| 17 Hydroxyprogesterone (83498) |
$39.60 |
$66 |
1.5× |
| 17-Hydroxypregnenolone (84143) |
$70.50 |
$117.50 |
3.1× |
| 5-Hiaa (83497) |
$37.17 |
$61.94 |
2.9× |
| Acetaminophen (80143) |
$188.40 |
$314 |
10.1× |
| Acetone, quantitative (82010) |
$195 |
$325 |
23.9× |
| Acetylcholine receptor binding antibody (86041) |
$253.80 |
$423 |
13.8× |
| Acetylcholn rcptr blckg antb (86042) |
$46.38 |
$77.30 |
2.5× |
| Acetylcholn rcptr modlg antb (86043) |
$46.38 |
$77.30 |
3.8× |
| Acth (82024) |
$369.60 |
$616 |
9.6× |
| Actin smooth muscle antibody each (86015) |
$131.61 |
$219.35 |
10.9× |
| Activated protein c resistance (85307) |
$208.60 |
$347.68 |
13.6× |
| Acute hepatitis panel (80074) |
$345.60 |
$576 |
7.3× |
| Afb concentration (87015) |
$55.17 |
$91.95 |
8.3× |
| Afb culture (87116) |
$181.20 |
$302 |
16.8× |
| Afb smear (87206) |
$96.90 |
$161.50 |
18.0× |
| Albumin body fluid (82042) |
$70.20 |
$117 |
9.0× |
| Albumin serum (82040) |
$70.12 |
$116.88 |
14.2× |
| Alcohol (82077) |
$137.40 |
$229 |
8.0× |
| Aldolase (82085) |
$29.04 |
$48.40 |
3.0× |
| Aldosterone (82088) |
$347.40 |
$579 |
8.5× |
| Alkaline phosphatase (84075) |
$60 |
$100 |
11.6× |
| Alkaline phosphatase isoenzymes (84080) |
$45.87 |
$76.45 |
3.1× |
| Allergen profile perennial allergen (86003) |
$30.99 |
$51.65 |
5.9× |
| Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient (86005) |
$11.55 |
$19.25 |
1.4× |
| Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) |
$56.16 |
$93.60 |
3.1× |
| Alpha-1-antitrypsin (82103) |
$45.63 |
$76.05 |
3.4× |
| Alpha-1-antitrypsin phenotype (82104) |
$45.63 |
$76.05 |
3.2× |
| Alpha-fetoprotein serum (82105) |
$115.62 |
$192.70 |
6.9× |
| Alt (84460) |
$63 |
$105 |
11.9× |
| Aluminum (82108) |
$44.04 |
$73.40 |
1.7× |
| Amikacin level (80150) |
$130.20 |
$217 |
8.6× |
| Amino acids quant 2-5 (82136) |
$66 |
$110 |
3.4× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$156.69 |
$261.15 |
9.3× |
| Ammonia (82140) |
$159.60 |
$266 |
11.0× |
| Amylase (82150) |
$118.20 |
$197 |
18.2× |
| Ana (86038) |
$242.10 |
$403.50 |
20.0× |
| Ana titer (86039) |
$54.60 |
$91 |
4.9× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$94.48 |
$157.48 |
7.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$99.60 |
$166 |
6.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$83.31 |
$138.85 |
4.6× |
| Androstenedione (82157) |
$39.60 |
$66 |
1.4× |
| Angiotensin converting enzyme (82164) |
$53.10 |
$88.50 |
3.6× |
| Anti-mitochondrial antibody (86255) |
$154.90 |
$258.18 |
12.9× |
| Anti-phosphatidylserine antibody (86148) |
$121.80 |
$203 |
7.6× |
| Antibody identification platelet antibodies (86022) |
$63.32 |
$105.52 |
3.4× |
| Antibody west nile virus igm (86788) |
$103.50 |
$172.50 |
6.1× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$92.14 |
$153.58 |
7.6× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$36.21 |
$60.35 |
3.0× |
| Antistreptolysin o titer (86060) |
$61.54 |
$102.58 |
8.4× |
| Antithrombin iii activity (85300) |
$194.52 |
$324.20 |
16.4× |
| Antithrombin iii antigen (85301) |
$37.17 |
$61.95 |
3.4× |
| Apolipoprotein each (82172) |
$47.84 |
$79.72 |
2.3× |
| Aqaprn-4 antb flo cytmtry ea (86053) |
$945.66 |
$1,576.10 |
25.1× |
| Arsenic (82175) |
$61.35 |
$102.25 |
3.2× |
| Aspergillus antibody (86606) |
$55.32 |
$92.20 |
3.7× |
| Aspergillus antigen (87305) |
$80.97 |
$134.95 |
6.8× |
| Assay anti-mullerian horm (82166) |
$110.40 |
$184 |
2.9× |
| Assay of interleukin-6 (il-6) (83529) |
$51.60 |
$86 |
3.0× |
| Assay of vitamin b-2 (84252) |
$198 |
$330 |
9.8× |
| Ast (84450) |
$62.40 |
$104 |
12.0× |
| Autoimmune rheumatoid arthr (81490) |
$1,240.80 |
$2,068 |
1.5× |
| B cells total count (86355) |
$592.20 |
$987 |
15.7× |
| Bartonella antibody (86611) |
$32.61 |
$54.35 |
3.2× |
| Bcr/abl 1 gene other bp (81208) |
$165 |
$275 |
0.8× |
| Bcr/abl1 gene major bp (81206) |
$171.60 |
$286 |
1.0× |
| Bcr/abl1 gene minor bp (81207) |
$171.60 |
$286 |
1.2× |
| Beta 2 glycoprotein i antibody (86146) |
$1,610.08 |
$2,683.48 |
63.3× |
| Beta lactamase (87185) |
$94.11 |
$156.84 |
19.8× |
| Beta-2 microglobulin (82232) |
$99.60 |
$166 |
6.2× |
| Bile acids total (82239) |
$31.68 |
$52.80 |
1.9× |
| Bilirubin direct (82248) |
$59.40 |
$99 |
11.8× |
| Bilirubin total (82247) |
$73.20 |
$122 |
14.6× |
| Biotinidase (82261) |
$29.76 |
$49.60 |
1.8× |
| Blastomyces antibody (86612) |
$76.05 |
$126.75 |
5.9× |
| Blood count leukocyte wbc automated (85048) |
$68.40 |
$114 |
26.9× |
