| 1 25 Dihydroxy includes fractions if performed (82652) |
— |
$24 |
— |
| 5 Hiaa (83497) |
— |
$50 |
— |
| 5 Nucleotidase (83915) |
— |
$80 |
— |
| Acetylcholine receptor binding antibody (86041) |
— |
$25 |
— |
| Acth stimulation panel adrenal (80400) |
— |
$273.50 |
— |
| Actin smooth muscle antibody each (86015) |
— |
$10 |
— |
| Activated protein c resistance (85307) |
— |
$21 |
— |
| Acute hepatitis panel (80074) |
— |
$550 |
— |
| Acylcarnitine Plasma (82017) |
— |
$148.50 |
— |
| Adamts13 activity (85397) |
— |
$151.50 |
— |
| Additional high resolution study (88289) |
— |
$610 |
— |
| Adenovirus Ag Ia (87301) |
— |
$105 |
— |
| Adenovirus ag, if (87260) |
— |
$75 |
— |
| Adenovirus antibody (86603) |
— |
$70 |
— |
| Afb culture (87116) |
— |
$22 |
— |
| Albumin Fluid (82042) |
— |
$8 |
— |
| Albumin serum (82040) |
— |
$37.50 |
— |
| Aldolase (82085) |
— |
$6 |
— |
| Aldosterone urine (82088) |
— |
$138.50 |
— |
| Alkaline phosphatase isoenzymes (84080) |
— |
$18 |
— |
| Alpha-1-antitrypsin phenotype (82104) |
— |
$15 |
— |
| Alpha-1-antitrypsin, total (82103) |
— |
$35 |
— |
| Alpha-fetoprotein, serum (82105) |
— |
$222 |
— |
| Alt (sgpt) (84460) |
— |
$80 |
— |
| Aluminum (82108) |
— |
$14 |
— |
| Amikacin trough (80150) |
— |
$64 |
— |
| Amino acid screen urine (82128) |
— |
$150 |
— |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
— |
$99 |
— |
| Amino Acids, Single Quantitation (82131) |
— |
$150 |
— |
| Aminolevulinic acid (ala) (82135) |
— |
$48 |
— |
| Ammonia (82140) |
— |
$225 |
— |
| Amylase urine (82150) |
— |
$109 |
— |
| Ana Titer (86039) |
— |
$21.50 |
— |
| Analysis skeletal muscle (88355) |
— |
$490 |
— |
| Angiotensin i enzyme test (82164) |
— |
$10 |
— |
| Antibody Absorption (86978) |
— |
$227 |
— |
| Antibody aspergillus (86606) |
— |
$84 |
— |
| Antibody cytomegalovirus cmv (86644) |
— |
$35.50 |
— |
| Antibody cytomegalovirus cmv igm (86645) |
— |
$51 |
— |
| Antibody Detection Nos If (87299) |
— |
$120 |
— |
| Antibody epstein-barr eb virus early antigen ea (86663) |
— |
$43.50 |
— |
| Antibody helicobacter pylori (86677) |
— |
$90 |
— |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
— |
$11 |
— |
| Antibody herpes smplx type 1 (86695) |
— |
$120 |
— |
| Antibody HIV-2 (86702) |
— |
$50 |
— |
| Antibody identification (86870) |
— |
$711 |
— |
| Antibody identification leukocyte antibodies (86021) |
— |
$110 |
— |
| Antibody influenza virus (86710) |
— |
$50 |
— |
| Antibody mumps (86735) |
— |
$10 |
— |
| Antibody Protozoa Nes (86753) |
— |
$52.50 |
— |
| Antibody rubeola (86765) |
— |
$14 |
— |
| Antibody screen (86850) |
— |
$150 |
— |
| Antibody treponema pallidum (86780) |
— |
$13 |
— |
| Antibody; Coccidioides (86635) |
— |
$15 |
— |
| Antigen typing (86905) |
— |
$305 |
— |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
— |
$365 |
— |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
— |
$12.50 |
— |
| Antinuclear antibodies (86038) |
— |
$184 |
— |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
— |
$90 |
— |
| Antistreptolysin o titer (86060) |
— |
$40 |
— |
| Antithrombin iii activity (85300) |
— |
$163 |
— |
| Antithrombin iii antigen (85301) |
— |
$314 |
— |
| Aortic dysfunction/dilation dup/del analysis (81411) |
— |
$4,673 |
— |
| Aortic dysfunction/dilation genomic seq analysis (81410) |
— |
$2,355 |
— |
| Apolipoprotein b (82172) |
— |
$100 |
— |
| Aquaporin-4 Antb Elisa (86051) |
— |
$150 |
— |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
— |
$250 |
— |
| Aquaporin-4 antibody flow cytometry each (86053) |
— |
$331 |
— |
| Ar gene analysis full gene sequence (81173) |
— |
$3,365 |
— |
| Arsenic Urine (82175) |
— |
$140 |
— |
| Ashkenazi jewish assoc dis (81412) |
— |
$3,860 |
— |
| Aspergillus ag eia (87305) |
— |
$78 |
— |
| Assay galactose transferase (82775) |
— |
$117 |
— |
| Assay Nephelometry Not Spec (83883) |
— |
$110 |
— |
| Assay of 17-hydroxypregnenolone (84143) |
— |
$30 |
— |
| Assay of acth (82024) |
— |
$12 |
— |
| Assay of androstenedione (82157) |
— |
$24 |
— |
| Assay of anti-mullerian hormone (82166) |
— |
$63 |
— |
| Assay of blood chloride (82435) |
— |
$80 |
— |
| Assay of blood fatty acids (82725) |
— |
$30 |
— |
| Assay of c-peptide (84681) |
— |
$11 |
— |
| Assay of calcitonin (82308) |
— |
$150 |
— |
| Assay of ceruloplasmin (82390) |
— |
$8 |
— |
| Assay of creatine (82540) |
— |
$51 |
— |
| Assay of cyclosporine (80158) |
— |
$110 |
— |
| Assay of erythropoietin (82668) |
— |
$15 |
— |
| Assay of ferritin (82728) |
— |
$213 |
— |
| Assay of g6pd enzyme (82955) |
— |
$15 |
— |
| Assay of gammaglobulin igm (82784) |
— |
$101 |
— |
| Assay of gastrin (82941) |
— |
$100 |
— |
| Assay of gentamicin (80170) |
— |
$218 |
— |
| Assay of homocystine (83090) |
— |
$15 |
— |
| Assay of homovanillic acid (83150) |
— |
$33 |
— |
| Assay of lipoprotein(a) (83695) |
— |
$15 |
— |
| Assay of manganese (83785) |
