Lab & pathology prices at Sheridan Memorial Hospital
Sheridan, WY · every code in this section with a posted price and a Medicare benchmark.
628 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $127.60 | $159.50 | 3.3× |
| 17-Hydroxycorticosteroids (83491) | $102.40 | $128 | 5.7× |
| 5 Hiaa (83497) | $43.20 | $54 | 3.3× |
| Acth stimulation panel adrenal (80400) | $159.20 | $199 | 4.9× |
| Activated protein c resistance (85307) | $136.80 | $171 | 8.9× |
| Acute hepatitis panel (80074) | $188 | $235 | 3.9× |
| Acylcarnitine Plasma (82017) | $159.20 | $199 | 9.4× |
| Adamts13 activity (85397) | $286 | $357.50 | 9.3× |
| Additional high resolution study (88289) | $134.40 | $168 | 3.9× |
| Adenovirus ag, if (87260) | $148.80 | $186 | 10.3× |
| Adenovirus antibody (86603) | $25.60 | $32 | 2.0× |
| Afb culture (87116) | $81.60 | $102 | 7.6× |
| Albumin Fluid (82042) | $152 | $190 | 19.5× |
| Albumin serum (82040) | $24.80 | $31 | 5.0× |
| Aldolase (82085) | $42.40 | $53 | 4.4× |
| Aldosterone urine (82088) | $151.20 | $189 | 3.7× |
| Alkaline phosphatase isoenzymes (84080) | $75.20 | $94 | 5.1× |
| Allerg sp igg quan or semiquan (86001) | $56.80 | $71 | 7.3× |
| Allergen specific ige (86003) | $27.60 | $34.50 | 5.3× |
| Alpha-1-antitrypsin, total (82103) | $68.80 | $86 | 5.1× |
| Alpha-fetoprotein, serum (82105) | $79.20 | $99 | 4.7× |
| Alt (sgpt) (84460) | $24.80 | $31 | 4.7× |
| Aluminum (82108) | $104.80 | $131 | 4.1× |
| Amikacin trough (80150) | $51.20 | $64 | 3.4× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $148.80 | $186 | 8.8× |
| Ammonia (82140) | $41.20 | $51.50 | 2.8× |
| Amylase urine (82150) | $48 | $60 | 7.4× |
| Ana Titer (86039) | $30.80 | $38.50 | 2.8× |
| Angiotensin i enzyme test (82164) | $85.60 | $107 | 5.9× |
| Anti-phosphatidylserine antibody (86148) | $140.80 | $176 | 8.8× |
| Antibody Absorption (86978) | $200.80 | $251 | 3.3× |
| Antibody aspergillus (86606) | $77.20 | $96.50 | 5.1× |
| Antibody coxiella burnetii q fever (86638) | $73.60 | $92 | 6.1× |
| Antibody cytomegalovirus cmv (86644) | $72.80 | $91 | 5.1× |
| Antibody cytomegalovirus cmv igm (86645) | $72.80 | $91 | 4.3× |
| Antibody Detection Nos If (87299) | $148.80 | $186 | 9.2× |
| Antibody Encephalitis Eastern Equine (86652) | $105.20 | $131.50 | 8.0× |
| Antibody Encephalitis St. Louis (86653) | $61.20 | $76.50 | 4.6× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $106.40 | $133 | 8.1× |
| Antibody helicobacter pylori (86677) | $56.80 | $71 | 3.4× |
| Antibody herpes smplx type 1 (86695) | $69.60 | $87 | 5.3× |
| Antibody HIV-2 (86702) | $272.80 | $341 | 20.2× |
| Antibody identification (86870) | $300 | $375 | 0.8× |
| Antibody identification leukocyte antibodies (86021) | $105.60 | $132 | 7.0× |
| Antibody influenza virus (86710) | $56 | $70 | 4.1× |
| Antibody mumps (86735) | $66.80 | $83.50 | 5.1× |
| Antibody rubeola (86765) | $81.60 | $102 | 6.3× |
| Antibody screen (86850) | $140.80 | $176 | 14.4× |
| Antibody treponema pallidum (86780) | $68.80 | $86 | 5.2× |
| Antibody; Coccidioides (86635) | $79.60 | $99.50 | 6.9× |
| Antigen typing (86905) | $556.80 | $696 | 145.4× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $190.40 | $238 | 36.8× |
| Antinuclear antibodies (86038) | $78.40 | $98 | 6.5× |
| 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 b (82172) | $92.80 | $116 | 4.4× |
| Arsenic Urine (82175) | $91.20 | $114 | 4.8× |
| Assay Nephelometry Not Spec (83883) | $148 | $185 | 10.9× |
| Assay of acth (82024) | $182.40 | $228 | 4.7× |
| Assay of androstenedione (82157) | $177.60 | $222 | 6.1× |
| Assay of blood chloride (82435) | $21.60 | $27 | 4.7× |
| Assay of c-peptide (84681) | $83.60 | $104.50 | 4.0× |
| Assay of calcitonin (82308) | $228 | $285 | 8.5× |
| Assay of ceruloplasmin (82390) | $72.80 | $91 | 6.8× |
| Assay of cyclosporine (80158) | $202 | $252.50 | 11.2× |
| Assay of dibucaine number (82638) | $44 | $55 | 3.6× |
| Assay of erythropoietin (82668) | $190.40 | $238 | 10.1× |
| Assay of ferritin (82728) | $42 | $52.50 | 3.1× |
| Assay of g6pd enzyme (82955) | $184 | $230 | 19.0× |
| Assay of gammaglobulin igm (82784) | $33.20 | $41.50 | 3.6× |
| Assay of gastrin (82941) | $95.20 | $119 | 5.4× |