| Blood count reticulocyte automated (85045) |
$96 |
$160 |
24.1× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$48 |
$80 |
15.9× |
| Blood gases any combination (82803) |
$243.60 |
$406 |
9.3× |
| Blood gases ph only (82800) |
$109.86 |
$183.10 |
10.0× |
| Blood typing rbc antigens (86905) |
$128.40 |
$214 |
33.5× |
| Blood typing serologic abo (86900) |
$92.10 |
$153.50 |
30.8× |
| Blood typing serologic rh (d) (86901) |
$119.40 |
$199 |
39.9× |
| Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Other Outpatient (86904) |
$67.80 |
$113 |
4.1× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$136.80 |
$228 |
21.5× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$171.90 |
$286.50 |
10.8× |
| Bordetella pertussis igm (86615) |
$89.40 |
$149 |
6.8× |
| Brucella antibody (86622) |
$94.92 |
$158.20 |
10.6× |
| C diff amplified probe (87493) |
$121.02 |
$201.70 |
3.2× |
| C-peptide (84681) |
$96 |
$160 |
4.6× |
| C-reactive protein (86140) |
$69.63 |
$116.05 |
13.4× |
| C-reactive protein high sensitivity (86141) |
$95.19 |
$158.65 |
7.4× |
| C2 complement functional (86161) |
$118.80 |
$198 |
9.9× |
| Ca 125 (86304) |
$177 |
$295 |
8.5× |
| Ca 15-3 (86300) |
$180.60 |
$301 |
8.7× |
| Cadmium (82300) |
$58.68 |
$97.80 |
2.5× |
| Calcitonin (82308) |
$36.96 |
$61.60 |
1.4× |
| Calcium ionized (82330) |
$148.80 |
$248 |
10.9× |
| Calcium total (82310) |
$71.40 |
$119 |
13.8× |
| Calcium, random urine (82340) |
$116.40 |
$194 |
19.3× |
| Calprotectin fecal (83993) |
$153.45 |
$255.75 |
7.8× |
| Calr gene com variants (81219) |
$277.20 |
$462 |
2.3× |
| Cancer antigen 19-9 (86301) |
$31.68 |
$52.80 |
1.5× |
| Candida DNA amp probe (87481) |
$57.66 |
$96.10 |
1.6× |
| Carbamazepine total (80156) |
$107.48 |
$179.12 |
7.4× |
| Carbon dioxide (82374) |
$63.60 |
$106 |
13.0× |
| Carbon monoxide (82375) |
$192.45 |
$320.75 |
15.6× |
| Cardiolipin antibody ea ig class (86147) |
$234 |
$390 |
9.2× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$52.80 |
$88 |
3.1× |
| Casein igg (86001) |
$124.20 |
$207 |
15.9× |
| Catecholamines fractionated (82384) |
$50.50 |
$84.18 |
2.0× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$142.80 |
$238 |
3.0× |
| Cea (82378) |
$95.01 |
$158.35 |
5.0× |
| Cell count body fluid (89050) |
$110.10 |
$183.50 |
23.3× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$145.80 |
$243 |
26.0× |
| Cell function assay w/stim (86352) |
$220.80 |
$368 |
1.6× |
| Ceruloplasmin (82390) |
$109 |
$181.68 |
10.1× |
| Cftr gene com variants (81220) |
$643.50 |
$1,072.50 |
1.2× |
| Chemiluminescent assay (82397) |
$148.92 |
$248.20 |
10.5× |
| Chlamydia antibody (86631) |
$47.40 |
$79 |
4.0× |
| Chlamydia antibody igm (86632) |
$40.80 |
$68 |
3.2× |
| Chlamydia pneumoniae PCR (87486) |
$102 |
$170 |
2.9× |
| Chloride blood (82435) |
$103.20 |
$172 |
22.4× |
| Chloride other source (82438) |
$70.20 |
$117 |
14.0× |
| Chloride urine (82436) |
$118.20 |
$197 |
20.6× |
| Cholesterol total (82465) |
$52.80 |
$88 |
12.1× |
| Chorionic gonadotropin test (84702) |
$175.20 |
$292 |
11.6× |
| Chromium (82495) |
$34.32 |
$57.20 |
1.7× |
| Chromogranin a (86316) |
$31.68 |
$52.80 |
1.5× |
| Chromosome analysis 15-20 cells (88262) |
$157.20 |
$262 |
1.3× |
| Chromosome analysis 20-25 cells (88264) |
$492 |
$820 |
3.4× |
| Citrate (82507) |
$48.50 |
$80.82 |
1.7× |
| Clostridium ag eia (87324) |
$133.80 |
$223 |
11.2× |
| Clot inhibit prot s total (85305) |
$64.50 |
$107.50 |
5.6× |
| Clotting funct activity (85397) |
$205.83 |
$343.05 |
6.7× |
| Cmv antibody (86644) |
$78.18 |
$130.30 |
5.4× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$853.80 |
$1,423 |
2.0× |
| Coagulation time activated (85347) |
$104.75 |
$174.57 |
24.5× |
| Coccidioides antibody (86635) |
$107.52 |
$179.20 |
9.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$307.80 |
$513 |
12.8× |
| Collagen cross links (82523) |
$47.94 |
$79.90 |
2.6× |
| Complement antigen ea component (86160) |
$81.60 |
$136 |
6.8× |
| Complement total (ch50) (86162) |
$31.68 |
$52.80 |
1.6× |
| Coombs test indirect titer (86886) |
$108 |
$180 |
20.8× |
| Copper (82525) |
$58.58 |
$97.62 |
4.7× |
| Cortisol free (82530) |
$72.75 |
$121.25 |
4.4× |
| Cortisol saliva (82533) |
$168 |
$280 |
10.3× |
| COVID-19 antibody (86769) |
$100.71 |
$167.85 |
2.4× |
| Coxsackie a9 virus antibody (86658) |
$77.43 |
$129.05 |
5.9× |
| Creatine kinase isoenzymes (82552) |
$94.71 |
$157.85 |
7.1× |
| Creatine kinase total (82550) |
$99 |
$165 |
15.2× |
| Creatinine (82565) |
$63 |
