| 1 25 Dihydroxy includes fractions if performed (82652) |
$195 |
$195 |
5.1× |
| 17-Hydroxycorticosteroids (83491) |
$35 |
$35 |
2.0× |
| 5 Hiaa (83497) |
$48 |
$48 |
3.7× |
| 5 Nucleotidase (83915) |
$22 |
$22 |
2.0× |
| Acetaminophen level (80143) |
$112 |
$112 |
6.0× |
| Acetylcholine receptor (achr); blocking antibody (86042) |
$36 |
$36 |
2.0× |
| Acetylcholine receptor binding antibody (86041) |
$67 |
$67 |
3.6× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$24 |
$24 |
2.0× |
| Actin smooth muscle antibody each (86015) |
$58 |
$58 |
4.8× |
| Activated protein c resistance (85307) |
$87 |
$87 |
5.7× |
| Acute hepatitis panel (80074) |
$179 |
$179 |
3.8× |
| Acylcarnitine Plasma (82017) |
$33 |
$33 |
2.0× |
| Adamts13 activity (85397) |
$45 |
$45 |
1.5× |
| Adenovirus antibody (86603) |
$25 |
$25 |
1.9× |
| Afb culture (87116) |
$140 |
$140 |
13.0× |
| Albumin Fluid (82042) |
$89 |
$89 |
11.4× |
| Albumin serum (82040) |
$71 |
$71 |
14.3× |
| Aldolase (82085) |
$41 |
$41 |
4.2× |
| Aldosterone urine (82088) |
$53 |
$53 |
1.3× |
| Alk phos heat stable (84078) |
$16 |
$16 |
1.9× |
| Alkaline phosphatase isoenzymes (84080) |
$81 |
$81 |
5.5× |
| Allergen specific ige (86003) |
$19 |
$19 |
3.6× |
| Alpha-1-antitrypsin phenotype (82104) |
$29 |
$29 |
2.0× |
| Alpha-1-antitrypsin, total (82103) |
$41 |
$41 |
3.1× |
| Alpha-fetoprotein, serum (82105) |
$36 |
$36 |
2.1× |
| Alt (sgpt) (84460) |
$61 |
$61 |
11.5× |
| Amikacin trough (80150) |
$55 |
$55 |
3.6× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$33 |
$33 |
2.0× |
| Ammonia (82140) |
$107 |
$107 |
7.3× |
| Amylase urine (82150) |
$94 |
$94 |
14.5× |
| Ana Titer (86039) |
$28 |
$28 |
2.5× |
| Angiotensin i enzyme test (82164) |
$136 |
$136 |
9.3× |
| Anti-phosphatidylserine antibody (86148) |
$50 |
$50 |
3.1× |
| Antibody Absorption (86978) |
$95 |
$95 |
1.9× |
| Antibody aspergillus (86606) |
$64 |
$64 |
4.3× |
| Antibody cytomegalovirus cmv (86644) |
$58 |
$58 |
4.0× |
| Antibody cytomegalovirus cmv igm (86645) |
$56.50 |
$56.50 |
3.4× |
| Antibody helicobacter pylori (86677) |
$116 |
$116 |
6.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$34 |
$34 |
2.4× |
| Antibody herpes smplx type 1 (86695) |
$24 |
$24 |
1.8× |
| Antibody identification (86870) |
$158 |
$158 |
0.5× |
| Antibody john cunningham virus (86711) |
$23.65 |
$23.65 |
1.4× |
| Antibody mumps (86735) |
$67 |
$67 |
5.1× |
| Antibody rubeola (86765) |
$56 |
$56 |
4.3× |
| Antibody screen (86850) |
$96 |
$96 |
9.8× |
| Antibody treponema pallidum (86780) |
$49 |
$49 |
3.7× |
| Antibody; Coccidioides (86635) |
$16 |
$16 |
1.4× |
| Antigen typing (86905) |
$62 |
$62 |
16.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$10 |
$10 |
1.9× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) |
$55 |
$55 |
4.6× |
| Antinuclear antibodies (86038) |
$35 |
$35 |
2.9× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$11 |
$11 |
1.9× |
| Antistreptolysin o titer (86060) |
$38 |
$38 |
5.2× |
| Antithrombin iii activity (85300) |
$43 |
$43 |
3.6× |
| Antithrombin iii antigen (85301) |
$78 |
$78 |
7.2× |
| Apolipoprotein b (82172) |
$52 |
$52 |
2.5× |
| Aquaporin-4 Antb Elisa (86051) |
$16.14 |
$16.14 |
1.4× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$20 |
$20 |
1.7× |
| Arsenic Urine (82175) |
$98 |
$98 |
5.2× |
| Aspergillus ag eia (87305) |
$266 |
$266 |
22.2× |
| Assay Nephelometry Not Spec (83883) |
$61 |
$61 |
4.5× |
| Assay of acth (82024) |
$198 |
$198 |
5.1× |
| Assay of Alcohol (Ethanol) Spec Xcp UR&Breath Ia (82077) |
$150 |
$150 |
8.7× |
| Assay of androstenedione (82157) |
$143 |
$143 |
4.9× |
| Assay of blood chloride (82435) |
$47 |
$47 |
10.2× |
| Assay of c-peptide (84681) |
$101 |
$101 |
4.9× |
| Assay of calcitonin (82308) |
$134 |
$134 |
5.0× |
| Assay of ceruloplasmin (82390) |
$45 |
$45 |
4.2× |
| Assay of creatine (82540) |
$30 |
$30 |
6.5× |
| Assay of cyclosporine (80158) |
$56 |
$56 |
3.1× |
