Lab & pathology prices at Overlake Medical Center & Clinics
Bellevue, WA · every code in this section with a posted price and a Medicare benchmark.
573 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $14.21 | $28.42 | 0.4× |
| 5 Nucleotidase (83915) | $14.10 | $28.20 | 1.3× |
| Acetaminophen level (80143) | $67.68 | $135.35 | 3.6× |
| Acetylcholine receptor binding antibody (86041) | $26.70 | $53.40 | 1.5× |
| Acetylcholine receptor blocking antibody (86042) | $40.18 | $80.35 | 2.2× |
| Acth stimulation panel adrenal insufficiency (80400) | $523 | $1,046 | 16.0× |
| Actin smooth muscle antibody each (86015) | $14.70 | $29.40 | 1.2× |
| Activated protein c resistance (85307) | $31.30 | $62.60 | 2.0× |
| Acute hepatitis panel (80074) | $32.12 | $64.25 | 0.7× |
| Adamts13 activity (85397) | $109.50 | $219 | 3.5× |
| Adrenocorticotropic hormone (82024) | $14.10 | $28.20 | 0.4× |
| Afp maternal serum (82105) | $14.28 | $28.56 | 0.9× |
| Albumin body fluid (82042) | $11.65 | $23.30 | 1.5× |
| Albumin serum (82040) | $10.42 | $20.85 | 2.1× |
| Aldolase (82085) | $10.20 | $20.40 | 1.1× |
| Aldosterone urine (82088) | $15.60 | $31.20 | 0.4× |
| Alkaline phosphatase isoenzymes (84080) | $16.70 | $33.41 | 1.1× |
| Allergen peanut (86003) | $6.56 | $13.12 | 1.3× |
| Allergen specific igg (86001) | $5.20 | $10.39 | 0.7× |
| Alpha-1-antitrypsin phenotype (82104) | $15.06 | $30.11 | 1.0× |
| Alpha-1-antitrypsin, total (82103) | $14.28 | $28.56 | 1.1× |
| Alt (sgpt) (84460) | $20.50 | $41 | 3.9× |
| Amylase urine (82150) | $37.25 | $74.50 | 5.7× |
| Angiotensin i enzyme test (82164) | $22.92 | $45.84 | 1.6× |
| Anti-phosphatidylserine antibody (86148) | $25.10 | $50.20 | 1.6× |
| Antibody aspergillus (86606) | $8.70 | $17.39 | 0.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $14.14 | $28.28 | 0.9× |
| Antibody coxiella burnetii q fever (86638) | $25.50 | $51 | 2.1× |
| Antibody cytomegalovirus cmv (86644) | $13.35 | $26.70 | 0.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $22.01 | $44.02 | 1.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $9.82 | $19.65 | 0.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $10.82 | $21.65 | 0.8× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $122.40 | $244.80 | 8.9× |
| Antibody HIV-2 (86702) | $29.24 | $58.46 | 2.2× |
| Antibody identification (86870) | $192.50 | $385 | 0.5× |
| Antibody Listeria Monocytogenes (86723) | $95.10 | $190.20 | 7.2× |
| Antibody mumps (86735) | $14.46 | $28.92 | 1.1× |
| Antibody Protozoa Nes (86753) | $26.92 | $53.85 | 2.2× |
| Antibody screen (86850) | $51.88 | $103.75 | 5.3× |
| Antibody treponema pallidum (86780) | $12.70 | $25.39 | 1.0× |
| Antibody; Coccidioides (86635) | $19.50 | $39 | 1.7× |
| Antigen typing (86905) | $126.25 | $252.50 | 33.0× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $225 | $450 | 43.4× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $9.57 | $19.15 | 0.8× |
| Antinomyces antibody (86602) | $9.69 | $19.38 | 1.0× |
| Antinuclear antibodies (86038) | $11.99 | $23.98 | 1.0× |
| Antistreptolysin o titer (86060) | $10.20 | $20.40 | 1.4× |
| Antithrombin iii activity (85300) | $26.16 | $52.33 | 2.2× |
| Antithrombin iii antigen (85301) | $22.23 | $44.46 | 2.1× |
| Apolipoprotein each (82172) | $58.19 | $116.38 | 2.8× |
| Aquaporin-4 Antb Elisa (86051) | $458.70 | $917.40 | 39.8× |
| Arsenic Urine (82175) | $12.05 | $24.10 | 0.6× |
| Aspergillus ag eia (87305) | $53.10 | $106.20 | 4.4× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $63.35 | $126.71 | 1.2× |
| Assay Lipoprotein Pla2 (83698) | $51.90 | $103.80 | 1.1× |
| Assay of 5-hiaa (83497) | $10.82 | $21.63 | 0.8× |
| Assay of ammonia (82140) | $75.50 | $151 | 5.2× |
| Assay of androstenedione (82157) | $113 | $226.01 | 3.9× |
| Assay of anti-mullerian hormone (82166) | $49.50 | $99 | 1.3× |
| Assay of c-peptide (84681) | $13.20 | $26.40 | 0.6× |
| Assay of ceruloplasmin (82390) | $13.20 | $26.40 | 1.2× |
| Assay of citrate (82507) | $24.30 | $48.60 | 0.9× |
| Assay of cpk in blood (82552) | $6.75 | $13.50 | 0.5× |
| Assay of creatine (82540) | $13.88 | $27.77 | 3.0× |
| Assay of cyclosporine (80158) | $23.10 | $46.20 | 1.3× |
| Assay of dibucaine number (82638) | $10.86 | $21.73 | 0.9× |
| Assay of erythropoietin (82668) | $14.70 | $29.40 | 0.8× |
| Assay of estrone (82679) | $18.02 | $36.05 | 0.7× |