— |
$16 |
— |
| Assay of metanephrines (83835) |
— |
$97.50 |
— |
| Assay of osteocalcin (83937) |
— |
$37 |
— |
| Assay of parathormone (83970) |
— |
$355.50 |
— |
| Assay of phenobarbital (80184) |
— |
$123 |
— |
| Assay of prealbumin (84134) |
— |
$142 |
— |
| Assay of pyruvate (84210) |
— |
$68.50 |
— |
| Assay of selenium (84255) |
— |
$13.50 |
— |
| Assay of sialic acid (84275) |
— |
$185 |
— |
| Assay of somatomedin (84305) |
— |
$13 |
— |
| Assay of tacrolimus (80197) |
— |
$137.50 |
— |
| Assay of urine vma (84585) |
— |
$87.50 |
— |
| Assay of vitamin k (84597) |
— |
$30 |
— |
| Assay of volatiles (84600) |
— |
$42 |
— |
| Assay Ph Body Fluid Nos (83986) |
— |
$32 |
— |
| Assay Phosphohexose Enzymes (84087) |
— |
$170 |
— |
| Ast (sgot) (84450) |
— |
$90 |
— |
| Autologous Blood Process (86890) |
— |
$464 |
— |
| B cells total count (86355) |
— |
$224 |
— |
| Bartonella antibody (86611) |
— |
$11 |
— |
| Bckdhb gene analysis common variants (81205) |
— |
$439 |
— |
| Bcr/abl1 gene major bp (81206) |
— |
$54 |
— |
| Bcr/abl1 gene minor bp (81207) |
— |
$54 |
— |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
— |
$22 |
— |
| Beta hydroxybutyrate (82010) |
— |
$49 |
— |
| Beta-2 microglobulin (82232) |
— |
$14 |
— |
| Bile acids, total (82239) |
— |
$150 |
— |
| Bilirubin direct (82248) |
— |
$80 |
— |
| Bilirubin total (82247) |
— |
$50 |
— |
| Bilirubin total transcutaneous (88720) |
— |
$45 |
— |
| Bl Smear W/Diff Wbc Count (85007) |
— |
$47.50 |
— |
| Blastomyces antibody (86612) |
— |
$80 |
— |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) |
— |
$240 |
— |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
— |
$365 |
— |
| Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and… (86077) |
— |
$183 |
— |
| Blood count reticulocyte automated (85045) |
— |
$70 |
— |
| Blood gases (82803) |
— |
$719 |
— |
| Blood Gases, O2 Sat Only - Oxygen Saturation, Arterial (82810) |
— |
$95 |
— |
| Blood Ph - Ph Venous (82800) |
— |
$113 |
— |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
— |
$325 |
— |
| Blood typing abo (86900) |
— |
$244 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$85 |
— |
| Blood typing serologic rh phenotyping complete (86906) |
— |
$105 |
— |
| Body fluid cell count (89051) |
— |
$149 |
— |
| Body fluid cell count (89050) |
— |
$113 |
— |
| Bone Marrow Smear Interpretation (85097) |
— |
$1,593 |
— |
| Brca1 gene analysis full sequence analysis (81165) |
— |
$4,486 |
— |
| Brca2 gene analysis full sequence analysis (81216) |
— |
$3,365 |
— |
| Brucella antibody (86622) |
— |
$46.50 |
— |
| C diff amplified probe (87493) |
— |
$225 |
— |
| C-reactive protein (86140) |
— |
$130 |
— |
| C1q binding assay (86332) |
— |
$180 |
— |
| Ca 125 (86304) |
— |
$11 |
— |
| Ca 19-9 (86301) |
— |
$11 |
— |
| Caffeine (80155) |
— |
$39 |
— |
| Calcium ionized (82330) |
— |
$386 |
— |
| Calcium total (82310) |
— |
$73 |
— |
| Calcium urine (82340) |
— |
$74 |
— |
| Calculus Spectroscopy (82365) |
— |
$79 |
— |
| Calprotectin, fecal (83993) |
— |
$90 |
— |
| Candida antibody (86628) |
— |
$80 |
— |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
— |
$4,486 |
— |
| Car Ion Chnnlpath Inc 2 Gns (81414) |
— |
$2,025 |
— |
| Carb deficient transferrin (82373) |
— |
$244 |
— |
| Carbamazepine (tegretol) total (80156) |
— |
$142 |
— |
| Carbon dioxide (82374) |
— |
$75 |
— |
| Carcinoembryonic antigen (82378) |
— |
$11 |
— |
| Cardiolipin ab igg (86147) |
— |
$25 |
— |
| Carnitine (82379) |
— |
$155 |
— |
| Catecholamines fraction plasma (82384) |
— |
$28 |
— |
| Catecholamines organic nitrogen blood level (82383) |
— |
$140 |
— |
| Cebpa gene full sequence (81218) |
— |
$300 |
— |
| Cellular Function Assay Stimul&Detect Biomarker (86352) |
— |
$234 |
— |
| Cftr gene analysis known familial variants (81221) |
— |
$638 |
— |
| Cftr gene com variants (81220) |
— |
$205 |
— |
| Cftr gene dup/delet variants (81222) |
— |
$2,850 |
— |
| Cftr gene full sequence (81223) |
— |
$3,365 |
— |
| Chemiluminescent assay (82397) |
— |
$115 |
— |
| Chimerism w/comp to baseline w/cell selection ea (81268) |
— |
$529 |
— |
| Chimerism w/comp to baseline w/o cell selection (81267) |
— |
$170 |
— |
| Chlamydia antibody (86631) |
— |
$45 |
— |
| Chlamydia Igm Antibody (86632) |
— |
$8 |
— |
| Chlamydia trachomatis ag if (87270) |
— |
$6 |
— |
| Chloride other source (82438) |
— |
$147 |
— |
| Chloride urine (82436) |
— |
$102 |
— |
| Cholesterol total (82465) |
— |
$166.50 |
— |
| Cholinesterase rbc (82482) |
— |
$17 |
— |
| Cholinesterase serum (82480) |
— |
$42 |
— |
| Chrmsm breakage synds score 100 cll (88249) |
— |
$1,200 |
— |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
— |
$238 |
— |
| Chrom count break 50-100/20/2 (88248) |
— |
$1,200 |
— |
| Chromium urine (82495) |
— |
$14 |
— |
| Chromogranin a (86316) |
— |
$22 |
— |
| Chromosome analysis 20-25 cells (88264) |
