| 17 Hydroxyprogesterone (83498) |
$207.20 |
$259 |
7.6× |
| 5-Hiaa (83497) |
$43.20 |
$54 |
3.3× |
| Acetone serum qual (82009) |
$20 |
$25 |
4.4× |
| Acetone, quantitative (82010) |
$256.80 |
$321 |
31.4× |
| Acth (82024) |
$182.40 |
$228 |
4.7× |
| Acth stim adrenal insuff (80400) |
$159.20 |
$199 |
4.9× |
| Activated protein c resistance (85307) |
$136.80 |
$171 |
8.9× |
| Acute hepatitis panel (80074) |
$188 |
$235 |
3.9× |
| Acylcarnitines quantitative (82017) |
$159.20 |
$199 |
9.4× |
| Acylcarnitines; qualitative, each specimen Other Outpatient (82016) |
$25.60 |
$32 |
1.6× |
| Adenovirus ag if (87260) |
$148.80 |
$186 |
10.3× |
| Adenovirus antibody (86603) |
$25.60 |
$32 |
2.0× |
| Afb concentration (87015) |
$33.60 |
$42 |
5.0× |
| Afb culture (87116) |
$81.60 |
$102 |
7.6× |
| Afb smear (87206) |
$51.20 |
$64 |
9.5× |
| Albumin body fluid (82042) |
$152 |
$190 |
19.5× |
| Albumin serum (82040) |
$24.80 |
$31 |
5.0× |
| Aldolase (82085) |
$42.40 |
$53 |
4.4× |
| Aldosterone (82088) |
$151.20 |
$189 |
3.7× |
| Alkaline phosphatase (84075) |
$8.80 |
$11 |
1.7× |
| Alkaline phosphatase isoenzymes (84080) |
$75.20 |
$94 |
5.1× |
| Allergen profile perennial allergen (86003) |
$27.60 |
$34.50 |
5.3× |
| Alpha-1-antitrypsin (82103) |
$68.80 |
$86 |
5.1× |
| Alpha-fetoprotein serum (82105) |
$79.20 |
$99 |
4.7× |
| Alt (84460) |
$24.80 |
$31 |
4.7× |
| Aluminum (82108) |
$104.80 |
$131 |
4.1× |
| Alzheimer disease eval tau total csf (84394) |
$542.40 |
$678 |
4.2× |
| Amikacin level (80150) |
$51.20 |
$64 |
3.4× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$148.80 |
$186 |
8.8× |
| Ammonia (82140) |
$41.20 |
$51.50 |
2.8× |
| Amylase (82150) |
$48 |
$60 |
7.4× |
| Ana (86038) |
$78.40 |
$98 |
6.5× |
| Ana titer (86039) |
$30.80 |
$38.50 |
2.8× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$106.40 |
$133 |
8.1× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$98.80 |
$123.50 |
6.5× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$83.60 |
$104.50 |
4.6× |
| Analysis for antibody to La crosse (California) virus (encephalitis causing virus) (86651) |
$57.60 |
$72 |
4.4× |
| Analysis for antibody to respiratory syncytial virus (RSV) (86756) |
$48 |
$60 |
3.0× |
| Androstenedione (82157) |
$177.60 |
$222 |
6.1× |
| Angiotensin converting enzyme (82164) |
$85.60 |
$107 |
5.9× |
| Anti-mitochondrial antibody (86255) |
$96 |
$120 |
8.0× |
| Anti-phosphatidylserine antibody (86148) |
$140.80 |
$176 |
8.8× |
| Antibody identification platelet antibodies (86022) |
$206.40 |
$258 |
11.2× |
| Antibody west nile virus igm (86788) |
$118.40 |
$148 |
7.0× |
| Antibody; Helicobacter pylori (86677) |
$56.80 |
$71 |
3.4× |
| Antistreptolysin o titer (86060) |
$66 |
$82.50 |
9.0× |
| Antithrombin iii activity (85300) |
$158.80 |
$198.50 |
13.4× |
| Antithrombin iii antigen (85301) |
$184.80 |
$231 |
17.1× |
| Apolipoprotein each (82172) |
$92.80 |
$116 |
4.4× |
| Arsenic (82175) |
$91.20 |
$114 |
4.8× |
| Aspergillus antibody (86606) |
$77.20 |
$96.50 |
5.1× |
| Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) |
$102.40 |
$128 |
5.7× |
| Assay of vitamin not otherwise specified (84591) |
$188.80 |
$236 |
11.1× |
| Ast (84450) |
$24 |
$30 |
4.6× |
| Autologous blood or component, collection processing and storage; predeposited (86890) |
$303.20 |
$379 |
1.7× |
| B cells total count (86355) |
$52.80 |
$66 |
1.4× |
| Bacterium antibody (86609) |
$36 |
$45 |
2.8× |
| Bartonella antibody (86611) |
$78.40 |
$98 |
7.7× |
| Basic metabolic panel calcium ionized (80047) |
$65.60 |
$82 |
4.8× |
| Bcr/abl 1 gene other bp (81208) |
$520 |
$650 |
2.4× |
| Bcr/abl1 gene major bp (81206) |
$550.40 |
$688 |
3.4× |
| Bcr/abl1 gene minor bp (81207) |
$467.20 |
$584 |
3.2× |
| Beta 2 glycoprotein i antibody (86146) |
$108.80 |
$136 |
4.3× |
| Beta lactamase (87185) |
$254.40 |
$318 |
53.6× |
| Beta-2 microglobulin (82232) |
$94.80 |
$118.50 |
5.9× |
| Beta-amyloid 1-42 (abeta 42) (82234) |
$542.40 |
$678 |
4.2× |
| Bile acids total (82239) |
$57.60 |
$72 |
3.4× |
| Bilirubin direct (82248) |
$15.60 |
$19.50 |
3.1× |
| Bilirubin total (82247) |
$21.60 |
$27 |
4.3× |
| Biotinidase (82261) |
$68 |
$85 |
4.0× |
| Blastomyces antibody (86612) |
$52.80 |
$66 |
4.1× |
| Blood count leukocyte wbc automated (85048) |
$9.60 |
$12 |
3.8× |
| Blood count reticulocyte automated (85045) |
$72.80 |
$91 |
18.2× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$30 |
$37.50 |
9.9× |
| Blood gases any combination (82803) |
$150.40 |
$188 |
5.8× |
| Blood gases ph only (82800) |
$68.80 |
$86 |
6.3× |
| Blood typing rbc antigens (86905) |
$556.80 |
$696 |
145.4× |
| Blood typing serologic abo (86900) |
$136.40 |
$170.50 |
45.6× |
| Blood typing serologic rh (d) (86901) |
$34.40 |
$43 |
11.5× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$93.60 |