| Assay of ethosuximide (80168) | $25.52 | $51.05 | 1.6× |
| Assay of ferritin (82728) | $30.98 | $61.96 | 2.3× |
| Assay of g6pd enzyme (82955) | $5.55 | $11.10 | 0.6× |
| Assay of gammaglobulin igm (82784) | $10.86 | $21.73 | 1.2× |
| Assay of gastrin (82941) | $12.90 | $25.80 | 0.7× |
| Assay of gentamicin (80170) | $211 | $422 | 12.9× |
| Assay of homocystine (83090) | $20.24 | $40.47 | 1.1× |
| Assay of lactic acid (83605) | $80.50 | $161 | 7.0× |
| Assay of lipoprotein(a) (83695) | $15.78 | $31.56 | 1.1× |
| Assay of metanephrines (83835) | $21 | $42 | 1.2× |
| Assay of phenobarbital (80184) | $15.90 | $31.80 | 1.0× |
| Assay of prealbumin (84134) | $62.50 | $125 | 4.3× |
| Assay of proinsulin (84206) | $29.10 | $58.20 | 1.1× |
| Assay of prolactin (84146) | $51.74 | $103.48 | 2.7× |
| Assay of pyruvate (84210) | $69.50 | $139 | 4.8× |
| Assay of tacrolimus (80197) | $33.90 | $67.80 | 2.5× |
| Assay of topiramate (80201) | $18.30 | $36.60 | 1.5× |
| Assay of urine vma (84585) | $12.02 | $24.05 | 0.8× |
| Assay of vasopressin anti-diuretic hormone (84588) | $47.10 | $94.20 | 1.4× |
| Assay of vitamin k (84597) | $80.10 | $160.20 | 5.8× |
| Ast (sgot) (84450) | $33 | $66 | 6.4× |
| B cells total count (86355) | $491.70 | $983.40 | 13.0× |
| Bartonella antibody (86611) | $11.67 | $23.34 | 1.1× |
| Bcr/abl1 gene major bp (81206) | $315.14 | $630.27 | 1.9× |
| Bcr/abl1 gene minor bp (81207) | $227.96 | $455.92 | 1.6× |
| Beta 2 glycoprotein 1 igm (86146) | $20.24 | $40.47 | 0.8× |
| Beta hydroxybutyrate (82010) | $31.50 | $63 | 3.9× |
| Beta-2 microglobulin (82232) | $14.70 | $29.40 | 0.9× |
| Bile acids, total (82239) | $12.90 | $25.80 | 0.8× |
| Bilirubin direct (82248) | $19.50 | $39 | 3.9× |
| Bilirubin total (82247) | $28.44 | $56.88 | 5.7× |
| Bilirubin total transcutaneous (88720) | $62 | $124 | 12.4× |
| Blastomyces antibody (86612) | $21.87 | $43.74 | 1.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $131.25 | $262.50 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) | $187.50 | $375 | 24.2× |
| Blood gas (82803) | $109 | $218 | 4.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $54 | $108 | 3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12.39 | $24.78 | 2.8× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $126.25 | $252.50 | 19.9× |
| Blood typing abo (86900) | $30 | $60 | 10.0× |
| Blood typing serologic rh (d) (86901) | $33.44 | $66.88 | 11.2× |
| Body fluid cell count (89051) | $210 | $420 | 37.5× |
| Body fluid cell count (89050) | $122 | $244 | 25.8× |
| Bone Marrow Smear Interpretation (85097) | $207 | $414 | 0.2× |
| Bordetella antibody (86615) | $7.70 | $15.40 | 0.6× |
| Braf gene (81210) | $175.50 | $351 | 1.0× |
| Brca1&2 seq & full dup/del (81162) | $2,901.90 | $5,803.80 | 1.6× |
| Brucella antibody (86622) | $19.17 | $38.34 | 2.1× |
| C diff amplified probe (87493) | $185.50 | $371 | 5.0× |
| C-reactive protein (86140) | $43.10 | $86.21 | 8.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $11.88 | $23.76 | 0.9× |
| C1q binding assay (86332) | $22.93 | $45.86 | 0.9× |
| Ca 125 (86304) | $14.10 | $28.20 | 0.7× |
| Ca 19-9 (86301) | $15.36 | $30.72 | 0.7× |
| Ca 27 29 (86300) | $18 | $36.01 | 0.9× |
| Caffeine (80155) | $51.31 | $102.62 | 1.3× |
| Calcitonin (82308) | $29.99 | $59.98 | 1.1× |
| Calcium ionized (82330) | $51.25 | $102.50 | 3.7× |
| Calcium total (82310) | $23 | $46 | 4.5× |
| Calcium urine (82340) | $11.70 | $23.40 | 1.9× |
| Calculus spectroscopy (82365) | $24.50 | $49.01 | 1.9× |
| Calprotectin, fecal (83993) | $94.50 | $189 | 4.8× |
| Calr gene com variants (81219) | $253.87 | $507.74 | 2.1× |
| Carbamazepine total (80156) | $204.50 | $409 | 14.0× |
| Carbon dioxide (82374) | $18 | $36 | 3.7× |
| Carcinoembryonic antigen (82378) | $38.80 | $77.59 | 2.0× |
| Cardiolipin ab igg (86147) | $20.24 | $40.47 | 0.8× |
| Carnitine (82379) | $38.38 | $76.75 | 2.3× |
| Catecholamines fraction plasma (82384) | $19.20 | $38.40 | 0.8× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $103.50 | $207 | 0.8× |
| Chemiluminescent assay (82397) | $40.02 | $80.05 | 2.8× |
| Chlamydia antibody (86631) | $14.16 | $28.31 | 1.2× |
| Chlamydia Igm Antibody (86632) | $14.16 | $28.31 | 1.1× |
| Chloride blood (82435) | $17 | $34 | 3.7× |
| Chloride feces (82438) | $31.54 | $63.08 | 6.3× |
