxin (80162) | $59.25 | $79 | 4.5× |
| Dilantin (80185) | $72 | $96 | 5.4× |
| Diphtheria antitoxoid (86648) | $46.50 | $62 | 3.1× |
| Dna Antibody Single Stranded (86226) | $42 | $56 | 3.5× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $41.25 | $55 | 3.0× |
| Dna/Rna Amplified Probe (87150) | $65.90 | $87.86 | 1.9× |
| DNA/RNA direct probe (87149) | $43.50 | $58 | 2.2× |
| Dpyd gene common variants (81232) | $327.75 | $437 | 1.9× |
| Drug assay adalimumab (80145) | $193.50 | $258 | 5.0× |
| Drug assay flecainide (80181) | $34.95 | $46.60 | 1.9× |
| Drug screen quant zonisamide (80203) | $33.94 | $45.25 | 2.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $159 | $212 | 12.0× |
| Drug Scrn Quan Levetiracetam (80177) | $44.30 | $59.06 | 3.3× |
| Drug scrn quant oxcarbazepin (80183) | $63.75 | $85 | 4.8× |
| Drug test prsmv chem anlyzr (80307) | $116.51 | $155.35 | 1.9× |
| Drug Test Prsmv Dir Opt Obs (80305) | $51.75 | $69 | 4.1× |
| Ebv viral capsid (86665) | $43.50 | $58 | 2.4× |
| Echinococcus ab igg (86682) | $27.75 | $37 | 2.1× |
| Ehrlichia antibody (86666) | $19.12 | $25.49 | 1.9× |
| Electrolyte panel (80051) | $33.75 | $45 | 4.8× |
| Electron microscopy diagnostic (88348) | $561.75 | $749 | 0.7× |
| Encephalitis Western Equine (86654) | $32.76 | $43.68 | 2.5× |
| Endomysial antibody iga (86255) | $26.25 | $35 | 2.2× |
| Entamoeba histolytica antigen (87337) | $25.50 | $34 | 2.1× |
| Enterovirus antibody (86658) | $24.51 | $32.68 | 1.9× |
| Enterovirus Pcr (87498) | $143.25 | $191 | 4.1× |
| Enzyme cell activity (82657) | $41.57 | $55.43 | 1.9× |
| Enzyme histochemistry (88319) | $377.25 | $503 | 0.5× |
| Eosinophil count (85048) | $44.25 | $59 | 17.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $39 | $52 | 2.6× |
| Estradiol (82670) | $72 | $96 | 2.6× |
| Estriol (82677) | $54 | $72 | 2.2× |
| Estrogen fractionated (82671) | $60.56 | $80.75 | 1.9× |
| Estrogens total (82672) | $56.25 | $75 | 2.6× |
| Estrone (82679) | $56.25 | $75 | 2.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $138.38 | $184.50 | 1.4× |
| Everolimus (80169) | $25.75 | $34.33 | 1.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $28.50 | $38 | 3.9× |
| F2 gene analysis 20210g >a variant (81240) | $93.84 | $125.12 | 1.4× |
| F5 gene (81241) | $137.57 | $183.43 | 1.9× |
| Factor ii activity (85210) | $49.50 | $66 | 3.8× |
| Factor ix activity (85250) | $54.75 | $73 | 2.9× |
| Factor v activity (85220) | $54.75 | $73 | 3.1× |
| Factor vii assay (85230) | $33.56 | $44.75 | 1.9× |
| Factor viii ahg (85240) | $42.66 | $56.88 | 2.4× |
| Factor viii vw multimetric (85247) | $73.50 | $98 | 3.2× |
| Factor xi assay (85270) | $51.75 | $69 | 2.9× |
| Factor xii assay (85280) | $51.75 | $69 | 2.7× |
| Fecal fat qual (82705) | $33.75 | $45 | 6.6× |
| Fecal fat quant (82710) | $48 | $64 | 2.9× |
| Fetal chrmoml aneuploidy (81420) | $1,466.25 | $1,955 | 1.9× |
| Fetal fibronectin (82731) | $231 | $308 | 3.6× |
| Fibrinogen activity (85384) | $40.50 | $54 | 4.2× |
| Fibrinogen antigen (85385) | $27.11 | $36.15 | 1.9× |
