Lab & pathology prices at Novant Health Forsyth Medical Center
Winston-Salem, NC · every code in this section with a posted price and a Medicare benchmark.
975 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 3 matching MRF lines |
$165.60–$217.80 | $276–$363 | varies |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$21–$106.20 | $35–$177 | varies |
| Abl1 gene analysis kinase domain variants (81170) range across 2 matching MRF lines |
$260.16–$443.84 | $433.60–$739.73 | varies |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$40.80–$172.80 | $68–$288 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$45–$172.80 | $75–$288 | varies |
| Acetylcholinesterase Assay (82013) | $217.20 | $362 | 17.7× |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$86.40–$170.40 | $144–$284 | varies |
| Acth (82024) range across 3 matching MRF lines |
$88.80–$387.60 | $148–$646 | varies |
| Actin smooth muscle antibody each (86015) range across 4 matching MRF lines |
$27–$121.80 | $45–$203 | varies |
| Acute hepatitis panel (80074) range across 3 matching MRF lines |
$107.40–$447 | $179–$745 | varies |
| Acylcarnitines Quant (82017) | $161.40 | $269 | 9.6× |
| Adenovirus antibody (86603) range across 4 matching MRF lines |
$25.20–$153.60 | $42–$256 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) range across 3 matching MRF lines |
$215.40–$613.80 | $359–$1,023 | varies |
| Albumin Fluid (82042) | $72.60 | $121 | 9.3× |
| Albumin serum (82040) range across 3 matching MRF lines |
$13.20–$46.80 | $22–$78 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$31.80–$87 | $53–$145 | varies |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$126.60–$363 | $211–$605 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$57.60–$148.80 | $96–$248 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$58.20–$80.40 | $97–$134 | varies |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$9–$70.80 | $15–$118 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$84–$139.20 | $140–$232 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$129.60–$170.40 | $216–$284 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$30–$189.60 | $50–$316 | varies |
| Alpha-1-antitrypsin total (82103) | $120 | $200 | 8.9× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $192 | $320 | 11.3× |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$52.20–$156.60 | $87–$261 | varies |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$13.20–$51 | $22–$85 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$184.80–$255.60 | $308–$426 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$99.60–$151.80 | $166–$253 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $364.80 | $608 | 15.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$515.40–$726.60 | $859–$1,211 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $167.40 | $279 | 12.1× |
| Amino Acids Quant 2-5 (82136) range across 4 matching MRF lines |
$312–$509.40 | $520–$849 | varies |
| Aminolevulinic acid (ala) (82135) range across 3 matching MRF lines |
$96.60–$162 | $161–$270 | varies |
| Ammonia (82140) range across 3 matching MRF lines |
$32.40–$129.60 | $54–$216 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $681.60 | $1,136 | 6.9× |
| Amylase urine (82150) range across 6 matching MRF lines |
$36–$69.60 | $60–$116 | varies |
| Ana Titer (86039) | $135 | $225 | 12.1× |
| Anca screen each antibody (86036) range across 3 matching MRF lines |
$66.60–$115.20 | $111–$192 | varies |
| Anca Titer Each Antibody (86037) range across 4 matching MRF lines |
$25.20–$121.80 | $42–$203 | varies |
| Androstenedione (82157) | $274.20 | $457 | 9.4× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$80.40–$148.80 | $134–$248 | varies |
| Anti-Phospholipid Antibody (86148) range across 9 matching MRF lines |
$40.80–$169.80 | $68–$283 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$106.80–$296.40 | $178–$494 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $81.60 | $136 | 6.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 6 matching MRF lines |
$97.20–$236.40 | $162–$394 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$33.60–$169.20 | $56–$282 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$25.80–$159 | $43–$265 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 3 matching MRF lines |
$30.60–$130.80 | $51–$218 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$32.40–$145.80 | $54–$243 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 6 matching MRF lines |
$36.60–$183 | $61–$305 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$138–$190.80 | $230–$318 | varies |
| Antibody haemophilus influenza (86684) | $232.20 | $387 | 14.7× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$122.40–$159 | $204–$265 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 4 matching MRF lines |
$104.40–$137.40 | $174–$229 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$112.80–$160.20 | $188–$267 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$112.80–$122.40 | $188–$204 | varies |
| Antibody HIV-2 (86702) range across 4 matching MRF lines |
$27–$224.40 | $45–$374 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 5 matching MRF lines |
$796.20–$3,251.40 | $1,327–$5,419 | varies |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) range across 2 matching MRF lines |
$693–$751.80 | $1,155–$1,253 | varies |
| Antibody Hla Class II Phenotype Panel Qual (86831) range across 2 matching MRF lines |
$594–$643.80 | $990–$1,073 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$140.40–$155.40 | $234–$259 | varies |
| Antibody identification leukocyte antibodies (86021) | $109.20 | $182 | 7.3× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$91.20–$195.60 | $152–$326 | varies |
| Antibody Titer (86886) | $154.20 | $257 | 29.8× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$73.80–$159 | $123–$265 | varies |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$25.80–$159 | $43–$265 | varies |
| Antibody; influenza virus (86710) | $26.40 | $44 | 1.9× |
| Antigen typing (86905) | $280.80 | $468 | 73.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $214.20 | $357 | 37.4× |
| Antinomyces antibody (86602) | $166.20 | $277 | 16.3× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$67.80–$252 | $113–$420 | varies |
| Antistreptolysin O Screen (86063) | $87.60 | $146 | 15.2× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$65.40–$377.40 | $109–$629 | varies |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$27–$101.40 | $45–$169 | varies |
| Antithrombin iii antigen (85301) range across 3 matching MRF lines |
$50.40–$95.40 | $84–$159 | varies |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$138.60–$198 | $231–$330 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 3 matching MRF lines |
$1,316.40–$1,965.60 | $2,194–$3,276 | varies |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$1,279.80–$1,965.60 | $2,133–$3,276 | varies |
| Aquaporin-4 Antb Elisa (86051) range across 3 matching MRF lines |
$628.20–$937.20 | $1,047–$1,562 | varies |
| Arsenic (82175) range across 4 matching MRF lines |
$137.40–$178.20 | $229–$297 | varies |
| Aspa gene analysis common variants (81200) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Aspergillus ag eia (87305) | $212.40 | $354 | 17.7× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$109.20–$130.80 | $182–$218 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$19.20–$64.80 | $32–$108 | varies |
| Assay Nephelometry Not Spec (83883) range across 11 matching MRF lines |
$88.80–$167.40 | $148–$279 | varies |
| Assay of 5-hiaa (83497) range across 6 matching MRF lines |
$37.20–$123 | $62–$205 | varies |
| Assay of anti-mullerian hormone (82166) range across 2 matching MRF lines |
$73.80–$343.20 | $123–$572 | varies |
| Assay of b-hexosaminidase each assay (83080) | $503.40 | $839 | 29.8× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$10.80–$40.20 | $18–$67 | varies |
| Assay of calcium in urine (82340) | $52.80 | $88 | 8.8× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$42–$139.80 | $70–$233 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$181.20–$234 | $302–$390 | varies |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
$19.80–$97.20 | $33–$162 | varies |
| Assay of gammaglobulin igm (82784) range across 13 matching MRF lines |
$42–$97.20 | $70–$162 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$196.80–$277.20 | $328–$462 | varies |
| Assay of manganese (83785) | $267.60 | $446 | 10.0× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$91.20–$156 | $152–$260 | varies |
| Assay of phosphatase acid total (84060) | $160.20 | $267 | 21.0× |
| Assay of phosphatase alkaline heat stable (84078) range across 2 matching MRF lines |
$60–$61.20 | $100–$102 | varies |
| Assay of proinsulin (84206) range across 3 matching MRF lines |
$193.20–$254.40 | $322–$424 | varies |
| Assay of prostate specific antigen complexed (84152) | $372 | $620 | 20.2× |
| Assay of pyruvate (84210) | $55.20 | $92 | 3.8× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$96–$311.40 | $160–$519 | varies |
| Assay of serum potassium (84132) range across 5 matching MRF lines |
$10.80–$45 | $18–$75 | varies |
| Assay of Sialic Acid (84275) | $166.20 | $277 | 12.4× |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$78.60–$91.20 | $131–$152 | varies |
| Assay of transcortin (84449) range across 3 matching MRF lines |
$143.40–$307.80 | $239–$513 | varies |
| Assay of urea nitrogen (84520) range across 5 matching MRF lines |
$10.20–$46.80 | $17–$78 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$112.80–$148.80 | $188–$248 | varies |
| Assay of vasoactive intestinal peptide (84586) | $355.20 | $592 | 10.1× |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$67.80–$213.60 | $113–$356 | varies |
| Assay Ph Body Fluid Nos (83986) | $31.80 | $53 | 8.9× |
| Assay Phosphohexose Enzymes (84087) range across 2 matching MRF lines |
$77.40–$124.80 | $129–$208 | varies |
| Assay spec xcp ur&breath ia (82077) range across 3 matching MRF lines |
$358.20–$696 | $597–$1,160 | varies |
| Asy carbamazepin 10,11-epxid (80161) range across 2 matching MRF lines |