| Chloride urine (82436) | $10.20 | $20.40 | 1.8× |
| Cholesterol HDL (83718) | $33.50 | $67 | 4.1× |
| Cholesterol total (82465) | $16 | $32 | 3.7× |
| Cholinesterase serum (82480) | $17.10 | $34.20 | 2.2× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $81.74 | $163.49 | 0.7× |
| Chromium urine (82495) | $54.22 | $108.43 | 2.7× |
| Chromogranin a (86316) | $23.10 | $46.20 | 1.1× |
| Chromosome analysis 20-25 cells (88264) | $97.90 | $195.79 | 0.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $21.66 | $43.32 | 0.6× |
| Ckmb (82553) | $77 | $154 | 6.7× |
| Clot factor viii vw antigen (85246) | $105.52 | $211.03 | 4.6× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $29.10 | $58.20 | 1.6× |
| Clot factor xiii fibrin stab (85290) | $116.72 | $233.45 | 7.1× |
| Clotting Inhibitors Protein S Free (85306) | $71.68 | $143.36 | 4.7× |
| Clozapine level (80159) | $27.23 | $54.46 | 1.4× |
| Cmv ab igm (86645) | $13.35 | $26.70 | 0.8× |
| Cmv PCR (87496) | $185.49 | $370.98 | 5.3× |
| Cns DNA amp probe type 12-25 (87483) | $394.50 | $789 | 0.9× |
| Coagulation time activated (85347) | $52.50 | $105 | 12.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $100.50 | $201 | 4.2× |
| Cold agglutinin titer (86157) | $12.30 | $24.60 | 1.5× |
| Collagen cross links (82523) | $45.04 | $90.08 | 2.4× |
| Compatibility test antiglob (86922) | $108.75 | $217.50 | 0.5× |
| Complement c3 (86160) | $11.88 | $23.76 | 1.0× |
| Complement total (ch50) (86162) | $11.10 | $22.20 | 0.5× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $35.95 | $71.90 | 3.0× |
| Concentration Infectious Agent (87015) | $17.48 | $34.96 | 2.6× |
| Coombs direct (86880) | $111.25 | $222.50 | 20.6× |
| Copper urine (82525) | $14.48 | $28.95 | 1.2× |
| Cortisol free (82530) | $21.44 | $42.89 | 1.3× |
| Cortisol total (82533) | $50 | $100.01 | 3.1× |
| Creatine kinase total (82550) | $24.88 | $49.75 | 3.8× |
| Creatinine blood (82565) | $22 | $44 | 4.3× |
| Creatinine clearance (82575) | $57.50 | $115 | 6.1× |
| Creatinine other source (82570) | $11.64 | $23.28 | 2.2× |
| Crossmatch immediate spin (86920) | $43.75 | $87.50 | 0.2× |
| Cryoglobulin (82595) | $11.70 | $23.40 | 1.8× |
| Cryptococcus antibody (86641) | $17.10 | $34.20 | 1.2× |
| Crystals body fluid (89060) | $183.50 | $367 | 25.0× |
| Culture Aerobic Identify (87077) | $91.50 | $183 | 11.3× |
| Culture aerobic quant other (87071) | $90.50 | $181 | 9.2× |
| Culture afb (87116) | $21.77 | $43.54 | 2.0× |
| Culture anaerobic (87075) | $67.32 | $134.64 | 7.1× |
| Culture blood (87040) | $181.50 | $363 | 17.6× |
| Culture chlamydia (87110) | $11.76 | $23.53 | 0.6× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $88.50 | $177 | 11.5× |
| Culture fungus id yeast (87106) | $124 | $248 | 12.0× |
| Culture fungus other (87102) | $123 | $246 | 14.6× |
| Culture genital (87070) | $17.69 | $35.38 | 2.1× |
| Culture screen only (87081) | $83.38 | $166.77 | 12.6× |
| Culture stool (87045) | $118 | $236 | 12.5× |
| Culture typing if ea antiserum (87140) | $11.76 | $23.53 | 2.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $64 | $128 | 12.4× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $201 | $402 | 5.7× |
| Culture urine (87086) | $64.48 | $128.96 | 8.0× |
| Culture virus (87252) | $40.73 | $81.46 | 1.6× |
| Cyclic Citrullinated Peptide (86200) | $65.65 | $131.30 | 5.1× |
| Cysticercosis Antibody (86682) | $53.55 | $107.10 | 4.1× |
| Cytogenetics 100-300 (88275) | $43.21 | $86.42 | 0.8× |
| Cytogenetics DNA probe (88271) | $43.21 | $86.42 | 2.0× |
| Cytogenom const microarray copy number&snp var (81229) | $790.85 | $1,581.70 | 0.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $154.12 | $308.24 | 3.6× |
| Cytopath cell enhance tech (88112) | $194 | $388 | 3.2× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $24.42 | $48.84 | 0.9× |
| Cytp concentration smears & interpretation (88108) | $149.50 | $299 | 3.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $189.12 | $378.25 | 3.1× |
| Cytp fna eval dx 1st each site (88172) | $126 | $252 | 0.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $119.50 | $239 | 7.2× |
| Detect agnt mult DNA ampli (87801) | $96.48 | $192.97 | 1.4× |
| Dgp antibody each ig class (86258) | $8.82 | $17.64 | 0.7× |
| Dhea (82626) | $18.30 | $36.60 | 0.7× |