| Fibrinolytic Plasminogen (85415) | $32.24 | $42.98 | 1.9× |
| Flow cytometry first marker (88184) | $96.38 | $128.50 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $31.50 | $42 | 2.6× |
| Fmr1 gene detection (81243) | $110.25 | $147 | 1.9× |
| Folate serum (82746) | $39.75 | $53 | 2.7× |
| Folic acid rbc (82747) | $45 | $60 | 2.5× |
| Follicle Stimulating Hormone (83001) | $39.38 | $52.50 | 2.1× |
| Francisella Tularensis (86668) | $26.55 | $35.40 | 1.9× |
| Frozen Section (88331) | $190.50 | $254 | 1.2× |
| Fructosamine (82985) | $33.75 | $45 | 2.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $69 | $92 | 6.7× |
| Galactose (82760) | $29.25 | $39 | 2.6× |
| Gammaglobulin ige (82785) | $42.02 | $56.02 | 2.6× |
| Gastric acid analy w/ph ea spe (82930) | $102 | $136 | 15.2× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $5,474.25 | $7,299 | 1.9× |
| Ggt (82977) | $18.75 | $25 | 2.6× |
| Giardia antigen eia stool (87329) | $25.50 | $34 | 2.1× |
| Glucose (82947) | $11.62 | $15.50 | 3.0× |
| Glucose Blood Test (82962) | $23.25 | $31 | 7.1× |
| Glucose body fluid (82945) | $12 | $16 | 3.1× |
| Glucose post dose (82950) | $26.25 | $35 | 5.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $11.25 | $15 | 2.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $59.25 | $79 | 4.6× |
| Glycosylated hb home device (83037) | $21.75 | $29 | 2.2× |
| Growth hormone (83003) | $42.75 | $57 | 2.6× |
| Haptoglobin (83010) | $32.25 | $43 | 2.6× |
| Hcg free betachain test (84704) | $30.44 | $40.58 | 2.0× |
| Hcg qualitative (84703) | $46.50 | $62 | 6.2× |
| Hcg quant (84702) | $38.62 | $51.50 | 2.6× |
| Hdl Cholesterol (83718) | $29.25 | $39 | 3.6× |
| Heavy metal quant each (83018) | $45.75 | $61 | 2.1× |
| Hematocrit (85014) | $10.50 | $14 | 4.4× |
| Hematocrit spun (85013) | $8.25 | $11 | 1.2× |
| Hemoglobin (85018) | $10.50 | $14 | 4.4× |
| Hemoglobin a1c (83036) | $24.38 | $32.50 | 2.5× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $33 | $44 | 1.8× |
| Hemoglobin electrophoresis (83020) | $33 | $44 | 2.6× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $57 | $76 | 7.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $19.12 | $25.50 | 2.3× |
| Hemosiderin urine (83070) | $21.38 | $28.50 | 4.5× |
| Heparin assay (85520) | $101.25 | $135 | 7.7× |
| Hepatitis a antibody total (86708) | $32.25 | $43 | 2.6× |
| Hepatitis a igm (86709) | $28.88 | $38.50 | 2.6× |
| Hepatitis b core ab igm (86705) | $30.75 | $41 | 2.6× |
| Hepatitis b core antibody total (86704) | $31.50 | $42 | 2.6× |
| Hepatitis B Surface Ab (86706) | $25.50 | $34 | 2.4× |
| Hepatitis B Surface Antigen (87340) | $23.62 | $31.50 | 2.3× |
| Hepatitis be antibody (86707) | $21.70 | $28.93 | 1.9× |
| Hepatitis Be Antigen (87350) | $21.62 | $28.83 | 1.9× |
| Hepatitis c antibody (86803) | $58.50 | $78 | 4.1× |
| Hepatitis C Genotype (87902) | $603.75 | $805 | 2.3× |
| Herpes culture (87252) | $53.70 | $71.59 | 2.1× |
