Lab & pathology prices at Vandalia Health Mon Preston Memorial Hospital
Kingwood, WV · every code in this section with a posted price and a Medicare benchmark.
564 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) | $41.62 | $83.25 | 1.1× |
| 5 Nucleotidase (83915) | $15.38 | $30.75 | 1.4× |
| Acetaminophen level (80143) | $87.12 | $174.25 | 4.7× |
| Acetylcholine receptor binding antibody (86041) | $30 | $60 | 1.6× |
| Acetylcholine receptor blocking antibody (86042) | $30 | $60 | 1.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $30 | $60 | 2.5× |
| Actin smooth muscle antibody each (86015) | $11.75 | $23.50 | 1.0× |
| Acute hepatitis panel (80074) | $68.38 | $136.75 | 1.4× |
| Acylcarnitine Plasma (82017) | $264.88 | $529.75 | 15.7× |
| Adenovirus antibody (86603) | $31.25 | $62.50 | 2.4× |
| Adrenocorticotropic hormone (82024) | $54.50 | $109 | 1.4× |
| Afp maternal serum (82105) | $16.38 | $32.75 | 1.0× |
| Albumin body fluid (82042) | $34.75 | $69.50 | 4.5× |
| Albumin serum (82040) | $26.25 | $52.50 | 5.3× |
| Aldolase (82085) | $7.25 | $14.50 | 0.7× |
| Aldosterone urine (82088) | $36.75 | $73.50 | 0.9× |
| Alkaline phosphatase isoenzymes (84080) | $22.25 | $44.50 | 1.5× |
| Allergen peanut (86003) | $32.50 | $65 | 6.2× |
| Allergen specific igg (86001) | $35.88 | $71.75 | 4.6× |
| Allg Spec Ige Recomb Ea (86008) | $50.62 | $101.25 | 2.8× |
| Alpha-1-antitrypsin phenotype (82104) | $12.38 | $24.75 | 0.9× |
| Alpha-1-antitrypsin, total (82103) | $12.25 | $24.50 | 0.9× |
| Alt (sgpt) (84460) | $23.25 | $46.50 | 4.4× |
| Amikacin trough (80150) | $18 | $36 | 1.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $68.75 | $137.50 | 3.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $173.62 | $347.25 | 10.3× |
| Amylase urine (82150) | $47 | $94 | 7.3× |
| Angiotensin i enzyme test (82164) | $9.62 | $19.25 | 0.7× |
| Anti-phosphatidylserine antibody (86148) | $29.75 | $59.50 | 1.9× |
| Antibody aspergillus (86606) | $40.38 | $80.75 | 2.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $35.88 | $71.75 | 2.3× |
| Antibody cytomegalovirus cmv (86644) | $14.25 | $28.50 | 1.0× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $29.62 | $59.25 | 2.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $38.12 | $76.25 | 3.1× |
| Antibody helicobacter pylori (86677) | $31.50 | $63 | 1.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $40.50 | $81 | 2.8× |
| Antibody HIV-2 (86702) | $15 | $30 | 1.1× |
| Antibody identification (86870) | $111.75 | $223.50 | 0.3× |
| Antibody mumps (86735) | $12.75 | $25.50 | 1.0× |
| Antibody Protozoa Nes (86753) | $56.50 | $113 | 4.6× |
| Antibody screen (86850) | $78.38 | $156.75 | 8.0× |
| Antibody treponema pallidum (86780) | $60.19 | $120.38 | 4.5× |
| Antibody; Coccidioides (86635) | $41.62 | $83.25 | 3.6× |
| Antigen typing (86905) | $60.50 | $121 | 15.8× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $88.88 | $177.75 | 17.2× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) | $86.38 | $172.75 | 7.2× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $15.75 | $31.50 | 1.3× |
| Antinomyces antibody (86602) | $28 | $56 | 2.8× |
| Antinuclear antibodies (86038) | $9.25 | $18.50 | 0.8× |
| Antistreptolysin o titer (86060) | $81.50 | $163 | 11.2× |
| Antithrombin iii activity (85300) | $45.88 | $91.75 | 3.9× |
| Apolipoprotein each (82172) | $52.50 | $105 | 2.5× |
| Aquaporin-4 Antb Elisa (86051) | $156 | $312 | 13.5× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) | $791.62 | $1,583.25 | 65.7× |
| Arsenic Urine (82175) | $26.88 | $53.75 | 1.4× |
| Aspergillus ag eia (87305) | $259 | $518 | 21.6× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $34.75 | $69.50 | 0.7× |
| Assay Lipoprotein Pla2 (83698) | $170.88 | $341.75 | 3.7× |
| Assay Nephelometry Not Spec (83883) | $38.88 | $77.75 | 2.9× |
| Assay of 5-hiaa (83497) | $9.62 | $19.25 | 0.7× |
| Assay of ammonia (82140) | $72.75 | $145.50 | 5.0× |
| Assay of androstenedione (82157) | $45.75 | $91.50 | 1.6× |
| Assay of c-peptide (84681) | $9.19 | $18.38 | 0.4× |
| Assay of ceruloplasmin (82390) | $13.88 | $27.75 | 1.3× |
| Assay of citrate (82507) | $42.75 | $85.50 | 1.5× |
| Assay of cpk in blood (82552) | $3.25 | $6.50 | 0.2× |
| Assay of creatine (82540) | $8.38 | $16.75 | 1.8× |
