Lab & pathology prices at Sabine Medical Center
Many, LA · every code in this section with a posted price and a Medicare benchmark.
314 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) | $49.50 | $165 | 1.3× |
| 5 Hiaa (83497) | $131.10 | $437 | 10.2× |
| 5 Nucleotidase (83915) | $11.10 | $37 | 1.0× |
| Acylcarnitine Plasma (82017) | $16.80 | $56 | 1.0× |
| Albumin serum (82040) | $13.80 | $46 | 2.8× |
| Aldolase (82085) | $23.10 | $77 | 2.4× |
| Aldosterone urine (82088) | $57 | $190 | 1.4× |
| Allergen specific ige (86003) | $16.50 | $55 | 3.2× |
| Alpha-1-antitrypsin, total (82103) | $21 | $70 | 1.6× |
| Alpha-fetoprotein, serum (82105) | $80.40 | $268 | 4.8× |
| Alt (sgpt) (84460) | $16.80 | $56 | 3.2× |
| Ammonia (82140) | $50.10 | $167 | 3.4× |
| Amylase urine (82150) | $30.60 | $102 | 4.7× |
| Angiotensin i enzyme test (82164) | $46.80 | $156 | 3.2× |
| Antibody Absorption (86978) | $27 | $90 | 0.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $72.30 | $241 | 5.0× |
| Antibody identification (86870) | $42.30 | $141 | 0.1× |
| Antibody identification leukocyte antibodies (86021) | $60 | $200 | 4.0× |
| Antibody mumps (86735) | $45.30 | $151 | 3.5× |
| Antibody rubeola (86765) | $43.20 | $144 | 3.4× |
| Antibody screen (86850) | $42.30 | $141 | 4.3× |
| Antibody treponema pallidum (86780) | $24.90 | $83 | 1.9× |
| Antinuclear antibodies (86038) | $82.80 | $276 | 6.8× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $16.80 | $56 | 2.9× |
| Arsenic Urine (82175) | $46.80 | $156 | 2.5× |
| Assay Nephelometry Not Spec (83883) | $71.10 | $237 | 5.2× |
| Assay of acth (82024) | $122.40 | $408 | 3.2× |
| Assay of c-peptide (84681) | $23.40 | $78 | 1.1× |
| Assay of calcitonin (82308) | $95.40 | $318 | 3.6× |
| Assay of ceruloplasmin (82390) | $33.90 | $113 | 3.2× |
| Assay of creatine (82540) | $25.80 | $86 | 5.6× |
| Assay of erythropoietin (82668) | $33.60 | $112 | 1.8× |
| Assay of ferritin (82728) | $26.40 | $88 | 1.9× |
| Assay of gammaglobulin igm (82784) | $41.70 | $139 | 4.5× |
| Assay of gastrin (82941) | $24 | $80 | 1.4× |
| Assay of gentamicin (80170) | $52.20 | $174 | 3.2× |
| Assay of homocystine (83090) | $102 | $340 | 5.7× |
| Assay of metanephrines (83835) | $39.60 | $132 | 2.3× |
| Assay of parathormone (83970) | $33 | $110 | 0.8× |
| Assay of phenobarbital (80184) | $24.90 | $83 | 1.6× |
| Assay of prealbumin (84134) | $57.90 | $193 | 4.0× |
| Assay of proinsulin (84206) | $33.30 | $111 | 1.2× |
| Assay of serotonin (84260) | $36 | $120 | 1.2× |
| Assay of somatomedin (84305) | $24.75 | $82.50 | 1.2× |
| Assay of tacrolimus (80197) | $35.70 | $119 | 2.6× |
| Assay of urine vma (84585) | $24.90 | $83 | 1.6× |
| Assay of vitamin k (84597) | $30.60 | $102 | 2.2× |
| Assay Ph Body Fluid Nos (83986) | $6.60 | $22 | 1.8× |
| Ast (sgot) (84450) | $33.30 | $111 | 6.4× |
| B cells total count (86355) | $37.50 | $125 | 1.0× |