| Herpes simplex type 2 (86696) | $38.13 | $50.84 | 2.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $16.88 | $22.50 | 3.3× |
| Hfe gene (81256) | $156 | $208 | 2.4× |
| Histamine plasma (83088) | $61.52 | $82.03 | 2.1× |
| Histoplasma antibody (86698) | $18.10 | $24.14 | 1.3× |
| Histoplasma antigen urine (87385) | $68.25 | $91 | 5.2× |
| HIV-1 genotype (87901) | $356.86 | $475.82 | 1.4× |
| HIV-1 integrase genotype (87906) | $241.37 | $321.83 | 1.9× |
| HIV-2 probe&revrse trnscripj (87538) | $65.80 | $87.73 | 1.9× |
| Hla b 27 disease association lc (81374) | $151.56 | $202.08 | 2.0× |
| Hla class i typing high resolution one allele or allele group (81381) | $318.94 | $425.25 | 1.9× |
| Hla class ii typing high resolution one locus ea (81382) | $257.66 | $343.55 | 2.1× |
| Hla ii typing 1 locus lr (81376) | $254.63 | $339.50 | 2.1× |
| Hla-b27 (86812) | $67.50 | $90 | 2.6× |
| Hpv types 16 & 18 only (87625) | $70.92 | $94.56 | 1.7× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $120.75 | $161 | 1.8× |
| Hpylori Drug Administration (83014) | $14.74 | $19.65 | 1.9× |
| Hsv Dna Quant (87530) | $92.25 | $123 | 2.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $70.40 | $93.86 | 2.0× |
| Human epididymis protein 4 (86305) | $39.02 | $52.03 | 1.9× |
| Hydroxyprogesterone 17-d (83498) | $67.12 | $89.50 | 2.5× |
| Iaad ia clostridium difficile toxin (87324) | $61.50 | $82 | 5.1× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $78 | $104 | 3.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $51.75 | $69 | 3.6× |
| Iaad ia rotavirus (87425) | $45 | $60 | 3.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $33.75 | $45 | 1.0× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $29.25 | $39 | 2.4× |
| Iaad Ia Streptococcus Group A (87430) | $27.75 | $37 | 1.7× |
| Iaadi inffluenza a virus (87276) | $27.75 | $37 | 1.7× |
| Iaadi respiratory synctial virus (87280) | $72 | $96 | 5.4× |
| Iadna candida species amplified probe tq (87481) | $65.80 | $87.73 | 1.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $6.75 | $9 | 0.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $131.25 | $175 | 1.9× |
| Iadna gardnerella vaginalis amplified probe tq (87511) | $72.65 | $96.86 | 2.1× |
| Iadna hepatitis b virus quantification (87517) | $138 | $184 | 3.2× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $106.50 | $142 | 2.5× |
| Iadna herpes virus-6 quantification (87533) | $87 | $116 | 2.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $88.02 | $117.36 | 2.5× |
| Iadna HIV-1 quant & reverse transcription (87536) | $106.50 | $142 | 1.3× |
| Iadna human papillomavirus high-risk types (87624) | $76.88 | $102.50 | 2.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $67.50 | $90 | 1.9× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $72.65 | $96.86 | 2.1× |
| Iadna nos amplified probe tq each organism (87798) | $91.88 | $122.50 | 2.6× |
| Iadna nos quantification each organism (87799) | $166.50 | $222 | 3.9× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $408.86 | $545.15 | 1.9× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $104.25 | $139 | 3.0× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $507.75 | $677 | 1.9× |
