Lab & pathology prices at Samaritan Lebanon Community Hospital
Lebanon, OR · every code in this section with a posted price and a Medicare benchmark.
970 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $66.40 | $83 | 2.9× |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$15.20–$49.60 | $19–$62 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $920 | $1,150 | 3.1× |
| Acetylcholine receptor binding antibody (86041) range across 7 matching MRF lines |
$26.40–$342.40 | $33–$428 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 4 matching MRF lines |
$32.80–$297.60 | $41–$372 | varies |
| Acetylcholinesterase Assay (82013) | $104 | $130 | 8.5× |
| Acetylcholn Rcptr Modlg Antb (86043) range across 3 matching MRF lines |
$40.80–$297.60 | $51–$372 | varies |
| Acth (82024) range across 4 matching MRF lines |
$46.40–$160 | $58–$200 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $96 | $120 | 2.9× |
| Actin smooth muscle antibody each (86015) range across 7 matching MRF lines |
$15.20–$108 | $19–$135 | varies |
| Acute hepatitis panel (80074) range across 3 matching MRF lines |
$57.60–$408 | $72–$510 | varies |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$113.60–$216 | $142–$270 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) range across 2 matching MRF lines |
$103.20–$104 | $129–$130 | varies |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$39.20–$144 | $49–$180 | varies |
| Albumin Fluid (82042) range across 7 matching MRF lines |
$9.60–$77.60 | $12–$97 | varies |
| Albumin serum (82040) range across 9 matching MRF lines |
$8–$112 | $10–$140 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$12–$30.40 | $15–$38 | varies |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$49.60–$176 | $62–$220 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 4 matching MRF lines |
$18.40–$152 | $23–$190 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 7 matching MRF lines |
$9.60–$28 | $12–$35 | varies |
| Allergen specific ige (86003) range across 268 matching MRF lines |
$4.80–$280 | $6–$350 | varies |
| Allergen specific igg (86001) range across 26 matching MRF lines |
$19.20–$46.40 | $24–$58 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 24 matching MRF lines |
$4–$80 | $5–$100 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 3 matching MRF lines |
$17.60–$49.60 | $22–$62 | varies |
| Alpha-1-antitrypsin total (82103) range across 9 matching MRF lines |
$16.80–$224 | $21–$280 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $88 | $110 | 5.2× |
| Alpha-Fetoprotein Serum (82105) range across 5 matching MRF lines |
$20.80–$75.20 | $26–$94 | varies |
| Alt (sgpt) (84460) range across 8 matching MRF lines |
$8.80–$44 | $11–$55 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$31.20–$75.20 | $39–$94 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$18.40–$58.40 | $23–$73 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 6 matching MRF lines |
$35.20–$224 | $44–$280 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$108–$364 | $135–$455 | varies |
| Amino Acids Quant 2-5 (82136) | $134.40 | $168 | 6.9× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$52.80–$75.20 | $66–$94 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$38.40–$128 | $48–$160 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $232 | $290 | 2.4× |
| Amylase urine (82150) range across 6 matching MRF lines |
$9.60–$49.60 | $12–$62 | varies |
| Ana Titer (86039) range across 17 matching MRF lines |
$15.20–$75.20 | $19–$94 | varies |
| Anca screen each antibody (86036) range across 7 matching MRF lines |
$14.40–$152 | $18–$190 | varies |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$58.40–$104 | $73–$130 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$35.20–$96 | $44–$120 | varies |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$17.60–$66.40 | $22–$83 | varies |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$53.60–$58.40 | $67–$73 | varies |
| Antibody aspergillus (86606) range across 11 matching MRF lines |
$7.20–$112 | $9–$140 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$73.60–$75.20 | $92–$94 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 9 matching MRF lines |
$19.20–$128 | $24–$160 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 6 matching MRF lines |
$20.80–$112 | $26–$140 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$20–$66.40 | $25–$83 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 5 matching MRF lines |
$7.20–$50.40 | $9–$63 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 4 matching MRF lines |
$8–$94.40 | $10–$118 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 9 matching MRF lines |
$8–$120 | $10–$150 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 5 matching MRF lines |
$19.20–$112 | $24–$140 | varies |
| Antibody helicobacter pylori (86677) range across 6 matching MRF lines |
$28–$88 | $35–$110 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 9 matching MRF lines |
$17.60–$67.20 | $22–$84 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 8 matching MRF lines |
$16–$144 | $20–$180 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$88–$96 | $110–$120 | varies |
| Antibody HIV-2 (86702) range across 4 matching MRF lines |
$42.40–$147.20 | $53–$184 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $440 | $550 | 1.4× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) range across 2 matching MRF lines |
$272–$382.40 | $340–$478 | varies |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $382.40 | $478 | 4.7× |
| Antibody hla class ii semiquantitative panel (86835) | $424 | $530 | 1.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$75.20–$112 | $94–$140 | varies |
| Antibody identification leukocyte antibodies (86021) | $80 | $100 | 5.3× |
| Antibody Identification Platelet Immunogl Assay (86023) range across 3 matching MRF lines |
$30.40–$39.20 | $38–$49 | varies |
| Antibody john cunningham virus (86711) range across 4 matching MRF lines |
$20.80–$1,536 | $26–$1,920 | varies |
| Antibody leishmania (86717) | $48 | $60 | 3.9× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 3 matching MRF lines |
$41.60–$112 | $52–$140 | varies |
| Antibody plasmodium malaria (86750) | $216 | $270 | 16.4× |
| Antibody Protozoa Nes (86753) range across 12 matching MRF lines |
$15.20–$136.80 | $19–$171 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$160–$184 | $200–$230 | varies |
| Antibody Treponema Pallidum (86780) range across 11 matching MRF lines |
$16–$88 | $20–$110 | varies |
| Antibody yersinia (86793) | $112 | $140 | 8.5× |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$20–$66.40 | $25–$83 | varies |
| Antigen typing (86905) range across 4 matching MRF lines |
$120–$455.20 | $150–$569 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 4 matching MRF lines |
$34.40–$232 | $43–$290 | varies |
| Antinuclear antibodies (86038) range across 18 matching MRF lines |
$15.20–$274.40 | $19–$343 | varies |
| Antistreptolysin O Screen (86063) | $41.60 | $52 | 7.2× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$10.40–$41.60 | $13–$52 | varies |
| Antithrombin iii activity (85300) range across 6 matching MRF lines |
$14.40–$75.20 | $18–$94 | varies |
| Antithrombin iii antigen (85301) range across 3 matching MRF lines |
$23.20–$248 | $29–$310 | varies |
| Aortic dysfunction/dilation dup/del analysis (81411) range across 2 matching MRF lines |
$1,584–$2,344 | $1,980–$2,930 | varies |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 3 matching MRF lines |
$456–$1,872 | $570–$2,340 | varies |
| Apolipoprotein a1 (82172) range across 11 matching MRF lines |
$25.60–$75.20 | $32–$94 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 4 matching MRF lines |
$240–$568 | $300–$710 | varies |
| Aquaporin-4 Antb Cba Each (86052) range across 11 matching MRF lines |
$56–$792 | $70–$990 | varies |
| Aquaporin-4 Antb Elisa (86051) | $80.80 | $101 | 7.0× |
| Arsenic (82175) range across 10 matching MRF lines |
$23.20–$120 | $29–$150 | varies |
| Aspergillus ag eia (87305) range across 3 matching MRF lines |
$60.80–$184 | $76–$230 | varies |
| Assay activated protein c (85307) range across 5 matching MRF lines |
$18.40–$80 | $23–$100 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$20–$36 | $25–$45 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $166.40 | $208 | 6.0× |
| Assay myeloperoxidase (83876) | $184 | $230 | 3.6× |
| Assay Nephelometry Not Spec (83883) range across 10 matching MRF lines |
$16.80–$128 | $21–$160 | varies |
| Assay of 5-hiaa (83497) range across 5 matching MRF lines |
$18.40–$221.60 | $23–$277 | varies |
| Assay of anti-mullerian hormone (82166) | $112 | $140 | 2.9× |
| Assay of b-hexosaminidase each assay (83080) range across 2 matching MRF lines |
$184–$240 | $230–$300 | varies |
| Assay of blood/uric acid (84550) range across 5 matching MRF lines |
$8–$28.80 | $10–$36 | varies |
| Assay of calcium in urine (82340) range across 6 matching MRF lines |
$6.40–$41.60 | $8–$52 | varies |
| Assay of corticosterone (82528) | $48 | $60 | 2.1× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$16.80–$58.40 | $21–$73 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$30.40–$120 | $38–$150 | varies |
| Assay of g6pd enzyme (82955) range across 4 matching MRF lines |
$8–$88 | $10–$110 | varies |
| Assay of gammaglobulin igm (82784) range across 36 matching MRF lines |
$11.20–$112 | $14–$140 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$58.40–$96 | $73–$120 | varies |
| Assay of manganese (83785) range across 4 matching MRF lines |
$32–$98.40 | $40–$123 | varies |
| Assay of metanephrines (83835) range across 5 matching MRF lines |
$23.20–$200.80 | $29–$251 | varies |
| Assay of proinsulin (84206) range across 3 matching MRF lines |
$32.80–$75.20 | $41–$94 | varies |
| Assay of prostate specific antigen complexed (84152) | $115.20 | $144 | 6.3× |
| Assay of pyruvate (84210) | $58.40 | $73 | 4.0× |
| Assay of serotonin (84260) range across 4 matching MRF lines |
$37.60–$112 | $47–$140 | varies |
| Assay of serum potassium (84132) range across 5 matching MRF lines |
$9.60–$41.60 | $12–$52 | varies |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$14.40–$23.20 | $18–$29 | varies |
| Assay of transcortin (84449) range across 3 matching MRF lines |
$109.60–$120 | $137–$150 | varies |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
$48.80–$66.40 | $61–$83 | varies |
