| 17 Hydroxyprogesterone (83498) |
$56.92 |
$103.50 |
2.1× |
| Acetaminophen (80143) |
$61.05 |
$111 |
3.3× |
| Acetone, quantitative (82010) |
$36.85 |
$67 |
4.5× |
| Acetylcholine receptor binding antibody (86041) |
$43.45 |
$79 |
2.4× |
| Acetylcholn rcptr blckg antb (86042) |
$43.45 |
$79 |
2.4× |
| Acth (82024) |
$30.80 |
$56 |
0.8× |
| Actin smooth muscle antibody each (86015) |
$67.10 |
$122 |
5.6× |
| Acute hepatitis panel (80074) |
$237.60 |
$432 |
5.0× |
| Afb concentration (87015) |
$75.35 |
$137 |
11.3× |
| Afb culture (87116) |
$53.35 |
$97 |
4.9× |
| Afb smear (87206) |
$55 |
$100 |
10.2× |
| Albumin body fluid (82042) |
$9.35 |
$17 |
1.2× |
| Albumin serum (82040) |
$29.15 |
$53 |
5.9× |
| Alcohol (82077) |
$80.30 |
$146 |
4.6× |
| Aldolase (82085) |
$53.90 |
$98 |
5.6× |
| Aldosterone (82088) |
$96.80 |
$176 |
2.4× |
| Alkaline phosphatase (84075) |
$29.15 |
$53 |
5.6× |
| Alkaline phosphatase isoenzymes (84080) |
$93.50 |
$170 |
6.3× |
| Allergen profile perennial allergen (86003) |
$15.95 |
$29 |
3.1× |
| Alpha-1-antitrypsin (82103) |
$79.20 |
$144 |
5.9× |
| Alpha-1-antitrypsin phenotype (82104) |
$70.40 |
$128 |
4.9× |
| Alpha-fetoprotein serum (82105) |
$91.30 |
$166 |
5.4× |
| Alt (84460) |
$39.60 |
$72 |
7.5× |
| Ammonia (82140) |
$118.80 |
$216 |
8.2× |
| Amylase (82150) |
$60.50 |
$110 |
9.3× |
| Ana (86038) |
$116.60 |
$212 |
9.6× |
| Ana titer (86039) |
$40.15 |
$73 |
3.6× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$82.50 |
$150 |
6.3× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$88 |
$160 |
4.9× |
| Angiotensin converting enzyme (82164) |
$37.95 |
$69 |
2.6× |
| Anti-mitochondrial antibody (86255) |
$68.75 |
$125 |
5.7× |
| Antibody identification; platelet associated immunoglobulin assay Other Outpatient (86023) |
$40.70 |
$74 |
3.3× |
| Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Other Outpatient (86885) |
$97.35 |
$177 |
17.0× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$72.60 |
$132 |
6.0× |
| Antistreptolysin o screen (86063) |
$40.70 |
$74 |
7.1× |
| Antithrombin iii activity (85300) |
$113.85 |
$207 |
9.6× |
| Apolipoprotein each (82172) |
$29.15 |
$53 |
1.4× |
| Arsenic (82175) |
$101.20 |
$184 |
5.3× |
| Assay anti-mullerian horm (82166) |
$86.90 |
$158 |
2.3× |
| Ast (84450) |
$39.60 |
$72 |
7.6× |
| B cells total count (86355) |
$97.35 |
$177 |
2.6× |
| Bcr/abl 1 gene other bp (81208) |
$202.13 |
$367.50 |
0.9× |
| Bcr/abl1 gene major bp (81206) |
$556.32 |
$1,011.50 |
3.4× |
| Bcr/abl1 gene minor bp (81207) |
$227.70 |
$414 |
1.6× |
| Beta 2 glycoprotein i antibody (86146) |
$80.30 |
$146 |
3.2× |
| Beta lactamase (87185) |
$34.65 |
$63 |
7.3× |
| Beta-2 microglobulin (82232) |
$72.60 |
$132 |
4.5× |
| Bile acids total (82239) |
$54.45 |
$99 |
3.2× |
| Bilirubin direct (82248) |
$36.30 |
$66 |
7.2× |
| Bilirubin total (82247) |
$34.65 |
$63 |
6.9× |
| Biotinidase (82261) |
$14.30 |
$26 |
0.8× |
| Blood count reticulocyte automated (85045) |
$45.65 |
$83 |
11.4× |
| Blood gases any combination (82803) |
$129.25 |
$235 |
5.0× |
| Blood gases ph only (82800) |
$32.45 |
$59 |
3.0× |
| Blood gases w/o2 saturation (82805) |
$184.25 |
$335 |
2.3× |
| Blood typing serologic abo (86900) |
$34.10 |
$62 |
11.4× |
| Blood typing serologic rh (d) (86901) |
$39.05 |
$71 |
