| Analysis skeletal muscle (88355) |
$655.85 |
$1,124.31 |
4.1× |
| Antibody Titer (86886) |
$655.85 |
$1,124.31 |
126.6× |
| Antigen typing (86905) |
$75.43 |
$129.30 |
19.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) |
$655.85 |
$1,124.31 |
114.7× |
| Asstd Fertilization Microtq > 10 Oocytes (89281) |
$655.85 |
$1,124.31 |
4.1× |
| Asstd oocyte fert 10 or less (89280) |
$321.04 |
$550.35 |
0.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) |
$655.85 |
$1,124.31 |
4.1× |
| Autol bld/component collj storage salvage (86891) |
$190.26 |
$326.16 |
0.3× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) |
$655.85 |
$1,124.31 |
4.1× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) |
$655.85 |
$1,124.31 |
4.1× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
$672.12 |
$1,152.21 |
13.7× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) |
$279.93 |
$479.88 |
10.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$655.85 |
$1,124.31 |
4.1× |
| Bld Typing Serologic Rh Phnt (86906) |
$321.04 |
$550.35 |
41.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) |
$321.04 |
$550.35 |
19.6× |
| Blood typing serologic abo (86900) |
$259.37 |
$444.63 |
86.7× |
| Bone marrow smear interpretation (85097) |
$279.93 |
$479.88 |
0.4× |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) |
$655.85 |
$1,124.31 |
4.1× |
| Cell marker study (88182) |
$213.75 |
$366.42 |
4.4× |
| Compatibility Each Unit Incubation (86921) |
$655.85 |
$1,124.31 |
4.1× |
| Compatibility test antiglob (86922) |
$655.85 |
$1,124.31 |
4.1× |
| Consltj Compre Review Reprt Referred Matrl (88325) |
$655.85 |
$1,124.31 |
4.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) |
$672.12 |
$1,152.21 |
13.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) |
$321.46 |
$551.07 |
9.2× |
| Coombs direct (86880) |
$1,479.36 |
$2,536.05 |
274.5× |
| Crossmatch electronic (86923) |
$655.85 |
$1,124.31 |
4.1× |
| Crossmatch immediate spin (86920) |
$655.85 |
$1,124.31 |
4.1× |
| Cryopreservation, reproductive tissue, testicular (89335) |
$672.12 |
$1,152.21 |
13.7× |
| Cryopreservation; embryo(s) (89258) |
$321.04 |
$550.35 |
0.4× |
| Cryopreservation; sperm (89259) |
$655.85 |
$1,124.31 |
4.1× |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) |
$237.44 |
$407.04 |
1.5× |
| Culture oocyte/embryos<4day (89250) |
$655.85 |
$1,124.31 |
4.1× |
| Cytopath Cell Enhance Tech (88112) |
$672.12 |
$1,152.21 |
13.7× |
| Cytopath Fl Nongyn Filter (88106) |
$279.93 |
$479.88 |
10.3× |
| Cytopath unlstd proc (88199) |
$672.12 |
$1,152.21 |
13.7× |
| Cytp Concentration Smears & Interpretation (88108) |
$321.46 |
$551.07 |
9.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$672.12 |
$1,152.21 |
13.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) |
$655.85 |
$1,124.31 |
4.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) |
$321.46 |
$551.07 |
9.2× |
| Cytp smrs any oth src extnd std > 5 slides (88162) |
$672.12 |
$1,152.21 |
13.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) |
$279.93 |
$479.88 |
10.3× |
| Electron Microscopy (88348) |
$321.04 |
$550.35 |
0.4× |
| Embryo hatching microtechnique (89253) |
$655.85 |
$1,124.31 |
4.1× |
| Enzyme histochemistry (88319) |
$321.04 |
$550.35 |
0.4× |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) |
$321.04 |
$550.35 |
0.4× |
| Flow cytometry first marker (88184) |
$258.88 |
$443.79 |
0.8× |
| Forensic Cytopathology (88125) |
$672.12 |
$1,152.21 |
13.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) |
$317.10 |
$543.60 |
2.0× |
| Frozen Blood Each Unit Freezing (86930) |
$75.43 |
$129.30 |
0.5× |
| Frozen Blood Each Unit Thawing (86931) |
$75.43 |
$129.30 |
0.5× |
| Frozen blood freeze/thaw (86932) |
$321.04 |
$550.35 |
9.2× |
| Frozen Section (88331) |
$655.85 |
$1,124.31 |
4.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$258.88 |
$443.79 |
1.6× |
| Immunohistochemistry (88342) |
$217.88 |
$373.50 |
1.4× |
| In situ hybridization 1st probe stain (88365) |
$655.85 |
$1,124.31 |
4.1× |
| Insemination of oocytes (89268) |
$655.85 |
$1,124.31 |
4.1× |
| Insitu hybridization auto (88367) |
$258.88 |
$443.79 |
0.8× |
| Insitu hybridization manual (88368) |