$105 |
12.3× |
| Creatinine clearance (82575) |
$129 |
$215 |
13.6× |
| Creatinine other source (82570) |
$80.40 |
$134 |
15.5× |
| Crossmatch ahg (86922) |
$265.80 |
$443 |
1.5× |
| Cryofibrinogen (82585) |
$28.80 |
$48 |
2.0× |
| Cryoglobulins (82595) |
$35.13 |
$58.55 |
5.4× |
| Cryptosporidium ag eia (87328) |
$96.60 |
$161 |
7.0× |
| Crystals fluid (89060) |
$82.80 |
$138 |
11.3× |
| Culture anaerobic (87075) |
$112.80 |
$188 |
11.9× |
| Culture blood (87040) |
$234.60 |
$391 |
22.7× |
| Culture fungus blood (87103) |
$38.82 |
$64.70 |
1.9× |
| Culture fungus skin hair nail (87101) |
$38.82 |
$64.70 |
5.0× |
| Culture stool (87045) |
$125.10 |
$208.50 |
13.3× |
| Culture typing if ea antiserum (87140) |
$83.46 |
$139.10 |
15.0× |
| Culture urine (87086) |
$100.80 |
$168 |
12.5× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$81.60 |
$136 |
10.1× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$108 |
$180 |
13.4× |
| Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) |
$129 |
$215 |
13.0× |
| Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) |
$53.34 |
$88.90 |
3.7× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) |
$238.20 |
$397 |
1.1× |
| Cyanide (82600) |
$75.24 |
$125.40 |
3.9× |
| Cyclic citrullinated peptide ab (86200) |
$136.41 |
$227.35 |
10.5× |
| Cyclosporine (80158) |
$150.78 |
$251.30 |
8.4× |
| Cystatin c (82610) |
$39.60 |
$66 |
2.1× |
| Cytomeg DNA amp probe (87496) |
$101.64 |
$169.40 |
2.9× |
| Cytomegalovirus antibody igm (86645) |
$87.46 |
$145.78 |
5.2× |
| Cytopath cell enhance tech (88112) |
$169.80 |
$283 |
3.1× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$106.80 |
$178 |
5.3× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$155.40 |
$259 |
5.8× |
| Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis,… (88172) |
$162.60 |
$271 |
0.9× |
| Cytopathology, smears, any other source; screening and interpretation (88160) |
$51 |
$85 |
1.7× |
| Cytp eval fine needle aspirate interp & report (88173) |
$109.80 |
$183 |
2.0× |
| D-dimer quantitative (85379) |
$211.52 |
$352.52 |
20.8× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$118.20 |
$197 |
8.6× |
| Dhea (82626) |
$32.88 |
$54.80 |
1.3× |
| Dhea sulfate (82627) |
$149.40 |
$249 |
6.7× |
| Digoxin (80162) |
$78.60 |
$131 |
5.9× |
| Dihydrotestosterone (82642) |
$57.96 |
$96.60 |
2.0× |
| Direct antiglobulin test (86880) |
$308.36 |
$513.92 |
57.2× |
| DNA/RNA amplified probe (87150) |
$751.08 |
$1,251.80 |
21.4× |
| DNA/RNA sequencing (87153) |
$118.80 |
$198 |
1.0× |
| Drug assay adalimumab (80145) |
$418.44 |
$697.40 |
10.8× |
| Drug assay amiodarone (80151) |
$37.17 |
$61.95 |
2.0× |
| Drug assay felbamate (80167) |
$41.67 |
$69.45 |
2.2× |
| Drug assay flecainide (80181) |
$42.57 |
$70.95 |
2.3× |
| Drug assay itraconazole (80189) |
$118.80 |
$198 |
4.4× |
| Drug assay methotrexate (80204) |
$114.32 |
$190.52 |
3.0× |
| Drug assay salicylate (80179) |
$122.40 |
$204 |
6.6× |
| Drug screen quant clozapine (80159) |
$52.80 |
$88 |
2.6× |
| Drug screen quant everolimus (80169) |
$106.20 |
$177 |
7.7× |
| Drug screen quant gabapentin (80171) |
$37.17 |
$61.95 |
1.7× |
| Drug screen quant levetiracetam (80177) |
$105.40 |
$175.68 |
8.0× |
| Drug screen quant mycophenolate (80180) |
$79.20 |
$132 |
4.4× |
| Drug screen quant zonisamide (80203) |
$36.96 |
$61.60 |
2.8× |
| Drug screen quantitative oxcarbazepine (80183) |
$34.86 |
$58.10 |
2.6× |
| Drug test prsmv chem anlyzr (80307) |
$254.26 |
$423.78 |
4.1× |
| Drug test prsmv dir opt obs (80305) |
$130.80 |
$218 |
10.4× |
| Ear culture (87070) |
$129 |
$215 |
15.0× |
| Ehrlichia antibody (86666) |
$66 |
$110 |
6.5× |
| Elastase pancreatic fecal quantitative (82653) |
$225.90 |
$376.50 |
9.8× |
| Electrolytes panel (80051) |
$90.60 |
$151 |
12.9× |
| Electron microscopy diagnostic (88348) |
$889.20 |
$1,482 |
1.1× |
| Electrophoretic test (82664) |
$174.60 |
$291 |
2.8× |
| Endomysial antibody each immunoglobulin class (86231) |
$33.42 |
$55.70 |
2.8× |
| Enterovirus by PCR (87498) |
$122.76 |
$204.60 |
3.5× |
| Eosinophils urine (87205) |
$86.40 |
$144 |
20.2× |
| Erythropoietin (82668) |
$36.12 |
$60.20 |
1.9× |
| Estradiol (82670) |
$156.16 |
$260.28 |
5.6× |
| Estriol (82677) |
$34.32 |
$57.20 |
1.4× |
| Estrogen fractionated (82671) |
$88.20 |
$147 |
2.7× |
| Estrogens total (82672) |
$61.92 |
$103.20 |
2.9× |
| Estrone (82679) |
$39.60 |
$66 |
1.6× |
| Ethosuximide (80168) |
$39.30 |
$65.50 |
2.4× |
| Eval amniotic fluid protein (84112) |
$79.08 |