| Dhea-sulfate (82627) | $105.27 | $210.54 | 4.7× |
| Digoxin (80162) | $208 | $416 | 15.7× |
| Dihydrotestosterone (82642) | $62.10 | $124.20 | 2.1× |
| Dilantin (80185) | $79.58 | $159.16 | 6.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $15 | $30 | 1.1× |
| Drug Assay Amiodarone (80151) | $32.17 | $64.34 | 1.7× |
| Drug assay methotrexate (80204) | $79.63 | $159.26 | 2.1× |
| Drug quant nes (80299) | $55.91 | $111.82 | 3.0× |
| Drug screen quant zonisamide (80203) | $17.10 | $34.20 | 1.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $31.14 | $62.27 | 2.3× |
| Drug Screen Quantitative Lidocaine (80176) | $16.62 | $33.24 | 1.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $12.30 | $24.60 | 0.9× |
| Drug Scrn Quan Levetiracetam (80177) | $62.70 | $125.40 | 4.7× |
| Drug test prsmv chem anlyzr (80307) | $69.72 | $139.44 | 1.1× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $169.80 | $339.60 | 9.9× |
| E test (87181) | $118.50 | $237 | 24.9× |
| Ebv viral capsid (86665) | $14.72 | $29.46 | 0.8× |
| Egfr Gene Analysis Common Variants (81235) | $467.10 | $934.20 | 1.4× |
| Elastase pancreatic fecal quantitative (82653) | $97.50 | $195 | 4.2× |
| Electrolyte panel (80051) | $33 | $66 | 4.7× |
| Electron microscopy diagnostic (88348) | $660 | $1,320 | 0.7× |
| Electronic crossmatch (86923) | $57.50 | $115 | 0.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $12.03 | $24.06 | 1.0× |
| Entamoeba histolytica antigen (87337) | $57.90 | $115.80 | 4.8× |
| Enterovirus antibody (86658) | $9.19 | $18.38 | 0.7× |
| Enterovirus Pcr (87498) | $110.47 | $220.94 | 3.1× |
| Eosinophil count (85048) | $32 | $64 | 12.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $19.66 | $39.32 | 1.3× |
| Estradiol (82670) | $23.52 | $47.03 | 0.8× |
| Estriol serum (82677) | $13.50 | $26.99 | 0.6× |
| Ethylene glycol (82693) | $76.81 | $153.62 | 5.2× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $118 | $236 | 1.2× |
| F2 gene analysis 20210g >a variant (81240) | $83.11 | $166.22 | 1.3× |
| F5 gene analysis, leiden variant (81241) | $105.53 | $211.07 | 1.4× |
| Factor ii activity (85210) | $29.10 | $58.20 | 2.2× |
| Factor ix activity (85250) | $95.79 | $191.58 | 5.0× |
| Factor viii ahg (85240) | $77.67 | $155.34 | 4.3× |
| Factor xi assay (85270) | $86.41 | $172.82 | 4.8× |
| Fatty acids free (82725) | $24.37 | $48.74 | 1.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $116.72 | $233.45 | 6.8× |
| Fecal fat qual (82705) | $14.70 | $29.40 | 2.9× |
| Fecal fat quant (82710) | $25.74 | $51.48 | 1.5× |
| Fetal bleed screen (85461) | $107.50 | $215 | 11.5× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $671.62 | $1,343.25 | 0.9× |
| Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) | $393.75 | $787.50 | 0.5× |
| Fetal fibronectin (82731) | $340 | $680 | 5.3× |
| Fibrin Degradation Quant (85379) | $78.50 | $157 | 7.7× |
| Fibrinogen activity (85384) | $55 | $110 | 5.7× |
| Flow cytometry first marker (88184) | $130.22 | $260.44 | 0.3× |
| Fluorescent Antibody Screen (86255) | $66.14 | $132.28 | 5.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $44.10 | $88.18 | 3.7× |
| Folate serum (82746) | $69.50 | $139 | 4.7× |
| Folic acid rbc (82747) | $6.90 | $13.80 | 0.4× |
| Follicle Stimulating Hormone (83001) | $15.65 | $31.30 | 0.8× |
| Francisella tularensis (86668) | $45.24 | $90.48 | 3.2× |
| Frozen Section (88331) | $166 | $332 | 0.8× |
| Fructosamine (82985) | $11.74 | $23.49 | 0.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $96.90 | $193.80 | 9.4× |
| Gammaglobulin ige (82785) | $6.50 | $13 | 0.4× |
| Gardner vag DNA dir probe (87510) | $80.28 | $160.56 | 4.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $46.50 | $93 | 4.8× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $122.50 | $245 | 1.6× |
| Ggt (82977) | $34.50 | $69 | 4.8× |
| Giardia antigen eia stool (87329) | $100 | $200 | 8.3× |
| Glucose (82947) | $14.40 | $28.81 | 3.7× |
| Glucose body fluid (82945) | $22.20 | $44.40 | 5.6× |
| Glucose post dose (82950) | $30 | $60 | 6.3× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $21.50 | $43 | 5.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $60.50 | $121 | 4.7× |
| Growth hormone (83003) | $16.02 | $32.04 | 1.0× |
| H pylori breath test (83013) | $73.50 | $147 | 1.1× |
