| 17 Hydroxyprogesterone (83498) |
$47 |
$94 |
1.7× |
| 5-Hiaa (83497) |
$48 |
$96 |
3.7× |
| Acetone serum qual (82009) |
$39 |
$77 |
8.6× |
| Acetone, quantitative (82010) |
$103 |
$206 |
12.6× |
| Acth (82024) |
$109 |
$218 |
2.8× |
| Activated protein c resistance (85307) |
$97 |
$193 |
6.3× |
| Acute hepatitis panel (80074) |
$105 |
$209 |
2.2× |
| Acylcarnitines quantitative (82017) |
$226 |
$451 |
13.4× |
| Adenovirus ag if (87260) |
$15 |
$30 |
1.0× |
| Afb culture (87116) |
$15 |
$29 |
1.4× |
| Afb smear (87206) |
$10.50 |
$20 |
1.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$86 |
$171 |
1.3× |
| Albumin body fluid (82042) |
$18 |
$35 |
2.3× |
| Albumin serum (82040) |
$42 |
$84 |
8.5× |
| Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Other Outpatient (82044) |
$14 |
$27 |
2.2× |
| Aldolase (82085) |
$30 |
$60 |
3.1× |
| Aldosterone (82088) |
$96 |
$192 |
2.4× |
| Alkaline phosphatase (84075) |
$30 |
$59 |
5.8× |
| Alkaline phosphatase isoenzymes (84080) |
$36 |
$71 |
2.4× |
| Allergen profile perennial allergen (86003) |
$7 |
$13 |
1.3× |
| Alpha-1-antitrypsin (82103) |
$41 |
$81 |
3.1× |
| Alpha-1-antitrypsin phenotype (82104) |
$85 |
$170 |
5.9× |
| Alpha-fetoprotein serum (82105) |
$23 |
$45 |
1.4× |
| Alt (84460) |
$48 |
$95 |
9.1× |
| Aluminum (82108) |
$58 |
$115 |
2.3× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$130 |
$260 |
7.7× |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
$42 |
$84 |
1.8× |
| Ammonia (82140) |
$68 |
$135 |
4.7× |
| Amylase (82150) |
$36 |
$71 |
5.6× |
| Ana (86038) |
$48 |
$95 |
4.0× |
| Ana titer (86039) |
$41 |
$81 |
3.7× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$26 |
$52 |
1.7× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$26 |
$52 |
1.4× |
| Androstenedione (82157) |
$73 |
$145 |
2.5× |
| Angiotensin converting enzyme (82164) |
$67 |
$134 |
4.6× |
| Anti-mitochondrial antibody (86255) |
$59 |
$118 |
4.9× |
| Anti-phosphatidylserine antibody (86148) |
$39 |
$77 |
2.4× |
| Antibody west nile virus igm (86788) |
$47 |
$93 |
2.8× |
| Antibody; Helicobacter pylori (86677) |
$53 |
$105 |
3.1× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$37 |
$74 |
3.1× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$32 |
$64 |
2.7× |
| Antistreptolysin o titer (86060) |
$14 |
$27 |
1.9× |
| Antithrombin iii activity (85300) |
$45 |
$90 |
3.8× |
| Antithrombin iii antigen (85301) |
$55 |
$109 |
5.1× |
| Apolipoprotein each (82172) |
$38 |
$75 |
1.8× |
| Arsenic (82175) |
$24 |
$47 |
1.3× |
| Assay 17-(17-ks)ketosteroids - 17 ketosteroids,24hr urine (83586) |
$32 |
$63 |
2.5× |
| Assay anti-mullerian horm (82166) |
$63 |
$125 |
1.6× |
| Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) |
$44 |
$87 |
2.5× |
| Ast (84450) |
$45 |
$89 |
8.7× |
| Bcr/abl1 gene major bp (81206) |
$158 |
$315 |
1.0× |
| Bcr/abl1 gene minor bp (81207) |
$158 |
$315 |
1.1× |
| Beta 2 glycoprotein i antibody (86146) |
$50 |
$100 |
2.0× |
| Beta lactamase (87185) |
$26 |
$51 |
5.5× |
| Beta-2 microglobulin (82232) |
$60 |
$120 |
3.7× |
| Bile acids total (82239) |
$21 |
$42 |
1.2× |
| Bilirubin direct (82248) |
$42 |
$84 |
8.4× |
| Bilirubin total (82247) |
$42 |
$84 |
8.4× |
| Bilirubin total transcutaneous (88720) |
$10 |
$20 |
2.0× |
| Biotinidase (82261) |
$9 |
$18 |
0.5× |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
