| 1 25 Dihydroxy includes fractions if performed (82652) |
$73.60 |
$184 |
1.9× |
| 5 Nucleotidase (83915) |
$46.40 |
$116 |
4.2× |
| Abl1 gene (81170) |
$740.80 |
$1,852 |
2.5× |
| Acetaminophen level (80143) |
$68 |
$170 |
3.6× |
| Acetylcholine receptor binding antibody (86041) |
$22.07 |
$55.18 |
1.2× |
| Acetylcholine receptor blocking antibody (86042) |
$22.07 |
$55.18 |
1.2× |
| Acetylcholn Rcptr Modlg Antb (86043) |
$22.07 |
$55.18 |
1.8× |
| Actin smooth muscle antibody each (86015) |
$23.60 |
$59 |
2.0× |
| Activated protein c resistance (85307) |
$187.20 |
$468 |
12.2× |
| Acute hepatitis panel (80074) |
$357.20 |
$893 |
7.5× |
| Acylcarnitine Plasma (82017) |
$53.60 |
$134 |
3.2× |
| Adamts13 activity (85397) |
$177.60 |
$444 |
5.8× |
| Adenovirus Ag Ia (87301) |
$14.40 |
$36 |
1.2× |
| Adenovirus antibody (86603) |
$235.20 |
$588 |
18.3× |
| Adrenocorticotropic hormone (82024) |
$38.80 |
$97 |
1.0× |
| Afp maternal serum (82105) |
$34.40 |
$86 |
2.1× |
| Agglutinins febrile ea antigen (86000) |
$36.40 |
$91 |
5.2× |
| Albumin body fluid (82042) |
$38.80 |
$97 |
5.0× |
| Albumin serum (82040) |
$38.80 |
$97 |
7.8× |
| Aldolase (82085) |
$22 |
$55 |
2.3× |
| Aldosterone urine (82088) |
$34.40 |
$86 |
0.8× |
| Alkaline phosphatase isoenzymes (84080) |
$31.60 |
$79 |
2.1× |
| Allergen peanut (86003) |
$22 |
$55 |
4.2× |
| Allergen spec ige qual multiallergen screen (86005) |
$21.20 |
$53 |
2.7× |
| Allg Spec Ige Recomb Ea (86008) |
$36.80 |
$92 |
2.1× |
| Alpha-1-antitrypsin phenotype (82104) |
$20.40 |
$51 |
1.4× |
| Alpha-1-antitrypsin, total (82103) |
$112.80 |
$282 |
8.4× |
| Alpha-Fetoprotein L3 (82107) |
$113.60 |
$284 |
1.8× |
| Alpha-Fetoprotein; Amniotic (82106) |
$83.20 |
$208 |
4.9× |
| Alt (sgpt) (84460) |
$67.20 |
$168 |
12.7× |
| Aluminum (82108) |
$51.60 |
$129 |
2.0× |
| Amikacin trough (80150) |
$40.80 |
$102 |
2.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) |
$199.60 |
$499 |
8.7× |
| Amino acids 6/> amino acids quantitative ea spe (82139) |
$204.80 |
$512 |
12.1× |
| Amino Acids, Multiple Qual (82128) |
$33.60 |
$84 |
2.4× |
| Aminolevulinic acid (ala) (82135) |
$51.60 |
$129 |
3.1× |
| Amylase urine (82150) |
$107.60 |
$269 |
16.6× |
| Ana titer (86039) |
$109.60 |
$274 |
9.8× |
| Androstanediol glucuronide (82154) |
$93.60 |
$234 |
3.2× |
| Angiotensin i enzyme test (82164) |
$31.60 |
$79 |
2.2× |
| Angiotensin ll (protein) level (82163) |
$146 |
$365 |
7.1× |
| Anti-phosphatidylserine antibody (86148) |
$93.60 |
$234 |
5.8× |
| Antibody aspergillus (86606) |
$49.60 |
$124 |
3.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) |
$49.20 |
$123 |
3.2× |
| Antibody coxiella burnetii q fever (86638) |
$96.40 |
$241 |
8.0× |
| Antibody cytomegalovirus cmv (86644) |
$28 |
$70 |
1.9× |
| Antibody Encephalitis Eastern Equine (86652) |
$84.40 |
$211 |
6.4× |
| Antibody encephalitis st. louis (86653) |
$84.40 |
$211 |
6.4× |
| Antibody epstein-barr eb virus early antigen ea (86663) |
$87.60 |
$219 |
6.7× |
| Antibody Fungus Not Elsewhere Specified (86671) |
$44 |
$110 |
3.6× |
| Antibody haemophilus influenza (86684) |
$73.60 |
$184 |
4.6× |
| Antibody helicobacter pylori (86677) |
$114 |
$285 |
6.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) |
$52.40 |
$131 |
3.6× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) |
$146.40 |
$366 |
10.7× |
| Antibody HIV-2 (86702) |
$50.80 |
$127 |
3.8× |
| Antibody identification (86870) |
$430.80 |
$1,077 |
1.2× |
| Antibody influenza virus (86710) |
$170.40 |
$426 |
12.6× |
| Antibody leishmania (86717) |
$49.20 |
$123 |
4.0× |
| Antibody mumps (86735) |
$28 |
$70 |
2.1× |
| Antibody neisseria meningitidis (86741) |
$66.80 |
$167 |
5.1× |
| Antibody Protozoa Nes (86753) |
$36.40 |
$91 |
2.9× |
| Antibody screen (86850) |
$137.60 |
$344 |
14.1× |
| Antibody treponema pallidum (86780) |
$54.40 |
$136 |
4.1× |
| Antibody; Coccidioides (86635) |
$85.60 |
$214 |
7.5× |
| Antibody; HTLV-II Facility (86688) |
$315.20 |
$788 |
22.5× |
| Antigen typing (86905) |
$39.20 |
$98 |
10.2× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) |