| Assay of gentamicin (80170) | $145.60 | $182 | 8.9× |
| Assay of glucagon (82943) | $118.40 | $148 | 8.3× |
| Assay of homocystine (83090) | $79.20 | $99 | 4.4× |
| Assay of homovanillic acid (83150) | $116 | $145 | 5.2× |
| Assay of lipoprotein(a) (83695) | $43.20 | $54 | 3.0× |
| Assay of metanephrines (83835) | $101.60 | $127 | 6.0× |
| Assay of parathormone (83970) | $97.60 | $122 | 2.4× |
| Assay of phenobarbital (80184) | $54.40 | $68 | 3.6× |
| Assay of prealbumin (84134) | $68.80 | $86 | 4.7× |
| Assay of proinsulin (84206) | $131.20 | $164 | 4.9× |
| Assay of pyruvate (84210) | $61.60 | $77 | 4.3× |
| Assay of selenium (84255) | $112.80 | $141 | 4.4× |
| Assay of serotonin (84260) | $104 | $130 | 3.4× |
| Assay of somatomedin (84305) | $129.60 | $162 | 6.1× |
| Assay of tacrolimus (80197) | $115.20 | $144 | 8.4× |
| Assay of urine vma (84585) | $104.80 | $131 | 6.8× |
| Assay of vitamin k (84597) | $116.80 | $146 | 8.5× |
| Assay Ph Body Fluid Nos (83986) | $19.20 | $24 | 5.4× |
| Ast (sgot) (84450) | $24 | $30 | 4.6× |
| Autologous Blood Process (86890) | $303.20 | $379 | 1.7× |
| Automated rbc count (85041) | $30 | $37.50 | 9.9× |
| B cells total count (86355) | $52.80 | $66 | 1.4× |
| B-hexosaminidase ea assay (83080) | $252 | $315 | 14.9× |
| Bartonella antibody (86611) | $78.40 | $98 | 7.7× |
| 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,Ea (86146) | $108.80 | $136 | 4.3× |
| Beta hydroxybutyrate (82010) | $256.80 | $321 | 31.4× |
| 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 ea specimen (82261) | $68 | $85 | 4.0× |
| Bl Smear W/Diff Wbc Count (85007) | $26 | $32.50 | 6.8× |
| Blastomyces antibody (86612) | $52.80 | $66 | 4.1× |
| Blood count reticulocyte automated (85045) | $72.80 | $91 | 18.2× |
| Blood gases (82803) | $150.40 | $188 | 5.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $54.40 | $68 | 3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12.40 | $15.50 | 2.8× |
| Blood Ph - Ph Venous (82800) | $68.80 | $86 | 6.3× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $93.60 | $117 | 14.7× |
| Blood typing abo (86900) | $136.40 | $170.50 | 45.6× |
| Blood typing serologic rh (d) (86901) | $34.40 | $43 | 11.5× |
| Blood typing serologic rh phenotyping complete (86906) | $58.40 | $73 | 7.5× |
| Body fluid cell count (89051) | $41.60 | $52 | 7.4× |
| Body fluid cell count (89050) | $73.60 | $92 | 15.6× |
| Bone Marrow Smear Interpretation (85097) | $140.80 | $176 | 0.2× |
| Bordetella antibody (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-reactive protein (86140) | $16 | $20 | 3.1× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $40 | $50 | 3.1× |
| C1q binding assay (86332) | $119.20 | $149 | 4.9× |
| Ca 125 (86304) | $86.80 | $108.50 | 4.2× |
| Ca 19-9 (86301) | $98.40 | $123 | 4.7× |
| Ca 27 29 (86300) | $170.40 | $213 | 8.2× |
| Cadmium level (82300) | $83.20 | $104 | 3.5× |
| Caffeine (80155) | $105.60 | $132 | 2.7× |
| Calcium ionized (82330) | $143.20 | $179 | 10.5× |
| Calcium total (82310) | $15.60 | $19.50 | 3.0× |
| Calcium urine (82340) | $28 | $35 | 4.6× |
| Calculus Spectroscopy (82365) | $89.60 | $112 | 6.9× |
| California encephalitis ab (86651) | $57.60 | $72 | 4.4× |
| Calprotectin, fecal (83993) | $239.20 | $299 | 12.2× |
| Candida antibody (86628) | $104.80 | $131 | 8.7× |
| Carb deficient transferrin (82373) | $152.80 | $191 | 8.5× |
| Carbamazepine (tegretol) total (80156) | $44.40 | $55.50 | 3.0× |
| Carbon dioxide (82374) | $23.20 | $29 | 4.8× |
| Carboxyhemoglobin Quantitative (82375) | $42.40 | $53 | 3.4× |
| Carcinoembryonic antigen (82378) | $90.40 | $113 | 4.8× |
| Cardiolipin ab igg (86147) | $139.20 | $174 | 5.5× |
| Carnitine (82379) | $56.80 | $71 | 3.4× |
| Catecholamines fraction plasma (82384) | $185.60 | $232 | 7.4× |
| Cftr gene com variants (81220) | $1,528 | $1,910 | 2.7× |
| Chemical analysis for genetic disorder (82016) | $25.60 | $32 | 1.6× |
| Chemiluminescent assay (82397) | $129.60 | $162 | 9.2× |
| Chlamydia antibody (86631) | $46.40 | $58 | 3.9× |
| Chlamydia Igm Antibody (86632) | $19.20 | $24 | 1.5× |
| 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× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $470.40 | $588 | 3.7× |
| Chromium urine (82495) | $101.60 | $127 | 5.0× |
