| Acute hepatitis panel (80074) |
— |
$361 |
— |
| Alt (84460) |
— |
$45 |
— |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
— |
$153.33 |
— |
| Ast (84450) |
— |
$90 |
— |
| Autologous blood or component, collection processing and storage; intra- or postoperative salvage (86891) |
— |
$2,503.80 |
— |
| Bilirubin direct (82248) |
— |
$92.11 |
— |
| Bilirubin total (82247) |
— |
$44 |
— |
| Blood typing serologic abo (86900) |
— |
$164.75 |
— |
| Blood typing serologic rh (d) (86901) |
— |
$49 |
— |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
— |
$50.69 |
— |
| C-reactive protein (86140) |
— |
$88.71 |
— |
| C-reactive protein high sensitivity (86141) |
— |
$85 |
— |
| Calcium total (82310) |
— |
$45 |
— |
| Calprotectin fecal (83993) |
— |
$323 |
— |
| Cea (82378) |
— |
$208 |
— |
| Chorionic gonadotropin test (84702) |
— |
$241.81 |
— |
| Cortisol saliva (82533) |
— |
$124 |
— |
| Creatine kinase total (82550) |
— |
$89.64 |
— |
| Creatinine (82565) |
— |
$45.58 |
— |
| Creatinine other source (82570) |
— |
$43.81 |
— |
| Culture urine (87086) |
— |
$168 |
— |
| Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate,… (87149) |
— |
$420.45 |
— |
| D-dimer quantitative (85379) |
— |
$252.79 |
— |
| Direct antiglobulin test (86880) |
— |
$215 |
— |
| Estradiol (82670) |
— |
$229 |
— |
| Ferritin (82728) |
— |
$130.30 |
— |
| Folate serum (82746) |
— |
$153 |
— |
| Follicle stimulating hormone (fsh) (83001) |
— |
$173 |
— |
| Glycated hemoglobin (83036) |
— |
$88.70 |
— |
| Hcg ql (84703) |
— |
$148.64 |
— |
| Hematocrit (hct) (85014) |
— |
$38 |
— |
| Hemoglobin (85018) |
— |
$38.11 |
— |
| Hepatitis c antibody (86803) |
— |
$122.50 |
— |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
— |
$154.15 |
— |
| Immunoglobulin d (82784) |
— |
$131.77 |
— |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
— |
$159.58 |
— |
| Influenza DNA amp probe (87502) |
— |
$390 |
— |
| Insulin total (83525) |
— |
$63 |
— |
| Iron (83540) |
— |
$59.11 |
— |
| Iron binding capacity (83550) |
— |
$63 |
— |
| Lactate (83605) |
— |
$165.46 |
— |
| Lactate dehydrogenase (83615) |
— |
$90 |
— |
| LDL direct (83721) |
— |
$78 |
— |
| Lipase (83690) |
— |
$134.29 |
— |
| Luteinizing hormone (lh) (83002) |
— |
$178 |
— |
| Magnesium (83735) |
— |
$96.66 |
— |
| Manual differential (85007) |
— |
$85.39 |
— |
| N.gonorrhoeae DNA amp prob (87591) |
— |
$167 |
— |
| Natriuretic peptide (83880) |
— |
$254 |
— |
| Occult blood screening (82270) |
— |
$49 |
— |
| Parathyroid hormone (83970) |
— |
$327 |
— |
| Phenylalanine (84030) |
— |
$153.60 |
— |
| Phosphorus (84100) |
— |
$92 |
— |
| Procalcitonin (pct) (84145) |
— |
$337.25 |
— |
| Progesterone (84144) |
— |
$196 |
— |
| Prolactin (84146) |
— |
$223 |
— |
| PSA free (84154) |
— |
$153 |
— |
| Rbc antibody screen (86850) |
— |
$147 |
— |
| Rubella antibody (86762) |
— |
$121.34 |
— |
| Sedimentation rate rbc automated (85652) |
— |
$83.47 |
— |
| Strep a assay w/optic (87880) |
— |
$47.45 |
— |
| T3 free (84481) |
— |
$168.94 |
— |
| T4 (thyroxine) total (84436) |
— |
$55 |
— |
| Testosterone free (84402) |
— |
$143.43 |
— |
| Testosterone total (84403) |
— |
$178.97 |
— |
| Thyroxine free (ft4) (84439) |
— |
$83.37 |
— |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
— |
$116.35 |
— |
| Troponin t (84484) |
— |
$275.91 |
— |
| Uric acid blood (84550) |
— |
$107 |
— |
| Urinalysis auto w/micro (81001) |
— |
$92.45 |
— |
| Urinalysis microscopic only (81015) |
— |
$56 |
— |
| Urine Pregnancy Test POC (81025) |
— |
$56 |
— |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
— |
$48.61 |
— |
| Vitamin b-12 (82607) |
— |
$195 |
— |
| Vitamin d 25 hydroxy (82306) |
— |
$88.32 |
— |