| Assay of cyclosporine (80158) | $39 | $78 | 2.2× |
| Assay of erythropoietin (82668) | $11.75 | $23.50 | 0.6× |
| Assay of estrone (82679) | $30.88 | $61.75 | 1.2× |
| Assay of ethosuximide (80168) | $34.62 | $69.25 | 2.1× |
| Assay of ferritin (82728) | $22 | $44 | 1.6× |
| Assay of g6pd enzyme (82955) | $23.50 | $47 | 2.4× |
| Assay of gammaglobulin igm (82784) | $8.62 | $17.25 | 0.9× |
| Assay of gastrin (82941) | $21.62 | $43.25 | 1.2× |
| Assay of gentamicin (80170) | $114.38 | $228.75 | 7.0× |
| Assay of homocystine (83090) | $41.62 | $83.25 | 2.3× |
| Assay of lactic acid (83605) | $54.75 | $109.50 | 4.7× |
| Assay of lipoprotein(a) (83695) | $25 | $50 | 1.7× |
| Assay of manganese (83785) | $59.19 | $118.38 | 2.2× |
| Assay of metanephrines (83835) | $51.38 | $102.75 | 3.0× |
| Assay of phenobarbital (80184) | $61.75 | $123.50 | 4.0× |
| Assay of prealbumin (84134) | $57.88 | $115.75 | 4.0× |
| Assay of proinsulin (84206) | $39.38 | $78.75 | 1.5× |
| Assay of prolactin (84146) | $11.75 | $23.50 | 0.6× |
| Assay of pyruvate (84210) | $11.62 | $23.25 | 0.8× |
| Assay of serotonin (84260) | $41.62 | $83.25 | 1.3× |
| Assay of sialic acid (84275) | $248.38 | $496.75 | 18.5× |
| Assay of tacrolimus (80197) | $89.12 | $178.25 | 6.5× |
| Assay of topiramate (80201) | $68 | $136 | 5.7× |
| Assay of urine vma (84585) | $28.75 | $57.50 | 1.9× |
| Assay of vasopressin anti-diuretic hormone (84588) | $92.50 | $185 | 2.7× |
| Assay of vitamin k (84597) | $225.62 | $451.25 | 16.4× |
| Assay of volatiles (84600) | $719.12 | $1,438.25 | 42.0× |
| Ast (sgot) (84450) | $22 | $44 | 4.2× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $473.50 | $947 | 2.9× |
| B cells total count (86355) | $58 | $116 | 1.5× |
| Bartonella antibody (86611) | $14.38 | $28.75 | 1.4× |
| Bcr/abl1 gene major bp (81206) | $193.38 | $386.75 | 1.2× |
| Bcr/abl1 gene minor bp (81207) | $193.38 | $386.75 | 1.3× |
| Beta 2 glycoprotein 1 igm (86146) | $128.88 | $257.75 | 5.1× |
| Beta hydroxybutyrate (82010) | $40.31 | $80.62 | 4.9× |
| Beta lactamase (87185) | $187.88 | $375.75 | 39.6× |
| Beta-2 microglobulin (82232) | $23.25 | $46.50 | 1.4× |
| Bile acids, total (82239) | $24.88 | $49.75 | 1.5× |
| Bilirubin direct (82248) | $48.25 | $96.50 | 9.6× |
| Bilirubin total (82247) | $18.50 | $37 | 3.7× |
| Bl Smear W/Diff Wbc Count (85007) | $21.50 | $43 | 5.7× |
| Blastomyces antibody (86612) | $47.88 | $95.75 | 3.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $129.50 | $259 | 0.8× |
| Blood gas (82803) | $170.62 | $341.25 | 6.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $15.38 | $30.75 | 1.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20.88 | $41.75 | 4.8× |
| Blood Ph (82800) | $73.88 | $147.75 | 6.7× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $38.38 | $76.75 | 6.0× |
| Blood typing abo (86900) | $22.75 | $45.50 | 7.6× |
| Blood typing serologic rh (d) (86901) | $22.75 | $45.50 | 7.6× |
| Body fluid cell count (89051) | $60.25 | $120.50 | 10.8× |
| Bordetella antibody (86615) | $52.88 | $105.75 | 4.0× |
| Braf gene (81210) | $1,093.75 | $2,187.50 | 6.2× |
| Brucella antibody (86622) | $18.75 | $37.50 | 2.1× |
| C diff amplified probe (87493) | $166 | $332 | 4.5× |
| C-reactive protein (86140) | $63.50 | $127 | 12.3× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $16.50 | $33 | 1.3× |
| Ca 125 (86304) | $69 | $138 | 3.3× |
| Ca 19-9 (86301) | $132.81 | $265.62 | 6.4× |
| Ca 27 29 (86300) | $13.25 | $26.50 | 0.6× |
| Calcitonin (82308) | $33.75 | $67.50 | 1.3× |
| Calcium ionized (82330) | $8.50 | $17 | 0.6× |
| Calcium total (82310) | $22 | $44 | 4.3× |
| Calcium urine (82340) | $49.75 | $99.50 | 8.3× |
| Calculus Quantitative Chemical (82360) | $31.88 | $63.75 | 2.5× |
| Calprotectin, fecal (83993) | $291.25 | $582.50 | 14.8× |
| Calr gene com variants (81219) | $593.88 | $1,187.75 | 4.9× |
| Carbamazepine total (80156) | $27.62 | $55.25 | 1.9× |
| Carbon dioxide (82374) | $21 | $42 | 4.3× |
| Carboxyhemoglobin (82375) | $54.88 | $109.75 | 4.5× |
| Carcinoembryonic antigen (82378) | $180.25 | $360.50 | 9.5× |
| Cardiolipin ab igg (86147) | $69.62 | $139.25 | 2.7× |
| Carnitine (82379) | $31.50 | $63 | 1.9× |
| Catecholamines fraction plasma (82384) | $35.88 | $71.75 | 1.4× |