13.1× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$64.90 |
$118 |
10.2× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$58.85 |
$107 |
3.7× |
| Braf gene (81210) |
$272.80 |
$496 |
1.6× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) |
$2,122.45 |
$3,859 |
1.2× |
| Brucella antibody (86622) |
$77.55 |
$141 |
8.7× |
| C diff amplified probe (87493) |
$91.30 |
$166 |
2.4× |
| C-peptide (84681) |
$80.30 |
$146 |
3.9× |
| C-reactive protein (86140) |
$52.25 |
$95 |
10.1× |
| C-reactive protein high sensitivity (86141) |
$50.60 |
$92 |
3.9× |
| C2 complement functional (86161) |
$91.30 |
$166 |
7.6× |
| Ca 125 (86304) |
$77.55 |
$141 |
3.7× |
| Ca 15-3 (86300) |
$113.85 |
$207 |
5.5× |
| Cadmium (82300) |
$63.25 |
$115 |
2.7× |
| Calcitonin (82308) |
$103.40 |
$188 |
3.9× |
| Calcium ionized (82330) |
$67.65 |
$123 |
4.9× |
| Calcium total (82310) |
$31.90 |
$58 |
6.2× |
| Calcium, random urine (82340) |
$72.60 |
$132 |
12.0× |
| Calprotectin fecal (83993) |
$144.65 |
$263 |
7.4× |
| Calr gene com variants (81219) |
$312.95 |
$569 |
2.6× |
| Cancer antigen 19-9 (86301) |
$113.85 |
$207 |
5.5× |
| Carbamazepine total (80156) |
$57.20 |
$104 |
3.9× |
| Carbon monoxide (82375) |
$72.60 |
$132 |
5.9× |
| Cardiolipin antibody ea ig class (86147) |
$113.85 |
$207 |
4.5× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$152.35 |
$277 |
9.0× |
| Casein igg (86001) |
$29.15 |
$53 |
3.7× |
| Catecholamines fractionated (82384) |
$103.40 |
$188 |
4.1× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$68.75 |
$125 |
1.5× |
| Cea (82378) |
$75.35 |
$137 |
4.0× |
| Cell count body fluid (89050) |
$42.90 |
$78 |
9.1× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$53.35 |
$97 |
9.5× |
| Cell function assay w/stim (86352) |
$167.20 |
$304 |
1.2× |
| Ceruloplasmin (82390) |
$52.80 |
$96 |
4.9× |
| Cftr gene com variants (81220) |
$424.60 |
$772 |
0.8× |
| Cftr gene full sequence (81223) |
$909.70 |
$1,654 |
1.8× |
| Chemiluminescent assay (82397) |
$67.10 |
$122 |
4.8× |
| Chlamydia antibody (86631) |
$73.15 |
$133 |
6.2× |
| Chlamydia pneumoniae PCR (87486) |
$40.15 |
$73 |
1.1× |
| Chloride blood (82435) |
$25.85 |
$47 |
5.6× |
| Cholesterol total (82465) |
$36.85 |
$67 |
8.5× |
| Chorionic gonadotropin test (84702) |
$116.60 |
$212 |
7.7× |
| Chromogranin a (86316) |
$119.35 |
$217 |
5.7× |
| Chromosome analysis 15-20 cells (88262) |
$277.20 |
$504 |
2.2× |
| Chromosome analysis 20-25 cells (88264) |
$66.55 |
$121 |
0.5× |
| Citrate (82507) |
$36.85 |
$67 |
1.3× |
| Ck mb fraction (82553) |
$82.50 |
$150 |
7.1× |
| Clot inhibit prot s total (85305) |
$112.75 |
$205 |
9.7× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$56.65 |
$103 |
2.5× |
| Cmv antibody (86644) |
$89.10 |
$162 |
6.2× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$605 |
$1,100 |
1.5× |
| Coccidioides antibody (86635) |
$78.10 |
$142 |
6.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$85.25 |
$155 |
3.5× |
| Cold agglutinins titer (86157) |
$36.85 |
$67 |
4.6× |
| Collagen cross links (82523) |
$201.30 |
$366 |
10.8× |
| Complement antigen ea component (86160) |
$62.15 |
$113 |
5.2× |
| Coombs test indirect titer (86886) |
$156.75 |
$285 |
30.3× |
| Copper (82525) |
$67.65 |
$123 |
5.5× |
| Cortisol free (82530) |
$82.50 |
$150 |
4.9× |
| Cortisol saliva (82533) |