| Assay of erythropoietin (82668) |
$129 |
$129 |
6.9× |
| Assay of ferritin (82728) |
$87 |
$87 |
6.4× |
| Assay of g6pd enzyme (82955) |
$25 |
$25 |
2.6× |
| Assay of gammaglobulin igm (82784) |
$29 |
$29 |
3.1× |
| Assay of gastrin (82941) |
$64 |
$64 |
3.6× |
| Assay of gentamicin (80170) |
$87 |
$87 |
5.3× |
| Assay of homocystine (83090) |
$104.50 |
$104.50 |
5.8× |
| Assay of lipoprotein(a) (83695) |
$17 |
$17 |
1.2× |
| Assay of metanephrines (83835) |
$137 |
$137 |
8.1× |
| Assay of parathormone (83970) |
$134 |
$134 |
3.2× |
| Assay of phenobarbital (80184) |
$86 |
$86 |
5.6× |
| Assay of phosphatase acid total (84060) |
$15 |
$15 |
2.0× |
| Assay of prealbumin (84134) |
$34 |
$34 |
2.3× |
| Assay of proinsulin (84206) |
$83 |
$83 |
3.1× |
| Assay of serotonin (84260) |
$108 |
$108 |
3.5× |
| Assay of somatomedin (84305) |
$158 |
$158 |
7.4× |
| Assay of tacrolimus (80197) |
$243 |
$243 |
17.7× |
| Assay of urine vma (84585) |
$53 |
$53 |
3.4× |
| Assay of vitamin k (84597) |
$27 |
$27 |
2.0× |
| Assay Ph Body Fluid Nos (83986) |
$44 |
$44 |
12.3× |
| Assay Thiopurine S-Methyltransferase (84433) |
$262.79 |
$262.79 |
11.9× |
| Ast (sgot) (84450) |
$71 |
$71 |
13.7× |
| Automated rbc count (85041) |
$6 |
$6 |
2.0× |
| Bartonella antibody (86611) |
$25 |
$25 |
2.5× |
| Bcr/abl1 gene major bp (81206) |
$321 |
$321 |
2.0× |
| Bcr/abl1 gene minor bp (81207) |
$203 |
$203 |
1.4× |
| Beta 2 Glycoprotein I Antibody,Ea (86146) |
$48 |
$48 |
1.9× |
| Beta hydroxybutyrate (82010) |
$87 |
$87 |
10.6× |
| Beta-2 microglobulin (82232) |
$109 |
$109 |
6.7× |
| Bile acids, total (82239) |
$39 |
$39 |
2.3× |
| Bilirubin direct (82248) |
$67 |
$67 |
13.3× |
| Bilirubin total (82247) |
$67 |
$67 |
13.3× |
| Bilirubin total transcutaneous (88720) |
$50 |
$50 |
10.0× |
| Biotinidase ea specimen (82261) |
$33 |
$33 |
2.0× |
| Bl Smear W/Diff Wbc Count (85007) |
$107 |
$107 |
28.2× |
| Blastomyces antibody (86612) |
$18 |
$18 |
1.4× |
| Bleeding time (85002) |
$53 |
$53 |
11.0× |
| Blood Count Automated Differential Wbc Count (85004) |
$15 |
$15 |
2.3× |
| Blood count reticulocyte automated (85045) |
$51 |
$51 |
12.8× |
| Blood gases (82803) |
$174 |
$174 |
6.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) |
$38 |
$38 |
8.7× |
| Blood Ph - Ph Venous (82800) |
$67 |
$67 |
6.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$160 |
$160 |
25.2× |
| Blood typing abo (86900) |
$47 |
$47 |
15.7× |
| Blood typing serologic rh (d) (86901) |
$54 |
$54 |
18.1× |
| Body fluid cell count (89051) |
$68 |
$68 |
12.1× |
| Body fluid cell count (89050) |
$44 |
$44 |
9.3× |
| Bordetella antibody (86615) |
$26 |
$26 |
2.0× |
| Breath Alcohol Test (82075) |
$59 |
$59 |
2.0× |
| C diff amplified probe (87493) |
$152 |
$152 |
4.1× |
| C-reactive protein (86140) |
$71 |
$71 |
13.7× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$25 |
$25 |
1.9× |
| C1q binding assay (86332) |
$34.12 |
$34.12 |
1.4× |
| Ca 125 (86304) |
$111 |
$111 |
5.3× |
| Ca 19-9 (86301) |
$68 |
$68 |
3.3× |
| Ca 27 29 (86300) |
$101 |
$101 |
4.9× |
| Calcium ionized (82330) |
$85 |
$85 |
6.2× |
| Calcium total (82310) |
$71 |
$71 |
13.8× |
| Calcium urine (82340) |
$42 |
$42 |
7.0× |
| Calculus analysis (82370) |
$18 |
$18 |
1.4× |
| Calculus Qualitative Analysis (82355) |
$24 |
$24 |
2.1× |
| Calculus Quantitative Chemical (82360) |
$24 |
$24 |
1.9× |
| Calculus Spectroscopy (82365) |
$25 |
$25 |
1.9× |
| Calprotectin, fecal (83993) |
$264 |
$264 |
13.4× |
| Carbamazepine (tegretol) total (80156) |
$87 |
$87 |
6.0× |
| Carbon dioxide (82374) |
$47 |
$47 |
9.6× |
| Carboxyhemoglobin Quantitative (82375) |
$50 |
$50 |
4.1× |
| Carcinoembryonic antigen (82378) |
$122 |
$122 |
6.4× |
| Cardiolipin ab igg (86147) |
$37 |
$37 |
1.5× |
| Carnitine (82379) |
$33 |
$33 |
2.0× |
| Catecholamines fraction plasma (82384) |
$96 |
$96 |
3.8× |
| Catecholamines organic nitrogen blood level (82383) |
$41 |
$41 |