$65.20 |
$163 |
12.6× |
| Antineutrophil Cytoplasmic Antb Screen Ea Antb (86036) |
$24.40 |
$61 |
2.0× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) |
$22.80 |
$57 |
1.9× |
| Antinomyces antibody (86602) |
$44 |
$110 |
4.3× |
| Antinuclear antibodies (86038) |
$167.20 |
$418 |
13.8× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) |
$31.60 |
$79 |
5.5× |
| Antistreptolysin o titer (86060) |
$102.80 |
$257 |
14.1× |
| Antithrombin iii activity (85300) |
$89.60 |
$224 |
7.6× |
| Antithrombin iii antigen (85301) |
$61.20 |
$153 |
5.7× |
| Apolipoprotein each (82172) |
$59.60 |
$149 |
2.8× |
| Aquaporin-4 Antb Elisa (86051) |
$23.60 |
$59 |
2.0× |
| Aquaporin-4 antibody cell-based imfluor assay ea (86052) |
$195.70 |
$489.25 |
16.2× |
| Aquaporin-4 antibody flow cytometry each (86053) |
$73.20 |
$183 |
1.9× |
| Arsenic Urine (82175) |
$46.40 |
$116 |
2.4× |
| Aspergillus ag eia (87305) |
$462 |
$1,155 |
38.6× |
| Assay 17-(17-Ks)Ketosteroids (83586) |
$36.80 |
$92 |
2.9× |
| Assay Biovlbl Testosterone Direct Measurement (84410) |
$96.40 |
$241 |
1.9× |
| Assay direct measurement free estradiol (82681) |
$54.40 |
$136 |
1.9× |
| Assay galactose transferase (82775) |
$109.60 |
$274 |
5.2× |
| Assay Lipoprotein Pla2 (83698) |
$278.80 |
$697 |
6.0× |
| Assay Nephelometry Not Spec (83883) |
$70.40 |
$176 |
5.2× |
| Assay of 17-hydroxypregnenolone (84143) |
$53.60 |
$134 |
2.3× |
| Assay of 5-hiaa (83497) |
$32 |
$80 |
2.5× |
| Assay of ammonia (82140) |
$159.20 |
$398 |
10.9× |
| Assay of androstenedione (82157) |
$93.60 |
$234 |
3.2× |
| Assay of biotinidase (82261) |
$31.60 |
$79 |
1.9× |
| Assay of c-peptide (84681) |
$40.80 |
$102 |
2.0× |
| Assay of ceruloplasmin (82390) |
$21.20 |
$53 |
2.0× |
| Assay of citrate (82507) |
$142 |
$355 |
5.1× |
| Assay of corticosterone (82528) |
$138.40 |
$346 |
6.1× |
| Assay of cpk in blood (82552) |
$17.60 |
$44 |
1.3× |
| Assay of cyclosporine (80158) |
$43.20 |
$108 |
2.4× |
| Assay of dibucaine number (82638) |
$24.80 |
$62 |
2.0× |
| Assay of erythropoietin (82668) |
$54.80 |
$137 |
2.9× |
| Assay of estrone (82679) |
$60.80 |
$152 |
2.4× |
| Assay of ethosuximide (80168) |
$38 |
$95 |
2.3× |
| Assay of ferritin (82728) |
$81.20 |
$203 |
6.0× |
| Assay of g6pd enzyme (82955) |
$32 |
$80 |
3.3× |
| Assay of gammaglobulin igm (82784) |
$105.60 |
$264 |
11.4× |
| Assay of gastrin (82941) |
$146.80 |
$367 |
8.3× |
| Assay of gentamicin (80170) |
$130.40 |
$326 |
8.0× |
| Assay of homocystine (83090) |
$53.60 |
$134 |
3.0× |
| Assay of lactic acid (83605) |
$108.40 |
$271 |
9.4× |
| Assay of lipoprotein(a) (83695) |
$31.60 |
$79 |
2.2× |
| Assay of manganese (83785) |
$105.60 |
$264 |
4.0× |
| Assay of metanephrines (83835) |
$95.20 |
$238 |
5.6× |
| Assay of osteocalcin (83937) |
$80.80 |
$202 |
2.7× |
| Assay of phenobarbital (80184) |
$64.40 |
$161 |
4.2× |
| Assay of phosphatase acid total (84060) |
$34.80 |
$87 |
4.6× |
| Assay of prealbumin (84134) |
$90 |
$225 |
6.2× |
| Assay of proinsulin (84206) |
$121.60 |
$304 |
4.6× |
| Assay of prolactin (84146) |
$126 |
$315 |
6.5× |
| Assay of pyruvate (84210) |
$89.20 |
$223 |
6.2× |
| Assay of serotonin (84260) |
$53.60 |
$134 |
1.7× |
| Assay of sialic acid (84275) |
$55.20 |
$138 |
4.1× |
| Assay of tacrolimus (80197) |
$152 |
$380 |
11.1× |
| Assay of topiramate (80201) |
$112.40 |
$281 |
9.4× |
| Assay of urine vma (84585) |
$31.60 |
$79 |
2.0× |
| Assay of vasopressin anti-diuretic hormone (84588) |
$50.80 |
$127 |
1.5× |
| Assay of vitamin k (84597) |
$38 |
$95 |
2.8× |
| Assay of volatiles (84600) |
$137.20 |
$343 |
8.0× |
| Assay Phosphatase Acid Prostatic (84066) |
$32 |
$80 |
3.3× |
| Assay Phosphohexose Enzymes (84087) |
$49.60 |
$124 |
4.6× |
| Ast (sgot) (84450) |
$54.40 |
$136 |
10.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) |
$155.60 |
$389 |
0.9× |
| B cells total count (86355) |
$69.20 |
$173 |
1.8× |
| B-hexosaminidase ea assay (83080) |
$83.20 |
$208 |
4.9× |
| Bartonella antibody (86611) |
$26.40 |
$66 |
2.6× |
| Bartonella PCR (87471) |
$232 |