| If cryptosporidium antigen (87272) | $32.23 | $42.98 | 2.7× |
| Igg subclasses (82787) | $18.86 | $25.14 | 2.4× |
| Immunfix e-phorsis/urine/csf (86335) | $63 | $84 | 2.1× |
| Immunoassay infectious agent antibody quan nos (86317) | $24.38 | $32.50 | 1.6× |
| Immunoassay nonantibody (83516) | $37.12 | $49.50 | 3.2× |
| Immunofixj Electrophoresis Serum (86334) | $54 | $72 | 2.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $138 | $184 | 0.8× |
| Immunoglobulin assay (86023) | $25.95 | $34.60 | 2.1× |
| Immunoglobulin light chains free each (83521) | $32.39 | $43.18 | 1.9× |
| Immunohisto Antibody Slide (88344) | $321.38 | $428.50 | 0.9× |
| Immunohistochemistry (88342) | $153.38 | $204.50 | 0.9× |
| In situ hybridization ea multiplex probe stain (88366) | $412.50 | $550 | 2.5× |
| India ink prep (87210) | $12 | $16 | 2.1× |
| Influenza DNA amp probe (87502) | $180 | $240 | 1.9× |
| Inhibin a (86336) | $37.88 | $50.50 | 2.4× |
| Inhibin b (83520) | $80.25 | $107 | 4.6× |
| Insitu hybridization (fish) (88365) | $253.12 | $337.50 | 1.5× |
| Insitu hybridization auto (88367) | $148.50 | $198 | 0.4× |
| Insitu hybridization manual (88368) | $153 | $204 | 0.4× |
| Insulin antibodies (86337) | $40.15 | $53.53 | 1.9× |
| Insulin free (83527) | $92.25 | $123 | 7.1× |
| Insulin total (83525) | $35.10 | $46.79 | 3.1× |
| Intraop cyto path consult 1 (88333) | $59.25 | $79 | 0.1× |
| Intrinsic factor antibody (86340) | $28.28 | $37.70 | 1.9× |
| Iron (83540) | $39 | $52 | 6.0× |
| Iron binding capacity (83550) | $29.25 | $39 | 3.3× |
| Irradiation of blood product (86945) | $53.25 | $71 | 1.5× |
| Islet cell antibody (86341) | $44.20 | $58.93 | 1.9× |
| Jak2 gene analysis (81270) | $222.43 | $296.58 | 2.4× |
| Jak2 Targeted Sequence Analysis (81279) | $347.25 | $463 | 1.9× |
| Koh Prep (87220) | $22.12 | $29.50 | 5.2× |
| Lactic acid (83605) | $33.75 | $45 | 2.9× |
| Ldh (83615) | $15.79 | $21.05 | 2.6× |
| Ldh isoenzymes (83625) | $33 | $44 | 2.6× |
| LDL cholesterol direct (83721) | $35.25 | $47 | 3.4× |
| Lead (83655) | $35.25 | $47 | 2.9× |
| Legion pneumo, DNA, amp prob (87541) | $65.80 | $87.73 | 1.9× |
| Legionella antibody (86713) | $28.69 | $38.25 | 1.9× |
| Legionella antigen urine (87449) | $24.98 | $33.30 | 2.1× |
| Legionella pneumophila dfa (87278) | $79.50 | $106 | 5.1× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $18 | $24 | 4.2× |
| Leukocyte histamine release test (86343) | $27.75 | $37 | 2.2× |
| Level ii surg pathology grossµscopic exam (88302) | $45 | $60 | 1.3× |
| Level v surg pathology grossµscopic exam (88307) | $523.88 | $698.50 | 1.5× |
| Level vi surg pathology grossµscopic exam (88309) | $593.25 | $791 | 0.8× |
| Lh (83002) | $48 | $64 | 2.6× |
| Lipase (83690) | $23.34 | $31.12 | 3.4× |
| Lipopro bld electrophoretic (83700) | $50.25 | $67 | 4.5× |
| Listeria ab (86609) | $54 | $72 | 4.2× |
| Lithium (80178) | $24.75 | $33 | 3.7× |