$131.80 |
0.8× |
| Extractable nuclear antigen antibody any method (86235) |
$124.20 |
$207 |
6.9× |
| F2 gene analysis (81240) |
$450.60 |
$751 |
6.9× |
| F5 gene (81241) |
$337.20 |
$562 |
4.6× |
| Factor ii activity (85210) |
$201.27 |
$335.45 |
15.5× |
| Factor inhibitor test (85335) |
$271.17 |
$451.95 |
21.1× |
| Factor ix activity (85250) |
$79.29 |
$132.15 |
4.2× |
| Factor v activity (85220) |
$483.06 |
$805.10 |
27.4× |
| Factor vii activity (85230) |
$186.96 |
$311.60 |
10.4× |
| Factor viii activity (85240) |
$438 |
$730 |
24.5× |
| Factor viii vw antigen (85246) |
$216 |
$360 |
9.4× |
| Factor x (stuart-prower) (85260) |
$53.40 |
$89 |
3.0× |
| Factor xi activity (85270) |
$98.28 |
$163.80 |
5.5× |
| Factor xii (hageman) (85280) |
$108.33 |
$180.55 |
5.6× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$231 |
$385 |
13.8× |
| Fecal fat qualitative (82705) |
$51.15 |
$85.25 |
10.0× |
| Ferritin (82728) |
$72.82 |
$121.38 |
5.3× |
| Fetal fibronectin (82731) |
$817.80 |
$1,363 |
12.7× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$271.80 |
$453 |
35.2× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$166.20 |
$277 |
17.8× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$140.25 |
$233.75 |
1.7× |
| Fibrinogen, activity (85384) |
$117 |
$195 |
12.0× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$117.45 |
$195.75 |
7.6× |
| Flow cytometry first marker (88184) |
$138.60 |
$231 |
0.4× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$161.85 |
$269.75 |
2.8× |
| Folate serum (82746) |
$84.46 |
$140.78 |
5.7× |
| Folic acid rbc (82747) |
$33.15 |
$55.25 |
1.9× |
| Follicle stimulating hormone (fsh) (83001) |
$139.20 |
$232 |
7.5× |
| Fructosamine (82985) |
$41.13 |
$68.55 |
2.5× |
| Ftl cgen abnor four anal (81511) |
$145.71 |
$242.85 |
0.9× |
| Fungus isolation culture (87102) |
$66.21 |
$110.35 |
7.9× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$92.40 |
$154 |
7.5× |
| Galactose (82760) |
$29.76 |
$49.60 |
2.7× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$29.76 |
$49.60 |
2.5× |
| Gamma glutamyl transferase (82977) |
$90.60 |
$151 |
12.6× |
| Gammaglobulin ige (82785) |
$59.80 |
$99.68 |
3.6× |
| Gastrin (82941) |
$32.67 |
$54.45 |
1.9× |
| Genet virus isolate hsv (87255) |
$66.60 |
$111 |
2.0× |
| Gentamicin (80170) |
$165.18 |
$275.30 |
10.1× |
| Giardia antigen (87329) |
$88.20 |
$147 |
7.4× |
| Gliadin antibody each immunoglobulin class (86258) |
$89.13 |
$148.55 |
7.4× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$37.68 |
$62.80 |
11.5× |
| Glucagon (82943) |
$48.99 |
$81.65 |
3.4× |
| Glucose Fasting (82947) |
$15 |
$25 |
3.8× |
| Glucose other fluid (82945) |
$82.80 |
$138 |
21.1× |
| Glucose post glucose dose (82950) |
$58.80 |
$98 |
12.4× |
| Glucose tolerance test (gtt) (82951) |
$88.62 |
$147.70 |
6.9× |
| Glucose-6-pd (82955) |
$43.47 |
$72.45 |
4.5× |
| Glycated hemoglobin (83036) |
$56.43 |
$94.05 |
5.8× |
| Growth hormone (hgh) (83003) |
$83.25 |
$138.75 |
5.0× |
| Gtt-added samples (82952) |
$50.40 |
$84 |
12.9× |
| H pylori breath test (83013) |
$91.08 |
$151.80 |
1.4× |
| H pylori stool (87338) |
$100.20 |
$167 |
7.0× |
| Haptoglobin (83010) |
$82.22 |
$137.02 |
6.5× |
| Hcg ql (84703) |
$147.60 |
$246 |
19.6× |
| HDL cholesterol (83718) |
$83.55 |
$139.25 |
10.2× |
| Heavy metal quan each nes (83018) |
$85.80 |
$143 |
3.9× |
| Hematocrit (hct) (85014) |
$50.40 |
$84 |
21.3× |
| Hematocrit spun (85013) |
$55.80 |
$93 |
8.0× |
| Hemoglobin (85018) |
$48 |
$80 |
20.3× |
| Hemoglobin electrophoresis (83020) |
$43.88 |
$73.12 |
3.4× |
| Hemoglobin fetal ql (83033) |
$166.20 |
$277 |
20.8× |
| Hemoglobin fractj/quantj chromotography (83021) |
$55.78 |
$92.98 |
3.1× |
| Hemoglobin plasma (83051) |
$128.40 |
$214 |
17.6× |
| Hemoglobin stability screen (83068) |
$118.80 |
$198 |
12.5× |
| Hep a ab total (86708) |
$118.50 |
$197.50 |
9.6× |
| Heparin assay (85520) |
$151.20 |
$252 |
11.6× |
| Hepatitis a antibody igm (86709) |
$94.90 |
$158.18 |
8.4× |
| Hepatitis b core antibody igm (86705) |
$148.20 |
$247 |
12.6× |
| Hepatitis b core antibody total (86704) |
$27.90 |
$46.50 |
2.3× |
| Hepatitis b DNA quant (87517) |
$270.12 |
$450.20 |
6.3× |
| Hepatitis b surface ab (86706) |
$127.20 |
$212 |
11.8× |
| Hepatitis b surface antigen (87340) |
$97.80 |
$163 |
9.5× |
| Hepatitis be antibody (86707) |
$39.60 |
$66 |
3.4× |
| Hepatitis be antigen (87350) |
$165.60 |
$276 |
14.4× |
| Hepatitis c antibody (86803) |
$103.96 |
$173.28 |
7.3× |