— |
$159.50 |
— |
| Chromosome Analysis 5 (88261) |
— |
$105 |
— |
| Chromosome karyotype study (88280) |
— |
$190 |
— |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
— |
$113 |
— |
| Citrate (82507) |
— |
$13 |
— |
| Ckmb (82553) |
— |
$183 |
— |
| Clot factor viii vw antigen (85246) |
— |
$36.50 |
— |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
— |
$276 |
— |
| Clot factor xiii fibrin stab (85290) |
— |
$143 |
— |
| Cmv PCR (87496) |
— |
$250 |
— |
| Coagulation time activated (85347) |
— |
$38 |
— |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
— |
$175 |
— |
| Collagen cross links (82523) |
— |
$22 |
— |
| Comparative anal str markers patient&comp spec (81265) |
— |
$154 |
— |
| Compatibility test antiglob (86922) |
— |
$424 |
— |
| Compatibility Test Incubate (86921) |
— |
$424 |
— |
| Complement c3 (86160) |
— |
$123 |
— |
| Complement total ch50 (86162) |
— |
$143.50 |
— |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
— |
$126 |
— |
| Comprehensive review of data (88325) |
— |
$585 |
— |
| Concentration Infectious Agent (87015) |
— |
$21 |
— |
| Coombs direct (86880) |
— |
$128 |
— |
| Copper urine (82525) |
— |
$11 |
— |
| Cortisol free (82530) |
— |
$147 |
— |
| Cortisol total (82533) |
— |
$209 |
— |
| Creatine kinase total (82550) |
— |
$112 |
— |
| Creatinine blood (82565) |
— |
$71 |
— |
| Creatinine clearance (82575) |
— |
$120 |
— |
| Creatinine other source (82570) |
— |
$80 |
— |
| Crossmatch immediate spin (86920) |
— |
$365 |
— |
| Cryoglobulin (82595) |
— |
$8 |
— |
| Cryptococcal Antigen (87327) |
— |
$24.50 |
— |
| Cryptococcus antibody (86641) |
— |
$120 |
— |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
— |
$90 |
— |
| Culture Aerobic Identify (87077) |
— |
$80 |
— |
| Culture anaerobic (87075) |
— |
$218 |
— |
| Culture blood (87040) |
— |
$793 |
— |
| Culture chlamydia (87110) |
— |
$24 |
— |
| Culture fungus blood (87103) |
— |
$125 |
— |
| Culture fungus id yeast (87106) |
— |
$140 |
— |
| Culture fungus other (87102) |
— |
$184 |
— |
| Culture genital (87070) |
— |
$216 |
— |
| Culture screen only (87081) |
— |
$113 |
— |
| Culture stool (87045) |
— |
$155 |
— |
| Culture typing if ea antiserum (87140) |
— |
$26 |
— |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
— |
$43 |
— |
| Culture urine (87086) |
— |
$133 |
— |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
— |
$400 |
— |
| Cyclic Citrullinated Peptide (86200) |
— |
$17 |
— |
| Cyp2c19 gene com variants (81225) |
— |
$1,024 |
— |
| Cyp2c9 gene com variants (81227) |
— |
$1,500 |
— |
| Cyp2d6 gene com variants (81226) |
— |
$1,575 |
— |
| Cystatin c (82610) |
— |
$30 |
— |
| Cytogen micrarray copy nmbr (81228) |
— |
$3,601 |
— |
| Cytogenetics 10-30 (88273) |
— |
$122.50 |
— |
| Cytogenetics DNA probe (88271) |
— |
$89 |
— |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) |
— |
$3,410 |
— |
| Cytogenomic neoplasia microarray analysis (81277) |
— |
$1,837.50 |
— |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
— |
$502.50 |
— |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
— |
$216 |
— |
| Cytopath Smear Other Source (88160) |
— |
$166 |
— |
| Cytopathology procedures (88199) |
— |
$320 |
— |
| Cytp concentration smears & interpretation (88108) |
— |
$310 |
— |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
— |
$563 |
— |
| Cytp fna eval dx 1st each site (88172) |
— |
$365 |
— |
| D-Dimer (85379) |
— |
$281.50 |
— |
| Deoxycortisol (82634) |
— |
$31 |
— |
| Deoxyribonuclease antibody (86215) |
— |
$10 |
— |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
— |
$200 |
— |
| Detect agnt mult DNA ampli (87801) |
— |
$344 |
— |
| Detection test by immunoassay technique for cytomegalovirus (87332) |
— |
$120 |
— |
| Dhea (82626) |
— |
$22 |
— |
| Dhea sulfate (82627) |
— |
$11 |
— |
| Digoxin (80162) |
— |
$47.50 |
— |
| Digoxin free (80163) |
— |
$117 |
— |
| Dihydrotestosterone (82642) |
— |
$34 |
— |
| Dilantin (80185) |
— |
$259 |
— |
| Diphtheria antitoxoid (86648) |
— |
$100 |
— |
| Dmd duplication/deletion analysis (81161) |
— |
$1,260 |
— |
| Dmpk Gene Detc Abnor Allele (81234) |
— |
$238 |
— |
| Dna Antibody Single Stranded (86226) |
— |
$120 |
— |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
— |
$74 |
— |
| Dna/Rna Amplified Probe (87150) |
— |
$163 |
— |
| DNA/RNA direct probe (87149) |
— |
$140 |
— |
| Drug assay felbamate (80167) |
— |
$19 |
— |
| Drug assay flecainide (80181) |
— |
$28 |
— |
| Drug Assay Infliximab (80230) |
— |
$188.50 |
— |
| Drug Assay Lacosamide (80235) |
— |
$89 |
— |
| Drug assay leflunomide (80193) |
— |
$72 |
— |
| Drug assay methotrexate (80204) |
— |
$102.50 |
— |
| Drug assay posaconazole (80187) |
— |
$117.50 |
— |
| Drug assay rufinamide (80210) |
— |
$64 |
— |
| Drug assay voriconazole (80285) |
— |
$135 |
— |
| Drug screen quant zonisamide (80203) |
— |
$42 |
— |