1.4× |
| Catecholamines Total Urine (82382) |
$54 |
$54 |
2.0× |
| Cd4 absolute count (86361) |
$153 |
$153 |
5.7× |
| Chemiluminescent assay (82397) |
$171 |
$171 |
12.1× |
| Chloride urine (82436) |
$50 |
$50 |
8.7× |
| Cholesterol total (82465) |
$71 |
$71 |
16.3× |
| Cholinesterase rbc (82482) |
$19 |
$19 |
1.9× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$472 |
$472 |
3.8× |
| Chromium urine (82495) |
$40 |
$40 |
2.0× |
| Chromogranin a (86316) |
$70 |
$70 |
3.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$104 |
$104 |
3.0× |
| Ck isoenzymes (82552) |
$26 |
$26 |
1.9× |
| Ckmb (82553) |
$106 |
$106 |
9.2× |
| Clot factor viii vw antigen (85246) |
$158 |
$158 |
6.9× |
| Clozapine level (80159) |
$39 |
$39 |
1.9× |
| Cmv PCR (87496) |
$312 |
$312 |
8.9× |
| Cns DNA amp probe type 12-25 (87483) |
$584 |
$584 |
1.4× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$31 |
$31 |
1.3× |
| Cold agglutinin titer (86157) |
$15 |
$15 |
1.9× |
| Collagen cross links (82523) |
$37 |
$37 |
2.0× |
| Compatibility test antiglob (86922) |
$200 |
$200 |
1.4× |
| Complement c3 (86160) |
$43 |
$43 |
3.6× |
| Complement total ch50 (86162) |
$43 |
$43 |
2.1× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) |
$24 |
$24 |
2.0× |
| Concentration Infectious Agent (87015) |
$52 |
$52 |
7.8× |
| Coombs direct (86880) |
$44 |
$44 |
8.2× |
| Copper urine (82525) |
$56 |
$56 |
4.5× |
| Cortisol free (82530) |
$60 |
$60 |
3.6× |
| Cortisol total (82533) |
$96 |
$96 |
5.9× |
| Creatine kinase total (82550) |
$71 |
$71 |
10.9× |
| Creatinine blood (82565) |
$71 |
$71 |
13.9× |
| Creatinine clearance (82575) |
$84 |
$84 |
8.9× |
| Creatinine other source (82570) |
$76 |
$76 |
14.7× |
| Crossmatch immediate spin (86920) |
$200 |
$200 |
1.4× |
| Cryoglobulin (82595) |
$13 |
$13 |
2.0× |
| Cryptococcus antibody (86641) |
$28 |
$28 |
1.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$44 |
$44 |
5.4× |
| Culture Aerobic Identify (87077) |
$24 |
$24 |
3.0× |
| Culture anaerobic (87075) |
$30 |
$30 |
3.2× |
| Culture blood (87040) |
$134 |
$134 |
13.0× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$46 |
$46 |
6.0× |
| Culture fungus blood (87103) |
$140 |
$140 |
6.8× |
| Culture fungus id yeast (87106) |
$30 |
$30 |
2.9× |
| Culture fungus other (87102) |
$140 |
$140 |
16.6× |
| Culture genital (87070) |
$111 |
$111 |
12.9× |
| Culture screen only (87081) |
$91 |
$91 |
13.7× |
| Culture stool (87045) |
$131 |
$131 |
13.9× |
| Culture urine (87086) |
$44 |
$44 |
5.5× |
| Culture urine id ea isolate (87088) |
$100 |
$100 |
12.4× |
| Cyclic Citrullinated Peptide (86200) |
$43 |
$43 |
3.3× |
| Cystatin c (82610) |
$36 |
$36 |
1.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$84 |
$84 |
2.0× |
| Cytopath cell enhance tech (88112) |
$90 |
$90 |
2.0× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$52 |
$52 |
2.0× |
| Cytp concentration smears & interpretation (88108) |
$79 |
$79 |
2.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$121.30 |
$121.30 |
2.7× |
| D-Dimer (85379) |
$126 |
$126 |
12.4× |
| D-Dimer (85378) |
$19 |
$19 |
2.0× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$53 |
$53 |
3.2× |
| Dhea (82626) |
$158 |
$158 |
6.3× |
| Dhea sulfate (82627) |
$81 |
$81 |
3.6× |
| Digoxin (80162) |
$94 |
$94 |
7.1× |
| Dihydrotestosterone (82642) |
$61 |
$61 |
2.1× |
| Dilantin (80185) |
$80 |
$80 |
6.0× |
| Diphtheria antitoxoid (86648) |
$30 |
$30 |
2.0× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$50 |
$50 |
3.6× |
| Dna/Rna Amplified Probe (87150) |
$55 |
$55 |
1.6× |
| Dpyd gene common variants (81232) |
$245 |
$245 |
1.4× |
| Drug Assay Lacosamide (80235) |
$53 |
$53 |
2.0× |
| Drug assay posaconazole (80187) |
$37.95 |
$37.95 |
1.4× |
| Drug assay rufinamide (80210) |
$37.95 |
$37.95 |
1.4× |
| Drug Screen Quant Gabapentin (80171) |
$42 |
$42 |
1.9× |
| Drug Screen Quantitative Lamotrigine (80175) |
$52 |
$52 |
3.9× |