| Hepatitis c genotype (87902) |
$401.04 |
$668.40 |
1.6× |
| Hepatitis c RNA quantitative (87522) |
$164.40 |
$274 |
3.8× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$135 |
$225 |
9.4× |
| Herpes simplex virus by PCR (87529) |
$180.60 |
$301 |
5.1× |
| Heterophile antibody screen (86308) |
$90.60 |
$151 |
17.5× |
| Hexagonal phospholipid neutralization (85598) |
$55.44 |
$92.40 |
3.1× |
| Hfe gene (81256) |
$113.67 |
$189.45 |
1.7× |
| Hhv-6 DNA amp probe (87532) |
$446.40 |
$744 |
12.7× |
| Histamine (83088) |
$37.71 |
$62.85 |
1.3× |
| Histoplasma antibody (86698) |
$72 |
$120 |
5.2× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$52.59 |
$87.65 |
2.2× |
| HIV-1 antibody (86701) |
$215.88 |
$359.80 |
24.3× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$99.60 |
$166 |
7.3× |
| HIV-2 antibody (86702) |
$144.87 |
$241.45 |
10.7× |
| Hla b27 (86812) |
$51.15 |
$85.25 |
2.0× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$51.15 |
$85.25 |
0.7× |
| Hla ii type 1 ag equiv lr (81377) |
$187.98 |
$313.30 |
2.0× |
| Hla ii typing 1 locus lr (81376) |
$187.98 |
$313.30 |
1.5× |
| Homocysteine level (83090) |
$74.37 |
$123.95 |
4.2× |
| Homogenization tissue (87176) |
$69.60 |
$116 |
11.8× |
| Homovanillic acid urine (83150) |
$40.80 |
$68 |
1.8× |
| Hpv high-risk types (87624) |
$67.20 |
$112 |
1.9× |
| Hpv types 16 & 18 only (87625) |
$123.60 |
$206 |
3.0× |
| Human epididymis protein 4 (86305) |
$283.80 |
$473 |
13.6× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$212.40 |
$354 |
11.0× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$166.20 |
$277 |
2.4× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$84 |
$140 |
2.4× |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
$146.52 |
$244.20 |
4.2× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$594.60 |
$991 |
1.4× |
| Igg subclass 1 (82787) |
$88.20 |
$147 |
11.0× |
| Igh vari regional mutation (81263) |
$646.80 |
$1,078 |
2.2× |
| Immune complex assay (86332) |
$580.80 |
$968 |
23.8× |
| Immunoassay analyte quantitative nos (83520) |
$196.50 |
$327.50 |
11.4× |
| Immunoassay infectious agent antibody quan nos (86317) |
$74.40 |
$124 |
5.0× |
| Immunodiffusion ouchterlony (86331) |
$224.40 |
$374 |
18.7× |
| Immunofixation electrophoresis (86334) |
$326.40 |
$544 |
14.6× |
| Immunofixation urine (86335) |
$138.08 |
$230.12 |
4.7× |
| Immunofluor antb 1st stain (88346) |
$53.34 |
$88.90 |
0.3× |
| Immunoglobulin d (82784) |
$68.13 |
$113.55 |
7.3× |
| Immunoglobulin light chains free each (83521) |
$67.34 |
$112.22 |
3.9× |
| Immunoperoxidase (88342) |
$192 |
$320 |
1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
$170.58 |
$284.30 |
12.9× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$50.82 |
$84.70 |
3.2× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$319.20 |
$532 |
24.4× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$290.40 |
$484 |
4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$147.60 |
$246 |
3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Other… (87468) |
$167.73 |
$279.55 |
4.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Other Outpatient (87469) |
$167.73 |
$279.55 |
4.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$167.73 |
$279.55 |
4.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Other Outpatient (87480) |
$73.80 |
$123 |
3.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$159.66 |
$266.10 |
4.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$536.13 |
$893.55 |
12.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Other Outpatient (87510) |
$73.80 |
$123 |
3.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$99 |
$165 |
2.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$99 |
$165 |
1.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$499.80 |
$833 |
12.0× |
| Influenza a ag eia (87400) |
$177.60 |
$296 |
12.6× |
| Inhibin a (86336) |
$142.20 |
$237 |
9.1× |
| Insulin antibody (86337) |
$157.24 |
$262.08 |
7.3× |
| Insulin free (83527) |
$39.36 |
$65.60 |
3.0× |
| Insulin total (83525) |
$65.88 |
$109.80 |
5.8× |
| Intrinsic factor antibody (86340) |
$33 |
$55 |
2.2× |
| Iron (83540) |
$163.20 |
$272 |
25.2× |
| Iron binding capacity (83550) |
$90.60 |
$151 |
10.4× |
| Irradiation of blood product, each unit (86945) |
$207 |
$345 |
5.3× |
| Islet cell antibody (86341) |
$313.80 |
$523 |
13.3× |
| Jak2 gene (81270) |
$182.10 |
$303.50 |
2.0× |
| Jak2 gene trgt sequence alys (81279) |
$182.10 |
$303.50 |
1.0× |
| Koh prep (87220) |
$61.20 |
$102 |