| Chromogranin a (86316) | $131.20 | $164 | 6.3× |
| Chromosome analysis of amniotic fluid or placenta for genetic defects (88267) | $880 | $1,100 | 4.7× |
| Chromosome karyotype study (88280) | $119.20 | $149 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $95.20 | $119 | 2.7× |
| Citrate (82507) | $93.60 | $117 | 3.4× |
| Ck isoenzymes (82552) | $101.60 | $127 | 7.6× |
| Ckmb (82553) | $54.40 | $68 | 4.7× |
| Clot factor viii vw antigen (85246) | $225.60 | $282 | 9.8× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $131.20 | $164 | 7.3× |
| Clozapine level (80159) | $234.40 | $293 | 11.6× |
| Cmv PCR (87496) | $156 | $195 | 4.4× |
| Cns DNA amp probe type 12-25 (87483) | $986.40 | $1,233 | 2.4× |
| Coagulation time activated (85347) | $27.20 | $34 | 6.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $259.20 | $324 | 10.8× |
| Cold agglutinin titer (86157) | $56 | $70 | 6.9× |
| Collagen cross links (82523) | $112 | $140 | 6.0× |
| Comparative anal str markers patient&comp spec (81265) | $744.80 | $931 | 3.2× |
| Compatibility test antiglob (86922) | $176.80 | $221 | 1.0× |
| Complement c3 (86160) | $65.60 | $82 | 5.5× |
| Complement total ch50 (86162) | $165.60 | $207 | 8.1× |
| Concentration Infectious Agent (87015) | $33.60 | $42 | 5.0× |
| Coombs direct (86880) | $88 | $110 | 16.3× |
| Copper urine (82525) | $72 | $90 | 5.8× |
| Cortisol free (82530) | $158 | $197.50 | 9.5× |
| Cortisol total (82533) | $77.60 | $97 | 4.8× |
| Creatine kinase total (82550) | $20.40 | $25.50 | 3.1× |
| Creatinine blood (82565) | $16.40 | $20.50 | 3.2× |
| Creatinine clearance (82575) | $44 | $55 | 4.7× |
| Creatinine other source (82570) | $16 | $20 | 3.1× |
| Crossmatch immediate spin (86920) | $144 | $180 | 0.8× |
| Cryoglobulin (82595) | $42.40 | $53 | 6.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $81.60 | $102 | 10.1× |
| Culture Aerobic Identify (87077) | $72 | $90 | 8.9× |
| Culture aerobic quant other (87071) | $54 | $67.50 | 5.5× |
| Culture anaerobic (87075) | $91.20 | $114 | 9.6× |
| Culture blood (87040) | $33.20 | $41.50 | 3.2× |
| Culture chlamydia (87110) | $27.20 | $34 | 1.4× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $91.20 | $114 | 11.8× |
| Culture fungus blood (87103) | $52 | $65 | 2.5× |
| Culture fungus id yeast (87106) | $103.20 | $129 | 10.0× |
| Culture fungus other (87102) | $110.80 | $138.50 | 13.2× |
| Culture genital (87070) | $42.80 | $53.50 | 5.0× |
| Culture screen only (87081) | $35.20 | $44 | 5.3× |
| Culture stool (87045) | $65.60 | $82 | 6.9× |
| Culture typing if ea antiserum (87140) | $53.20 | $66.50 | 9.6× |
| Culture urine id ea isolate (87088) | $21.60 | $27 | 2.7× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) | $392.80 | $491 | 3.4× |
| Cyanide (82600) | $103.20 | $129 | 5.3× |
| Cyclic Citrullinated Peptide (86200) | $79.60 | $99.50 | 6.1× |
| Cystatin c (82610) | $51.20 | $64 | 2.8× |
| Cytogenetics DNA probe (88271) | $200.80 | $251 | 9.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,185.60 | $3,982 | 2.7× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $368 | $460 | 8.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $315.20 | $394 | 5.9× |
| D-Dimer (85379) | $59.20 | $74 | 5.8× |
| Deoxycortisol (82634) | $93.60 | $117 | 3.2× |
| Deoxyribonuclease antibody (86215) | $135.20 | $169 | 10.2× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $45.60 | $57 | 2.8× |
| Detect agnt mult DNA ampli (87801) | $643.20 | $804 | 9.2× |
| Dhea (82626) | $163.20 | $204 | 6.5× |
| Dhea sulfate (82627) | $148.80 | $186 | 6.7× |
| Digoxin (80162) | $40.40 | $50.50 | 3.0× |
| Dihydrotestosterone (82642) | $89.60 | $112 | 3.1× |
| Dilantin (80185) | $144.80 | $181 | 10.9× |
| Dmpk Gene Detc Abnor Allele (81234) | $768.80 | $961 | 5.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $74.80 | $93.50 | 5.4× |
| Dna/Rna Amplified Probe (87150) | $114.40 | $143 | 3.3× |
| 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 Assay Lacosamide (80235) | $229.60 | $287 | 8.5× |
| Drug assay posaconazole (80187) | $146.40 | $183 | 5.4× |
| Drug assay voriconazole (80285) | $264 | $330 | 9.7× |
| Drug screen quant zonisamide (80203) | $171.20 | $214 | 12.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $152 | $190 | 11.5× |