$22 |
$43 |
6.4× |
| Bleeding time (85002) |
$38 |
$75 |
7.9× |
| Blood count leukocyte wbc automated (85048) |
$23 |
$46 |
9.1× |
| Blood count reticulocyte automated (85045) |
$35 |
$70 |
8.8× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$8 |
$15 |
2.6× |
| Blood gases any combination (82803) |
$105.50 |
$210 |
4.0× |
| Blood gases w/o2 saturation (82805) |
$130 |
$259 |
1.7× |
| Blood typing serologic abo (86900) |
$147 |
$294 |
49.2× |
| Blood typing serologic rh (d) (86901) |
$27 |
$53 |
9.0× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$242 |
$484 |
38.1× |
| Blood unit compatibility test, incubation technique (86921) |
$145 |
$289 |
0.8× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$66 |
$131 |
4.1× |
| Bone marrow smear interpretation (85097) |
$608 |
$1,215 |
0.7× |
| Bordetella pertussis igm (86615) |
$33 |
$66 |
2.5× |
| Breath alcohol test (82075) |
$38 |
$75 |
1.3× |
| C diff amplified probe (87493) |
$170 |
$339 |
4.6× |
| C-peptide (84681) |
$44 |
$87 |
2.1× |
| C-reactive protein (86140) |
$45 |
$90 |
8.7× |
| C-reactive protein high sensitivity (86141) |
$36 |
$71 |
2.8× |
| Ca 125 (86304) |
$77 |
$154 |
3.7× |
| Ca 15-3 (86300) |
$77 |
$154 |
3.7× |
| Cadmium (82300) |
$57 |
$113 |
2.4× |
| Calcitonin (82308) |
$66 |
$131 |
2.5× |
| Calcium ionized (82330) |
$55 |
$109 |
4.0× |
| Calcium total (82310) |
$44.50 |
$88 |
8.6× |
| Calcium, random urine (82340) |
$16 |
$31 |
2.7× |
| Calprotectin fecal (83993) |
$44 |
$88 |
2.2× |
| Cancer antigen 19-9 (86301) |
$77 |
$154 |
3.7× |
| Carbamazepine total (80156) |
$123 |
$246 |
8.4× |
| Carbon dioxide (82374) |
$25 |
$50 |
5.1× |
| Carbon monoxide (82375) |
$103.50 |
$206.50 |
8.4× |
| Cardiolipin antibody ea ig class (86147) |
$23 |
$45 |
0.9× |
| Casein igg (86001) |
$12 |
$23 |
1.5× |
| Catecholamines fractionated (82384) |
$79 |
$157 |
3.1× |
| Cea (82378) |
$72 |
$144 |
3.8× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$48 |
$95 |
8.6× |
| Ceruloplasmin (82390) |
$15 |
$29 |
1.4× |
| Cftr gene com variants (81220) |
$666.50 |
$1,332.50 |
1.2× |
| Chloride blood (82435) |
$23 |
$45 |
5.0× |
| Chloride other source (82438) |
$12 |
$23 |
2.4× |
| Cholesterol total (82465) |
$37 |
$74 |
8.5× |
| Chorionic gonadotropin test (84702) |
$48 |
$95 |
3.2× |
| Chromium (82495) |
$51 |
$101 |
2.5× |
| Chromogranin a (86316) |
$63 |
$126 |
3.0× |
| Citrate (82507) |
$68 |
$136 |
2.4× |
| Ck mb fraction (82553) |
$99 |
$197 |
8.6× |
| Clostridium ag eia (87324) |
$88 |
$176 |
7.3× |
| Clot inhibit prot s total (85305) |
$34 |
$67 |
2.9× |
| Cmv antibody (86644) |
$32 |
$63.50 |
2.2× |
| Coccidioides antibody (86635) |
$30 |
$60 |
2.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$120 |
$239 |
5.0× |
| Collagen cross links (82523) |
$68 |
$135.50 |
3.6× |
| Complement antigen ea component (86160) |
$47 |
$93 |
3.9× |
| Complement total (ch50) (86162) |
$66 |
$131 |
3.2× |
| Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) |
$121 |
$241 |
0.7× |
| Copper (82525) |
$39 |
$77 |
3.1× |
| Cortisol free (82530) |
$109 |
$218 |
6.5× |
| Cortisol saliva (82533) |
$50.50 |
$100.50 |
3.1× |
| COVID-19 antibody (86769) |
$42 |
$84 |
1.0× |
| Creatine kinase isoenzymes (82552) |
$33 |
$66 |
2.5× |
| Creatine kinase total (82550) |
$43.50 |
$86 |
6.7× |
| Creatinine (82565) |