$117 |
14.7× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$54.40 |
$68 |
3.4× |
| Bone marrow smear interpretation (85097) |
$140.80 |
$176 |
0.2× |
| Bordetella pertussis igm (86615) |
$118.40 |
$148 |
9.0× |
| Braf gene (81210) |
$357.20 |
$446.50 |
2.0× |
| Brucella antibody (86622) |
$146.80 |
$183.50 |
16.4× |
| C diff amplified probe (87493) |
$121.60 |
$152 |
3.3× |
| C-peptide (84681) |
$83.60 |
$104.50 |
4.0× |
| C-reactive protein (86140) |
$16 |
$20 |
3.1× |
| C-reactive protein high sensitivity (86141) |
$40 |
$50 |
3.1× |
| Ca 125 (86304) |
$86.80 |
$108.50 |
4.2× |
| Ca 15-3 (86300) |
$170.40 |
$213 |
8.2× |
| Cadmium (82300) |
$83.20 |
$104 |
3.5× |
| Calcitonin (82308) |
$228 |
$285 |
8.5× |
| Calcium ionized (82330) |
$143.20 |
$179 |
10.5× |
| Calcium total (82310) |
$15.60 |
$19.50 |
3.0× |
| Calcium, random urine (82340) |
$28 |
$35 |
4.6× |
| Calprotectin fecal (83993) |
$239.20 |
$299 |
12.2× |
| Cancer antigen 19-9 (86301) |
$98.40 |
$123 |
4.7× |
| Candida antibody (86628) |
$104.80 |
$131 |
8.7× |
| Carbamazepine total (80156) |
$44.40 |
$55.50 |
3.0× |
| Carbohydrate deficient transferrin (82373) |
$152.80 |
$191 |
8.5× |
| Carbon dioxide (82374) |
$23.20 |
$29 |
4.8× |
| Carbon monoxide (82375) |
$42.40 |
$53 |
3.4× |
| Cardiolipin antibody ea ig class (86147) |
$139.20 |
$174 |
5.5× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$56.80 |
$71 |
3.4× |
| Casein igg (86001) |
$56.80 |
$71 |
7.3× |
| Catecholamines fractionated (82384) |
$185.60 |
$232 |
7.4× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$148.80 |
$186 |
3.2× |
| Cea (82378) |
$90.40 |
$113 |
4.8× |
| Cell count body fluid (89050) |
$73.60 |
$92 |
15.6× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$41.60 |
$52 |
7.4× |
| Ceruloplasmin (82390) |
$72.80 |
$91 |
6.8× |
| Cftr gene com variants (81220) |
$1,528 |
$1,910 |
2.7× |
| Chemiluminescent assay (82397) |
$129.60 |
$162 |
9.2× |
| Chg fresh frozen plasma thawing each unit (86927) |
$74.40 |
$93 |
0.4× |
| Chg skin test unlisted antigen each (86486) |
$64 |
$80 |
2.2× |
| Chlamydia antibody (86631) |
$46.40 |
$58 |
3.9× |
| Chlamydia antibody igm (86632) |
$19.20 |
$24 |
1.5× |
| Chlamydia culture (87110) |
$27.20 |
$34 |
1.4× |
| Chlamydia pneumoniae PCR (87486) |
$184.80 |
$231 |
5.3× |
| Chloride blood (82435) |
$21.60 |
$27 |
4.7× |
| Chloride other source (82438) |
$65.60 |
$82 |
13.1× |
| Chloride urine (82436) |
$24 |
$30 |
4.2× |
| Cholesterol total (82465) |
$22.40 |
$28 |
5.1× |
| Cholinesterase rbc (82482) |
$40.80 |
$51 |
4.2× |
| Cholinesterase serum (82480) |
$41.60 |
$52 |
5.3× |
| Chorionic gonadotropin test (84702) |
$49.60 |
$62 |
3.3× |
| Chromium (82495) |
$101.60 |
$127 |
5.0× |
| Chromogranin a (86316) |
$131.20 |
$164 |
6.3× |
| Chromosome analysis 15-20 cells (88262) |
$470.40 |
$588 |
3.7× |
| Chromosome analysis for genetic defects, additional high resolution study (88289) |
$134.40 |
$168 |
3.9× |
| Chromosome analysis for genetic defects, additional karyotypes, each study (88280) |
$119.20 |
$149 |
3.6× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Other Outpatient (88267) |
$880 |
$1,100 |
4.7× |
| Citrate (82507) |
$93.60 |
$117 |
3.4× |
| Ck mb fraction (82553) |
$54.40 |
$68 |
4.7× |
| Clostridium ag eia (87324) |
$219.20 |
$274 |
18.3× |
| Clot inhibit prot s total (85305) |
$245.20 |
$306.50 |
21.1× |
| Clotting funct activity (85397) |
$286 |
$357.50 |
9.3× |
| Clotting; factor VIII, von Willebrand factor, multimetric analysis Other Outpatient (85247) |
$110.40 |
$138 |
4.8× |
| Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) |
$132.80 |
$166 |
14.6× |
| Cmv antibody (86644) |
$72.80 |
$91 |
5.1× |
| Cns DNA/RNA amp probe multiple subtypes 12-25 (87483) |
$986.40 |
$1,233 |
2.4× |
| Coagulation time activated (85347) |
$27.20 |
$34 |
6.4× |
| Coccidioides antibody (86635) |
$79.60 |
$99.50 |
6.9× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$259.20 |
$324 |
10.8× |
| Cold agglutinins titer (86157) |
$56 |
$70 |
6.9× |
| Collagen cross links (82523) |
$112 |
$140 |
6.0× |
| Complement antigen ea component (86160) |
$65.60 |
$82 |
5.5× |
| Complement total (ch50) (86162) |
$165.60 |
$207 |
8.1× |
| Coombs test indirect titer (86886) |
$190.40 |
$238 |
36.8× |
| Copper (82525) |
$72 |
$90 |
5.8× |
| Cortisol free (82530) |
$158 |
$197.50 |
9.5× |
| Cortisol saliva (82533) |
$77.60 |
$97 |
4.8× |
| COVID-19 antibody (86769) |
$108 |
$135 |
2.6× |
| Coxsackie a9 virus antibody (86658) |
$43.20 |
$54 |
3.3× |
| Creatine kinase isoenzymes (82552) |
$101.60 |
$127 |
7.6× |
| Creatine kinase total (82550) |
$20.40 |
$25.50 |
3.1× |
| Creatinine (82565) |
$16.40 |
$20.50 |
3.2× |
| Creatinine clearance (82575) |
$44 |
$55 |
4.7× |
| Creatinine other source (82570) |
$16 |
$20 |
