Lab & pathology prices at Peterson Regional Medical Center
Kerrville, TX · every code in this section with a posted price and a Medicare benchmark.
665 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) | $451.50 | $645 | 11.7× |
| 5 Hiaa (83497) | $157.50 | $225 | 12.2× |
| 5 Nucleotidase (83915) | $126 | $180 | 11.3× |
| Abl1 gene (81170) | $1,470 | $2,100 | 4.9× |
| Actin smooth muscle antibody each (86015) | $73.50 | $105 | 6.1× |
| Actinomyces antibody (86602) | $98 | $140 | 9.6× |
| Activated protein c resistance (85307) | $273 | $390 | 17.8× |
| Acute hepatitis panel (80074) | $570.50 | $815 | 12.0× |
| Acylcarnitine Plasma (82017) | $220.50 | $315 | 13.1× |
| Adamts13 activity (85397) | $46.90 | $67 | 1.5× |
| Additional high resolution study (88289) | $185.50 | $265 | 5.4× |
| Adenovirus antibody (86603) | $126 | $180 | 9.8× |
| Afb culture (87116) | $220.50 | $315 | 20.4× |
| Agglutinins febrile (86000) | $42 | $60 | 6.0× |
| Albumin Fluid (82042) | $80.50 | $115 | 10.3× |
| Albumin serum (82040) | $66.50 | $95 | 13.4× |
| Aldolase (82085) | $126 | $180 | 13.0× |
| Aldosterone urine (82088) | $367.50 | $525 | 9.0× |
| Alkaline phosphatase isoenzymes (84080) | $154 | $220 | 10.4× |
| Allerg sp igg quan or semiquan (86001) | $70 | $100 | 9.0× |
| Allergen specific ige (86003) | $22.40 | $32 | 4.3× |
| Allergen specific ige; qualitative, multiallergen screen (86005) | $61.60 | $88 | 7.7× |
| Allg Spec Ige Recomb Ea (86008) | $28 | $40 | 1.6× |
| Alpha-1-antitrypsin phenotype (82104) | $164.50 | $235 | 11.4× |
| Alpha-1-antitrypsin, total (82103) | $175 | $250 | 13.0× |
| Alpha-fetoprotein, serum (82105) | $210 | $300 | 12.5× |
| Alt (sgpt) (84460) | $80.50 | $115 | 15.2× |
| Aluminum (82108) | $182 | $260 | 7.1× |
| Amikacin trough (80150) | $199.50 | $285 | 13.2× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $875 | $1,250 | 51.9× |
| Amino Acids, Single Quantitation (82131) | $297.50 | $425 | 12.9× |
| Aminolevulinic acid (ala) (82135) | $203 | $290 | 12.3× |
| Ammonia (82140) | $178.50 | $255 | 12.3× |
| Amylase urine (82150) | $164.50 | $235 | 25.4× |
| Angiotensin i enzyme test (82164) | $161 | $230 | 11.0× |
| Anti-phosphatidylserine antibody (86148) | $112 | $160 | 7.0× |
| Antibody Absorption (86978) | $101.50 | $145 | 1.7× |
| Antibody aspergillus (86606) | $139.30 | $199 | 9.3× |
| Antibody coxiella burnetii q fever (86638) | $182 | $260 | 15.0× |
| Antibody cytomegalovirus cmv (86644) | $192.50 | $275 | 13.4× |
| Antibody cytomegalovirus cmv igm (86645) | $199.50 | $285 | 11.8× |
| Antibody Encephalitis Eastern Equine (86652) | $367.50 | $525 | 27.9× |
| Antibody Encephalitis St. Louis (86653) | $367.50 | $525 | 27.9× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $255.50 | $365 | 19.5× |
| Antibody helicobacter pylori (86677) | $185.50 | $265 | 11.0× |
| Antibody herpes smplx type 1 (86695) | $196 | $280 | 14.9× |
| Antibody HIV-2 (86702) | $140 | $200 | 10.4× |
| Antibody identification (86870) | $329 | $470 | 0.9× |
| Antibody Listeria Monocytogenes (86723) | $210 | $300 | 15.9× |
| Antibody mumps (86735) | $164.50 | $235 | 12.6× |
| Antibody Protozoa Nes (86753) | $266 | $380 | 21.5× |
| Antibody rubeola (86765) | $140 | $200 | 10.9× |
| Antibody screen (86850) | $157.50 | $225 | 16.1× |
| Antibody treponema pallidum (86780) | $108.50 | $155 | 8.2× |
| Antibody; Coccidioides (86635) | $143.50 | $205 | 12.5× |
| Antigen typing (86905) | $385 | $550 | 100.5× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $18.90 | $27 | 1.6× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $18.90 | $27 | 1.6× |
| Antinuclear antibodies (86038) | $210 | $300 | 17.4× |
| Antistreptolysin o titer (86060) | $168 | $240 | 23.0× |
| Antithrombin iii activity (85300) | $297.50 | $425 | 25.1× |
| Antithrombin iii antigen (85301) | $154 | $220 | 14.2× |
| Apolipoprotein b (82172) | $178.50 | $255 | 8.5× |
| Aquaporin-4 Antb Elisa (86051) | $16.80 | $24 | 1.5× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $962.50 | $1,375 | 79.9× |
| Aquaporin-4 antibody flow cytometry each (86053) | $52.50 | $75 | 1.4× |
| Arsenic Urine (82175) | $199.50 | $285 | 10.5× |
| Aspergillus ag eia (87305) | $171.50 | $245 | 14.3× |
| Assay direct measurement free estradiol (82681) | $122.50 | $175 | 4.4× |
| Assay Lipoprotein Pla2 (83698) | $84 | $120 | 1.8× |
| Assay myeloperoxidase (83876) | $70 | $100 | 1.4× |
| Assay Nephelometry Not Spec (83883) | $199.50 | $285 | 14.7× |
| Assay of 17-hydroxypregnenolone (84143) | $31.50 | $45 | 1.4× |
| Assay of acth (82024) | $381.50 | $545 | 9.9× |
| Assay of androstenedione (82157) | $266 | $380 | 9.1× |
| Assay of blood chloride (82435) | $42 | $60 | 9.1× |
| Assay of blood fatty acids (82725) | $67.90 | $97 | 3.6× |
| Assay of c-peptide (84681) | $227.50 | $325 | 10.9× |
| Assay of calcitonin (82308) | $220.50 | $315 | 8.2× |
| Assay of ceruloplasmin (82390) | $150.50 | $215 | 14.0× |
| Assay of cyclosporine (80158) | $315 | $450 | 17.5× |