| Lyme disease antibody (86618) | $44.25 | $59 | 2.6× |
| Lyme disease antibody confirm (86617) | $34.78 | $46.36 | 2.2× |
| Lymph Choriomeningitis Ab (86727) | $32.76 | $43.68 | 2.5× |
| Lymphocyte transformation (86353) | $166.50 | $222 | 3.4× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $274.50 | $366 | 7.8× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $489.75 | $653 | 3.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $258.75 | $345 | 1.6× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $184.50 | $246 | 0.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $170.25 | $227 | 1.0× |
| Macroscopic exam parasite (87169) | $9 | $12 | 2.1× |
| Magnesium (83735) | $33.75 | $45 | 5.0× |
| Malaria smear (87207) | $25.50 | $33.99 | 4.3× |
| Manual cell count each (85032) | $13.50 | $18 | 3.1× |
| Mass spectrometry qual/quan (83789) | $69.75 | $93 | 2.9× |
| Mecp2 gene, full gene analysis (81302) | $989.76 | $1,319.68 | 1.9× |
| Mercury (83825) | $42.75 | $57 | 2.6× |
| Metabolic Panel Ionized Ca (80047) | $446.25 | $595 | 32.5× |
| Methotrexate (80299) | $54.75 | $73 | 2.9× |
| Methylmalonic acid serum (83921) | $96.75 | $129 | 4.6× |
| Microalbumin urine (82043) | $23.25 | $31 | 4.0× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $105.75 | $141 | 2.1× |
| Microsomal antibodies (86376) | $43.12 | $57.50 | 3.0× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $22.59 | $30.12 | 1.9× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $128.77 | $171.69 | 2.5× |
| Molecular pathology procedure level 2 (81401) | $269.06 | $358.75 | 2.0× |
| Molecular pathology procedure level 7 (81406) | $530.25 | $707 | 1.9× |
| Mononuclear cell antigen (86356) | $168.52 | $224.69 | 6.3× |
| Mopath procedure level 3 (81402) | $290.25 | $387 | 1.9× |
| Mopath procedure level 4 (81403) | $352.50 | $470 | 1.9× |
| Morphometric analysis tumor (88358) | $108.38 | $144.50 | 0.7× |
| Mpl gene analysis common variants (81338) | $281.87 | $375.83 | 1.9× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $347.25 | $463 | 1.9× |
| Msh6 gene analysis known familial variants (81299) | $231 | $308 | 0.8× |
| Mthfr Gene Analysis Common Variants (81291) | $126 | $168 | 1.9× |
| Muramidase (85549) | $35.16 | $46.88 | 1.9× |
| Muscle-specific kinase (musk) antibody (86366) | $34.50 | $46 | 1.9× |
| Mycoplasma antibody (86738) | $30 | $40 | 2.3× |
| Mycoplasma culture (87109) | $135 | $180 | 8.8× |
| Mycoplasma genitalium PCR (87563) | $65.80 | $87.73 | 1.9× |
| Myelin basic protein csf (83873) | $46.50 | $62 | 2.7× |
| Myoglobin urine (83874) | $46.50 | $62 | 3.6× |
| Nasal smear for eosinophils (89190) | $20.25 | $27 | 3.5× |
| Natriuretic peptide (83880) | $118.12 | $157.50 | 3.0× |
| Nerve teasing preparations (88362) | $167.25 | $223 | 0.2× |
| Neutralization test, viral (86382) | $111.38 | $148.50 | 6.6× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $267.44 | $356.58 | 1.9× |
| Niacin (84591) | $53.87 | $71.82 | 3.2× |
| Nickel level (83885) | $45.96 | $61.28 | 1.9× |