$106.80–$154.80 | $178–$258 | varies |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $52.80 | $88 | 0.4× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $52.80 | $88 | 0.4× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) | $52.80 | $88 | 0.4× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $52.80 | $88 | 0.4× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $52.80 | $88 | 0.4× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $52.80 | $88 | 0.4× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) | $52.80 | $88 | 0.4× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) range across 2 matching MRF lines |
$334.95–$593.40 | $558.25–$989 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 3 matching MRF lines |
$256.80–$6,357.60 | $428–$10,596 | varies |
| Automated Leukocyte Count (85048) range across 5 matching MRF lines |
$30.60–$61.20 | $51–$102 | varies |
| B cells total count (86355) range across 3 matching MRF lines |
$91.20–$379.20 | $152–$632 | varies |
| Babesia microti amp prb (87469) range across 2 matching MRF lines |
$379.80–$552.60 | $633–$921 | varies |
| Bacterial antigens 87802 (87802) | $175.20 | $292 | 13.8× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$26.40–$97.20 | $44–$162 | varies |
| Bckdhb Gene Analysis Common Variants (81205) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Bcr/abl1 gene major bp (81206) | $54.90 | $91.50 | 0.3× |
| Bcr/abl1 gene minor bp (81207) | $54.90 | $91.50 | 0.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 12 matching MRF lines |
$48–$245.40 | $80–$409 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$114.60–$178.80 | $191–$298 | varies |
| Beta Lactamase (87185) | $44.40 | $74 | 9.3× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$108.60–$196.80 | $181–$328 | varies |
| Bile acids total (82239) | $152.40 | $254 | 8.9× |
| Bilirubin direct (82248) range across 4 matching MRF lines |
$11.40–$60 | $19–$100 | varies |
| Bilirubin total (82247) range across 4 matching MRF lines |
$35.40–$97.80 | $59–$163 | varies |
| Biotinidase (82261) | $220.80 | $368 | 13.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $41.40 | $69 | 12.1× |
| Blastomyces antibody (86612) | $121.20 | $202 | 9.4× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $302.40 | $504 | 10.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $242.40 | $404 | 1.5× |
| Bld Typing Serologic Rh Phnt (86906) | $30.60 | $51 | 3.9× |
| Bleeding time test (85002) | $58.80 | $98 | 12.2× |
| Blm Gene (81209) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Blood Count Automated Differential Wbc Count (85004) range across 2 matching MRF lines |
$12–$49.80 | $20–$83 | varies |
| Blood Count Manual Cell Count Each (85032) | $31.20 | $52 | 7.2× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) range across 2 matching MRF lines |
$9.60–$45 | $16–$75 | varies |
| Blood Count Red Blood Cell Automated (85041) range across 3 matching MRF lines |
$25.20–$26.40 | $42–$44 | varies |
| Blood count reticulocyte automated (85045) range across 5 matching MRF lines |
$9.60–$42 | $16–$70 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$27.60–$38.40 | $46–$64 | varies |
| Blood count spun microhematocrit (85013) | $51 | $85 | 7.3× |
| Blood gas (82803) | $110.40 | $184 | 4.2× |
| Blood gases w/02 saturation (82805) | $364.20 | $607 | 4.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$39.60–$159.60 | $66–$266 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$8.40–$31.80 | $14–$53 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 9 matching MRF lines |
$280.80–$561 | $468–$935 | varies |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$92.40–$237 | $154–$395 | varies |
| Body fluid cell count (89050) | $60 | $100 | 12.7× |
| Bone marrow smear interpretation (85097) range across 3 matching MRF lines |
$567–$613.20 | $945–$1,022 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$95.40–$132 | $159–$220 | varies |
| Braf gene analysis (81210) | $231 | $385 | 1.3× |
| Brca1&2 gen full seq dup/del (81162) | $1,181.01 | $1,968.35 | 0.6× |
| Breath Alcohol Test (82075) | $57.60 | $96 | 1.9× |
| Brucella antibody (86622) | $83.40 | $139 | 9.3× |
| C diff amplified probe (87493) range across 4 matching MRF lines |
$331.80–$1,153.20 | $553–$1,922 | varies |
| C-Peptide (84681) | $159 | $265 | 7.6× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$13.80–$46.20 | $23–$77 | varies |
| Ca 19-9 (86301) range across 3 matching MRF lines |
$44.40–$195.60 | $74–$326 | varies |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $52.80 | $88 | 0.4× |
| Cadmium (82300) range across 2 matching MRF lines |
$145.20–$171 | $242–$285 | varies |
| Caffeine (80155) range across 3 matching MRF lines |
$73.80–$258.60 | $123–$431 | varies |
| Calcitonin (82308) range across 2 matching MRF lines |
$64.80–$255 | $108–$425 | varies |
| Calcium ionized (82330) range across 3 matching MRF lines |
$27–$161.40 | $45–$269 | varies |
| Calcium total (82310) range across 6 matching MRF lines |
$11.40–$57.60 | $19–$96 | varies |
| Calculus assay quant (82360) | $121.20 | $202 | 9.4× |
| Calculus Spectroscopy (82365) | $98.40 | $164 | 7.6× |
| Calprotectin Fecal (83993) range across 3 matching MRF lines |
$212.40–$346.20 | $354–$577 | varies |
| Calr gene com variants (81219) range across 3 matching MRF lines |
$196.80–$237 | $328–$395 | varies |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$48–$186 | $80–$310 | varies |
| Cancer Antigen 27.29 (86300) range across 5 matching MRF lines |
$44.40–$199.20 | $74–$332 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$91.20–$151.80 | $152–$253 | varies |
| Candida Dna Dir Probe (87480) | $145.80 | $243 | 7.3× |
| Carbamazepine free (80157) range across 3 matching MRF lines |
$118.20–$183 | $197–$305 | varies |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$105.60–$138.60 | $176–$231 | varies |
| Carbohydrate Deficient Transferrin (82373) range across 3 matching MRF lines |
$172.20–$204 | $287–$340 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$27.60–$124.20 | $46–$207 | varies |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$44.40–$169.80 | $74–$283 | varies |
| Cardiolipin ab iga (86147) range across 14 matching MRF lines |
$48–$245.40 | $80–$409 | varies |
| Carnitine Quantitative Each Specimen (82379) | $183 | $305 | 10.8× |
| Carotene (82380) | $82.20 | $137 | 8.9× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$66.60–$236.40 | $111–$394 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$41.40–$114.60 | $69–$191 | varies |
| Cell count csf (89051) | $227.40 | $379 | 40.6× |
| Cell enumeration & id (86152) range across 4 matching MRF lines |
$1,819.80–$2,963.40 | $3,033–$4,939 | varies |
| Cell marker study (88182) | $375 | $625 | 7.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$259.80–$985.80 | $433–$1,643 | varies |
| Ceruloplasmin (82390) range across 3 matching MRF lines |
$28.80–$103.20 | $48–$172 | varies |
| Cftr gene com variants (81220) range across 8 matching MRF lines |
$40.80–$181.20 | $68–$302 | varies |
| Cftr gene full sequence (81223) range across 2 matching MRF lines |
$2,420.40–$2,493 | $4,034–$4,155 | varies |
| Chemiluminescent assay (82397) range across 12 matching MRF lines |
$100.20–$415.20 | $167–$692 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 6 matching MRF lines |
$60–$283.50 | $100–$472.50 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) range across 2 matching MRF lines |
$75–$171.52 | $125–$285.86 | varies |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$110.40–$204 | $184–$340 | varies |
| Chlamydia Igm Antibody (86632) | $116.40 | $194 | 9.2× |
| Chlamydia trachomatis ag if (87270) | $118.20 | $197 | 9.9× |
| Chloride other source (82438) range across 2 matching MRF lines |
$89.40–$138 | $149–$230 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$33–$40.80 | $55–$68 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$42–$54 | $70–$90 | varies |
| Chlorinated Hydrocarbons Screen (82441) range across 2 matching MRF lines |
$43.80–$72.60 | $73–$121 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$10.20–$60.60 | $17–$101 | varies |
| Cholinesterase rbc (82482) | $71.40 | $119 | 7.3× |
| Cholinesterase Serum (82480) | $69 | $115 | 8.8× |
| Chorionic gonadotropin test (84702) range across 8 matching MRF lines |
$102.60–$156 | $171–$260 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 2 matching MRF lines |
$360–$1,515.60 | $600–$2,526 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $60.60 | $101 | 2.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $421.80 | $703 | 12.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 5 matching MRF lines |
$66–$71.40 | $110–$119 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) range across 2 matching MRF lines |
$1,256.40–$2,152.20 | $2,094–$3,587 | varies |
| Chrmsm Breakage Synds Score 100 Cll (88249) range across 2 matching MRF lines |
$1,256.40–$2,152.20 | $2,094–$3,587 | varies |
| Chromium serum (82495) | $193.20 | $322 | 9.5× |
| Chromogenic Substrate Assay (85130) range across 4 matching MRF lines |
$295.80–$483.60 | $493–$806 | varies |
| Chromogranin a (86316) range across 7 matching MRF lines |
$122.40–$199.20 | $204–$332 | varies |
| Chromosome analys amniotic (88269) | $1,260.60 | $2,101 | 7.3× |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$910.80–$1,198.20 | $1,518–$1,997 | varies |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$244.20–$1,104.60 | $407–$1,841 | varies |
| Chromosome analysis, 5 (88261) | $504.60 | $841 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$70.80–$257.40 | $118–$429 | varies |
| Citric acid urine (82507) | $336 | $560 | 12.1× |
| Ckmb (82553) range across 3 matching MRF lines |
$29.40–$113.40 | $49–$189 | varies |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$30.60–$107.40 | $51–$179 | varies |
| Clot Factor VIII Multimetric (85247) range across 3 matching MRF lines |
$166.20–$247.20 | $277–$412 | varies |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$171.60–$184.20 | $286–$307 | varies |
| Clotting factor xii hageman (85280) range across 3 matching MRF lines |
$90.60–$201.60 | $151–$336 | varies |