| Assay of urea nitrogen (84520) range across 4 matching MRF lines |
$8–$28.80 | $10–$36 | varies |
| Assay of urine vma (84585) range across 3 matching MRF lines |
$19.20–$58.40 | $24–$73 | varies |
| Assay of vasoactive intestinal peptide (84586) range across 4 matching MRF lines |
$42.40–$120 | $53–$150 | varies |
| Assay of vitamin b-1 (84425) range across 4 matching MRF lines |
$25.60–$114.40 | $32–$143 | varies |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$8.80–$38.40 | $11–$48 | varies |
| Assay Phosphohexose Enzymes (84087) | $88 | $110 | 8.2× |
| Asy carbamazepin 10,11-epxid (80161) | $24 | $30 | 1.3× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $264 | $330 | 1.9× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $264 | $330 | 1.9× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $264 | $330 | 1.9× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $264 | $330 | 1.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $296 | $370 | 1.6× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$29.60–$32 | $37–$40 | varies |
| B cells total count (86355) range across 11 matching MRF lines |
$22.40–$192 | $28–$240 | varies |
| Babesia microti amp prb (87469) | $76 | $95 | 2.2× |
| Bartonella antibody (86611) range across 10 matching MRF lines |
$12.80–$75.20 | $16–$94 | varies |
| Bcr/abl1 gene major bp (81206) range across 7 matching MRF lines |
$72–$992 | $90–$1,240 | varies |
| Bcr/abl1 gene minor bp (81207) range across 7 matching MRF lines |
$80–$680 | $100–$850 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $80 | $100 | 0.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 14 matching MRF lines |
$16.80–$108.80 | $21–$136 | varies |
| Beta hydroxybutyrate (82010) range across 4 matching MRF lines |
$32.80–$89.60 | $41–$112 | varies |
| Beta Lactamase (87185) range across 3 matching MRF lines |
$17.60–$29.60 | $22–$37 | varies |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$20–$49.60 | $25–$62 | varies |
| Beta-amyloid 1-40 (abeta 40) (82233) range across 2 matching MRF lines |
$278.40–$660.80 | $348–$826 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$278.40–$660 | $348–$825 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$20.80–$58.40 | $26–$73 | varies |
| Bilirubin direct (82248) | $26.40 | $33 | 5.3× |
| Bilirubin total (82247) range across 5 matching MRF lines |
$24.80–$44 | $31–$55 | varies |
| Bilirubin total transcutaneous (88720) | $28.80 | $36 | 5.7× |
| Biotinidase (82261) | $40 | $50 | 2.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $41.60 | $52 | 12.1× |
| Blastomyces antibody (86612) range across 4 matching MRF lines |
$16–$60 | $20–$75 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $58.40 | $73 | 7.5× |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$6.40–$19.20 | $8–$24 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $24.80 | $31 | 6.5× |
| Blood count spun microhematocrit (85013) | $32 | $40 | 4.6× |
| Blood gas (82803) | $176 | $220 | 6.8× |
| Blood gases w/02 saturation (82805) | $296 | $370 | 3.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $75.20 | $94 | 4.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$9.60–$36.80 | $12–$46 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $264 | $330 | 41.6× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $49.60 | $62 | 3.0× |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$27.20–$167.20 | $34–$209 | varies |
| Body fluid cell count (89050) | $66.40 | $83 | 14.1× |
| Bone marrow smear interpretation (85097) | $2,016 | $2,520 | 2.3× |
| Bordetella antibody (86615) range across 9 matching MRF lines |
$14.40–$88 | $18–$110 | varies |
| Braf gene analysis (81210) range across 5 matching MRF lines |
$211.20–$936 | $264–$1,170 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $1,640 | $2,050 | 3.5× |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$4,056–$5,696 | $5,070–$7,120 | varies |
| Brca2 Gene Analysis Known Familial Variant (81217) | $704 | $880 | 1.9× |
| Breath Alcohol Test (82075) | $48.80 | $61 | 1.6× |
| Brucella antibody (86622) range across 3 matching MRF lines |
$13.60–$88 | $17–$110 | varies |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$109.60–$152 | $137–$190 | varies |
| C-Peptide (84681) range across 4 matching MRF lines |
$25.60–$80.80 | $32–$101 | varies |
| C-reactive protein (86140) range across 6 matching MRF lines |
$18.40–$66.40 | $23–$83 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$25.60–$88 | $32–$110 | varies |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $264 | $330 | 1.9× |
| Cadmium (82300) range across 4 matching MRF lines |
$28.80–$75.20 | $36–$94 | varies |
| Caffeine (80155) range across 3 matching MRF lines |
$57.60–$96 | $72–$120 | varies |
| Calcitonin (82308) range across 2 matching MRF lines |
$32.80–$75.20 | $41–$94 | varies |
| Calcium ionized (82330) range across 3 matching MRF lines |
$41.60–$80 | $52–$100 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$4.80–$96 | $6–$120 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$19.20–$75.20 | $24–$94 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$72.80–$264 | $91–$330 | varies |
| Calr gene com variants (81219) range across 8 matching MRF lines |
$256–$1,016 | $320–$1,270 | varies |
| Cancer Antigen 125 (86304) | $112 | $140 | 5.4× |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$25.60–$88 | $32–$110 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$21.60–$41.60 | $27–$52 | varies |
| Carbamazepine free (80157) range across 2 matching MRF lines |
$32–$51.20 | $40–$64 | varies |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$24–$88 | $30–$110 | varies |
| Carbohydrate Deficient Transferrin (82373) range across 3 matching MRF lines |
$75.20–$344 | $94–$430 | varies |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$41.60–$112 | $52–$140 | varies |
| Carcinoembryonic antigen (82378) range across 5 matching MRF lines |
$23.20–$192 | $29–$240 | varies |
| Cardiolipin ab iga (86147) range across 16 matching MRF lines |
$20–$108.80 | $25–$136 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$32.80–$75.20 | $41–$94 | varies |
| Carotene (82380) range across 2 matching MRF lines |
$16–$41.60 | $20–$52 | varies |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$30.40–$106.40 | $38–$133 | varies |
| Ccp antibody (86200) range across 12 matching MRF lines |
$23.20–$152 | $29–$190 | varies |
| Cell count csf (89051) | $88 | $110 | 15.7× |
| Cell marker study (88182) | $127.20 | $159 | 2.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 12 matching MRF lines |
$80–$544 | $100–$680 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$13.60–$58.40 | $17–$73 | varies |
| Cftr gene com variants (81220) range across 4 matching MRF lines |
$166.40–$873.60 | $208–$1,092 | varies |
| Cftr gene full sequence (81223) range across 5 matching MRF lines |
$659.20–$2,073.60 | $824–$2,592 | varies |
| Chemiluminescent assay (82397) range across 20 matching MRF lines |
$19.20–$320 | $24–$400 | varies |
| Chlamydia antibody (86631) range across 7 matching MRF lines |
$14.40–$123.20 | $18–$154 | varies |
| Chlamydia Igm Antibody (86632) range across 8 matching MRF lines |
$16–$123.20 | $20–$154 | varies |
| Chloride other source (82438) range across 3 matching MRF lines |
$21.60–$24.80 | $27–$31 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$19.20–$36.80 | $24–$46 | varies |
| Chloride urine (82436) range across 6 matching MRF lines |
$8.80–$29.60 | $11–$37 | varies |
| Chlorinated Hydrocarbons Screen (82441) range across 2 matching MRF lines |
$184–$264 | $230–$330 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$35.20–$44 | $44–$55 | varies |
| Cholinesterase rbc (82482) range across 4 matching MRF lines |
$16–$39.20 | $20–$49 | varies |
| Cholinesterase Serum (82480) range across 4 matching MRF lines |
$13.60–$41.60 | $17–$52 | varies |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$18.40–$66.40 | $23–$83 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 3 matching MRF lines |
$88–$96 | $110–$120 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 6 matching MRF lines |
$80–$480 | $100–$600 | varies |
| Chromium serum (82495) range across 3 matching MRF lines |
$24.80–$114.40 | $31–$143 | varies |
| Chromogranin a (86316) range across 12 matching MRF lines |
$34.40–$288 | $43–$360 | varies |
| Chromosome Analysis 15-20 (88262) range across 13 matching MRF lines |
$161.60–$488 | $202–$610 | varies |
| Chromosome Analysis 20-25 (88264) | $194.40 | $243 | 1.3× |
| Chromosome analysis 45 cells (88263) | $234.40 | $293 | 1.6× |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$317.60–$632 | $397–$790 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 13 matching MRF lines |
$20.80–$200 | $26–$250 | varies |
| Citric acid urine (82507) range across 7 matching MRF lines |
$22.40–$104 | $28–$130 | varies |
| Ckmb (82553) | $112 | $140 | 9.7× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$20–$88 | $25–$110 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$69.60–$160 | $87–$200 | varies |
| Clotting factor viii related antigen (85244) | $160 | $200 | 7.8× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$47.20–$120 | $59–$150 | varies |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$128–$152 | $160–$190 | varies |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$500.80–$1,016 | $626–$1,270 | varies |
| Coagulation time activated (85347) | $41.60 | $52 | 9.7× |
| Coccidioides antibody (86635) range across 9 matching MRF lines |
$14.40–$36.80 | $18–$46 | varies |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$15.20–$49.60 | $19–$62 | varies |
| Collagen crosslinks (82523) range across 12 matching MRF lines |
$23.20–$184 | $29–$230 | varies |
| Column Chromotography Quant (82542) range across 67 matching MRF lines |
$47.20–$1,318.40 | $59–$1,648 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$280–$616 | $350–$770 | varies |
| Compatibility test antiglob (86922) | $232 | $290 | 1.2× |
| Complement Antigen Each Component (86160) range across 22 matching MRF lines |
$14.40–$232 | $18–$290 | varies |
| Complement Fixation Tests Each Antigen (86171) | $80 | $100 | 8.0× |
| Complement Total (Ch50) (86162) range across 4 matching MRF lines |
$24.80–$168 | $31–$210 | varies |
| Complement/Function Activity (86161) range across 8 matching MRF lines |