| Drug Screen Quantitative Lamotrigine (80175) |
— |
$11 |
— |
| Drug Scrn Quan Levetiracetam (80177) |
— |
$70 |
— |
| Drug scrn quant oxcarbazepin (80183) |
— |
$20 |
— |
| Drug test prsmv chem anlyzr (80307) |
— |
$169 |
— |
| Ebv viral capsid (86665) |
— |
$8 |
— |
| Elastase pancreatic fecal quantitative (82653) |
— |
$72 |
— |
| Electrolyte panel (80051) |
— |
$137 |
— |
| Electron microscopy diagnostic (88348) |
— |
$2,300 |
— |
| Electronic crossmatch (86923) |
— |
$45 |
— |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
— |
$79.50 |
— |
| Endomysial antibody iga (86255) |
— |
$94 |
— |
| Enterovirus Pcr (87498) |
— |
$171 |
— |
| Enzyme cell activity (82657) |
— |
$250 |
— |
| Enzyme histochemistry (88319) |
— |
$1,283 |
— |
| Eosinophil count (85048) |
— |
$47 |
— |
| Epilepsy genomic sequence analysis panel (81419) |
— |
$7,290 |
— |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
— |
$79.50 |
— |
| Estradiol (82670) |
— |
$117 |
— |
| Ethylene glycol (82693) |
— |
$69 |
— |
| Everolimus (80169) |
— |
$50 |
— |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
— |
$21 |
— |
| Exome re-evaluation (81417) |
— |
$1,875 |
— |
| Exome sequence analysis (81415) |
— |
$2,500 |
— |
| Exome sequence analysis each comparator exome (81416) |
— |
$10,250.50 |
— |
| F2 gene analysis 20210g >a variant (81240) |
— |
$79.50 |
— |
| F5 gene (81241) |
— |
$80 |
— |
| F9 full gene sequence (81238) |
— |
$3,365 |
— |
| Factor ii activity (85210) |
— |
$180 |
— |
| Factor inhibitor test (85335) |
— |
$535 |
— |
| Factor ix activity (85250) |
— |
$266 |
— |
| Factor v activity (85220) |
— |
$222 |
— |
| Factor vii assay (85230) |
— |
$224 |
— |
| Factor viii ahg (85240) |
— |
$106.50 |
— |
| Factor viii vw multimetric (85247) |
— |
$64 |
— |
| Factor xi assay (85270) |
— |
$272 |
— |
| Factor xii assay (85280) |
— |
$88 |
— |
| Factor xiii solubility screen (85291) |
— |
$250 |
— |
| Fat stain (89125) |
— |
$98 |
— |
| Fecal fat qual (82705) |
— |
$18 |
— |
| Fecal fat quant (82710) |
— |
$100 |
— |
| Fetal hemoglobin, chemical (83030) |
— |
$78 |
— |
| Fibrin degradation products (85362) |
— |
$129 |
— |
| Fibrinogen activity (85384) |
— |
$175 |
— |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) |
— |
$100 |
— |
| Fibrinolytic Plasminogen (85415) |
— |
$56 |
— |
| Flow cytometry first marker (88184) |
— |
$212 |
— |
| Flt3 gene analysis (81245) |
— |
$540.50 |
— |
| Flt3 Gene Anlys Tyrosine Kinase Domain Variants (81246) |
— |
$1,200 |
— |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
— |
$136 |
— |
| Fmr1 gene charac alleles (81244) |
— |
$1,139.50 |
— |
| Fmr1 gene detection (81243) |
— |
$197.50 |
— |
| Folate serum (82746) |
— |
$13 |
— |
| Folic acid rbc (82747) |
— |
$13 |
— |
| Follicle Stimulating Hormone (83001) |
— |
$10 |
— |
| Frozen Section (88331) |
— |
$413 |
— |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
— |
$88 |
— |
| Fxn gene analysis full gene sequence (81286) |
— |
$976 |
— |
| G6pc gene analysis common variants (81250) |
— |
$203 |
— |
| G6pd full gene sequence (81249) |
— |
$2,670.50 |
— |
| Gammaglobulin ige (82785) |
— |
$130 |
— |
| Gastric Occult Blood (82271) |
— |
$56 |
— |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) |
— |
$2,639 |
— |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
— |
$10,238 |
— |
| Gene analysis calcium voltage-gated channel subunit alpha (81185) |
— |
$3,365 |
— |
| Genetic testing for severe inherited conditions (81443) |
— |
$1,697 |
— |
| Genome re-evaluation (81427) |
— |
$10,786 |
— |
| Genome sequence analysis (81425) |
— |
$17,410 |
— |
| Genome sequence analysis each comparator genome (81426) |
— |
$9,378 |
— |
| Genotype cytomegalovirus (87910) |
— |
$600 |
— |
| Ggt (82977) |
— |
$92 |
— |
| Giardia ag by if (87269) |
— |
$41 |
— |
| Giardia antigen eia stool (87329) |
— |
$69.50 |
— |
| Gjb2 gene full sequence (81252) |
— |
$3,365 |
— |
| Gjb2 gene known fam variants (81253) |
— |
$405 |
— |
| Gjb6 gene analysis common vari (81254) |
— |
$310 |
— |
| Gliadin antibody each immunoglobulin class (86258) |
— |
$14 |
— |
| Glucose (82947) |
— |
$62 |
— |
| Glucose Blood Test (82962) |
— |
$36 |
— |
| Glucose body fluid (82945) |
— |
$105 |
— |
| Glucose post dose (82950) |
— |
$114 |
— |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
— |
$48 |
— |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
— |
$130 |
— |
| Growth hormone (83003) |
— |
$12 |
— |
| Haptoglobin (83010) |
— |
$11 |
— |
| Hba1/hba2 full gene sequence (81259) |
— |
$468 |
— |
| Hba1/hba2 gene dup/del vrnts (81269) |
— |
$350 |
— |
| Hbb duplication/deletion variants (81363) |
— |
$498 |
— |
| Hbb Full Gene Sequence (81364) |
— |
$855 |
— |
| Hcg qualitative (84703) |
— |
$139 |
— |
| Hcg quant (84702) |
— |
$220 |
— |
| Hdl Cholesterol (83718) |
— |
$117 |
— |
| Hearing loss dup/del analys (81431) |
— |
$2,352 |