14.3× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$118.20 |
$197 |
3.0× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$88.20 |
$147 |
2.3× |
| Lacosamide (80235) |
$99 |
$165 |
3.7× |
| Lactate (83605) |
$364.80 |
$608 |
31.5× |
| Lactate dehydrogenase (83615) |
$68.40 |
$114 |
11.3× |
| Lactoferrin fecal (qual) (83630) |
$124.80 |
$208 |
6.3× |
| Lamotrigine (80175) |
$38.25 |
$63.75 |
2.9× |
| Ldh isoenzymes (83625) |
$121.20 |
$202 |
9.5× |
| LDL direct (83721) |
$100.77 |
$167.95 |
9.6× |
| Lead (83655) |
$37.29 |
$62.15 |
3.1× |
| Legionella antibody (86713) |
$132.60 |
$221 |
8.7× |
| Legionella culture (87081) |
$93.60 |
$156 |
14.1× |
| Legionella urine antigen (87449) |
$80.86 |
$134.78 |
6.7× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$151.80 |
$253 |
3.9× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$194.40 |
$324 |
3.6× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$249 |
$415 |
4.6× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$358.74 |
$597.90 |
1.0× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$802.20 |
$1,337 |
1.0× |
| Lipase (83690) |
$152.40 |
$254 |
22.1× |
| Lipoprotein (a) (83695) |
$38.04 |
$63.40 |
2.7× |
| Lithium (80178) |
$115.20 |
$192 |
17.4× |
| Luteinizing hormone (lh) (83002) |
$180 |
$300 |
9.7× |
| Lyme disease antibody (86617) |
$142.20 |
$237 |
9.2× |
| Lyme disease antibody (86618) |
$110.88 |
$184.80 |
6.5× |
| Magnesium (83735) |
$82.20 |
$137 |
12.3× |
| Malaria smear (87207) |
$77.40 |
$129 |
12.9× |
| Manganese (83785) |
$38.94 |
$64.90 |
1.5× |
| Manual differential (85007) |
$12.96 |
$21.60 |
3.4× |
| Mercury (83825) |
$46.86 |
$78.10 |
2.9× |
| Metanephrines (83835) |
$59.40 |
$99 |
3.5× |
| Methylmalonic acid serum (83921) |
$39.60 |
$66 |
1.9× |
| Microalbumin urine (82043) |
$123 |
$205 |
21.3× |
| Mitochondrial antibody each (86381) |
$34.26 |
$57.10 |
1.3× |
| Mog-igg1 antb flo cytmtry ea (86363) |
$869.88 |
$1,449.80 |
23.1× |
| Mold id (87107) |
$111.60 |
$186 |
10.8× |
| Molecular cytogenetics DNA probe each (88271) |
$818.55 |
$1,364.25 |
38.2× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$788.79 |
$1,314.65 |
15.4× |
| Mononuclear cell antigen (86356) |
$255.60 |
$426 |
9.5× |
| Mopath procedure level 2 (81401) |
$264 |
$440 |
1.9× |
| Mopath procedure level 9 (81408) |
$1,235.52 |
$2,059.20 |
0.6× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$240 |
$400 |
1.4× |
| Mpl gene analysis common variants (81338) |
$448.80 |
$748 |
3.0× |
| Mthfr gene (81291) |
$139.86 |
$233.10 |
2.1× |
| Mumps antibody (86735) |
$129 |
$215 |
9.9× |
| Muramidase (85549) |
$33 |
$55 |
1.8× |
| Muscle-specific kinase antb (86366) |
$1,108.80 |
$1,848 |
60.3× |
| Mycoplasma antibody (86738) |
$41.46 |
$69.10 |
3.1× |
| Mycoplasma pneumoniae by PCR (87581) |
$102 |
$170 |
2.9× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$154.20 |
$257 |
13.4× |
| Myoglobin (83874) |
$110.70 |
$184.50 |
8.6× |
| N.gonorrhoeae DNA amp prob (87591) |
$53.40 |
$89 |
1.5× |
| Nasal smear for eosinophils (89190) |
$57 |
$95 |
9.8× |
| Natriuretic peptide (83880) |
$579.60 |
$966 |
14.8× |
| Nephelometry ea analyte (83883) |
$94.72 |
$157.88 |
7.0× |
| Neutralization test viral (86382) |
$193.80 |
$323 |
11.5× |
| Nk cells total count (86357) |
$102.90 |
$171.50 |
2.7× |
| Occult bld feces 1-3 tests (82272) |
$44.40 |
$74 |
10.5× |
| Occult blood other sources (82271) |
$160.80 |
$268 |
30.2× |
| Occult blood screening (82270) |
$46.80 |
$78 |
10.7× |
| Oligoclonal bands (83916) |
$64.23 |
$107.05 |
2.3× |
| Osmolality serum (83930) |
$32.88 |
$54.80 |
5.0× |
| Osmolality urine (83935) |
$203.40 |
$339 |
29.8× |
| Ova and parasite exam (87177) |
$51.98 |
$86.62 |
5.8× |
| Oxalate urine (83945) |
$44.04 |
$73.40 |
3.0× |
| Pancreatic polypeptide (83519) |
$878.40 |
$1,464 |
47.7× |
| Parathyroid hormone (83970) |
$117 |
$195 |
2.8× |
| Parvovirus antibody (86747) |
$119.40 |
$199 |
7.9× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$188.40 |
$314 |
1.1× |
| Pathology examination of specimen during surgery (88329) |
$6 |
$10 |
0.1× |
| Pertussis by PCR (87798) |
$349.50 |
$582.50 |
10.0× |
| Ph body fluid (83986) |
$109.80 |
$183 |
30.7× |
| Phenobarbital (80184) |
$94.54 |
$157.58 |
6.2× |
| Phenotype infect agent drug (87900) |
$625.80 |
$1,043 |
4.8× |
| Phenytoin (dilantin) free (80186) |
$35.31 |
$58.85 |
2.6× |
| Phenytoin level total (80185) |
$135 |
$225 |
10.2× |
| Phosphorus (84100) |
$55.80 |
$93 |
11.8× |
| Phosphorus urine (84105) |