| Drug Scrn Quan Levetiracetam (80177) |
$26 |
$26 |
2.0× |
| Drug scrn quant oxcarbazepin (80183) |
$38 |
$38 |
2.9× |
| Drug test prsmv chem anlyzr (80307) |
$292 |
$292 |
4.7× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$44 |
$44 |
3.5× |
| Drug Tst Prsmv Read Instrmnt Asstd Dir Opt Obs (80306) |
$196 |
$196 |
11.4× |
| Ebv viral capsid (86665) |
$67 |
$67 |
3.7× |
| Echinococcus ab igg (86682) |
$18 |
$18 |
1.4× |
| Ehrlichia antibody (86666) |
$68 |
$68 |
6.7× |
| Elastase pancreatic fecal quantitative (82653) |
$33 |
$33 |
1.4× |
| Electrolyte panel (80051) |
$14 |
$14 |
2.0× |
| Electronic crossmatch (86923) |
$174 |
$174 |
1.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$86.10 |
$86.10 |
1.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$25 |
$25 |
2.1× |
| Endomysial antibody iga (86255) |
$155 |
$155 |
12.9× |
| Enterovirus antibody (86658) |
$48 |
$48 |
3.7× |
| Enterovirus Pcr (87498) |
$185 |
$185 |
5.3× |
| Enzyme cell activity (82657) |
$43 |
$43 |
1.9× |
| Eosinophil count (85048) |
$29 |
$29 |
11.4× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$42 |
$42 |
2.7× |
| Estradiol (82670) |
$101 |
$101 |
3.6× |
| Estriol (82677) |
$47 |
$47 |
1.9× |
| Estrogens total (82672) |
$112 |
$112 |
5.2× |
| Estrone (82679) |
$145 |
$145 |
5.8× |
| Ethylene glycol (82693) |
$55 |
$55 |
3.7× |
| Everolimus (80169) |
$27 |
$27 |
2.0× |
| Exam,Synovial Fluid Crystals - Synovial Fluid Crystal (89060) |
$56 |
$56 |
7.6× |
| F2 gene analysis 20210g >a variant (81240) |
$223 |
$223 |
3.4× |
| F5 gene (81241) |
$223 |
$223 |
3.0× |
| Factor ii activity (85210) |
$176 |
$176 |
13.6× |
| Factor ix activity (85250) |
$204 |
$204 |
10.7× |
| Factor v activity (85220) |
$35 |
$35 |
2.0× |
| Factor viii ahg (85240) |
$133 |
$133 |
7.4× |
| Factor xi assay (85270) |
$176 |
$176 |
9.8× |
| Fecal fat qual (82705) |
$28 |
$28 |
5.5× |
| Fecal fat quant (82710) |
$33 |
$33 |
2.0× |
| Fetal bleed screen (85461) |
$20 |
$20 |
2.1× |
| Fetal hemoglobin, chemical (83030) |
$104 |
$104 |
9.7× |
| Fibrinogen activity (85384) |
$80 |
$80 |
8.2× |
| Flow cytometry first marker (88184) |
$457 |
$457 |
1.5× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$24 |
$24 |
2.0× |
| Folate serum (82746) |
$67 |
$67 |
4.6× |
| Folic acid rbc (82747) |
$97 |
$97 |
5.5× |
| Follicle Stimulating Hormone (83001) |
$67 |
$67 |
3.6× |
| Fresh frozen plasma thawing each unit (86927) |
$23 |
$23 |
0.2× |
| Frozen blood, each unit; freezing (includes preparation) and thawing UNSCHEDULED (86932) |
$54 |
$54 |
1.7× |
| Frozen Section (88331) |
$174 |
$174 |
1.2× |
| Fructosamine (82985) |
$32 |
$32 |
1.9× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$60 |
$60 |
5.8× |
| Galactose (82760) |
$22 |
$22 |
2.0× |
| Galactose transferase test (82776) |
$23 |
$23 |
2.0× |
| Gammaglobulin ige (82785) |
$53 |
$53 |
3.2× |
| Gastric Occult Blood (82271) |
$53 |
$53 |
10.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) |
$2,708 |
$2,708 |
0.9× |
| Ggt (82977) |
$71 |
$71 |
9.9× |
| Giardia antigen eia stool (87329) |
$101 |
$101 |
8.4× |
| Gliadin antibody each immunoglobulin class (86258) |
$90.50 |
$90.50 |
7.5× |
| Glucose (82947) |
$74 |
$74 |
18.8× |
| Glucose Blood Test (82962) |
$32 |
$32 |
9.8× |
| Glucose body fluid (82945) |
$74 |
$74 |
18.8× |
| Glucose post dose (82950) |
$7 |
$7 |
1.5× |
| Glucose Tolerance Ea Addl Beyond 3 Specimens (82952) |
$31 |
$31 |
7.9× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$112 |
$112 |
8.7× |
| Growth hormone (83003) |
$33 |
$33 |
2.0× |
| Haptoglobin (83010) |
$45 |
$45 |
3.6× |
| Hcg qualitative (84703) |
$98 |
$98 |
13.0× |
| Hcg quant (84702) |
$88 |
$88 |
5.8× |
| Hdl Cholesterol (83718) |
$55 |
$55 |
6.7× |
| Heavy metal quant each (83018) |
$43 |
$43 |
2.0× |
| Heavy Metal Screen - Heavy Metals Screen (83015) |
$155 |
$155 |
7.4× |
| Hematocrit (85014) |
$44 |
$44 |
18.6× |
| Hematocrit spun (85013) |
$14 |
$14 |