$18.40–$466.40 | $23–$583 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $764 | $955 | 4.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 3 matching MRF lines |
$78.40–$737.60 | $98–$922 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 4 matching MRF lines |
$73.60–$737.60 | $92–$922 | varies |
| Coombs direct (86880) range across 5 matching MRF lines |
$27.20–$80 | $34–$100 | varies |
| Copper urine (82525) range across 6 matching MRF lines |
$15.20–$88.80 | $19–$111 | varies |
| Cortisol free (82530) range across 5 matching MRF lines |
$20.80–$176 | $26–$220 | varies |
| Cortisol saliva (82533) range across 7 matching MRF lines |
$47.20–$168 | $59–$210 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$63.20–$75.20 | $79–$94 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$10.40–$75.20 | $13–$94 | varies |
| Creatinine blood (82565) range across 7 matching MRF lines |
$8–$34.40 | $10–$43 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$75.20–$80.80 | $94–$101 | varies |
| Creatinine Urine (82570) range across 19 matching MRF lines |
$8.80–$307.20 | $11–$384 | varies |
| Crossmatch electronic (86923) | $576 | $720 | 3.0× |
| Crossmatch immediate spin (86920) | $264 | $330 | 1.4× |
| Crp High Sensitivity (86141) range across 5 matching MRF lines |
$16.80–$80 | $21–$100 | varies |
| Cryofibrinogen (82585) | $38.40 | $48 | 2.7× |
| Cryoglobulin (82595) range across 8 matching MRF lines |
$8–$41.60 | $10–$52 | varies |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
$25.60–$28.80 | $32–$36 | varies |
| Cryptococcus ab (86641) | $39.20 | $49 | 2.7× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$20.80–$100.80 | $26–$126 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$16.80–$66.40 | $21–$83 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 18 matching MRF lines |
$18.40–$160 | $23–$200 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$66.40–$75.20 | $83–$94 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $88 | $110 | 11.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,008 | $1,260 | 4.6× |
| Culture aerobic quant other (87071) | $96 | $120 | 9.7× |
| Culture afb (87116) range across 7 matching MRF lines |
$10.40–$96 | $13–$120 | varies |
| Culture Anaerobic (87075) | $80 | $100 | 8.4× |
| Culture blood (87040) | $144 | $180 | 14.0× |
| Culture chlamydia (87110) | $49.60 | $62 | 2.5× |
| Culture csf (87070) range across 7 matching MRF lines |
$12–$75.20 | $15–$94 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$43.20–$96 | $54–$120 | varies |
| Culture fungus blood (87103) | $184 | $230 | 9.0× |
| Culture screen only (87081) range across 5 matching MRF lines |
$42.40–$88 | $53–$110 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$16.80–$75.20 | $21–$94 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 9 matching MRF lines |
$25.60–$368 | $32–$460 | varies |
| Culture typing other methods (87158) | $75.20 | $94 | 9.7× |
| Culture urine (87086) | $75.20 | $94 | 9.3× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $232 | $290 | 30.0× |
| Cyanide (82600) range across 2 matching MRF lines |
$75.20–$88.80 | $94–$111 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) range across 2 matching MRF lines |
$34.40–$96 | $43–$120 | varies |
| Cyclic amp (82030) | $80 | $100 | 3.1× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$23.20–$120 | $29–$150 | varies |
| Cyp2c19 gene analysis common variants (81225) range across 5 matching MRF lines |
$176–$1,432 | $220–$1,790 | varies |
| Cyp2c9 gene com variants (81227) range across 3 matching MRF lines |
$142.40–$752 | $178–$940 | varies |
| Cyp2d6 gene com variants (81226) range across 5 matching MRF lines |
$541.60–$1,080 | $677–$1,350 | varies |
| Cyp3a4 gene common variants (81230) range across 4 matching MRF lines |
$142.40–$536 | $178–$670 | varies |
| Cyp3a5 gene common variants (81231) range across 3 matching MRF lines |
$142.40–$210.40 | $178–$263 | varies |
| Cystatin C (82610) range across 4 matching MRF lines |
$23.20–$96 | $29–$120 | varies |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$139.20–$240 | $174–$300 | varies |
| Cytogenetics 100-300 (88275) range across 19 matching MRF lines |
$80–$214.40 | $100–$268 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) range across 2 matching MRF lines |
$1,016–$2,920 | $1,270–$3,650 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 10 matching MRF lines |
$1,200–$3,768 | $1,500–$4,710 | varies |
| Cytomegalovirus igg (86644) range across 6 matching MRF lines |
$17.60–$120 | $22–$150 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $80 | $100 | 3.9× |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$87.20–$208 | $109–$260 | varies |
| Cytopath Fl Nongyn Filter (88106) | $104 | $130 | 3.2× |
| Cytotoxic pra quick (86808) | $152 | $190 | 5.1× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$91.20–$136 | $114–$170 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $200 | $250 | 3.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $504 | $630 | 2.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$96–$129.60 | $120–$162 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $840 | $1,050 | 4.4× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $36 | $45 | 1.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 2 matching MRF lines |
$28–$75.20 | $35–$94 | varies |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $80 | $100 | 1.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$68.80–$104 | $86–$130 | varies |
| Cytp Urine 3-5 Probes Cmptr (88121) range across 2 matching MRF lines |
$222.40–$465.60 | $278–$582 | varies |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) | $88 | $110 | 7.8× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$35.20–$75.20 | $44–$94 | varies |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$16–$38.40 | $20–$48 | varies |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$80–$439.20 | $100–$549 | varies |
| Detect Agent Nos Dna Amp (87798) range across 60 matching MRF lines |
$42.40–$496 | $53–$620 | varies |
| Detect Agent Nos Dna Quant (87799) range across 11 matching MRF lines |
$129.60–$256 | $162–$320 | varies |
| Detect agnt mult DNA ampli (87801) range across 22 matching MRF lines |
$33.60–$1,120 | $42–$1,400 | varies |
| Dgp Antibody Each Ig Class (86258) range across 6 matching MRF lines |
$15.20–$58.40 | $19–$73 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$30.40–$75.20 | $38–$94 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$27.20–$75.20 | $34–$94 | varies |
| Dibucaine number (82638) | $15.20 | $19 | 1.2× |
| Digoxin (80162) | $112 | $140 | 8.4× |
| Dihydrotestosterone (82642) | $35.20 | $44 | 1.2× |
| Diphtheria antitoxoid (86648) | $49.60 | $62 | 3.3× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$32.80–$41.60 | $41–$52 | varies |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $72.80 | $91 | 2.1× |
| Dmd Duplication/Deletion Analysis (81161) | $664 | $830 | 2.4× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $260 | $325 | 1.9× |
| Dna Antibody Native/Double Stranded (86225) range across 11 matching MRF lines |
$16.80–$112 | $21–$140 | varies |
| Dna Antibody Single Stranded (86226) | $49.60 | $62 | 4.1× |
| Dna/Rna Amplified Probe (87150) | $201.60 | $252 | 5.7× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$34.40–$89.60 | $43–$112 | varies |
| Dna/Rna Sequencing (87153) range across 8 matching MRF lines |
$139.20–$392 | $174–$490 | varies |
| Dpyd gene common variants (81232) range across 3 matching MRF lines |
$286.40–$448 | $358–$560 | varies |
| Drug assay adalimumab (80145) range across 6 matching MRF lines |
$153.60–$432 | $192–$540 | varies |
| Drug Assay Amiodarone (80151) | $22.40 | $28 | 1.2× |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$192–$592 | $240–$740 | varies |
| Drug assay felbamate (80167) | $22.40 | $28 | 1.2× |
| Drug Assay Infliximab (80230) range across 5 matching MRF lines |
$153.60–$432 | $192–$540 | varies |
| Drug Assay Itraconazole (80189) range across 2 matching MRF lines |
$63.20–$80 | $79–$100 | varies |
| Drug Assay Lacosamide (80235) range across 3 matching MRF lines |
$92.80–$160 | $116–$200 | varies |
| Drug Assay Posaconazole (80187) range across 2 matching MRF lines |
$60–$80 | $75–$100 | varies |
| Drug Assay Vedolizumab (80280) range across 3 matching MRF lines |
$148–$1,318.40 | $185–$1,648 | varies |
| Drug assay voriconazole (80285) range across 3 matching MRF lines |
$64–$88 | $80–$110 | varies |
| Drug Asy Hydroxychloroquine (80220) | $239.20 | $299 | 12.8× |
| Drug Screen Quant Clozapine (80159) range across 2 matching MRF lines |
$24.80–$66.40 | $31–$83 | varies |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$44–$88 | $55–$110 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 3 matching MRF lines |
$26.40–$88 | $33–$110 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$16–$33.60 | $20–$42 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$20.80–$120 | $26–$150 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 3 matching MRF lines |
$20.80–$96 | $26–$120 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $96 | $120 | 5.7× |
| Drug Screen Quantitative Tiagabine (80199) | $112 | $140 | 4.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 65 matching MRF lines |
$24.80–$624 | $31–$780 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $66.40 | $83 | 5.3× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$144–$160 | $180–$200 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$389.60–$1,184 | $487–$1,480 | varies |
| Ehrlichia antibody (86666) range across 9 matching MRF lines |
$13.60–$148 | $17–$185 | varies |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$152–$196.80 | $190–$246 | varies |
| Electrolyte panel (80051) | $28.80 | $36 | 4.1× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$768–$1,008 | $960–$1,260 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$128–$144 | $160–$180 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$20–$66.40 | $25–$83 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$20–$66.40 | $25–$83 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines |
$33.60–$58.40 | $42–$73 | varies |
| Enterovirus Antibody (86658) range across 6 matching MRF lines |
$22.40–$152 | $28–$190 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$160–$216 | $200–$270 | varies |
| Enzyme cell activity (82657) range across 12 matching MRF lines |