3.1× |
| Crossmatch ahg (86922) |
$176.80 |
$221 |
1.0× |
| Cryoglobulins (82595) |
$42.40 |
$53 |
6.6× |
| Cryptosporidium ag eia (87328) |
$66.40 |
$83 |
4.8× |
| Crystals fluid (89060) |
$131.60 |
$164.50 |
18.0× |
| Culture anaerobic (87075) |
$91.20 |
$114 |
9.6× |
| Culture blood (87040) |
$33.20 |
$41.50 |
3.2× |
| Culture fungus blood (87103) |
$52 |
$65 |
2.5× |
| Culture fungus skin hair nail (87101) |
$91.20 |
$114 |
11.8× |
| Culture stool (87045) |
$65.60 |
$82 |
6.9× |
| Culture typing if ea antiserum (87140) |
$53.20 |
$66.50 |
9.6× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$72 |
$90 |
8.9× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$81.60 |
$102 |
10.1× |
| Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except… (87071) |
$54 |
$67.50 |
5.5× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$14.40 |
$18 |
1.5× |
| Culture, mycobacterial, definitive identification, each isolate Other Outpatient (87118) |
$169.60 |
$212 |
11.6× |
| Cyanide (82600) |
$103.20 |
$129 |
5.3× |
| Cyclic citrullinated peptide ab (86200) |
$79.60 |
$99.50 |
6.1× |
| Cyclosporine (80158) |
$202 |
$252.50 |
11.2× |
| Cystatin c (82610) |
$51.20 |
$64 |
2.8× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$207.20 |
$259 |
15.9× |
| Cytog alys chrmoml abnor cpy number&snp vrnt cgh (81229) |
$3,185.60 |
$3,982 |
2.7× |
| Cytogenetics 25-99 (88274) |
$216 |
$270 |
5.1× |
| Cytomeg DNA amp probe (87496) |
$156 |
$195 |
4.4× |
| Cytomegalovirus antibody igm (86645) |
$72.80 |
$91 |
4.3× |
| Cytopathology, smears, any other source; preparation, screening and interpretation (88161) |
$155.20 |
$194 |
5.3× |
| Cytp eval fine needle aspirate interp & report (88173) |
$315.20 |
$394 |
5.9× |
| D-dimer quantitative (85379) |
$59.20 |
$74 |
5.8× |
| Deoxycortisol (82634) |
$93.60 |
$117 |
3.2× |
| Deoxyribonuclease antibody (86215) |
$135.20 |
$169 |
10.2× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$74.80 |
$93.50 |
5.4× |
| Dhea (82626) |
$163.20 |
$204 |
6.5× |
| Dhea sulfate (82627) |
$148.80 |
$186 |
6.7× |
| Dibucaine number (82638) |
$44 |
$55 |
3.6× |
| Digoxin (80162) |
$40.40 |
$50.50 |
3.0× |
| Dihydrotestosterone (82642) |
$89.60 |
$112 |
3.1× |
| Direct antiglobulin test (86880) |
$88 |
$110 |
16.3× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded)… (81234) |
$768.80 |
$961 |
5.6× |
| DNA/RNA amplified probe (87150) |
$114.40 |
$143 |
3.3× |
| DNA/RNA sequencing (87153) |
$392.80 |
$491 |
3.4× |
| Drug assay adalimumab (80145) |
$391.20 |
$489 |
10.1× |
| Drug assay felbamate (80167) |
$151.20 |
$189 |
8.1× |
| Drug assay flecainide (80181) |
$164.80 |
$206 |
8.8× |
| Drug assay infliximab (80230) |
$471.60 |
$589.50 |
12.2× |
| Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes,… (81418) |
$2,280 |
$2,850 |
2.5× |
| Drug screen quant caffeine (80155) |
$105.60 |
$132 |
2.7× |
| Drug screen quant clozapine (80159) |
$234.40 |
$293 |
11.6× |
| Drug screen quant everolimus (80169) |
$171.20 |
$214 |
12.5× |
| Drug screen quant levetiracetam (80177) |
$79.20 |
$99 |
6.0× |
| Drug screen quant mycophenolate (80180) |
$252.80 |
$316 |
14.0× |
| Drug screen quant zonisamide (80203) |
$171.20 |
$214 |
12.9× |
| Drug screen quantitative oxcarbazepine (80183) |
$166.40 |
$208 |
12.6× |
| Drug test prsmv chem anlyzr (80307) |
$134 |
$167.50 |
2.2× |
| Drug test prsmv dir opt obs (80305) |
$20.80 |
$26 |
1.7× |
| Ear culture (87070) |
$42.80 |
$53.50 |
5.0× |
| Egfr gene analysis common variants (81235) |
$1,164 |
$1,455 |
3.6× |
| Ehrlichia antibody (86666) |
$104.80 |
$131 |
10.3× |
| Electrolytes panel (80051) |
$55.60 |
$69.50 |
7.9× |
| Electrophoretic test (82664) |
$168.80 |
$211 |
2.7× |
| Encephaltis east eqne anbdy - encephalitis, eastern equine anti igg csf (86652) |
$105.20 |
$131.50 |
8.0× |
| Encephaltis st louis antbody - encephalitis, st. louis antibody, igg csf (86653) |
$61.20 |
$76.50 |
4.6× |
| Encephaltis west eqne antbdy - encephalitis, western equine anti igg csf (86654) |
$63.20 |
$79 |
4.8× |
| Enterovirus by PCR (87498) |
$221.60 |
$277 |
6.3× |
| Eosinophils urine (87205) |
$29.20 |
$36.50 |
6.8× |
| Erythropoietin (82668) |
$190.40 |
$238 |
10.1× |
| Estradiol (82670) |
$130.40 |
$163 |
4.7× |
| Estriol (82677) |
$74.40 |
$93 |
3.1× |
| Estrone (82679) |
$84 |
$105 |
3.4× |
| Eval amniotic fluid protein (84112) |
$269.60 |
$337 |
2.7× |
| Extractable nuclear antigen antibody any method (86235) |
$96.40 |
$120.50 |
5.4× |
| F2 gene analysis (81240) |
$239.20 |
$299 |
3.6× |
| F5 gene (81241) |
$232.80 |
$291 |
3.2× |
| Factor ii activity (85210) |
$196 |
$245 |
15.1× |
| Factor inhibitor test (85335) |
$266.40 |
$333 |
20.7× |
| Factor ix activity (85250) |
$186.40 |
$233 |
9.8× |
| Factor v activity (85220) |
$188.80 |
$236 |
10.7× |
| Factor vii activity (85230) |