| Bartonella antibody (86611) | $50.70 | $169 | 5.0× |
| Beta-2 microglobulin (82232) | $27 | $90 | 1.7× |
| Bilirubin direct (82248) | $20.40 | $68 | 4.1× |
| Bilirubin total (82247) | $13.80 | $46 | 2.7× |
| Bleeding time (85002) | $21.90 | $73 | 4.5× |
| Blood count reticulocyte automated (85045) | $21.60 | $72 | 5.4× |
| Blood gases (82803) | $33 | $110 | 1.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $33 | $110 | 5.2× |
| Blood typing abo (86900) | $22.20 | $74 | 7.4× |
| Bordetella antibody (86615) | $13.20 | $44 | 1.0× |
| Brca1&2 seq & full dup/del (81162) | $990 | $3,300 | 0.5× |
| C-reactive protein (86140) | $41.70 | $139 | 8.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $41.70 | $139 | 3.2× |
| Ca 125 (86304) | $72.30 | $241 | 3.5× |
| Calcium ionized (82330) | $25.80 | $86 | 1.9× |
| Calcium total (82310) | $15 | $50 | 2.9× |
| Calcium urine (82340) | $25.80 | $86 | 4.3× |
| Calculus Qualitative Analysis (82355) | $69.30 | $231 | 6.0× |
| Calprotectin, fecal (83993) | $171.60 | $572 | 8.7× |
| Carbamazepine (tegretol) total (80156) | $31.50 | $105 | 2.2× |
| Carboxyhemoglobin Quantitative (82375) | $142.50 | $475 | 11.6× |
| Carcinoembryonic antigen (82378) | $97.80 | $326 | 5.2× |
| Cardiolipin ab igg (86147) | $213.90 | $713 | 8.4× |
| Carnitine (82379) | $18.30 | $61 | 1.1× |
| Catecholamines fraction plasma (82384) | $33 | $110 | 1.3× |
| Cd4 absolute count (86361) | $54.60 | $182 | 2.0× |
| Cftr gene com variants (81220) | $551.10 | $1,837 | 1.0× |
| Chemiluminescent assay (82397) | $114.90 | $383 | 8.1× |
| Cholesterol total (82465) | $18.90 | $63 | 4.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $44.10 | $147 | 1.3× |
| Citrate (82507) | $16.80 | $56 | 0.6× |
| Ckmb (82553) | $26.40 | $88 | 2.3× |
| Clot factor viii vw antigen (85246) | $95.10 | $317 | 4.1× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $17.70 | $59 | 1.0× |
| Cmv PCR (87496) | $66 | $220 | 1.9× |
| Compatibility test antiglob (86922) | $89.40 | $298 | 0.6× |
| Complement c3 (86160) | $62.10 | $207 | 5.2× |
| Complement total ch50 (86162) | $41.40 | $138 | 2.0× |
| Coombs direct (86880) | $22.20 | $74 | 4.1× |
| Copper urine (82525) | $27.60 | $92 | 2.2× |
| Cortisol free (82530) | $69.30 | $231 | 4.1× |
| Cortisol total (82533) | $29.10 | $97 | 1.8× |
| Creatine kinase total (82550) | $25.80 | $86 | 4.0× |
| Creatinine blood (82565) | $26.10 | $87 | 5.1× |
| Creatinine clearance (82575) | $26.70 | $89 | 2.8× |
| Creatinine other source (82570) | $42.60 | $142 | 8.2× |
| Crossmatch immediate spin (86920) | $21.90 | $73 | 0.1× |
| Culture Aerobic Identify (87077) | $21.45 | $71.50 | 2.7× |
| Culture anaerobic (87075) | $59.10 | $197 | 6.2× |
| Culture blood (87040) | $29.10 | $97 | 2.8× |
| Culture genital (87070) | $29.10 | $97 | 3.4× |
| Culture screen only (87081) | $48 | $160 | 7.2× |
| Culture urine (87086) | $19.80 | $66 | 2.5× |
| Cyclic Citrullinated Peptide (86200) | $33.90 | $113 | 2.6× |