| Haptoglobin (83010) | $13.50 | $27 | 1.1× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) | $187.50 | $375 | 1.8× |
| Hcg qualitative (84703) | $61.50 | $123 | 8.2× |
| Hcg quant (84702) | $13.50 | $26.99 | 0.9× |
| Heavy metal quant each (83018) | $51.65 | $103.30 | 2.4× |
| Hematocrit (85014) | $16.20 | $32.40 | 6.8× |
| Hemoglobin (85018) | $24.50 | $49 | 10.3× |
| Hemoglobin a1c (83036) | $10.98 | $21.96 | 1.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $8.40 | $16.80 | 0.5× |
| Hemoglobin electrophoresis (83020) | $15.90 | $31.80 | 1.2× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $218.37 | $436.74 | 28.2× |
| Heparin assay (85520) | $102.50 | $205 | 7.8× |
| Hepatitis a antibody total (86708) | $14.23 | $28.46 | 1.1× |
| Hepatitis a igm (86709) | $14.44 | $28.87 | 1.3× |
| Hepatitis b core ab igm (86705) | $14.23 | $28.46 | 1.2× |
| Hepatitis b core antibody total (86704) | $14.76 | $29.52 | 1.2× |
| Hepatitis B Surface Ab (86706) | $11.98 | $23.95 | 1.1× |
| Hepatitis B Surface Antigen (87340) | $11.98 | $23.96 | 1.2× |
| Hepatitis b virus genotyping (87912) | $307.06 | $614.11 | 1.2× |
| Hepatitis be antibody (86707) | $13.50 | $27 | 1.2× |
| Hepatitis Be Antigen (87350) | $12.90 | $25.80 | 1.1× |
| Hepatitis c antibody (86803) | $14.76 | $29.52 | 1.0× |
| Hepatitis C Genotype (87902) | $191.62 | $383.25 | 0.7× |
| Herpes simplex type i (86695) | $16.28 | $32.58 | 1.2× |
| Herpes simplex type ii (86696) | $21.75 | $43.50 | 1.1× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $52.24 | $104.47 | 10.1× |
| Hexagonal phospholipid (85598) | $69.37 | $138.74 | 3.9× |
| Hfe gene (81256) | $77.10 | $154.20 | 1.2× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) | $95 | $190 | 7.1× |
| Histoplasma antigen urine (87385) | $69.92 | $139.85 | 5.3× |
| HIV-1 antibody (86701) | $29.24 | $58.46 | 3.3× |
| Hla class i typing high resolution one allele or allele group (81381) | $70.50 | $141 | 0.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $33.30 | $66.60 | 0.4× |
| Homogenization tissue (87176) | $55.50 | $111 | 9.4× |
| Hsv Dna Quant (87530) | $130.92 | $261.83 | 3.1× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $78.28 | $156.56 | 2.2× |
| Hydroxyprogesterone 17-d (83498) | $17.70 | $35.40 | 0.7× |
| Iaad ia clostridium difficile toxin (87324) | $146 | $292 | 12.2× |
| Iaad ia cryptosporidium (87328) | $109 | $218 | 7.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $17.50 | $35 | 1.7× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $17.10 | $34.20 | 0.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $194.50 | $389 | 13.5× |
| Iaad ia shiga-like toxin (87427) | $284.50 | $569 | 23.7× |
| Iaadi Legionella Pneumophila (87278) | $45.95 | $91.90 | 2.9× |
| Iaadi Pneumocustis Carinii (87281) | $110.89 | $221.78 | 9.3× |
| Iaadiadoo not otherwise specified (87899) | $41 | $82 | 2.6× |
| Iadna babesia microti amplified probe technique (87469) | $298.19 | $596.38 | 8.5× |
| Iadna Candida Species Direct Probe Tq (87480) | $80.28 | $160.56 | 4.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $185.50 | $371 | 5.3× |
| Iadna hepatitis b virus quantification (87517) | $364.95 | $729.90 | 8.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $110.70 | $221.40 | 2.6× |
| Iadna HIV-1 quant & reverse transcription (87536) | $109.25 | $218.50 | 1.3× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $28 | $56 | 0.4× |
| Iadna human papillomavirus high-risk types (87624) | $28 | $56 | 0.8× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $331.99 | $663.98 | 6.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $185.50 | $371 | 5.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $21.66 | $43.32 | 0.6× |
| Iadna nos amplified probe tq each organism (87798) | $99.99 | $199.98 | 2.8× |
| Iadna nos quantification each organism (87799) | $229.50 | $459 | 5.4× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) | $263 | $526 | 1.2× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $24.83 | $49.66 | 0.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $220.44 | $440.87 | 0.5× |
| Igg subclasses (82787) | $9.90 | $19.80 | 1.2× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $91 | $182 | 0.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $19.52 | $39.05 | 1.3× |
| Immunoassay nonantibody (83516) | $13.50 | $27 | 1.2× |