$72.60 |
$132 |
4.5× |
| Coxsackie a9 virus antibody (86658) |
$76.45 |
$139 |
5.9× |
| Creatine kinase total (82550) |
$64.90 |
$118 |
10.0× |
| Creatinine (82565) |
$34.65 |
$63 |
6.8× |
| Creatinine other source (82570) |
$36.85 |
$67 |
7.1× |
| Cryoglobulins (82595) |
$75.35 |
$137 |
11.6× |
| Crystals fluid (89060) |
$48.95 |
$89 |
6.7× |
| Culture anaerobic (87075) |
$113.85 |
$207 |
12.0× |
| Culture blood (87040) |
$87.45 |
$159 |
8.5× |
| Culture fungus blood (87103) |
$50.60 |
$92 |
2.5× |
| Culture stool (87045) |
$69.30 |
$126 |
7.3× |
| Culture urine (87086) |
$45.65 |
$83 |
5.7× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$49.50 |
$90 |
6.1× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$75.35 |
$137 |
9.3× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$63.80 |
$116 |
6.8× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) |
$821.15 |
$1,493 |
3.8× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$18.15 |
$33 |
3.5× |
| Cyclic citrullinated peptide ab (86200) |
$29.70 |
$54 |
2.3× |
| Cyclosporine (80158) |
$108.90 |
$198 |
6.0× |
| Cystatin c (82610) |
$74.25 |
$135 |
4.0× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$937.75 |
$1,705 |
0.8× |
| Cytomeg DNA amp probe (87496) |
$94.60 |
$172 |
2.7× |
| Cytomegalovirus antibody igm (86645) |
$89.10 |
$162 |
5.3× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$75.35 |
$137 |
3.7× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$48.95 |
$89 |
1.8× |
| Cytopathology, smears, any other source; preparation, screening and interpretation (88161) |
$105.05 |
$191 |
3.4× |
| Cytp eval fine needle aspirate interp & report (88173) |
$399.30 |
$726 |
7.3× |
| D-dimer quantitative (85379) |
$95.70 |
$174 |
9.4× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$48.95 |
$89 |
3.6× |
| Dhea sulfate (82627) |
$95.70 |
$174 |
4.3× |
| Digoxin (80162) |
$52.25 |
$95 |
3.9× |
| Dihydrotestosterone (82642) |
$121.55 |
$221 |
4.2× |
| Direct antiglobulin test (86880) |
$37.95 |
$69 |
7.0× |
| DNA/RNA sequencing (87153) |
$143 |
$260 |
1.2× |
| Drug assay adalimumab (80145) |
$224.95 |
$409 |
5.8× |
| Drug assay infliximab (80230) |
$242.55 |
$441 |
6.3× |
| Drug assay salicylate (80179) |
$61.05 |
$111 |
3.3× |
| Drug screen quant clozapine (80159) |
$73.15 |
$133 |
3.6× |
| Drug screen quant everolimus (80169) |
$106.70 |
$194 |
7.8× |
| Drug screen quant levetiracetam (80177) |
$64.35 |
$117 |
4.9× |
| Drug screen quantitative oxcarbazepine (80183) |
$88 |
$160 |
6.6× |
| Drug test prsmv chem anlyzr (80307) |
$117.15 |
$213 |
1.9× |
| Drug test prsmv dir opt obs (80305) |
$151.80 |
$276 |
12.0× |
| Ear culture (87070) |
$66.55 |
$121 |
7.7× |
| Egfr gene analysis common variants (81235) |
$318.45 |
$579 |
1.0× |
| Elastase pancreatic fecal quantitative (82653) |
$152.35 |
$277 |
6.6× |
| Electrolytes panel (80051) |
$30.25 |
$55 |
4.3× |
| Endomysial antibody each immunoglobulin class (86231) |
$61.05 |
$111 |
5.0× |
| Eosinophils urine (87205) |
$50.60 |
$92 |
11.9× |
| Erythropoietin (82668) |
$84.15 |
$153 |
4.5× |
| Estradiol (82670) |
$130.90 |
$238 |
4.7× |
| Estriol (82677) |
$56.65 |
$103 |
2.3× |
| Estrogen fractionated (82671) |
$96.80 |
$176 |
3.0× |
| Estrone (82679) |
$104.50 |
$190 |
4.2× |
| Ethylene glycol (82693) |
$57.20 |
$104 |