| Nk cells total count (86357) | $81 | $108 | 2.1× |
| Nmr Lipoprofile (83704) | $68.12 | $90.82 | 2.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $477 | $636 | 1.9× |
| Nuclear antigen antibody (86235) | $46.50 | $62 | 2.6× |
| Oligoclonal bands (83916) | $51.75 | $69 | 1.9× |
| Onco (ovarian) biochemical assay two proteins (81500) | $488.44 | $651.25 | 1.9× |
| Orthopoxvirus Amp Prb Each (87593) | $96 | $128 | 1.9× |
| Osmolality serum (83930) | $18.75 | $25 | 2.8× |
| Osmolality urine (83935) | $18.75 | $25 | 2.7× |
| Ova and parasite direct-id lca (87177) | $29.25 | $39 | 3.3× |
| Oxalate urine (83945) | $31.12 | $41.50 | 2.2× |
| Pancreatic elastase fecal (82656) | $241.50 | $322 | 20.9× |
| Pancreatic polypeptide (83519) | $64.88 | $86.50 | 3.5× |
| Pappa, serum (84163) | $39 | $52 | 2.6× |
| Particle Agglutination Screen Each Antibody (86403) | $32.25 | $43 | 2.8× |
| Parvovirus antibody (86747) | $38.25 | $51 | 2.5× |
| Pdgfra gene (81314) | $617.84 | $823.78 | 1.9× |
| Pertussis dfa (87265) | $87.75 | $117 | 7.3× |
| Phenotype Infect Agent Drug (87900) | $244.40 | $325.86 | 1.9× |
| Phenylalanine (84030) | $43.88 | $58.50 | 8.0× |
| Phenytoin free (80186) | $30.75 | $41 | 2.2× |
| Phosphatase acid prostatic (84066) | $21 | $28 | 2.2× |
| Phosphatase alkaline (84075) | $18 | $24 | 3.5× |
| Phospholipid Neutralization Hexagonal (85598) | $38.25 | $51 | 2.1× |
| Phosphorus blood (84100) | $15.75 | $21 | 3.3× |
| Phosphorus urine (84105) | $17.62 | $23.50 | 3.0× |
| Platelet aggregation (85576) | $40.50 | $54 | 1.6× |
| Platelet neutralization (85597) | $40.50 | $54 | 2.3× |
| Porphobilinogen urine quant (84110) | $35.25 | $47 | 4.2× |
| Porphyrins qn & fraction urine (84120) | $31.50 | $42 | 2.1× |
| Potassium (84132) | $25.50 | $34 | 5.4× |
| Potassium urine (84133) | $16.12 | $21.50 | 3.4× |
| Pregnenolone (84140) | $93.75 | $125 | 4.5× |
| Primidone (80188) | $42.75 | $57 | 2.6× |
| Procalcitonin (pct) (84145) | $143.62 | $191.50 | 5.3× |
| Progesterone (84144) | $55.88 | $74.50 | 2.7× |
| Prolactin (84146) | $49.50 | $66 | 2.6× |
| Prostaglandin Ea (84150) | $1,184.55 | $1,579.40 | 28.4× |
| Protein body fluid (84157) | $9 | $12 | 2.3× |
| Protein c activity (85303) | $66 | $88 | 4.8× |
| Protein c antigen (85302) | $25.04 | $33.38 | 2.1× |
| Protein electrophoresis serum (84165) | $29.25 | $39 | 2.7× |
| Protein Electrophoresis Urine (84166) | $33.75 | $45 | 1.9× |
| Protein S Functional (85306) | $36.75 | $49 | 2.4× |
| Protein s total (85305) | $24.38 | $32.50 | 2.1× |
| Protein Total Serum (84155) | $9.75 | $13 | 2.7× |
| Protein urine (84156) | $9.75 | $13 | 2.7× |
| Protein Western Blot (84182) | $54.77 | $73.03 | 1.9× |
| PSA free (84154) | $47.25 | $63 | 2.6× |
| Quantiferon tb gold (86480) | $160.50 | $214 | 2.6× |
| Quinidine (80194) | $37.50 | $50 | 2.6× |
| Rbc antibody elution (86860) | $102.75 | $137 | 0.6× |
| Rbc pretx incubatj w/chemicl (86970) | $129 | $172 | 2.3× |
| Reducing substances, stool (84376) | $11.46 | $15.28 | 2.1× |