| Drug Scrn Quan Levetiracetam (80177) | $79.20 | $99 | 6.0× |
| Drug scrn quant oxcarbazepin (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× |
| Ebv viral capsid (86665) | $83.60 | $104.50 | 4.6× |
| Echinococcus ab igg (86682) | $207.20 | $259 | 15.9× |
| Egfr Gene Analysis Common Variants (81235) | $1,164 | $1,455 | 3.6× |
| Ehrlichia antibody (86666) | $104.80 | $131 | 10.3× |
| Electrolyte panel (80051) | $55.60 | $69.50 | 7.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $168.80 | $211 | 2.7× |
| Encephalitis Western Equine (86654) | $63.20 | $79 | 4.8× |
| Endomysial antibody iga (86255) | $96 | $120 | 8.0× |
| Enterovirus antibody (86658) | $43.20 | $54 | 3.3× |
| Enterovirus Pcr (87498) | $221.60 | $277 | 6.3× |
| Enzyme cell activity (82657) | $457.20 | $571.50 | 20.6× |
| Eosinophil count (85048) | $9.60 | $12 | 3.8× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $98.80 | $123.50 | 6.5× |
| Estradiol (82670) | $130.40 | $163 | 4.7× |
| Estriol (82677) | $74.40 | $93 | 3.1× |
| Estrone (82679) | $84 | $105 | 3.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $269.60 | $337 | 2.7× |
| Everolimus (80169) | $171.20 | $214 | 12.5× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) | $131.60 | $164.50 | 18.0× |
| F2 gene analysis 20210g >a variant (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 assay (85230) | $188.80 | $236 | 10.5× |
| Factor viii ahg (85240) | $92 | $115 | 5.1× |
| Factor viii vw multimetric (85247) | $110.40 | $138 | 4.8× |
| Factor xi assay (85270) | $173.60 | $217 | 9.7× |
| Factor xii assay (85280) | $163.20 | $204 | 8.4× |
| Factor xiii solubility screen (85291) | $132.80 | $166 | 14.6× |
| Fecal fat quant (82710) | $123.20 | $154 | 7.3× |
| Fetal bleed screen (85461) | $111.20 | $139 | 11.9× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $161.60 | $202 | 3.0× |
| Fetal fibronectin (82731) | $302.40 | $378 | 4.7× |
| Fibrin Degrad Products,Paracoag - Fibrin Monomer (85366) | $300.80 | $376 | 3.7× |
| Fibrin degradation products (85362) | $79.20 | $99 | 11.5× |
| Fibrinogen activity (85384) | $59.20 | $74 | 6.1× |
| Fibrinogen antigen (85385) | $147.20 | $184 | 10.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $94.40 | $118 | 6.1× |
| Flow cytometry first marker (88184) | $344.80 | $431 | 0.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $100.40 | $125.50 | 8.3× |
| Fmr1 gene charac alleles (81244) | $336 | $420 | 7.5× |
| Fmr1 gene detection (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 (83001) | $56.80 | $71 | 3.1× |
| Francisella Tularensis (86668) | $98.40 | $123 | 6.9× |
| Fresh frozen plasma thawing each unit (86927) | $74.40 | $93 | 0.4× |
| Frozen Section (88331) | $214.40 | $268 | 1.2× |
| Fructosamine (82985) | $50.40 | $63 | 3.0× |
| Ftl cgen abnor four anal (81511) | $312.40 | $390.50 | 2.0× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $172 | $215 | 16.7× |
| Galactose transferase test (82776) | $7.20 | $9 | 0.6× |
| Galectin-3 serum (82777) | $262.40 | $328 | 5.9× |
| Gammaglobulin ige (82785) | $44 | $55 | 2.7× |
| Gastric Occult Blood (82271) | $18.40 | $23 | 3.5× |
| Ggt (82977) | $10.40 | $13 | 1.4× |
| Giardia antigen eia stool (87329) | $80 | $100 | 6.7× |
| Glucose (82947) | $19.20 | $24 | 4.9× |
| Glucose Blood Test (82962) | $24.43 | $30.54 | 7.4× |
| Glucose body fluid (82945) | $36.40 | $45.50 | 9.3× |
| Glucose post dose (82950) | $24 | $30 | 5.1× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) | $33.20 | $41.50 | 8.5× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $61.20 | $76.50 | 4.8× |
| Gonadotropin releasing hormone (83727) | $301.60 | $377 | 17.5× |
| Growth hormone (83003) | $123.20 | $154 | 7.4× |
| H pylri clrthmcn rst amp prb (87513) | $776 | $970 | 22.1× |
| Haptoglobin (83010) | $60 | $75 | 4.8× |
| Hba1/hba2 gene dup/del vrnts (81269) | $685.60 | $857 | 3.4× |
| Hcg qualitative (84703) | $24.40 | $30.50 | 3.2× |
| Hcg quant (84702) | $49.60 | $62 | 3.3× |
| Hdl Cholesterol (83718) | $39.20 | $49 | 4.8× |
| Heavy metal quant each (83018) | $159.20 | $199 | 7.2× |
| Hematocrit (85014) | $16 | $20 | 6.8× |
| Hematocrit spun (85013) | $34.40 | $43 | 4.9× |