| Cftr gene com variants (81220) | $142.25 | $284.50 | 0.3× |
| Chemiluminescent assay (82397) | $158.12 | $316.25 | 11.2× |
| Chlamydia Igm Antibody (86632) | $112.81 | $225.62 | 8.9× |
| Chloride blood (82435) | $20.38 | $40.75 | 4.4× |
| Chloride urine (82436) | $11.88 | $23.75 | 2.1× |
| Cholesterol HDL (83718) | $60.12 | $120.25 | 7.3× |
| Cholesterol total (82465) | $32.75 | $65.50 | 7.5× |
| Chrmsm analysis addl high resolution study (88289) | $1,413.25 | $2,826.50 | 41.0× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $193.38 | $386.75 | 1.5× |
| Chromium urine (82495) | $71.75 | $143.50 | 3.5× |
| Chromosome analysis 20-25 cells (88264) | $901.75 | $1,803.50 | 6.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $80 | $160 | 2.3× |
| Ckmb (82553) | $48.50 | $97 | 4.2× |
| Clot factor viii vw antigen (85246) | $208.75 | $417.50 | 9.1× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $164.62 | $329.25 | 9.2× |
| Clotting Inhibitors Protein S Free (85306) | $60.75 | $121.50 | 4.0× |
| Clozapine level (80159) | $22.88 | $45.75 | 1.1× |
| Cmv ab igm (86645) | $18.12 | $36.25 | 1.1× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $365.50 | $731 | 2.7× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $295.88 | $591.75 | 12.3× |
| Cold agglutinin titer (86157) | $22.62 | $45.25 | 2.8× |
| Collagen cross links (82523) | $96.12 | $192.25 | 5.1× |
| Compatibility test antiglob (86922) | $96.50 | $193 | 0.6× |
| Complement c3 (86160) | $43.88 | $87.75 | 3.7× |
| Complement total (ch50) (86162) | $9.62 | $19.25 | 0.5× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $32.62 | $65.25 | 2.7× |
| Concentration Infectious Agent (87015) | $15.12 | $30.25 | 2.3× |
| Coombs direct (86880) | $26.25 | $52.50 | 4.9× |
| Copper urine (82525) | $26.38 | $52.75 | 2.1× |
| Cortisol free (82530) | $26.88 | $53.75 | 1.6× |
| Cortisol total (82533) | $20.62 | $41.25 | 1.3× |
| Creatine kinase total (82550) | $22.94 | $45.88 | 3.5× |
| Creatinine blood (82565) | $22 | $44 | 4.3× |
| Creatinine clearance (82575) | $67.38 | $134.75 | 7.1× |
| Creatinine other source (82570) | $22.88 | $45.75 | 4.4× |
| Crossmatch immediate spin (86920) | $86.38 | $172.75 | 0.5× |
| Cryofibrinogen (82585) | $18.38 | $36.75 | 1.3× |
| Cryoglobulin (82595) | $5.38 | $10.75 | 0.8× |
| Crystals body fluid (89060) | $21.38 | $42.75 | 2.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $40.50 | $81 | 5.0× |
| Culture Aerobic Identify (87077) | $34.88 | $69.75 | 4.3× |
| Culture afb (87116) | $71.56 | $143.12 | 6.6× |
| Culture anaerobic (87075) | $80 | $160 | 8.4× |
| Culture blood (87040) | $118.50 | $237 | 11.5× |
| Culture chlamydia (87110) | $28.12 | $56.25 | 1.4× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $100.25 | $200.50 | 13.0× |
| Culture fungus id yeast (87106) | $66.88 | $133.75 | 6.5× |
| Culture fungus other (87102) | $60.25 | $120.50 | 7.2× |
| Culture genital (87070) | $60.75 | $121.50 | 7.0× |
| Culture screen only (87081) | $41.50 | $83 | 6.3× |
| Culture stool (87045) | $72.50 | $145 | 7.7× |
| Culture typing if ea antiserum (87140) | $8.12 | $16.25 | 1.5× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $746.31 | $1,492.62 | 21.3× |
| Culture urine (87086) | $52 | $104 | 6.4× |
| Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) | $149.69 | $299.38 | 12.0× |
| Cyclic Citrullinated Peptide (86200) | $58.62 | $117.25 | 4.5× |
| Cystatin c (82610) | $171.25 | $342.50 | 9.2× |
| Cysticercosis Antibody (86682) | $167.81 | $335.62 | 12.9× |
| Cytogenetics 100-300 (88275) | $145.88 | $291.75 | 2.8× |
| Cytogenetics DNA probe (88271) | $131 | $262 | 6.1× |
| Cytogenom const microarray copy number&snp var (81229) | $1,413.25 | $2,826.50 | 1.2× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $409.38 | $818.75 | 9.6× |
| Cytopath cell enhance tech (88112) | $72.25 | $144.50 | 1.4× |
| Cytopath Smear Other Source (88160) | $62.62 | $125.25 | 2.3× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $113.38 | $226.75 | 4.3× |
| Cytp concentration smears & interpretation (88108) | $83.56 | $167.12 | 2.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $53.19 | $106.38 | 1.1× |
| Cytp fna eval dx 1st each site (88172) | $59.12 | $118.25 | 0.4× |