| Cyp2c19 gene com variants (81225) | $297 | $990 | 1.0× |
| D-Dimer (85379) | $21 | $70 | 2.1× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $81.90 | $273 | 4.9× |
| Detect agnt mult DNA ampli (87801) | $50.40 | $168 | 0.7× |
| Dhea sulfate (82627) | $24.90 | $83 | 1.1× |
| Digoxin (80162) | $57.90 | $193 | 4.4× |
| Dilantin (80185) | $77.10 | $257 | 5.8× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $19.80 | $66 | 1.4× |
| Drug assay adalimumab (80145) | $39.60 | $132 | 1.0× |
| Drug Assay Infliximab (80230) | $39.60 | $132 | 1.0× |
| Drug Assay Lacosamide (80235) | $26.70 | $89 | 1.0× |
| Drug assay rufinamide (80210) | $29.70 | $99 | 1.1× |
| Drug Screen Quant Gabapentin (80171) | $21.60 | $72 | 1.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $20.40 | $68 | 1.5× |
| Drug Scrn Quan Levetiracetam (80177) | $46.80 | $156 | 3.5× |
| Drug scrn quant oxcarbazepin (80183) | $45.30 | $151 | 3.4× |
| Drug test prsmv chem anlyzr (80307) | $33 | $110 | 0.5× |
| Electrolyte panel (80051) | $60 | $200 | 8.6× |
| Endomysial antibody iga (86255) | $47.55 | $158.50 | 3.9× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $66 | $220 | 4.3× |
| Estradiol (82670) | $67.80 | $226 | 2.4× |
| Estrogens total (82672) | $29.70 | $99 | 1.4× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $43.50 | $145 | 5.9× |
| F5 gene (81241) | $34.20 | $114 | 0.5× |
| Factor ii activity (85210) | $12.90 | $43 | 1.0× |
| Factor ix activity (85250) | $19.80 | $66 | 1.0× |
| Factor v activity (85220) | $76.50 | $255 | 4.3× |
| Factor vii assay (85230) | $41.40 | $138 | 2.3× |
| Factor viii ahg (85240) | $41.40 | $138 | 2.3× |
| Factor xi assay (85270) | $41.40 | $138 | 2.3× |
| Flow cytometry first marker (88184) | $99 | $330 | 0.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $46.80 | $156 | 3.9× |
| Folate serum (82746) | $26.40 | $88 | 1.8× |
| Follicle Stimulating Hormone (83001) | $31.50 | $105 | 1.7× |
| Fructosamine (82985) | $15.90 | $53 | 0.9× |
| Gammaglobulin ige (82785) | $29.10 | $97 | 1.8× |
| Gardner Vag Dna Quant (87512) | $66 | $220 | 1.6× |
| Gastric Occult Blood (82271) | $16.20 | $54 | 3.0× |
| Ggt (82977) | $6.90 | $23 | 1.0× |
| Giardia antigen eia stool (87329) | $16.50 | $55 | 1.4× |
| Gliadin antibody each immunoglobulin class (86258) | $11.40 | $38 | 0.9× |
| Glucose (82947) | $19.80 | $66 | 5.0× |
| Glucose Blood Test (82962) | $8.40 | $28 | 2.6× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $19.80 | $66 | 5.1× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $31.50 | $105 | 2.4× |
| Growth hormone (83003) | $33 | $110 | 2.0× |
| Hcg qualitative (84703) | $16.50 | $55 | 2.2× |
| Hcg quant (84702) | $69.30 | $231 | 4.6× |
| Hdl Cholesterol (83718) | $14.40 | $48 | 1.8× |
| Heavy Metal Screen - Heavy Metals Screen (83015) | $143.43 | $478.10 | 6.8× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Other Outpatient (83009) | $88.80 | $296 | 1.3× |