$580 |
6.6× |
| Bcr/abl1 gene major bp (81206) |
$222 |
$555 |
1.4× |
| Bcr/abl1 gene minor bp (81207) |
$222 |
$555 |
1.5× |
| Beta 2 glycoprotein 1 igm (86146) |
$36.40 |
$91 |
1.4× |
| Beta hydroxybutyrate (82010) |
$139.60 |
$349 |
17.1× |
| Beta lactamase (87185) |
$48 |
$120 |
10.1× |
| Beta-2 microglobulin (82232) |
$38 |
$95 |
2.3× |
| Bile acids, total (82239) |
$38.80 |
$97 |
2.3× |
| Bilirubin direct (82248) |
$38.80 |
$97 |
7.7× |
| Bilirubin total (82247) |
$68 |
$170 |
13.5× |
| Bilirubin total transcutaneous (88720) |
$14.40 |
$36 |
2.9× |
| Bl Smear W/Diff Wbc Count (85007) |
$30 |
$75 |
7.9× |
| Blastomyces antibody (86612) |
$61.20 |
$153 |
4.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) |
$137.20 |
$343 |
0.8× |
| Bld Typing Serologic Rh Phnt (86906) |
$30.40 |
$76 |
3.9× |
| Blood gas (82803) |
$108 |
$270 |
4.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) |
$42 |
$105 |
2.6× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) |
$95.60 |
$239 |
15.1× |
| Blood typing abo (86900) |
$154 |
$385 |
51.5× |
| Blood typing serologic rh (d) (86901) |
$86 |
$215 |
28.8× |
| Body fluid cell count (89051) |
$51.60 |
$129 |
9.2× |
| Body fluid cell count (89050) |
$13.20 |
$33 |
2.8× |
| Bone Marrow Smear Interpretation (85097) |
$194.80 |
$487 |
0.2× |
| Bordetella antibody (86615) |
$69.20 |
$173 |
5.2× |
| Bordetella pertussis dfa (87265) |
$187.20 |
$468 |
15.6× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) |
$332.80 |
$832 |
0.7× |
| Breath Alcohol Test (82075) |
$73.20 |
$183 |
2.4× |
| Brucella antibody (86622) |
$52 |
$130 |
5.8× |
| C diff amplified probe (87493) |
$156.80 |
$392 |
4.2× |
| C-reactive protein (86140) |
$23.20 |
$58 |
4.5× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) |
$46 |
$115 |
3.6× |
| C1q binding assay (86332) |
$181.60 |
$454 |
7.5× |
| Ca 125 (86304) |
$42 |
$105 |
2.0× |
| Ca 19-9 (86301) |
$52.40 |
$131 |
2.5× |
| Ca 27 29 (86300) |
$93.60 |
$234 |
4.5× |
| Cadmium level (82300) |
$50.80 |
$127 |
2.1× |
| Caffeine (80155) |
$256 |
$640 |
6.6× |
| Calcitonin (82308) |
$50.80 |
$127 |
1.9× |
| Calcium ionized (82330) |
$133.60 |
$334 |
9.8× |
| Calcium total (82310) |
$36.40 |
$91 |
7.1× |
| Calcium urine (82340) |
$68 |
$170 |
11.3× |
| Calculus Quantitative Chemical (82360) |
$31.60 |
$79 |
2.5× |
| Calculus spectroscopy (82365) |
$48 |
$120 |
3.7× |
| Calculus; X-ray diffraction Facility (82370) |
$40.80 |
$102 |
3.3× |
| California encephalitis ab (86651) |
$84.40 |
$211 |
6.4× |
| Calprotectin, fecal (83993) |
$63.20 |
$158 |
3.2× |
| Calr gene com variants (81219) |
$234.40 |
$586 |
1.9× |
| Candida antibody (86628) |
$84.40 |
$211 |
7.0× |
| Car Ion Chnnlpath Inc 10 Gns (81413) |
$295.60 |
$739 |
0.5× |
| Car Ion Chnnlpath Inc 2 Gns (81414) |
$295.60 |
$739 |
0.5× |
| Carbamazepine total (80156) |
$31.60 |
$79 |
2.2× |
| Carbon dioxide (82374) |
$53.60 |
$134 |
11.0× |
| Carboxyhemoglobin (82375) |
$84.40 |
$211 |
6.9× |
| Carcinoembryonic antigen (82378) |
$81.60 |
$204 |
4.3× |
| Cardiolipin ab igg (86147) |
$22 |
$55 |
0.9× |
| Carnitine (82379) |
$40.80 |
$102 |
2.4× |
| Carotene (82380) |
$34.80 |
$87 |
3.8× |
| Catecholamines fraction plasma (82384) |
$77.60 |
$194 |
3.1× |
| Cftr gene com variants (81220) |
$1,327.20 |
$3,318 |
2.4× |
| Chemiluminescent assay (82397) |
$81.60 |
$204 |
5.8× |
| Chlamydia antibody (86631) |
$247.60 |
$619 |
20.9× |
| Chlamydia Igm Antibody (86632) |
$148.80 |
$372 |
11.7× |
| Chloride blood (82435) |
$34.80 |
$87 |
7.6× |
| Chloride feces (82438) |
$68 |
$170 |
13.6× |
| Chloride urine (82436) |
$51.60 |
$129 |
9.0× |
| Cholesterol HDL (83718) |
$57.20 |
$143 |
7.0× |
| Cholesterol total (82465) |
$54.40 |
$136 |
12.5× |
| Cholinesterase rbc (82482) |
$30 |
$75 |
3.1× |
| Cholinesterase serum (82480) |
$20 |
$50 |
2.5× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) |
$72.80 |
$182 |
2.7× |
| Chrmsm analysis addl high resolution study (88289) |
$156.80 |
$392 |
4.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) |
$54.80 |
$137 |