$34 |
$67 |
6.6× |
| Creatinine clearance (82575) |
$80 |
$160 |
8.5× |
| Creatinine other source (82570) |
$12 |
$24 |
2.3× |
| Crossmatch ahg (86922) |
$191 |
$381 |
1.1× |
| Cryoglobulins (82595) |
$25 |
$50 |
3.9× |
| Cryptosporidium ag eia (87328) |
$106 |
$212 |
7.7× |
| Crystals fluid (89060) |
$60 |
$120 |
8.2× |
| Culture anaerobic (87075) |
$80 |
$160 |
8.4× |
| Culture blood (87040) |
$90 |
$179 |
8.7× |
| Culture fungus skin hair nail (87101) |
$60 |
$119 |
7.8× |
| Culture stool (87045) |
$82 |
$163 |
8.7× |
| Culture typing if ea antiserum (87140) |
$55 |
$109 |
9.9× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$31 |
$62 |
3.8× |
| Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Other… (87076) |
$60 |
$120 |
7.4× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$36 |
$71 |
3.8× |
| Cyclic citrullinated peptide ab (86200) |
$70 |
$140 |
5.4× |
| Cyclosporine (80158) |
$68 |
$135 |
3.8× |
| Cystatin c (82610) |
$66 |
$131 |
3.6× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$90 |
$179 |
6.9× |
| Cytomeg DNA amp probe (87496) |
$120 |
$239 |
3.4× |
| Cytomegalovirus antibody igm (86645) |
$32 |
$63.50 |
1.9× |
| Cytopath cell enhance tech (88112) |
$109 |
$218 |
2.0× |
| Cytp eval fine needle aspirate interp & report (88173) |
$67 |
$133 |
1.2× |
| D-dimer quantitative (85379) |
$70 |
$139 |
6.9× |
| Deoxyribonuclease antibody (86215) |
$45 |
$90 |
3.4× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$35 |
$69.50 |
2.5× |
| Dhea (82626) |
$95 |
$190 |
3.8× |
| Dhea sulfate (82627) |
$84 |
$167 |
3.8× |
| Digoxin (80162) |
$113 |
$225 |
8.5× |
| Direct antiglobulin test (86880) |
$44 |
$87 |
8.2× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) |
$208 |
$416 |
0.8× |
| Drug screen quant clozapine (80159) |
$47 |
$93 |
2.3× |
| Drug screen quant everolimus (80169) |
$91 |
$181 |
6.6× |
| Drug screen quant gabapentin (80171) |
$39 |
$78 |
1.8× |
| Drug screen quant levetiracetam (80177) |
$78 |
$156 |
5.9× |
| Drug screen quantitative oxcarbazepine (80183) |
$55 |
$110 |
4.2× |
| Drug test prsmv chem anlyzr (80307) |
$76 |
$151.50 |
1.2× |
| Drug test prsmv dir opt obs (80305) |
$74 |
$147.50 |
5.9× |
| Ear culture (87070) |
$74 |
$147 |
8.6× |
| Ehrlichia antibody (86666) |
$18 |
$35 |
1.8× |
| Electrolytes panel (80051) |
$60 |
$119 |
8.6× |
| Endomysial antibody each immunoglobulin class (86231) |
$54 |
$107.50 |
4.5× |
| Eosinophils urine (87205) |
$30.50 |
$61 |
7.1× |
| Erythropoietin (82668) |
$58 |
$116 |
3.1× |
| Estradiol (82670) |
$55.50 |
$111 |
2.0× |
| Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient (82681) |
$104 |
$208 |
3.7× |
| Estriol (82677) |
$32 |
$63 |
1.3× |
| Estrogen fractionated (82671) |
$152 |
$304 |
4.7× |
| Estrogens total (82672) |
$29 |
$58 |
1.3× |
| Eval amniotic fluid protein (84112) |
$78 |
$156 |
0.8× |
| Extractable nuclear antigen antibody any method (86235) |
$29.50 |
$58 |
1.6× |
| F2 gene analysis (81240) |
$113 |
$225 |
1.7× |
| F5 gene (81241) |
$96 |
$191.50 |
1.3× |
| Factor viii activity (85240) |
$56 |
$111 |
3.1× |
| Factor viii vw antigen (85246) |
$74 |
$147 |
3.2× |
| Fecal fat qualitative (82705) |
$17 |
$33 |
3.3× |
| Ferritin (82728) |
$53 |
$105 |
3.9× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$738 |
$1,475 |