2.0× |
| Hemoglobin (85018) |
$44 |
$44 |
18.6× |
| Hemoglobin a1c (83036) |
$88 |
$88 |
9.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$26 |
$26 |
1.4× |
| Hemoglobin electrophoresis (83020) |
$51 |
$51 |
4.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$144 |
$144 |
18.6× |
| Hemoglobin Methemoglobin Quantitative (83050) |
$15 |
$15 |
1.8× |
| Hemolysins And Agglutinins Incubated (86941) |
$16.95 |
$16.95 |
1.4× |
| Hemolysins/agglutinins auto screen (86940) |
$26 |
$26 |
3.0× |
| Heparin assay (85520) |
$143 |
$143 |
10.9× |
| Hepatitis a antibody total (86708) |
$21 |
$21 |
1.7× |
| Hepatitis a igm (86709) |
$45 |
$45 |
4.0× |
| Hepatitis b core ab igm (86705) |
$20 |
$20 |
1.7× |
| Hepatitis b core antibody total (86704) |
$45 |
$45 |
3.7× |
| Hepatitis B Surface Ab (86706) |
$44 |
$44 |
4.1× |
| Hepatitis B Surface Antigen (87340) |
$71.71 |
$71.71 |
6.9× |
| Hepatitis Be Antigen (87350) |
$49 |
$49 |
4.2× |
| Hepatitis c ab confirm (86804) |
$22 |
$22 |
1.4× |
| Hepatitis c antibody (86803) |
$50 |
$50 |
3.5× |
| Hepatitis C Genotype (87902) |
$409 |
$409 |
1.6× |
| Herpes culture (87252) |
$158 |
$158 |
6.1× |
| Herpes simplex type 2 (86696) |
$24 |
$24 |
1.2× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$76 |
$76 |
14.7× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Other Outpatient (86310) |
$14 |
$14 |
1.9× |
| Hfe gene (81256) |
$153 |
$153 |
2.3× |
| Histamine plasma (83088) |
$58 |
$58 |
2.0× |
| Histoplasma antibody (86698) |
$27 |
$27 |
2.0× |
| Histoplasma antigen urine (87385) |
$210 |
$210 |
15.8× |
| Hiv-1/Hiv-2 1 Result Antbdy (86703) |
$112 |
$112 |
8.2× |
| HIV-2 probe&revrse trnscripj (87538) |
$100 |
$100 |
2.8× |
| Hla b 27 disease association lc (81374) |
$135 |
$135 |
1.8× |
| Hla class ii typing high resolution one locus ea (81382) |
$242 |
$242 |
2.0× |
| Hpylori Breath Anal Urease Act Non-Radact Istope (83013) |
$168.64 |
$168.64 |
2.5× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$223 |
$223 |
6.4× |
| Hydroxyprogesterone 17-d (83498) |
$53 |
$53 |
2.0× |
| Iaad ia clostridium difficile toxin (87324) |
$44 |
$44 |
3.7× |
| Iaad ia cryptosporidium (87328) |
$72 |
$72 |
5.2× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) |
$34 |
$34 |
1.4× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$120 |
$120 |
8.3× |
| Iaad ia rotavirus (87425) |
$49 |
$49 |
4.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$69 |
$69 |
2.0× |
| Iaad Ia Shiga-Like Toxin - Shiga-Like Toxin Antigen, Eia (87427) |
$24 |
$24 |
2.0× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) |
$45.88 |
$45.88 |
1.4× |
| Iaadiadoo not otherwise specified (87899) |
$122 |
$122 |
7.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$64 |
$64 |
1.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$193 |
$193 |
4.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$100 |
$100 |
2.8× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$167 |
$167 |
2.0× |
| Iadna human papillomavirus high-risk types (87624) |
$35 |
$35 |
1.0× |
| Iadna mtb rifampin resistance amp prb tq (87564) |
$108 |
$108 |
1.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$64 |
$64 |
1.8× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$104 |
$104 |
3.0× |
| Iadna nos amplified probe tq each organism (87798) |
$49.13 |
$49.13 |
1.4× |
| Iadna nos quantification each organism (87799) |
$64 |
$64 |
1.5× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$288 |
$288 |
1.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$58 |
$58 |
1.7× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$600 |
$600 |
1.4× |
| Idh1 common variants (81120) |
$379 |
$379 |
2.0× |
| Idh2 common variants (81121) |
$580 |
$580 |
2.0× |
| Igg subclasses (82787) |
$23 |
$23 |
2.9× |
| Immunfix e-phorsis/urine/csf (86335) |
$116 |
$116 |
4.0× |
| Immunoassay infectious agent antibody quan nos (86317) |
$255 |
$255 |
17.0× |
| Immunoassay nonantibody (83516) |