| Clotting Funct Activity (85397) range across 4 matching MRF lines |
$277.80–$358.80 | $463–$598 | varies |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$795.60–$3,711 | $1,326–$6,185 | varies |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$40.20–$46.20 | $67–$77 | varies |
| Coccidioides antibody (86635) | $108 | $180 | 9.4× |
| Cold agglutinin screen (86156) | $75.60 | $126 | 9.4× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$35.40–$73.80 | $59–$123 | varies |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$86.40–$210 | $144–$350 | varies |
| Column Chromotography Quant (82542) range across 20 matching MRF lines |
$73.80–$426.60 | $123–$711 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$105–$304.92 | $175–$508.20 | varies |
| Compatibility Each Unit Incubation (86921) | $109.20 | $182 | 0.7× |
| Compatibility test antiglob (86922) | $193.20 | $322 | 1.2× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$87.60–$127.80 | $146–$213 | varies |
| Complement Total (Ch50) (86162) | $181.20 | $302 | 8.9× |
| Complement/Function Activity (86161) | $91.80 | $153 | 7.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $1,180.80 | $1,968 | 7.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $334.80 | $558 | 6.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 3 matching MRF lines |
$277.80–$384.60 | $463–$641 | varies |
| Coombs direct (86880) range across 9 matching MRF lines |
$64.20–$111.60 | $107–$186 | varies |
| Copper urine (82525) range across 6 matching MRF lines |
$68.40–$111 | $114–$185 | varies |
| Cortisol free (82530) | $149.40 | $249 | 8.9× |
| Cortisol saliva (82533) range across 9 matching MRF lines |
$120.60–$178.20 | $201–$297 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$18–$33.60 | $30–$56 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$14.40–$68.40 | $24–$114 | varies |
| Creatinine blood (82565) range across 5 matching MRF lines |
$11.40–$52.20 | $19–$87 | varies |
| Creatinine clearance (82575) range across 4 matching MRF lines |
$24–$90.60 | $40–$151 | varies |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$43.80–$54 | $73–$90 | varies |
| Crossmatch electronic (86923) | $143.40 | $239 | 0.9× |
| Crossmatch immediate spin (86920) | $181.20 | $302 | 1.1× |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$25.20–$141 | $42–$235 | varies |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$27–$111.60 | $45–$186 | varies |
| Cryoglobulin (82595) range across 3 matching MRF lines |
$18.60–$87.60 | $31–$146 | varies |
| Cryptococcus ab (86641) | $127.80 | $213 | 8.9× |
| Cryptococcus ag titer (87899) range across 9 matching MRF lines |
$78–$168.60 | $130–$281 | varies |
| Cryptosporidium ag eia (87328) | $199.80 | $333 | 14.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$96.60–$187.20 | $161–$312 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $236.40 | $394 | 29.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $95.40 | $159 | 12.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$483.60–$1,941.60 | $806–$3,236 | varies |
| Culture aerobic quant other (87071) range across 3 matching MRF lines |
$72–$94.80 | $120–$158 | varies |
| Culture afb (87116) range across 4 matching MRF lines |
$27.60–$96.60 | $46–$161 | varies |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$33.60–$95.40 | $56–$159 | varies |
| Culture blood (87040) range across 3 matching MRF lines |
$32.40–$92.40 | $54–$154 | varies |
| Culture chlamydia (87110) | $186.60 | $311 | 9.5× |
| Culture csf (87070) range across 24 matching MRF lines |
$48.60–$186.60 | $81–$311 | varies |
| Culture fungus (87102) | $109.20 | $182 | 13.0× |
| Culture fungus blood (87103) | $105 | $175 | 5.1× |
| Culture screen only (87081) range across 11 matching MRF lines |
$104.40–$186.60 | $174–$311 | varies |
| Culture stool (87045) range across 3 matching MRF lines |
$28.80–$103.20 | $48–$172 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) range across 2 matching MRF lines |
$24.60–$99 | $41–$165 | varies |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$40.20–$53.40 | $67–$89 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 4 matching MRF lines |
$46.20–$57.60 | $77–$96 | varies |
| Culture typing other methods (87158) range across 2 matching MRF lines |
$31.20–$63 | $52–$105 | varies |
| Culture urine (87086) range across 3 matching MRF lines |
$27–$72 | $45–$120 | varies |
| Cyanide (82600) | $234 | $390 | 12.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $103.80 | $173 | 7.2× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$66.60–$160.80 | $111–$268 | varies |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$121.80–$133.98 | $203–$223.30 | varies |
| Cyp2c9 gene com variants (81227) | $181.20 | $302 | 1.0× |
| Cyp2d6 gene com variants (81226) | $384 | $640 | 0.9× |
| Cystatin C (82610) range across 3 matching MRF lines |
$138–$176.40 | $230–$294 | varies |
| Cytogenetics 10-30 (88273) | $399 | $665 | 11.5× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$108–$487.80 | $180–$813 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$606–$734.40 | $1,010–$1,224 | varies |
| Cytogenomic neo microra alys (81277) | $1,108.49 | $1,847.48 | 1.0× |
| Cytomegalovirus igg (86644) range across 5 matching MRF lines |
$78.60–$291 | $131–$485 | varies |
| Cytopath C/V Index Add-On (88155) range across 2 matching MRF lines |
$28.20–$106.20 | $47–$177 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$147–$148.80 | $245–$248 | varies |
| Cytopath Cell Enhance Tech (88112) range across 5 matching MRF lines |
$345–$394.80 | $575–$658 | varies |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $306.60 | $511 | 7.3× |
| Cytotoxic Antibody Screen Std (86807) | $591 | $985 | 7.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines |
$141.60–$266.40 | $236–$444 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $358.80 | $598 | 9.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 4 matching MRF lines |
$298.20–$518.40 | $497–$864 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 3 matching MRF lines |
$310.80–$448.80 | $518–$748 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $168 | $280 | 4.6× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,180.80 | $1,968 | 7.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $128.40 | $214 | 6.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $375 | $625 | 7.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $205.20 | $342 | 7.3× |
| Cytp Urine 3-5 Probes Cmptr (88121) range across 2 matching MRF lines |
$1,180.80–$1,676.40 | $1,968–$2,794 | varies |
| Deoxycortisol (82634) | $353.40 | $589 | 12.1× |
| Deoxyribonuclease antibody (86215) | $118.20 | $197 | 8.9× |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$224.40–$373.80 | $374–$623 | varies |
| Detect Agent Nos Dna Amp (87798) range across 43 matching MRF lines |
$138.60–$1,335.60 | $231–$2,226 | varies |
| Detect Agent Nos Dna Quant (87799) range across 21 matching MRF lines |
$154.20–$1,321.80 | $257–$2,203 | varies |
| Detect agnt mult DNA ampli (87801) range across 5 matching MRF lines |
$36.60–$677.40 | $61–$1,129 | varies |
| Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines |
$24–$121.80 | $40–$203 | varies |
| Dhea (82626) | $224.40 | $374 | 8.9× |
| Dhea-S (82627) | $208.20 | $347 | 9.4× |
| Dibucaine number (82638) | $109.80 | $183 | 9.0× |
| Digoxin (80162) range across 3 matching MRF lines |
$30.60–$126.60 | $51–$211 | varies |
| Dihydrotestosterone (82642) range across 2 matching MRF lines |
$213–$254.40 | $355–$424 | varies |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$109.80–$175.80 | $183–$293 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$149.40–$160.80 | $249–$268 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$161.40–$234.60 | $269–$391 | varies |
| Dna Antibody Single Stranded (86226) range across 2 matching MRF lines |
$88.20–$147 | $147–$245 | varies |
| Dna/Rna Amplified Probe (87150) | $334.80 | $558 | 9.5× |
| DNA/RNA direct probe (87149) | $191.40 | $319 | 9.5× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$837–$1,158 | $1,395–$1,930 | varies |
| Dpyd gene common variants (81232) range across 4 matching MRF lines |
$153.03–$231.53 | $255.05–$385.88 | varies |
| Drug assay acetaminophen (80143) range across 3 matching MRF lines |
$166.20–$238.80 | $277–$398 | varies |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$280.20–$387.60 | $467–$646 | varies |
| Drug Assay Amiodarone (80151) range across 3 matching MRF lines |
$135–$187.80 | $225–$313 | varies |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$138.60–$177 | $231–$295 | varies |
| Drug assay felbamate (80167) | $238.80 | $398 | 12.8× |
| Drug Assay Infliximab (80230) range across 3 matching MRF lines |
$343.20–$370.80 | $572–$618 | varies |
| Drug Assay Lacosamide (80235) range across 3 matching MRF lines |
$445.80–$770.40 | $743–$1,284 | varies |
| Drug Assay Leflunomide (80193) | $280.20 | $467 | 7.3× |
| Drug Assay Posaconazole (80187) | $155.40 | $259 | 5.7× |
| Drug Assay Vedolizumab (80280) range across 3 matching MRF lines |
$343.20–$370.80 | $572–$618 | varies |
| Drug assay voriconazole (80285) range across 3 matching MRF lines |
$255.60–$453.60 | $426–$756 | varies |
| Drug Screen Quant Clozapine (80159) range across 3 matching MRF lines |
$159–$192 | $265–$320 | varies |
| Drug Screen Quant Zonisamide (80203) range across 3 matching MRF lines |
$127.20–$167.40 | $212–$279 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$157.20–$192.60 | $262–$321 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 4 matching MRF lines |
$28.20–$145.20 | $47–$242 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 3 matching MRF lines |
$42.60–$118.20 | $71–$197 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 3 matching MRF lines |
$96–$126.60 | $160–$211 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $201.60 | $336 | 12.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 35 matching MRF lines |
$86.40–$712.80 | $144–$1,188 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$91.80–$136.80 | $153–$228 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$124.20–$136.80 | $207–$228 | varies |