| Assay of erythropoietin (82668) | $210 | $300 | 11.2× |
| Assay of ethosuximide (80168) | $150.50 | $215 | 9.2× |
| Assay of ferritin (82728) | $175 | $250 | 12.8× |
| Assay of g6pd enzyme (82955) | $199.50 | $285 | 20.6× |
| Assay of gammaglobulin igm (82784) | $154 | $220 | 16.6× |
| Assay of gastrin (82941) | $136.50 | $195 | 7.7× |
| Assay of gentamicin (80170) | $171.50 | $245 | 10.5× |
| Assay of glucagon (82943) | $192.50 | $275 | 13.5× |
| Assay of homocystine (83090) | $297.50 | $425 | 16.6× |
| Assay of lipoprotein(a) (83695) | $77 | $110 | 5.4× |
| Assay of manganese (83785) | $115.50 | $165 | 4.3× |
| Assay of metanephrines (83835) | $360.50 | $515 | 21.3× |
| Assay of osteocalcin (83937) | $171.50 | $245 | 5.7× |
| Assay of parathormone (83970) | $297.50 | $425 | 7.2× |
| Assay of phenobarbital (80184) | $164.50 | $235 | 10.8× |
| Assay of prealbumin (84134) | $98 | $140 | 6.7× |
| Assay of proinsulin (84206) | $227.50 | $325 | 8.5× |
| Assay of selenium (84255) | $178.50 | $255 | 7.0× |
| Assay of serotonin (84260) | $245 | $350 | 7.9× |
| Assay of somatomedin (84305) | $273 | $390 | 12.8× |
| Assay of tacrolimus (80197) | $255.50 | $365 | 18.6× |
| Assay of transcortin (84449) | $77 | $110 | 4.3× |
| Assay of urine vma (84585) | $185.50 | $265 | 12.0× |
| Assay of vitamin k (84597) | $220.50 | $315 | 16.1× |
| Assay Ph Body Fluid Nos (83986) | $59.50 | $85 | 16.6× |
| Ast (sgot) (84450) | $91 | $130 | 17.6× |
| Atn1 gene analysis eval detect abnormal alleles (81177) | $192.50 | $275 | 1.4× |
| Atxn1 Gene Detc Abnor Allele (81178) | $192.50 | $275 | 1.4× |
| Atxn10 gene analysis eval detc abnormal alleles (81183) | $192.50 | $275 | 1.4× |
| Atxn2 Gene Detc Abnor Allele (81179) | $192.50 | $275 | 1.4× |
| Atxn3 Gene Detc Abnor Allele (81180) | $192.50 | $275 | 1.4× |
| Atxn7 Gene Detc Abnor Allele (81181) | $192.50 | $275 | 1.4× |
| Atxn8os gene analysis eval detect abnor alleles (81182) | $192.50 | $275 | 1.4× |
| Autologous Blood Process (86890) | $210 | $300 | 1.2× |
| B cells total count (86355) | $147 | $210 | 3.9× |
| Bartonella antibody (86611) | $80.50 | $115 | 7.9× |
| Bartonella DNA amp probe (87471) | $315 | $450 | 9.0× |
| Bcr/abl1 gene major bp (81206) | $476 | $680 | 2.9× |
| Bcr/abl1 gene minor bp (81207) | $840 | $1,200 | 5.8× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) | $122.50 | $175 | 4.8× |
| Beta hydroxybutyrate (82010) | $47.60 | $68 | 5.8× |
| Beta-2 microglobulin (82232) | $203 | $290 | 12.5× |
| Bile acids, total (82239) | $84 | $120 | 4.9× |
| Bilirubin direct (82248) | $91 | $130 | 18.1× |
| Bilirubin total (82247) | $59.50 | $85 | 11.9× |
| Bilirubin total transcutaneous (88720) | $35 | $50 | 7.0× |
| Biotinidase ea specimen (82261) | $105 | $150 | 6.2× |
| Blastomyces antibody (86612) | $150.50 | $215 | 11.7× |
| Bleeding time (85002) | $91 | $130 | 18.9× |
| Blood count reticulocyte automated (85045) | $98 | $140 | 24.6× |
| Blood gases w/02 saturation (82805) | $413 | $590 | 5.2× |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) | $14 | $20 | 1.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $119 | $170 | 7.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $56 | $80 | 12.8× |
| Blood Ph - Ph Venous (82800) | $119 | $170 | 10.8× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $385 | $550 | 60.6× |
| Blood typing abo (86900) | $143.50 | $205 | 48.0× |
| Blood typing serologic rh (d) (86901) | $77 | $110 | 25.8× |
| Blood typing serologic rh phenotyping complete (86906) | $245 | $350 | 31.6× |
| Body fluid cell count (89051) | $147 | $210 | 26.3× |
| Body fluid cell count (89050) | $98 | $140 | 20.8× |
| Bordetella antibody (86615) | $262.50 | $375 | 19.9× |
| Braf gene (81210) | $371 | $530 | 2.1× |
| Brca1 gene analysis known familial variant (81215) | $525 | $750 | 1.4× |
| Brca1&2 seq & full dup/del (81162) | $2,800 | $4,000 | 1.5× |
| Brucella antibody (86622) | $101.50 | $145 | 11.4× |
| C diff amplified probe (87493) | $227.50 | $325 | 6.1× |
| C-reactive protein (86140) | $101.50 | $145 | 19.6× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $171.50 | $245 | 13.2× |
| C1q binding assay (86332) | $122.50 | $175 | 5.0× |
| Ca 125 (86304) | $245 | $350 | 11.8× |
| Ca 19-9 (86301) | $227.50 | $325 | 10.9× |
| Ca 27 29 (86300) | $220.50 | $315 | 10.6× |
| Cacna1a gene analysis eval detect abnor alleles (81184) | $192.50 | $275 | 1.4× |
| Cadmium level (82300) | $157.50 | $225 | 6.7× |
| Calcium ionized (82330) | $154 | $220 | 11.3× |
| Calcium total (82310) | $80.50 | $115 | 15.6× |
| Calcium urine (82340) | $91 | $130 | 15.1× |
| Calculus Spectroscopy (82365) | $105 | $150 | 8.1× |
| California encephalitis ab (86651) | $367.50 | $525 | 27.9× |
| Calprotectin, fecal (83993) | $542.50 | $775 | 27.6× |
| Calr gene com variants (81219) | $315 | $450 | 2.6× |
| Candida antibody (86628) | $91 | $130 | 7.6× |
| Carb deficient transferrin (82373) | $297.50 | $425 | 16.5× |