1.6× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) |
$1,111.60 |
$2,779 |
8.9× |
| Chromium urine (82495) |
$64.40 |
$161 |
3.2× |
| Chromogranin a (86316) |
$258.80 |
$647 |
12.4× |
| Chromosome analysis 20-25 cells (88264) |
$297.20 |
$743 |
2.1× |
| Chromosome Analysis 5 (88261) |
$697.20 |
$1,743 |
2.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) |
$167.20 |
$418 |
4.8× |
| Ckmb (82553) |
$114 |
$285 |
9.9× |
| Clot Factor VIII Multimetric (85247) |
$102.40 |
$256 |
4.5× |
| Clot factor viii vw antigen (85246) |
$316 |
$790 |
13.8× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) |
$146.80 |
$367 |
8.2× |
| Clotting Inhibitors Protein S Free (85306) |
$212 |
$530 |
13.8× |
| Clozapine level (80159) |
$118 |
$295 |
5.9× |
| Cmv ab igm (86645) |
$201.20 |
$503 |
11.9× |
| Cmv PCR (87496) |
$417.20 |
$1,043 |
11.9× |
| Cns DNA amp probe type 12-25 (87483) |
$108 |
$270 |
0.3× |
| Coagulation time activated (85347) |
$21.20 |
$53 |
5.0× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$60 |
$150 |
2.5× |
| Cold agglutinin titer (86157) |
$36.40 |
$91 |
4.5× |
| Collagen cross links (82523) |
$95.20 |
$238 |
5.1× |
| Compatibility test antiglob (86922) |
$132 |
$330 |
0.8× |
| Compatibility Test Incubate (86921) |
$132 |
$330 |
0.8× |
| Complement c3 (86160) |
$34.80 |
$87 |
2.9× |
| Complement total (ch50) (86162) |
$52.40 |
$131 |
2.6× |
| Concentration Infectious Agent (87015) |
$54.80 |
$137 |
8.2× |
| Coombs direct (86880) |
$86 |
$215 |
16.0× |
| Copper urine (82525) |
$43.20 |
$108 |
3.5× |
| Cortisol free (82530) |
$33.60 |
$84 |
2.0× |
| Cortisol total (82533) |
$89.60 |
$224 |
5.5× |
| Creatine kinase total (82550) |
$54.40 |
$136 |
8.4× |
| Creatinine blood (82565) |
$53.60 |
$134 |
10.5× |
| Creatinine clearance (82575) |
$107.60 |
$269 |
11.4× |
| Creatinine other source (82570) |
$46.40 |
$116 |
9.0× |
| Crossmatch immediate spin (86920) |
$170.40 |
$426 |
1.0× |
| Cryoglobulin (82595) |
$28 |
$70 |
4.3× |
| Cryptococcus antibody (86641) |
$11.49 |
$28.73 |
0.8× |
| Crystals body fluid (89060) |
$54.80 |
$137 |
7.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) |
$69.20 |
$173 |
8.6× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) |
$420 |
$1,050 |
1.9× |
| Culture Aerobic Identify (87077) |
$67.20 |
$168 |
8.3× |
| Culture afb (87116) |
$102.80 |
$257 |
9.5× |
| Culture anaerobic (87075) |
$252.40 |
$631 |
26.7× |
| Culture blood (87040) |
$170 |
$425 |
16.5× |
| Culture chlamydia (87110) |
$99.60 |
$249 |
5.1× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) |
$61.20 |
$153 |
7.9× |
| Culture fungus blood (87103) |
$132.80 |
$332 |
6.5× |
| Culture fungus id yeast (87106) |
$85.60 |
$214 |
8.3× |
| Culture fungus other (87102) |
$188 |
$470 |
22.4× |
| Culture genital (87070) |
$164 |
$410 |
19.0× |
| Culture screen only (87081) |
$120 |
$300 |
18.1× |
| Culture stool (87045) |
$30 |
$75 |
3.2× |
| Culture typing if ea antiserum (87140) |
$24.80 |
$62 |
4.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) |
$49.20 |
$123 |
9.5× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) |
$89.20 |
$223 |
2.5× |
| Culture urine (87086) |
$154 |
$385 |
19.1× |
| Culture virus (87252) |
$80 |
$200 |
3.1× |
| Cultyp nucleic acid sequencing meth ea isolate (87153) |
$435.20 |
$1,088 |
3.8× |
| Cyanide (82600) |
$72 |
$180 |
3.7× |
| Cyclic Citrullinated Peptide (86200) |
$130.80 |
$327 |
10.1× |
| Cyp2c19 gene com variants (81225) |
$1,336 |
$3,340 |
4.6× |
| Cyp2c9 gene com variants (81227) |
$338.80 |
$847 |
1.9× |
| Cystatin c (82610) |
$164.40 |
$411 |
8.9× |
| Cysticercosis Antibody (86682) |
$204.40 |
$511 |
15.7× |
| Cytogenetics 10-30 (88273) |
$85.60 |
$214 |
2.5× |
| Cytogenetics 100-300 (88275) |
$201.20 |
$503 |
3.9× |
| Cytogenetics DNA probe (88271) |
$38 |
$95 |
1.8× |
| Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for… (81349) |
$2,229.60 |
$5,574 |
1.9× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) |
$556 |
$1,390 |
13.0× |
| Cytopath cell enhance tech (88112) |
$248 |
$620 |
4.8× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) |