1.0× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, differential lysis (85460) |
$44 |
$87 |
5.7× |
| Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation, rosette (85461) |
$57 |
$113 |
6.1× |
| Fibrinogen, activity (85384) |
$73 |
$146 |
7.5× |
| Flow cytometry first marker (88184) |
$242 |
$484 |
0.6× |
| Fmr1 gene alys eval to detect abnormal alleles (81243) |
$63 |
$125 |
1.1× |
| Folate serum (82746) |
$55 |
$110 |
3.7× |
| Folic acid rbc (82747) |
$49 |
$98 |
2.8× |
| Follicle stimulating hormone (fsh) (83001) |
$72 |
$143 |
3.9× |
| Ftl cgen abnor four anal (81511) |
$384 |
$768 |
2.5× |
| Fungus isolation culture (87102) |
$32 |
$63.50 |
3.8× |
| Galactose-1-phosphate uridyl transferase; screen Other Outpatient (82776) |
$6 |
$12 |
0.5× |
| Gamma glutamyl transferase (82977) |
$61 |
$121 |
8.5× |
| Gammaglobulin ige (82785) |
$30 |
$59.50 |
1.8× |
| Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Other Outpatient (82810) |
$52 |
$104 |
5.3× |
| Gastrin (82941) |
$68 |
$136 |
3.9× |
| Genet virus isolate hsv (87255) |
$96 |
$192 |
2.8× |
| Genotype DNA hepatitis b (87912) |
$359 |
$718 |
1.4× |
| Gentamicin (80170) |
$134 |
$268 |
8.2× |
| Giardia antigen (87329) |
$103 |
$205 |
8.6× |
| Gliadin antibody each immunoglobulin class (86258) |
$37 |
$73 |
3.1× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$19 |
$37 |
5.8× |
| Glucose Fasting (82947) |
$34 |
$67 |
8.7× |
| Glucose other fluid (82945) |
$34.50 |
$68 |
8.8× |
| Glucose post glucose dose (82950) |
$39 |
$77 |
8.2× |
| Glucose tolerance test (gtt) (82951) |
$54 |
$108 |
4.2× |
| Glucose-6-pd (82955) |
$24 |
$47 |
2.5× |
| Glycated hemoglobin (83036) |
$64.50 |
$128 |
6.6× |
| Glycosylated hb home device (83037) |
$42 |
$83 |
4.3× |
| Growth hormone (hgh) (83003) |
$54 |
$108 |
3.2× |
| Gtt-added samples (82952) |
$23 |
$45 |
5.9× |
| H pylori breath test (83013) |
$105 |
$209 |
1.6× |
| H pylori stool (87338) |
$103 |
$205 |
7.2× |
| Haptoglobin (83010) |
$22 |
$43 |
1.7× |
| Hbsag neutralization (87341) |
$29 |
$58 |
2.8× |
| Hcg ql (84703) |
$61 |
$121 |
8.1× |
| HDL cholesterol (83718) |
$70 |
$140 |
8.5× |
| Hematocrit (hct) (85014) |
$22 |
$43.50 |
9.3× |
| Hemoglobin (85018) |
$22 |
$43 |
9.3× |
| Hemoglobin electrophoresis (83020) |
$7 |
$14 |
0.5× |
| Hemoglobin fractj/quantj chromotography (83021) |
$59 |
$118 |
3.3× |
| Hep a ab total (86708) |
$47 |
$94 |
3.8× |
| Hepatitis a antibody igm (86709) |
$41 |
$81 |
3.6× |
| Hepatitis b core antibody igm (86705) |
$44 |
$87 |
3.7× |
| Hepatitis b core antibody total (86704) |
$47 |
$93 |
3.9× |
| Hepatitis b DNA quant (87517) |
$161 |
$321 |
3.8× |
| Hepatitis b surface ab (86706) |
$23.50 |
$46 |
2.2× |
| Hepatitis b surface antigen (87340) |
$39 |
$77 |
3.8× |
| Hepatitis be antibody (86707) |
$44 |
$87 |
3.8× |
| Hepatitis c antibody (86803) |
$54 |
$107 |
3.8× |
| Hepatitis c genotype (87902) |
$354 |
$708 |
1.4× |
| Hepatitis c RNA quantitative (87522) |
$161 |
$321 |
3.8× |
| Herpes simplex virus by PCR (87529) |
$55 |
$110 |
1.6× |
| Heterophile antibody screen (86308) |
$24.50 |
$48.50 |
4.7× |
| Hexagonal phospholipid neutralization (85598) |
$118 |
$235 |
6.6× |
| Hfe gene (81256) |
$234 |
$467 |
3.6× |
| Histoplasma antibody (86698) |
$30 |
$60 |
2.2× |
| HIV-1 ag w/HIV-1 & HIV-2 ab (87389) |
$61 |
$121 |
2.5× |
| HIV-1 antibody (86701) |
$22 |
$44 |
2.5× |
| Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen (Acc Exp/Source) (86703) |
$85 |
$170 |
6.2× |
| HIV-2 antibody (86702) |
$22 |
$44 |
1.6× |
| Hla b27 (86812) |
$89 |
$177 |
3.4× |
| Hla ii typing 1 loc hr (81382) |
$155 |
$310 |
1.3× |
| Hla ii typing 1 locus lr (81376) |
$155 |
$310 |
1.3× |
| Homocysteine level (83090) |
$40.50 |
$80.50 |
2.3× |
| Human immunodeficiency virus type 1 (HIV-1) antibody confirmation by western blot arup 0020284 (86689) |
$146 |
$292 |
7.5× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$28.50 |
$56.50 |
0.8× |
| Iadna sars-cov-2 COVID-19 amplified probe tq (87635) |
$36.50 |
$73 |
0.7× |
| Igg subclass 1 (82787) |
$18 |
$35 |
2.2× |
| Immunoassay analyte quantitative nos (83520) |
$27 |
$54 |
1.6× |
| Immunodiffusion nes (86329) |
$17 |
$33 |
1.2× |
| Immunofixation electrophoresis (86334) |
$61 |
$121.50 |
2.7× |
| Immunofluor antb 1st stain (88346) |
$242 |
$484 |
1.3× |
| Immunoglobulin d (82784) |
$35 |
$69 |
3.8× |
| Immunoglobulin light chains free each (83521) |
$46.50 |
$92.50 |
2.7× |
| Immunoperoxidase (88342) |
$242 |
$484 |
1.3× |
| In situ hybridization 1st probe stain (88365) |
$288 |
$576 |
1.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$105 |
$209 |
7.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$74 |
$148 |
4.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$25 |
$49 |
1.9× |
| Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Other… (87299) |
$15 |
$30 |
0.9× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$178 |
$355 |
4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$38.50 |
$77 |
1.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$129 |
$258 |
3.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Other Outpatient (87530) |
$55 |
$110 |
1.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse… (87535) |
$262 |
$523 |
7.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$262 |
$523 |
3.1× |
| Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for… (81514) |
$156 |
$311 |
0.6× |
| Influenza a ag eia (87400) |
$23 |
$45 |
1.6× |
| Influenza assay w/optic (87804) |
$21 |
$42 |
1.3× |
| Inhibin a (86336) |
$41 |
$82 |
2.6× |
| Insulin antibody (86337) |
$174 |
$347 |
8.1× |
| Insulin total (83525) |
$42 |
$84 |
3.7× |
| Iron (83540) |
$56 |
$111 |
8.7× |
| Iron binding capacity (83550) |
$77 |
$153 |
8.8× |
| Islet cell antibody (86341) |
$48 |
$95 |
2.0× |
| Jak2 gene (81270) |
$239 |
$477 |
2.6× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$84 |
$167 |
2.1× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$37 |
$73 |
0.9× |
| Lactate (83605) |
$12 |
$24 |
1.0× |
| Lactate dehydrogenase (83615) |
$52.50 |
$104 |
8.7× |
| Lamotrigine (80175) |
$52 |
$103 |
3.9× |
| LDL direct (83721) |
$28 |
$55 |
2.7× |
| Lead (83655) |
$29.50 |
$58.50 |
2.4× |
| Legionella culture (87081) |
$57 |
$113 |
8.6× |
| Legionella urine antigen (87449) |
$16 |
$32 |
1.3× |
| Leukocyte antibody id (86021) |
$37 |
$73 |
2.5× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$77 |
$153 |
2.0× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$142 |
$283 |
2.6× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$143 |
$285 |
2.6× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$216 |
$432 |
0.6× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$608 |
$1,215 |
0.7× |