$163 |
$163 |
14.1× |
| Immunoassay technique for helicobacter pylori gi tract bacteria (87339) |
$22 |
$22 |
1.4× |
| Immunoassay with direct visual observation for streptococcus (87802) |
$25 |
$25 |
2.0× |
| Immunofixj Electrophoresis Serum (86334) |
$44 |
$44 |
2.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$220 |
$220 |
1.5× |
| Immunoglobulin light chains free each (83521) |
$85 |
$85 |
4.9× |
| Immunohistochemistry (88342) |
$228 |
$228 |
1.6× |
| India ink prep (87210) |
$56 |
$56 |
9.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute… (87812) |
$130 |
$130 |
1.7× |
| Inhibin b (83520) |
$143 |
$143 |
8.3× |
| Insulin antibodies (86337) |
$105 |
$105 |
4.9× |
| Insulin total (83525) |
$41 |
$41 |
3.6× |
| Interleukin 6 (83529) |
$34 |
$34 |
2.0× |
| Intrinsic factor antibody (86340) |
$105 |
$105 |
7.0× |
| Iron (83540) |
$77 |
$77 |
11.9× |
| Iron binding capacity (83550) |
$17 |
$17 |
1.9× |
| Islet cell antibody (86341) |
$140 |
$140 |
5.9× |
| Jak2 gene analysis (81270) |
$180 |
$180 |
2.0× |
| Ketosteroids 17; total (83586) |
$25 |
$25 |
2.0× |
| Koh Prep (87220) |
$74 |
$74 |
17.3× |
| Lactic acid (83605) |
$85 |
$85 |
7.3× |
| Lactoferrin fecal qualitative (83630) |
$39 |
$39 |
2.0× |
| Ldh (83615) |
$71 |
$71 |
11.8× |
| Ldh isoenzymes (83625) |
$25 |
$25 |
2.0× |
| LDL cholesterol direct (83721) |
$39 |
$39 |
3.7× |
| Lead (83655) |
$98 |
$98 |
8.1× |
| Legion pneumo, DNA, amp prob (87541) |
$64 |
$64 |
1.8× |
| Legionella antibody (86713) |
$52 |
$52 |
3.4× |
| Legionella antigen urine (87449) |
$66 |
$66 |
5.5× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$56 |
$56 |
13.1× |
| Level ii surg pathology grossµscopic exam (88302) |
$70 |
$70 |
2.2× |
| Level v surg pathology grossµscopic exam (88307) |
$366 |
$366 |
1.2× |
| Level vi surg pathology grossµscopic exam (88309) |
$500 |
$500 |
0.7× |
| Lh (83002) |
$67 |
$67 |
3.6× |
| Lipase (83690) |
$96 |
$96 |
13.9× |
| Lipopro bld electrophoretic (83700) |
$16 |
$16 |
1.4× |
| Listeria ab (86609) |
$171 |
$171 |
13.3× |
| Lithium (80178) |
$28 |
$28 |
4.2× |
| Liver Ds Alys 3 Biomarkers Ia Srm Prognostic Alg (81517) |
$247 |
$247 |
1.4× |
| Lyme disease antibody (86618) |
$66 |
$66 |
3.9× |
| Lyme disease antibody confirm (86617) |
$154 |
$154 |
9.9× |
| M/Phmtrc Alys Ish Quant/Semiq Cptr Each Multiprb (88374) |
$221 |
$221 |
1.5× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) |
$305 |
$305 |
2.1× |
| M/Phmtrc Alys Tumor Imhchem Ea Antbdy Cmptr Asst (88361) |
$366 |
$366 |
1.2× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$153 |
$153 |
1.0× |
| Macroscopic exam arthropod (87168) |
$35 |
$35 |
8.2× |
| Macroscopic exam parasite (87169) |
$25 |
$25 |
5.8× |
| Magnesium (83735) |
$71 |
$71 |
10.6× |
| Malaria smear (87207) |
$277 |
$277 |
46.2× |
| Mass spectrometry qual/quan (83789) |
$32.88 |
$32.88 |
1.4× |
| Mercury (83825) |
$98 |
$98 |
6.0× |
| Methotrexate (80299) |
$37 |
$37 |
2.0× |
| Methylmalonic acid serum (83921) |
$148 |
$148 |
7.0× |
| Microalbumin urine (82043) |
$60 |
$60 |
10.4× |
| Microsomal antibodies (86376) |
$76 |
$76 |
5.2× |
| Mitochondrial antibody each (86381) |
$48 |
$48 |
1.9× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$26 |
$26 |
2.2× |
| Molecular pathology procedure level 2 (81401) |
$192 |
$192 |
1.4× |
| Molecular pathology procedure level 7 (81406) |
$350 |
$350 |
1.2× |
| Mopath procedure level 4 (81403) |
$363 |
$363 |
2.0× |
| Mopath procedure level 6 (81405) |
$421.89 |
$421.89 |
1.4× |
| Mthfr Gene Analysis Common Variants (81291) |
$128 |
$128 |
2.0× |
| Muramidase (85549) |
$37 |
$37 |
2.0× |
| Muscle-specific kinase (musk) antibody (86366) |
$36 |
$36 |
2.0× |
| Mycobacteric Identification (87118) |
$49 |
$49 |
3.4× |
| Mycophenolic acid (80180) |
$47 |
$47 |
2.6× |
| Mycoplasma antibody (86738) |
$115 |
$115 |
8.7× |
| Myelin basic protein csf (83873) |
$112 |
$112 |
6.5× |
| Myoglobin urine (83874) |