| Egfr Gene Analysis Common Variants (81235) | $242.40 | $404 | 0.7× |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
$36.60–$97.20 | $61–$162 | varies |
| El-1 Fecal Quantitative (82653) range across 4 matching MRF lines |
$233.40–$343.20 | $389–$572 | varies |
| Electrolyte panel (80051) | $62.40 | $104 | 8.9× |
| Electron Microscopy (88348) | $1,945.20 | $3,242 | 2.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$139.80–$498.60 | $233–$831 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$25.80–$159 | $43–$265 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$25.80–$159 | $43–$265 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 8 matching MRF lines |
$25.20–$121.80 | $42–$203 | varies |
| Enterovirus Antibody (86658) range across 5 matching MRF lines |
$79.80–$104.40 | $133–$174 | varies |
| Enterovirus PCR (87498) | $469.80 | $783 | 13.4× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$430.20–$511.80 | $717–$853 | varies |
| Enzyme histochemistry (88319) | $637.20 | $1,062 | 0.8× |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$9.60–$72 | $16–$120 | varies |
| Erythropoietin (82668) range across 3 matching MRF lines |
$42.60–$167.40 | $71–$279 | varies |
| Estradiol serum (82670) range across 3 matching MRF lines |
$66.60–$248.40 | $111–$414 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$51–$175.80 | $85–$293 | varies |
| Estrogen total (82672) | $207 | $345 | 9.5× |
| Estrogens fractionated (82671) range across 2 matching MRF lines |
$234–$390 | $390–$650 | varies |
| Ethosuximide (80168) | $156 | $260 | 9.5× |
| Ethylene Glycol (82693) | $132 | $220 | 8.9× |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$60.60–$91.80 | $101–$153 | varies |
| Exam Synovial Fluid Crystals (89060) | $65.40 | $109 | 8.9× |
| F2 Gene (81240) | $26.40 | $44 | 0.4× |
| Factor ii activity (85210) range across 3 matching MRF lines |
$120–$225 | $200–$375 | varies |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$178.80–$293.40 | $298–$489 | varies |
| Factor ix activity (85250) range across 5 matching MRF lines |
$168–$468.60 | $280–$781 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$57–$336 | $95–$560 | varies |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$21.60–$173.25 | $36–$288.75 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$141–$327.60 | $235–$546 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$122.40–$204 | $204–$340 | varies |
| Factor X (85260) range across 4 matching MRF lines |
$168.60–$453.60 | $281–$756 | varies |
| Factor xi activity (85270) range across 3 matching MRF lines |
$93–$170.40 | $155–$284 | varies |
| Factor xiii screen (85291) range across 2 matching MRF lines |
$87.60–$93 | $146–$155 | varies |
| Fancc Gene (81242) range across 2 matching MRF lines |
$217.80–$224.40 | $363–$374 | varies |
| Fat/Lipids Feces Quantitative (82710) | $160.20 | $267 | 9.5× |
| Fatty acids free (82725) | $43.80 | $73 | 2.3× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $126.60 | $211 | 16.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$120.60–$375.60 | $201–$626 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 3 matching MRF lines |
$35.40–$98.40 | $59–$164 | varies |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$45–$58.80 | $75–$98 | varies |
| Ferritin (82728) range across 3 matching MRF lines |
$30–$121.80 | $50–$203 | varies |
| Fetal Chrmoml Aneuploidy (81420) range across 6 matching MRF lines |
$116.67–$500.85 | $194.45–$834.75 | varies |
| Fetal Chrmoml Microdeltj (81422) range across 3 matching MRF lines |
$116.67–$250.65 | $194.45–$417.75 | varies |
| Fetal Fibronectin (82731) | $573.60 | $956 | 8.9× |
| Fetal hemoglobin assay qual (83033) | $72 | $120 | 9.0× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $227.40 | $379 | 12.0× |
| Fetal screen rosette (85461) | $72 | $120 | 7.7× |
| Fibrin degradation products (85362) | $63 | $105 | 9.1× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$36.60–$97.20 | $61–$162 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$19.80–$93 | $33–$155 | varies |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$55.20–$138 | $92–$230 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $43.80 | $73 | 2.8× |
| Flecainide level (80181) | $166.20 | $277 | 8.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$447–$662.40 | $745–$1,104 | varies |
| Fluorescent antibody screen (86255) range across 24 matching MRF lines |
$49.80–$510.60 | $83–$851 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 18 matching MRF lines |
$49.80–$328.20 | $83–$547 | varies |
| Fmr1 Gene Charac Alleles (81244) | $72.60 | $121 | 1.6× |
| Fmr1 gene detection (81243) range across 4 matching MRF lines |
$41.40–$180.60 | $69–$301 | varies |
| Folic acid rbc (82747) range across 3 matching MRF lines |
$55.80–$168 | $93–$280 | varies |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$32.40–$130.20 | $54–$217 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$90–$165.60 | $150–$276 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$108–$180 | $180–$300 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $107.40 | $179 | 0.6× |
| Frozen Blood Each Unit Freezing (86930) | $686.40 | $1,144 | 4.2× |
| Frozen Blood Each Unit Thawing (86931) | $208.20 | $347 | 1.3× |
| Frozen Section (88331) range across 2 matching MRF lines |
$310.80–$326.40 | $518–$544 | varies |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$169.80–$793.80 | $283–$1,323 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$225–$262.20 | $375–$437 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $525.60 | $876 | 24.9× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$41.40–$154.80 | $69–$258 | varies |
| Gardner vag DNA dir probe (87510) | $145.80 | $243 | 7.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $57 | $95 | 5.8× |
| Gastrin (82941) range across 2 matching MRF lines |
$56.40–$156.60 | $94–$261 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$1,015.80–$3,186 | $1,693–$5,310 | varies |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$1,500–$1,650 | $2,500–$2,750 | varies |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$184.20–$246 | $307–$410 | varies |
| Gentamicin (80170) range across 3 matching MRF lines |
$110.40–$165 | $184–$275 | varies |
| Ggt (82977) range across 3 matching MRF lines |
$16.80–$64.20 | $28–$107 | varies |
| Giardia antigen (87329) | $107.40 | $179 | 9.0× |
| Giardia lamblia antibody (86674) range across 2 matching MRF lines |
$24.60–$299.40 | $41–$499 | varies |
| Gluc-6-phosphate dehydrogenase screen (82960) | $72.60 | $121 | 12.0× |
| Glucagon (82943) range across 3 matching MRF lines |
$34.20–$145.80 | $57–$243 | varies |
| Glucose 2 hr pp (82950) range across 6 matching MRF lines |
$42–$55.80 | $70–$93 | varies |
| Glucose Blood Test (82962) | $28.80 | $48 | 8.8× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$50.40–$64.80 | $84–$108 | varies |
| Glucose Serum (82947) range across 10 matching MRF lines |
$9.60–$39.60 | $16–$66 | varies |
| Glucose tolerance test (gtt) (82951) | $162.60 | $271 | 12.6× |
| Glutathione (82978) | $343.80 | $573 | 22.3× |
| Glycated Protein (82985) range across 3 matching MRF lines |
$37.20–$168 | $62–$280 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 4 matching MRF lines |
$19.20–$72 | $32–$120 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$121.20–$156 | $202–$260 | varies |
| Gtt-added samples (82952) | $28.80 | $48 | 7.3× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$150–$631.20 | $250–$1,052 | varies |
| Haloperidol (80173) range across 2 matching MRF lines |
$114.60–$184.20 | $191–$307 | varies |
| Haptoglobin (83010) range across 3 matching MRF lines |
$28.20–$118.20 | $47–$197 | varies |
| Hba1/Hba2 Gene (81257) range across 2 matching MRF lines |
$134.40–$210 | $224–$350 | varies |
| Hbb Full Gene Sequence (81364) | $441 | $735 | 1.4× |
| Hdl Cholesterol (83718) | $99 | $165 | 12.1× |
| Heavy metal qualitative any analytes (83015) | $226.80 | $378 | 10.8× |
| Helicobacter Pylori Stool (87338) | $127.80 | $213 | 8.9× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $813 | $1,355 | 12.1× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$372–$595.80 | $620–$993 | varies |
| Hematocrit (85014) range across 4 matching MRF lines |
$6–$28.80 | $10–$48 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$6–$30 | $10–$50 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$22.80–$87 | $38–$145 | varies |
| Hemoglobin Chromotography (83021) range across 5 matching MRF lines |
$51–$172.20 | $85–$287 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$42.60–$114 | $71–$190 | varies |
| Hemoglobin F Fetal Chemical (83030) range across 2 matching MRF lines |
$77.40–$100.20 | $129–$167 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $88.80 | $148 | 10.8× |
| Hemoglobin plasma (83051) | $69.60 | $116 | 9.5× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $80.40 | $134 | 8.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $169.80 | $283 | 19.4× |
| Hemolysins&Agglutinins Incubated (86941) | $146.40 | $244 | 12.1× |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
$49.80–$88.20 | $83–$147 | varies |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$28.20–$106.80 | $47–$178 | varies |
| Heparin assay (85520) range across 5 matching MRF lines |
$103.20–$258.60 | $172–$431 | varies |
| Heparin Neutralization (85525) | $166.80 | $278 | 14.1× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$38.40–$111 | $64–$185 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$28.20–$112.20 | $47–$187 | varies |
| Hepatitis b core ab total (86704) range across 4 matching MRF lines |
$27–$108 | $45–$180 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$25.20–$103.20 | $42–$172 | varies |
| Hepatitis B Surface Antigen (87340) range across 5 matching MRF lines |
$66–$92.40 | $110–$154 | varies |
| Hepatitis Be Antibody (86707) | $103.20 | $172 | 8.9× |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$25.20–$108 | $42–$180 | varies |
| Hepatitis C Antibody (86803) range across 6 matching MRF lines |