| Lipase (83690) |
$62 |
$123 |
9.0× |
| Lipoprotein (a) (83695) |
$45 |
$89 |
3.1× |
| Lipoprotein bld by nmr (83704) |
$78 |
$156 |
2.3× |
| Lithium (80178) |
$25 |
$50 |
3.8× |
| Luteinizing hormone (lh) (83002) |
$72 |
$143 |
3.9× |
| Lyme disease antibody (86618) |
$33 |
$66 |
1.9× |
| Magnesium (83735) |
$22 |
$43 |
3.3× |
| Manual differential (85007) |
$29 |
$58 |
7.6× |
| Mercury (83825) |
$24 |
$47 |
1.5× |
| Metanephrines (83835) |
$87 |
$173 |
5.1× |
| Methemoglobin quant (83050) |
$62 |
$123 |
7.6× |
| Methylmalonic acid serum (83921) |
$51 |
$102 |
2.4× |
| Microalbumin urine (82043) |
$32.50 |
$64 |
5.6× |
| Mopath procedure level 1 (81400) |
$359 |
$718 |
5.6× |
| Mopath procedure level 2 (81401) |
$10 |
$20 |
0.1× |
| Mopath procedure level 5 (81404) |
$537 |
$1,073 |
2.0× |
| Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88367) |
$401 |
$802 |
1.1× |
| Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology,… (88374) |
$329 |
$657 |
1.8× |
| Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),… (88360) |
$242 |
$484 |
1.3× |
| Mrsa PCR (87641) |
$40 |
$79 |
1.1× |
| Mumps antibody (86735) |
$23.50 |
$46 |
1.8× |
| Mycoplasma antibody (86738) |
$39 |
$78 |
2.9× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$37.50 |
$74 |
3.3× |
| Myoglobin (83874) |
$36 |
$72 |
2.8× |
| N.gonorrhoeae DNA amp prob (87591) |
$38.50 |
$77 |
1.1× |
| Natriuretic peptide (83880) |
$157 |
$314 |
4.0× |
| Nephelometry ea analyte (83883) |
$19 |
$37 |
1.4× |
| Occult bld feces 1-3 tests (82272) |
$10.50 |
$20.50 |
2.5× |
| Occult blood other sources (82271) |
$28 |
$56 |
5.3× |
| Occult blood screening (82270) |
$26 |
$51.50 |
5.9× |
| Oligoclonal bands (83916) |
$60 |
$119 |
2.2× |
| Organic acids total quant (83918) |
$50 |
$99 |
2.1× |
| Osmolality urine (83935) |
$21 |
$42 |
3.1× |
| Ova and parasite exam (87177) |
$34 |
$67.50 |
3.8× |
| Oxalate urine (83945) |
$32 |
$63 |
2.2× |
| Pancreatic elastase fecal (82656) |
$143 |
$285 |
12.4× |
| Pancreatic polypeptide (83519) |
$141 |
$281 |
7.7× |
| Parainfluenza ag if (87279) |
$15 |
$30 |
0.9× |
| Parathyroid hormone (83970) |
$102 |
$204 |
2.5× |
| Parvovirus antibody (86747) |
$57 |
$113 |
3.8× |
| Path morphometric analysis, tumor immunohistochemistry (eg, her-2/neu, estrogen receptor/progesterone receptor),… (88361) |
$210 |
$420 |
0.6× |
| Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site (88333) |
$608 |
$1,215 |
0.7× |
| Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (88331) |
$145 |
$289 |
0.8× |
| Pertussis by PCR (87798) |
$118.50 |
$237 |
3.4× |
| Ph body fluid (83986) |
$9.50 |
$18 |
2.7× |
| Phenobarbital (80184) |
$42 |
$84 |
2.7× |
| Phenylalanine (84030) |
$4 |
$8 |
0.7× |
| Phenytoin level total (80185) |
$72.50 |
$145 |
5.5× |
| Phosphorus (84100) |
$40 |
$79 |
8.4× |
| Phosphorus urine (84105) |
$12 |
$24 |
2.1× |
| Platelet count automated (85049) |
$37 |
$74 |
8.3× |
| Platelet neutralization (85597) |
$73 |
$145 |
4.1× |
| Porphobilinogen urine (84110) |
$59 |
$118 |
7.0× |
| Porphyrins total plasma (84311) |
$64 |
$128 |
7.9× |
| Potassium (84132) |
$38 |
$76 |
8.0× |
| Potassium urine (84133) |
$11 |
$21 |
2.3× |
| Prealbumin (84134) |
$25 |
$50 |
1.7× |
| Pregnenolone (84140) |
$64 |
$128 |
3.1× |
| Procalcitonin (pct) (84145) |
$95.50 |
$191 |
3.5× |
| Progesterone (84144) |