$88 |
$88 |
6.8× |
| Natriuretic peptide (83880) |
$185 |
$185 |
4.7× |
| Nuclear antigen antibody (86235) |
$126 |
$126 |
7.0× |
| Occult blood stool (82272) |
$38 |
$38 |
9.0× |
| Oligoclonal bands (83916) |
$150 |
$150 |
5.5× |
| Organic Acids Qual Each (83919) |
$32 |
$32 |
1.9× |
| Osmolality serum (83930) |
$71 |
$71 |
10.7× |
| Osmolality urine (83935) |
$71 |
$71 |
10.4× |
| Ova and parasite direct-id lca (87177) |
$94 |
$94 |
10.6× |
| Oxalate urine (83945) |
$28 |
$28 |
1.9× |
| Pancreatic elastase fecal (82656) |
$284 |
$284 |
24.6× |
| Pancreatic polypeptide (83519) |
$36 |
$36 |
2.0× |
| Particle Agglutination Screen Each Antibody (86403) |
$124 |
$124 |
10.7× |
| Parvovirus antibody (86747) |
$56 |
$56 |
3.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) |
$75 |
$75 |
1.7× |
| Pbb Iaad Ia Sarscov & Influenza Virus Types a&B (87428) |
$128 |
$128 |
1.8× |
| Pertussis dfa (87265) |
$19 |
$19 |
1.6× |
| Phosphatase acid prostatic (84066) |
$19 |
$19 |
2.0× |
| Phosphatase alkaline (84075) |
$71 |
$71 |
13.7× |
| Phospholipid Neutralization Hexagonal (85598) |
$37 |
$37 |
2.1× |
| Phosphorus blood (84100) |
$71 |
$71 |
15.0× |
| Phosphorus urine (84105) |
$59 |
$59 |
10.2× |
| Platelet aggregation (85576) |
$49 |
$49 |
2.0× |
| Platelet count (85049) |
$51 |
$51 |
11.4× |
| Porphyrins feces qn (84126) |
$77 |
$77 |
2.0× |
| Porphyrins qn & fraction urine (84120) |
$29 |
$29 |
2.0× |
| Potassium (84132) |
$47 |
$47 |
9.9× |
| Potassium urine (84133) |
$50 |
$50 |
10.6× |
| Pretx serum rbc antibody identification dilution (86976) |
$38 |
$38 |
1.5× |
| Procalcitonin (pct) (84145) |
$287 |
$287 |
10.5× |
| Progesterone (84144) |
$74 |
$74 |
3.5× |
| Prolactin (84146) |
$70 |
$70 |
3.6× |
| Protein body fluid (84157) |
$71 |
$71 |
17.8× |
| Protein c activity (85303) |
$27 |
$27 |
2.0× |
| Protein c antigen (85302) |
$118 |
$118 |
9.8× |
| Protein electrophoresis serum (84165) |
$128 |
$128 |
11.9× |
| Protein Electrophoresis Urine (84166) |
$71 |
$71 |
4.0× |
| Protein S Functional (85306) |
$126 |
$126 |
8.2× |
| Protein s total (85305) |
$80 |
$80 |
6.9× |
| Protein Total Serum (84155) |
$71 |
$71 |
19.3× |
| Protein urine (84156) |
$76 |
$76 |
20.7× |
| Prothrombin time substitution (85611) |
$66 |
$66 |
16.8× |
| PSA free (84154) |
$120 |
$120 |
6.5× |
| Quantiferon tb gold (86480) |
$193 |
$193 |
3.1× |
| Rbc antibody elution (86860) |
$217.76 |
$217.76 |
1.5× |
| Rbc pretx incubatj w/chemicl (86970) |
$79 |
$79 |
1.6× |
| Reagent strip/blood glucose (82948) |
$10 |
$10 |
2.0× |
| Reducing substances, stool (84376) |
$50 |
$50 |
9.1× |
| Renin activity plasma (84244) |
$81 |
$81 |
3.7× |
| Respiratory viral panel PCR (87633) |
$525 |
$525 |
1.3× |
| Rheumatoid Factor Qual (86430) |
$72 |
$72 |
11.7× |
| Rheumatoid factor quant (86431) |
$11 |
$11 |
1.9× |
| Rickettsia antibody (86757) |
$108 |
$108 |
5.6× |
| Rpr Titer (86593) |
$20 |
$20 |
4.5× |
| Rsv (87807) |
$78 |
$78 |
6.0× |
| Rubella antibody (86762) |
$72 |
$72 |
5.0× |
| Russell viper venom time diluted (85613) |
$106 |
$106 |
11.1× |
| Salicylate (80179) |
$80 |
$80 |
4.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$125 |
$125 |
2.4× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$101 |
$101 |
2.4× |
| Sed rate automated (85652) |
$106 |
$106 |
39.3× |
| Sedimentation rate (85651) |
$53 |
$53 |
12.4× |
| Sensitivity mic (87186) |
$60 |
$60 |
6.9× |
| Serotonin Release Assay (86022) |
$128 |
$128 |
7.0× |
| Sex hormone binding globulin (84270) |
$43 |
$43 |
2.0× |
| Sickle cell screen (85660) |
$39 |
$39 |
7.1× |
| Sirolimus (rapamycin) (80195) |
$38 |
$38 |
2.8× |
| Smear acid fast (87206) |
$56.56 |
$56.56 |
10.5× |
| Smear complex stain (87209) |
$96 |
$96 |
5.3× |
| Smear gram stain (87205) |
$56 |
$56 |
13.1× |
| Sodium (84295) |
$47 |
$47 |
9.8× |
| Sodium urine (84300) |
$50 |
$50 |
9.9× |
| Soluble transferrin receptor (84238) |
$98 |
$98 |