$71.40 |
$119 |
12.4× |
| Pinworm exam (87172) |
$52.20 |
$87 |
12.2× |
| Platelet aggregation ea agent (85576) |
$539.16 |
$898.60 |
21.6× |
| Platelet count automated (85049) |
$72 |
$120 |
16.1× |
| Platelet neutralization (85597) |
$164.01 |
$273.35 |
9.1× |
| Pml/raralpha com breakpoints (81315) |
$349.80 |
$583 |
1.7× |
| Pneumcysts jirovecii amp prb (87594) |
$295.83 |
$493.05 |
8.4× |
| Porphyrins total plasma (84311) |
$228.30 |
$380.50 |
28.2× |
| Potassium (84132) |
$58.83 |
$98.05 |
12.4× |
| Potassium urine (84133) |
$93.60 |
$156 |
19.8× |
| Prealbumin (84134) |
$120 |
$200 |
8.2× |
| Pregnenolone (84140) |
$61.05 |
$101.75 |
3.0× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$442.80 |
$738 |
7.2× |
| Primidone (80188) |
$40.80 |
$68 |
2.5× |
| Procalcitonin (pct) (84145) |
$84.60 |
$141 |
3.1× |
| Progesterone (84144) |
$86.25 |
$143.75 |
4.1× |
| Proinsulin (84206) |
$64.02 |
$106.70 |
2.4× |
| Prolactin (84146) |
$167.10 |
$278.50 |
8.6× |
| Prostatic acid phosphatase (84066) |
$174 |
$290 |
18.0× |
| Protein c activity (85303) |
$204.45 |
$340.75 |
14.8× |
| Protein c antigen (85302) |
$108.72 |
$181.20 |
9.1× |
| Protein electrophoresis serum (84165) |
$68.12 |
$113.52 |
6.3× |
| Protein electrophoresis urine (84166) |
$181.20 |
$302 |
10.2× |
| Protein s antigen, free (85306) |
$250.20 |
$417 |
16.3× |
| Protein total other source (84157) |
$102 |
$170 |
25.5× |
| Protein total serum (84155) |
$64.20 |
$107 |
17.5× |
| Protein total urine (84156) |
$66.75 |
$111.25 |
18.2× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$317.19 |
$528.65 |
10.9× |
| Protozoa antibody nos (86753) |
$50.10 |
$83.50 |
4.0× |
| PSA free (84154) |
$64.98 |
$108.30 |
3.5× |
| Pyruvate (84210) |
$261.60 |
$436 |
18.1× |
| Q fever antibody (86638) |
$184.80 |
$308 |
15.2× |
| Rbc antibody elution (86860) |
$290.40 |
$484 |
1.6× |
| Rbc antibody identification (86870) |
$373.80 |
$623 |
1.0× |
| Rbc antibody screen (86850) |
$124.80 |
$208 |
12.8× |
| Reducing substances fecal (84376) |
$85.14 |
$141.90 |
15.5× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$189 |
$315 |
15.7× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$67.80 |
$113 |
5.1× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$64.80 |
$108 |
3.3× |
| Renin (84244) |
$104.70 |
$174.50 |
4.8× |
| Reticyte/hgb concentrate (85046) |
$30.36 |
$50.60 |
5.5× |
| Rheumatoid factor (86430) |
$75 |
$125 |
12.2× |
| Rheumatoid factor quant (86431) |
$86.01 |
$143.35 |
15.2× |
| Rickettsia antibody (86757) |
$57.63 |
$96.05 |
3.0× |
| Ristocetin cofactor (85245) |
$108 |
$180 |
4.7× |
| Rl immediate spin crossmatch (86920) |
$9 |
$15 |
0.1× |
| Rotavirus ag eia (87425) |
$160.20 |
$267 |
13.4× |
| Rpr qual (86592) |
$58.80 |
$98 |
13.8× |
| Rpr titer (86593) |
$82.95 |
$138.25 |
18.9× |
| Rubella antibody (86762) |
$109.80 |
$183 |
7.6× |
| Rubeola antibody (86765) |
$114 |
$190 |
8.9× |
| Russell viper venom diluted (85613) |
$55.80 |
$93 |
5.8× |
| Sedimentation rate rbc automated (85652) |
$57 |
$95 |
21.1× |
| Selenium (84255) |
$133.20 |
$222 |
5.2× |
| Semen analysis post vasectomy (89321) |
$87 |
$145 |
7.2× |
| Semen analysis; motility and count (not including Huhner test) Other Outpatient (89310) |
$273 |
$455 |
31.7× |
| Serotonin (84260) |
$42.57 |
$70.95 |
1.4× |
| Sex hormone binding globulin (84270) |
$44.91 |
$74.85 |
2.1× |
| Shiga-like toxin ag eia (87427) |
$63.60 |
$106 |
5.3× |
| Sickle cell screen (85660) |
$30.90 |
$51.50 |
5.6× |
| Sirolimus (80195) |
$48.69 |
$81.15 |
3.5× |
| Skin test tuberculosis intradermal (86580) |
$183.06 |
$305.10 |
6.1× |
| Smear wet mount (87210) |
$60.60 |
$101 |
10.4× |
| Sodium (84295) |
$58.83 |
$98.05 |
12.2× |
| Sodium other source (84302) |
$145.53 |
$242.55 |
29.9× |
| Sodium urine (84300) |
$92.40 |
$154 |
18.3× |
| Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation… (81455) |
$2,659.62 |
$4,432.70 |
0.9× |
| Somatomedin (84305) |
$67.20 |
$112 |
3.2× |
| Special stains group i (88312) |
$133.80 |
$223 |
2.5× |
| Special stains group ii (88313) |
$170.40 |
$284 |
1.2× |
| Specific gravity except urine (84315) |
$44.40 |
$74 |
13.5× |
| Splitting of blood or blood products, each unit (86985) |
$162.60 |
$271 |
0.9× |
| Stone analysis (82365) |
$260.85 |
$434.75 |
20.2× |
| Strep a ag ia (87430) |
$119.40 |
$199 |
7.1× |
| Strep a assay w/optic (87880) |
$93.60 |
$156 |
5.7× |
| Surg path level 1 (88300) |
$67.80 |
$113 |
2.3× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$205.20 |