$73.60–$496 | $92–$620 | varies |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$96–$1,088.80 | $120–$1,361 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$23.20–$41.60 | $29–$52 | varies |
| Erythropoietin (82668) range across 2 matching MRF lines |
$23.20–$88 | $29–$110 | varies |
| Estradiol serum (82670) range across 7 matching MRF lines |
$33.60–$216 | $42–$270 | varies |
| Estriol (82677) range across 3 matching MRF lines |
$29.60–$66.40 | $37–$83 | varies |
| Estrogen total (82672) range across 3 matching MRF lines |
$168–$200 | $210–$250 | varies |
| Estrogens fractionated (82671) range across 2 matching MRF lines |
$32–$160 | $40–$200 | varies |
| Ethosuximide (80168) range across 2 matching MRF lines |
$20–$49.60 | $25–$62 | varies |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$37.60–$144 | $47–$180 | varies |
| Exam Synovial Fluid Crystals (89060) | $66.40 | $83 | 9.1× |
| Exome Sequence Analysis (81415) range across 2 matching MRF lines |
$5,736–$10,896 | $7,170–$13,620 | varies |
| Exome sequence analysis each comparator exome (81416) range across 2 matching MRF lines |
$14,400–$28,120 | $18,000–$35,150 | varies |
| F2 Gene (81240) range across 4 matching MRF lines |
$72–$200 | $90–$250 | varies |
| Factor ii activity (85210) range across 2 matching MRF lines |
$45.60–$152 | $57–$190 | varies |
| Factor Inhibitor Test (85335) range across 5 matching MRF lines |
$112–$352 | $140–$440 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$39.20–$192 | $49–$240 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$25.60–$112 | $32–$140 | varies |
| Factor v leiden mutation (81241) range across 4 matching MRF lines |
$88.80–$368 | $111–$460 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$32–$120 | $40–$150 | varies |
| Factor viii assay (85240) range across 10 matching MRF lines |
$18.40–$280 | $23–$350 | varies |
| Factor X (85260) range across 5 matching MRF lines |
$29.60–$413.60 | $37–$517 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$50.40–$200 | $63–$250 | varies |
| Factor xiii screen (85291) range across 3 matching MRF lines |
$35.20–$49.60 | $44–$62 | varies |
| Fancc Gene (81242) | $328 | $410 | 9.0× |
| Fat stain feces urine/respir secretions (89125) | $41.60 | $52 | 7.1× |
| Fat/Lipids Feces Quantitative (82710) range across 3 matching MRF lines |
$29.60–$96 | $37–$120 | varies |
| Fatty acids free (82725) range across 4 matching MRF lines |
$58.40–$104 | $73–$130 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$58.40–$80 | $73–$100 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $49.60 | $62 | 7.6× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$19.20–$25.60 | $24–$32 | varies |
| Ferritin (82728) range across 3 matching MRF lines |
$66.40–$288 | $83–$360 | varies |
| Fetal Aneuploidy Trisom Risk (81507) | $1,528 | $1,910 | 1.9× |
| Fetal Chrmoml Aneuploidy (81420) | $504 | $630 | 0.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 4 matching MRF lines |
$57.60–$456 | $72–$570 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $136 | $170 | 2.5× |
| Fetal Fibronectin (82731) | $472 | $590 | 7.3× |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$35.20–$104 | $44–$130 | varies |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $66.40 | $83 | 3.5× |
| Fetal screen rosette (85461) | $75.20 | $94 | 8.0× |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$42.40–$136 | $53–$170 | varies |
| Fibrin Degradation Quant (85379) | $168 | $210 | 16.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $112 | $140 | 11.5× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$12.80–$80 | $16–$100 | varies |
| Flecainide level (80181) | $30.40 | $38 | 1.6× |
| Flow cytometry first marker (88184) range across 13 matching MRF lines |
$83.20–$1,128 | $104–$1,410 | varies |
| Flt3 Gene (81245) range across 3 matching MRF lines |
$176–$920 | $220–$1,150 | varies |
| Flt3 gene analysis (81246) range across 2 matching MRF lines |
$160–$427.20 | $200–$534 | varies |
| Fluorescent antibody screen (86255) range across 95 matching MRF lines |
$15.20–$1,136 | $19–$1,420 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 55 matching MRF lines |
$24–$860.80 | $30–$1,076 | varies |
| Fluoride serum (82735) | $96 | $120 | 5.2× |
| Fmr1 Gene Charac Alleles (81244) range across 2 matching MRF lines |
$442.40–$456 | $553–$570 | varies |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$99.20–$176 | $124–$220 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$21.60–$75.20 | $27–$94 | varies |
| Folic Acid Serum (82746) | $96 | $120 | 6.5× |
| Follicle Stimulating Hormone (83001) range across 6 matching MRF lines |
$22.40–$88 | $28–$110 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$32–$33.60 | $40–$42 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $416 | $520 | 2.2× |
| Frozen Section (88331) | $248 | $310 | 1.3× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$88–$101.60 | $110–$127 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$75.20–$82.40 | $94–$103 | varies |
| Galectin-3 (82777) range across 2 matching MRF lines |
$105.60–$128 | $132–$160 | varies |
| Gammaglobulin ige (82785) range across 24 matching MRF lines |
$3.47–$208 | $4.34–$260 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $36 | $45 | 3.7× |
| Gases blood ph only (82800) | $41.60 | $52 | 3.8× |
| Gastric Analy W/Ph Ea Spec (82930) range across 2 matching MRF lines |
$13.60–$24.80 | $17–$31 | varies |
| Gastrin (82941) range across 2 matching MRF lines |
$21.60–$66.40 | $27–$83 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$710.40–$1,080 | $888–$1,350 | varies |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $504 | $630 | 10.7× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$1,456–$2,488 | $1,820–$3,110 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 4 matching MRF lines |
$2,068.80–$6,680 | $2,586–$8,350 | varies |
| Genet Virus Isolate Hsv (87255) range across 3 matching MRF lines |
$40.80–$120 | $51–$150 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $3,298.40 | $4,123 | 1.3× |
| Gentamicin (80170) range across 2 matching MRF lines |
$64.80–$112 | $81–$140 | varies |
| Ggt (82977) range across 6 matching MRF lines |
$8.80–$44.80 | $11–$56 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$16–$66.40 | $20–$83 | varies |
| Giardia lamblia antibody (86674) range across 4 matching MRF lines |
$44.80–$96 | $56–$120 | varies |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $528 | $660 | 5.2× |
| Glucagon (82943) range across 2 matching MRF lines |
$24–$58.40 | $30–$73 | varies |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$9.60–$33.60 | $12–$42 | varies |
| Glucose Blood Test (82962) | $24.80 | $31 | 7.6× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$7.20–$41.60 | $9–$52 | varies |
| Glucose Serum (82947) range across 7 matching MRF lines |
$8–$49.60 | $10–$62 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$39.20–$88 | $49–$110 | varies |
| Glucosidase beta (82963) | $154.40 | $193 | 7.2× |
| Glutathione (82978) range across 3 matching MRF lines |
$80–$88 | $100–$110 | varies |
| Glycated Protein (82985) range across 2 matching MRF lines |
$20.80–$49.60 | $26–$62 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $88 | $110 | 11.7× |
| Gonadotropin releasing hormone (83727) | $288 | $360 | 16.8× |
| Growth hormone (83003) range across 2 matching MRF lines |
$20.80–$75.20 | $26–$94 | varies |
| Gtt-added samples (82952) range across 4 matching MRF lines |
$32.80–$128 | $41–$160 | varies |
| H Pylori (C-13) Breath (83013) range across 3 matching MRF lines |
$81.60–$184 | $102–$230 | varies |
| Haloperidol (80173) range across 2 matching MRF lines |
$28–$66.40 | $35–$83 | varies |
| Haptoglobin (83010) range across 5 matching MRF lines |
$15.20–$80 | $19–$100 | varies |
| Hba1/hba2 full gene sequence (81259) | $720 | $900 | 1.2× |
| Hba1/Hba2 Gene (81257) range across 3 matching MRF lines |
$376–$896 | $470–$1,120 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$364–$560 | $455–$700 | varies |
| Hbb duplication/deletion variants (81363) | $544.80 | $681 | 2.7× |
| Hbb Full Gene Sequence (81364) range across 3 matching MRF lines |
$389.60–$936 | $487–$1,170 | varies |
| Hdl Cholesterol (83718) | $49.60 | $62 | 6.1× |
| Heinz Bodies Direct (85441) | $59.20 | $74 | 14.1× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $59.20 | $74 | 8.7× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$39.20–$88 | $49–$110 | varies |
| Helminth Antibody (86682) range across 11 matching MRF lines |
$19.20–$138.40 | $24–$173 | varies |
| Hematocrit (85014) range across 5 matching MRF lines |
$4–$26.40 | $5–$33 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$8–$35.20 | $10–$44 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$12–$66.40 | $15–$83 | varies |
| Hemoglobin Chromotography (83021) range across 9 matching MRF lines |
$15.20–$424 | $19–$530 | varies |
| Hemoglobin electrophoresis (83020) range across 4 matching MRF lines |
$20–$288 | $25–$360 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$36–$66.40 | $45–$83 | varies |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$15.20–$49.60 | $19–$62 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $352 | $440 | 26.4× |
| Hemosiderin urine (83070) | $39.20 | $49 | 8.3× |
| Hep a ab igm (86709) range across 4 matching MRF lines |
$13.60–$75.20 | $17–$94 | varies |
| Heparin assay (85520) range across 6 matching MRF lines |
$47.20–$152 | $59–$190 | varies |
| Heparin Neutralization (85525) | $36.80 | $46 | 3.1× |
| Hepatitis a antibody total (86708) range across 6 matching MRF lines |
$10.40–$116 | $13–$145 | varies |
| Hepatitis b core ab igm (86705) | $75.20 | $94 | 6.4× |
| Hepatitis b core ab total (86704) range across 5 matching MRF lines |
$15.20–$93.60 | $19–$117 | varies |
| Hepatitis B Surface Antibody (86706) range across 7 matching MRF lines |
$12.80–$92.80 | $16–$116 | varies |
| Hepatitis B Surface Antigen (87340) range across 8 matching MRF lines |
$12.80–$92.80 | $16–$116 | varies |
| Hepatitis Be Antibody (86707) range across 3 matching MRF lines |
$12.80–$67.20 | $16–$84 | varies |
| Hepatitis Be Antigen (87350) range across 3 matching MRF lines |
$12.80–$58.40 | $16–$73 | varies |
| Hepatitis C Antibody (86803) range across 6 matching MRF lines |
$17.60–$93.60 | $22–$117 | varies |
| Hepatitis c antibody confirmatory test (86804) | $112 | $140 | 7.2× |