2.7× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$119 |
$119 |
1.0× |
| Special stains group 1 (88312) |
$119.10 |
$119.10 |
2.7× |
| Spectrophotometry (84311) |
$233 |
$233 |
28.8× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) |
$39 |
$39 |
0.3× |
| Stool Cultr Aerobic Bact Ea (87046) |
$43 |
$43 |
4.6× |
| Strep a assay w/optic (87880) |
$81 |
$81 |
4.9× |
| Surg path level iii (88304) |
$88 |
$88 |
2.0× |
| Surg Path,Gross,Level I - Lab Surg Path,Gross,Level I (88300) |
$46 |
$46 |
1.8× |
| Surgical pathology level IV (88305) |
$127 |
$127 |
2.8× |
| Susceptibility study antimicrobial disk method (87184) |
$10.47 |
$10.47 |
1.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$432 |
$432 |
9.2× |
| T3 free (84481) |
$22 |
$22 |
1.3× |
| T3 reverse (84482) |
$31 |
$31 |
2.0× |
| T3 total (84480) |
$50 |
$50 |
3.5× |
| T3 uptake (84479) |
$18 |
$18 |
2.8× |
| T4 Free (84439) |
$88 |
$88 |
9.8× |
| T4 total (84436) |
$13 |
$13 |
1.9× |
| Tb intradermal test (86580) |
$56 |
$56 |
2.2× |
| Testosterone bioavailable (84410) |
$136 |
$136 |
2.7× |
| Testosterone free (84402) |
$50 |
$50 |
2.0× |
| Testosterone total (84403) |
$51 |
$51 |
2.0× |
| Tetanus antibody (86774) |
$29 |
$29 |
2.0× |
| Theophylline (80198) |
$107 |
$107 |
7.6× |
| Thrombin time plasma (85670) |
$106 |
$106 |
18.4× |
| Thromboplastin Inhibition Tissue (85705) |
$106 |
$106 |
11.0× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$106 |
$106 |
16.4× |
| Thyroglobulin Ab (86800) |
$34 |
$34 |
2.1× |
| Thyroid Stimulating Immunoglobulin (84445) |
$289 |
$289 |
5.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) |
$154 |
$154 |
13.4× |
| Tobramycin peak (80200) |
$87 |
$87 |
5.4× |
| Topiramate (80201) |
$23 |
$23 |
1.9× |
| Toxoplasma ab igm (86778) |
$56 |
$56 |
3.9× |
| Toxoplasma antibody igg (86777) |
$87 |
$87 |
6.0× |
| Transferrin (84466) |
$80 |
$80 |
6.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$292 |
$292 |
1.4× |
| Trg gene rearrangement analysis (81342) |
$282 |
$282 |
1.4× |
| Triglycerides (84478) |
$71 |
$71 |
12.4× |
| Troponin (84484) |
$105.50 |
$105.50 |
8.5× |
| Ugt1a1 gene analysis common variants (81350) |
$327.60 |
$327.60 |
1.4× |
| Urea nitrogen (84520) |
$71 |
$71 |
18.0× |
| Urea nitrogen urine (84540) |
$79.50 |
$79.50 |
14.3× |
| Uric acid blood (84550) |
$71 |
$71 |
15.7× |
| Uric acid other source (84560) |
$51 |
$51 |
10.0× |
| Urinalysis microscopic only (81015) |
$34 |
$34 |
11.1× |
| Urinalysis qual/semiquant except immunoassays (81005) |
$39.15 |
$39.15 |
18.0× |
| Urinalysis w/microscopic (81001) |
$6 |
$6 |
1.9× |
| Urine pregnancy test (81025) |
$35 |
$35 |
4.1× |
| Urine volume measurement (81050) |
$7 |
$7 |
1.9× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$38 |
$38 |
16.9× |
| Valproic acid level (80164) |
$96 |
$96 |
7.1× |
| Vancomycin trough (80202) |
$96 |
$96 |
7.1× |
| Varicella-zoster antibody (86787) |
$45.50 |
$45.50 |
3.5× |
| Vasoactive intestinal peptide (vip) (84586) |
$267 |
$267 |
7.6× |
| Vasopressin (84588) |
$67 |
$67 |
2.0× |
| Vdrl csf (86592) |
$24 |
$24 |
5.6× |
| Virus antibody nos (86790) |
$25 |
$25 |
1.9× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$147 |
$147 |
4.3× |
| Viscosity serum (85810) |
$25 |
$25 |
2.1× |
| Vitamin A (84590) |
$83 |
$83 |
7.1× |
| Vitamin b-12 (82607) |
$67 |
$67 |
4.4× |
| Vitamin b-2 (riboflavin) (84252) |
$24 |
$24 |
1.2× |
| Vitamin b1 (thiamine) (84425) |
$97 |
$97 |
4.6× |
| Vitamin b6 (84207) |
$129 |
$129 |
4.6× |
| Vitamin C (82180) |
$19 |
$19 |
1.9× |
| Vitamin D 25-Hydroxy (82306) |
$121 |
$121 |
4.1× |
| Vitamin e serum (84446) |
$87 |
$87 |
6.1× |
| Voltage-gated calcium channel antibody each (86596) |
$16.87 |
$16.87 |
1.4× |
| Von willebrand factor activity (85245) |
$45 |
$45 |
2.0× |
| West nile virus ab, igm (86788) |
$119 |
$119 |
7.1× |
| West nile virus antibody (86789) |
$100 |
$100 |
6.9× |
| Zinc (84630) |
$49 |
$49 |
4.3× |