| Deoxyribonuclease antibody (86215) | $20.88 | $41.75 | 1.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $68 | $136 | 4.1× |
| Detect agnt mult DNA ampli (87801) | $57.56 | $115.12 | 0.8× |
| Dgp antibody each ig class (86258) | $68 | $136 | 5.6× |
| Dhea (82626) | $20.88 | $41.75 | 0.8× |
| Dhea-sulfate (82627) | $106.50 | $213 | 4.8× |
| Digoxin (80162) | $87.12 | $174.25 | 6.6× |
| Dihydrotestosterone (82642) | $85.75 | $171.50 | 2.9× |
| Dilantin (80185) | $99.38 | $198.75 | 7.5× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $365.50 | $731 | 2.7× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $25.12 | $50.25 | 1.8× |
| Dpyd gene common variants (81232) | $455.62 | $911.25 | 2.6× |
| Drug Assay Lacosamide (80235) | $226.88 | $453.75 | 8.4× |
| Drug assay leflunomide (80193) | $239.75 | $479.50 | 6.2× |
| Drug assay methotrexate (80204) | $41 | $82 | 1.1× |
| Drug assay voriconazole (80285) | $569.12 | $1,138.25 | 21.0× |
| Drug quant nes (80299) | $75.06 | $150.12 | 4.0× |
| Drug screen quant zonisamide (80203) | $101.25 | $202.50 | 7.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $400.62 | $801.25 | 30.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $20.88 | $41.75 | 1.6× |
| Drug Scrn Quan Levetiracetam (80177) | $41.62 | $83.25 | 3.1× |
| Drug test prsmv chem anlyzr (80307) | $132.38 | $264.75 | 2.1× |
| Drug Test Prsmv Dir Opt Obs (80305) | $9.25 | $18.50 | 0.7× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $215.25 | $430.50 | 12.6× |
| E test (87181) | $89.56 | $179.12 | 18.9× |
| Ebv viral capsid (86665) | $27.62 | $55.25 | 1.5× |
| Egfr Gene Analysis Common Variants (81235) | $2,023.88 | $4,047.75 | 6.2× |
| Ehrlichia antibody (86666) | $82.50 | $165 | 8.1× |
| Electrolyte panel (80051) | $77.88 | $155.75 | 11.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $25.56 | $51.12 | 2.1× |
| Enterovirus antibody (86658) | $41.88 | $83.75 | 3.2× |
| Eosinophil count (85048) | $15.88 | $31.75 | 6.3× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $27.62 | $55.25 | 1.8× |
| Estradiol (82670) | $43.62 | $87.25 | 1.6× |
| Estriol serum (82677) | $23.12 | $46.25 | 1.0× |
| Estrogens total (82672) | $39 | $78 | 1.8× |
| Ethylene glycol (82693) | $1,515.50 | $3,031 | 101.7× |
| Everolimus (80169) | $64.75 | $129.50 | 4.7× |
| F2 gene analysis 20210g >a variant (81240) | $220 | $440 | 3.3× |
| F5 gene analysis, leiden variant (81241) | $145.25 | $290.50 | 2.0× |
| Factor ii activity (85210) | $46.88 | $93.75 | 3.6× |
| Factor ix activity (85250) | $26.88 | $53.75 | 1.4× |
| Factor viii ahg (85240) | $142.62 | $285.25 | 8.0× |
| Fatty acids free (82725) | $19 | $38 | 1.0× |
| Fecal fat qual (82705) | $11.75 | $23.50 | 2.3× |
| Fecal fat quant (82710) | $18.88 | $37.75 | 1.1× |
| Fibrin degradation products (85362) | $20.50 | $41 | 3.0× |
| Fibrin Degradation Quant (85379) | $60.75 | $121.50 | 6.0× |
| Fibrinogen activity (85384) | $42.88 | $85.75 | 4.4× |
| Fibrinogen antigen (85385) | $15.12 | $30.25 | 1.0× |
| Flow cytometry first marker (88184) | $99.50 | $199 | 0.3× |
| Fluorescent Antibody Screen (86255) | $74.62 | $149.25 | 6.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $59.31 | $118.62 | 4.9× |
| Fmr1 gene detection (81243) | $279.50 | $559 | 4.9× |
| Folate serum (82746) | $90.50 | $181 | 6.2× |
| Folic acid rbc (82747) | $33.75 | $67.50 | 1.9× |
| Follicle Stimulating Hormone (83001) | $62.25 | $124.50 | 3.4× |
| Fresh frozen plasma thawing each unit (86927) | $186.38 | $372.75 | 1.1× |
| Frozen Section (88331) | $116 | $232 | 0.7× |
| Fructosamine (82985) | $17.50 | $35 | 1.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $16 | $32 | 1.6× |
| Gabapentin (80171) | $69.38 | $138.75 | 3.2× |
| Gammaglobulin ige (82785) | $14.75 | $29.50 | 0.9× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) | $14.50 | $29 | 2.2× |
| Gen seq analys hematolymphoid neo 5-50 gene (81450) | $4,736 | $9,472 | 6.2× |
| Genotype cytomegalovirus (87910) | $846 | $1,692 | 3.3× |
| Ggt (82977) | $40.38 | $80.75 | 5.6× |
| Giardia antigen eia stool (87329) | $25.69 | $51.38 | 2.1× |
| Glucagon (82943) | $69.62 | $139.25 | 4.9× |
| Glucose (82947) | $25.38 | $50.75 | 6.5× |
| Glucose body fluid (82945) | $34.38 | $68.75 | 8.7× |