| Carbamazepine (tegretol) total (80156) | $227.50 | $325 | 15.6× |
| Carbamazepine free (80157) | $87.50 | $125 | 6.6× |
| Carbon dioxide (82374) | $77 | $110 | 15.8× |
| Carboxyhemoglobin Quantitative (82375) | $91 | $130 | 7.4× |
| Carcinoembryonic antigen (82378) | $220.50 | $315 | 11.6× |
| Cardiolipin ab igg (86147) | $227.50 | $325 | 8.9× |
| Carnitine (82379) | $227.50 | $325 | 13.5× |
| Carotene (82380) | $126 | $180 | 13.7× |
| Catecholamines fraction plasma (82384) | $332.50 | $475 | 13.2× |
| Catecholamines organic nitrogen blood level (82383) | $129.50 | $185 | 4.5× |
| Catecholamines Total Urine (82382) | $98 | $140 | 3.6× |
| Cd4 absolute count (86361) | $220.50 | $315 | 8.2× |
| Cellular Function Assay Stimul&Detect Biomarker (86352) | $262.50 | $375 | 1.9× |
| Cftr gene com variants (81220) | $770 | $1,100 | 1.4× |
| Cftr gene dup/delet variants (81222) | $612.50 | $875 | 1.4× |
| Cftr gene full sequence (81223) | $700 | $1,000 | 1.4× |
| Chemiluminescent assay (82397) | $210 | $300 | 14.9× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $367.50 | $525 | 1.4× |
| Chlamydia antibody (86631) | $28 | $40 | 2.4× |
| Chlamydia Igm Antibody (86632) | $18.20 | $26 | 1.4× |
| Chloride other source (82438) | $35 | $50 | 7.0× |
| Chloride urine (82436) | $77 | $110 | 13.4× |
| Cholesterol total (82465) | $122.50 | $175 | 28.2× |
| Cholinesterase serum (82480) | $11.90 | $17 | 1.5× |
| Chrmsm analysis addl cells counted each study (88285) | $38.50 | $55 | 1.4× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $612.50 | $875 | 4.9× |
| Chromium urine (82495) | $161 | $230 | 7.9× |
| Chromogranin a (86316) | $245 | $350 | 11.8× |
| Chromosome karyotype study (88280) | $227.50 | $325 | 6.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $161 | $230 | 4.6× |
| Citrate (82507) | $259 | $370 | 9.3× |
| Ck isoenzymes (82552) | $143.50 | $205 | 10.7× |
| Ckmb (82553) | $227.50 | $325 | 19.7× |
| Clot factor viii vw antigen (85246) | $385 | $550 | 16.8× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $315 | $450 | 17.6× |
| Clozapine level (80159) | $66.50 | $95 | 3.3× |
| Cmv PCR (87496) | $430.50 | $615 | 12.3× |
| Cns DNA amp probe type 12-25 (87483) | $1,400 | $2,000 | 3.4× |
| Coagulation time activated (85347) | $73.50 | $105 | 17.2× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $210 | $300 | 8.7× |
| Cold agglutinin titer (86157) | $69.30 | $99 | 8.6× |
| Collagen cross links (82523) | $126 | $180 | 6.7× |
| Compatibility test antiglob (86922) | $332.50 | $475 | 1.9× |
| Complement c3 (86160) | $199.50 | $285 | 16.6× |
| Complement total ch50 (86162) | $290.50 | $415 | 14.3× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $164.50 | $235 | 13.7× |
| Concentration Infectious Agent (87015) | $38.50 | $55 | 5.8× |
| Coombs direct (86880) | $115.50 | $165 | 21.4× |
| Copper urine (82525) | $171.50 | $245 | 13.8× |
| Cortisol free (82530) | $171.50 | $245 | 10.3× |
| Cortisol total (82533) | $171.50 | $245 | 10.5× |
| Creatine kinase total (82550) | $126 | $180 | 19.4× |
| Creatinine blood (82565) | $94.50 | $135 | 18.5× |
| Creatinine clearance (82575) | $126 | $180 | 13.3× |
| Creatinine other source (82570) | $80.50 | $115 | 15.5× |
| Crossmatch immediate spin (86920) | $220.50 | $315 | 1.3× |
| Cryoglobulin (82595) | $105 | $150 | 16.2× |
| Cryptococcus antibody (86641) | $227.50 | $325 | 15.8× |
| Culture Aerobic Identify (87077) | $133 | $190 | 16.5× |
| Culture anaerobic (87075) | $122.50 | $175 | 12.9× |
| Culture blood (87040) | $199.50 | $285 | 19.3× |
| Culture fungus blood (87103) | $112 | $160 | 5.5× |
| Culture fungus other (87102) | $220.50 | $315 | 26.2× |
| Culture genital (87070) | $220.50 | $315 | 25.6× |
| Culture screen only (87081) | $112 | $160 | 16.9× |
| Culture stool (87045) | $206.50 | $295 | 21.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $122.50 | $175 | 23.6× |
| Culture urine (87086) | $185.50 | $265 | 23.0× |
| Culture urine id ea isolate (87088) | $139.30 | $199 | 17.2× |
| Cyclic Citrullinated Peptide (86200) | $157.50 | $225 | 12.2× |
| Cystatin c (82610) | $143.50 | $205 | 7.7× |
| Cytogenetics DNA probe (88271) | $280 | $400 | 13.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,645 | $2,350 | 1.4× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $770 | $1,100 | 18.0× |
| Cytopath cell enhance tech (88112) | $49 | $70 | 0.9× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $55.30 | $79 | 1.5× |
| Cytp concentration smears & interpretation (88108) | $80.50 | $115 | 2.1× |
| Cytp fna eval dx 1st each site (88172) | $150.50 | $215 | 0.9× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $59.50 | $85 | 3.2× |
| D-Dimer (85379) | $227.50 | $325 | 22.3× |
| Deoxyribonuclease antibody (86215) | $18.90 | $27 | 1.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $136.50 | $195 | 8.2× |
| Detect agnt mult DNA ampli (87801) | $98 | $140 | 1.4× |
| Dhea (82626) | $287 | $410 | 11.4× |