$119.20 |
$298 |
3.2× |
| Cytopath Smear Other Source (88160) |
$75 |
$187.50 |
2.6× |
| Cytopath Tbs Cerv/Vag Manual (88164) |
$67.20 |
$168 |
3.6× |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) |
$67.20 |
$168 |
1.6× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) |
$24.80 |
$62 |
1.7× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) |
$160 |
$400 |
6.0× |
| Cytp concentration smears & interpretation (88108) |
$145.60 |
$364 |
3.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) |
$279 |
$697.50 |
5.4× |
| Cytp fna eval dx 1st each site (88172) |
$109.60 |
$274 |
0.6× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) |
$174.80 |
$437 |
3.4× |
| Deoxyribonuclease antibody (86215) |
$137.20 |
$343 |
10.4× |
| Detect Agent, Mult Orgs, Dna, Dir (87800) |
$112.80 |
$282 |
2.6× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) |
$118 |
$295 |
7.1× |
| Detect agnt mult DNA ampli (87801) |
$315.60 |
$789 |
4.5× |
| Dgp antibody each ig class (86258) |
$23.60 |
$59 |
2.0× |
| Dhea (82626) |
$80.80 |
$202 |
3.2× |
| Dhea-sulfate (82627) |
$43.20 |
$108 |
1.9× |
| Digoxin (80162) |
$64 |
$160 |
4.8× |
| Dihydrotestosterone (82642) |
$56.80 |
$142 |
1.9× |
| Dilantin (80185) |
$28 |
$70 |
2.1× |
| Dipropylacetic acid free (80165) |
$28.80 |
$72 |
2.1× |
| Dmd dup/delet analysis (81161) |
$1,213.20 |
$3,033 |
4.3× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) |
$130.80 |
$327 |
9.5× |
| DNA/RNA direct probe (87149) |
$109.60 |
$274 |
5.5× |
| Drug assay adalimumab (80145) |
$68 |
$170 |
1.8× |
| Drug Assay Amiodarone (80151) |
$68 |
$170 |
3.6× |
| Drug assay flecainide (80181) |
$68 |
$170 |
3.6× |
| Drug Assay Infliximab (80230) |
$68 |
$170 |
1.8× |
| Drug assay itraconazole (80189) |
$68 |
$170 |
2.5× |
| Drug Assay Lacosamide (80235) |
$68 |
$170 |
2.5× |
| Drug assay leflunomide (80193) |
$68 |
$170 |
1.8× |
| Drug assay methotrexate (80204) |
$68 |
$170 |
1.8× |
| Drug assay posaconazole (80187) |
$68 |
$170 |
2.5× |
| Drug assay vedolizumab (80280) |
$68 |
$170 |
1.8× |
| Drug assay voriconazole (80285) |
$68 |
$170 |
2.5× |
| Drug quant nes (80299) |
$188.40 |
$471 |
10.1× |
| Drug screen quant zonisamide (80203) |
$303.20 |
$758 |
22.9× |
| Drug Screen Quantitative Lamotrigine (80175) |
$126 |
$315 |
9.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) |
$50.80 |
$127 |
3.8× |
| Drug Scrn Quan Levetiracetam (80177) |
$112.40 |
$281 |
8.5× |
| Drug test prsmv chem anlyzr (80307) |
$24.80 |
$62 |
0.4× |
| Drug Test Prsmv Dir Opt Obs (80305) |
$21.20 |
$53 |
1.7× |
| E test (87181) |
$44 |
$110 |
9.3× |
| Ebv viral capsid (86665) |
$48 |
$120 |
2.6× |
| Ehrlichia antibody (86666) |
$61.20 |
$153 |
6.0× |
| Elastase pancreatic fecal quantitative (82653) |
$213.20 |
$533 |
9.3× |
| Electrolyte panel (80051) |
$151.20 |
$378 |
21.6× |
| Electron microscopy diagnostic (88348) |
$788 |
$1,970 |
1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) |
$137.60 |
$344 |
2.2× |
| Encephalitis Western Equine (86654) |
$84.40 |
$211 |
6.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) |
$24 |
$60 |
2.0× |
| Enterovirus antibody (86658) |
$145.20 |
$363 |
11.1× |
| Enterovirus Pcr (87498) |
$379.60 |
$949 |
10.8× |
| Enzyme cell activity (82657) |
$46.40 |
$116 |
2.1× |
| Enzyme histochemistry (88319) |
$225.60 |
$564 |
0.3× |
| Eosinophil count (85048) |
$52 |
$130 |
20.5× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) |
$44 |
$110 |
2.9× |
| Estradiol (82670) |
$52.40 |
$131 |
1.9× |
| Estriol serum (82677) |
$49.20 |
$123 |
2.0× |
| Estrogens fractionated (82671) |
$105.60 |
$264 |
3.3× |
| Estrogens total (82672) |
$52.40 |
$131 |
2.4× |
| Ethylene glycol (82693) |
$36.40 |
$91 |
2.4× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) |
$235.20 |
$588 |
2.4× |
| Everolimus (80169) |
$152 |
$380 |
11.1× |
| F2 gene analysis 20210g >a variant (81240) |
$159.20 |
$398 |
2.4× |
| F5 gene analysis, leiden variant (81241) |
$178.80 |
$447 |
2.4× |
| Factor ii activity (85210) |
$128.40 |
$321 |
9.9× |
| Factor ix activity (85250) |
$316 |
$790 |