| Hepatitis C Genotype (87902) range across 11 matching MRF lines |
$309.60–$856 | $387–$1,070 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $96 | $120 | 2.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$83.20–$216 | $104–$270 | varies |
| Hepatitis d quantification (87523) | $234.40 | $293 | 5.5× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$20.80–$49.60 | $26–$62 | varies |
| Hereditary brst ca-related gen seq analys 10 gen (81432) range across 3 matching MRF lines |
$814.40–$2,440 | $1,018–$3,050 | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $702.40 | $878 | 0.5× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,944 | $2,430 | 3.3× |
| Heredtry Nurondcrn Tum Dsrdr (81437) range across 3 matching MRF lines |
$527.20–$3,024 | $659–$3,780 | varies |
| Herpes simplex type 2 (86696) range across 9 matching MRF lines |
$24–$192 | $30–$240 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$49.60–$58.40 | $62–$73 | varies |
| Hexa gene analysis common variants (81255) range across 2 matching MRF lines |
$352–$568 | $440–$710 | varies |
| Hfe Gene (81256) range across 5 matching MRF lines |
$92.80–$884 | $116–$1,105 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $88 | $110 | 11.4× |
| Histamine urine (83088) range across 4 matching MRF lines |
$36–$88 | $45–$110 | varies |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$16.80–$88 | $21–$110 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$120–$144 | $150–$180 | varies |
| Hiv Genotype (87901) range across 4 matching MRF lines |
$309.60–$936 | $387–$1,170 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 6 matching MRF lines |
$28–$1,032 | $35–$1,290 | varies |
| Hiv-1 Antibody (86701) range across 6 matching MRF lines |
$41.60–$147.20 | $52–$184 | varies |
| HIV-1 p24 antigen (87390) | $256 | $320 | 10.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 8 matching MRF lines |
$98.40–$424.80 | $123–$531 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$69.60–$328 | $87–$410 | varies |
| Hla class i semiquant panel (86834) | $424 | $530 | 1.2× |
| Hla Class I Typing High Resolution Complete (81379) range across 2 matching MRF lines |
$271.20–$655.20 | $339–$819 | varies |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 2 matching MRF lines |
$369.60–$480 | $462–$600 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 5 matching MRF lines |
$218.40–$384 | $273–$480 | varies |
| Hla class i&ii antibody qual (86828) range across 5 matching MRF lines |
$176–$291.20 | $220–$364 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 10 matching MRF lines |
$160–$840 | $200–$1,050 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 3 matching MRF lines |
$124–$200 | $155–$250 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 6 matching MRF lines |
$249.60–$816 | $312–$1,020 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $415.20 | $519 | 1.2× |
| Hla ii type 1 ag equiv lr (81377) range across 4 matching MRF lines |
$224–$395.20 | $280–$494 | varies |
| Hla ii typing 1 allele hr (81383) range across 3 matching MRF lines |
$264–$400 | $330–$500 | varies |
| Hla ii typing 1 locus lr (81376) range across 3 matching MRF lines |
$144–$424 | $180–$530 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$31.20–$88 | $39–$110 | varies |
| Homocysteine (83090) range across 4 matching MRF lines |
$21.60–$208 | $27–$260 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$24.80–$49.60 | $31–$62 | varies |
| Homovanillic acid urine (83150) range across 3 matching MRF lines |
$27.20–$80 | $34–$100 | varies |
| Hpa-1 genotyping gene analysis common variant (81105) | $147.20 | $184 | 1.2× |
| Hpa-15 genotyping gene analysis common variant (81112) | $147.20 | $184 | 1.2× |
| Hpa-2 genotyping gene analysis common variant (81106) | $147.20 | $184 | 1.2× |
| Hpa-3 genotyping gene analysis common variant (81107) | $147.20 | $184 | 1.2× |
| Hpa-4 genotyping gene analysis common variant (81108) | $147.20 | $184 | 1.2× |
| Hpa-5 genotyping gene analysis common variant (81109) | $147.20 | $184 | 1.2× |
| Hpa-6 genotyping gene analysis common variant (81110) | $147.20 | $184 | 1.2× |
| Hpv High-Risk Types (87624) | $160 | $200 | 4.6× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$57.60–$112 | $72–$140 | varies |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$66.40–$168 | $83–$210 | varies |
| Htlv-I Antibody (86687) | $41.60 | $52 | 4.6× |
| Htlv-ii antibody (86688) | $41.60 | $52 | 3.0× |
| Htt Gene Detc Abnor Alleles (81271) | $223.20 | $279 | 1.6× |
| Human Epididymis Protein 4 (86305) | $240 | $300 | 11.5× |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
$64–$96 | $80–$120 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$32.80–$88 | $41–$110 | varies |
| Hydroxyproline free (83500) | $168 | $210 | 7.4× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) range across 2 matching MRF lines |
$448–$560 | $560–$700 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $40 | $50 | 3.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $36.80 | $46 | 3.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $88 | $110 | 6.3× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$20–$58.40 | $25–$73 | varies |
| Iaad Ia Streptococcus Group A (87430) | $75.20 | $94 | 4.5× |
| Iaadi herpes smplx virus type 1 (87274) range across 2 matching MRF lines |
$28.80–$43.20 | $36–$54 | varies |
| Iaadi herpes smplx virus type 2 (87273) range across 2 matching MRF lines |
$28.80–$42.40 | $36–$53 | varies |
| Iaadi inffluenza a virus (87276) | $20 | $25 | 1.2× |
| Iaadi not otherwise specified each organism (87299) | $20 | $25 | 1.2× |
| Iaadi parainfluenza virus each type (87279) range across 4 matching MRF lines |
$20–$27.20 | $25–$34 | varies |
| Iaadi pneumocustis carinii (87281) range across 3 matching MRF lines |
$19.20–$192 | $24–$240 | varies |
| Iaadi respiratory synctial virus (87280) | $16.80 | $21 | 1.3× |
| Iaadi Varicella Zoster Virus (87290) range across 2 matching MRF lines |
$35.20–$43.20 | $44–$54 | varies |
| Iaadiadoo trichomonas vaginalis (87808) | $66.40 | $83 | 4.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $52 | $65 | 1.5× |
| Iadna Bartonella Amplified Probe Technique (87471) range across 2 matching MRF lines |
$192.80–$568 | $241–$710 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 3 matching MRF lines |
$72–$532.80 | $90–$666 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 5 matching MRF lines |
$42.40–$286.40 | $53–$358 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 4 matching MRF lines |
$74.40–$200 | $93–$250 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 6 matching MRF lines |
$101.60–$274.40 | $127–$343 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $52.80 | $66 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) range across 4 matching MRF lines |
$103.20–$232 | $129–$290 | varies |
| Iadna Herpes Virus-6 Quantification (87533) | $188 | $235 | 4.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 3 matching MRF lines |
$70.40–$152 | $88–$190 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 4 matching MRF lines |
$64–$360 | $80–$450 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $166.40 | $208 | 2.2× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $128 | $160 | 2.9× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $360 | $450 | 7.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 8 matching MRF lines |
$83.20–$448 | $104–$560 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$72.80–$144 | $91–$180 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 10 matching MRF lines |
$20.80–$200 | $26–$250 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 2 matching MRF lines |
$88.80–$96 | $111–$120 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$171.20–$344 | $214–$430 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$408–$496 | $510–$620 | varies |
| Idh1 common variants (81120) | $456 | $570 | 2.4× |
| Idh2 common variants (81121) | $704 | $880 | 2.4× |
| Ig Light Chains Free Each (83521) range across 6 matching MRF lines |
$19.20–$104 | $24–$130 | varies |
| Igg subclasses (82787) range across 5 matching MRF lines |
$19.20–$58.40 | $24–$73 | varies |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$237.60–$488 | $297–$610 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 3 matching MRF lines |
$468–$744 | $585–$930 | varies |
| Igk rearrangeabn clonal pop (81264) | $208 | $260 | 1.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $184 | $230 | 0.5× |
| Immune Complex Assay (86332) range across 9 matching MRF lines |
$39.20–$226.40 | $49–$283 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 9 matching MRF lines |
$24–$272 | $30–$340 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 55 matching MRF lines |
$21.60–$464 | $27–$580 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) range across 2 matching MRF lines |
$52–$66.40 | $65–$83 | varies |
| Immunoassay infectious agent (86318) | $36.80 | $46 | 2.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 15 matching MRF lines |
$18.40–$184 | $23–$230 | varies |
| Immunoassay nonantibody (83516) range across 125 matching MRF lines |
$9.60–$512 | $12–$640 | varies |
| Immunodiffusion Ouchterlony (86331) range across 20 matching MRF lines |
$6.40–$616 | $8–$770 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $88 | $110 | 3.8× |
| Immunofixation electrophoresis (86334) range across 13 matching MRF lines |
$18.40–$208 | $23–$260 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 15 matching MRF lines |
$35.20–$560 | $44–$700 | varies |
| Immunohistochemistry (88342) range across 33 matching MRF lines |
$75.20–$376 | $94–$470 | varies |
| In situ hybridization 1st probe stain (88365) range across 4 matching MRF lines |
$168–$416 | $210–$520 | varies |
| In situ hybridization ea multiplex probe stain (88366) range across 8 matching MRF lines |
$328–$508.80 | $410–$636 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $168 | $210 | 2.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) range across 2 matching MRF lines |
$17.60–$39.20 | $22–$49 | varies |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $15.20 | $19 | 1.2× |
| Influenza a/b ag eia (87400) | $75.20 | $94 | 5.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$33.60–$44 | $42–$55 | varies |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$145.60–$360 | $182–$450 | varies |