| Immunodiffusion Ouchterlony (86331) | $9.69 | $19.38 | 0.8× |
| Immunofixation (86334) | $10.86 | $21.73 | 0.5× |
| Immunofixation urine (86335) | $23.63 | $47.26 | 0.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $116.75 | $233.50 | 0.6× |
| Immunoglobulin light chains free each (83521) | $19.36 | $38.72 | 1.1× |
| Immunohistochemistry (88342) | $241.50 | $483 | 1.2× |
| In situ hybridization (88365) | $187 | $374 | 0.9× |
| Influenza DNA amp probe (87502) | $122.70 | $245.40 | 1.3× |
| Inhibin a (86336) | $13.50 | $26.99 | 0.9× |
| Inhibin b (83520) | $54.58 | $109.15 | 3.2× |
| Insitu hybridization manual (88368) | $328 | $656 | 0.8× |
| Insulin antibodies (86337) | $29.10 | $58.20 | 1.4× |
| Insulin total (83525) | $12.30 | $24.60 | 1.1× |
| Interleukin 6 (83529) | $98.23 | $196.46 | 5.7× |
| Intrinsic factor antibody (86340) | $18.30 | $36.60 | 1.2× |
| Iron (83540) | $21.58 | $43.16 | 3.3× |
| Iron binding capacity (83550) | $27.08 | $54.16 | 3.1× |
| Irradiation Blood Product Each Unit (86945) | $58.75 | $117.50 | 1.4× |
| Islet cell antibody (86341) | $44.82 | $89.63 | 1.9× |
| Jak2 gene analysis (81270) | $128.86 | $257.72 | 1.4× |
| Lactoferrin Fecal Quantitative (83631) | $47.70 | $95.40 | 2.4× |
| Ldh body fluid (83615) | $15.18 | $30.35 | 2.5× |
| Ldh isoenzymes (83625) | $8.85 | $17.70 | 0.7× |
| LDL cholesterol direct (83721) | $16.51 | $33.02 | 1.6× |
| Lead (83655) | $11.70 | $23.40 | 1.0× |
| Legion pneumo, DNA, amp prob (87541) | $102 | $204 | 2.9× |
| Legionella antibody (86713) | $13.74 | $27.48 | 0.9× |
| Legionella antigen urine (87449) | $133.50 | $267 | 11.1× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $38 | $76 | 8.9× |
| Level ii surg pathology grossµscopic exam (88302) | $110.50 | $221 | 2.5× |
| Level v surg pathology grossµscopic exam (88307) | $386.50 | $773 | 0.9× |
| Level vi surg pathology grossµscopic exam (88309) | $505 | $1,010 | 0.5× |
| Lh (83002) | $12.90 | $25.80 | 0.7× |
| Lipase (83690) | $49.75 | $99.50 | 7.2× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $29.20 | $58.41 | 0.9× |
| Listeria ab (86609) | $3.66 | $7.33 | 0.3× |
| Lithium (80178) | $115.50 | $231 | 17.5× |
| Lyme disease antibody (86618) | $17.10 | $34.20 | 1.0× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $374.70 | $749.40 | 1.9× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $195.50 | $391 | 1.0× |
| Macroscopic exam arthropod (87168) | $55.50 | $111 | 13.0× |
| Macroscopic exam parasite (87169) | $53 | $106 | 12.3× |
| Magnesium (83735) | $42 | $84 | 6.3× |
| Malaria smear (87207) | $59.20 | $118.40 | 9.9× |
| Manual reticulocyte count (85044) | $49 | $98 | 11.4× |
| Mass spectrometry qual/quan (83789) | $81.30 | $162.60 | 3.4× |
| Mercury urine (83825) | $12.05 | $24.10 | 0.7× |
| Metabolic Panel Ionized Ca (80047) | $43 | $86 | 3.1× |
| Methemoglobin (83050) | $29.50 | $59 | 3.6× |
| Methylmalonic acid serum (83921) | $26.70 | $53.40 | 1.3× |
| Mgmt methylation analysis (81287) | $410.70 | $821.40 | 3.3× |
| Microalbumin urine (82043) | $38.75 | $77.50 | 6.7× |
| Microsomal antibodies (86376) | $14.40 | $28.80 | 1.0× |
| Mitochondrial antibody each (86381) | $14.70 | $29.40 | 0.6× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $481.50 | $963 | 2.5× |
| Molecular pathology procedure level 2 (81401) | $144.90 | $289.80 | 1.1× |
| Mrsa PCR (87641) | $203.50 | $407 | 5.8× |
| Mtb PCR (87556) | $228.58 | $457.18 | 5.5× |
| Mthfr Gene Analysis Common Variants (81291) | $106.72 | $213.43 | 1.6× |
| Mycoplasma antibody (86738) | $13.44 | $26.88 | 1.0× |
| Mycoplasma culture (87109) | $22.50 | $45 | 1.5× |
| Mycoplasma genitalium PCR (87563) | $45.70 | $91.40 | 1.3× |
| Myd88 mutation analysis (81305) | $355 | $709.99 | 2.0× |
| Myelin basic protein csf (83873) | $63.04 | $126.07 | 3.7× |
| Myoglobin urine (83874) | $49.15 | $98.30 | 3.8× |
| Natriuretic peptide (83880) | $126.50 | $252.99 | 3.2× |
| Neutralization Test Viral (86382) | $87.90 | $175.80 | 5.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $115.50 | $231 | 1.6× |
| Nuclear antigen antibody (86235) | $17.10 | $34.20 | 1.0× |
| Occult blood gastric (82271) | $22 | $44 | 4.1× |
| Oligoclonal bands (83916) | $87.26 | $174.53 | 3.2× |
| Onco (ovarian) biochemical assay two proteins (81500) | $528.60 | $1,057.20 | 2.0× |
| Organic Acids Qualitative Each Specimen (83919) | $31.50 | $63 | 1.9× |