16.6× |
| Factor v activity (85220) |
$142 |
$355 |
8.0× |
| Factor vii assay (85230) |
$117.60 |
$294 |
6.6× |
| Factor viii ahg (85240) |
$316 |
$790 |
17.7× |
| Factor xi assay (85270) |
$316 |
$790 |
17.7× |
| Factor xii assay (85280) |
$120.80 |
$302 |
6.2× |
| Fbrnlyc factors&inhibitors alpha-2 antiplasmin (85410) |
$30 |
$75 |
3.9× |
| Fecal fat qual (82705) |
$33.60 |
$84 |
6.6× |
| Fecal fat quant (82710) |
$54.40 |
$136 |
3.2× |
| Fetal bleed screen (85461) |
$120.80 |
$302 |
12.9× |
| Fetal Chromosomal Microdeltj Genomic Seq Analys (81422) |
$295.60 |
$739 |
0.4× |
| Fetal fibronectin (82731) |
$194.80 |
$487 |
3.0× |
| Fetal Lung Maturity Fluorescence Polarization (83663) |
$93.60 |
$234 |
4.9× |
| Fibrin degradation products (85362) |
$59.60 |
$149 |
8.7× |
| Fibrin Degradation Quant (85379) |
$172.40 |
$431 |
16.9× |
| Fibrinogen activity (85384) |
$137.20 |
$343 |
14.1× |
| Fibrinogen antigen (85385) |
$28.40 |
$71 |
2.0× |
| Flow cytometry first marker (88184) |
$89.20 |
$223 |
0.3× |
| Fluorescent Antibody Screen (86255) |
$93.60 |
$234 |
7.8× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) |
$114 |
$285 |
9.5× |
| Fmr1 gene detection (81243) |
$292.40 |
$731 |
5.1× |
| Folate serum (82746) |
$146.40 |
$366 |
10.0× |
| Folic acid rbc (82747) |
$42 |
$105 |
2.4× |
| Follicle Stimulating Hormone (83001) |
$126 |
$315 |
6.8× |
| Francisella tularensis (86668) |
$112.80 |
$282 |
8.0× |
| Fresh frozen plasma thawing each unit (86927) |
$58.40 |
$146 |
0.3× |
| Frozen Section (88331) |
$167.80 |
$419.50 |
1.0× |
| Fructosamine (82985) |
$112.80 |
$282 |
6.7× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) |
$85.60 |
$214 |
8.3× |
| Gabapentin (80171) |
$102.40 |
$256 |
4.7× |
| Gammaglobulin ige (82785) |
$34.40 |
$86 |
2.1× |
| Gardner vag DNA dir probe (87510) |
$112 |
$280 |
5.6× |
| Gases Blood O2 Saturation Only Direct Meas (82810) |
$102.80 |
$257 |
10.5× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) |
$210.80 |
$527 |
2.7× |
| Gc Dna Probe (87590) |
$52.40 |
$131 |
1.9× |
| Ggt (82977) |
$59.60 |
$149 |
8.3× |
| Giardia antigen eia stool (87329) |
$52 |
$130 |
4.3× |
| Giardia lamblia antibody (86674) |
$72 |
$180 |
4.9× |
| Glucagon (82943) |
$66.80 |
$167 |
4.7× |
| Glucose (82947) |
$38.80 |
$97 |
9.9× |
| Glucose Blood Test (82962) |
$64.40 |
$161 |
19.6× |
| Glucose body fluid (82945) |
$68 |
$170 |
17.3× |
| Glucose post dose (82950) |
$42 |
$105 |
8.8× |
| Glucose tolerance ea addl beyond 3 specimens (82952) |
$18.80 |
$47 |
4.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) |
$107.60 |
$269 |
8.4× |
| Glutathione (82978) |
$70.40 |
$176 |
4.6× |
| Gonadotropin releasing hormone (83727) |
$52.40 |
$131 |
3.0× |
| Growth hormone (83003) |
$38 |
$95 |
2.3× |
| Growth hormone, human (HGH), antibody Facility (86277) |
$55.20 |
$138 |
3.5× |
| H pylori breath test (83013) |
$262.40 |
$656 |
3.9× |
| Haloperidol (haldol) (80173) |
$66.80 |
$167 |
4.2× |
| Haptoglobin (83010) |
$24.80 |
$62 |
2.0× |
| Hba1/Hba2 Gene Analysis Common Deletions/Variant (81257) |
$409.20 |
$1,023 |
4.0× |
| Hcg quant (84702) |
$115.20 |
$288 |
7.7× |
| Heavy metal quant each (83018) |
$43.20 |
$108 |
2.0× |
| Hematocrit (85014) |
$52.40 |
$131 |
22.1× |
| Hemoglobin (85018) |
$59.60 |
$149 |
25.1× |
| Hemoglobin a1c (83036) |
$98 |
$245 |
10.1× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) |
$98 |
$245 |
5.4× |
| Hemoglobin electrophoresis (83020) |
$132 |
$330 |
10.3× |
| Hemoglobin fetal ql (83033) |
$24.80 |
$62 |
3.1× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) |
$145.20 |
$363 |
18.8× |
| Hemoglobin plasma (83051) |
$30 |
$75 |
4.1× |
| Hemoglobin stability screen (83068) |
$32 |
$80 |
3.4× |
| Hemoglobin urine (83069) |
$21.20 |
$53 |
5.4× |
| Hemolysins and agglutinins; incubated Facility (86941) |
$48 |
$120 |
4.0× |
| Hemosiderin urine (83070) |
$21.60 |
$54 |
4.5× |
| Heparin assay (85520) |
$93.60 |
$234 |
7.2× |
| Heparin-protamine tolerance test Facility (85530) |
$49.20 |
$123 |
3.8× |
| Hepatitis a antibody total (86708) |
$48 |
$120 |