| Hematocrit (85014) | $9.90 | $33 | 4.2× |
| Hemoglobin (85018) | $9.90 | $33 | 4.2× |
| Hemoglobin a1c (83036) | $28.50 | $95 | 2.9× |
| Hemoglobin electrophoresis (83020) | $81.30 | $271 | 6.3× |
| Hepatitis a antibody total (86708) | $45.90 | $153 | 3.7× |
| Hepatitis a igm (86709) | $11.10 | $37 | 1.0× |
| Hepatitis b core antibody total (86704) | $45.90 | $153 | 3.8× |
| Hepatitis B Surface Ab (86706) | $45.90 | $153 | 4.3× |
| Hepatitis B Surface Antigen (87340) | $45.90 | $153 | 4.4× |
| Hepatitis be antibody (86707) | $11.40 | $38 | 1.0× |
| Hepatitis c antibody (86803) | $99.90 | $333 | 7.0× |
| Hepatitis C Genotype (87902) | $193.50 | $645 | 0.8× |
| Herpes culture (87252) | $29.10 | $97 | 1.1× |
| Herpes simplex type 2 (86696) | $72.30 | $241 | 3.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $18.60 | $62 | 3.6× |
| Hla-b27 (86812) | $61.80 | $206 | 2.4× |
| Human epididymis protein 4 (86305) | $20.70 | $69 | 1.0× |
| Hydroxyprogesterone 17-d (83498) | $21.90 | $73 | 0.8× |
| Iaad ia clostridium difficile toxin (87324) | $24.90 | $83 | 2.1× |
| Iaad ia cryptosporidium (87328) | $25.80 | $86 | 1.9× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $49.50 | $165 | 2.1× |
| Iaad ia rotavirus (87425) | — | $1.50 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $33 | $110 | 0.9× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) | $24.90 | $83 | 2.1× |
| Iadna candida species amplified probe tq (87481) | $44.10 | $147 | 1.3× |
| Iadna hepatitis b virus quantification (87517) | $182.40 | $608 | 4.3× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $97.80 | $326 | 2.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $55.95 | $186.50 | 1.6× |
| Iadna nos amplified probe tq each organism (87798) | $57.75 | $192.50 | 1.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $44.10 | $147 | 1.3× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $500.25 | $1,667.50 | 1.2× |
| Immunoassay infectious agent antibody quan nos (86317) | $59.40 | $198 | 4.0× |
| Immunoassay nonantibody (83516) | $42.60 | $142 | 3.7× |
| Immunofixj Electrophoresis Serum (86334) | $49.50 | $165 | 2.2× |
| India ink prep (87210) | $28.50 | $95 | 4.9× |
| Influenza DNA amp probe (87502) | $37.20 | $124 | 0.4× |
| Inhibin b (83520) | $24 | $80 | 1.4× |
| Insulin antibodies (86337) | $21.30 | $71 | 1.0× |
| Insulin free (83527) | $26.40 | $88 | 2.0× |
| Insulin total (83525) | $23.40 | $78 | 2.0× |
| Iron (83540) | $39 | $130 | 6.0× |
| Iron binding capacity (83550) | $33.90 | $113 | 3.9× |
| Islet cell antibody (86341) | $38.10 | $127 | 1.6× |
| Jak2 gene analysis (81270) | $90.90 | $303 | 1.0× |
| Lactic acid (83605) | $18.30 | $61 | 1.6× |
| Lactoferrin fecal qualitative (83630) | $13.50 | $45 | 0.7× |
| Ldh (83615) | $15.90 | $53 | 2.6× |
| LDL cholesterol direct (83721) | $28.50 | $95 | 2.7× |
| Lead (83655) | $21.60 | $72 | 1.8× |
| Legionella antigen urine (87449) | $57.90 | $193 | 4.8× |