$31.80–$156.60 | $53–$261 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$163.20–$271.80 | $272–$453 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$490.80–$1,306.20 | $818–$2,177 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 3 matching MRF lines |
$254.40–$351.60 | $424–$586 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 8 matching MRF lines |
$378–$681.60 | $630–$1,136 | varies |
| Hepatitis delta ag (87380) range across 2 matching MRF lines |
$145.80–$187.20 | $243–$312 | varies |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$124.80–$164.40 | $208–$274 | varies |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$112.80–$306.60 | $188–$511 | varies |
| Heterophile antibodies titer (86309) range across 2 matching MRF lines |
$46.80–$76.80 | $78–$128 | varies |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$13.20–$54 | $22–$90 | varies |
| Hexa gene analysis common variants (81255) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Hfe Gene (81256) | $36.45 | $60.75 | 0.6× |
| Hgb Quantitative Transcutaneous (88738) | $80.40 | $134 | 16.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $91.80 | $153 | 11.9× |
| Histamine urine (83088) range across 2 matching MRF lines |
$63.60–$214.80 | $106–$358 | varies |
| Histoplasma antibody (86698) | $76.80 | $128 | 5.6× |
| Histoplasma antigen urine (87385) | $206.40 | $344 | 15.6× |
| Hiv Genotype (87901) | $1,868.40 | $3,114 | 7.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$55.20–$230.40 | $92–$384 | varies |
| Hiv-1 Antibody (86701) range across 6 matching MRF lines |
$21–$224.40 | $35–$374 | varies |
| HIV-1 p24 antigen (87390) | $193.20 | $322 | 8.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$404.40–$663.60 | $674–$1,106 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 3 matching MRF lines |
$86.40–$352.80 | $144–$588 | varies |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 9 matching MRF lines |
$45–$220.50 | $75–$367.50 | varies |
| Hla Class I Typing Low Resolution Complete (81372) range across 3 matching MRF lines |
$79.80–$825 | $133–$1,375 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 9 matching MRF lines |
$12–$750 | $20–$1,250 | varies |
| Hla class i&ii antibody qual (86828) range across 2 matching MRF lines |
$196.80–$644.40 | $328–$1,074 | varies |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) range across 2 matching MRF lines |
$1,931.40–$3,628.80 | $3,219–$6,048 | varies |
| Hla class ii high defin qual (86833) range across 4 matching MRF lines |
$801–$3,273 | $1,335–$5,455 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 13 matching MRF lines |
$45–$9,867 | $75–$16,445 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $1,134 | $1,890 | 10.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $10.80 | $18 | 0.1× |
| Hla I Typing 1 Allele Hr (81381) range across 3 matching MRF lines |
$24.15–$220.50 | $40.25–$367.50 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $108 | $180 | 0.5× |
| Hla ii type 1 ag equiv lr (81377) range across 2 matching MRF lines |
$52.50–$55.42 | $87.50–$92.37 | varies |
| Hla ii typing 1 allele hr (81383) | $45 | $75 | 0.4× |
| Hla ii typing 1 locus lr (81376) range across 13 matching MRF lines |
$30–$252 | $50–$420 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 4 matching MRF lines |
$632.40–$697.80 | $1,054–$1,163 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $859.20 | $1,432 | 8.1× |
| Hla-b27 (86812) | $187.20 | $312 | 7.3× |
| Homocysteine (83090) range across 3 matching MRF lines |
$68.40–$162 | $114–$270 | varies |
| Homogenization Tissue (87176) | $97.20 | $162 | 16.5× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$221.40–$280.80 | $369–$468 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$137.40–$312 | $229–$520 | varies |
| Hpv low-risk types (87623) range across 2 matching MRF lines |
$66.60–$254.40 | $111–$424 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$202.80–$402.60 | $338–$671 | varies |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$57.60–$387.60 | $96–$646 | varies |
| Hsv Dna Amp Probe (87529) | $242.40 | $404 | 6.9× |
| Hsv Dna Quant (87530) range across 3 matching MRF lines |
$396–$512.40 | $660–$854 | varies |
| Htlv-I Antibody (86687) range across 3 matching MRF lines |
$28.80–$243.60 | $48–$406 | varies |
| Htlv-ii antibody (86688) range across 3 matching MRF lines |
$39.60–$243.60 | $66–$406 | varies |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$517.20–$543 | $862–$905 | varies |
| Hydroxycorticosteroids 17 (83491) | $392.40 | $654 | 21.9× |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$52.20–$273.60 | $87–$456 | varies |
| Hydroxyproline free (83500) | $271.80 | $453 | 12.0× |
| Iaad Ia Cytomegalovirus (87332) | $138 | $230 | 11.5× |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 3 matching MRF lines |
$94.80–$196.80 | $158–$328 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$75–$351.60 | $125–$586 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $226.80 | $378 | 16.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $278.40 | $464 | 7.9× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$28.80–$120.60 | $48–$201 | varies |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$31.80–$150 | $53–$250 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $125.40 | $209 | 10.5× |
| Iaadi inffluenza a virus (87276) | $142.80 | $238 | 8.9× |
| Iaadi not otherwise specified each organism (87299) | $131.40 | $219 | 8.2× |
| Iaadi parainfluenza virus each type (87279) range across 4 matching MRF lines |
$133.20–$145.80 | $222–$243 | varies |
| Iaadi pneumocustis carinii (87281) range across 3 matching MRF lines |
$87.60–$114.60 | $146–$191 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $152.40 | $254 | 12.7× |
| Iaadi respiratory synctial virus (87280) | $120 | $200 | 8.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$252–$499.80 | $420–$833 | varies |
| Iadna Bartonella Amplified Probe Technique (87471) | $612 | $1,020 | 17.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$254.40–$312 | $424–$520 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$254.40–$383.40 | $424–$639 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $389.40 | $649 | 11.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $526.20 | $877 | 15.0× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$290.40–$654 | $484–$1,090 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$509.40–$669.60 | $849–$1,116 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$107.40–$312 | $179–$520 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $611.40 | $1,019 | 17.4× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$253.80–$463.80 | $423–$773 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $468.60 | $781 | 13.4× |
| Iadna Herpes Virus-6 Quantification (87533) range across 3 matching MRF lines |
$689.40–$790.20 | $1,149–$1,317 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 5 matching MRF lines |
$206.40–$1,444.80 | $344–$2,408 | varies |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) range across 2 matching MRF lines |
$424.80–$517.80 | $708–$863 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 2 matching MRF lines |
$370.20–$603.60 | $617–$1,006 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) range across 2 matching MRF lines |
$156–$439.80 | $260–$733 | varies |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $243 | $405 | 8.9× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $243 | $405 | 12.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 4 matching MRF lines |
$302.40–$385.80 | $504–$643 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $210 | $350 | 7.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$345.60–$566.40 | $576–$944 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$70.80–$257.40 | $118–$429 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 2 matching MRF lines |
$156.60–$244.80 | $261–$408 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $1,035 | $1,725 | 7.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$1,908–$2,575.80 | $3,180–$4,293 | varies |
| Ifnl3 gene analysis rs12979860 variant (81283) range across 2 matching MRF lines |
$219–$225.60 | $365–$376 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$133.80–$154.20 | $223–$257 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$72.60–$118.80 | $121–$198 | varies |
| Igh gene rearrange amp meth (81261) | $203.86 | $339.76 | 1.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $339.72 | $566.20 | 1.2× |
| Igk rearrangeabn clonal pop (81264) | $203.86 | $339.76 | 1.2× |
| Ikbkap Gene Analysis Common Variants (81260) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$654–$2,616 | $1,090–$4,360 | varies |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$212.40–$377.40 | $354–$629 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$199.20–$512.40 | $332–$854 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 27 matching MRF lines |
$84–$1,030.80 | $140–$1,718 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 29 matching MRF lines |
$43.20–$337.80 | $72–$563 | varies |
| Immunoassay nonantibody (83516) range across 32 matching MRF lines |
$38.40–$352.20 | $64–$587 | varies |
| Immunodiffusion not elsewhere specified (86329) | $102 | $170 | 7.3× |
| Immunodiffusion Ouchterlony (86331) | $37.80 | $63 | 3.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$125.40–$199.80 | $209–$333 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$526.80–$934.20 | $878–$1,557 | varies |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
$327–$697.20 | $545–$1,162 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$310.80–$872.40 | $518–$1,454 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $356.40 | $594 | 2.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 3 matching MRF lines |
$45–$91.23 | $75–$152.05 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $133.80 | $223 | 9.3× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $125.40 | $209 | 9.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $109.80 | $183 | 9.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) range across 2 matching MRF lines |