| Dhea sulfate (82627) | $210 | $300 | 9.4× |
| Digoxin (80162) | $185.50 | $265 | 14.0× |
| Dihydrotestosterone (82642) | $154 | $220 | 5.3× |
| Dilantin (80185) | $182 | $260 | 13.7× |
| Dipropylacetic acid free (80165) | $171.50 | $245 | 12.7× |
| Dir meas lipoprotein small dense LDL cholesterol (83722) | $220.50 | $315 | 6.4× |
| Dna Antibody Single Stranded (86226) | $227.50 | $325 | 18.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $210 | $300 | 15.3× |
| Dna/Rna Amplified Probe (87150) | $53.90 | $77 | 1.5× |
| DNA/RNA direct probe (87149) | $147 | $210 | 7.3× |
| Drug assay adalimumab (80145) | $245 | $350 | 6.4× |
| Drug assay felbamate (80167) | $26.60 | $38 | 1.4× |
| Drug assay flecainide (80181) | $126 | $180 | 6.8× |
| Drug Assay Infliximab (80230) | $290.50 | $415 | 7.5× |
| Drug assay itraconazole (80189) | $466.20 | $666 | 17.2× |
| Drug assay leflunomide (80193) | $129.50 | $185 | 3.4× |
| Drug assay rufinamide (80210) | $38.50 | $55 | 1.4× |
| Drug assay voriconazole (80285) | $406 | $580 | 15.0× |
| Drug screen quant zonisamide (80203) | $196 | $280 | 14.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $164.50 | $235 | 12.4× |
| Drug Scrn Quan Levetiracetam (80177) | $161 | $230 | 12.2× |
| Drug scrn quant oxcarbazepin (80183) | $150.50 | $215 | 11.4× |
| Drug test prsmv chem anlyzr (80307) | $483 | $690 | 7.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $42 | $60 | 3.3× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) | $287 | $410 | 16.7× |
| Ebv viral capsid (86665) | $245 | $350 | 13.5× |
| Echinococcus ab igg (86682) | $119 | $170 | 9.1× |
| Egfr Gene Analysis Common Variants (81235) | $1,120 | $1,600 | 3.5× |
| Ehrlichia antibody (86666) | $150.50 | $215 | 14.8× |
| Elastase pancreatic fecal quantitative (82653) | $122.50 | $175 | 5.3× |
| Electrolyte panel (80051) | $203 | $290 | 29.0× |
| Electron microscopy diagnostic (88348) | $1,960 | $2,800 | 2.4× |
| Encephalitis Western Equine (86654) | $367.50 | $525 | 27.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $52.50 | $75 | 4.3× |
| Endomysial antibody iga (86255) | $255.50 | $365 | 21.2× |
| Enterovirus antibody (86658) | $80.50 | $115 | 6.2× |
| Enterovirus Pcr (87498) | $385 | $550 | 11.0× |
| Enzyme cell activity (82657) | $280 | $400 | 12.6× |
| Eosinophil count (85048) | $77 | $110 | 30.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $297.50 | $425 | 19.5× |
| Estradiol (82670) | $290.50 | $415 | 10.4× |
| Estriol (82677) | $126 | $180 | 5.2× |
| Estrogens total (82672) | $297.50 | $425 | 13.7× |
| Estrone (82679) | $112 | $160 | 4.5× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $182 | $260 | 1.9× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $46.20 | $66 | 6.3× |
| F2 gene analysis 20210g >a variant (81240) | $525 | $750 | 8.0× |
| F5 gene (81241) | $455 | $650 | 6.2× |
| Factor ii activity (85210) | $185.50 | $265 | 14.3× |
| Factor ix activity (85250) | $297.50 | $425 | 15.6× |
| Factor v activity (85220) | $227.50 | $325 | 12.9× |
| Factor vii assay (85230) | $210 | $300 | 11.7× |
| Factor viii ahg (85240) | $297.50 | $425 | 16.6× |
| Factor xi assay (85270) | $31.50 | $45 | 1.8× |
| Factor xii assay (85280) | $192.50 | $275 | 9.9× |
| Fat differential feces quan (82715) | $119 | $170 | 5.2× |
| Fecal fat qual (82705) | $62.30 | $89 | 12.2× |
| Fetal fibronectin (82731) | $840 | $1,200 | 13.0× |
| Fibrinogen activity (85384) | $154 | $220 | 15.8× |
| Fibrinolytic Plasminogen (85415) | $24.50 | $35 | 1.4× |
| Flow cytometry first marker (88184) | $472.50 | $675 | 1.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $154 | $220 | 12.8× |
| Fmr1 gene detection (81243) | $210 | $300 | 3.7× |
| Folate serum (82746) | $168 | $240 | 11.4× |
| Folic acid rbc (82747) | $185.50 | $265 | 10.5× |
| Follicle Stimulating Hormone (83001) | $255.50 | $365 | 13.8× |
| Francisella Tularensis (86668) | $35 | $50 | 2.5× |
| Fresh frozen plasma thawing each unit (86927) | $227.50 | $325 | 1.3× |
| Frozen Section (88331) | $220.50 | $315 | 1.3× |
| Fructosamine (82985) | $105 | $150 | 6.3× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) | $192.50 | $275 | 1.4× |
| Gammaglobulin ige (82785) | $196 | $280 | 11.9× |
| Genetic testing for severe inherited conditions (81443) | $3,307.50 | $4,725 | 1.4× |
| Ggt (82977) | $101.50 | $145 | 14.1× |
| Giardia antigen eia stool (87329) | $147 | $210 | 12.3× |
| Gliadin antibody each immunoglobulin class (86258) | $26.60 | $38 | 2.2× |
| Glucose (82947) | $59.50 | $85 | 15.1× |
| Glucose Blood Test (82962) | $35 | $50 | 10.7× |
| Glucose body fluid (82945) | $73.50 | $105 | 18.7× |
| Glucose post dose (82950) | $80.50 | $115 | 16.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $245 | $350 | 19.0× |
| Glutathione (82978) | $168 | $240 | 10.9× |
| Gonadotropin releasing hormone (83727) | $24.50 | $35 | 1.4× |
| Growth hormone (83003) | $178.50 | $255 | 10.7× |
| Haptoglobin (83010) | $203 | $290 | 16.1× |