| Orthopoxvirus Amp Prb Each (87593) | $131.94 | $263.88 | 2.6× |
| Osmolality serum (83930) | $53.50 | $107 | 8.1× |
| Osmolality urine (83935) | $33.85 | $67.70 | 5.0× |
| Ova and parasite direct-id lca (87177) | $100.84 | $201.68 | 11.3× |
| Oxalate urine (83945) | $19.70 | $39.41 | 1.4× |
| Pancreatic polypeptide (83519) | $40.18 | $80.35 | 2.2× |
| Particle Agglutination Screen Each Antibody (86403) | $104.40 | $208.80 | 9.0× |
| Parvovirus antibody (86747) | $19.95 | $39.90 | 1.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $123 | $246 | 0.1× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $207.38 | $414.75 | 3.4× |
| Pathology Consultation During Surgery (88329) | $43.50 | $87 | 0.6× |
| Ph body fluid (83986) | $23 | $46 | 6.4× |
| Ph urine (81003) | $24.50 | $49 | 10.9× |
| Phenotype Infect Agent Drug (87900) | $249.75 | $499.50 | 1.9× |
| Phenytoin free (80186) | $11.16 | $22.31 | 0.8× |
| Phosphatase alkaline (84075) | $15.56 | $31.11 | 3.0× |
| Phosphorus blood (84100) | $34.50 | $69 | 7.3× |
| Pinworm exam (87172) | $34.50 | $69 | 8.1× |
| Platelet aggregation (85576) | $101 | $202 | 4.1× |
| Platelet count automated (85049) | $30 | $60 | 6.7× |
| Platelet neutralization (85597) | $67.08 | $134.16 | 3.7× |
| Pneumcysts jirovecii amp prb (87594) | $385.48 | $770.95 | 11.0× |
| Porphobilinogen urine quant (84110) | $19.22 | $38.45 | 2.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $19.50 | $39 | 1.3× |
| Potassium (84132) | $18.50 | $37 | 3.9× |
| Potassium urine (84133) | $31 | $62 | 6.6× |
| Pregnenolone (84140) | $44.76 | $89.52 | 2.2× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $151.25 | $302.50 | 0.8× |
| Primidone (80188) | $7.35 | $14.70 | 0.4× |
| Procalcitonin (pct) (84145) | $124 | $248 | 4.6× |
| Progesterone (84144) | $17.70 | $35.40 | 0.8× |
| Protein body fluid (84157) | $24.59 | $49.18 | 6.1× |
| Protein c activity (85303) | $68.48 | $136.96 | 4.9× |
| Protein c antigen (85302) | $15.90 | $31.80 | 1.3× |
| Protein electrophoresis serum (84165) | $6.60 | $13.20 | 0.6× |
| Protein Electrophoresis Urine (84166) | $9.21 | $18.42 | 0.5× |
| Protein s total (85305) | $73.17 | $146.34 | 6.3× |
| Protein total serum (84155) | $9.56 | $19.13 | 2.6× |
| Protein urine (84156) | $9.44 | $18.88 | 2.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $12.84 | $25.67 | 3.3× |
| Protoporphyrin rbc quantitative (84202) | $11.10 | $22.20 | 0.8× |
| PSA free (84154) | $7.95 | $15.90 | 0.4× |
| Pth intact (83970) | $37.80 | $75.60 | 0.9× |
| Rbc (85041) | $13.52 | $27.05 | 4.5× |
| Rbc antibody elution (86860) | $172.50 | $345 | 0.9× |
| Rbc pretreatment serum (86978) | $640 | $1,280 | 9.3× |
| Rbc pretx incubatj w/chemicl (86970) | $157.50 | $315 | 2.3× |
| Renin activity plasma (84244) | $12.08 | $24.15 | 0.5× |
| Resp virus 12-25 targets (87633) | $869 | $1,738 | 2.1× |
| Reticulocyte count auto (85045) | $29 | $58 | 7.3× |
| Rheumatoid factor quant (86431) | $49.66 | $99.30 | 8.8× |
| Ristocetin cofactor (85245) | $105.52 | $211.03 | 4.6× |
| Rotavirus ag eia (87425) | $17.70 | $35.40 | 1.5× |
| Rpr Titer (86593) | $10.64 | $21.28 | 2.4× |
| Rubella antibody (86762) | $10.81 | $21.62 | 0.8× |
| Rubeola Antibody Igg (86765) | $12.50 | $25.01 | 1.0× |
| Russell viper venom time diluted (85613) | $31.42 | $62.84 | 3.3× |
| Salicylate Level (80179) | $112.80 | $225.60 | 6.1× |
| Salmonella antibody (86768) | $111.60 | $223.20 | 8.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $60 | $120 | 1.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $58.06 | $116.11 | 1.4× |
| Sars-cov-2 covid19 w/optic (87811) | $32.50 | $65 | 0.8× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $85.74 | $171.48 | 12.9× |
| Sedimentation rate auto (85652) | $31 | $62 | 11.5× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $93.50 | $187 | 7.8× |
| Sensitivity kb (87184) | $104 | $208 | 13.9× |
| Sensitivity mic (87186) | $215.40 | $430.80 | 24.9× |
| Serotonin Release Assay (86022) | $254.40 | $508.80 | 13.8× |
| Sex hormone binding globulin (84270) | $49.66 | $99.32 | 2.3× |
| Sickling of rbc reduction (85660) | $11.10 | $22.20 | 2.0× |
| Sirolimus (rapamycin) (80195) | $23.10 | $46.20 | 1.7× |
| Smear acid fast (87206) | $19.12 | $38.24 | 3.5× |
| Smear complex stain (87209) | $152.84 | $305.68 | 8.5× |