$342 |
3.8× |
| Susceptibility mic per plate (87186) |
$126 |
$210 |
14.6× |
| Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Other… (87181) |
$33 |
$55 |
6.9× |
| T cells cd4 count (86361) |
$58.68 |
$97.80 |
2.2× |
| T3 free (84481) |
$119.40 |
$199 |
7.0× |
| T3 reverse (84482) |
$33.93 |
$56.55 |
2.2× |
| T3 uptake (84479) |
$32.34 |
$53.90 |
5.0× |
| T4 (thyroxine) total (84436) |
$87.60 |
$146 |
12.8× |
| Tacrolimus (80197) |
$62.70 |
$104.50 |
4.6× |
| Tb test cell immun measure (86480) |
$118.80 |
$198 |
1.9× |
| Testosterone bioavailable (84410) |
$77.13 |
$128.55 |
1.5× |
| Testosterone free (84402) |
$132.60 |
$221 |
5.2× |
| Testosterone total (84403) |
$48.60 |
$81 |
1.9× |
| Theophylline (80198) |
$128.34 |
$213.90 |
9.1× |
| Thiopurine drug metabolites (83789) |
$158.40 |
$264 |
6.6× |
| Thiopurine metabolites (80299) |
$389.94 |
$649.90 |
20.9× |
| Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) |
$303.60 |
$506 |
13.7× |
| Thrombin time plasma (85670) |
$88.20 |
$147 |
15.3× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$70.80 |
$118 |
10.9× |
| Thyroglobulin (84432) |
$64.05 |
$106.75 |
4.0× |
| Thyroglobulin antibody (86800) |
$123.60 |
$206 |
7.8× |
| Thyroid peroxidase antibody (86376) |
$55.20 |
$92 |
3.8× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$58.68 |
$97.80 |
1.2× |
| Thyroxine free (ft4) (84439) |
$208.20 |
$347 |
23.1× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$29.76 |
$49.60 |
4.6× |
| Tissue culture bone marrow (88237) |
$680.40 |
$1,134 |
4.7× |
| Tissue culture lymphocyte (88230) |
$323.40 |
$539 |
2.8× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$35.18 |
$58.62 |
3.1× |
| Tobramycin (80200) |
$163.80 |
$273 |
10.2× |
| Topiramate (80201) |
$39.33 |
$65.55 |
3.3× |
| Toxoplasma antibody igg (86777) |
$36.80 |
$61.32 |
2.6× |
| Toxoplasma antibody igm (86778) |
$40.20 |
$67 |
2.8× |
| Transferrin (84466) |
$72.72 |
$121.20 |
5.7× |
| Treponema pallidum antibody (86780) |
$62.70 |
$104.50 |
4.7× |
| Trichomonas vagin dir probe (87660) |
$73.80 |
$123 |
3.7× |
| Trichomonas vaginalis amplif (87661) |
$106.80 |
$178 |
3.0× |
| Trichrome stain (87209) |
$67.88 |
$113.12 |
3.8× |
| Triglycerides (84478) |
$85.95 |
$143.25 |
15.0× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$79.54 |
$132.58 |
5.6× |
| Troponin t (84484) |
$305.40 |
$509 |
24.5× |
| Unlisted molecular pathology (81479) |
$2,184 |
$3,640 |
— |
| Urea nitrogen quantitative (84520) |
$55.20 |
$92 |
14.0× |
| Urea nitrogen urine (84540) |
$119.40 |
$199 |
21.5× |
| Uric acid blood (84550) |
$52.80 |
$88 |
11.7× |
| Uric acid other source (84560) |
$77.40 |
$129 |
15.2× |
| Urinalysis auto w/micro (81001) |
$70.80 |
$118 |
22.3× |
| Urinalysis microscopic only (81015) |
$73.20 |
$122 |
24.0× |
| Urinalysis volume measure (81050) |
$39 |
$65 |
10.7× |
| Urine bacteria culture (87088) |
$100.80 |
$168 |
12.5× |
| Urine Pregnancy Test POC (81025) |
$101.40 |
$169 |
11.8× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$46.80 |
$78 |
20.8× |
| Valproic acid (80164) |
$186.60 |
$311 |
13.8× |
| Vancomycin (80202) |
$174.60 |
$291 |
12.9× |
| Varicella zoster antibody igg (86787) |
$104.40 |
$174 |
8.1× |
| Vasoactive intestinal peptide (vip) (84586) |
$72.60 |
$121 |
2.1× |
| Viral culture non-respiratory (87252) |
$66 |
$110 |
2.5× |
| Virus antibody nos (86790) |
$101.31 |
$168.85 |
7.9× |
| Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) |
$57.54 |
$95.90 |
2.8× |
| Viscosity (85810) |
$40.26 |
$67.10 |
3.4× |
| Vitamin a (84590) |
$51.72 |
$86.20 |
4.5× |
| Vitamin b-12 (82607) |
$93.44 |
$155.72 |
6.2× |
| Vitamin b1 whole blood (84425) |
$42.45 |
$70.75 |
2.0× |
| Vitamin b6 (84207) |
$152.40 |
$254 |
5.4× |
| Vitamin c (82180) |
$41.25 |
$68.75 |
4.2× |
| Vitamin d 25 hydroxy (82306) |
$212.40 |
$354 |
7.2× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$52.80 |
$88 |
1.4× |
| Vitamin e (84446) |
$51.18 |
$85.30 |
3.6× |
| Vitamin k1 (84597) |
$301.80 |
$503 |
22.0× |
| Vma (84585) |
$36.30 |
$60.50 |
2.3× |
| Volatiles (84600) |
$154.20 |
$257 |
9.0× |
| Voltage-gated calcium channel antibody each (86596) |
$61.62 |
$102.70 |
5.1× |
| Voriconazole (80285) |
$117.48 |
$195.80 |
4.3× |
| West nile virus antibody (86789) |
$95.70 |
$159.50 |
6.7× |
| Yeast id (87106) |
$115.80 |
$193 |
11.2× |
| Z t cells total count (86359) |
$121.80 |
$203 |
3.2× |
| Zinc (84630) |
$32.10 |
$53.50 |
2.8× |
| Zinc protoporphyrins (84202) |
$162.48 |
$270.80 |
11.3× |