| Hba1/hba2 gene (81257) | $647.50 | $925 | 6.3× |
| Hcg qualitative (84703) | $178.50 | $255 | 23.7× |
| Hcg quant (84702) | $245 | $350 | 16.3× |
| Hdl Cholesterol (83718) | $80.50 | $115 | 9.8× |
| Heavy metal quant each (83018) | $210 | $300 | 9.6× |
| Hematocrit (85014) | $54.60 | $78 | 23.0× |
| Hemoglobin (85018) | $59.50 | $85 | 25.1× |
| Hemoglobin a1c (83036) | $154 | $220 | 15.9× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $98 | $140 | 5.4× |
| Hemoglobin electrophoresis (83020) | $178.50 | $255 | 13.9× |
| Hemoglobin plasma (83051) | $101.50 | $145 | 13.9× |
| Hemolysins And Agglutinins Incubated (86941) | $140 | $200 | 11.6× |
| Hepatitis a antibody total (86708) | $164.50 | $235 | 13.3× |
| Hepatitis a igm (86709) | $164.50 | $235 | 14.6× |
| Hepatitis b core ab igm (86705) | $182 | $260 | 15.5× |
| Hepatitis b core antibody total (86704) | $119 | $170 | 9.9× |
| Hepatitis B Surface Ab (86706) | $140 | $200 | 13.0× |
| Hepatitis B Surface Antigen (87340) | $161 | $230 | 15.6× |
| Hepatitis be antibody (86707) | $154 | $220 | 13.3× |
| Hepatitis Be Antigen (87350) | $98 | $140 | 8.5× |
| Hepatitis c antibody (86803) | $203 | $290 | 14.2× |
| Hepatitis C Genotype (87902) | $980 | $1,400 | 3.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $434 | $620 | 12.4× |
| Herpes culture (87252) | $297.50 | $425 | 11.4× |
| Herpes simplex type 2 (86696) | $175 | $250 | 9.0× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $143.50 | $205 | 27.7× |
| Hfe gene (81256) | $420 | $600 | 6.4× |
| Histamine plasma (83088) | $332.50 | $475 | 11.3× |
| Histoplasma antibody (86698) | $126 | $180 | 9.1× |
| Histoplasma antigen urine (87385) | $227.50 | $325 | 17.2× |
| HIV-1 antibody (86701) | $119 | $170 | 13.4× |
| HIV-1 genotype (87901) | $770 | $1,100 | 3.0× |
| HIV-2 probe&revrse trnscripj (87538) | $53.90 | $77 | 1.5× |
| Hla class i high defin qual (86832) | $682.50 | $975 | 2.1× |
| Hla class i typing high resolution one allele or allele group (81381) | $290.50 | $415 | 1.7× |
| Hla I Typing 1 Locus Lr (81373) | $178.50 | $255 | 1.4× |
| Hla I Typing Complete Lr (81372) | $560 | $800 | 1.4× |
| Hla ii low resolution one antigen equivalent ea (81377) | $465.50 | $665 | 4.9× |
| Hla ii typing 1 allele hr (81383) | $465.50 | $665 | 4.3× |
| Hla-b27 (86812) | $381.50 | $545 | 14.8× |
| Homogenization tissue (87176) | $35 | $50 | 6.0× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $227.50 | $325 | 3.4× |
| Hpylori Drug Administration (83014) | $46.90 | $67 | 6.0× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $350 | $500 | 10.0× |
| Htt gene analysis detect abnormal alleles (81271) | $227.50 | $325 | 1.7× |
| Hydroxyprogesterone 17-d (83498) | $227.50 | $325 | 8.4× |
| Iaad ia clostridium difficile toxin (87324) | $158.20 | $226 | 13.2× |
| Iaad ia cryptosporidium (87328) | $147 | $210 | 10.6× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $150.50 | $215 | 6.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $171.50 | $245 | 11.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $178.50 | $255 | 12.8× |
| Iaad ia rotavirus (87425) | $178.50 | $255 | 14.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $122.50 | $175 | 3.5× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $87.50 | $125 | 7.3× |
| Iaadiadoo not otherwise specified (87899) | $175 | $250 | 10.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $700 | $1,000 | 19.9× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $371 | $530 | 10.6× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) | $325.50 | $465 | 6.3× |
| Iadna hepatitis b virus quantification (87517) | $329 | $470 | 7.7× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $700 | $1,000 | 16.3× |
| Iadna herpes virus-6 amplified probe tq (87532) | $171.50 | $245 | 4.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $315 | $450 | 9.0× |
| Iadna HIV-1 quant & reverse transcription (87536) | $700 | $1,000 | 8.2× |
| Iadna mtb rifampin resistance amp prb tq (87564) | $112 | $160 | 1.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $164.50 | $235 | 4.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $192.50 | $275 | 5.5× |
| Iadna nos amplified probe tq each organism (87798) | $700 | $1,000 | 19.9× |
| Iadna nos quantification each organism (87799) | $591.50 | $845 | 13.8× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $122.50 | $175 | 3.5× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $770 | $1,100 | 1.8× |
| Igg subclasses (82787) | $115.50 | $165 | 14.4× |
| Igh gene rearrange amp meth (81261) | $297.50 | $425 | 1.5× |
| Igk rearrangeabn clonal pop (81264) | $262.50 | $375 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $227.50 | $325 | 7.8× |
| Immunoassay analyte qual/semiqual single step (83518) | $14 | $20 | 1.5× |
| Immunoassay infectious agent antibody quan nos (86317) | $171.50 | $245 | 11.4× |
| Immunoassay nonantibody (83516) | $150.50 | $215 | 13.1× |