$145.80–$243 | $243–$405 | varies |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) range across 2 matching MRF lines |
$372.60–$619.80 | $621–$1,033 | varies |
| Influenza a/b ag eia (87400) | $113.40 | $189 | 8.0× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$120.60–$133.80 | $201–$223 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$249–$607.20 | $415–$1,012 | varies |
| Inhibin A (86336) range across 3 matching MRF lines |
$61.20–$139.20 | $102–$232 | varies |
| Inhibin b (83520) range across 51 matching MRF lines |
$53.40–$558.60 | $89–$931 | varies |
| Insitu hybridization auto (88367) | $654 | $1,090 | 1.9× |
| Insitu hybridization manual (88368) | $654 | $1,090 | 1.9× |
| Insulin antibodies (86337) | $163.20 | $272 | 7.6× |
| Insulin free (83527) | $121.20 | $202 | 9.4× |
| Insulin total (83525) | $100.80 | $168 | 8.8× |
| Interleukin-6 (83529) range across 3 matching MRF lines |
$64.80–$172.80 | $108–$288 | varies |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$30–$134.40 | $50–$224 | varies |
| Iron (83540) range across 4 matching MRF lines |
$16.80–$69.60 | $28–$116 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$18.60–$78.60 | $31–$131 | varies |
| Irradiation Blood Product Each Unit (86945) | $175.20 | $292 | 4.8× |
| Islet cell antibody (86341) | $262.20 | $437 | 11.1× |
| Jak2 gene analysis p.val617phe variant (81270) range across 5 matching MRF lines |
$65.71–$202.20 | $109.52–$337 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $65.71 | $109.52 | 0.4× |
| Ketosteroids 17 total (83586) | $314.40 | $524 | 24.6× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $302.40 | $504 | 0.9× |
| Koh Prep (87220) | $31.20 | $52 | 7.3× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 2 matching MRF lines |
$455.40–$469.20 | $759–$782 | varies |
| L/s ratio (83661) | $265.20 | $442 | 12.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
$13.80–$52.80 | $23–$88 | varies |
| Lactoferrin fecal qualitative (83630) | $139.20 | $232 | 7.1× |
| Lactoferrin Fecal Quantitative (83631) range across 2 matching MRF lines |
$142.20–$187.80 | $237–$313 | varies |
| Lamellar Body Count (83664) | $284.40 | $474 | 14.7× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$24.60–$93 | $41–$155 | varies |
| LDL direct (83721) | $100.20 | $167 | 9.5× |
| Lead (83655) range across 6 matching MRF lines |
$88.20–$121.80 | $147–$203 | varies |
| Legionella antibody (86713) | $184.20 | $307 | 12.0× |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$190.80–$376.20 | $318–$627 | varies |
| Legionella pneumophila dfa (87278) | $139.20 | $232 | 8.9× |
| Leptospira antibody (86720) | $181.20 | $302 | 11.2× |
| Leukocyte Assessment Fecal (89055) | $40.20 | $67 | 9.4× |
| Level I Surg Pathology Gross Examination Only (88300) range across 5 matching MRF lines |
$54–$315 | $90–$525 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 6 matching MRF lines |
$54–$315 | $90–$525 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 4 matching MRF lines |
$654–$927.60 | $1,090–$1,546 | varies |
| Lidocaine (80176) | $130.20 | $217 | 8.9× |
| Lipase (83690) range across 3 matching MRF lines |
$46.20–$141.60 | $77–$236 | varies |
| Lipoprotein A (83695) | $127.20 | $212 | 8.9× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$65.40–$217.20 | $109–$362 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $81.60 | $136 | 7.2× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $465.60 | $776 | 10.1× |
| Listeria Monocytogenes (86723) range across 2 matching MRF lines |
$334.20–$450 | $557–$750 | varies |
| Lithium (80178) range across 2 matching MRF lines |
$48–$58.80 | $80–$98 | varies |
| Liver ds alys 3 bmrk srm alg (81517) | $240.35 | $400.58 | 1.4× |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$97.20–$176.40 | $162–$294 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$96.60–$258.60 | $161–$431 | varies |
| Lymphocyte transformation (86353) | $355.80 | $593 | 7.3× |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$35.40–$126 | $59–$210 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 3 matching MRF lines |
$592.20–$646.80 | $987–$1,078 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$386.40–$1,552.80 | $644–$2,588 | varies |
| Macroscopic exam arthropod (87168) | $64.80 | $108 | 15.2× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$40.80–$61.80 | $68–$103 | varies |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$33.60–$63.60 | $56–$106 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$195.60–$239.40 | $326–$399 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Meat fibers, feces (89160) | $45.60 | $76 | 9.4× |
| Mercury urine (83825) range across 6 matching MRF lines |
$118.20–$162.60 | $197–$271 | varies |
| Methotrexate (80204) range across 3 matching MRF lines |
$73.80–$217.80 | $123–$363 | varies |
| Methylmalonic acid serum (83921) range across 5 matching MRF lines |
$110.40–$241.20 | $184–$402 | varies |
| Mgmt methylation analysis (81287) range across 2 matching MRF lines |
$537.60–$554.40 | $896–$924 | varies |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$10.80–$55.80 | $18–$93 | varies |
| Microbe Suscept Macrobroth (87188) range across 3 matching MRF lines |
$193.80–$272.40 | $323–$454 | varies |
| Microsomal Antibodies Each (86376) | $137.40 | $229 | 9.4× |
| Mitochondrial Antibody Each (86381) range across 4 matching MRF lines |
$53.40–$255 | $89–$425 | varies |
| Mog-Igg1 Antb Cba Each (86362) | $1,663.20 | $2,772 | 138.0× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$45–$204 | $75–$340 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $307.80 | $513 | 7.3× |
| Molecular Pathology Procedure Level 3 (81402) range across 3 matching MRF lines |
$409.80–$443.40 | $683–$739 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$210–$218.40 | $350–$364 | varies |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$193.80–$255 | $323–$425 | varies |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$123.75–$220.50 | $206.25–$367.50 | varies |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$696.60–$717.60 | $1,161–$1,196 | varies |
| Mopath procedure level 4 (81403) range across 6 matching MRF lines |
$101.35–$1,778.40 | $168.91–$2,964 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$756–$1,031.40 | $1,260–$1,719 | varies |
| Mopath procedure level 7 (81406) range across 3 matching MRF lines |
$173.25–$180.18 | $288.75–$300.30 | varies |
| Morphometric analysis nerve (88356) | $495.60 | $826 | 9.8× |
| Morphometric Analysis Tumor (88358) | $1,180.80 | $1,968 | 7.1× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$196.80–$285 | $328–$475 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $39 | $65 | 0.6× |
| Mucin Clot Body Fluid (83872) | $71.40 | $119 | 12.2× |
| Mumps antibody (86735) | $122.40 | $204 | 9.4× |
| Muscle-Specific Kinase Antb (86366) range across 2 matching MRF lines |
$859.80–$1,317.60 | $1,433–$2,196 | varies |
| Mycobacteric Identification (87118) | $198.60 | $331 | 13.6× |
| Mycophenolic Acid (80180) range across 3 matching MRF lines |
$235.20–$385.20 | $392–$642 | varies |
| Mycoplasma antibody (86738) | $100.80 | $168 | 7.6× |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$138–$167.40 | $230–$279 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $220.50 | $367.50 | 1.3× |
| Myelin basic protein csf (83873) | $153 | $255 | 8.9× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$93.60–$121.20 | $156–$202 | varies |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$102.60–$393.60 | $171–$656 | varies |
| Nerve teasing preparations (88362) range across 2 matching MRF lines |
$1,564.20–$1,881 | $2,607–$3,135 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 2 matching MRF lines |
$245.40–$1,009.80 | $409–$1,683 | varies |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) range across 2 matching MRF lines |
$157.20–$168 | $262–$280 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) range across 2 matching MRF lines |
$1,868.40–$3,107.40 | $3,114–$5,179 | varies |
| Nfct ds chrnc hcv 6 assays (81596) range across 3 matching MRF lines |
$178.20–$319.20 | $297–$532 | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 2 matching MRF lines |
$934.20–$1,554.60 | $1,557–$2,591 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) range across 2 matching MRF lines |
$189–$314.40 | $315–$524 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 2 matching MRF lines |
$3,545.40–$5,898 | $5,909–$9,830 | varies |
| Niacin (84591) range across 5 matching MRF lines |
$178.80–$293.40 | $298–$489 | varies |
| Nickel level (83885) range across 2 matching MRF lines |
$187.20–$296.40 | $312–$494 | varies |
| Nk cells total count (86357) range across 2 matching MRF lines |
$266.40–$359.40 | $444–$599 | varies |
| Noonan Spectrum Disorders (81442) | $723 | $1,205 | 0.3× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $75.60 | $126 | 0.3× |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$428.40–$441.60 | $714–$736 | varies |
| Nuclear antigen antibody (86235) range across 33 matching MRF lines |
$99–$271.80 | $165–$453 | varies |
| Occult blood feces (82272) | $37.20 | $62 | 8.8× |
| Occult Blood Other Sources (82271) | $58.80 | $98 | 11.1× |
| Oligoclonal bands (83916) | $209.40 | $349 | 7.6× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $510.60 | $851 | 2.0× |
| Oncoprotein dcp (83951) range across 2 matching MRF lines |
$467.40–$777.60 | $779–$1,296 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $169.20 | $282 | 10.3× |
| Organic acids urine (83918) | $318.60 | $531 | 13.5× |
| Osmolality serum (83930) range across 3 matching MRF lines |
$18.60–$63 | $31–$105 | varies |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$16.80–$65.40 | $28–$109 | varies |
| Osmotic Fragility RBC Unincubated (85555) range across 2 matching MRF lines |
$294–$309 | $490–$515 | varies |
| Osteocalcin (83937) range across 2 matching MRF lines |
$196.20–$216.60 | $327–$361 | varies |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$48.60–$87.60 | $81–$146 | varies |
| Oxalate urine (83945) | $109.20 | $182 | 7.6× |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$237.60–$295.80 | $396–$493 | varies |