| Glucose post dose (82950) | $60.12 | $120.25 | 12.7× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $27.38 | $54.75 | 7.0× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $96.38 | $192.75 | 7.5× |
| Growth hormone (83003) | $20.38 | $40.75 | 1.2× |
| H pylori breath test (83013) | $242.38 | $484.75 | 3.6× |
| Haloperidol (haldol) (80173) | $26.38 | $52.75 | 1.7× |
| Haptoglobin (83010) | $11.75 | $23.50 | 0.9× |
| Hcg qualitative (84703) | $71.88 | $143.75 | 9.6× |
| Hcg quant (84702) | $70.81 | $141.62 | 4.7× |
| Heavy Metal Qualitative Any Analytes (83015) | $42.50 | $85 | 2.0× |
| Heavy metal quant each (83018) | $65.69 | $131.38 | 3.0× |
| Hematocrit (85014) | $11 | $22 | 4.6× |
| Hemoglobin (85018) | $11.50 | $23 | 4.9× |
| Hemoglobin a1c (83036) | $28.62 | $57.25 | 2.9× |
| Hemoglobin electrophoresis (83020) | $14.38 | $28.75 | 1.1× |
| Hemoglobin plasma (83051) | $17.12 | $34.25 | 2.3× |
| Hemolysins/agglutinins auto screen (86940) | $46.25 | $92.50 | 5.3× |
| Heparin assay (85520) | $70.88 | $141.75 | 5.4× |
| Hepatitis a antibody total (86708) | $13.88 | $27.75 | 1.1× |
| Hepatitis a igm (86709) | $14.38 | $28.75 | 1.3× |
| Hepatitis b core ab igm (86705) | $17 | $34 | 1.4× |
| Hepatitis b core antibody total (86704) | $11.50 | $23 | 1.0× |
| Hepatitis B Surface Ab (86706) | $15.62 | $31.25 | 1.5× |
| Hepatitis B Surface Antigen (87340) | $15 | $30 | 1.5× |
| Hepatitis be antibody (86707) | $17.25 | $34.50 | 1.5× |
| Hepatitis Be Antigen (87350) | $11.75 | $23.50 | 1.0× |
| Hepatitis c antibody (86803) | $13.31 | $26.62 | 0.9× |
| Hepatitis C Genotype (87902) | $773.38 | $1,546.75 | 3.0× |
| Herpes simplex type i (86695) | $16.62 | $33.25 | 1.3× |
| Herpes simplex type ii (86696) | $45.19 | $90.38 | 2.3× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $40.62 | $81.25 | 7.8× |
| Hexagonal phospholipid (85598) | $99.25 | $198.50 | 5.5× |
| Hfe gene (81256) | $221.12 | $442.25 | 3.4× |
| Histamine plasma (83088) | $14.88 | $29.75 | 0.5× |
| Histoplasma antibody (86698) | $33.38 | $66.75 | 2.4× |
| Histoplasma antigen urine (87385) | $120.25 | $240.50 | 9.1× |
| HIV-1 antibody (86701) | $9.88 | $19.75 | 1.1× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) | $325.62 | $651.25 | 3.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $29.88 | $59.75 | 0.4× |
| Hla ii typing 1 allele hr (81383) | $325.75 | $651.50 | 3.0× |
| Hla ii typing ag equiv lr (81375) | $282.88 | $565.75 | 1.3× |
| Homogenization tissue (87176) | $25.88 | $51.75 | 4.4× |
| Homovanillic acid urine (83150) | $28.69 | $57.38 | 1.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $36.75 | $73.50 | 1.0× |
| Htt gene analysis detect abnormal alleles (81271) | $380.25 | $760.50 | 2.8× |
| Hydroxyprogesterone 17-d (83498) | $282.94 | $565.88 | 10.4× |
| Iaad ia clostridium difficile toxin (87324) | $83.62 | $167.25 | 7.0× |
| Iaad ia cryptosporidium (87328) | $38.88 | $77.75 | 2.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $125.50 | $251 | 5.2× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $85.38 | $170.75 | 5.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $35.12 | $70.25 | 2.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $23.38 | $46.75 | 0.7× |
| Iaadiadoo not otherwise specified (87899) | $126.38 | $252.75 | 7.9× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $129.38 | $258.75 | 3.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $291 | $582 | 8.3× |
| Iadna hepatitis b virus quantification (87517) | $450.50 | $901 | 10.5× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) | $120 | $240 | 3.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $154.38 | $308.75 | 3.6× |
| Iadna herpes virus-6 quantification (87533) | $357.62 | $715.25 | 8.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $11.75 | $23.50 | 0.3× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $60.38 | $120.75 | 0.9× |
| Iadna human papillomavirus high-risk types (87624) | $113.94 | $227.88 | 3.2× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $89.12 | $178.25 | 2.2× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $78.62 | $157.25 | 2.2× |
| Iadna nos amplified probe tq each organism (87798) | $152 | $304 | 4.3× |
| Iadna nos quantification each organism (87799) | $424.75 | $849.50 | 9.9× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $116.75 | $233.50 | 3.3× |