| Smear gram stain (87205) | $37.32 | $74.64 | 8.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45.50 | $90.99 | 7.8× |
| Sodium (84295) | $19.50 | $39 | 4.1× |
| Sodium feces (84302) | $31.54 | $63.08 | 6.5× |
| Sodium urine (84300) | $22.60 | $45.20 | 4.5× |
| Soluble transferrin receptor (84238) | $24.30 | $48.60 | 0.7× |
| Somatomedin (84305) | $14.70 | $29.40 | 0.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $84 | $168 | 0.5× |
| Special stains group 1 (88312) | $155 | $310 | 2.6× |
| Specific gravity body fluid (84315) | $17 | $34 | 5.2× |
| Spectrophotometry (84311) | $51.72 | $103.44 | 6.4× |
| Sputum specimen collection (89220) | $295.50 | $591 | 1.5× |
| Stool Culture, Addl Pathogens (87046) | $107 | $214 | 11.3× |
| Strep a assay w/optic (87880) | $77.50 | $155 | 4.7× |
| Strep b DNA amp probe (87653) | $45 | $90 | 1.3× |
| Surg path level 1 (88300) | $68.50 | $137 | 2.0× |
| Surg path level iii (88304) | $137 | $274 | 2.3× |
| Surgical pathology level IV (88305) | $131.50 | $263 | 2.2× |
| T Cell Absolute Count (86361) | $25.50 | $51 | 1.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $328.60 | $657.21 | 7.0× |
| T cells total count (86359) | $489.20 | $978.40 | 13.0× |
| T3 free (84481) | $13.83 | $27.66 | 0.8× |
| T3 reverse (84482) | $34.28 | $68.57 | 2.2× |
| T3 total (84480) | $12.30 | $24.60 | 0.9× |
| T4 free (84439) | $39 | $78 | 4.3× |
| T4 total (84436) | $10.80 | $21.60 | 1.6× |
| Tb test, cell immun measure (86480) | $186 | $372 | 3.0× |
| Testosterone free (84402) | $14.40 | $28.80 | 0.6× |
| Testosterone total (84403) | $15.60 | $31.19 | 0.6× |
| Theophylline (80198) | $11.94 | $23.88 | 0.8× |
| Thiopurine methyltransferase (84433) | $251.10 | $502.20 | 11.3× |
| Thrombin time plasma (85670) | $41.92 | $83.83 | 7.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $35.95 | $71.90 | 5.6× |
| Thyroglobulin (84432) | $43.36 | $86.73 | 2.7× |
| Thyroglobulin antibody (86800) | $14.40 | $28.80 | 0.9× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $49.50 | $99 | 1.0× |
| Thyroxine binding globulin (84442) | $20.64 | $41.28 | 1.4× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $222.31 | $444.62 | 1.6× |
| Tissue culture bone marrow (88237) | $123.46 | $246.91 | 0.9× |
| Tissue culture lymphocyte (88230) | $83.48 | $166.97 | 0.7× |
| Tissue transglutaminase ab iga (86364) | $12.84 | $25.68 | 1.1× |
| Tobramycin peak (80200) | $12.42 | $24.84 | 0.8× |
| Toxoplasma ab igm (86778) | $18.78 | $37.58 | 1.3× |
| Toxoplasma antibody igg (86777) | $16.64 | $33.28 | 1.2× |
| Transferrin (84466) | $11.70 | $23.40 | 0.9× |
| Trichomonas vagin dir probe (87660) | $80.28 | $160.56 | 4.0× |
| Triglycerides (84478) | $26.53 | $53.06 | 4.6× |
| Troponin (84484) | $84.50 | $169 | 6.8× |
| Tumor immunohistochem/comput (88361) | $279 | $558 | 0.7× |
| Unlisted Transfusion Medicine Procedure (86999) | $273.75 | $547.50 | 8.1× |
| Urea nitrogen (84520) | $17 | $34 | 4.3× |
| Urea nitrogen urine (84540) | $11.40 | $22.80 | 2.1× |
| Uric acid blood (84550) | $33 | $66 | 7.3× |
| Uric acid other source (84560) | $10.53 | $21.06 | 2.1× |
| Urinalysis auto w/scope (81001) | $33.50 | $67 | 10.6× |
| Urinalysis Microscopic Only (81015) | $24.50 | $49 | 8.0× |
| Urine Bacteria Culture (87088) | $91.50 | $183 | 11.3× |
| Urine pregnancy test (81025) | $6.46 | $12.92 | 0.8× |
| Valproic acid (80164) | $206.50 | $413 | 15.3× |
| Vancomycin trough (80202) | $203 | $406 | 15.0× |
| Varicella-zoster antibody (86787) | $16.92 | $33.84 | 1.3× |
| Vdrl csf (86592) | $22.74 | $45.47 | 5.3× |
| Virus antibody nos (86790) | $61.05 | $122.10 | 4.7× |
| Viscosity serum (85810) | $13.50 | $27 | 1.2× |
| Vitamin A (84590) | $18.30 | $36.60 | 1.6× |
| Vitamin b-12 (82607) | $35.80 | $71.59 | 2.4× |
| Vitamin b1 (thiamine) (84425) | $22.50 | $45 | 1.1× |
| Vitamin b6 (84207) | $18.30 | $36.60 | 0.7× |
| Vitamin c (82180) | $22.50 | $45 | 2.3× |
| Vitamin D 25-Hydroxy (82306) | $29.50 | $59 | 1.0× |
| Vitamin e serum (84446) | $18.30 | $36.60 | 1.3× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $161.25 | $322.50 | 0.8× |
| West nile virus antibody (86789) | $27.75 | $55.50 | 1.9× |
| West nile virus igm (86788) | $27.75 | $55.50 | 1.6× |
| Zika Virus Igm Antibody (86794) | $97.50 | $195 | 5.8× |
| Zinc (84630) | $12.54 | $25.08 | 1.1× |