| Renin activity plasma (84244) | $59.25 | $79 | 2.7× |
| Respiratory viral panel PCR (87633) | $804.75 | $1,073 | 1.9× |
| Respiratory Virus (86756) | $60.75 | $81 | 3.8× |
| Reticulated platelet assay (85055) | $83.25 | $111 | 2.3× |
| Rheumatoid factor quant (86431) | $24.38 | $32.50 | 4.3× |
| Rickettsia antibody (86757) | $49.88 | $66.50 | 2.6× |
| Rpr Titer (86593) | $12 | $16 | 2.7× |
| Rubella antibody (86762) | $38.62 | $51.50 | 2.7× |
| Russell viper venom time diluted (85613) | $22.86 | $30.48 | 2.4× |
| Saccharomyces ab iga (86671) | $29.11 | $38.82 | 2.4× |
| Salmonella antibody (86768) | $20.25 | $27 | 1.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $146.25 | $195 | 2.9× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $90 | $120 | 2.1× |
| Sars-cov-2 covid19 w/optic (87811) | $33.75 | $45 | 0.8× |
| Sed rate automated (85652) | $18 | $24 | 6.7× |
| Semen analysis w/count (89310) | $23.25 | $31 | 2.7× |
| Sensitivity mic (87186) | $80.25 | $107 | 9.3× |
| Sept9 methylation analysis (81327) | $360 | $480 | 1.9× |
| Serotonin Release Assay (86022) | $133.50 | $178 | 7.3× |
| Serpina1 gene (81332) | $104.25 | $139 | 2.4× |
| Sex hormone binding globulin (84270) | $69.38 | $92.50 | 3.2× |
| Sickle cell screen (85660) | $21.19 | $28.26 | 3.8× |
| Sirolimus (rapamycin) (80195) | $119.25 | $159 | 8.7× |
| Smear acid fast (87206) | $11.25 | $15 | 2.1× |
| Smear complex stain (87209) | $29.25 | $39 | 1.6× |
| Smear gram stain (87205) | $18 | $24 | 4.2× |
| Sodium (84295) | $12.38 | $16.50 | 2.6× |
| Sodium other source (84302) | $9.11 | $12.15 | 1.9× |
| Sodium urine (84300) | $24 | $32 | 4.7× |
| Soluble transferrin receptor (84238) | $63 | $84 | 1.7× |
| Somatostatin (84307) | $34.28 | $45.70 | 1.9× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $93 | $124 | 0.7× |
| Special stains group 1 (88312) | $107.62 | $143.50 | 2.1× |
| Specific gravity body fluid (84315) | $9 | $12 | 2.7× |
| Spectrophotometry (84311) | $29.25 | $39 | 3.6× |
| Stool Cultr Aerobic Bact Ea (87046) | $26.36 | $35.15 | 2.8× |
| Strep a assay w/optic (87880) | $14.25 | $19 | 0.9× |
| Strep a DNA amp probe (87651) | $66 | $88 | 1.9× |
| Sugars single quant (84378) | $302.25 | $403 | 26.2× |
| Sulfate urine (84392) | $9.75 | $13 | 1.8× |
| Surg path level iii (88304) | $78.38 | $104.50 | 1.6× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $34.12 | $45.50 | 1.2× |
| Surgical pathology level IV (88305) | $71.25 | $95 | 1.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $100.50 | $134 | 2.1× |
| T cells, total count (86359) | $64.50 | $86 | 1.7× |
| T3 free (84481) | $39.75 | $53 | 2.3× |
| T3 reverse (84482) | $41.25 | $55 | 2.6× |
| T3 total (84480) | $36.75 | $49 | 2.6× |
| T3 uptake (84479) | $22.50 | $30 | 3.5× |
| T4 Free (84439) | $39 | $52 | 4.3× |
| T4 total (84436) | $31.50 | $42 | 4.6× |
| Tb intradermal test (86580) | $41.25 | $55 | 1.5× |
| Test for acetone/ketones (82009) | $11.25 | $15 | 2.5× |
| Testosterone free (84402) | $71.25 | $95 | 2.8× |
| Testosterone total (84403) | $80.25 | $107 | 3.1× |
