| 5-Hiaa (83497) |
$117 |
$117 |
9.1× |
| Acetaminophen (80143) |
$248 |
$248 |
13.3× |
| Acetone, quantitative (82010) |
$228 |
$228 |
27.9× |
| Acth (82024) |
$245 |
$245 |
6.3× |
| Actin smooth muscle antibody each (86015) |
$152 |
$152 |
12.6× |
| Acute hepatitis panel (80074) |
$229 |
$229 |
4.8× |
| Afb concentration (87015) |
$125 |
$125 |
18.7× |
| Afb culture (87116) |
$167 |
$167 |
15.5× |
| Albumin serum (82040) |
$105 |
$105 |
21.2× |
| Aldolase (82085) |
$148 |
$148 |
15.2× |
| Aldosterone (82088) |
$245 |
$245 |
6.0× |
| Alkaline phosphatase (84075) |
$167 |
$167 |
32.2× |
| Alkaline phosphatase isoenzymes (84080) |
$148 |
$148 |
10.0× |
| Allergen profile perennial allergen (86003) |
$306 |
$306 |
58.6× |
| Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Other Outpatient (86005) |
$49 |
$49 |
6.1× |
| Alpha-1-antitrypsin (82103) |
$148 |
$148 |
11.0× |
| Alpha-fetoprotein serum (82105) |
$73 |
$73 |
4.4× |
| Alt (84460) |
$105 |
$105 |
19.8× |
| Ammonia (82140) |
$152 |
$152 |
10.4× |
| Amylase (82150) |
$105 |
$105 |
16.2× |
| Ana (86038) |
$126 |
$126 |
10.4× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$125 |
$125 |
9.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$125 |
$125 |
8.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$148 |
$148 |
8.2× |
| Angiotensin converting enzyme (82164) |
$217 |
$217 |
14.9× |
| Anti-mitochondrial antibody (86255) |
$213 |
$213 |
17.7× |
| Antibody identification platelet antibodies (86022) |
$517 |
$517 |
28.1× |
| Antibody west nile virus igm (86788) |
$134 |
$134 |
8.0× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$96 |
$96 |
8.0× |
| Antistreptolysin o titer (86060) |
$108 |
$108 |
14.8× |
| Antithrombin iii activity (85300) |
$206 |
$206 |
17.4× |
| Arsenic (82175) |
$169 |
$169 |
8.9× |
| Assay of vitamin b-2 (84252) |
$211 |
$211 |
10.4× |
| Assay of vitamin not otherwise specified (84591) |
$214 |
$214 |
12.5× |
| Ast (84450) |
$105 |
$105 |
20.3× |
| B cells total count (86355) |
$194 |
$194 |
5.1× |
| Bcr/abl1 gene major bp (81206) |
$1,018 |
$1,018 |
6.2× |
| Beta 2 glycoprotein i antibody (86146) |
$418 |
$418 |
16.4× |
| Bilirubin direct (82248) |
$105 |
$105 |
20.9× |
| Bilirubin total (82247) |
$105 |
$105 |
20.9× |
| Blood count leukocyte wbc automated (85048) |
$38 |
$38 |
15.0× |
| Blood count reticulocyte automated (85045) |
$79 |
$79 |
19.8× |
| Blood gases any combination (82803) |
$278 |
$278 |
10.7× |
| Blood gases w/o2 saturation (82805) |
$349 |
$349 |
4.4× |
| Blood typing serologic abo (86900) |
$143 |
$143 |
47.8× |
| Blood typing serologic rh (d) (86901) |
$141 |
$141 |
47.2× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$47 |
$47 |
3.0× |
| Breath alcohol test (82075) |
$62 |
$62 |
2.1× |
| C diff amplified probe (87493) |
$160 |
$160 |
4.3× |
| C-peptide (84681) |
$166 |
$166 |
8.0× |
| C-reactive protein (86140) |
$129 |
$129 |
24.9× |
| Ca 125 (86304) |
$169 |
$169 |
8.1× |
| Ca 15-3 (86300) |
$160 |
$160 |
7.7× |
| Cadmium (82300) |
$167 |
$167 |
7.1× |
| Calcium ionized (82330) |
$103 |
$103 |
7.5× |
| Calcium total (82310) |
$105 |
$105 |
20.3× |
| Calcium, random urine (82340) |
$141 |
$141 |
23.4× |
| Calculus; quantitative analysis, chemical Other Outpatient (82360) |
$120 |
$120 |
9.3× |
| Calprotectin fecal (83993) |