— |
| Hearing loss sequence analys (81430) |
— |
$4,374 |
— |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
— |
$110 |
— |
| Hematocrit (85014) |
— |
$68 |
— |
| Hemoglobin (85018) |
— |
$57 |
— |
| Hemoglobin a1c (83036) |
— |
$127 |
— |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
— |
$78 |
— |
| Hemoglobin electrophoresis (83020) |
— |
$80 |
— |
| Hemoglobin fetal ql (83033) |
— |
$60 |
— |
| Hemoglobin Methemoglobin Quantitative (83050) |
— |
$80 |
— |
| Hemoglobin plasma (83051) |
— |
$87 |
— |
| Hemoglobin stability screen (83068) |
— |
$80 |
— |
| Hemolysins/agglutinins auto screen (86940) |
— |
$68 |
— |
| Heparin assay (85520) |
— |
$272 |
— |
| Heparin neutralization (85525) |
— |
$56.50 |
— |
| Hepatitis a antibody total (86708) |
— |
$9 |
— |
| Hepatitis a igm (86709) |
— |
$177.50 |
— |
| Hepatitis b core ab igm (86705) |
— |
$201 |
— |
| Hepatitis b core antibody total (86704) |
— |
$12 |
— |
| Hepatitis B Surface Ab (86706) |
— |
$176 |
— |
| Hepatitis B Surface Antigen (87340) |
— |
$32 |
— |
| Hepatitis be antibody (86707) |
— |
$90 |
— |
| Hepatitis Be Antigen (87350) |
— |
$90 |
— |
| Hepatitis c antibody (86803) |
— |
$190 |
— |
| Hepatitis C Probe&Rvrs Trnsc (87521) |
— |
$190 |
— |
| Hepatitis delta ab (86692) |
— |
$100 |
— |
| Hereditary peripheral neuropathy gen seq pnl (81448) |
— |
$3,365 |
— |
| Hereditary retinal disorders (81434) |
— |
$3,365 |
— |
| Herpes culture (87252) |
— |
$48 |
— |
| Herpes simplex type 2 (86696) |
— |
$150 |
— |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
— |
$112 |
— |
| Histoplasma antibody (86698) |
— |
$90 |
— |
| HIV confirmation (86689) |
— |
$100 |
— |
| HIV-1 antibody (86701) |
— |
$31 |
— |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
— |
$86 |
— |
| HIV-2 probe&revrse trnscripj (87538) |
— |
$64 |
— |
| Hla class i high defin qual (86832) |
— |
$415 |
— |
| Hla class i typing high resolution complete (81379) |
— |
$1,059 |
— |
| Hla class i&ii antibody qual (86828) |
— |
$322 |
— |
| Hla class ii high defin qual (86833) |
— |
$353 |
— |
| Hla class ii typing high resolution one locus ea (81382) |
— |
$400 |
— |
| Hla I Typing 1 Locus Lr (81373) |
— |
$131.50 |
— |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) |
— |
$802 |
— |
| Hla i&li low resolution hla-a -b&-drb1 (81371) |
— |
$296 |
— |
| Hla ii typing 1 locus lr (81376) |
— |
$154.50 |
— |
| Hla x-match, non-cytotoxic (86825) |
— |
$714 |
— |
| Hla-b27 (86812) |
— |
$27 |
— |
| Homogenization tissue (87176) |
— |
$70 |
— |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
— |
$263 |
— |
| Hpylori Drug Administration (83014) |
— |
$60 |
— |
| Hsv Dna Quant (87530) |
— |
$209 |
— |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
— |
$233 |
— |
| Htlv-i antibody (86687) |
— |
$15 |
— |
| Htlv-ii antibody (86688) |
— |
$15 |
— |
| Hydroxyprogesterone 17-d (83498) |
— |
$19 |
— |
| Iaad ia clostridium difficile toxin (87324) |
— |
$98 |
— |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) |
— |
$156 |
— |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
— |
$124 |
— |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
— |
$119 |
— |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
— |
$127 |
— |
| Iaad ia rotavirus (87425) |
— |
$125 |
— |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
— |
$175 |
— |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
— |
$90 |
— |
| Iaadi inffluenza a virus (87276) |
— |
$72 |
— |
| Iaadi influenza b virus (87275) |
— |
$72 |
— |
| Iaadi polyv mlt organisms ea polyv antiserum (87300) |
— |
$135 |
— |
| Iaadi respiratory synctial virus (87280) |
— |
$75 |
— |
| Iaadiadoo not otherwise specified (87899) |
— |
$90 |
— |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
— |
$98 |
— |
| Iadna hepatitis b virus quantification (87517) |
— |
$94 |
— |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
— |
$80 |
— |
| Iadna herpes virus-6 quantification (87533) |
— |
$265 |
— |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
— |
$64 |
— |
| Iadna HIV-1 quant & reverse transcription (87536) |
— |
$269.50 |
— |
| Iadna mycobacteria tuberculosis amp prb (87556) |
— |
$253 |
— |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
— |
$80.50 |
— |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
— |
$20 |
— |
| Iadna nos amplified probe tq each organism (87798) |
— |
$270 |
— |
| Iadna nos quantification each organism (87799) |
— |
$350 |
— |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
— |
$60 |
— |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
— |
$899.50 |
— |
| Ibmfs sequence analysis panel at least 30 genes (81441) |
— |
$6,122 |
— |
| If cryptosporidium antigen (87272) |
— |
$42.50 |
— |
| If varicella-zoster antigen (87290) |
— |
$66 |
— |
| Igg subclasses (82787) |
— |
$13 |
— |
| Immunfix e-phorsis/urine/csf (86335) |
— |
$250 |
— |