| Iadna-DNA/RNA probe tq 6-11 (87506) | $335 | $670 | 1.3× |
| Igg subclasses (82787) | $25.88 | $51.75 | 3.2× |
| Igvh somatic hypermutation (81263) | $473.25 | $946.50 | 1.6× |
| Immunoassay infectious agent antibody quan nos (86317) | $19 | $38 | 1.3× |
| Immunoassay nonantibody (83516) | $36.75 | $73.50 | 3.2× |
| Immunodiffusion Ouchterlony (86331) | $28 | $56 | 2.3× |
| Immunofixation (86334) | $36.62 | $73.25 | 1.6× |
| Immunofixation urine (86335) | $64.62 | $129.25 | 2.2× |
| Immunoglobulin light chains free each (83521) | $18 | $36 | 1.0× |
| Immunohistochemistry (88342) | $92.38 | $184.75 | 0.6× |
| In situ hybridization (88365) | $135.12 | $270.25 | 0.8× |
| Indirect coombs (86885) | $26.25 | $52.50 | 4.6× |
| Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Facility (87905) | $153.75 | $307.50 | 12.6× |
| Influenza DNA amp probe (87502) | $221.69 | $443.38 | 2.3× |
| Inhibin a (86336) | $153 | $306 | 9.8× |
| Inhibin b (83520) | $93.62 | $187.25 | 5.4× |
| Insitu hybridization manual (88368) | $159.38 | $318.75 | 0.5× |
| Insulin antibodies (86337) | $30.75 | $61.50 | 1.4× |
| Insulin free (83527) | $19 | $38 | 1.5× |
| Insulin total (83525) | $8.50 | $17 | 0.7× |
| Interleukin 6 (83529) | $102.62 | $205.25 | 5.9× |
| Intrinsic factor antibody (86340) | $18.88 | $37.75 | 1.3× |
| Iron (83540) | $13.50 | $27 | 2.1× |
| Iron binding capacity (83550) | $22 | $44 | 2.5× |
| Irradiation Blood Product Each Unit (86945) | $168.12 | $336.25 | 4.7× |
| Islet cell antibody (86341) | $96.12 | $192.25 | 4.1× |
| Jak2 gene analysis (81270) | $194.88 | $389.75 | 2.1× |
| Jak2 targeted sequence analysis (81279) | $615.25 | $1,230.50 | 3.3× |
| Kras gene analysis (81275) | $1,205 | $2,410 | 6.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $1,205 | $2,410 | 6.2× |
| Lactoferrin Fecal Quantitative (83631) | $187.12 | $374.25 | 9.5× |
| Ldh body fluid (83615) | $32.50 | $65 | 5.4× |
| Ldh isoenzymes (83625) | $114.50 | $229 | 9.0× |
| LDL cholesterol direct (83721) | $17.25 | $34.50 | 1.6× |
| Lead (83655) | $44.75 | $89.50 | 3.7× |
| Legionella antigen urine (87449) | $137.88 | $275.75 | 11.5× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $25.75 | $51.50 | 6.0× |
| Level ii surg pathology grossµscopic exam (88302) | $29.88 | $59.75 | 0.8× |
| Level v surg pathology grossµscopic exam (88307) | $151.38 | $302.75 | 0.4× |
| Level vi surg pathology grossµscopic exam (88309) | $226.25 | $452.50 | 0.3× |
| Lh (83002) | $9.62 | $19.25 | 0.5× |
| Lipase (83690) | $41.88 | $83.75 | 6.1× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $52.75 | $105.50 | 1.5× |
| Listeria ab (86609) | $28 | $56 | 2.2× |
| Lithium (80178) | $40.38 | $80.75 | 6.1× |
| Lyme disease antibody (86618) | $32.19 | $64.38 | 1.9× |
| Lymphocyte transformation (86353) | $155.50 | $311 | 3.2× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $754.69 | $1,509.38 | 4.6× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $891.38 | $1,782.75 | 5.5× |
| Macroscopic exam parasite (87169) | $9.88 | $19.75 | 2.3× |
| Magnesium (83735) | $42.12 | $84.25 | 6.3× |
| Mass spectrometry qual/quan (83789) | $136.12 | $272.25 | 5.6× |
| Mercury urine (83825) | $56.25 | $112.50 | 3.5× |
| Methemoglobin (83050) | $49.38 | $98.75 | 6.0× |
| Methylmalonic acid serum (83921) | $45.88 | $91.75 | 2.2× |
| Microalbumin urine (82043) | $42.75 | $85.50 | 7.4× |
| Microsatellite instability (81301) | $662.38 | $1,324.75 | 1.9× |
| Microsomal antibodies (86376) | $21 | $42 | 1.4× |
| Mlh1 gene analysis promoter methylation analysis (81288) | $1,199.12 | $2,398.25 | 6.2× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) | $514.75 | $1,029.50 | 42.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $264.38 | $528.75 | 6.2× |
| Molecular pathology procedure level 7 (81406) | $3,354.25 | $6,708.50 | 11.9× |
| Mononuclear cell antigen (86356) | $72.12 | $144.25 | 2.7× |
| Mopath procedure level 1 (81400) | $389.62 | $779.25 | 6.1× |
| Mpl gene common variants (81338) | $647.88 | $1,295.75 | 4.3× |
| Mrsa PCR (87641) | $46.88 | $93.75 | 1.3× |
| Mthfr Gene Analysis Common Variants (81291) | $132.75 | $265.50 | 2.0× |
| Muscle-specific kinase (musk) antibody (86366) | $676 | $1,352 | 36.7× |
| Mycophenolic acid (80180) | $182.25 | $364.50 | 10.1× |