$576 |
$576 |
29.3× |
| Cancer antigen 19-9 (86301) |
$200 |
$200 |
9.6× |
| Carbamazepine total (80156) |
$171 |
$171 |
11.7× |
| Cardiolipin antibody ea ig class (86147) |
$85 |
$85 |
3.3× |
| Casein igg (86001) |
$93 |
$93 |
11.9× |
| Catecholamines fractionated (82384) |
$231 |
$231 |
9.1× |
| Cea (82378) |
$175 |
$175 |
9.2× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$87 |
$87 |
15.5× |
| Ceruloplasmin (82390) |
$74 |
$74 |
6.9× |
| Chemiluminescent assay (82397) |
$273 |
$273 |
19.3× |
| Chloride urine (82436) |
$201 |
$201 |
35.0× |
| Cholesterol total (82465) |
$105 |
$105 |
24.1× |
| Chorionic gonadotropin test (84702) |
$181 |
$181 |
12.0× |
| Citrate (82507) |
$199 |
$199 |
7.2× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$769 |
$769 |
1.8× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$437 |
$437 |
18.1× |
| Collagen cross links (82523) |
$351 |
$351 |
18.8× |
| Complement antigen ea component (86160) |
$122 |
$122 |
10.2× |
| Complement total (ch50) (86162) |
$156 |
$156 |
7.7× |
| Coombs test indirect titer (86886) |
$181 |
$181 |
34.9× |
| Copper (82525) |
$198 |
$198 |
16.0× |
| Cortisol saliva (82533) |
$103 |
$103 |
6.3× |
| COVID-19 antibody (86769) |
$148 |
$148 |
3.5× |
| Creatine kinase isoenzymes (82552) |
$117 |
$117 |
8.7× |
| Creatinine (82565) |
$103.50 |
$103.50 |
20.2× |
| Creatinine clearance (82575) |
$93 |
$93 |
9.8× |
| Creatinine other source (82570) |
$151 |
$151 |
29.2× |
| Crossmatch ahg (86922) |
$132 |
$132 |
0.7× |
| Cryptosporidium ag eia (87328) |
$81 |
$81 |
5.9× |
| Crystals fluid (89060) |
$29 |
$29 |
4.0× |
| Culture anaerobic (87075) |
$46 |
$46 |
4.9× |
| Culture blood (87040) |
$148 |
$148 |
14.3× |
| Culture fungus skin hair nail (87101) |
$121 |
$121 |
15.7× |
| Culture stool (87045) |
$95 |
$95 |
10.1× |
| Culture urine (87086) |
$121 |
$121 |
15.0× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$25 |
$25 |
3.1× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$69 |
$69 |
7.3× |
| Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA)… (87154) |
$377 |
$377 |
1.7× |
| Cyclic citrullinated peptide ab (86200) |
$123 |
$123 |
9.5× |
| Cyclosporine (80158) |
$60 |
$60 |
3.3× |
| Cystatin c (82610) |
$367 |
$367 |
19.8× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88142) |
$157 |
$157 |
7.7× |
| D-dimer quantitative (85379) |
$216 |
$216 |
21.2× |
| Deoxyribonuclease antibody (86215) |
$82 |
$82 |
6.2× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$62 |
$62 |
4.5× |
| Dhea (82626) |
$299 |
$299 |
11.8× |
| Dhea sulfate (82627) |
$132 |
$132 |
5.9× |
| Digoxin (80162) |
$167 |
$167 |
12.6× |
| Direct antiglobulin test (86880) |
$83 |
$83 |
15.4× |
| Drug assay salicylate (80179) |
$109 |
$109 |
5.8× |
| Drug screen quantitative oxcarbazepine (80183) |
$315 |
$315 |
23.8× |
| Drug test prsmv chem anlyzr (80307) |
$335.50 |
$335.50 |
5.4× |
| Drug test prsmv dir opt obs (80305) |
$32 |
$32 |
2.5× |
| Drug test prsmv instrmnt (80306) |
$280 |
$280 |
16.3× |
| Ear culture (87070) |
$66 |
$66 |
7.7× |
| Electrolytes panel (80051) |
$127 |
$127 |
18.1× |
| Eosinophils urine (87205) |
$67 |
$67 |
15.7× |
| Erythropoietin (82668) |
$138 |
$138 |
7.3× |
| Estradiol (82670) |
$157 |
$157 |
5.6× |
| Estrogens total (82672) |
$161 |
$161 |
7.4× |