3.9× |
| Hepatitis a igm (86709) |
$106.80 |
$267 |
9.5× |
| Hepatitis b core ab igm (86705) |
$59.60 |
$149 |
5.1× |
| Hepatitis b core antibody total (86704) |
$120.80 |
$302 |
10.0× |
| Hepatitis B Surface Ab (86706) |
$84.40 |
$211 |
7.9× |
| Hepatitis B Surface Antigen (87340) |
$102.40 |
$256 |
9.9× |
| Hepatitis be antibody (86707) |
$26.40 |
$66 |
2.3× |
| Hepatitis Be Antigen (87350) |
$89.60 |
$224 |
7.8× |
| Hepatitis c antibody (86803) |
$200.80 |
$502 |
14.1× |
| Hepatitis C Antibody Confirmatory Test (86804) |
$772.80 |
$1,932 |
49.9× |
| Hepatitis C Genotype (87902) |
$643.60 |
$1,609 |
2.5× |
| Hepatitis delta ab (86692) |
$142.80 |
$357 |
8.3× |
| Hepatitis delta ag (87380) |
$328 |
$820 |
17.9× |
| Hereditary Cardiomyopathy Gen Seq Analys 5 Gen (81439) |
$295.60 |
$739 |
0.5× |
| Herpes simplex type i (86695) |
$55.20 |
$138 |
4.2× |
| Herpes simplex type ii (86696) |
$55.20 |
$138 |
2.9× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) |
$100 |
$250 |
19.3× |
| Hexagonal phospholipid (85598) |
$44 |
$110 |
2.4× |
| Hfe gene (81256) |
$315.20 |
$788 |
4.8× |
| Hgb-O2 Affinity Po2 50% Saturation Oxygen (82820) |
$33.60 |
$84 |
2.5× |
| Histamine plasma (83088) |
$66.80 |
$167 |
2.3× |
| Histoplasma antibody (86698) |
$63.20 |
$158 |
4.6× |
| Histoplasma antigen urine (87385) |
$366.40 |
$916 |
27.7× |
| HIV confirmation (86689) |
$151.20 |
$378 |
7.8× |
| HIV-1 antibody (86701) |
$102.80 |
$257 |
11.6× |
| HIV-1 genotype (87901) |
$643.60 |
$1,609 |
2.5× |
| HIV-1 integrase genotype (87906) |
$538 |
$1,345 |
4.2× |
| Hla class i typing high resolution one allele or allele group (81381) |
$459.20 |
$1,148 |
2.7× |
| Hla class ii typing high resolution one locus ea (81382) |
$95.20 |
$238 |
0.8× |
| HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Facility (81377) |
$573.20 |
$1,433 |
6.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) |
$450.40 |
$1,126 |
6.1× |
| Hla ii typing 1 allele hr (81383) |
$168.40 |
$421 |
1.5× |
| Hla typing dr/dq (86817) |
$197.20 |
$493 |
1.9× |
| Hla Typing Dr/Dq Single Antigen (86816) |
$85.60 |
$214 |
2.8× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) |
$416.40 |
$1,041 |
7.2× |
| Hla-b27 (86812) |
$112.40 |
$281 |
4.4× |
| Homogenization tissue (87176) |
$24.80 |
$62 |
4.2× |
| Homovanillic acid urine (83150) |
$46.40 |
$116 |
2.1× |
| Hpv low-risk types (87623) |
$84.80 |
$212 |
2.4× |
| Hsv Dna Quant (87530) |
$112.40 |
$281 |
2.6× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) |
$109.60 |
$274 |
3.1× |
| Htlv-I Antibody (86687) |
$315.20 |
$788 |
34.7× |
| Human epididymis protein 4 (86305) |
$98 |
$245 |
4.7× |
| Hydroxychloroquine (80220) |
$36.40 |
$91 |
2.0× |
| Hydroxycorticosteroids 17 (83491) |
$46.40 |
$116 |
2.6× |
| Hydroxyprogesterone 17-d (83498) |
$50.80 |
$127 |
1.9× |
| Hydroxyproline total (83505) |
$57.20 |
$143 |
2.4× |
| Hydroxyproline; free Facility (83500) |
$53.60 |
$134 |
2.4× |
| Iaad ia clostridium difficile toxin (87324) |
$71.60 |
$179 |
6.0× |
| Iaad ia cryptosporidium (87328) |
$220.80 |
$552 |
16.0× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) |
$115.20 |
$288 |
8.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) |
$126 |
$315 |
9.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) |
$108 |
$270 |
3.1× |
| Iaad ia shiga-like toxin (87427) |
$87.60 |
$219 |
7.3× |
| Iaadi inffluenza a virus (87276) |
$49.20 |
$123 |
3.1× |
| Iaadi influenza b virus (87275) |
$49.20 |
$123 |
4.0× |
| Iaadi Legionella Pneumophila (87278) |
$204.80 |
$512 |
13.1× |
| Iaadi Not Otherwise Specified Each Organism (87299) |
$49.20 |
$123 |
3.1× |
| Iaadi Pneumocustis Carinii (87281) |
$172.40 |
$431 |
14.4× |
| Iaadiadoo not otherwise specified (87899) |
$142.80 |
$357 |
8.9× |
| Iadna borrelia burgdorferi amplified probe tq (87476) |
$260.80 |
$652 |
7.4× |
| Iadna candida species amplified probe tq (87481) |
$49.60 |
$124 |
1.4× |
| Iadna Candida Species Direct Probe Tq (87480) |
$112 |
$280 |
5.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) |
$85.60 |
$214 |
2.4× |