3.8× |
| Eval amniotic fluid protein (84112) |
$157.85 |
$287 |
1.6× |
| Extractable nuclear antigen antibody any method (86235) |
$72.60 |
$132 |
4.0× |
| F2 gene analysis (81240) |
$100.10 |
$182 |
1.5× |
| F5 gene (81241) |
$101.20 |
$184 |
1.4× |
| Factor viii activity (85240) |
$27.50 |
$50 |
1.5× |
| Factor viii vw antigen (85246) |
$141.90 |
$258 |
6.2× |
| Fecal fat qualitative (82705) |
$107.25 |
$195 |
21.0× |
| Ferritin (82728) |
$79.20 |
$144 |
5.8× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$606.65 |
$1,103 |
0.8× |
| Fetal fibronectin (82731) |
$294.80 |
$536 |
4.6× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$64.90 |
$118 |
8.4× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$82.50 |
$150 |
8.8× |
| Fibrinogen, activity (85384) |
$119.35 |
$217 |
12.3× |
| Flow cytometry first marker (88184) |
$101.20 |
$184 |
0.3× |
| Folate serum (82746) |
$79.75 |
$145 |
5.4× |
| Folic acid rbc (82747) |
$73.15 |
$133 |
4.1× |
| Follicle stimulating hormone (fsh) (83001) |
$80.30 |
$146 |
4.3× |
| Ftl cgen abnor four anal (81511) |
$121.55 |
$221 |
0.8× |
| Fungus isolation culture (87102) |
$51.70 |
$94 |
6.1× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$14.30 |
$26 |
1.2× |
| Gamma glutamyl transferase (82977) |
$41.25 |
$75 |
5.7× |
| Gammaglobulin ige (82785) |
$65.45 |
$119 |
4.0× |
| Gliadin antibody each immunoglobulin class (86258) |
$28.05 |
$51 |
2.3× |
| Glucagon (82943) |
$112.75 |
$205 |
7.9× |
| Glucose Fasting (82947) |
$33.55 |
$61 |
8.5× |
| Glucose other fluid (82945) |
$36.85 |
$67 |
9.4× |
| Glucose post glucose dose (82950) |
$85.25 |
$155 |
17.9× |
| Glucose tolerance test (gtt) (82951) |
$52.80 |
$96 |
4.1× |
| Glucose-6-pd (82955) |
$61.05 |
$111 |
6.3× |
| Glycated hemoglobin (83036) |
$56.65 |
$103 |
5.8× |
| Growth hormone (hgh) (83003) |
$144.65 |
$263 |
8.7× |
| H pylori breath test (83013) |
$200.75 |
$365 |
3.0× |
| H pylori stool (87338) |
$128.15 |
$233 |
8.9× |
| Haptoglobin (83010) |
$75.35 |
$137 |
6.0× |
| Hcg ql (84703) |
$51.70 |
$94 |
6.9× |
| Heavy metal quan each nes (83018) |
$73.15 |
$133 |
3.3× |
| Hematocrit (hct) (85014) |
$17.60 |
$32 |
7.4× |
| Hemoglobin (85018) |
$18.15 |
$33 |
7.7× |
| Hemoglobin electrophoresis (83020) |
$14.30 |
$26 |
1.1× |
| Hemoglobin fractj/quantj chromotography (83021) |
$68.20 |
$124 |
3.8× |
| Hemolysins and agglutinins; auto, screen, each Other Outpatient (86940) |
$152.35 |
$277 |
17.4× |
| Hep a ab total (86708) |
$55 |
$100 |
4.4× |
| Heparin assay (85520) |
$125.95 |
$229 |
9.6× |
| Hepatitis a antibody igm (86709) |
$74.25 |
$135 |
6.6× |
| Hepatitis b core antibody igm (86705) |
$74.25 |
$135 |
6.3× |
| Hepatitis b core antibody total (86704) |
$57.75 |
$105 |
4.8× |
| Hepatitis b DNA quant (87517) |
$273.35 |
$497 |
6.4× |
| Hepatitis b surface ab (86706) |
$60.50 |
$110 |
5.6× |
| Hepatitis b surface antigen (87340) |
$60.50 |
$110 |
5.9× |
| Hepatitis be antibody (86707) |
$78.10 |
$142 |
6.8× |
| Hepatitis c antibody (86803) |
$78.10 |
$142 |
5.5× |
| Hepatitis c genotype (87902) |
$479.60 |
$872 |
1.9× |
| Hepatitis c RNA quantitative (87522) |
$107.80 |
$196 |
2.5× |
| Herpes simplex virus by PCR (87529) |
$210.65 |
$383 |
6.0× |
| Heterophile antibody screen (86308) |
$33.55 |
$61 |
6.5× |
| Hexagonal phospholipid neutralization (85598) |