| Extractable nuclear antigen antibody any method (86235) |
$134 |
$134 |
7.5× |
| Factor viii activity (85240) |
$324 |
$324 |
18.1× |
| Factor x (stuart-prower) (85260) |
$351 |
$351 |
19.6× |
| Fecal fat qualitative (82705) |
$80 |
$80 |
15.7× |
| Ferritin (82728) |
$149 |
$149 |
10.9× |
| Fibrinogen, activity (85384) |
$132 |
$132 |
13.6× |
| Folate serum (82746) |
$109 |
$109 |
7.4× |
| Follicle stimulating hormone (fsh) (83001) |
$135 |
$135 |
7.3× |
| Fungus isolation culture (87102) |
$123 |
$123 |
14.6× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$347 |
$347 |
28.3× |
| Gamma glutamyl transferase (82977) |
$102 |
$102 |
14.2× |
| Gammaglobulin ige (82785) |
$49 |
$49 |
3.0× |
| Gastrin (82941) |
$204 |
$204 |
11.6× |
| Giardia antigen (87329) |
$90 |
$90 |
7.5× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$56 |
$56 |
17.1× |
| Glucagon (82943) |
$200 |
$200 |
14.0× |
| Glucose Fasting (82947) |
$105 |
$105 |
26.7× |
| Glucose other fluid (82945) |
$69 |
$69 |
17.6× |
| Glucose post glucose dose (82950) |
$133 |
$133 |
28.0× |
| Glucose tolerance test (gtt) (82951) |
$340 |
$340 |
26.4× |
| Glucose-6-pd (82955) |
$91 |
$91 |
9.4× |
| Glycated hemoglobin (83036) |
$129 |
$129 |
13.3× |
| Growth hormone (hgh) (83003) |
$136 |
$136 |
8.2× |
| H pylori breath test (83013) |
$316 |
$316 |
4.7× |
| H pylori stool (87338) |
$188 |
$188 |
13.1× |
| Haptoglobin (83010) |
$166 |
$166 |
13.2× |
| Hcg ql (84703) |
$97 |
$97 |
12.9× |
| Hematocrit (hct) (85014) |
$38 |
$38 |
16.0× |
| Hemoglobin (85018) |
$38 |
$38 |
16.0× |
| Hemoglobin plasma (83051) |
$103 |
$103 |
14.1× |
| Heparin assay (85520) |
$57 |
$57 |
4.4× |
| Heparin neutralization (85525) |
$57 |
$57 |
4.8× |
| Hepatitis b core antibody igm (86705) |
$132 |
$132 |
11.2× |
| Hepatitis b core antibody total (86704) |
$98 |
$98 |
8.1× |
| Hepatitis b DNA quant (87517) |
$931 |
$931 |
21.7× |
| Hepatitis b surface ab (86706) |
$109 |
$109 |
10.1× |
| Hepatitis b surface antigen (87340) |
$198 |
$198 |
19.2× |
| Hepatitis c antibody (86803) |
$228 |
$228 |
16.0× |
| Hepatitis c genotype (87902) |
$783 |
$783 |
3.0× |
| Hepatitis c RNA quantitative (87522) |
$558 |
$558 |
13.0× |
| Herpes simplex virus by PCR (87529) |
$431 |
$431 |
12.3× |
| Heterophile antibody screen (86308) |
$101 |
$101 |
19.5× |
| Hexagonal phospholipid neutralization (85598) |
$57 |
$57 |
3.2× |
| Hfe gene (81256) |
$442 |
$442 |
6.8× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$587.50 |
$587.50 |
7.9× |
| Homocysteine level (83090) |
$355 |
$355 |
19.8× |
| Hpv types 16 & 18 only (87625) |
$190 |
$190 |
4.7× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$100 |
$100 |
5.2× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$119.50 |
$119.50 |
1.7× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$128 |
$128 |
2.5× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$194 |
$194 |
1.4× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$771 |
$771 |
1.8× |
| Igg subclass 1 (82787) |
$316 |
$316 |
39.4× |
| Immune complex assay (86332) |
$186 |
$186 |
7.6× |
| Immunoassay analyte quantitative nos (83520) |
$289 |
$289 |
16.7× |
| Immunoassay infectious agent antibody quan nos (86317) |
$181.50 |
$181.50 |
12.1× |
| Immunofixation electrophoresis (86334) |
$211 |
$211 |
9.4× |
| Immunoglobulin d (82784) |