| Hemoglobin (85018) | $10.40 | $13 | 4.4× |
| Hemoglobin a1c (83036) | $24 | $30 | 2.5× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $216 | $270 | 12.0× |
| Hemoglobin electrophoresis (83020) | $145.60 | $182 | 11.3× |
| Hemoglobin Methemoglobin Quantitative (83050) | $35.20 | $44 | 4.3× |
| Hepatitis a antibody total (86708) | $110.40 | $138 | 8.9× |
| Hepatitis a igm (86709) | $22.40 | $28 | 2.0× |
| Hepatitis b core ab igm (86705) | $59.20 | $74 | 5.0× |
| Hepatitis b core antibody total (86704) | $46.80 | $58.50 | 3.9× |
| 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× |
| Herpes culture (87252) | $296.80 | $371 | 11.4× |
| Herpes simplex type 2 (86696) | $71.60 | $89.50 | 3.7× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $16 | $20 | 3.1× |
| Hfe gene (81256) | $219.20 | $274 | 3.4× |
| Histoplasma antibody (86698) | $92.80 | $116 | 6.7× |
| HIV confirmation (86689) | $222.40 | $278 | 11.5× |
| HIV-1 antibody (86701) | $181.60 | $227 | 20.4× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) | $64.80 | $81 | 4.7× |
| HIV-2 probe&revrse trnscripj (87538) | $256 | $320 | 7.3× |
| Hla ii typing 1 locus lr (81376) | $310.80 | $388.50 | 2.5× |
| Hla-b27 (86812) | $140 | $175 | 5.4× |
| Homogenization tissue (87176) | $75.20 | $94 | 12.8× |
| Hpv low-risk types (87623) | $78.40 | $98 | 2.2× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) | $226.40 | $283 | 3.4× |
| Hsv Dna Quant (87530) | $181.60 | $227 | 4.2× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $128.80 | $161 | 3.7× |
| Htlv-i antibody (86687) | $87.20 | $109 | 9.6× |
| Hydroxyprogesterone 17-d (83498) | $207.20 | $259 | 7.6× |
| Iaad ia clostridium difficile toxin (87324) | $219.20 | $274 | 18.3× |
| Iaad ia cryptosporidium (87328) | $66.40 | $83 | 4.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $263.20 | $329 | 25.5× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $103.20 | $129 | 4.3× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $101.60 | $127 | 7.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $56.80 | $71 | 4.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $116 | $145 | 3.3× |
| Iaadi inffluenza a virus (87276) | $148.80 | $186 | 9.3× |
| Iaadi respiratory synctial virus (87280) | $148.80 | $186 | 11.1× |
| Iaadiadoo not otherwise specified (87899) | $86 | $107.50 | 5.4× |
| Iaadiadoo trichomonas vaginalis (87808) | $40.80 | $51 | 2.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $184.80 | $231 | 5.3× |
| Iadna DNA/RNA zika virus amplified probe tq (87662) | $330.40 | $413 | 6.4× |
| Iadna hepatitis b virus quantification (87517) | $537.60 | $672 | 12.5× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $384 | $480 | 9.0× |
| Iadna herpes virus-6 quantification (87533) | $504 | $630 | 12.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $118.40 | $148 | 3.4× |
| Iadna HIV-1 quant & reverse transcription (87536) | $447.20 | $559 | 5.3× |
| Iadna hpv sep rprt hi-rsk typ&hi-rsk poold rslts (87626) | $68 | $85 | 1.0× |
| Iadna human papillomavirus high-risk types (87624) | $50.40 | $63 | 1.4× |
| Iadna mycobacteria tuberculosis amp prb (87556) | $302.40 | $378 | 7.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $184.80 | $231 | 5.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $95.20 | $119 | 2.7× |
| Iadna nos amplified probe tq each organism (87798) | $140 | $175 | 4.0× |
| Iadna nos quantification each organism (87799) | $284.80 | $356 | 6.6× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $161.60 | $202 | 4.6× |
| Iadna-DNA/RNA probe tq 12-25 (87507) | $518.40 | $648 | 1.2× |
| Igg subclasses (82787) | $48.80 | $61 | 6.1× |
| Immunfix e-phorsis/urine/csf (86335) | $147.20 | $184 | 5.0× |
| Immunoassay infectious agent antibody quan nos (86317) | $25.20 | $31.50 | 1.7× |
| Immunoassay nonantibody (83516) | $91.20 | $114 | 7.9× |
| Immunodiffusion not elsewhere specified (86329) | $255.20 | $319 | 18.2× |
| Immunodiffusion Ouchterlony (86331) | $56.80 | $71 | 4.7× |
| Immunofixj Electrophoresis Serum (86334) | $139.20 | $174 | 6.2× |
| Immunohisto Antibody Slide (88344) | $403.20 | $504 | 1.1× |
| Immunohistochemistry (88342) | $292.80 | $366 | 1.7× |