| Immunoassay infectious agent antibody quan nos (86317) |
— |
$7 |
— |
| Immunoassay nonantibody (83516) |
— |
$33 |
— |
| Immunoassay with direct visual observation for streptococcus (87802) |
— |
$140 |
— |
| Immunodiffusion not elsewhere specified (86329) |
— |
$53 |
— |
| Immunodiffusion Ouchterlony (86331) |
— |
$45 |
— |
| Immunofixj Electrophoresis Serum (86334) |
— |
$250 |
— |
| Immunofluorescence per spec 1st singl antb stain (88346) |
— |
$365 |
— |
| Immunofluorescent technique for herpes simplex virus type 1 (87274) |
— |
$68 |
— |
| Immunofluorescent technique for pneumocystis carinii (87281) |
— |
$119 |
— |
| Immunoglobulin assay (86023) |
— |
$27.50 |
— |
| Immunohisto Antibody Slide (88344) |
— |
$762 |
— |
| Immunohistochemistry (88342) |
— |
$550 |
— |
| India ink prep (87210) |
— |
$88 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Other Outpatient (87550) |
— |
$150 |
— |
| Influenza a/b ag eia (87400) |
— |
$138 |
— |
| Influenza DNA amp probe (87502) |
— |
$411 |
— |
| Inhibin a (86336) |
— |
$27 |
— |
| Inhibin b (83520) |
— |
$238 |
— |
| Insitu hybridization (fish) (88365) |
— |
$484 |
— |
| Insulin antibodies (86337) |
— |
$38 |
— |
| Insulin total (83525) |
— |
$8 |
— |
| Interleukin 6 (83529) |
— |
$46 |
— |
| Intraop cyto path consult 1 (88333) |
— |
$1,283 |
— |
| Iron (83540) |
— |
$109 |
— |
| Iron binding capacity (83550) |
— |
$100 |
— |
| Irradiation of blood product (86945) |
— |
$172 |
— |
| Islet cell antibody (86341) |
— |
$45 |
— |
| Koh Prep (87220) |
— |
$52 |
— |
| Lactic acid (83605) |
— |
$448 |
— |
| Ldh (83615) |
— |
$94 |
— |
| Ldh isoenzymes (83625) |
— |
$8 |
— |
| Lead (83655) |
— |
$8.50 |
— |
| Legion pneumo, DNA, amp prob (87541) |
— |
$182 |
— |
| Legionella antigen urine (87449) |
— |
$97.50 |
— |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
— |
$197 |
— |
| Level ii surg pathology grossµscopic exam (88302) |
— |
$308 |
— |
| Level v surg pathology grossµscopic exam (88307) |
— |
$1,031 |
— |
| Level vi surg pathology grossµscopic exam (88309) |
— |
$1,712 |
— |
| Lh (83002) |
— |
$12 |
— |
| Lidocaine level (80176) |
— |
$99 |
— |
| Lipase (83690) |
— |
$173 |
— |
| Lipopro bld electrophoretic (83700) |
— |
$120 |
— |
| Lithium (80178) |
— |
$78 |
— |
| Lyme disease antibody (86618) |
— |
$90 |
— |
| Lyme disease antibody confirm (86617) |
— |
$15 |
— |
| Lymphocyte transformation (86353) |
— |
$304 |
— |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
— |
$386 |
— |
| Macroscopic exam arthropod (87168) |
— |
$37 |
— |
| Magnesium (83735) |
— |
$265 |
— |
| Malaria smear (87207) |
— |
$128 |
— |
| Manual Diff Wbc Count B-Coat (85009) |
— |
$71 |
— |
| Manual reticulocyte count (85044) |
— |
$83 |
— |
| Mass spectrometry qual/quan (83789) |
— |
$180 |
— |
| Measurement of complement fixation tests (immune system proteins) (86171) |
— |
$53 |
— |
| Mercury (83825) |
— |
$13 |
— |
| Methotrexate (80299) |
— |
$170 |
— |
| Methylmalonic acid serum (83921) |
— |
$97 |
— |
| Microalbumin urine (82043) |
— |
$71 |
— |
| Microbe susceptible diffuse (87181) |
— |
$81 |
— |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
— |
$336 |
— |
| Microsomal antibodies (86376) |
— |
$14 |
— |
| Mitochondrial antibody each (86381) |
— |
$78 |
— |
| Mog-igg1 antibody flow cytometry each (86363) |
— |
$425 |
— |
| Molec cytg interphase ish analyze 100-300 cll (88275) |
— |
$82 |
— |
| Molecular pathology procedure level 2 (81401) |
— |
$448 |
— |
| Molecular pathology procedure level 7 (81406) |
— |
$708 |
— |
| Mononuclear cell antigen (86356) |
— |
$90 |
— |
| Mopath procedure level 1 (81400) |
— |
$296 |
— |
| Mopath procedure level 3 (81402) |
— |
$570 |
— |
| Mopath procedure level 4 (81403) |
— |
$504.50 |
— |
| Mopath procedure level 5 (81404) |
— |
$688 |
— |
| Mopath procedure level 6 (81405) |
— |
$754 |
— |
| Mopath procedure level 8 (81407) |
— |
$2,117 |
— |
| Mopath procedure level 9 (81408) |
— |
$5,001 |
— |
| Mthfr Gene Analysis Common Variants (81291) |
— |
$1,205 |
— |
| Muramidase (85549) |
— |
$16.50 |
— |
| Mycobacteria Dna Amp Probe (87551) |
— |
$381 |
— |
| Mycophenolic acid (80180) |
— |
$24 |
— |
| Mycoplasma antibody (86738) |
— |
$70 |
— |
| Mycoplasma culture (87109) |
— |
$90 |
— |
| Myelin basic protein csf (83873) |
— |
$28 |
— |
| Myoglobin urine (83874) |
— |
$13 |
— |
| Nasal smear for eosinophils (89190) |
— |
$113 |
— |
| Natriuretic peptide (83880) |
— |
$247.50 |
— |
| Nfct agent DNA/RNA influenza >2 types ea addl (87503) |
— |
$113 |
— |
| Nfct ds bv&vaginitis DNA alg (81515) |
— |
$658 |
— |
| Niacin (84591) |
— |
$80 |
— |
| Nk cells total count (86357) |
— |
$247.50 |
— |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) |
— |
$203 |
— |
| Nuclear antigen antibody (86235) |
— |
$15 |
— |
| Nuclear mitochondrial 100 gene genomic seq (81440) |
— |
$8,311 |
— |
| Occult blood stool (82272) |
— |
$68 |