$105 |
$105 |
11.3× |
| Immunoglobulin light chains free each (83521) |
$176 |
$176 |
10.2× |
| Immunoperoxidase (88342) |
$166 |
$166 |
0.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87385) |
$284 |
$284 |
21.4× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with… (87806) |
$199 |
$199 |
6.1× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$132 |
$132 |
8.2× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$242 |
$242 |
5.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$60 |
$60 |
1.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$1,109 |
$1,109 |
25.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Other Outpatient (87526) |
$450 |
$450 |
11.5× |
| Insulin antibody (86337) |
$175 |
$175 |
8.2× |
| Insulin total (83525) |
$129 |
$129 |
11.3× |
| Iron (83540) |
$135 |
$135 |
20.9× |
| Iron binding capacity (83550) |
$125 |
$125 |
14.3× |
| Islet cell antibody (86341) |
$214 |
$214 |
9.1× |
| Lactate (83605) |
$65 |
$65 |
5.6× |
| Lactate dehydrogenase (83615) |
$89 |
$89 |
14.7× |
| Lactoferrin fecal (qual) (83630) |
$123 |
$123 |
6.2× |
| Lamotrigine (80175) |
$282 |
$282 |
21.3× |
| Ldh isoenzymes (83625) |
$123 |
$123 |
9.6× |
| LDL direct (83721) |
$114 |
$114 |
10.9× |
| Lead (83655) |
$161 |
$161 |
13.3× |
| Legionella culture (87081) |
$79 |
$79 |
11.9× |
| Legionella urine antigen (87449) |
$80 |
$80 |
6.7× |
| Leukocyte alkaline phosphatase (85540) |
$48 |
$48 |
5.6× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$151 |
$151 |
3.8× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$169 |
$169 |
3.1× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$319 |
$319 |
5.8× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$359 |
$359 |
0.9× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$492 |
$492 |
0.6× |
| Lipase (83690) |
$142 |
$142 |
20.6× |
| Lithium (80178) |
$109 |
$109 |
16.5× |
| Luteinizing hormone (lh) (83002) |
$135 |
$135 |
7.3× |
| Lyme disease antibody (86617) |
$436 |
$436 |
28.1× |
| Lyme disease antibody (86618) |
$183 |
$183 |
10.7× |
| Magnesium (83735) |
$149 |
$149 |
22.2× |
| Malaria smear (87207) |
$125 |
$125 |
20.9× |
| Manual differential (85007) |
$66 |
$66 |
17.4× |
| Mercury (83825) |
$295 |
$295 |
18.1× |
| Metanephrines (83835) |
$232 |
$232 |
13.7× |
| Methemoglobin quant (83050) |
$69 |
$69 |
8.4× |
| Methylmalonic acid serum (83921) |
$528 |
$528 |
24.9× |
| Microalbumin urine (82043) |
$201 |
$201 |
34.8× |
| Mitochondrial antibody each (86381) |
$143 |
$143 |
5.6× |
| Mog-igg1 antb flo cytmtry ea (86363) |
$1,163 |
$1,163 |
30.8× |
| Mold id (87107) |
$81 |
$81 |
7.8× |
| Mononuclear cell antigen (86356) |
$194 |
$194 |
7.2× |
| Mrsa PCR (87641) |
$177 |
$177 |
5.0× |
| Mthfr gene (81291) |
$170 |
$170 |
2.6× |
| Mumps antibody (86735) |
$98 |
$98 |
7.5× |
| Muramidase (85549) |
$134 |
$134 |
7.1× |
| Mycoplasma antibody (86738) |
$143 |
$143 |
10.8× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$172 |
$172 |
14.9× |
| N.gonorrhoeae DNA amp prob (87591) |
$60 |
$60 |
1.7× |
| Nasal smear for eosinophils (89190) |
$60 |
$60 |
10.4× |
| Natriuretic peptide (83880) |
$200 |
$200 |
5.1× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$214 |
$214 |
0.8× |
| Nk cells total count (86357) |
$194 |
$194 |
5.1× |
| Occult blood screening (82270) |
$88 |