$90 |
$179 |
4.3× |
| Proinsulin (84206) |
$58 |
$115 |
2.2× |
| Prolactin (84146) |
$74 |
$148 |
3.8× |
| Protein c activity (85303) |
$52 |
$104 |
3.8× |
| Protein c antigen (85302) |
$44 |
$87 |
3.7× |
| Protein electrophoresis serum (84165) |
$39.50 |
$79 |
3.7× |
| Protein electrophoresis urine (84166) |
$39 |
$78 |
2.2× |
| Protein s antigen, free (85306) |
$58 |
$115 |
3.8× |
| Protein total other source (84157) |
$31 |
$61 |
7.8× |
| Protein total serum (84155) |
$9 |
$17 |
2.5× |
| Protein total urine (84156) |
$23.50 |
$46 |
6.4× |
| Protozoa antibody nos (86753) |
$37 |
$74 |
3.0× |
| PSA free (84154) |
$39.50 |
$78.50 |
2.1× |
| Pyruvate (84210) |
$27 |
$53 |
1.9× |
| Q fever antibody (86638) |
$43 |
$85 |
3.5× |
| Rbc antibody identification (86870) |
$242 |
$484 |
0.6× |
| Rbc antibody screen (86850) |
$62 |
$123 |
6.3× |
| Reagent strip/blood glucose (82948) |
$10 |
$19 |
2.0× |
| Reducing substances fecal (84376) |
$22 |
$44 |
4.0× |
| Ref john hopkins telomere length measurement flow cytometry and fish (88182) |
$55 |
$110 |
1.0× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$37 |
$73 |
3.1× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$62.50 |
$124.50 |
4.7× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$62.50 |
$124.50 |
3.2× |
| Renin (84244) |
$83 |
$166 |
3.8× |
| Reptilase test (85635) |
$60 |
$119 |
6.1× |
| Resp virus 3-5 targets (87631) |
$214 |
$428 |
1.5× |
| Respiratory syncytial vi (87280) |
$15 |
$30 |
1.1× |
| Rheumatoid factor (86430) |
$49 |
$98 |
8.0× |
| Rheumatoid factor quant (86431) |
$17 |
$33 |
3.0× |
| Rickettsia antibody (86757) |
$40 |
$79 |
2.1× |
| Ristocetin cofactor (85245) |
$95 |
$189 |
4.1× |
| Rl immediate spin crossmatch (86920) |
$149 |
$298 |
0.8× |
| Rotavirus ag eia (87425) |
$37 |
$73 |
3.1× |
| Rpr qual (86592) |
$24.50 |
$48.50 |
5.7× |
| Rpr titer (86593) |
$24 |
$47 |
5.5× |
| Rubella antibody (86762) |
$36 |
$71 |
2.5× |
| Rubeola antibody (86765) |
$15 |
$30 |
1.2× |
| Russell viper venom diluted (85613) |
$31.50 |
$62.50 |
3.3× |
| Sedimentation rate rbc automated (85652) |
$24 |
$48 |
8.9× |
| Selenium (84255) |
$77 |
$153 |
3.0× |
| Semen analysis complete (89320) |
$104 |
$207 |
8.4× |
| Semen analysis post vasectomy (89321) |
$25 |
$50 |
2.1× |
| Serotonin (84260) |
$55 |
$110 |
1.8× |
| Sex hormone binding globulin (84270) |
$52 |
$104 |
2.4× |
| Sickle cell screen (85660) |
$60 |
$119 |
10.9× |
| Sirolimus (80195) |
$68 |
$136 |
5.0× |
| Skin test tuberculosis intradermal (86580) |
$10 |
$20 |
0.3× |
| Smear wet mount (87210) |
$38 |
$75 |
6.5× |
| Sodium (84295) |
$39 |
$78 |
8.1× |
| Sodium other source (84302) |
$36 |
$71 |
7.4× |
| Sodium urine (84300) |
$12 |
$23 |
2.4× |
| Somatomedin (84305) |
$67 |
$134 |
3.2× |
| Special stains group i (88312) |
$109 |
$217 |
2.0× |
| Special stains group ii (88313) |
$95 |
$190 |
0.7× |
| Specific gravity except urine (84315) |
$23 |
$45 |
7.0× |
| Staph a DNA amp probe (87640) |
$40 |
$79 |
1.1× |
| Stone analysis (82365) |
$48 |
$96 |
3.7× |
| Strep a assay w/optic (87880) |
$44 |
$87 |
2.7× |
| Strep a DNA amp probe (87651) |
$53 |
$105 |
1.5× |
| Sulfate urine (84392) |
$12 |
$23 |
2.2× |
| Surg path level 1 (88300) |
$33 |
$66 |
1.1× |
| Surgical pathology consultation and report on referred material requiring preparation of slides (88323) |