| Inhibin A (86336) range across 4 matching MRF lines |
$28.80–$80 | $36–$100 | varies |
| Inhibin b (83520) range across 114 matching MRF lines |
$21.60–$1,336 | $27–$1,670 | varies |
| Insitu hybridization manual (88368) range across 3 matching MRF lines |
$168–$720 | $210–$900 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$36.80–$75.20 | $46–$94 | varies |
| Insulin free (83527) range across 2 matching MRF lines |
$16–$35.20 | $20–$44 | varies |
| Insulin total (83525) range across 8 matching MRF lines |
$14.40–$80.80 | $18–$101 | varies |
| Interleukin-6 (83529) range across 4 matching MRF lines |
$17.60–$176 | $22–$220 | varies |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$20.80–$66.40 | $26–$83 | varies |
| Iron (83540) range across 3 matching MRF lines |
$8–$49.60 | $10–$62 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$11.20–$58.40 | $14–$73 | varies |
| Irradiation Blood Product Each Unit (86945) | $120 | $150 | 2.9× |
| Islet cell antibody (86341) range across 37 matching MRF lines |
$28.80–$342.40 | $36–$428 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 13 matching MRF lines |
$130.40–$568 | $163–$710 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 4 matching MRF lines |
$400–$560 | $500–$700 | varies |
| Ketosteroids 17 total (83586) range across 2 matching MRF lines |
$31.20–$75.20 | $39–$94 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) range across 2 matching MRF lines |
$328–$376 | $410–$470 | varies |
| Koh Prep (87220) range across 2 matching MRF lines |
$8.80–$67.20 | $11–$84 | varies |
| Kras Gene Analysis Additional Variant(S) (81276) | $232 | $290 | 1.2× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$232–$528 | $290–$660 | varies |
| L/s ratio (83661) | $96 | $120 | 4.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$8.80–$34.40 | $11–$43 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$30.40–$66.40 | $38–$83 | varies |
| Lactoferrin Fecal Quantitative (83631) | $168 | $210 | 8.6× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $152 | $190 | 7.5× |
| Lamellar Body Count (83664) | $66.40 | $83 | 3.4× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$10.40–$39.20 | $13–$49 | varies |
| LDL direct (83721) range across 4 matching MRF lines |
$12.80–$66.40 | $16–$83 | varies |
| Lead (83655) range across 9 matching MRF lines |
$15.20–$42.40 | $19–$53 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$58.40–$75.20 | $73–$94 | varies |
| Legionella antigen urine (87449) range across 18 matching MRF lines |
$16.80–$376 | $21–$470 | varies |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$38.40–$80 | $48–$100 | varies |
| Leptospira antibody (86720) range across 3 matching MRF lines |
$54.40–$75.20 | $68–$94 | varies |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$40–$64 | $50–$80 | varies |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$80–$203.20 | $100–$254 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $58.40 | $73 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$96–$244 | $120–$305 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$328–$672 | $410–$840 | varies |
| Lidocaine (80176) | $80 | $100 | 5.4× |
| Lipase (83690) range across 3 matching MRF lines |
$9.60–$88 | $12–$110 | varies |
| Lipoprotein A (83695) range across 4 matching MRF lines |
$17.60–$75.20 | $22–$94 | varies |
| Lipoprotein Bld Quan Part (83704) range across 6 matching MRF lines |
$56–$128 | $70–$160 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $80 | $100 | 2.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 4 matching MRF lines |
$71.20–$232 | $89–$290 | varies |
| Lithium (80178) | $75.20 | $94 | 11.4× |
| Liver ds alys 3 bmrk srm alg (81517) | $212 | $265 | 1.2× |
| Luteinizing Hormone (Lh) (83002) range across 6 matching MRF lines |
$22.40–$88 | $28–$110 | varies |
| Lyme disease antibody (86618) range across 12 matching MRF lines |
$26.40–$88 | $33–$110 | varies |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$92–$128 | $115–$160 | varies |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$25.60–$74.40 | $32–$93 | varies |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$51.20–$114.40 | $64–$143 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 6 matching MRF lines |
$411.20–$1,760 | $514–$2,200 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 6 matching MRF lines |
$432–$680 | $540–$850 | varies |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$28.80–$80.80 | $36–$101 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$21.60–$66.40 | $27–$83 | varies |
| Magnesium Urine (83735) range across 8 matching MRF lines |
$9.60–$56 | $12–$70 | varies |
| Mass Spectrometry Quant (83789) range across 18 matching MRF lines |
$52–$307.20 | $65–$384 | varies |
| Mecp2 gene full seq (81302) range across 2 matching MRF lines |
$664–$1,488 | $830–$1,860 | varies |
| Mercury urine (83825) range across 11 matching MRF lines |
$20–$120 | $25–$150 | varies |
| Metabolic panel ionized ca (80047) | $80 | $100 | 5.8× |
| Methotrexate (80204) range across 3 matching MRF lines |
$46.40–$112 | $58–$140 | varies |
| Methylmalonic acid serum (83921) range across 8 matching MRF lines |
$25.60–$208 | $32–$260 | varies |
| Mgmt methylation analysis (81287) | $544 | $680 | 4.4× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$33.60–$41.60 | $42–$52 | varies |
| Microbe Suscept Macrobroth (87188) | $53.60 | $67 | 8.1× |
| Microsatellite instability (81301) | $418.40 | $523 | 1.2× |
| Microsomal Antibodies Each (86376) range across 17 matching MRF lines |
$17.60–$136 | $22–$170 | varies |
| Mitochondrial Antibody Each (86381) range across 6 matching MRF lines |
$21.60–$103.20 | $27–$129 | varies |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$260–$287.20 | $325–$359 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $162.40 | $203 | 0.8× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $540.80 | $676 | 0.8× |
| Mog-Igg1 Antb Cba Each (86362) range across 9 matching MRF lines |
$56–$776 | $70–$970 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 4 matching MRF lines |
$240–$624 | $300–$780 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 23 matching MRF lines |
$30.40–$576 | $38–$720 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $200 | $250 | 4.7× |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$416–$1,640 | $520–$2,050 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 20 matching MRF lines |
$241.60–$2,496 | $302–$3,120 | varies |
| Mononuclear cell antigen (86356) range across 16 matching MRF lines |
$20.80–$640 | $26–$800 | varies |
| Mopath procedure level 1 (81400) | $232 | $290 | 3.6× |
| Mopath procedure level 2 (81401) range across 7 matching MRF lines |
$128–$704 | $160–$880 | varies |
| Mopath procedure level 4 (81403) range across 12 matching MRF lines |
$148.80–$1,040 | $186–$1,300 | varies |
| Mopath procedure level 5 (81404) range across 17 matching MRF lines |
$220–$2,136 | $275–$2,670 | varies |
| Mopath procedure level 7 (81406) range across 19 matching MRF lines |
$226.40–$5,024 | $283–$6,280 | varies |
| Mopath procedure level 8 (81407) range across 7 matching MRF lines |
$677.60–$1,656 | $847–$2,070 | varies |
| Mopath procedure level 9 (81408) range across 9 matching MRF lines |
$576–$6,040 | $720–$7,550 | varies |
| Morphometric analysis nerve (88356) | $120 | $150 | 2.1× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$464–$800 | $580–$1,000 | varies |
| Mpl gene common variants (81338) range across 6 matching MRF lines |
$386.40–$616 | $483–$770 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$145.60–$160 | $182–$200 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $171.20 | $214 | 0.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $305.60 | $382 | 0.8× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) range across 2 matching MRF lines |
$190.40–$680 | $238–$850 | varies |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 2 matching MRF lines |
$513.60–$1,216 | $642–$1,520 | varies |
| Mthfr Gene Analysis Common Variants (81291) range across 3 matching MRF lines |
$79.20–$160 | $99–$200 | varies |
| Mucopolysaccharides acid quantitative (83864) | $307.20 | $384 | 10.8× |
| Mumps antibody (86735) range across 7 matching MRF lines |
$16–$160 | $20–$200 | varies |
| Muscle-Specific Kinase Antb (86366) range across 3 matching MRF lines |
$307.20–$744 | $384–$930 | varies |
| Mycobacteric Identification (87118) | $60.80 | $76 | 4.2× |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$36–$176 | $45–$220 | varies |
| Mycoplasma antibody (86738) range across 5 matching MRF lines |
$16–$66.40 | $20–$83 | varies |
| Mycoplasma culture (87109) range across 3 matching MRF lines |
$46.40–$104 | $58–$130 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $304 | $380 | 1.7× |
| Myelin basic protein csf (83873) range across 3 matching MRF lines |
$31.20–$76.80 | $39–$96 | varies |
| Myoglobin urine (83874) range across 4 matching MRF lines |
$16–$112 | $20–$140 | varies |
| Natriuretic peptide (83880) range across 6 matching MRF lines |
$60.80–$256 | $76–$320 | varies |
| Nerve teasing preparations (88362) | $448 | $560 | 0.5× |
| Neutralization Test Viral (86382) range across 6 matching MRF lines |
$80.80–$1,104 | $101–$1,380 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 2 matching MRF lines |
$224–$352 | $280–$440 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) range across 2 matching MRF lines |
$512–$616 | $640–$770 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $171.20 | $214 | 1.2× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $1,120 | $1,400 | 4.3× |
| Nfct ds chrnc hcv 6 assays (81596) range across 4 matching MRF lines |
$96–$312 | $120–$390 | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 4 matching MRF lines |
$155.20–$720 | $194–$900 | varies |
| Niacin (84591) range across 11 matching MRF lines |
$83.20–$680 | $104–$850 | varies |
| Nickel level (83885) | $59.20 | $74 | 2.4× |
| Nk cells total count (86357) range across 7 matching MRF lines |
$20.80–$392 | $26–$490 | varies |
| Noonan Spectrum Disorders (81442) | $3,352 | $4,190 | 1.6× |
| Nuclear antigen antibody (86235) range across 60 matching MRF lines |
$15.20–$265.60 | $19–$332 | varies |
| Nudt15 Gene Common Variants (81306) range across 2 matching MRF lines |
$296–$350.40 | $370–$438 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$11.20–$18.40 | $14–$23 | varies |