| Mycoplasma antibody (86738) | $9.50 | $19 | 0.7× |
| Mycoplasma culture (87109) | $30.50 | $61 | 2.0× |
| Myelin basic protein csf (83873) | $33 | $66 | 1.9× |
| Myoglobin urine (83874) | $25.94 | $51.88 | 2.0× |
| Natriuretic peptide (83880) | $143.38 | $286.75 | 3.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $171.12 | $342.25 | 2.4× |
| Nk cells total count (86357) | $65.06 | $130.12 | 1.7× |
| Nuclear antigen antibody (86235) | $44 | $88 | 2.5× |
| Occult blood stool (82272) | $20.88 | $41.75 | 4.9× |
| Oligoclonal bands (83916) | $38.25 | $76.50 | 1.4× |
| Organic Acids Qualitative Each Specimen (83919) | $82.25 | $164.50 | 5.0× |
| Orthopoxvirus Amp Prb Each (87593) | $90 | $180 | 1.8× |
| Osmolality serum (83930) | $9.62 | $19.25 | 1.5× |
| Osmolality urine (83935) | $11.75 | $23.50 | 1.7× |
| Ova and parasite direct-id lca (87177) | $23.75 | $47.50 | 2.7× |
| Oxalate urine (83945) | $23.50 | $47 | 1.6× |
| Pancreatic elastase, fecal (82656) | $295.88 | $591.75 | 25.7× |
| Pancreatic polypeptide (83519) | $74.25 | $148.50 | 4.0× |
| Parvovirus antibody (86747) | $26.25 | $52.50 | 1.7× |
| Ph body fluid (83986) | $46.69 | $93.38 | 13.0× |
| Ph urine (81003) | $12.94 | $25.88 | 5.8× |
| Phosphatase alkaline (84075) | $22 | $44 | 4.2× |
| Phosphorus blood (84100) | $17.75 | $35.50 | 3.7× |
| Phosphorus urine (84105) | $9.38 | $18.75 | 1.6× |
| Platelet aggregation (85576) | $31.50 | $63 | 1.3× |
| Platelet count automated (85049) | $15.88 | $31.75 | 3.5× |
| Potassium (84132) | $20.38 | $40.75 | 4.3× |
| Potassium urine (84133) | $38.12 | $76.25 | 8.1× |
| Pregnenolone (84140) | $36.75 | $73.50 | 1.8× |
| Primidone (80188) | $114.50 | $229 | 6.9× |
| Procalcitonin (pct) (84145) | $170.25 | $340.50 | 6.3× |
| Progesterone (84144) | $89.50 | $179 | 4.3× |
| Protein body fluid (84157) | $34.38 | $68.75 | 8.6× |
| Protein c activity (85303) | $61.38 | $122.75 | 4.4× |
| Protein c antigen (85302) | $80.12 | $160.25 | 6.7× |
| Protein electrophoresis serum (84165) | $9.88 | $19.75 | 0.9× |
| Protein Electrophoresis Urine (84166) | $70.25 | $140.50 | 3.9× |
| Protein s total (85305) | $43.88 | $87.75 | 3.8× |
| Protein total serum (84155) | $9.88 | $19.75 | 2.7× |
| Protein urine (84156) | $34.38 | $68.75 | 9.4× |
| Protoporphyrin rbc quantitative (84202) | $43.12 | $86.25 | 3.0× |
| PSA free (84154) | $83.69 | $167.38 | 4.6× |
| Pth intact (83970) | $152.88 | $305.75 | 3.7× |
| Rbc antibody elution (86860) | $96 | $192 | 0.6× |
| Reagent strip/blood glucose (82948) | $20.88 | $41.75 | 4.1× |
| Renin activity plasma (84244) | $30 | $60 | 1.4× |
| Reticulocyte count auto (85045) | $40.12 | $80.25 | 10.1× |
| Rheumatoid factor quant (86431) | $55.50 | $111 | 9.8× |
| Rickettsia antibody (86757) | $25.31 | $50.62 | 1.3× |
| Ristocetin cofactor (85245) | $208.75 | $417.50 | 9.1× |
| Rotavirus ag eia (87425) | $28.88 | $57.75 | 2.4× |
| Rsv (87807) | $116.25 | $232.50 | 8.9× |
| Rubella antibody (86762) | $38.12 | $76.25 | 2.6× |
| Rubeola Antibody Igg (86765) | $11.94 | $23.88 | 0.9× |
| Russell viper venom time diluted (85613) | $69.62 | $139.25 | 7.3× |
| Salicylate Level (80179) | $80.12 | $160.25 | 4.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $116.25 | $232.50 | 2.3× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $52.50 | $105 | 1.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $148.38 | $296.75 | 1.0× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $70 | $140 | 10.5× |
| Sedimentation rate (85651) | $23.75 | $47.50 | 5.6× |
| Selenium (84255) | $71.75 | $143.50 | 2.8× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $22.62 | $45.25 | 1.9× |
| Sensitivity kb (87184) | $22.38 | $44.75 | 3.0× |
| Sensitivity mic (87186) | $40.50 | $81 | 4.7× |
| Serotonin Release Assay (86022) | $102.75 | $205.50 | 5.6× |
| Serpina1 gene (81332) | $160.50 | $321 | 3.7× |
| Sex hormone binding globulin (84270) | $34.38 | $68.75 | 1.6× |
| Sickling of rbc reduction (85660) | $10.25 | $20.50 | 1.9× |
| Sirolimus (rapamycin) (80195) | $51.38 | $102.75 | 3.7× |
| Smear acid fast (87206) | $18.25 | $36.50 | 3.4× |
| Smear complex stain (87209) | $23.75 | $47.50 | 1.3× |
| Smear gram stain (87205) | $15.44 | $30.88 | 3.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $21.50 | $43 | 3.7× |