$91.30 |
$166 |
5.1× |
| Hfe gene (81256) |
$156.75 |
$285 |
2.4× |
| Histamine (83088) |
$115.50 |
$210 |
3.9× |
| Histoplasma antibody (86698) |
$79.20 |
$144 |
5.7× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$97.35 |
$177 |
4.0× |
| HIV-1 antibody (86701) |
$75.35 |
$137 |
8.5× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$63.25 |
$115 |
4.6× |
| HIV-2 antibody (86702) |
$75.35 |
$137 |
5.6× |
| Hla b27 (86812) |
$121.55 |
$221 |
4.7× |
| Homocysteine level (83090) |
$146.85 |
$267 |
8.2× |
| Hpv high-risk types (87624) |
$128.70 |
$234 |
3.7× |
| Hpv types 16 & 18 only (87625) |
$60.50 |
$110 |
1.5× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$70.12 |
$127.50 |
1.4× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$247.50 |
$450 |
1.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$468.60 |
$852 |
1.1× |
| Immunoassay analyte quantitative nos (83520) |
$52.80 |
$96 |
3.1× |
| Immunoassay infectious agent antibody quan nos (86317) |
$78.10 |
$142 |
5.2× |
| Immunofixation electrophoresis (86334) |
$72.60 |
$132 |
3.2× |
| Immunofixation urine (86335) |
$73.15 |
$133 |
2.5× |
| Immunofluor antb 1st stain (88346) |
$111.65 |
$203 |
0.6× |
| Immunoglobulin d (82784) |
$48.95 |
$89 |
5.3× |
| Immunoglobulin light chains free each (83521) |
$85.25 |
$155 |
4.9× |
| Immunoperoxidase (88342) |
$395.45 |
$719 |
2.2× |
| In situ hybridization 1st probe stain (88365) |
$230.45 |
$419 |
1.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$22 |
$40 |
1.4× |
| Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Other Outpatient (87278) |
$61.05 |
$111 |
3.9× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$100.65 |
$183 |
1.4× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$188.10 |
$342 |
4.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$121.55 |
$221 |
3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$77.55 |
$141 |
2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$94.60 |
$172 |
2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$31.90 |
$58 |
0.4× |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) |
$341.55 |
$621 |
1.3× |
| Influenza DNA amp probe (87502) |
$125.40 |
$228 |
1.3× |
| Inhibin a (86336) |
$62.70 |
$114 |
4.0× |
| Insulin antibody (86337) |
$131.45 |
$239 |
6.1× |
| Insulin total (83525) |
$82.50 |
$150 |
7.2× |
| Intrinsic factor antibody (86340) |
$82.50 |
$150 |
5.5× |
| Iron (83540) |
$50.60 |
$92 |
7.8× |
| Iron binding capacity (83550) |
$50.60 |
$92 |
5.8× |
| Islet cell antibody (86341) |
$130.90 |
$238 |
5.6× |
| Jak2 gene (81270) |
$244.75 |
$445 |
2.7× |
| Jak2 gene trgt sequence alys (81279) |
$242.55 |
$441 |
1.3× |
| John cunningham antibody (86711) |
$72.60 |
$132 |
4.3× |
| Kit gene analys d816 variant (81273) |
$357.50 |
$650 |
2.9× |
| Koh prep (87220) |
$29.70 |
$54 |
7.0× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$92.40 |
$168 |
2.3× |
| Lactate (83605) |
$78.10 |
$142 |
6.8× |
| Lactate dehydrogenase (83615) |
$40.15 |
$73 |
6.6× |
| Lamotrigine (80175) |
$101.20 |
$184 |
7.6× |
| Lead (83655) |
$68.20 |
$124 |
5.6× |
| Legionella urine antigen (87449) |
$64.35 |
$117 |
5.4× |
| Leukocyte assessment fecal (89055) |
$31.90 |
$58 |
7.5× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$174.90 |
$318 |