| Lh (83002) | $31.50 | $105 | 1.7× |
| Lipase (83690) | $43.50 | $145 | 6.3× |
| Lithium (80178) | $34.20 | $114 | 5.2× |
| Lyme disease antibody (86618) | $16.50 | $55 | 1.0× |
| Lyme disease antibody confirm (86617) | $114.30 | $381 | 7.4× |
| Magnesium (83735) | $15.90 | $53 | 2.4× |
| Mercury (83825) | $27.60 | $92 | 1.7× |
| Methotrexate (80299) | $46.80 | $156 | 2.5× |
| Microalbumin urine (82043) | $23.10 | $77 | 4.0× |
| Microsomal antibodies (86376) | $41.40 | $138 | 2.8× |
| Mitochondrial antibody each (86381) | $25.20 | $84 | 1.0× |
| Mononuclear cell antigen (86356) | $37.50 | $125 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $99 | $330 | 1.5× |
| Mycophenolic acid (80180) | $19.20 | $64 | 1.1× |
| Mycoplasma antibody (86738) | $75.30 | $251 | 5.7× |
| Myoglobin urine (83874) | $26.10 | $87 | 2.0× |
| Natriuretic peptide (83880) | $33 | $110 | 0.8× |
| Nk cells total count (86357) | $37.50 | $125 | 1.0× |
| Nuclear antigen antibody (86235) | $25.80 | $86 | 1.4× |
| Occult blood stool (82272) | $16.50 | $55 | 3.9× |
| Osmolality serum (83930) | $22.50 | $75 | 3.4× |
| Osmolality urine (83935) | $22.50 | $75 | 3.3× |
| Pancreatic elastase fecal (82656) | $41.40 | $138 | 3.6× |
| Pancreatic polypeptide (83519) | $38.70 | $129 | 2.1× |
| Parvovirus antibody (86747) | $33 | $110 | 2.2× |
| Pathology lab procedure (89240) | $16.50 | $55 | 0.3× |
| Phosphatase alkaline (84075) | $45 | $150 | 8.7× |
| Phosphorus blood (84100) | $9 | $30 | 1.9× |
| Potassium (84132) | $14.10 | $47 | 3.0× |
| Potassium urine (84133) | $16.80 | $56 | 3.6× |
| Procalcitonin (pct) (84145) | $38.10 | $127 | 1.4× |
| Progesterone (84144) | $66.30 | $221 | 3.2× |
| Prolactin (84146) | $89.40 | $298 | 4.6× |
| Protein c activity (85303) | $172.50 | $575 | 12.5× |
| Protein electrophoresis serum (84165) | $21.60 | $72 | 2.0× |
| Protein Electrophoresis Urine (84166) | $19.80 | $66 | 1.1× |
| Protein S Functional (85306) | $180.60 | $602 | 11.8× |
| Protein Total Serum (84155) | $6.90 | $23 | 1.9× |
| Protein urine (84156) | $16.50 | $55 | 4.5× |
| PSA free (84154) | $71.10 | $237 | 3.9× |
| Quantiferon tb gold (86480) | $33 | $110 | 0.5× |
| Rbc antibody elution (86860) | $53.10 | $177 | 0.3× |
| Reagent strip/blood glucose (82948) | $6.90 | $23 | 1.4× |
| Renin activity plasma (84244) | $23.70 | $79 | 1.1× |
| Resp virus 3-5 targets (87631) | $165 | $550 | 1.2× |
| Rheumatoid factor quant (86431) | $22.80 | $76 | 4.0× |
| Rsv (87807) | $50.40 | $168 | 3.8× |
| Rubella antibody (86762) | $43.20 | $144 | 3.0× |
| Russell viper venom time diluted (85613) | $82.65 | $275.50 | 8.6× |
| Saccharomyces ab iga (86671) | $26.40 | $88 | 2.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $33 | $110 | 0.8× |
| Sedimentation rate (85651) | $16.80 | $56 | 3.9× |
| Sensitivity mic (87186) | $33 | $110 | 3.8× |
| Sex hormone binding globulin (84270) | $33 | $110 | 1.5× |