| Occult Blood Other Sources (82271) | $41.60 | $52 | 7.8× |
| Oligoclonal bands (83916) range across 4 matching MRF lines |
$33.60–$152 | $42–$190 | varies |
| Oncology breast mrna gene expression 21 genes (81519) | $6,320 | $7,900 | 1.6× |
| Oncology Prostate Prob Score (81539) | $1,448 | $1,810 | 1.9× |
| Oncoprotein dcp (83951) | $104 | $130 | 1.6× |
| Oncoprotein Her-2/Neu (83950) | $376 | $470 | 5.8× |
| Organic Acids Qualitative Each Specimen (83919) | $536 | $670 | 32.6× |
| Organic acids urine (83918) | $117.60 | $147 | 5.0× |
| Osmolality serum (83930) range across 3 matching MRF lines |
$12.80–$80 | $16–$100 | varies |
| Osmolality Urine (83935) range across 4 matching MRF lines |
$12.80–$175.20 | $16–$219 | varies |
| Osmotic fragility rbc incubated (85557) | $75.20 | $94 | 5.6× |
| Osmotic Fragility RBC Unincubated (85555) | $76 | $95 | 10.2× |
| Osteocalcin (83937) | $80 | $100 | 2.7× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$15.20–$58.40 | $19–$73 | varies |
| Oxalate urine (83945) range across 8 matching MRF lines |
$12–$208 | $15–$260 | varies |
| PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) | $408 | $510 | 3.0× |
| Particle Agglutination Screen Each Antibody (86403) range across 4 matching MRF lines |
$28.80–$66.40 | $36–$83 | varies |
| Parvovirus antibody (86747) range across 6 matching MRF lines |
$18.40–$112 | $23–$140 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,080 | $1,350 | 1.2× |
| Pathology Consultation During Surgery (88329) | $79.20 | $99 | 1.2× |
| Ph urine (81003) range across 5 matching MRF lines |
$4.80–$86.40 | $6–$108 | varies |
| Phenobarbital Level (80184) range across 4 matching MRF lines |
$18.40–$88 | $23–$110 | varies |
| Phenotype Infect Agent Drug (87900) range across 5 matching MRF lines |
$156.80–$424 | $196–$530 | varies |
| Phenylalanine (84030) range across 3 matching MRF lines |
$11.20–$112 | $14–$140 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$16.80–$80 | $21–$100 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$17.60–$37.60 | $22–$47 | varies |
| Phosphatase acid prostatic (84066) | $58.40 | $73 | 6.0× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$6.40–$32.80 | $8–$41 | varies |
| Phosphatidylglycerol (84081) | $66.40 | $83 | 4.0× |
| Phospholipid Neutralization Hexagonal (85598) range across 3 matching MRF lines |
$55.20–$152 | $69–$190 | varies |
| Phosphorus Serum (84100) range across 6 matching MRF lines |
$8–$104 | $10–$130 | varies |
| Phosphorus urine (84105) range across 5 matching MRF lines |
$8–$50.40 | $10–$63 | varies |
| Pinworm exam (87172) range across 2 matching MRF lines |
$34.40–$41.60 | $43–$52 | varies |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$75.20–$248 | $94–$310 | varies |
| Platelet Antibodies (86022) range across 14 matching MRF lines |
$47.20–$688 | $59–$860 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$16–$66.40 | $20–$83 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$340.80–$576 | $426–$720 | varies |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $163.20 | $204 | 0.8× |
| Pms2 gene full seq analysis (81317) | $300 | $375 | 0.4× |
| Porphobilinogen, urine; quantitative (84110) range across 3 matching MRF lines |
$32–$66.40 | $40–$83 | varies |
| Porphyrins Feces Quantitative (84126) | $168 | $210 | 4.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 3 matching MRF lines |
$30.40–$66.40 | $38–$83 | varies |
| Potassium Urine (84133) range across 6 matching MRF lines |
$8.80–$58.40 | $11–$73 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$17.60–$66.40 | $22–$83 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) | $80 | $100 | 5.3× |
| Pregnenolone (84140) range across 3 matching MRF lines |
$30.40–$256 | $38–$320 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 5 matching MRF lines |
$27.20–$98.40 | $34–$123 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $75.20 | $94 | 2.3× |
| Primidone (80188) range across 2 matching MRF lines |
$20–$58.40 | $25–$73 | varies |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$130.40–$168 | $163–$210 | varies |
| Progesterone (84144) range across 4 matching MRF lines |
$37.60–$168.80 | $47–$211 | varies |
| Prolactin (84146) range across 7 matching MRF lines |
$25.60–$359.20 | $32–$449 | varies |
| Prostaglandin (84150) range across 8 matching MRF lines |
$68–$376 | $85–$470 | varies |
| Protein body fluid (84157) range across 5 matching MRF lines |
$5.60–$58.40 | $7–$73 | varies |
| Protein C Activity (85303) range across 10 matching MRF lines |
$16.80–$192 | $21–$240 | varies |
| Protein c antigen (85302) range across 3 matching MRF lines |
$16.80–$192 | $21–$240 | varies |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$18.40–$104 | $23–$130 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 15 matching MRF lines |
$13.60–$80 | $17–$100 | varies |
| Protein S Free (85306) range across 9 matching MRF lines |
$18.40–$123.20 | $23–$154 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$16.80–$123.20 | $21–$154 | varies |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $44 | $55 | 2.0× |
| Protein total serum (84155) range across 14 matching MRF lines |
$4.80–$153.60 | $6–$192 | varies |
| Protein Total Urine (84156) range across 13 matching MRF lines |
$6.40–$49.60 | $8–$62 | varies |
| Protein Western Blot Test (84182) range across 30 matching MRF lines |
$35.20–$341.60 | $44–$427 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 3 matching MRF lines |
$11.20–$49.60 | $14–$62 | varies |
| Protoporphyrin rbc quantitative (84202) range across 5 matching MRF lines |
$17.60–$256 | $22–$320 | varies |
| PSA free (84154) range across 3 matching MRF lines |
$22.40–$80 | $28–$100 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $327.20 | $409 | 1.1× |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 2 matching MRF lines |
$720–$1,440 | $900–$1,800 | varies |
| Pth Intact (83970) range across 4 matching MRF lines |
$24–$176 | $30–$220 | varies |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$8–$104 | $10–$130 | varies |
| Q Fever Antibody (86638) range across 8 matching MRF lines |
$16–$88 | $20–$110 | varies |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$74.40–$208 | $93–$260 | varies |
| Quantitative assay drug (80299) range across 43 matching MRF lines |
$41.60–$544 | $52–$680 | varies |
| Quantitative Screen Metals (83018) range across 22 matching MRF lines |
$26.40–$224 | $33–$280 | varies |
| Quinidine (80194) | $66.40 | $83 | 4.5× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$184–$222.40 | $230–$278 | varies |
| Rbc antibody identification (86870) range across 8 matching MRF lines |
$27.20–$1,000 | $34–$1,250 | varies |
| Rbc antibody screen (86850) range across 6 matching MRF lines |
$47.20–$160 | $59–$200 | varies |
| Rbc pretreatment serum (86978) range across 4 matching MRF lines |
$58.40–$112 | $73–$140 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $376 | $470 | 2.0× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$10.40–$23.20 | $13–$29 | varies |
| Renin activity plasma (84244) range across 5 matching MRF lines |
$26.40–$90.40 | $33–$113 | varies |
| Reptilase test (85635) | $66.40 | $83 | 6.7× |
| Resp virus 12-25 targets (87633) | $1,040 | $1,300 | 2.5× |
| Resp Virus 6-11 Targets (87632) | $792 | $990 | 3.6× |
| Reticulated Platelet Assay (85055) range across 3 matching MRF lines |
$30.40–$104 | $38–$130 | varies |
| Reticulocyte Count Manual (85044) range across 2 matching MRF lines |
$41.60–$88 | $52–$110 | varies |
| Rh (86901) range across 6 matching MRF lines |
$27.20–$66.40 | $34–$83 | varies |
| Rheumatoid Factor Qualitative (86430) | $49.60 | $62 | 8.1× |
| Rheumatoid factor quant (86431) range across 17 matching MRF lines |
$10.40–$152 | $13–$190 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$31.20–$96 | $39–$120 | varies |
| Ristocetin cofactor (85245) range across 6 matching MRF lines |
$28–$88 | $35–$110 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$26.40–$88 | $33–$110 | varies |
| Rpr qualitative (86592) range across 16 matching MRF lines |
$6.40–$41.60 | $8–$52 | varies |
| Rubella Antibody (86762) range across 8 matching MRF lines |
$17.60–$58.40 | $22–$73 | varies |
| Rubeola antibody (86765) range across 9 matching MRF lines |
$16–$75.20 | $20–$94 | varies |
| Rufinamide (80210) range across 2 matching MRF lines |
$69.60–$88 | $87–$110 | varies |
| Russell Viper Venom Time Diluted (85613) range across 11 matching MRF lines |
$10.40–$104 | $13–$130 | varies |
| Salmonella antibody (86768) range across 2 matching MRF lines |
$66.40–$112 | $83–$140 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$99.20–$128 | $124–$160 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 8 matching MRF lines |
$34.40–$216 | $43–$270 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $80 | $100 | 1.9× |
| Sarscov2 & inf a&b amp prb (87636) | $320 | $400 | 2.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$224–$656 | $280–$820 | varies |
| Sedimentation rate (85651) | $16.80 | $21 | 3.9× |
| Sedimentation Rate, Automated (85652) | $30.40 | $38 | 11.3× |
| Selenium (84255) range across 4 matching MRF lines |
$31.20–$112 | $39–$140 | varies |
| Semen Anal Sperm Detection (89321) | $66.40 | $83 | 5.5× |
| Semen analysis complete (89320) range across 3 matching MRF lines |
$75.20–$160 | $94–$200 | varies |
| Semen analysis motility and count (89310) | $17.60 | $22 | 2.0× |
| Sensitivity mic (87186) range across 36 matching MRF lines |
$23.20–$368 | $29–$460 | varies |
| Serpina 1 gene (81332) | $48 | $60 | 1.1× |
| Sex Hormone Binding Globulin (84270) range across 11 matching MRF lines |
$9.60–$128 | $12–$160 | varies |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$28–$35.20 | $35–$44 | varies |
| Silica (84285) | $144 | $180 | 5.7× |
| Sirolimus (80195) range across 3 matching MRF lines |
$31.20–$80 | $39–$100 | varies |
| Skin Test Candida (86485) | $32.80 | $41 | 1.0× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$28–$33.60 | $35–$42 | varies |
| Smear acid fast (87206) range across 6 matching MRF lines |
$14.40–$35.20 | $18–$44 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$16–$66.40 | $20–$83 | varies |
| Smear gram stain (87205) range across 4 matching MRF lines |
$16–$66.40 | $20–$83 | varies |
| Smear Special Stain (87207) range across 7 matching MRF lines |