| India ink prep (87210) | $15.20 | $19 | 2.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Other Outpatient (87531) | $181.60 | $227 | 3.1× |
| Inhibin a (86336) | $80 | $100 | 5.1× |
| Inhibin b (83520) | $126.40 | $158 | 7.3× |
| Insitu hybridization (fish) (88365) | $515.20 | $644 | 3.0× |
| Insitu hybridization auto (88367) | $766.80 | $958.50 | 2.1× |
| Insitu hybridization manual (88368) | $403.20 | $504 | 1.1× |
| Insulin free (83527) | $81.60 | $102 | 6.3× |
| Insulin total (83525) | $48.40 | $60.50 | 4.2× |
| Intraop cyto path consult 1 (88333) | $203.20 | $254 | 0.2× |
| 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 analysis (81270) | $456 | $570 | 5.0× |
| Kras gene analysis (81275) | $530.40 | $663 | 2.7× |
| Lactic acid (83605) | $58 | $72.50 | 5.0× |
| Lactoferrin fecal qualitative (83630) | $46.40 | $58 | 2.4× |
| Lamellar Body Count (83664) | $63.20 | $79 | 3.3× |
| Ldh (83615) | $26.40 | $33 | 4.4× |
| Ldh isoenzymes (83625) | $55.20 | $69 | 4.3× |
| LDL cholesterol direct (83721) | $29.20 | $36.50 | 2.8× |
| Lead (83655) | $22.40 | $28 | 1.8× |
| Legionella antibody (86713) | $74.40 | $93 | 4.9× |
| Legionella antigen urine (87449) | $26.40 | $33 | 2.2× |
| Leptospira antibody (86720) | $137.60 | $172 | 8.5× |
| Leukocyte histamine release test (86343) | $343.20 | $429 | 27.5× |
| Level ii surg pathology grossµscopic exam (88302) | $201.60 | $252 | 5.3× |
| Level v surg pathology grossµscopic exam (88307) | $672 | $840 | 1.8× |
| Level vi surg pathology grossµscopic exam (88309) | $997.60 | $1,247 | 1.2× |
| Lh (83002) | $88 | $110 | 4.8× |
| Lipase (83690) | $29.20 | $36.50 | 4.2× |
| Lipopro bld electrophoretic (83700) | $65.60 | $82 | 5.8× |
| Lipoprotein Bld Hr Fraction (83701) | $118.40 | $148 | 3.5× |
| Listeria ab (86609) | $36 | $45 | 2.8× |
| Lithium (80178) | $37.20 | $46.50 | 5.6× |
| Lyme disease antibody (86618) | $86.40 | $108 | 5.1× |
| Lyme disease antibody confirm (86617) | $70.40 | $88 | 4.5× |
| Lymph Choriomeningitis Ab (86727) | $25.60 | $32 | 2.0× |
| Lymphocyte transformation (86353) | $359.20 | $449 | 7.3× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) | $899.20 | $1,124 | 5.2× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) | $412.80 | $516 | 1.1× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $299.20 | $374 | 1.7× |
| Macroscopic exam parasite (87169) | $111.20 | $139 | 25.8× |
| Magnesium (83735) | $32 | $40 | 4.8× |
| Malaria smear (87207) | $51.20 | $64 | 8.5× |
| Mass spectrometry qual/quan (83789) | $185.60 | $232 | 7.7× |
| Mcg chrom insitu 3-5 (88272) | $720.80 | $901 | 17.7× |
| Mcg interphase insitu 25 (88274) | $216 | $270 | 5.1× |
| Mecp2 gene dup/delet variant (81304) | $1,260 | $1,575 | 8.4× |
| Mecp2 gene, full gene analysis (81302) | $1,734 | $2,167.50 | 3.3× |
| Mercury (83825) | $54.40 | $68 | 3.3× |
| Metabolic Panel Ionized Ca (80047) | $65.60 | $82 | 4.8× |
| Methotrexate (80299) | $150.40 | $188 | 8.1× |
| Methylmalonic acid serum (83921) | $104.80 | $131 | 4.9× |
| Microalbumin urine (82043) | $18 | $22.50 | 3.1× |
| Microsomal antibodies (86376) | $35.60 | $44.50 | 2.4× |
| Mitochondrial antibody each (86381) | $52 | $65 | 2.0× |
| Molec cytg interphase ish analyze 100-300 cll (88275) | $114.40 | $143 | 2.2× |
| Molecular pathology procedure level 2 (81401) | $462 | $577.50 | 3.4× |
| Molecular pathology procedure level 7 (81406) | $1,810.40 | $2,263 | 6.4× |
| Mononuclear cell antigen (86356) | $138.40 | $173 | 5.2× |
| Mopath procedure level 4 (81403) | $586.40 | $733 | 3.2× |
| Mopath procedure level 6 (81405) | $887.20 | $1,109 | 2.9× |
| Mrsa amp probe (87641) | $160 | $200 | 4.6× |
| Mthfr Gene Analysis Common Variants (81291) | $280 | $350 | 4.3× |
| Mucopolysaccharides acid quantitative (83864) | $512.80 | $641 | 18.0× |
| Mycobacteria Dna Amp Probe (87551) | $420 | $525 | 8.7× |
| Mycobacteric Identification (87118) | $169.60 | $212 | 11.6× |
| Mycophenolic acid (80180) | $252.80 | $316 | 14.0× |
| Mycoplasma antibody (86738) | $36 | $45 | 2.7× |
| Myelin basic protein csf (83873) | $70.40 | $88 | 4.1× |
| Myoglobin urine (83874) | $61.60 | $77 | 4.8× |
| Natriuretic peptide (83880) | $95.20 | $119 | 2.4× |
| Neutralization test, viral (86382) | $153.60 | $192 | 9.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $310.80 | $388.50 | 1.2× |