$188.80 |
$236 |
10.5× |
| Factor viii activity (85240) |
$92 |
$115 |
5.1× |
| Factor viii vw antigen (85246) |
$225.60 |
$282 |
9.8× |
| Factor x (stuart-prower) (85260) |
$131.20 |
$164 |
7.3× |
| Factor xi activity (85270) |
$173.60 |
$217 |
9.7× |
| Factor xii (hageman) (85280) |
$163.20 |
$204 |
8.4× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$123.20 |
$154 |
7.3× |
| Ferritin (82728) |
$42 |
$52.50 |
3.1× |
| Fetal fibronectin (82731) |
$302.40 |
$378 |
4.7× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$111.20 |
$139 |
11.9× |
| Fetal lung maturity assessment; lamellar body density Other Outpatient (83664) |
$63.20 |
$79 |
3.3× |
| Fibrin split products (85362) |
$79.20 |
$99 |
11.5× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Other Outpatient (85366) |
$300.80 |
$376 |
3.7× |
| Fibrinogen antigen (85385) |
$147.20 |
$184 |
10.2× |
| Fibrinogen, activity (85384) |
$59.20 |
$74 |
6.1× |
| Fibrinolysins or coagulopathy screen, interpretation and report Other Outpatient (85390) |
$94.40 |
$118 |
6.1× |
| Flow cytometry first marker (88184) |
$344.80 |
$431 |
0.9× |
| FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene… (81244) |
$336 |
$420 |
7.5× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$352.80 |
$441 |
6.2× |
| Folate serum (82746) |
$44.40 |
$55.50 |
3.0× |
| Folic acid rbc (82747) |
$60 |
$75 |
3.4× |
| Follicle stimulating hormone (fsh) (83001) |
$56.80 |
$71 |
3.1× |
| Francisella tularensis ab (86668) |
$98.40 |
$123 |
6.9× |
| Fructosamine (82985) |
$50.40 |
$63 |
3.0× |
| Ftl cgen abnor four anal (81511) |
$312.40 |
$390.50 |
2.0× |
| Ftl cgen abnor two proteins (81508) |
$161.60 |
$202 |
3.0× |
| Fungus isolation culture (87102) |
$110.80 |
$138.50 |
13.2× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$64.80 |
$81 |
5.3× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$7.20 |
$9 |
0.6× |
| Galectin-3 (82777) |
$262.40 |
$328 |
5.9× |
| Gamma glutamyl transferase (82977) |
$10.40 |
$13 |
1.4× |
| Gammaglobulin ige (82785) |
$44 |
$55 |
2.7× |
| Gastrin (82941) |
$95.20 |
$119 |
5.4× |
| Genet virus isolate hsv (87255) |
$84.80 |
$106 |
2.5× |
| Gentamicin (80170) |
$145.60 |
$182 |
8.9× |
| Giardia antigen (87329) |
$80 |
$100 |
6.7× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$24.43 |
$30.54 |
7.4× |
| Glucagon (82943) |
$118.40 |
$148 |
8.3× |
| Glucose Fasting (82947) |
$19.20 |
$24 |
4.9× |
| Glucose other fluid (82945) |
$36.40 |
$45.50 |
9.3× |
| Glucose post glucose dose (82950) |
$24 |
$30 |
5.1× |
| Glucose tolerance test (gtt) (82951) |
$61.20 |
$76.50 |
4.8× |
| Glucose-6-pd (82955) |
$184 |
$230 |
19.0× |
| Glycated hemoglobin (83036) |
$24 |
$30 |
2.5× |
| Gonadotropin releasing hormone (83727) |
$301.60 |
$377 |
17.5× |
| Growth hormone (hgh) (83003) |
$123.20 |
$154 |
7.4× |
| Gtt-added samples (82952) |
$33.20 |
$41.50 |
8.5× |
| H pylori breath test (83013) |
$226.40 |
$283 |
3.4× |
| H pylori stool (87338) |
$101.60 |
$127 |
7.1× |
| H pylri clrthmcn rst amp prb (87513) |
$776 |
$970 |
22.1× |
| Haptoglobin (83010) |
$60 |
$75 |
4.8× |
| Hba1/hba2 gene analysis dup/del variants (81269) |
$685.60 |
$857 |
3.4× |
| Hbsag neutralization (87341) |
$263.20 |
$329 |
25.5× |
| Hcg ql (84703) |
$24.40 |
$30.50 |
3.2× |
| HDL cholesterol (83718) |
$39.20 |
$49 |
4.8× |
| Heavy metal quan each nes (83018) |
$159.20 |
$199 |
7.2× |
| Hematocrit (hct) (85014) |
$16 |
$20 |
6.8× |
| Hematocrit spun (85013) |
$34.40 |
$43 |
4.9× |
| Hemoglobin (85018) |
$10.40 |
$13 |
4.4× |
| Hemoglobin electrophoresis (83020) |
$145.60 |
$182 |
11.3× |
| Hemoglobin fractj/quantj chromotography (83021) |
$216 |
$270 |
12.0× |
| Hep a ab total (86708) |
$110.40 |
$138 |
8.9× |
| Hepatitis a antibody igm (86709) |
$22.40 |
$28 |
2.0× |
| Hepatitis b core antibody igm (86705) |
$59.20 |
$74 |
5.0× |
| Hepatitis b core antibody total (86704) |
$46.80 |
$58.50 |
3.9× |
| Hepatitis b DNA quant (87517) |
$537.60 |
$672 |
12.5× |
| Hepatitis b surface ab (86706) |
$82.40 |
$103 |
7.7× |
| Hepatitis b surface antigen (87340) |
$52.80 |
$66 |
5.1× |
| Hepatitis be antibody (86707) |
$148.80 |
$186 |
12.9× |
| Hepatitis be antigen (87350) |
$224 |
$280 |
19.4× |
| Hepatitis c antibody (86803) |
$44.80 |
$56 |
3.1× |
| Hepatitis c genotype (87902) |
$614.40 |
$768 |
2.4× |
| Hepatitis c RNA quantitative (87522) |
$384 |
$480 |
9.0× |
| Herpes simplex virus by PCR (87529) |
$128.80 |
$161 |
3.7× |
| Heterophile antibody screen (86308) |
$16 |
$20 |
3.1× |
| Hexagonal phospholipid neutralization (85598) |
$247.20 |
$309 |
13.7× |
| Hexosaminidase a percent & total hexosaminidase in leukocytes arup 2008125 (83080) |
$252 |
$315 |
14.9× |
| Hfe gene (81256) |
$219.20 |
$274 |
3.4× |
| Histoplasma antibody (86698) |
$92.80 |
$116 |