$17.60–$100.80 | $22–$126 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $344 | $430 | 2.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 6 matching MRF lines |
$12–$88 | $15–$110 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) range across 5 matching MRF lines |
$256–$480 | $320–$600 | varies |
| Sodium Serum (84295) range across 6 matching MRF lines |
$15.20–$36 | $19–$45 | varies |
| Sodium Urine (84300) range across 7 matching MRF lines |
$8.80–$39.20 | $11–$49 | varies |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$96.80–$200 | $121–$250 | varies |
| Soluble Transferrin Receptor (84238) range across 4 matching MRF lines |
$58.40–$168 | $73–$210 | varies |
| Somatomedin (84305) range across 7 matching MRF lines |
$22.40–$304 | $28–$380 | varies |
| Somatostatin (84307) range across 2 matching MRF lines |
$224–$232 | $280–$290 | varies |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$69.60–$248 | $87–$310 | varies |
| Special Stains Group 2 (88313) range across 6 matching MRF lines |
$88–$336 | $110–$420 | varies |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$19.20–$20.80 | $24–$26 | varies |
| Specimen infect agnt concntj (87015) range across 10 matching MRF lines |
$9.60–$192.80 | $12–$241 | varies |
| Spectrophotometry (84311) range across 16 matching MRF lines |
$10.40–$208 | $13–$260 | varies |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $288 | $360 | 5.0× |
| Stem cells total count (86367) | $184 | $230 | 2.4× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$16–$36 | $20–$45 | varies |
| Strep a assay w/optic (87880) | $33.60 | $42 | 2.0× |
| Strep a DNA amp probe (87651) | $144 | $180 | 4.1× |
| Strep b DNA amp probe (87653) | $112 | $140 | 3.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$37.60–$73.60 | $47–$92 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 4 matching MRF lines |
$40–$144 | $50–$180 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $307.20 | $384 | 55.9× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$14.40–$34.40 | $18–$43 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$10.40–$16.80 | $13–$21 | varies |
| Surg path level iii (88304) | $168 | $210 | 2.9× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$71.20–$241.60 | $89–$302 | varies |
| Surgical pathology level vi (88309) | $2,016 | $2,520 | 2.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$79.20–$80 | $99–$100 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 5 matching MRF lines |
$18.40–$66.40 | $23–$83 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $56.80 | $71 | 1.4× |
| Sweat Collection Iontophoresis (89230) | $200 | $250 | 3.5× |
| Syphilis Test Non-Trep Quant (86593) range across 7 matching MRF lines |
$8–$36 | $10–$45 | varies |
| T cells absolute cd4 count (86361) range across 3 matching MRF lines |
$36.80–$66.40 | $46–$83 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 10 matching MRF lines |
$20.80–$240 | $26–$300 | varies |
| T cells total count (86359) range across 8 matching MRF lines |
$20–$200 | $25–$250 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$20.80–$123.20 | $26–$154 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$19.20–$75.20 | $24–$94 | varies |
| T3 Total (84480) | $75.20 | $94 | 5.3× |
| T3 Uptake (84479) range across 5 matching MRF lines |
$8–$38.40 | $10–$48 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$11.20–$58.40 | $14–$73 | varies |
| T4 total (84436) range across 5 matching MRF lines |
$8.80–$38.40 | $11–$48 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$16.80–$88 | $21–$110 | varies |
| Tau phosphorylated each (84393) range across 3 matching MRF lines |
$390.40–$660.80 | $488–$826 | varies |
| Tb ag response t-cell susp (86481) range across 2 matching MRF lines |
$216–$352 | $270–$440 | varies |
| Test for acetone/ketones (82009) | $66.40 | $83 | 14.7× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$120–$376 | $150–$470 | varies |
| Testosterone total (84403) range across 16 matching MRF lines |
$10.40–$216 | $13–$270 | varies |
| Testosterone, Free (84402) range across 13 matching MRF lines |
$10.40–$217.60 | $13–$272 | varies |
| Tetanus antibody (86774) | $41.60 | $52 | 2.8× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 2 matching MRF lines |
$717.60–$1,768 | $897–$2,210 | varies |
| Theophylline (80198) range across 2 matching MRF lines |
$96–$134.40 | $120–$168 | varies |
| Thiopurine methyltransferase (84433) range across 2 matching MRF lines |
$136–$344 | $170–$430 | varies |
| Thrombin Time (85670) range across 4 matching MRF lines |
$16–$34.40 | $20–$43 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 4 matching MRF lines |
$12–$104 | $15–$130 | varies |
| Thyroglobulin (84432) range across 8 matching MRF lines |
$20–$108.80 | $25–$136 | varies |
| Thyroglobulin Antibody (86800) range across 11 matching MRF lines |
$19.20–$192 | $24–$240 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 3 matching MRF lines |
$61.60–$352.80 | $77–$441 | varies |
| Thyroxine binding globulin (84442) range across 2 matching MRF lines |
$18.40–$41.60 | $23–$52 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 7 matching MRF lines |
$14.40–$66.40 | $18–$83 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$234.40–$376 | $293–$470 | varies |
| Tissue culture bone marrow (88237) range across 9 matching MRF lines |
$172.80–$504 | $216–$630 | varies |
| Tissue Culture Lymphocyte (88230) range across 6 matching MRF lines |
$140–$304 | $175–$380 | varies |
| Tobramycin peak (80200) range across 4 matching MRF lines |
$20–$62.40 | $25–$78 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$27.20–$80 | $34–$100 | varies |
| Touch prep (88161) | $104 | $130 | 3.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 3 matching MRF lines |
$40–$144 | $50–$180 | varies |
| Toxoplasma ab igm (86778) range across 5 matching MRF lines |
$17.60–$192 | $22–$240 | varies |
| Toxoplasma antibody (86777) range across 5 matching MRF lines |
$17.60–$200 | $22–$250 | varies |
| Tp53 gene analysis full gene sequence (81351) | $832 | $1,040 | 1.3× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,392 | $1,740 | 4.2× |
| Tpmt gene com variants (81335) range across 4 matching MRF lines |
$176–$592 | $220–$740 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 7 matching MRF lines |
$8.80–$44 | $11–$55 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$16–$58.40 | $20–$73 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $528 | $660 | 2.5× |
| Trg gene rearrangement anal (81342) range across 3 matching MRF lines |
$480–$616 | $600–$770 | varies |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$75.20–$99.20 | $94–$124 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 6 matching MRF lines |
$42.40–$128 | $53–$160 | varies |
| Triglycerides (84478) range across 6 matching MRF lines |
$9.60–$44.80 | $12–$56 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$80–$314.40 | $100–$393 | varies |
| Tumor immunohistochem/comput (88361) | $440 | $550 | 1.1× |
| Tumor Immunohistochem/Manual (88360) range across 15 matching MRF lines |
$76–$344 | $95–$430 | varies |
| Tyms Gene Analysis Common Variants (81346) | $416 | $520 | 2.4× |
| Ugt1a1 gene analysis common variants (81350) | $544 | $680 | 2.3× |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$208–$380 | $260–$475 | varies |
| Urea nitrogen urine (84540) range across 4 matching MRF lines |
$15.20–$49.60 | $19–$62 | varies |
| Uric acid other source (84560) range across 5 matching MRF lines |
$6.40–$50.40 | $8–$63 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$6.40–$17.60 | $8–$22 | varies |
| Urinalysis Volume Measure (81050) | $27.20 | $34 | 7.5× |
| Urine Albumin Semiquantitative (82044) | $12.80 | $16 | 2.1× |
| Urine Bacteria Culture (87088) | $16 | $20 | 2.0× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$18.40–$58.40 | $23–$73 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$7.20–$49.60 | $9–$62 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$32.80–$66.40 | $41–$83 | varies |
| Vancomycin (80202) | $152 | $190 | 11.2× |
| Varicella-zoster antibody (86787) range across 9 matching MRF lines |
$16–$152 | $20–$190 | varies |
| Vasopressin (84588) range across 5 matching MRF lines |
$40.80–$336 | $51–$420 | varies |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$80–$126.40 | $100–$158 | varies |
| Viral Culture (87252) range across 7 matching MRF lines |
$36–$180 | $45–$225 | varies |
| Virus antibody nos (86790) range across 31 matching MRF lines |
$16–$232 | $20–$290 | varies |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
$45.60–$179.20 | $57–$224 | varies |
| Virus inoculation, shell via (87254) range across 7 matching MRF lines |
$36–$168 | $45–$210 | varies |
| Viscosity serum (85810) range across 2 matching MRF lines |
$14.40–$41.60 | $18–$52 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$46.40–$128 | $58–$160 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$14.40–$49.60 | $18–$62 | varies |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$18.40–$96 | $23–$120 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$34.40–$208 | $43–$260 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$34.40–$96 | $43–$120 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$19.20–$41.60 | $24–$52 | varies |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$36–$360 | $45–$450 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$17.60–$37.60 | $22–$47 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$31.20–$88 | $39–$110 | varies |
| Volatiles (84600) range across 6 matching MRF lines |
$80–$168 | $100–$210 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 9 matching MRF lines |
$66.40–$342.40 | $83–$428 | varies |
| Von willebrand factor ag (85246) range across 5 matching MRF lines |
$28–$240 | $35–$300 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $58.40 | $73 | 6.8× |
| West nile virus ab igm (86788) range across 6 matching MRF lines |
$17.60–$51.20 | $22–$64 | varies |
| West Nile Virus Antibody (86789) range across 8 matching MRF lines |
$17.60–$52 | $22–$65 | varies |
| Western Blot Test (84181) range across 2 matching MRF lines |
$88–$712 | $110–$890 | varies |
| Xylose Absorption Test (84620) | $58.40 | $73 | 4.5× |
| Zika Virus Igm Antibody (86794) | $88.80 | $111 | 5.3× |
| Zinc (84630) range across 5 matching MRF lines |
$14.40–$104 | $18–$130 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.