4.4× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$238.15 |
$433 |
4.3× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$342.65 |
$623 |
6.2× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$616 |
$1,120 |
1.6× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$1,445.40 |
$2,628 |
1.7× |
| Lipase (83690) |
$62.15 |
$113 |
9.0× |
| Lipoprotein (a) (83695) |
$34.65 |
$63 |
2.4× |
| Lipoprotein bld by nmr (83704) |
$52.25 |
$95 |
1.5× |
| Lithium (80178) |
$50.60 |
$92 |
7.7× |
| Luteinizing hormone (lh) (83002) |
$84.70 |
$154 |
4.6× |
| Lyme disease antibody (86617) |
$61.05 |
$111 |
3.9× |
| Lyme disease antibody (86618) |
$80.30 |
$146 |
4.7× |
| M/phmtrc alys in situ hybridization ea probe mnl (88368) |
$255.20 |
$464 |
0.7× |
| M/phmtrc alys ishquant/semiq (88377) |
$375.65 |
$683 |
2.1× |
| Magnesium (83735) |
$48.95 |
$89 |
7.3× |
| Manual differential (85007) |
$24.75 |
$45 |
6.5× |
| Mercury (83825) |
$261.25 |
$475 |
16.1× |
| Metanephrines (83835) |
$80.30 |
$146 |
4.7× |
| Methylmalonic acid serum (83921) |
$160.05 |
$291 |
7.5× |
| Microalbumin urine (82043) |
$39.05 |
$71 |
6.8× |
| Mitochondrial antibody each (86381) |
$73.15 |
$133 |
2.9× |
| Molecular cytogenetics DNA probe each (88271) |
$92.40 |
$168 |
4.3× |
| Mononuclear cell antigen (86356) |
$52.25 |
$95 |
2.0× |
| Mopath procedure level 1 (81400) |
$364.10 |
$662 |
5.7× |
| Mopath procedure level 2 (81401) |
$346.50 |
$630 |
2.5× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$386.10 |
$702 |
2.1× |
| Mpl gene analysis common variants (81338) |
$424.60 |
$772 |
2.8× |
| Mrsa PCR (87641) |
$47.85 |
$87 |
1.4× |
| Mthfr gene (81291) |
$105.05 |
$191 |
1.6× |
| Mumps antibody (86735) |
$80.30 |
$146 |
6.2× |
| Mycoplasma antibody (86738) |
$61.05 |
$111 |
4.6× |
| Mycoplasma pneumoniae by PCR (87581) |
$40.15 |
$73 |
1.1× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$75.35 |
$137 |
6.5× |
| Myoglobin (83874) |
$56.65 |
$103 |
4.4× |
| N.gonorrhoeae DNA amp prob (87591) |
$77.55 |
$141 |
2.2× |
| Natriuretic peptide (83880) |
$157.85 |
$287 |
4.0× |
| Nephelometry ea analyte (83883) |
$48.40 |
$88 |
3.6× |
| Nk cells total count (86357) |
$96.25 |
$175 |
2.6× |
| Occult blood other sources (82271) |
$39.05 |
$71 |
7.3× |
| Organic acids total quant (83918) |
$121.55 |
$221 |
5.2× |
| Osmolality serum (83930) |
$65.45 |
$119 |
9.9× |
| Osmolality urine (83935) |
$56.65 |
$103 |
8.3× |
| Osteocalcin (83937) |
$29.15 |
$53 |
1.0× |
| Ova and parasite exam (87177) |
$89.10 |
$162 |
10.0× |
| Oxalate urine (83945) |
$36.85 |
$67 |
2.6× |
| Pancreatic polypeptide (83519) |
$155.10 |
$282 |
8.4× |
| Parathyroid hormone (83970) |
$183.15 |
$333 |
4.4× |
| Parvovirus antibody (86747) |
$85.25 |
$155 |
5.7× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$213.13 |
$387.50 |
0.6× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$261.25 |
$475 |
1.5× |
| Pertussis by PCR (87798) |
$138.60 |
$252 |
3.9× |
| Ph body fluid (83986) |
$22 |
$40 |
6.1× |
| Phenobarbital (80184) |
$73.15 |
$133 |
4.8× |
| Phenylalanine (84030) |
$14.30 |
$26 |
2.6× |
| Phenytoin level total (80185) |
$78.10 |
$142 |
5.9× |
| Phosphorus (84100) |
$28.60 |
$52 |
6.0× |
| Phosphorus urine (84105) |
$21.45 |
$39 |
3.7× |
| Platelet count automated (85049) |
$26.95 |
$49 |
6.0× |
| Porphyrins total plasma (84311) |