| Niacin (84591) | $188.80 | $236 | 11.1× |
| Nk cells total count (86357) | $52.80 | $66 | 1.4× |
| Nmr Lipoprofile (83704) | $132 | $165 | 3.9× |
| Nras gene variants exon 2&3 (81311) | $823.20 | $1,029 | 2.8× |
| Nuclear antigen antibody (86235) | $96.40 | $120.50 | 5.4× |
| Obstetric panel (80081) | $338 | $422.50 | 4.5× |
| 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 direct-id lca (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× |
| Particle Agglutination Screen Each Antibody (86403) | $46.40 | $58 | 4.0× |
| Parvovirus antibody (86747) | $82.40 | $103 | 5.5× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) | $188.80 | $236 | 2.7× |
| Phenylalanine (84030) | $18.40 | $23 | 3.3× |
| Phenytoin free (80186) | $115.20 | $144 | 8.4× |
| Phosphatase acid prostatic (84066) | $68 | $85 | 7.0× |
| Phosphatase alkaline (84075) | $8.80 | $11 | 1.7× |
| Phospholipid Neutralization Hexagonal (85598) | $247.20 | $309 | 13.7× |
| Phosphorus blood (84100) | $23.20 | $29 | 4.9× |
| Phosphorus urine (84105) | $24.80 | $31 | 4.3× |
| Pinworm exam (87172) | $53.60 | $67 | 12.6× |
| Platelet aggregation (85576) | $110.40 | $138 | 4.4× |
| Platelet count (85049) | $38.40 | $48 | 8.6× |
| Platelet neutralization (85597) | $185.60 | $232 | 10.3× |
| Pneumcysts jirovecii amp prb (87594) | $404.80 | $506 | 11.5× |
| Potassium (84132) | $15.20 | $19 | 3.2× |
| Potassium urine (84133) | $20.80 | $26 | 4.4× |
| Pregnenolone (84140) | $112.80 | $141 | 5.5× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $166.40 | $208 | 1.0× |
| Pretx serum rbc antb id incubation inhibitors ea (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× |
| Prolactin (84146) | $92 | $115 | 4.7× |
| Protein body fluid (84157) | $43.20 | $54 | 10.8× |
| 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 Functional (85306) | $173.60 | $217 | 11.3× |
| Protein s total (85305) | $245.20 | $306.50 | 21.1× |
| Protein Total Serum (84155) | $30.80 | $38.50 | 8.4× |
| Protein urine (84156) | $12 | $15 | 3.3× |
| Protein Western Blot (84182) | $928.80 | $1,161 | 31.8× |
| Protein westrn blot i&r blood/other fluid (84181) | $970.40 | $1,213 | 57.0× |
| Prothrombin time substitution (85611) | $146.40 | $183 | 37.2× |
| PSA free (84154) | $76.80 | $96 | 4.2× |
| Pyruvate kinase (84220) | $126.40 | $158 | 13.4× |
| Quantiferon tb gold (86480) | $120.80 | $151 | 1.9× |
| Rbc antibody elution (86860) | $355.20 | $444 | 2.0× |
| Rbc pretx incubatj w/chemicl (86970) | $166.40 | $208 | 2.8× |
| Rbc serum pretx incubj drugs (86975) | $117.60 | $147 | 0.3× |
| Reducing substances, stool (84376) | $68.80 | $86 | 12.5× |
| Renin activity plasma (84244) | $108 | $135 | 4.9× |
| Reptilase test (85635) | $122.40 | $153 | 12.4× |
| Resp virus 3-5 targets (87631) | $364.80 | $456 | 2.6× |
| Respiratory viral panel PCR (87633) | $969.60 | $1,212 | 2.3× |
| Respiratory Virus (86756) | $48 | $60 | 3.0× |
| Rheumatoid Factor Qual (86430) | $48.40 | $60.50 | 7.9× |
| Rheumatoid factor quant (86431) | $64.80 | $81 | 11.4× |
| Rickettsia antibody (86757) | $139.20 | $174 | 7.2× |
| Rpr Titer (86593) | $30 | $37.50 | 6.8× |
| Rubella antibody (86762) | $71.20 | $89 | 4.9× |
| Russell viper venom time diluted (85613) | $91.20 | $114 | 9.5× |
| Rx metab gen seq alys pnl 6 (81418) | $2,280 | $2,850 | 2.5× |
| Saccharomyces ab iga (86671) | $64.80 | $81 | 5.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $110.80 | $138.50 | 2.2× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $108 | $135 | 2.6× |
| Sarscov2 & inf a&b amp prb (87636) | $326 | $407.50 | 2.3× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $286.40 | $358 | 2.0× |
| Sed rate automated (85652) | $20.80 | $26 | 7.7× |
| Semen analysis sperm presence&/motility sprm (89321) | $80 | $100 | 6.6× |
| Sensitivity mic (87186) | $76.80 | $96 | 8.9× |
| Serotonin Release Assay (86022) | $206.40 | $258 | 11.2× |
| Sex hormone binding globulin (84270) | $83.20 | $104 | 3.8× |
| Sickle cell screen (85660) | $40 | $50 | 7.3× |
| Sirolimus (rapamycin) (80195) | $101.60 | $127 | 7.4× |
| Skin test unlisted antigen (86486) | $64 | $80 | 2.2× |
| Smear acid fast (87206) | $51.20 | $64 | 9.5× |