6.7× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$103.20 |
$129 |
4.3× |
| HIV-1 antibody (86701) |
$181.60 |
$227 |
20.4× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$64.80 |
$81 |
4.7× |
| HIV-2 antibody (86702) |
$272.80 |
$341 |
20.2× |
| Hla b27 (86812) |
$140 |
$175 |
5.4× |
| Hla ii typing 1 locus lr (81376) |
$310.80 |
$388.50 |
2.5× |
| Homocysteine level (83090) |
$79.20 |
$99 |
4.4× |
| Homogenization tissue (87176) |
$75.20 |
$94 |
12.8× |
| Homovanillic acid urine (83150) |
$116 |
$145 |
5.2× |
| Hpv high-risk types (87624) |
$50.40 |
$63 |
1.4× |
| Hpv low-risk types (87623) |
$78.40 |
$98 |
2.2× |
| Hpv sep hi-rsk typ&pool rslt (87626) |
$68 |
$85 |
1.0× |
| Htlv-i antibody (86687) |
$87.20 |
$109 |
9.6× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$222.40 |
$278 |
11.5× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$188.80 |
$236 |
2.7× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$116 |
$145 |
3.3× |
| Iadna HIV-2 amplified probe & reverse transcripj (87538) |
$256 |
$320 |
7.3× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$110.80 |
$138.50 |
2.2× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$286.40 |
$358 |
2.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$518.40 |
$648 |
1.2× |
| Igg subclass 1 (82787) |
$48.80 |
$61 |
6.1× |
| Immune complex assay (86332) |
$119.20 |
$149 |
4.9× |
| Immunoassay analyte quantitative nos (83520) |
$126.40 |
$158 |
7.3× |
| Immunoassay infectious agent antibody quan nos (86317) |
$25.20 |
$31.50 |
1.7× |
| Immunodiffusion nes (86329) |
$255.20 |
$319 |
18.2× |
| Immunodiffusion ouchterlony (86331) |
$56.80 |
$71 |
4.7× |
| Immunofixation electrophoresis (86334) |
$139.20 |
$174 |
6.2× |
| Immunofixation urine (86335) |
$147.20 |
$184 |
5.0× |
| Immunoglobulin d (82784) |
$33.20 |
$41.50 |
3.6× |
| Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure (88344) |
$403.20 |
$504 |
1.1× |
| Immunoperoxidase (88342) |
$292.80 |
$366 |
1.7× |
| In situ hybridization 1st probe stain (88365) |
$515.20 |
$644 |
3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$56.80 |
$71 |
4.1× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$86 |
$107.50 |
5.4× |
| Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other… (87299) |
$148.80 |
$186 |
9.2× |
| Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Other… (87801) |
$643.20 |
$804 |
9.2× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$284.80 |
$356 |
6.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$95.20 |
$119 |
2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$368 |
$460 |
8.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) |
$181.60 |
$227 |
4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Other Outpatient (87531) |
$181.60 |
$227 |
3.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Other Outpatient (87533) |
$504 |
$630 |
12.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$118.40 |
$148 |
3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$447.20 |
$559 |
5.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$302.40 |
$378 |
7.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)… (87636) |
$326 |
$407.50 |
2.3× |
| Influenza a ag if (87276) |
$148.80 |
$186 |
9.3× |
| Influenza antibody (86710) |
$56 |
$70 |
4.1× |
| Influenza assay w/optic (87804) |
$45.60 |
$57 |
2.8× |
| Inhibin a (86336) |
$80 |
$100 |
5.1× |
| Insulin free (83527) |
$81.60 |
$102 |
6.3× |
| Insulin total (83525) |
$48.40 |
$60.50 |
4.2× |
| Intrinsic factor antibody (86340) |
$50.40 |
$63 |
3.3× |
| Iron (83540) |
$15.20 |
$19 |
2.3× |
| Iron binding capacity (83550) |
$20.80 |
$26 |
2.4× |
| Islet cell antibody (86341) |
$167.60 |
$209.50 |
7.1× |
| Jak2 gene (81270) |
$456 |
$570 |
5.0× |
| Kras gene (81275) |
$530.40 |
$663 |
2.7× |
| Lacosamide (80235) |
$229.60 |
$287 |
8.5× |
| Lactate (83605) |
$58 |
$72.50 |
5.0× |
| Lactate dehydrogenase (83615) |
$26.40 |
$33 |
4.4× |
| Lactoferrin fecal (qual) (83630) |
$46.40 |
$58 |
2.4× |
| Lamotrigine (80175) |
$152 |
$190 |
11.5× |
| Ldh isoenzymes (83625) |
$55.20 |
$69 |
4.3× |
| LDL direct (83721) |
$29.20 |
$36.50 |
2.8× |
| Lead (83655) |
$22.40 |
$28 |
1.8× |
| Legionella antibody (86713) |
$74.40 |
$93 |
4.9× |
| Legionella culture (87081) |
$35.20 |
$44 |
5.3× |
| Legionella urine antigen (87449) |
$26.40 |
$33 |
2.2× |
| Leptospira antibody (86720) |
$137.60 |
$172 |
8.5× |
| Leukocyte antibody id (86021) |
$105.60 |
$132 |
7.0× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$201.60 |
$252 |
5.3× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$227.20 |
$284 |
4.3× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$225.60 |
$282 |
4.2× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$672 |
$840 |
1.8× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$997.60 |
$1,247 |
1.2× |