| Immunodiffusion Ouchterlony (86331) | $77 | $110 | 6.4× |
| Immunoelectrophoresis serum (86320) | $189 | $270 | 6.3× |
| Immunofixj Electrophoresis Serum (86334) | $196 | $280 | 8.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $280 | $400 | 1.6× |
| Immunofluorescent technique for pneumocystis carinii (87281) | $150.50 | $215 | 12.6× |
| Immunoglobulin light chains free each (83521) | $26.60 | $38 | 1.5× |
| Immunohistochemistry (88342) | $472.50 | $675 | 2.8× |
| India ink prep (87210) | $101.50 | $145 | 17.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Other Outpatient (87528) | $630 | $900 | 31.4× |
| Inhibin a (86336) | $178.50 | $255 | 11.4× |
| Inhibin b (83520) | $203 | $290 | 11.8× |
| Insitu hybridization (fish) (88365) | $315 | $450 | 1.8× |
| Insulin antibodies (86337) | $402.50 | $575 | 18.8× |
| Insulin total (83525) | $196 | $280 | 17.1× |
| Interleukin 6 (83529) | $94.50 | $135 | 5.5× |
| Intrinsic factor antibody (86340) | $122.50 | $175 | 8.1× |
| Iron (83540) | $101.50 | $145 | 15.7× |
| Iron binding capacity (83550) | $129.50 | $185 | 14.8× |
| Islet cell antibody (86341) | $189 | $270 | 8.0× |
| Jak2 gene analysis (81270) | $525 | $750 | 5.7× |
| Jak2 Targeted Sequence Analysis (81279) | $297.50 | $425 | 1.6× |
| Kit gene analys d816 variant (81273) | $647.50 | $925 | 5.2× |
| Koh Prep (87220) | $91 | $130 | 21.3× |
| Lactic acid (83605) | $150.50 | $215 | 13.0× |
| Lactoferrin Fecal Quantitative (83631) | $210 | $300 | 10.7× |
| Ldh (83615) | $126 | $180 | 20.9× |
| Ldh isoenzymes (83625) | $34.30 | $49 | 2.7× |
| LDL cholesterol direct (83721) | $70 | $100 | 6.7× |
| Lead (83655) | $126 | $180 | 10.4× |
| Legionella antigen urine (87449) | $171.50 | $245 | 14.3× |
| Leptospira antibody (86720) | $161 | $230 | 9.9× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $105 | $150 | 24.6× |
| Level ii surg pathology grossµscopic exam (88302) | $227.50 | $325 | 6.1× |
| Level v surg pathology grossµscopic exam (88307) | $525 | $750 | 1.5× |
| Level vi surg pathology grossµscopic exam (88309) | $980 | $1,400 | 1.2× |
| Lh (83002) | $245 | $350 | 13.2× |
| Lidocaine level (80176) | $150.50 | $215 | 10.2× |
| Lipase (83690) | $178.50 | $255 | 25.9× |
| Lipopro bld electrophoretic (83700) | $189 | $270 | 16.8× |
| Listeria ab (86609) | $115.50 | $165 | 9.0× |
| Lithium (80178) | $154 | $220 | 23.3× |
| Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) | $532 | $760 | 3.0× |
| Lyme disease antibody (86618) | $297.50 | $425 | 17.5× |
| Lyme disease antibody confirm (86617) | $182 | $260 | 11.7× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $910 | $1,300 | 5.3× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $595 | $850 | 3.5× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $511 | $730 | 3.0× |
| Magnesium (83735) | $98 | $140 | 14.6× |
| Malaria smear (87207) | $157.50 | $225 | 26.3× |
| Manual Diff Wbc Count B-Coat (85009) | $196 | $280 | 38.7× |
| Mass spectrometry qual/quan (83789) | $68.60 | $98 | 2.8× |
| Mecp2 gene dup/delet variant (81304) | $210 | $300 | 1.4× |
| Mecp2 gene, full gene analysis (81302) | $700 | $1,000 | 1.3× |
| Mercury (83825) | $164.50 | $235 | 10.1× |
| Methemoglobin Qualitative (83045) | $56 | $80 | 8.6× |
| Methotrexate (80299) | $245 | $350 | 13.1× |
| Methylmalonic acid serum (83921) | $136.50 | $195 | 6.4× |
| Microalbumin urine (82043) | $143.50 | $205 | 24.8× |
| Microbe Suscept Mycobacteri (87190) | $34.30 | $49 | 4.7× |
| Microbe susceptible diffuse (87181) | $105 | $150 | 22.1× |
| Microsomal antibodies (86376) | $203 | $290 | 14.0× |
| Mlh1 gene analysis duplication/deletion variants (81294) | $497 | $710 | 2.5× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,655.50 | $2,365 | 2.5× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $952 | $1,360 | 5.0× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $507.50 | $725 | 42.1× |
| Mog-igg1 antibody flow cytometry each (86363) | $52.50 | $75 | 1.4× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $189 | $270 | 3.7× |
| Molecular pathology procedure level 2 (81401) | $542.50 | $775 | 4.0× |
| Molecular pathology procedure level 7 (81406) | $2,520 | $3,600 | 8.9× |
| Mononuclear cell antigen (86356) | $332.50 | $475 | 12.4× |
| Mopath procedure level 4 (81403) | $700 | $1,000 | 3.8× |
| Mopath procedure level 5 (81404) | $591.50 | $845 | 2.2× |
| Mpl gene analysis common variants (81338) | $385 | $550 | 2.6× |
| Mrsa amp probe (87641) | $280 | $400 | 8.0× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $934.50 | $1,335 | 2.4× |
| Msh2 gene dup/delete variant (81297) | $521.50 | $745 | 2.4× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,571.50 | $2,245 | 2.4× |
| Msh6 gene analysis known familial variants (81299) | $455 | $650 | 1.5× |
| Msh6 gene dup/delete variant (81300) | $584.50 | $835 | 2.5× |
| Mthfr Gene Analysis Common Variants (81291) | $444.50 | $635 | 6.8× |
| Muramidase (85549) | $101.50 | $145 | 5.4× |