$63 |
$126 |
1.1× |
| Susceptibility mic per plate (87186) |
$76 |
$151 |
8.8× |
| T cells cd4 count (86361) |
$58 |
$116 |
2.2× |
| T3 free (84481) |
$64 |
$128 |
3.8× |
| T3 reverse (84482) |
$57 |
$113 |
3.6× |
| T3 uptake (84479) |
$55 |
$109 |
8.5× |
| T4 (thyroxine) total (84436) |
$58 |
$116 |
8.4× |
| Tacrolimus (80197) |
$72 |
$143 |
5.2× |
| Tb test cell immun measure (86480) |
$180 |
$360 |
2.9× |
| Testosterone free (84402) |
$63.50 |
$126.50 |
2.5× |
| Testosterone total (84403) |
$64 |
$128 |
2.5× |
| Theophylline (80198) |
$120 |
$240 |
8.5× |
| Thiopurine drug metabolites (83789) |
$36 |
$72 |
1.5× |
| Thiopurine metabolites (80299) |
$58.50 |
$117 |
3.1× |
| Thrombin time plasma (85670) |
$20 |
$40 |
3.5× |
| Thyroglobulin (84432) |
$54.50 |
$108 |
3.4× |
| Thyroglobulin antibody (86800) |
$52 |
$103 |
3.3× |
| Thyroid peroxidase antibody (86376) |
$54 |
$108 |
3.7× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$115 |
$229 |
2.3× |
| Thyroxine binding globulin (84442) |
$49 |
$97 |
3.3× |
| Thyroxine free (ft4) (84439) |
$73 |
$146 |
8.1× |
| Thyroxine; requiring elution (eg, neonatal) Other Outpatient (84437) |
$4 |
$8 |
0.6× |
| Tissue transglutaminase ea immunoglobulin class (86364) |
$37 |
$73 |
3.2× |
| Topiramate (80201) |
$35 |
$70 |
2.9× |
| Toxoplasma antibody igg (86777) |
$37 |
$74 |
2.6× |
| Toxoplasma antibody igm (86778) |
$37 |
$74 |
2.6× |
| Transferrin (84466) |
$48 |
$96 |
3.8× |
| Treponema pallidum antibody (86780) |
$32 |
$64 |
2.4× |
| Trichomonas vaginalis amplif (87661) |
$39 |
$78 |
1.1× |
| Trichrome stain (87209) |
$34 |
$68 |
1.9× |
| Triglycerides (84478) |
$50 |
$99 |
8.7× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$46 |
$92 |
3.2× |
| Troponin t (84484) |
$58 |
$116 |
4.7× |
| Urea nitrogen quantitative (84520) |
$35 |
$69 |
8.9× |
| Urea nitrogen urine (84540) |
$38.50 |
$76.50 |
6.9× |
| Uric acid blood (84550) |
$39 |
$77 |
8.6× |
| Uric acid other source (84560) |
$12 |
$23 |
2.4× |
| Urinalysis auto w/micro (81001) |
$40 |
$80 |
12.6× |
| Urinalysis microscopic only (81015) |
$26 |
$52 |
8.5× |
| Urine bacteria culture (87088) |
$47 |
$93 |
5.8× |
| Urine Pregnancy Test POC (81025) |
$43.50 |
$86 |
5.1× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$21 |
$41.50 |
9.3× |
| Valproic acid (80164) |
$114 |
$228 |
8.4× |
| Vancomycin (80202) |
$114 |
$228 |
8.4× |
| Varicella zoster ag if (87290) |
$81 |
$161 |
6.0× |
| Varicella zoster antibody igg (86787) |
$48 |
$96 |
3.7× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$143 |
$286 |
4.2× |
| Viral culture non-respiratory (87252) |
$98 |
$196 |
3.8× |
| Virus antibody nos (86790) |
$32 |
$63 |
2.5× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$98.50 |
$196.50 |
5.0× |
| Vitamin a (84590) |
$44 |
$87 |
3.8× |
| Vitamin b-12 (82607) |
$58 |
$116 |
3.8× |
| Vitamin b1 whole blood (84425) |
$74 |
$147 |
3.5× |
| Vitamin b6 (84207) |
$61 |
$122 |
2.2× |
| Vitamin d 25 hydroxy (82306) |
$115.50 |
$230 |
3.9× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$92 |
$184 |
2.4× |
| Vitamin e (84446) |
$53 |
$106 |
3.7× |
| Vitamin k1 (84597) |
$40 |
$80 |
2.9× |
| Vma (84585) |
$58 |
$116 |
3.7× |
| West nile virus antibody (86789) |
$47 |
$93 |
3.3× |
| Yeast id (87106) |
$26 |
$51 |
2.5× |
| Zinc (84630) |
$37 |
$74 |
3.2× |