| Lipase (83690) |
$29.20 |
$36.50 |
4.2× |
| Lipopro bld electrophoretic (83700) |
$65.60 |
$82 |
5.8× |
| Lipoprotein (a) (83695) |
$43.20 |
$54 |
3.0× |
| Lipoprotein bld by nmr (83704) |
$132 |
$165 |
3.9× |
| Lipoprotein bld hr fraction (83701) |
$118.40 |
$148 |
3.5× |
| Lithium (80178) |
$37.20 |
$46.50 |
5.6× |
| Luteinizing hormone (lh) (83002) |
$88 |
$110 |
4.8× |
| Lyme disease antibody (86617) |
$70.40 |
$88 |
4.5× |
| Lyme disease antibody (86618) |
$86.40 |
$108 |
5.1× |
| Lymph choriomeningitis ab (86727) |
$25.60 |
$32 |
2.0× |
| Lymphocyte transformation (86353) |
$359.20 |
$449 |
7.3× |
| M/phmtrc alys in situ hybridization ea probe mnl (88368) |
$403.20 |
$504 |
1.1× |
| Macroscopic exam parasite (87169) |
$111.20 |
$139 |
25.8× |
| Magnesium (83735) |
$32 |
$40 |
4.8× |
| Malaria smear (87207) |
$51.20 |
$64 |
8.5× |
| Manual differential (85007) |
$26 |
$32.50 |
6.8× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Other Outpatient (81304) |
$1,260 |
$1,575 |
8.4× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Other Outpatient (81302) |
$1,734 |
$2,167.50 |
3.3× |
| Mercury (83825) |
$54.40 |
$68 |
3.3× |
| Metanephrines (83835) |
$101.60 |
$127 |
6.0× |
| Methemoglobin quant (83050) |
$35.20 |
$44 |
4.3× |
| Methylmalonic acid serum (83921) |
$104.80 |
$131 |
4.9× |
| Microalbumin urine (82043) |
$18 |
$22.50 |
3.1× |
| Mitochondrial antibody each (86381) |
$52 |
$65 |
2.0× |
| Mold id (87107) |
$172 |
$215 |
16.7× |
| Molecular cytogenetics DNA probe each (88271) |
$200.80 |
$251 |
9.4× |
| Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Other… (88272) |
$720.80 |
$901 |
17.7× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$114.40 |
$143 |
2.2× |
| Monocyte monolayer assay (mma) - oneblood (86999) |
$355.20 |
$444 |
12.0× |
| Mononuclear cell antigen (86356) |
$138.40 |
$173 |
5.2× |
| Mopath procedure level 2 (81401) |
$462 |
$577.50 |
3.4× |
| Mopath procedure level 4 (81403) |
$586.40 |
$733 |
3.2× |
| Mopath procedure level 6 (81405) |
$887.20 |
$1,109 |
2.9× |
| Mopath procedure level 7 (81406) |
$1,810.40 |
$2,263 |
6.4× |
| Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) |
$766.80 |
$958.50 |
2.1× |
| Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) |
$899.20 |
$1,124 |
5.2× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$299.20 |
$374 |
1.7× |
| Mrsa PCR (87641) |
$160 |
$200 |
4.6× |
| Mthfr gene (81291) |
$280 |
$350 |
4.3× |
| Mucopolysaccharides screen-electro and qnt urine 0081352 r1 (83864) |
$512.80 |
$641 |
18.0× |
| Mumps antibody (86735) |
$66.80 |
$83.50 |
5.1× |
| Mycobacteria DNA amp probe (87551) |
$420 |
$525 |
8.7× |
| Mycoplasma antibody (86738) |
$36 |
$45 |
2.7× |
| Mycoplasma pneumoniae by PCR (87581) |
$184.80 |
$231 |
5.3× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$91.20 |
$114 |
7.9× |
| Myelin basic protein (83873) |
$70.40 |
$88 |
4.1× |
| Myoglobin (83874) |
$61.60 |
$77 |
4.8× |
| N.gonorrhoeae DNA amp prob (87591) |
$95.20 |
$119 |
2.7× |
| Natriuretic peptide (83880) |
$95.20 |
$119 |
2.4× |
| Nephelometry ea analyte (83883) |
$148 |
$185 |
10.9× |
| Neutralization test viral (86382) |
$153.60 |
$192 |
9.1× |
| Nfct ds bv&vaginitis DNA alg (81515) |
$310.80 |
$388.50 |
1.2× |
| Nk cells total count (86357) |
$52.80 |
$66 |
1.4× |
| Nras gene variants exon 2&3 (81311) |
$823.20 |
$1,029 |
2.8× |
| Obstetric panel includes HIV testing (80081) |
$338 |
$422.50 |
4.5× |
| Occult blood other sources (82271) |
$18.40 |
$23 |
3.5× |
| Occult blood screening (82270) |
$12.40 |
$15.50 |
2.8× |
| Oligoclonal bands (83916) |
$143.20 |
$179 |
5.2× |
| Organic acids qual each (83919) |
$158.40 |
$198 |
9.6× |
| Orthopoxvirus amp prb each (87593) |
$72.80 |
$91 |
1.4× |
| Osmolality serum (83930) |
$37.60 |
$47 |
5.7× |
| Osmolality urine (83935) |
$41.60 |
$52 |
6.1× |
| Osmotic fragility rbc incubated (85557) |
$200.80 |
$251 |
15.0× |
| Ova and parasite exam (87177) |
$25.20 |
$31.50 |
2.8× |
| Oxalate urine (83945) |
$77.60 |
$97 |
5.4× |
| Pancreatic polypeptide (83519) |
$245.60 |
$307 |
13.3× |
| Parainfluenza ag if (87279) |
$148.80 |
$186 |
9.1× |
| Parathyroid hormone (83970) |
$97.60 |
$122 |
2.4× |
| Particle agglutination tst, scrn - bacterial antigen detect grp b strep (86403) |
$46.40 |
$58 |
4.0× |
| Parvovirus antibody (86747) |
$82.40 |
$103 |
5.5× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$412.80 |
$516 |
1.1× |
| Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) |
$203.20 |
$254 |
0.2× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$214.40 |
$268 |
1.2× |
| Pertussis by PCR (87798) |
$140 |
$175 |
4.0× |
| Ph body fluid (83986) |
$19.20 |
$24 |
5.4× |
| Phenobarbital (80184) |
$54.40 |
$68 |
3.6× |
| Phenylalanine (84030) |
$18.40 |
$23 |
3.3× |
| Phenytoin (dilantin) free (80186) |