$88 |
20.1× |
| Organic acids total quant (83918) |
$340 |
$340 |
14.4× |
| Osmolality serum (83930) |
$97 |
$97 |
14.7× |
| Osmolality urine (83935) |
$152 |
$152 |
22.3× |
| Ova and parasite exam (87177) |
$127 |
$127 |
14.3× |
| Oxalate urine (83945) |
$176 |
$176 |
12.2× |
| Pancreatic elastase fecal (82656) |
$586 |
$586 |
50.8× |
| Pancreatic polypeptide (83519) |
$134 |
$134 |
7.3× |
| Parathyroid hormone (83970) |
$248 |
$248 |
6.0× |
| Parvovirus antibody (86747) |
$99 |
$99 |
6.6× |
| Pertussis by PCR (87798) |
$419.50 |
$419.50 |
12.0× |
| Phenobarbital (80184) |
$129 |
$129 |
8.4× |
| Phenylalanine (84030) |
$268 |
$268 |
48.7× |
| Phenytoin (dilantin) free (80186) |
$167 |
$167 |
12.1× |
| Phenytoin level total (80185) |
$167 |
$167 |
12.6× |
| Phosphorus (84100) |
$105 |
$105 |
22.2× |
| Phosphorus urine (84105) |
$134 |
$134 |
23.2× |
| Platelet count automated (85049) |
$38 |
$38 |
8.5× |
| Potassium (84132) |
$105 |
$105 |
22.1× |
| Potassium urine (84133) |
$127 |
$127 |
26.8× |
| Prealbumin (84134) |
$213 |
$213 |
14.6× |
| Procalcitonin (pct) (84145) |
$173 |
$173 |
6.4× |
| Progesterone (84144) |
$148 |
$148 |
7.1× |
| Proinsulin (84206) |
$46 |
$46 |
1.7× |
| Prolactin (84146) |
$166 |
$166 |
8.6× |
| Prostate specific antigen (PSA); complexed (direct measurement) Other Outpatient (84152) |
$211 |
$211 |
11.5× |
| Protein c activity (85303) |
$90 |
$90 |
6.5× |
| Protein electrophoresis serum (84165) |
$129 |
$129 |
12.0× |
| Protein s antigen, free (85306) |
$149 |
$149 |
9.7× |
| Protein total other source (84157) |
$69 |
$69 |
17.3× |
| Protein total serum (84155) |
$105 |
$105 |
28.6× |
| Protein total urine (84156) |
$100 |
$100 |
27.2× |
| Protozoa antibody nos (86753) |
$121 |
$121 |
9.8× |
| PSA free (84154) |
$297 |
$297 |
16.2× |
| Rbc antibody elution (86860) |
$181 |
$181 |
1.0× |
| Rbc antibody identification (86870) |
$185 |
$185 |
0.5× |
| Rbc antibody screen (86850) |
$124 |
$124 |
12.7× |
| Reagent strip/blood glucose (82948) |
$24 |
$24 |
4.8× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$91 |
$91 |
7.6× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$76 |
$76 |
5.8× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$76 |
$76 |
3.9× |
| Renin (84244) |
$130 |
$130 |
5.9× |
| Resp virus 3-5 targets (87631) |
$375 |
$375 |
2.6× |
| Rheumatoid factor quant (86431) |
$80 |
$80 |
14.1× |
| Rickettsia antibody (86757) |
$166 |
$166 |
8.6× |
| Rl immediate spin crossmatch (86920) |
$115 |
$115 |
0.6× |
| Rpr qual (86592) |
$95 |
$95 |
22.2× |
| Rubella antibody (86762) |
$197 |
$197 |
13.7× |
| Rubeola antibody (86765) |
$79 |
$79 |
6.1× |
| Russell viper venom diluted (85613) |
$84.50 |
$84.50 |
8.8× |
| Sedimentation rate rbc non-automated (85651) |
$97 |
$97 |
22.7× |
| Semen analysis post vasectomy (89321) |
$82 |
$82 |
6.8× |
| Sex hormone binding globulin (84270) |
$264 |
$264 |
12.1× |
| Shiga-like toxin ag eia (87427) |
$66 |
$66 |
5.5× |
| Sickle cell screen (85660) |
$76 |
$76 |
13.8× |
| Skin test tuberculosis intradermal (86580) |
$68 |
$68 |
2.2× |
| Sodium (84295) |
$105 |
$105 |
21.8× |
| Sodium urine (84300) |
$134 |
$134 |
26.5× |
| Somatomedin (84305) |
$250 |
$250 |
11.8× |
| Special stains group i (88312) |
$202 |
$202 |
3.7× |
| Special stains group ii (88313) |
$169 |
$169 |