| Particle Agglut Antbdy Titr (86406) | $95.40 | $159 | 9.0× |
| Particle Agglutination Screen Each Antibody (86403) | $123 | $205 | 10.7× |
| Parvovirus antibody (86747) range across 4 matching MRF lines |
$53.40–$145.20 | $89–$242 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $565.80 | $943 | 0.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) range across 4 matching MRF lines |
$129–$484.20 | $215–$807 | varies |
| Pathology Consultation During Surgery (88329) | $51 | $85 | 0.9× |
| Ph urine (81003) range across 6 matching MRF lines |
$12.60–$43.80 | $21–$73 | varies |
| Phenobarbital Level (80184) | $137.40 | $229 | 9.0× |
| Phenotype Infect Agent Drug (87900) | $946.20 | $1,577 | 7.3× |
| Phenylalanine (84030) | $66 | $110 | 12.0× |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$96–$126.60 | $160–$211 | varies |
| Phenytoin free (80186) | $122.40 | $204 | 8.9× |
| Phosphatase acid prostatic (84066) | $75 | $125 | 7.8× |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$11.40–$76.80 | $19–$128 | varies |
| Phosphatidylglycerol (84081) | $181.80 | $303 | 11.0× |
| Phospholipid Neutralization Hexagonal (85598) range across 3 matching MRF lines |
$51–$132.60 | $85–$221 | varies |
| Phosphorus Serum (84100) range across 4 matching MRF lines |
$10.80–$52.20 | $18–$87 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$51.60–$57.60 | $86–$96 | varies |
| Pinworm exam (87172) | $40.20 | $67 | 9.4× |
| Platelet Aggregation (85576) range across 8 matching MRF lines |
$55.80–$250.20 | $93–$417 | varies |
| Platelet Antibodies (86022) range across 11 matching MRF lines |
$121.20–$234.60 | $202–$391 | varies |
| Platelet count automated (85049) range across 3 matching MRF lines |
$10.80–$42.60 | $18–$71 | varies |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$164.40–$199.20 | $274–$332 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $198 | $330 | 1.0× |
| Pooling blood platelets (86965) | $135 | $225 | 0.8× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$61.20–$79.20 | $102–$132 | varies |
| Porphyrins Feces Quantitative (84126) range across 2 matching MRF lines |
$391.20–$597.60 | $652–$996 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 4 matching MRF lines |
$54–$140.40 | $90–$234 | varies |
| Porphyrins, urine; qualitative (84119) | $103.80 | $173 | 7.8× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$42–$48 | $70–$80 | varies |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) | $52.80 | $88 | 0.4× |
| Prealbumin (84134) range across 3 matching MRF lines |
$32.40–$138.60 | $54–$231 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) | $139.20 | $232 | 9.2× |
| Pregnenolone (84140) | $197.40 | $329 | 9.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $693.60 | $1,156 | 4.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$148.80–$175.80 | $248–$293 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $264 | $440 | 9.4× |
| Primidone (80188) | $120.60 | $201 | 7.3× |
| Procalcitonin (Pct) (84145) range across 3 matching MRF lines |
$238.80–$364.20 | $398–$607 | varies |
| Progesterone (84144) | $195.60 | $326 | 9.4× |
| Prolactin (84146) range across 3 matching MRF lines |
$48–$185.40 | $80–$309 | varies |
| Prostaglandin (84150) range across 2 matching MRF lines |
$79.80–$319.20 | $133–$532 | varies |
| Protein body fluid (84157) | $36.60 | $61 | 9.2× |
| Protein C Activity (85303) range across 3 matching MRF lines |
$42.60–$119.40 | $71–$199 | varies |
| Protein c antigen (85302) range across 3 matching MRF lines |
$32.40–$108.60 | $54–$181 | varies |
| Protein Electrophoresis Urine (84166) range across 8 matching MRF lines |
$45–$194.40 | $75–$324 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$28.20–$96 | $47–$160 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$44.40–$132 | $74–$220 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$25.80–$104.40 | $43–$174 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$9.60–$32.40 | $16–$54 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$16.20–$34.20 | $27–$57 | varies |
| Protein Western Blot Test (84182) range across 8 matching MRF lines |
$227.40–$1,221 | $379–$2,035 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 3 matching MRF lines |
$14.40–$37.20 | $24–$62 | varies |
| Protoporphyrin rbc quantitative (84202) | $123.60 | $206 | 8.6× |
| PSA free (84154) range across 3 matching MRF lines |
$42–$185.40 | $70–$309 | varies |
| Pth Intact (83970) range across 3 matching MRF lines |
$94.20–$387 | $157–$645 | varies |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$18–$114 | $30–$190 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$25.20–$92.40 | $42–$154 | varies |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$144–$473.40 | $240–$789 | varies |
| Quantitative assay drug (80299) range across 48 matching MRF lines |
$52.20–$899.40 | $87–$1,499 | varies |
| Quantitative Screen Metals (83018) range across 6 matching MRF lines |
$90–$385.80 | $150–$643 | varies |
| Quinidine (80194) | $31.80 | $53 | 2.2× |
| Rbc antibody elution (86860) | $244.20 | $407 | 1.5× |
| Rbc antibody identification (86870) | $258 | $430 | 0.7× |
| Rbc antibody screen (86850) range across 5 matching MRF lines |
$116.40–$184.80 | $194–$308 | varies |
| Rbc pretreatment serum (86978) | $151.20 | $252 | 2.6× |
| Rbc pretx incubatj w/enzymes (86971) | $210 | $350 | 1.3× |
| Rbc serum pretx incubj drugs (86975) | $264 | $440 | 0.6× |
| Reagent Strip/Blood Glucose (82948) | $13.20 | $22 | 2.6× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $631.20 | $1,052 | 8.9× |
| Receptor assay estrogen (84233) | $777.60 | $1,296 | 8.8× |
| Receptor assay progesterone (84234) | $782.40 | $1,304 | 12.1× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$69–$196.20 | $115–$327 | varies |
| Reptilase test (85635) | $177.60 | $296 | 18.0× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$886.20–$932.40 | $1,477–$1,554 | varies |
| Resp Virus 6-11 Targets (87632) | $1,716 | $2,860 | 7.9× |
| Reticulated Platelet Assay (85055) range across 2 matching MRF lines |
$78.60–$190.80 | $131–$318 | varies |
| Reticulocyte Count Manual (85044) | $52.80 | $88 | 12.3× |
| Reticulocyte separation (86972) | $194.40 | $324 | 1.2× |
| Rh (86901) range across 4 matching MRF lines |
$33–$69 | $55–$115 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$44.40–$62.40 | $74–$104 | varies |
| Rheumatoid factor quant (86431) range across 4 matching MRF lines |
$14.40–$62.40 | $24–$104 | varies |
| Rickettsia antibody (86757) range across 7 matching MRF lines |
$86.40–$213 | $144–$355 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$118.80–$175.20 | $198–$292 | varies |
| Rotavirus ag eia (87425) | $123.60 | $206 | 10.3× |
| Rpr qualitative (86592) range across 8 matching MRF lines |
$16.20–$1,938 | $27–$3,230 | varies |
| Rsv ab (86756) | $155.40 | $259 | 9.8× |
| Rsv Assay W/Optic (87807) | $138.60 | $231 | 10.6× |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$37.20–$135 | $62–$225 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$93.60–$121.20 | $156–$202 | varies |
| Rufinamide (80210) | $249.60 | $416 | 9.2× |
| Russell Viper Venom Time Diluted (85613) range across 12 matching MRF lines |
$61.80–$87.60 | $103–$146 | varies |
| Russell Viper Venon Time Undiluted (85612) | $126.60 | $211 | 7.2× |
| Salicylate Level (80179) range across 3 matching MRF lines |
$207–$338.40 | $345–$564 | varies |
| Salmonella antibody (86768) | $337.80 | $563 | 25.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$84–$104.40 | $140–$174 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 7 matching MRF lines |
$74.40–$108.60 | $124–$181 | varies |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$300–$1,035 | $500–$1,725 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 3 matching MRF lines |
$369–$415.20 | $615–$692 | varies |
| Sedimentation rate (85651) | $39.60 | $66 | 9.3× |
| Sedimentation Rate, Automated (85652) range across 3 matching MRF lines |
$10.80–$25.80 | $18–$43 | varies |
| Selenium (84255) range across 2 matching MRF lines |
$80.40–$194.40 | $134–$324 | varies |
| Semen Anal Sperm Detection (89321) range across 2 matching MRF lines |
$87.60–$149.40 | $146–$249 | varies |
| Semen analysis complete (89322) | $193.20 | $322 | 12.5× |
| Semen analysis complete (89320) | $176.40 | $294 | 14.3× |
| Semen analysis motility and count (89310) | $105 | $175 | 12.2× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $96 | $160 | 9.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$240.60–$401.40 | $401–$669 | varies |
| Serpina 1 gene (81332) | $108 | $180 | 2.5× |
| Sex Chromatin Identification Barr Bodies (88130) range across 2 matching MRF lines |
$130.20–$186.60 | $217–$311 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$56.40–$207.60 | $94–$346 | varies |
| Sickling of rbc reduction (85660) range across 7 matching MRF lines |
$14.40–$81.60 | $24–$136 | varies |
| Sirolimus (80195) range across 3 matching MRF lines |
$99.60–$130.80 | $166–$218 | varies |
| Skin test tuberculosis intradermal (86580) | $43.20 | $72 | 1.5× |
| Smear acid fast (87206) range across 5 matching MRF lines |
$18–$66 | $30–$110 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$55.80–$138 | $93–$230 | varies |
| Smear gram stain (87205) range across 5 matching MRF lines |
$13.20–$99.60 | $22–$166 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$46.20–$64.80 | $77–$108 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) range across 6 matching MRF lines |
$40.80–$551.25 | $68–$918.75 | varies |
| Smpd1 Gene Analysis Common Variants (81330) range across 2 matching MRF lines |
$786.60–$810.60 | $1,311–$1,351 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$51.60–$55.80 | $86–$93 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $135 | $225 | 2.6× |
| Sodium Serum (84295) range across 5 matching MRF lines |
$10.20–$45.60 | $17–$76 | varies |
| Sodium Urine (84300) range across 5 matching MRF lines |
$9.60–$52.20 | $16–$87 | varies |
| Soluble Transferrin Receptor (84238) range across 6 matching MRF lines |
$93–$367.80 | $155–$613 | varies |
| Somatomedin (84305) | $189 | $315 | 8.9× |