| Smear complex stain (87209) | $40 | $50 | 2.2× |
| Smear gram stain (87205) | $29.20 | $36.50 | 6.8× |
| Sodium (84295) | $15.20 | $19 | 3.2× |
| Sodium other source (84302) | $65.60 | $82 | 13.5× |
| Sodium urine (84300) | $23.20 | $29 | 4.6× |
| Soluble transferrin receptor (84238) | $122.40 | $153 | 3.3× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $246.80 | $308.50 | 1.8× |
| Special stains group 1 (88312) | $237.60 | $297 | 4.5× |
| Spectrophotometry (84311) | $203.20 | $254 | 25.1× |
| Stool Cultr Aerobic Bact Ea (87046) | $14.40 | $18 | 1.5× |
| Strep a assay w/optic (87880) | $45.60 | $57 | 2.8× |
| Strep a DNA amp probe (87651) | $102.40 | $128 | 2.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $68.80 | $86 | 0.7× |
| Sulfate urine (84392) | $16 | $20 | 2.9× |
| Surg path level iii (88304) | $227.20 | $284 | 4.3× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) | $88.80 | $111 | 3.0× |
| Surgical pathology level IV (88305) | $225.60 | $282 | 4.2× |
| Susceptibility study antimicrobial disk method (87184) | $30.80 | $38.50 | 4.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $148.80 | $186 | 3.2× |
| T cells, total count (86359) | $110.40 | $138 | 2.9× |
| T3 free (84481) | $53.20 | $66.50 | 3.1× |
| T3 reverse (84482) | $175.20 | $219 | 11.1× |
| T3 total (84480) | $42 | $52.50 | 3.0× |
| T3 uptake (84479) | $27.20 | $34 | 4.2× |
| T4 Free (84439) | $27.60 | $34.50 | 3.1× |
| T4 total (84436) | $20.80 | $26 | 3.0× |
| T4-neonatal (84437) | $10.40 | $13 | 1.6× |
| Tau phosphorylated each (84393) | $542.40 | $678 | 4.2× |
| Tb ag response t-cell susp (86481) | $105.60 | $132 | 1.1× |
| Tb intradermal test (86580) | $31.20 | $39 | 1.1× |
| Test for acetone/ketones (82009) | $20 | $25 | 4.4× |
| Testosterone free (84402) | $132.80 | $166 | 5.2× |
| Testosterone total (84403) | $40 | $50 | 1.5× |
| Theophylline (80198) | $96 | $120 | 6.8× |
| Thrombin time plasma (85670) | $59.20 | $74 | 10.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $155.20 | $194 | 24.0× |
| Thyroglobulin (84432) | $263.20 | $329 | 16.4× |
| Thyroglobulin Ab (86800) | $82.80 | $103.50 | 5.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $277.60 | $347 | 5.5× |
| Thyroxine binding globulin (84442) | $102.40 | $128 | 6.9× |
| Tissue Culture Lymphocyte (88230) | $380.40 | $475.50 | 3.3× |
| Tissue culture placenta (88235) | $859.20 | $1,074 | 5.7× |
| Topiramate (80201) | $92.80 | $116 | 7.8× |
| Total tau (ttau) (84394) | $542.40 | $678 | 4.2× |
| Touch prep (88161) | $155.20 | $194 | 5.3× |
| Toxoplasma ab igm (86778) | $71.20 | $89 | 4.9× |
| Toxoplasma antibody igg (86777) | $71.20 | $89 | 4.9× |
| Transferrin (84466) | $40.40 | $50.50 | 3.2× |
| Translocation analysis (bcr/abl1) other breakpoint (81208) | $520 | $650 | 2.4× |
| Triglycerides (84478) | $26.40 | $33 | 4.6× |
| Troponin (84484) | $80 | $100 | 6.4× |
| Tyrosine (84510) | $106.40 | $133 | 10.0× |
| Unlisted cytogenetic study (88299) | $447.20 | $559 | 8.4× |
| Unlisted transfusion medicine procedure (86999) | $355.20 | $444 | 12.0× |
| Urea nitrogen (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 w/microscopic (81001) | $16 | $20 | 5.0× |
| Urine pregnancy test (81025) | $36.80 | $46 | 4.3× |
| Urine volume measurement (81050) | $12.80 | $16 | 3.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) | $8 | $10 | 3.6× |
| Valproic acid level (80164) | $54.80 | $68.50 | 4.0× |
| Vancomycin trough (80202) | $42 | $52.50 | 3.1× |
| Varicella-zoster antibody (86787) | $97.60 | $122 | 7.6× |
| Vasoactive intestinal peptide (vip) (84586) | $292.80 | $366 | 8.3× |
| Vdrl csf (86592) | $46.40 | $58 | 10.9× |
| Virus antibody nos (86790) | $101.60 | $127 | 7.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $84.80 | $106 | 2.5× |
| Virus inoculation, shell via (87254) | $136 | $170 | 7.0× |
| Viscosity serum (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 (thiamine) (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 e serum (84446) | $72.80 | $91 | 5.1× |
| Von willebrand factor activity (85245) | $230.80 | $288.50 | 10.1× |
| West nile virus ab, igm (86788) | $118.40 | $148 | 7.0× |
| West nile virus antibody (86789) | $117.60 | $147 | 8.2× |
| Zinc (84630) | $68 | $85 | 6.0× |