1.2× |
| Strep a assay w/optic (87880) |
$50 |
$50 |
3.0× |
| Strep a DNA amp probe (87651) |
$57 |
$57 |
1.6× |
| Sulfate urine (84392) |
$130 |
$130 |
23.7× |
| Surg path level 1 (88300) |
$200 |
$200 |
6.6× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$197 |
$197 |
3.6× |
| Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Other Outpatient (87188) |
$104 |
$104 |
15.7× |
| T3 free (84481) |
$127.50 |
$127.50 |
7.5× |
| T3 reverse (84482) |
$624 |
$624 |
39.6× |
| T3 uptake (84479) |
$77 |
$77 |
11.9× |
| T4 (thyroxine) total (84436) |
$105 |
$105 |
15.3× |
| Tacrolimus (80197) |
$245 |
$245 |
17.8× |
| Tb test cell immun measure (86480) |
$311 |
$311 |
5.0× |
| Testosterone free (84402) |
$156 |
$156 |
6.1× |
| Testosterone total (84403) |
$156 |
$156 |
6.0× |
| Theophylline (80198) |
$171 |
$171 |
12.1× |
| Thiopurine drug metabolites (83789) |
$531 |
$531 |
22.0× |
| Thiopurine metabolites (80299) |
$290 |
$290 |
15.6× |
| Thrombin time plasma (85670) |
$57 |
$57 |
9.9× |
| Thyroglobulin (84432) |
$125 |
$125 |
7.8× |
| Thyroglobulin antibody (86800) |
$102.50 |
$102.50 |
6.4× |
| Thyroid peroxidase antibody (86376) |
$129 |
$129 |
8.9× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$238 |
$238 |
4.7× |
| Thyroxine free (ft4) (84439) |
$103 |
$103 |
11.4× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$141 |
$141 |
12.2× |
| Topiramate (80201) |
$273 |
$273 |
22.9× |
| Toxoplasma antibody igg (86777) |
$102 |
$102 |
7.1× |
| Toxoplasma antibody igm (86778) |
$111 |
$111 |
7.7× |
| Transferrin (84466) |
$111 |
$111 |
8.7× |
| Treponema pallidum antibody (86780) |
$54 |
$54 |
4.1× |
| Trichomonas vagin dir probe (87660) |
$99 |
$99 |
4.9× |
| Trichomonas vaginalis amplif (87661) |
$106 |
$106 |
3.0× |
| Triglycerides (84478) |
$105 |
$105 |
18.3× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$156 |
$156 |
11.0× |
| Troponin t (84484) |
$215 |
$215 |
17.2× |
| Urea nitrogen clearance (84545) |
$81 |
$81 |
11.3× |
| Urea nitrogen quantitative (84520) |
$103.50 |
$103.50 |
26.2× |
| Uric acid blood (84550) |
$105 |
$105 |
23.2× |
| Uric acid other source (84560) |
$130 |
$130 |
25.6× |
| Urinalysis microscopic only (81015) |
$41 |
$41 |
13.4× |
| Urine bacteria culture (87088) |
$25 |
$25 |
3.1× |
| Urine Pregnancy Test POC (81025) |
$76 |
$76 |
8.8× |
| Valproic acid (80164) |
$194 |
$194 |
14.3× |
| Vancomycin (80202) |
$232 |
$232 |
17.1× |
| Varicella zoster antibody igg (86787) |
$148 |
$148 |
11.5× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$272 |
$272 |
8.0× |
| Viral culture non-respiratory (87252) |
$273 |
$273 |
10.5× |
| Virus antibody nos (86790) |
$289 |
$289 |
22.4× |
| Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization,… (87253) |
$161 |
$161 |
8.0× |
| Vitamin a (84590) |
$131 |
$131 |
11.3× |
| Vitamin b-12 (82607) |
$143 |
$143 |
9.5× |
| Vitamin b1 whole blood (84425) |
$286 |
$286 |
13.5× |
| Vitamin b6 (84207) |
$258 |
$258 |
9.2× |
| Vitamin d 25 hydroxy (82306) |
$184.50 |
$184.50 |
6.2× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$306 |
$306 |
7.9× |
| Vitamin e (84446) |
$103 |
$103 |
7.3× |
| Vitamin k1 (84597) |
$518 |
$518 |
37.8× |
| West nile virus antibody (86789) |
$134 |
$134 |
9.3× |
| Yeast id (87106) |
$55 |
$55 |
5.3× |
| Zinc (84630) |
$129 |
$129 |
11.3× |