| Special Stains Group 1 (88312) range across 6 matching MRF lines |
$100.20–$375 | $167–$625 | varies |
| Special Stains Group 2 (88313) range across 7 matching MRF lines |
$111.60–$422.40 | $186–$704 | varies |
| Specific gravity body fluid (84315) | $30 | $50 | 9.1× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$48.60–$62.40 | $81–$104 | varies |
| Spectrophotometry (84311) range across 11 matching MRF lines |
$28.20–$442.80 | $47–$738 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $1,222.80 | $2,038 | 7.4× |
| Stem cells total count (86367) range across 2 matching MRF lines |
$417–$542.40 | $695–$904 | varies |
| Stool cultr aerobic bact ea (87046) range across 5 matching MRF lines |
$68.40–$103.80 | $114–$173 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$27.60–$124.80 | $46–$208 | varies |
| Strep b DNA amp probe (87653) | $312 | $520 | 8.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $112.20 | $187 | 1.2× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 2 matching MRF lines |
$40.20–$66 | $67–$110 | varies |
| Sugars Single Qual (84376) | $110.40 | $184 | 20.1× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$19.20–$122.40 | $32–$204 | varies |
| Surg path level iii (88304) range across 6 matching MRF lines |
$98.40–$394.80 | $164–$658 | varies |
| Surgical pathology level IV (88305) range across 10 matching MRF lines |
$115.20–$518.40 | $192–$864 | varies |
| Surgical pathology level vi (88309) range across 5 matching MRF lines |
$777.60–$1,706.40 | $1,296–$2,844 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $42 | $70 | 8.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 3 matching MRF lines |
$66.60–$75 | $111–$125 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 3 matching MRF lines |
$62.40–$170.40 | $104–$284 | varies |
| Sweat Collection Iontophoresis (89230) | $98.40 | $164 | 1.9× |
| Syphilis Test Non-Trep Quant (86593) range across 5 matching MRF lines |
$31.80–$96.60 | $53–$161 | varies |
| T cells absolute cd4 count (86361) range across 3 matching MRF lines |
$61.20–$255 | $102–$425 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$112.80–$472.20 | $188–$787 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$99–$336 | $165–$560 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$168–$169.80 | $280–$283 | varies |
| T3 reverse (84482) | $151.20 | $252 | 9.6× |
| T3 Total (84480) range across 3 matching MRF lines |
$31.80–$142.20 | $53–$237 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$13.80–$58.20 | $23–$97 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$58.80–$135 | $98–$225 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$13.80–$61.20 | $23–$102 | varies |
| Tacrolimus (80197) range across 3 matching MRF lines |
$36–$166.80 | $60–$278 | varies |
| Tau phosphorylated each (84393) | $412.80 | $688 | 3.2× |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) | $52.80 | $88 | 0.4× |
| Test for acetone/ketones (82009) | $55.80 | $93 | 12.3× |
| Testosterone Bioavailable (84410) range across 3 matching MRF lines |
$165.60–$410.40 | $276–$684 | varies |
| Testosterone total (84403) range across 3 matching MRF lines |
$63–$231 | $105–$385 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$88.20–$244.20 | $147–$407 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$107.40–$175.80 | $179–$293 | varies |
| Theophylline (80198) | $126.60 | $211 | 9.0× |
| Thiocyanate (84430) | $205.20 | $342 | 17.6× |
| Thiopurine methyltransferase (84433) range across 2 matching MRF lines |
$324.60–$325.20 | $541–$542 | varies |
| Thrombin Time (85670) range across 6 matching MRF lines |
$39.60–$247.80 | $66–$413 | varies |
| Thromboplastin Inhibition Tissue (85705) range across 5 matching MRF lines |
$22.20–$82.80 | $37–$138 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 12 matching MRF lines |
$43.20–$1,173.60 | $72–$1,956 | varies |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) range across 2 matching MRF lines |
$69–$254.40 | $115–$424 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$89.40–$186 | $149–$310 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$36.60–$159.60 | $61–$266 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$97.20–$477 | $162–$795 | varies |
| Thyroxine binding globulin (84442) | $140.40 | $234 | 9.5× |
| Tiss cul neo disorders solid tumor (88239) | $1,071 | $1,785 | 7.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 12 matching MRF lines |
$24–$115.20 | $40–$192 | varies |
| Tissue Culture (88233) | $1,253.40 | $2,089 | 8.9× |
| Tissue Culture Amniotic Fluid (88235) range across 3 matching MRF lines |
$286.80–$1,090.20 | $478–$1,817 | varies |
| Tissue culture bone marrow (88237) range across 4 matching MRF lines |
$346.80–$520.80 | $578–$868 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$222–$944.40 | $370–$1,574 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$117.60–$151.80 | $196–$253 | varies |
| Topiramate (80201) | $106.80 | $178 | 9.0× |
| Total Tau (84394) | $412.80 | $688 | 3.2× |
| Touch prep (88161) | $205.20 | $342 | 7.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 3 matching MRF lines |
$57–$188.40 | $95–$314 | varies |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$34.20–$137.40 | $57–$229 | varies |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$31.80–$144.60 | $53–$241 | varies |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$409.80–$430.29 | $683–$717.15 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$13.20–$49.80 | $22–$83 | varies |
| Transferrin (84466) range across 3 matching MRF lines |
$30–$121.80 | $50–$203 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $113.52 | $189.20 | 0.5× |
| Trg gene rearrangement anal (81342) | $113.52 | $189.20 | 0.6× |
| Trichinella Antibody (86784) | $152.40 | $254 | 12.1× |
| Trichomonas vagin dir probe (87660) | $145.80 | $243 | 7.3× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$82.80–$322.20 | $138–$537 | varies |
| Triglycerides (84478) range across 5 matching MRF lines |
$13.80–$60 | $23–$100 | varies |
| Troponin Quant (84484) range across 4 matching MRF lines |
$24.60–$159 | $41–$265 | varies |
| Trypsin feces qual (84488) | $88.20 | $147 | 12.1× |
| Tumor immunohistochem/comput (88361) range across 3 matching MRF lines |
$711–$1,067.40 | $1,185–$1,779 | varies |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$726–$1,180.80 | $1,210–$1,968 | varies |
| Ugt1a1 gene analysis common variants (81350) | $150 | $250 | 0.6× |
| Unlisted miscellaneous pathology test (89240) | $98.40 | $164 | 1.9× |
| Unlisted Transfusion Medicine Procedure (86999) | $10,027.20 | $16,712 | 357.5× |
| Urea Nitrogen Clearance (84545) | $69.60 | $116 | 9.7× |
| Urea nitrogen urine (84540) | $49.80 | $83 | 9.0× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$45–$48.60 | $75–$81 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$8.40–$33.60 | $14–$56 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$22.80–$37.20 | $38–$62 | varies |
| Urinalysis Volume Measure (81050) range across 3 matching MRF lines |
$13.20–$34.80 | $22–$58 | varies |
| Urine Albumin Semiquantitative (82044) | $45 | $75 | 7.2× |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$58.80–$81.60 | $98–$136 | varies |
| Urine Pregnancy Test (81025) range across 6 matching MRF lines |
$17.40–$82.20 | $29–$137 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$8.40–$44.40 | $14–$74 | varies |
| Valproic acid (80164) range across 3 matching MRF lines |
$31.20–$129 | $52–$215 | varies |
| Vancomycin (80202) range across 5 matching MRF lines |
$97.80–$129 | $163–$215 | varies |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$106.80–$151.80 | $178–$253 | varies |
| Vasopressin (84588) | $301.80 | $503 | 8.9× |
| Very Long Chain Fatty Acids (82726) | $310.80 | $518 | 15.7× |
| Viral Culture (87252) range across 4 matching MRF lines |
$73.20–$188.40 | $122–$314 | varies |
| Virus antibody nos (86790) range across 14 matching MRF lines |
$169.20–$452.40 | $282–$754 | varies |
| Virus inoculate tissue addl (87253) | $226.80 | $378 | 11.2× |
| Virus inoculation, shell via (87254) range across 4 matching MRF lines |
$120–$155.40 | $200–$259 | varies |
| Viscosity serum (85810) range across 3 matching MRF lines |
$37.20–$111.60 | $62–$186 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 3 matching MRF lines |
$88.80–$342.60 | $148–$571 | varies |
| Vitamin A (84590) range across 3 matching MRF lines |
$37.80–$110.40 | $63–$184 | varies |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$34.80–$134.40 | $58–$224 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$64.80–$180.60 | $108–$301 | varies |
| Vitamin B6 (84207) range across 3 matching MRF lines |
$66.60–$282 | $111–$470 | varies |
| Vitamin c (82180) range across 3 matching MRF lines |
$52.80–$99 | $88–$165 | varies |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$93–$277.20 | $155–$462 | varies |
| Vitamin E (84446) range across 3 matching MRF lines |
$44.40–$135.60 | $74–$226 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$36–$128.40 | $60–$214 | varies |
| Volatiles (84600) range across 3 matching MRF lines |
$124.20–$142.20 | $207–$237 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$828.60–$1,350.60 | $1,381–$2,251 | varies |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $1,138.80 | $1,898 | 6.9× |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$67.80–$204 | $113–$340 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$62.40–$98.40 | $104–$164 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$36–$269.40 | $60–$449 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$95.40–$269.40 | $159–$449 | varies |
| Western Blot Test (84181) range across 4 matching MRF lines |
$193.20–$316.20 | $322–$527 | varies |
| Xm Archive Tissue Molec Anal (88363) | $144.60 | $241 | 5.2× |
| Xylose Absorption Test (84620) | $424.20 | $707 | 32.9× |
| Zika Virus Dna/Rna Amp Probe (87662) | $372.60 | $621 | 7.3× |
| Zika Virus Igm Antibody (86794) range across 3 matching MRF lines |
$178.80–$226.80 | $298–$378 | varies |
| Zinc (84630) range across 3 matching MRF lines |
$66–$165 | $110–$275 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.