$115.20 |
$144 |
8.4× |
| Phenytoin level total (80185) |
$144.80 |
$181 |
10.9× |
| Phosphorus (84100) |
$23.20 |
$29 |
4.9× |
| Phosphorus urine (84105) |
$24.80 |
$31 |
4.3× |
| Pinworm exam (87172) |
$53.60 |
$67 |
12.6× |
| Platelet aggregation ea agent (85576) |
$110.40 |
$138 |
4.4× |
| Platelet count automated (85049) |
$38.40 |
$48 |
8.6× |
| Platelet neutralization (85597) |
$185.60 |
$232 |
10.3× |
| Pneumcysts jirovecii amp prb (87594) |
$404.80 |
$506 |
11.5× |
| Porphyrins total plasma (84311) |
$203.20 |
$254 |
25.1× |
| Posaconazole (80187) |
$146.40 |
$183 |
5.4× |
| Potassium (84132) |
$15.20 |
$19 |
3.2× |
| Potassium urine (84133) |
$20.80 |
$26 |
4.4× |
| Prealbumin (84134) |
$68.80 |
$86 |
4.7× |
| Pregnenolone (84140) |
$112.80 |
$141 |
5.5× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86971) |
$166.40 |
$208 |
1.0× |
| Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with… (86970) |
$166.40 |
$208 |
2.8× |
| Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or… (86978) |
$200.80 |
$251 |
3.3× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with drugs (86975) |
$117.60 |
$147 |
0.3× |
| Pretreatment of serum for use in red blood cell antibody analysis and measurement, incubation with inhibitors (86977) |
$277.60 |
$347 |
1.6× |
| Primidone (80188) |
$101.60 |
$127 |
6.1× |
| Procalcitonin (pct) (84145) |
$230.40 |
$288 |
8.5× |
| Progesterone (84144) |
$97.60 |
$122 |
4.7× |
| Proinsulin (84206) |
$131.20 |
$164 |
4.9× |
| Prolactin (84146) |
$92 |
$115 |
4.7× |
| Prostatic acid phosphatase (84066) |
$68 |
$85 |
7.0× |
| Protein c activity (85303) |
$193.20 |
$241.50 |
14.0× |
| Protein c antigen (85302) |
$196 |
$245 |
16.3× |
| Protein electrophoresis serum (84165) |
$56 |
$70 |
5.2× |
| Protein electrophoresis urine (84166) |
$73.60 |
$92 |
4.1× |
| Protein s antigen, free (85306) |
$173.60 |
$217 |
11.3× |
| Protein total other source (84157) |
$43.20 |
$54 |
10.8× |
| Protein total serum (84155) |
$30.80 |
$38.50 |
8.4× |
| Protein total urine (84156) |
$12 |
$15 |
3.3× |
| Protein western blot (84181) |
$970.40 |
$1,213 |
57.0× |
| Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band… (84182) |
$928.80 |
$1,161 |
31.8× |
| Prothrombin time; substitution, plasma fractions, each Other Outpatient (85611) |
$146.40 |
$183 |
37.2× |
| PSA free (84154) |
$76.80 |
$96 |
4.2× |
| Pyruvate (84210) |
$61.60 |
$77 |
4.3× |
| Pyruvate kinase (84220) |
$126.40 |
$158 |
13.4× |
| Q fever antibody (86638) |
$73.60 |
$92 |
6.1× |
| Rbc antibody elution (86860) |
$355.20 |
$444 |
2.0× |
| Rbc antibody identification (86870) |
$300 |
$375 |
0.8× |
| Rbc antibody screen (86850) |
$140.80 |
$176 |
14.4× |
| Receptor assay non-endocrine specify receptor (84238) |
$122.40 |
$153 |
3.3× |
| Reducing substances fecal (84376) |
$68.80 |
$86 |
12.5× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$100.40 |
$125.50 |
8.3× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$69.60 |
$87 |
5.3× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$71.60 |
$89.50 |
3.7× |
| Renin (84244) |
$108 |
$135 |
4.9× |
| Reptilase test (85635) |
$122.40 |
$153 |
12.4× |
| Resp virus 12-25 targets (87633) |
$969.60 |
$1,212 |
2.3× |
| Resp virus 3-5 targets (87631) |
$364.80 |
$456 |
2.6× |
| Respiratory syncytial vi (87280) |
$148.80 |
$186 |
11.1× |
| Rh phenotyping complete (86906) |
$58.40 |
$73 |
7.5× |
| Rheumatoid factor (86430) |
$48.40 |
$60.50 |
7.9× |
| Rheumatoid factor quant (86431) |
$64.80 |
$81 |
11.4× |
| Rickettsia antibody (86757) |
$139.20 |
$174 |
7.2× |
| Ristocetin cofactor (85245) |
$230.80 |
$288.50 |
10.1× |
| Rl immediate spin crossmatch (86920) |
$144 |
$180 |
0.8× |
| Rpr qual (86592) |
$46.40 |
$58 |
10.9× |
| Rpr titer (86593) |
$30 |
$37.50 |
6.8× |
| Rubella antibody (86762) |
$71.20 |
$89 |
4.9× |
| Rubeola antibody (86765) |
$81.60 |
$102 |
6.3× |
| Russell viper venom diluted (85613) |
$91.20 |
$114 |
9.5× |
| Sedimentation rate rbc automated (85652) |
$20.80 |
$26 |
7.7× |
| Selenium (84255) |
$112.80 |
$141 |
4.4× |
| Semen analysis post vasectomy (89321) |
$80 |
$100 |
6.6× |
| Serotonin (84260) |
$104 |
$130 |
3.4× |
| Sex hormone binding globulin (84270) |
$83.20 |
$104 |
3.8× |
| Sickle cell screen (85660) |
$40 |
$50 |
7.3× |
| Sirolimus (80195) |
$101.60 |
$127 |
7.4× |
| Skin test tuberculosis intradermal (86580) |
$31.20 |
$39 |
1.1× |
| Smear wet mount (87210) |
$15.20 |
$19 |
2.6× |
| Sodium (84295) |
$15.20 |
$19 |
3.2× |
| Sodium other source (84302) |
$65.60 |
$82 |
13.5× |
| Sodium urine (84300) |
$23.20 |
$29 |
4.6× |
| Somatomedin (84305) |
$129.60 |
$162 |
6.1× |
| Special stains group i (88312) |
$237.60 |
$297 |
4.5× |
| Special stains group ii (88313) |
$246.80 |
$308.50 |
1.8× |
| Stone analysis (82365) |
$89.60 |
$112 |
6.9× |