$18.70 |
$34 |
2.3× |
| Potassium (84132) |
$20.35 |
$37 |
4.3× |
| Potassium urine (84133) |
$36.30 |
$66 |
7.7× |
| Prealbumin (84134) |
$72.60 |
$132 |
5.0× |
| Pregnenolone (84140) |
$84.15 |
$153 |
4.1× |
| Primidone (80188) |
$75.35 |
$137 |
4.5× |
| Procalcitonin (pct) (84145) |
$147.40 |
$268 |
5.4× |
| Progesterone (84144) |
$77.55 |
$141 |
3.7× |
| Prolactin (84146) |
$77.55 |
$141 |
4.0× |
| Protein c activity (85303) |
$133.10 |
$242 |
9.6× |
| Protein c antigen (85302) |
$112.75 |
$205 |
9.4× |
| Protein electrophoresis serum (84165) |
$84.15 |
$153 |
7.8× |
| Protein electrophoresis urine (84166) |
$65.45 |
$119 |
3.7× |
| Protein s antigen, free (85306) |
$129.80 |
$236 |
8.5× |
| Protein total other source (84157) |
$39.05 |
$71 |
9.8× |
| Protein total serum (84155) |
$23.10 |
$42 |
6.3× |
| Protein total urine (84156) |
$50.60 |
$92 |
13.8× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$144.65 |
$263 |
5.0× |
| PSA free (84154) |
$78.10 |
$142 |
4.2× |
| Rbc antibody identification (86870) |
$171.05 |
$311 |
0.5× |
| Rbc antibody screen (86850) |
$94.05 |
$171 |
9.6× |
| Reagent strip/blood glucose (82948) |
$14.30 |
$26 |
2.8× |
| Reducing substances fecal (84376) |
$45.65 |
$83 |
8.3× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$130.35 |
$237 |
10.8× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$76.45 |
$139 |
5.8× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$102.85 |
$187 |
5.3× |
| Renin (84244) |
$96.80 |
$176 |
4.4× |
| Resp virus 12-25 targets (87633) |
$447.70 |
$814 |
1.1× |
| Rheumatoid factor quant (86431) |
$33.55 |
$61 |
5.9× |
| Rickettsia antibody (86757) |
$45.10 |
$82 |
2.3× |
| Ristocetin cofactor (85245) |
$111.65 |
$203 |
4.9× |
| Rl immediate spin crossmatch (86920) |
$80.85 |
$147 |
0.4× |
| Rpr qual (86592) |
$47.30 |
$86 |
11.1× |
| Rpr titer (86593) |
$23.10 |
$42 |
5.3× |
| Rubella antibody (86762) |
$107.25 |
$195 |
7.5× |
| Rubeola antibody (86765) |
$113.85 |
$207 |
8.8× |
| Russell viper venom diluted (85613) |
$57.20 |
$104 |
6.0× |
| Sedimentation rate rbc automated (85652) |
$33.55 |
$61 |
12.4× |
| Selenium (84255) |
$79.20 |
$144 |
3.1× |
| Semen analysis post vasectomy (89321) |
$62.15 |
$113 |
5.2× |
| Serotonin (84260) |
$211.75 |
$385 |
6.8× |
| Sex hormone binding globulin (84270) |
$45.10 |
$82 |
2.1× |
| Shiga-like toxin ag eia (87427) |
$55 |
$100 |
4.6× |
| Sickle cell screen (85660) |
$36.85 |
$67 |
6.7× |
| Sirolimus (80195) |
$130.35 |
$237 |
9.5× |
| Smear wet mount (87210) |
$29.70 |
$54 |
5.1× |
| Sodium (84295) |
$19.25 |
$35 |
4.0× |
| Sodium urine (84300) |
$37.95 |
$69 |
7.5× |
| Somatomedin (84305) |
$122.65 |
$223 |
5.8× |
| Special stains group i (88312) |
$243.10 |
$442 |
4.4× |
| Special stains group ii (88313) |
$351.45 |
$639 |
2.5× |
| Staph a DNA amp probe (87640) |
$47.85 |
$87 |
1.4× |
| Stone analysis (82365) |
$78.10 |
$142 |
6.1× |
| Strep a assay w/optic (87880) |
$6.05 |
$11 |
0.4× |
| Strep a DNA amp probe (87651) |
$70.40 |
$128 |
2.0× |
| Strep b DNA amp probe (87653) |
$53.90 |
$98 |
1.5× |
| Surg path level 1 (88300) |
$102.30 |
$186 |
3.4× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$140.80 |
$256 |
2.6× |
| Surgical pathology consultation and report on referred slides prepared elsewhere (88321) |