| Mycophenolic acid (80180) | $164.50 | $235 | 9.1× |
| Mycoplasma antibody (86738) | $164.50 | $235 | 12.4× |
| Mycoplasma culture (87109) | $143.50 | $205 | 9.3× |
| Mycoplasma genitalium PCR (87563) | $164.50 | $235 | 4.7× |
| Myelin basic protein csf (83873) | $210 | $300 | 12.2× |
| Myoglobin urine (83874) | $171.50 | $245 | 13.3× |
| Nasal smear for eosinophils (89190) | $44.10 | $63 | 7.6× |
| Natriuretic peptide (83880) | $245 | $350 | 6.2× |
| Neutralization test, viral (86382) | $101.50 | $145 | 6.0× |
| Nfct ds chrnc hcv 6 biochem assay srm alg lvr (81596) | $332.50 | $475 | 4.6× |
| Niacin (84591) | $280 | $400 | 16.4× |
| Nk cells total count (86357) | $136.50 | $195 | 3.6× |
| Nmr Lipoprofile (83704) | $52.50 | $75 | 1.5× |
| Nuclear antigen antibody (86235) | $203 | $290 | 11.3× |
| Nudt15 Gene Analysis Common Variants (81306) | $406 | $580 | 1.4× |
| Oligoclonal bands (83916) | $287 | $410 | 10.5× |
| Organic Acids Qual Each (83919) | $266 | $380 | 16.2× |
| Orthopoxvirus Amp Prb Each (87593) | $147 | $210 | 2.9× |
| Osmolality serum (83930) | $119 | $170 | 18.0× |
| Osmolality urine (83935) | $105 | $150 | 15.4× |
| Ova and parasite direct-id lca (87177) | $136.50 | $195 | 15.3× |
| Oxalate urine (83945) | $126 | $180 | 8.7× |
| Pancreatic elastase fecal (82656) | $665 | $950 | 57.7× |
| Pancreatic polypeptide (83519) | $647.50 | $925 | 35.2× |
| Particle Agglutination Screen Each Antibody (86403) | $150.50 | $215 | 13.0× |
| Parvovirus antibody (86747) | $245 | $350 | 16.3× |
| Pca3/klk3 antigen (81313) | $357 | $510 | 1.4× |
| Phenotype Infect Agent Drug (87900) | $420 | $600 | 3.2× |
| Phenylalanine (84030) | $157.50 | $225 | 28.6× |
| Phenytoin free (80186) | $147 | $210 | 10.7× |
| Phosphatase acid prostatic (84066) | $80.50 | $115 | 8.3× |
| Phosphatase alkaline (84075) | $87.50 | $125 | 16.9× |
| Phospholipid Neutralization Hexagonal (85598) | $112 | $160 | 6.2× |
| Phosphorus blood (84100) | $70 | $100 | 14.8× |
| Phosphorus urine (84105) | $67.90 | $97 | 11.7× |
| Pinworm exam (87172) | $53.90 | $77 | 12.6× |
| Platelet count (85049) | $35 | $50 | 7.8× |
| Platelet neutralization (85597) | $122.50 | $175 | 6.8× |
| Pms2 gene analysis duplication/deletion variants (81319) | $497 | $710 | 2.4× |
| Pms2 gene analysis full sequence (81317) | $1,659 | $2,370 | 2.5× |
| Porphobilinogen urine quant (84110) | $143.50 | $205 | 17.0× |
| Porphyrins qn & fraction urine (84120) | $220.50 | $315 | 15.0× |
| Potassium (84132) | $91 | $130 | 19.1× |
| Potassium urine (84133) | $87.50 | $125 | 18.5× |
| Ppp2r2b gene analysis eval detc abnormal alleles (81343) | $192.50 | $275 | 1.4× |
| Pregnenolone (84140) | $115.50 | $165 | 5.6× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $206.50 | $295 | 1.2× |
| Primidone (80188) | $133 | $190 | 8.0× |
| Procalcitonin (pct) (84145) | $255.50 | $365 | 9.4× |
| Progesterone (84144) | $182 | $260 | 8.7× |
| Prolactin (84146) | $245 | $350 | 12.6× |
| Prostaglandin Ea (84150) | $63 | $90 | 1.5× |
| Protein body fluid (84157) | $108.50 | $155 | 27.1× |
| Protein c activity (85303) | $420 | $600 | 30.3× |
| Protein c antigen (85302) | $280 | $400 | 23.3× |
| Protein electrophoresis serum (84165) | $70 | $100 | 6.5× |
| Protein Electrophoresis Urine (84166) | $129.50 | $185 | 7.3× |
| Protein S Functional (85306) | $210 | $300 | 13.7× |
| Protein s total (85305) | $315 | $450 | 27.1× |
| Protein Total Serum (84155) | $84 | $120 | 22.9× |
| Protein urine (84156) | $91 | $130 | 24.8× |
| Protein Western Blot (84182) | $385 | $550 | 13.2× |
| Protein westrn blot i&r blood/other fluid (84181) | $126 | $180 | 7.4× |
| Prothrombin time substitution (85611) | $266 | $380 | 67.5× |
| Protoporphyrin rbc quantitative (84202) | $15.40 | $22 | 1.1× |
| PSA free (84154) | $196 | $280 | 10.7× |
| Quantiferon tb gold (86480) | $315 | $450 | 5.1× |
| Rbc antibody elution (86860) | $276.50 | $395 | 1.6× |
| Rbc pretx incubatj w/chemicl (86970) | $150.50 | $215 | 2.5× |
| Reducing substances, stool (84376) | $56 | $80 | 10.2× |
| Renin activity plasma (84244) | $227.50 | $325 | 10.3× |
| Respiratory viral panel PCR (87633) | $1,085 | $1,550 | 2.6× |
| Reticulated platelet assay (85055) | $51.80 | $74 | 1.4× |
| Rheumatoid factor quant (86431) | $101.50 | $145 | 17.9× |
| Rickettsia antibody (86757) | $178.50 | $255 | 9.2× |
| Rpr Titer (86593) | $87.50 | $125 | 19.9× |
| Rubella antibody (86762) | $164.50 | $235 | 11.4× |
| Russell viper venom time diluted (85613) | $161 | $230 | 16.8× |
| Saccharomyces ab iga (86671) | $126 | $180 | 10.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $122.50 | $175 | 2.4× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $59.50 | $85 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $199.50 | $285 | 1.4× |
| Sed rate automated (85652) | $87.50 | $125 | 32.4× |
| Semen analysis sperm presence&/motility sprm (89321) | $63 | $90 | 5.2× |
| Sensitivity mic (87186) | $150.50 | $215 | 17.4× |