| Sodium (84295) | $21 | $42 | 4.4× |
| Sodium urine (84300) | $33.12 | $66.25 | 6.5× |
| Somatomedin (84305) | $30 | $60 | 1.4× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $55.25 | $110.50 | 0.4× |
| Special stains group 1 (88312) | $89 | $178 | 1.8× |
| Specific gravity body fluid (84315) | $11.38 | $22.75 | 3.5× |
| Spectrophotometry (84311) | $40.12 | $80.25 | 5.0× |
| Stool Culture, Addl Pathogens (87046) | $44.88 | $89.75 | 4.8× |
| Strep a assay w/optic (87880) | $20.88 | $41.75 | 1.3× |
| Strep a DNA amp probe (87651) | $87.75 | $175.50 | 2.5× |
| Sugars Single Qualitative, Each Specimen (84376) | $29.75 | $59.50 | 5.4× |
| Surg path level 1 (88300) | $43.56 | $87.12 | 1.6× |
| Surg path level iii (88304) | $38.38 | $76.75 | 0.8× |
| Surgical pathology level IV (88305) | $125.25 | $250.50 | 2.5× |
| T Cell Absolute Count (86361) | $33.75 | $67.50 | 1.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $83.62 | $167.25 | 1.8× |
| T cells total count (86359) | $58 | $116 | 1.5× |
| T3 free (84481) | $148.12 | $296.25 | 8.7× |
| T3 reverse (84482) | $45.88 | $91.75 | 2.9× |
| T3 total (84480) | $18.12 | $36.25 | 1.3× |
| T3 uptake (84479) | $4.88 | $9.75 | 0.8× |
| T4 free (84439) | $21.12 | $42.25 | 2.3× |
| T4 total (84436) | $34.62 | $69.25 | 5.0× |
| Tb ag response t-cell susp (86481) | $161.88 | $323.75 | 1.6× |
| Tb intradermal test (86580) | $17 | $34 | 0.6× |
| Tb test, cell immun measure (86480) | $125.50 | $251 | 2.0× |
| Testosterone free (84402) | $70 | $140 | 2.7× |
| Testosterone total (84403) | $44.44 | $88.88 | 1.7× |
| Theophylline (80198) | $97.50 | $195 | 6.9× |
| Thin prep pap (88142) | $69.62 | $139.25 | 3.4× |
| Thrombin time plasma (85670) | $69.62 | $139.25 | 12.1× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $69.62 | $139.25 | 10.8× |
| Thyroglobulin (84432) | $23.12 | $46.25 | 1.4× |
| Thyroglobulin antibody (86800) | $20.75 | $41.50 | 1.3× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $118.62 | $237.25 | 2.3× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $26.38 | $52.75 | 6.2× |
| Tissue culture bone marrow (88237) | $532.25 | $1,064.50 | 3.7× |
| Tissue culture lymphocyte (88230) | $193.38 | $386.75 | 1.7× |
| Tissue transglutaminase ab iga (86364) | $49.31 | $98.62 | 4.3× |
| Tobramycin peak (80200) | $17.38 | $34.75 | 1.1× |
| Toxoplasma ab igm (86778) | $20.75 | $41.50 | 1.4× |
| Toxoplasma antibody igg (86777) | $20.75 | $41.50 | 1.4× |
| Transferrin (84466) | $9.62 | $19.25 | 0.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $213.50 | $427 | 1.0× |
| Trg gene rearrangement analysis (81342) | $213.50 | $427 | 1.1× |
| Triglycerides (84478) | $44.50 | $89 | 7.8× |
| Troponin (84484) | $57 | $114 | 4.6× |
| Tumor immunohistochem/comput (88361) | $308.88 | $617.75 | 0.9× |
| Urea nitrogen (84520) | $23.12 | $46.25 | 5.9× |
| Urea nitrogen urine (84540) | $34.38 | $68.75 | 6.2× |
| Uric acid blood (84550) | $19.75 | $39.50 | 4.4× |
| Uric acid other source (84560) | $9.38 | $18.75 | 1.8× |
| Urinalysis auto w/scope (81001) | $41.62 | $83.25 | 13.1× |
| Urinalysis Microscopic Only (81015) | $23.12 | $46.25 | 7.6× |
| Urine pregnancy test (81025) | $20.88 | $41.75 | 2.4× |
| Urine volume measurement (81050) | $14.50 | $29 | 4.0× |
| Valproic acid (80164) | $89 | $178 | 6.6× |
| Vancomycin trough (80202) | $83 | $166 | 6.1× |
| Varicella-zoster antibody (86787) | $14.44 | $28.88 | 1.1× |
| Vasoactive intestinal peptide (vip) (84586) | $90.38 | $180.75 | 2.6× |
| Vdrl csf (86592) | $7 | $14 | 1.6× |
| Virus antibody nos (86790) | $94.62 | $189.25 | 7.3× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $27.62 | $55.25 | 0.8× |
| Virus inoculation, shell via (87254) | $26.88 | $53.75 | 1.4× |
| Vitamin A (84590) | $31.75 | $63.50 | 2.7× |
| Vitamin b-12 (82607) | $88.62 | $177.25 | 5.9× |
| Vitamin b1 (thiamine) (84425) | $20.88 | $41.75 | 1.0× |
| Vitamin b2 (84252) | $31.75 | $63.50 | 1.6× |
| Vitamin b3 niacin (84591) | $283.12 | $566.25 | 16.6× |
| Vitamin b6 (84207) | $51.38 | $102.75 | 1.8× |
| Vitamin c (82180) | $43.62 | $87.25 | 4.4× |
| Vitamin D 25-Hydroxy (82306) | $109.38 | $218.75 | 3.7× |
| Vitamin e serum (84446) | $28.38 | $56.75 | 2.0× |
| Zinc (84630) | $47.25 | $94.50 | 4.1× |