$198 |
$360 |
5.0× |
| Susceptibility mic per plate (87186) |
$50.05 |
$91 |
5.8× |
| T cells cd4 count (86361) |
$37.95 |
$69 |
1.4× |
| T3 free (84481) |
$132 |
$240 |
7.8× |
| T3 reverse (84482) |
$142.45 |
$259 |
9.0× |
| T3 uptake (84479) |
$53.35 |
$97 |
8.2× |
| T4 (thyroxine) total (84436) |
$53.35 |
$97 |
7.8× |
| Tacrolimus (80197) |
$147.40 |
$268 |
10.7× |
| Tb test cell immun measure (86480) |
$93.50 |
$170 |
1.5× |
| Testosterone free (84402) |
$88 |
$160 |
3.5× |
| Testosterone total (84403) |
$107.25 |
$195 |
4.2× |
| Theophylline (80198) |
$61.05 |
$111 |
4.3× |
| Thiopurine drug metabolites (83789) |
$75.35 |
$137 |
3.1× |
| Thiopurine metabolites (80299) |
$84.70 |
$154 |
4.5× |
| Thiopurine methyltransferase, rbc (82657) |
$158.95 |
$289 |
7.2× |
| Thiopurine S-methyltransferase (TPMT) Other Outpatient (84433) |
$198 |
$360 |
8.9× |
| Thrombin time plasma (85670) |
$36.85 |
$67 |
6.4× |
| Thyroglobulin (84432) |
$99.55 |
$181 |
6.2× |
| Thyroglobulin antibody (86800) |
$99.55 |
$181 |
6.3× |
| Thyroid peroxidase antibody (86376) |
$60.50 |
$110 |
4.2× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$121.55 |
$221 |
2.4× |
| Thyroxine free (ft4) (84439) |
$75.35 |
$137 |
8.4× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$14.30 |
$26 |
2.2× |
| Tissue culture bone marrow (88237) |
$441.65 |
$803 |
3.1× |
| Tissue culture lymphocyte (88230) |
$240.35 |
$437 |
2.1× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$30.80 |
$56 |
2.7× |
| Topiramate (80201) |
$91.30 |
$166 |
7.7× |
| Toxoplasma antibody igg (86777) |
$29.15 |
$53 |
2.0× |
| Toxoplasma antibody igm (86778) |
$67.10 |
$122 |
4.7× |
| Transferrin (84466) |
$249.70 |
$454 |
19.6× |
| Treponema pallidum antibody (86780) |
$58.85 |
$107 |
4.4× |
| Trg gene rearrangement anal (81342) |
$242.55 |
$441 |
1.2× |
| Trichomonas vaginalis amplif (87661) |
$63.25 |
$115 |
1.8× |
| Trichrome stain (87209) |
$60.50 |
$110 |
3.4× |
| Triglycerides (84478) |
$45.10 |
$82 |
7.9× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$91.30 |
$166 |
6.4× |
| Troponin t (84484) |
$100.65 |
$183 |
8.1× |
| Urea nitrogen quantitative (84520) |
$32.45 |
$59 |
8.2× |
| Urea nitrogen urine (84540) |
$62.15 |
$113 |
11.2× |
| Uric acid blood (84550) |
$32.45 |
$59 |
7.2× |
| Uric acid other source (84560) |
$64.90 |
$118 |
12.8× |
| Urinalysis auto w/micro (81001) |
$37.95 |
$69 |
12.0× |
| Urine Pregnancy Test POC (81025) |
$28.05 |
$51 |
3.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$19.80 |
$36 |
8.8× |
| Valproic acid (80164) |
$82.50 |
$150 |
6.1× |
| Vancomycin (80202) |
$95.15 |
$173 |
7.0× |
| Varicella zoster antibody igg (86787) |
$70.95 |
$129 |
5.5× |
| Vitamin a (84590) |
$55 |
$100 |
4.7× |
| Vitamin b-12 (82607) |
$75.35 |
$137 |
5.0× |
| Vitamin b1 whole blood (84425) |
$121.55 |
$221 |
5.7× |
| Vitamin b6 (84207) |
$103.95 |
$189 |
3.7× |
| Vitamin d 25 hydroxy (82306) |
$85.25 |
$155 |
2.9× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$105.05 |
$191 |
2.7× |
| Vitamin e (84446) |
$72.60 |
$132 |
5.1× |
| Vitamin k1 (84597) |
$121.55 |
$221 |
8.9× |
| West nile virus antibody (86789) |
$54.45 |
$99 |
3.8× |
| Yeast id (87106) |
$62.70 |
$114 |
6.1× |
| Z t cells total count (86359) |
$82.50 |
$150 |
2.2× |
| Zinc (84630) |
$60.50 |
$110 |
5.3× |