| Str markers specimen anal (81265) |
$744.80 |
$931 |
3.2× |
| Strep a assay w/optic (87880) |
$45.60 |
$57 |
2.8× |
| Strep a DNA amp probe (87651) |
$102.40 |
$128 |
2.9× |
| Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Other Outpatient (86581) |
$68.80 |
$86 |
0.7× |
| Sulfate urine (84392) |
$16 |
$20 |
2.9× |
| Surg path level 1 (88300) |
$88.80 |
$111 |
3.0× |
| Susceptibility mic per plate (87186) |
$76.80 |
$96 |
8.9× |
| Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Other Outpatient (87184) |
$30.80 |
$38.50 |
4.1× |
| T3 free (84481) |
$53.20 |
$66.50 |
3.1× |
| T3 reverse (84482) |
$175.20 |
$219 |
11.1× |
| T3 uptake (84479) |
$27.20 |
$34 |
4.2× |
| T4 (thyroxine) total (84436) |
$20.80 |
$26 |
3.0× |
| Tacrolimus (80197) |
$115.20 |
$144 |
8.4× |
| Tau, phosphorylated (eg, pTau 181, pTau 217), each Other Outpatient (84393) |
$542.40 |
$678 |
4.2× |
| Tb test cell immun measure (86480) |
$120.80 |
$151 |
1.9× |
| Testosterone free (84402) |
$132.80 |
$166 |
5.2× |
| Testosterone total (84403) |
$40 |
$50 |
1.5× |
| Theophylline (80198) |
$96 |
$120 |
6.8× |
| Thiopurine drug metabolites (83789) |
$185.60 |
$232 |
7.7× |
| Thiopurine metabolites (80299) |
$150.40 |
$188 |
8.1× |
| Thiopurine methyltransferase, rbc (82657) |
$457.20 |
$571.50 |
20.6× |
| Thrombin time plasma (85670) |
$59.20 |
$74 |
10.3× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$155.20 |
$194 |
24.0× |
| Thyroglobulin (84432) |
$263.20 |
$329 |
16.4× |
| Thyroglobulin antibody (86800) |
$82.80 |
$103.50 |
5.2× |
| Thyroid peroxidase antibody (86376) |
$35.60 |
$44.50 |
2.4× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$277.60 |
$347 |
5.5× |
| Thyroxine binding globulin (84442) |
$102.40 |
$128 |
6.9× |
| Thyroxine free (ft4) (84439) |
$27.60 |
$34.50 |
3.1× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$10.40 |
$13 |
1.6× |
| Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Other Outpatient (88235) |
$859.20 |
$1,074 |
5.7× |
| Tissue culture lymphocyte (88230) |
$380.40 |
$475.50 |
3.3× |
| Topiramate (80201) |
$92.80 |
$116 |
7.8× |
| Toxoplasma antibody igg (86777) |
$71.20 |
$89 |
4.9× |
| Toxoplasma antibody igm (86778) |
$71.20 |
$89 |
4.9× |
| Transferrin (84466) |
$40.40 |
$50.50 |
3.2× |
| Treponema pallidum antibody (86780) |
$68.80 |
$86 |
5.2× |
| Trichomonas assay w/optic (87808) |
$40.80 |
$51 |
2.7× |
| Trichomonas vaginalis amplif (87661) |
$161.60 |
$202 |
4.6× |
| Trichrome stain (87209) |
$40 |
$50 |
2.2× |
| Triglycerides (84478) |
$26.40 |
$33 |
4.6× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$42 |
$52.50 |
3.0× |
| Troponin t (84484) |
$80 |
$100 |
6.4× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$105.60 |
$132 |
1.1× |
| Tyrosine (84510) |
$106.40 |
$133 |
10.0× |
| Unlisted cytogenetic study (88299) |
$447.20 |
$559 |
8.4× |
| Unlisted molecular pathology (81479) |
$1,552.80 |
$1,941 |
— |
| Urea nitrogen quantitative (84520) |
$13.20 |
$16.50 |
3.3× |
| Urea nitrogen urine (84540) |
$24 |
$30 |
4.3× |
| Uric acid blood (84550) |
$16.80 |
$21 |
3.7× |
| Uric acid other source (84560) |
$23.20 |
$29 |
4.6× |
| Urinalysis auto w/micro (81001) |
$16 |
$20 |
5.0× |
| Urinalysis volume measure (81050) |
$12.80 |
$16 |
3.5× |
| Urine bacteria culture (87088) |
$21.60 |
$27 |
2.7× |
| Urine Pregnancy Test POC (81025) |
$36.80 |
$46 |
4.3× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$8 |
$10 |
3.6× |
| Valproic acid (80164) |
$54.80 |
$68.50 |
4.0× |
| Vancomycin (80202) |
$42 |
$52.50 |
3.1× |
| Varicella zoster antibody igg (86787) |
$97.60 |
$122 |
7.6× |
| Vasoactive intestinal peptide (vip) (84586) |
$292.80 |
$366 |
8.3× |
| Viral culture non-respiratory (87252) |
$296.80 |
$371 |
11.4× |
| Virus antibody nos (86790) |
$101.60 |
$127 |
7.9× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$136 |
$170 |
7.0× |
| Viscosity (85810) |
$124.80 |
$156 |
10.7× |
| Vitamin a (84590) |
$90.40 |
$113 |
7.8× |
| Vitamin b-12 (82607) |
$46.40 |
$58 |
3.1× |
| Vitamin b1 whole blood (84425) |
$100 |
$125 |
4.7× |
| Vitamin b6 (84207) |
$167.20 |
$209 |
6.0× |
| Vitamin c (82180) |
$64.80 |
$81 |
6.6× |
| Vitamin d 25 hydroxy (82306) |
$40 |
$50 |
1.4× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$127.60 |
$159.50 |
3.3× |
| Vitamin e (84446) |
$72.80 |
$91 |
5.1× |
| Vitamin k1 (84597) |
$116.80 |
$146 |
8.5× |
| Vma (84585) |
$104.80 |
$131 |
6.8× |
| Voriconazole (80285) |
$264 |
$330 |
9.7× |
| West nile virus antibody (86789) |
$117.60 |
$147 |
8.2× |
| White blood cell histamine (immune system chemical) release test (86343) |
$343.20 |
$429 |
27.5× |
| Yeast id (87106) |
$103.20 |
$129 |
10.0× |
| Z t cells total count (86359) |
$110.40 |
$138 |
2.9× |
| Zika virus DNA/RNA amp probe (87662) |
$330.40 |
$413 |
6.4× |
| Zinc (84630) |
$68 |
$85 |
6.0× |