— |
| Oligoclonal bands (83916) |
— |
$34.50 |
— |
| Organic Acids Total Quantitative Each Specimen (83918) |
— |
$100 |
— |
| Orthopoxvirus Amp Prb Each (87593) |
— |
$85 |
— |
| Osmolality serum (83930) |
— |
$130 |
— |
| Osmolality urine (83935) |
— |
$120 |
— |
| Osmotic fragility rbc incubated (85557) |
— |
$120 |
— |
| Ova and parasite direct-id lca (87177) |
— |
$47 |
— |
| Oxalate urine (83945) |
— |
$81.50 |
— |
| Palb2 gene analysis full gene sequence (81307) |
— |
$3,365 |
— |
| Pancreatic polypeptide (83519) |
— |
$260 |
— |
| Parainfluenza ag if (87279) |
— |
$68 |
— |
| Particle Agglutination Screen Each Antibody (86403) |
— |
$90 |
— |
| Parvovirus antibody (86747) |
— |
$14 |
— |
| Path Consult During Surgery (88329) |
— |
$198 |
— |
| Pathology clinical consultation hi mdm 41-60 min (80505) |
— |
$471 |
— |
| Pathology clinical consultation mod mdm 21-40min (80504) |
— |
$365 |
— |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
— |
$183 |
— |
| Pathology lab procedure (89240) |
— |
$170 |
— |
| Pertussis dfa (87265) |
— |
$113 |
— |
| Phenotype Infect Agent Drug (87900) |
— |
$225 |
— |
| Phenytoin free (80186) |
— |
$49.50 |
— |
| Phosphatase alkaline (84075) |
— |
$31.50 |
— |
| Phospholipid Neutralization Hexagonal (85598) |
— |
$53 |
— |
| Phosphorus blood (84100) |
— |
$238 |
— |
| Phosphorus urine (84105) |
— |
$52 |
— |
| Pinworm exam (87172) |
— |
$37 |
— |
| Plasminogen (85420) |
— |
$50.50 |
— |
| Platelet aggregation (85576) |
— |
$197 |
— |
| Platelet count (85049) |
— |
$77 |
— |
| Platelet neutralization (85597) |
— |
$31 |
— |
| Pml/raralpha com breakpoints (81315) |
— |
$467.50 |
— |
| Pmp22 gene full sequence (81325) |
— |
$3,365 |
— |
| Pms2 gene analysis full sequence (81317) |
— |
$3,365 |
— |
| Pneumcysts jirovecii amp prb (87594) |
— |
$270 |
— |
| Pooling blood platelets (86965) |
— |
$293 |
— |
| Porphobilinogen Urine Qual (84106) |
— |
$60 |
— |
| Porphobilinogen urine quant (84110) |
— |
$32 |
— |
| Porphyrins qn & fraction urine (84120) |
— |
$90 |
— |
| Potassium (84132) |
— |
$89 |
— |
| Potassium urine (84133) |
— |
$90 |
— |
| Pretx rbc antibody incubat w/enzymes each (86971) |
— |
$365 |
— |
| Procainamide napa (80192) |
— |
$11 |
— |
| Procalcitonin (pct) (84145) |
— |
$288 |
— |
| Progesterone (84144) |
— |
$150 |
— |
| Prolactin (84146) |
— |
$12 |
— |
| Protein body fluid (84157) |
— |
$69 |
— |
| Protein c activity (85303) |
— |
$83 |
— |
| Protein c antigen (85302) |
— |
$14 |
— |
| Protein electrophoresis serum (84165) |
— |
$8 |
— |
| Protein Electrophoresis Urine (84166) |
— |
$190 |
— |
| Protein S Functional (85306) |
— |
$44 |
— |
| Protein s total (85305) |
— |
$18 |
— |
| Protein Total Serum (84155) |
— |
$11 |
— |
| Protein urine (84156) |
— |
$80 |
— |
| Prothrombin time substitution (85611) |
— |
$97 |
— |
| Pten Gene Full Sequence (81321) |
— |
$2,355 |
— |
| Pyruvate kinase (84220) |
— |
$79 |
— |
| Quantiferon tb gold (86480) |
— |
$40 |
— |
| Rbc antibody elution (86860) |
— |
$285 |
— |
| Rbc osmotic fragility (85555) |
— |
$70 |
— |
| Rbc pretx incubatj w/chemicl (86970) |
— |
$140 |
— |
| Reducing substances, stool (84376) |
— |
$45 |
— |
| Ref consult prep elsewhere (88321) |
— |
$338 |
— |
| Renin activity plasma (84244) |
— |
$16 |
— |
| Reptilase test (85635) |
— |
$26 |
— |
| Resp virus 3-5 targets (87631) |
— |
$494 |
— |
| Respiratory viral panel PCR (87633) |
— |
$1,629 |
— |
| Reticulated platelet assay (85055) |
— |
$137 |
— |
| Reticulocyte Count (85046) |
— |
$110 |
— |
| Rheumatoid Factor Qual (86430) |
— |
$227 |
— |
| Rheumatoid factor quant (86431) |
— |
$75 |
— |
| Rickettsia antibody (86757) |
— |
$15 |
— |
| Rpr Titer (86593) |
— |
$23.50 |
— |
| Rsv (87807) |
— |
$130 |
— |
| Rubella antibody (86762) |
— |
$13.50 |
— |
| Runx1 gene analysis targeted sequence analysis (81334) |
— |
$1,195 |
— |
| Russell viper venom time diluted (85613) |
— |
$17 |
— |
| Saccharomyces ab iga (86671) |
— |
$18 |
— |
| Salmonella antibody (86768) |
— |
$90 |
— |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
— |
$79 |
— |
| Sars-Cov-2 Covid-19 Antibody (86769) |
— |
$27 |
— |
| Sarscov2&inf a&b&rsv amp prb (87637) |
— |
$395 |
— |
| Sed rate automated (85652) |
— |
$83 |
— |
| Sedimentation rate (85651) |
— |
$125 |
— |
| Sensitivity mic (87186) |
— |
$187.50 |
— |
| Serotonin Release Assay (86022) |
— |
$95 |
— |
| Serpina1 gene (81332) |
— |
$179 |
— |
| Serum bactericidal titer (87197) |
— |
$120 |
— |
| Sex hormone binding globulin (84270) |
— |
$6 |
— |
| Sickle cell screen (85660) |
— |
$150 |
— |
| Sirolimus (rapamycin) (80195) |
— |
$137 |
— |
| Smear acid fast (87206) |
— |
$33 |
— |
| Smear complex stain (87209) |
— |
$79.50 |
— |
| Smear gram stain (87205) |
— |
$122 |
— |
| Snrpn/ube3a gene (81331) |
— |
$230 |
— |
| Sodium (84295) |
— |
$79 |
— |
| Sodium other source (84302) |
— |
$17 |
— |