$258.88 |
$443.79 |
0.8× |
| Irradiation Blood Product Each Unit (86945) |
$321.04 |
$550.35 |
9.2× |
| Leukocyte transfusion (86950) |
$655.85 |
$1,124.31 |
4.1× |
| Level I Surg Pathology Gross Examination Only (88300) |
$279.93 |
$479.88 |
10.3× |
| Level ii surg pathology grossµscopic exam (88302) |
$279.93 |
$479.88 |
8.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) |
$258.88 |
$443.79 |
0.8× |
| Morphometric analysis nerve (88356) |
$672.12 |
$1,152.21 |
13.7× |
| Morphometric Analysis Tumor (88358) |
$217.88 |
$373.50 |
1.4× |
| Nerve teasing preparations (88362) |
$321.04 |
$550.35 |
0.4× |
| Oocyte identification from follicular fluid (89254) |
$655.85 |
$1,124.31 |
4.1× |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) |
$258.88 |
$443.79 |
1.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$321.04 |
$550.35 |
0.4× |
| Pathology Consultation During Surgery (88329) |
$321.46 |
$551.07 |
5.8× |
| Pooling blood platelets (86965) |
$655.85 |
$1,124.31 |
4.1× |
| Preparation of embryo for transfer (89255) |
$672.12 |
$1,152.21 |
13.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) |
$655.85 |
$1,124.31 |
4.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) |
$321.04 |
$550.35 |
5.8× |
| Pretx serum rbc antibody identification dilution (86976) |
$279.93 |
$479.88 |
10.3× |
| Rbc antibody elution (86860) |
$655.85 |
$1,124.31 |
4.1× |
| Rbc antibody identification (86870) |
$258.88 |
$443.79 |
0.8× |
| Rbc antibody screen (86850) |
$672.12 |
$1,152.21 |
68.8× |
| Rbc pretreatment serum (86978) |
$321.46 |
$551.07 |
5.8× |
| Rbc pretx incubatj w/enzymes (86971) |
$75.43 |
$129.30 |
0.5× |
| Rbc serum pretx incubj drugs (86975) |
$177.68 |
$304.59 |
0.4× |
| Reticulocyte separation (86972) |
$655.85 |
$1,124.31 |
4.1× |
| Rh (86901) |
$321.04 |
$550.35 |
107.4× |
| Skin Test Candida (86485) |
$279.93 |
$479.88 |
10.3× |
| Skin test tuberculosis intradermal (86580) |
$279.93 |
$479.88 |
10.3× |
| Skin test unlisted antigen each (86486) |
$279.93 |
$479.88 |
10.3× |
| Skin test; histoplasmosis (86510) |
$1,469.53 |
$2,519.19 |
41.9× |
| Special Stains Group 1 (88312) |
$672.12 |
$1,152.21 |
13.7× |
| Special Stains Group 2 (88313) |
$321.46 |
$551.07 |
2.6× |
| Sperm identification from aspiration (89257) |
$672.12 |
$1,152.21 |
13.7× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) |
$672.12 |
$1,152.21 |
13.7× |
| Splitting Blood/Blood Products Each Unit (86985) |
$655.85 |
$1,124.31 |
4.1× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) |
$672.12 |
$1,152.21 |
13.7× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) |
$672.12 |
$1,152.21 |
13.7× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
$655.85 |
$1,124.31 |
4.1× |
| Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) |
$655.85 |
$1,124.31 |
4.1× |
| Storage per Year Embryo (89342) |
$655.85 |
$1,124.31 |
4.1× |
| Storage per year sperm/semen (89343) |
$655.85 |
$1,124.31 |
4.1× |
| Surg path level iii (88304) |
$672.12 |
$1,152.21 |
13.7× |
| Surgical pathology level IV (88305) |
$672.12 |
$1,152.21 |
13.7× |
| Surgical pathology level vi (88309) |
$321.04 |
$550.35 |
0.4× |
| Sweat Collection Iontophoresis (89230) |
$672.12 |
$1,152.21 |
13.7× |
| Thaw cryoprsvrd reprod tiss (89354) |
$655.85 |
$1,124.31 |
4.1× |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) |
$655.85 |
$1,124.31 |
4.1× |
| Thawing Cryopresrved Sperm (89353) |
$672.12 |
$1,152.21 |
13.7× |
| Thawing of cryopreserved embryos (89352) |
$655.85 |
$1,124.31 |
4.1× |
| Touch prep (88161) |
$279.93 |
$479.88 |
10.3× |
| Tumor immunohistochem/comput (88361) |
$258.88 |
$443.79 |
0.8× |
| Tumor Immunohistochem/Manual (88360) |
$222.64 |
$381.66 |
1.4× |
| Unlisted Cytogenetic Study (88299) |
$672.12 |
$1,152.21 |
13.7× |
| Unlisted miscellaneous pathology test (89240) |
$672.12 |
$1,152.21 |
13.7× |
| Unlisted reproductive medicine lab procedure (89398) |
$672.12 |
$1,152.21 |
13.7× |
| Unlisted Surgical Pathology Procedure (88399) |
$672.12 |
$1,152.21 |
13.7× |
| Unlisted Transfusion Medicine Procedure (86999) |
$279.93 |
$479.88 |
10.3× |
| Volume Reduction Blood/Blood Product Each Unit (86960) |
$655.85 |
$1,124.31 |
4.1× |