| Serotonin Release Assay (86022) | $385 | $550 | 21.0× |
| Sex hormone binding globulin (84270) | $140 | $200 | 6.4× |
| Sickle cell screen (85660) | $98 | $140 | 17.8× |
| Sirolimus (rapamycin) (80195) | $185.50 | $265 | 13.5× |
| Smear acid fast (87206) | $122.50 | $175 | 22.7× |
| Smear complex stain (87209) | $87.50 | $125 | 4.9× |
| Smear gram stain (87205) | $91 | $130 | 21.3× |
| Smn1 Gene Dos/Deletion Alys (81329) | $259 | $370 | 1.9× |
| Sodium (84295) | $77 | $110 | 16.0× |
| Sodium other source (84302) | $49 | $70 | 10.1× |
| Sodium urine (84300) | $61.60 | $88 | 12.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $262.50 | $375 | 2.0× |
| Special stains group 1 (88312) | $108.50 | $155 | 2.1× |
| Specific gravity body fluid (84315) | $20.30 | $29 | 6.2× |
| Spectrophotometry (84311) | $164.50 | $235 | 20.3× |
| Stool Cultr Aerobic Bact Ea (87046) | $87.50 | $125 | 9.3× |
| Strep b DNA amp probe (87653) | $87.50 | $125 | 2.5× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $91 | $130 | 1.0× |
| Sulfate urine (84392) | $52.50 | $75 | 9.6× |
| Surg path level iii (88304) | $297.50 | $425 | 5.7× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $178.50 | $255 | 6.1× |
| Surgical pathology level IV (88305) | $266 | $380 | 5.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $350 | $500 | 7.4× |
| T cells, total count (86359) | $126 | $180 | 3.3× |
| T3 free (84481) | $315 | $450 | 18.6× |
| T3 reverse (84482) | $399 | $570 | 25.3× |
| T3 total (84480) | $192.50 | $275 | 13.6× |
| T3 uptake (84479) | $147 | $210 | 22.7× |
| T4 Free (84439) | $182 | $260 | 20.2× |
| T4 total (84436) | $147 | $210 | 21.4× |
| Targeted genomic seq analysis (81445) | $837.08 | $1,195.82 | 1.4× |
| Tbp gene analysis eval detect abnormal alleles (81344) | $192.50 | $275 | 1.4× |
| Testosterone bioavailable (84410) | $154 | $220 | 3.0× |
| Testosterone free (84402) | $255.50 | $365 | 10.0× |
| Testosterone total (84403) | $241.50 | $345 | 9.4× |
| Theophylline (80198) | $105 | $150 | 7.4× |
| Thrombin time plasma (85670) | $115.50 | $165 | 20.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $154 | $220 | 23.8× |
| Thyroglobulin (84432) | $178.50 | $255 | 11.1× |
| Thyroglobulin Ab (86800) | $196 | $280 | 12.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $157.50 | $225 | 3.1× |
| Thyroxine binding globulin (84442) | $84 | $120 | 5.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $49 | $70 | 4.2× |
| Tissue culture bone marrow (88237) | $441 | $630 | 3.1× |
| Tissue Culture Lymphocyte (88230) | $665 | $950 | 5.7× |
| Tobramycin peak (80200) | $133 | $190 | 8.2× |
| Topiramate (80201) | $206.50 | $295 | 17.3× |
| Touch prep (88161) | $91 | $130 | 3.1× |
| Toxoplasma ab igm (86778) | $178.50 | $255 | 12.4× |
| Toxoplasma antibody igg (86777) | $164.50 | $235 | 11.4× |
| Tpmt gene com variants (81335) | $588 | $840 | 3.4× |
| Transferrin (84466) | $133 | $190 | 10.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $315 | $450 | 1.5× |
| Trg gene rearrangement analysis (81342) | $280 | $400 | 1.4× |
| Triglycerides (84478) | $119 | $170 | 20.7× |
| Troponin (84484) | $290.50 | $415 | 23.3× |
| Urea nitrogen (84520) | $84 | $120 | 21.3× |
| Urea Nitrogen Clearance (84545) | $46.20 | $66 | 6.4× |
| Urea nitrogen urine (84540) | $54.60 | $78 | 9.8× |
| Uric acid blood (84550) | $80.50 | $115 | 17.8× |
| Uric acid other source (84560) | $77 | $110 | 15.2× |
| Urinalysis microscopic only (81015) | $24.50 | $35 | 8.0× |
| Urinalysis w/microscopic (81001) | $122.50 | $175 | 38.6× |
| Urine pregnancy test (81025) | $70 | $100 | 8.1× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $35 | $50 | 15.6× |
| Valproic acid level (80164) | $182 | $260 | 13.4× |
| Vancomycin trough (80202) | $171.50 | $245 | 12.7× |
| Varicella-zoster antibody (86787) | $220.50 | $315 | 17.1× |
| Vasoactive intestinal peptide (vip) (84586) | $53.90 | $77 | 1.5× |
| Vasopressin (84588) | $420 | $600 | 12.4× |
| Vdrl csf (86592) | $91 | $130 | 21.3× |
| Virus antibody nos (86790) | $105 | $150 | 8.2× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $84 | $120 | 2.5× |
| Viscosity serum (85810) | $164.50 | $235 | 14.1× |
| Vitamin A (84590) | $192.50 | $275 | 16.6× |
| Vitamin b-12 (82607) | $164.50 | $235 | 10.9× |
| Vitamin b-2 (riboflavin) (84252) | $196 | $280 | 9.7× |
| Vitamin b1 (thiamine) (84425) | $259 | $370 | 12.2× |
| Vitamin b6 (84207) | $287 | $410 | 10.2× |
| Vitamin C (82180) | $112 | $160 | 11.3× |
| Vitamin D 25-Hydroxy (82306) | $280 | $400 | 9.5× |
| Vitamin e serum (84446) | $210 | $300 | 14.8× |
| Voltage-gated calcium channel antibody each (86596) | $28 | $40 | 2.3× |
| Von willebrand factor activity (85245) | $350 | $500 | 15.3× |
| West nile virus ab, igm (86788) | $178.50 | $255 | 10.6× |
| West nile virus antibody (86789) | $161 | $230 | 11.2× |
| Zika Virus Igm Antibody (86794) | $185.50 | $265 | 11.0× |
| Zinc (84630) | $136.50 | $195 | 12.0× |