| Tetanus antibody (86774) | $47.25 | $63 | 3.2× |
| Theophylline (80198) | $72 | $96 | 5.1× |
| Thin prep pap (88142) | $43.50 | $58 | 2.1× |
| Thromboplastin Inhibition Tissue (85705) | $27 | $36 | 2.8× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $17.25 | $23 | 2.7× |
| Thyroglobulin (84432) | $210 | $280 | 13.1× |
| Thyroglobulin Ab (86800) | $41.25 | $55 | 2.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $137.25 | $183 | 2.7× |
| Thyroxine binding globulin (84442) | $41.25 | $55 | 2.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $49.50 | $66 | 4.3× |
| Tissue culture bone marrow (88237) | $258.75 | $345 | 1.8× |
| Tissue Culture Lymphocyte (88230) | $218.42 | $291.23 | 1.9× |
| Tobramycin peak (80200) | $73.50 | $98 | 4.6× |
| Topiramate (80201) | $25.50 | $34 | 2.1× |
| Touch prep (88161) | $76.12 | $101.50 | 2.7× |
| Toxoplasma ab igm (86778) | $32.25 | $43 | 2.2× |
| Toxoplasma antibody igg (86777) | $32.25 | $43 | 2.2× |
| Transferrin (84466) | $33 | $44 | 2.6× |
| Triglycerides (84478) | $13.50 | $18 | 2.4× |
| Troponin (84484) | $53.62 | $71.50 | 4.3× |
| Ugt1a1 gene analysis common variants (81350) | $438.75 | $585 | 1.9× |
| Urea nitrogen (84520) | $11.25 | $15 | 2.8× |
| Urea Nitrogen Clearance (84545) | $27.75 | $37 | 3.9× |
| Urea nitrogen urine (84540) | $24.75 | $33 | 4.5× |
| Uric acid blood (84550) | $33.75 | $45 | 7.5× |
| Uric acid other source (84560) | $15.75 | $21 | 3.1× |
| Urinalysis microscopic only (81015) | $7.50 | $10 | 2.5× |
| Urinalysis w/microscopic (81001) | $27 | $36 | 8.5× |
| Urine pregnancy test (81025) | $26.25 | $35 | 3.0× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $15.75 | $21 | 7.0× |
| Valproic acid level (80164) | $37.50 | $50 | 2.8× |
| Vancomycin trough (80202) | $72 | $96 | 5.3× |
| Varicella-zoster antibody (86787) | $32.88 | $43.84 | 2.6× |
| Vasoactive intestinal peptide (vip) (84586) | $180 | $240 | 5.1× |
| Vasopressin (84588) | $76.50 | $102 | 2.3× |
| Vdrl csf (86592) | $25.50 | $34 | 6.0× |
| Virus antibody nos (86790) | $42.75 | $57 | 3.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $75.75 | $101 | 2.2× |
| Virus inoculate tissue addl (87253) | $194.25 | $259 | 9.6× |
| Virus inoculation, shell via (87254) | $65.25 | $87 | 3.3× |
| Viscosity serum (85810) | $33 | $44 | 2.8× |
| Vitamin A (84590) | $33 | $44 | 2.8× |
| Vitamin b-12 (82607) | $39 | $52 | 2.6× |
| Vitamin b-2 (riboflavin) (84252) | $51.75 | $69 | 2.6× |
| Vitamin b1 (thiamine) (84425) | $54.75 | $73 | 2.6× |
| Vitamin b6 (84207) | $72 | $96 | 2.6× |
| Vitamin C (82180) | $48 | $64 | 4.9× |
| Vitamin D 25-Hydroxy (82306) | $71.62 | $95.50 | 2.4× |
| Vitamin e serum (84446) | $31.50 | $42 | 2.2× |
| Vkorc1 gene (81355) | $19.50 | $26 | 0.2× |
| Von willebrand factor activity (85245) | $94.50 | $126 | 4.1× |
| West nile virus ab, igm (86788) | $34.38 | $45.84 | 2.0× |
| West nile virus antibody (86789) | $31.76 | $42.34 | 2.2× |
| Yersinia antibody (86793) | $30.75 | $41 | 2.3× |
| Zinc (84630) | $54.75 | $73 | 4.8× |