| Sickle cell screen (85660) | $33.60 | $112 | 6.1× |
| Sirolimus (rapamycin) (80195) | $13.50 | $45 | 1.0× |
| Smear gram stain (87205) | $19.80 | $66 | 4.6× |
| Sodium (84295) | $16.80 | $56 | 3.5× |
| Sodium urine (84300) | $16.80 | $56 | 3.3× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $33 | $110 | 0.2× |
| Stool Cultr Aerobic Bact Ea (87046) | $16.50 | $55 | 1.7× |
| Strep a assay w/optic (87880) | $21.60 | $72 | 1.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $49.50 | $165 | 1.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $46.50 | $155 | 1.0× |
| T cells, total count (86359) | $37.50 | $125 | 1.0× |
| T3 free (84481) | $29.40 | $98 | 1.7× |
| T3 total (84480) | $44.70 | $149 | 3.2× |
| T3 uptake (84479) | $23.40 | $78 | 3.6× |
| T4 Free (84439) | $36.60 | $122 | 4.1× |
| T4 total (84436) | $36.60 | $122 | 5.3× |
| Tb intradermal test (86580) | $29.85 | $99.50 | 1.1× |
| Test for acetone/ketones (82009) | $21 | $70 | 4.6× |
| Testosterone bioavailable (84410) | $24.90 | $83 | 0.5× |
| Testosterone free (84402) | $31.50 | $105 | 1.2× |
| Testosterone total (84403) | $33 | $110 | 1.3× |
| Theophylline (80198) | $91.50 | $305 | 6.5× |
| Thyroglobulin Ab (86800) | $66 | $220 | 4.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $55.50 | $185 | 1.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $11.40 | $38 | 1.0× |
| Topiramate (80201) | $3.30 | $11 | 0.3× |
| Toxoplasma ab igm (86778) | $20.10 | $67 | 1.4× |
| Toxoplasma antibody igg (86777) | $19.80 | $66 | 1.4× |
| Transferrin (84466) | $19.80 | $66 | 1.6× |
| Triglycerides (84478) | $9 | $30 | 1.6× |
| Troponin (84484) | $24.90 | $83 | 2.0× |
| Urea nitrogen (84520) | $13.80 | $46 | 3.5× |
| Uric acid blood (84550) | $9 | $30 | 2.0× |
| Uric acid other source (84560) | $6.60 | $22 | 1.3× |
| Urinalysis w/microscopic (81001) | $9.90 | $33 | 3.1× |
| Urine pregnancy test (81025) | $16.50 | $55 | 1.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $9.90 | $33 | 4.4× |
| Valproic acid level (80164) | $26.40 | $88 | 1.9× |
| Vancomycin trough (80202) | $59.10 | $197 | 4.4× |
| Varicella-zoster antibody (86787) | $21 | $70 | 1.6× |
| Vasopressin (84588) | $33.60 | $112 | 1.0× |
| Vdrl csf (86592) | $26.40 | $88 | 6.2× |
| Very long chain fatty acids (82726) | $19.50 | $65 | 1.0× |
| Vitamin A (84590) | $36 | $120 | 3.1× |
| Vitamin b-12 (82607) | $33.60 | $112 | 2.2× |
| Vitamin b-2 (riboflavin) (84252) | $33.60 | $112 | 1.7× |
| Vitamin b1 (thiamine) (84425) | $33.60 | $112 | 1.6× |
| Vitamin b6 (84207) | $79.80 | $266 | 2.8× |
| Vitamin C (82180) | $33.60 | $112 | 3.4× |
| Vitamin D 25-Hydroxy (82306) | $32.70 | $109 | 1.1× |
| Vitamin e serum (84446) | $36 | $120 | 2.5× |
| Von willebrand factor activity (85245) | $297.30 | $991 | 13.0× |
| West nile virus ab, igm (86788) | $36.30 | $121 | 2.2× |
| West nile virus antibody (86789) | $33 | $110 | 2.3× |
| Zinc (84630) | $51.60 | $172 | 4.5× |