| Sodium urine (84300) |
— |
$99 |
— |
| Soluble transferrin receptor (84238) |
— |
$115 |
— |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
— |
$294 |
— |
| Special stains group 1 (88312) |
— |
$307 |
— |
| Specific gravity body fluid (84315) |
— |
$45 |
— |
| Spectrophotometry (84311) |
— |
$110 |
— |
| Splitting blood/blood products each unit (86985) |
— |
$365 |
— |
| Stem cells total count (86367) |
— |
$622 |
— |
| Stool Cultr Aerobic Bact Ea (87046) |
— |
$68 |
— |
| Strep a assay w/optic (87880) |
— |
$111 |
— |
| Strep a DNA amp probe (87651) |
— |
$124 |
— |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
— |
$67 |
— |
| Surg path level iii (88304) |
— |
$426 |
— |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
— |
$144 |
— |
| Surgical pathology level IV (88305) |
— |
$794 |
— |
| Susceptibility study antimicrobial disk method (87184) |
— |
$100 |
— |
| Sweat collection (89230) |
— |
$309 |
— |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
— |
$294 |
— |
| T cells, total count (86359) |
— |
$252.50 |
— |
| T3 free (84481) |
— |
$99 |
— |
| T3 reverse (84482) |
— |
$17 |
— |
| T3 total (84480) |
— |
$7 |
— |
| T3 uptake (84479) |
— |
$95 |
— |
| T4 Free (84439) |
— |
$88 |
— |
| T4 total (84436) |
— |
$165.50 |
— |
| Targeted genomic seq analysis (81445) |
— |
$2,308 |
— |
| Tb intradermal test (86580) |
— |
$75 |
— |
| Test for acetone/ketones (82009) |
— |
$83 |
— |
| Test for detecting genes associated with inherited disease of heart muscle (81439) |
— |
$4,486 |
— |
| Testosterone free (84402) |
— |
$6 |
— |
| Testosterone total (84403) |
— |
$13.50 |
— |
| Tetanus antibody (86774) |
— |
$120 |
— |
| Theophylline (80198) |
— |
$45.50 |
— |
| Thiocyanate (84430) |
— |
$120 |
— |
| Thrombin time plasma (85670) |
— |
$62.50 |
— |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
— |
$65 |
— |
| Thyroglobulin (84432) |
— |
$39 |
— |
| Thyroglobulin Ab (86800) |
— |
$13.50 |
— |
| Thyroid Stimulating Immunoglobulin (84445) |
— |
$38 |
— |
| Thyroxine binding globulin (84442) |
— |
$150 |
— |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
— |
$177.50 |
— |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
— |
$15 |
— |
| Tissue culture bone marrow (88237) |
— |
$168.50 |
— |
| Tissue Culture Lymphocyte (88230) |
— |
$129.50 |
— |
| Tissue culture solid tumor (88239) |
— |
$340 |
— |
| Tobramycin peak (80200) |
— |
$143 |
— |
| Topiramate (80201) |
— |
$26 |
— |
| Touch prep (88161) |
— |
$201 |
— |
| Toxoplasma ab igm (86778) |
— |
$11 |
— |
| Toxoplasma antibody igg (86777) |
— |
$60 |
— |
| Tp53 gene analysis full gene sequence (81351) |
— |
$3,365 |
— |
| Tp53 gene analysis known familial variant (81353) |
— |
$829 |
— |
| Tp53 gene analysis targeted sequence analysis (81352) |
— |
$1,041 |
— |
| Transferrin (84466) |
— |
$17 |
— |
| Translocation analysis (bcr/abl1) other breakpoint (81208) |
— |
$53 |
— |
| Triglycerides (84478) |
— |
$129 |
— |
| Troponin (84484) |
— |
$278 |
— |
| Urea nitrogen (84520) |
— |
$159 |
— |
| Urea nitrogen urine (84540) |
— |
$184 |
— |
| Uric acid blood (84550) |
— |
$119 |
— |
| Uric acid other source (84560) |
— |
$125 |
— |
| Urinalysis microscopic only (81015) |
— |
$48 |
— |
| Urinalysis qual/semiquant except immunoassays (81005) |
— |
$65 |
— |
| Urinalysis w/microscopic (81001) |
— |
$80 |
— |
| Urine pregnancy test (81025) |
— |
$119 |
— |
| Urine volume measurement (81050) |
— |
$58 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$66 |
— |
| Valproic acid level (80164) |
— |
$111.50 |
— |
| Vancomycin trough (80202) |
— |
$188 |
— |
| Varicella-zoster antibody (86787) |
— |
$11 |
— |
| Vasoactive intestinal peptide (vip) (84586) |
— |
$200 |
— |
| Vasopressin (84588) |
— |
$45 |
— |
| Vdrl csf (86592) |
— |
$6 |
— |
| Very long chain fatty acids (82726) |
— |
$140.50 |
— |
| Virus antibody nos (86790) |
— |
$80 |
— |
| Virus id non-immunologic oth/thn cytopathic (87255) |
— |
$27 |
— |
| Virus inoculate tissue addl (87253) |
— |
$52 |
— |
| Virus inoculation, shell via (87254) |
— |
$49.50 |
— |
| Vitamin A (84590) |
— |
$8 |
— |
| Vitamin b-12 (82607) |
— |
$9 |
— |
| Vitamin b-2 (riboflavin) (84252) |
— |
$33 |
— |
| Vitamin b1 (thiamine) (84425) |
— |
$17 |
— |
| Vitamin b6 (84207) |
— |
$12 |
— |
| Vitamin C (82180) |
— |
$18 |
— |
| Vitamin D 25-Hydroxy (82306) |
— |
$257 |
— |
| Vitamin e serum (84446) |
— |
$8 |
— |
| Vol reduction of blood/prod (86960) |
— |
$896 |
— |
| Von willebrand factor activity (85245) |
— |
$40 |
— |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
— |
$90 |
— |
| West nile virus ab, igm (86788) |
— |
$19.50 |
— |
| West nile virus antibody (86789) |
— |
$13 |
— |
| Whole mitochondrial genome (81460) |
— |
$4,454 |
— |
| X-linked intellectual dblt (81470) |
— |
$3,164 |
— |
| X-linked intellectual dblt (81471) |
— |
$3,164 |
— |
| Zinc (84630) |
— |
$65 |
— |