| Iadna hepatitis b virus amplified probe tq (87516) |
$252.40 |
$631 |
7.2× |
| Iadna hepatitis b virus quantification (87517) |
$556 |
$1,390 |
13.0× |
| Iadna Hepatitis C Amplified Probe&Revrse Transcr (87521) |
$154.80 |
$387 |
4.4× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) |
$357.20 |
$893 |
8.3× |
| Iadna herpes virus-6 amplified probe tq (87532) |
$99.60 |
$249 |
2.8× |
| Iadna herpes virus-6 quantification (87533) |
$108.40 |
$271 |
2.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) |
$99.60 |
$249 |
2.8× |
| Iadna HIV-1 quant & reverse transcription (87536) |
$311.20 |
$778 |
3.7× |
| Iadna human papillomavirus high-risk types (87624) |
$158.40 |
$396 |
4.5× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) |
$124.80 |
$312 |
3.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) |
$480.40 |
$1,201 |
13.7× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) |
$164 |
$410 |
4.7× |
| Iadna nos amplified probe tq each organism (87798) |
$191.60 |
$479 |
5.5× |
| Iadna Nos Direct Probe Tq Each Organism (87797) |
$64.40 |
$161 |
2.1× |
| Iadna nos quantification each organism (87799) |
$599.60 |
$1,499 |
14.0× |
| Iadna respiratry probe & rev trnscr 6-11 targets (87632) |
$499.20 |
$1,248 |
2.3× |
| Iadna trichomonas vaginalis amplified probe tech (87661) |
$72 |
$180 |
2.1× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$806.40 |
$2,016 |
1.9× |
| Igg subclasses (82787) |
$77.60 |
$194 |
9.7× |
| Immunoassay analyte qual/semiqual single step (83518) |
$31.60 |
$79 |
3.3× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86318) |
$49.60 |
$124 |
2.7× |
| Immunoassay infectious agent antibody quan nos (86317) |
$40.80 |
$102 |
2.7× |
| Immunoassay nonantibody (83516) |
$49.60 |
$124 |
4.3× |
| Immunodiffusion (86329) |
$50.80 |
$127 |
3.6× |
| Immunodiffusion Ouchterlony (86331) |
$44 |
$110 |
3.7× |
| Immunoelectrophoresis serum (86320) |
$71.60 |
$179 |
2.4× |
| Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Non-Facility (86325) |
$71.60 |
$179 |
3.1× |
| Immunofixation (86334) |
$126.80 |
$317 |
5.7× |
| Immunofixation urine (86335) |
$146 |
$365 |
5.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) |
$71.20 |
$178 |
0.4× |
| Immunoglobulin light chains free each (83521) |
$34.40 |
$86 |
2.0× |
| Immunohistochemistry (88342) |
$268.40 |
$671 |
1.6× |
| In situ hybridization (88365) |
$248 |
$620 |
1.5× |
| Indirect coombs (86885) |
$24 |
$60 |
4.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) |
$26.40 |
$66 |
2.5× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) |
$87.60 |
$219 |
6.9× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) |
$49.20 |
$123 |
4.1× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Facility (87274) |
$49.20 |
$123 |
4.1× |
| Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Facility (87273) |
$49.20 |
$123 |
4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Facility (87490) |
$52.40 |
$131 |
2.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) |
$58.40 |
$146 |
1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) |
$85.20 |
$213 |
4.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) |
$64.40 |
$161 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes… (87503) |
$90 |
$225 |
3.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when… (87501) |
$173.60 |
$434 |
3.4× |
| Influenza a/b ag eia (87400) |
$49.20 |
$123 |
3.5× |
| Influenza DNA amp probe (87502) |
$298 |
$745 |
3.1× |
| Inhibin a (86336) |
$317.60 |
$794 |
20.4× |
| Inhibin b (83520) |
$28 |
$229 |
1.6× |
| Insitu hybridization manual (88368) |
$881.20 |
$2,203 |
2.5× |
| Insulin antibodies (86337) |
$61.20 |
$153 |
2.9× |
| Insulin free (83527) |
$38 |
$95 |
2.9× |
| Insulin total (83525) |
$24.80 |
$62 |
2.2× |
| Intrinsic factor antibody (86340) |
$50.80 |
$127 |
3.4× |
| Iron (83540) |
$53.60 |
$134 |
8.3× |
| Iron binding capacity (83550) |
$52.40 |
$131 |
6.0× |
| Irradiation Blood Product Each Unit (86945) |
$59.60 |
$149 |
1.6× |
| Islet cell antibody (86341) |
$114 |
$285 |
4.8× |
| Jak2 gene analysis (81270) |
$160.40 |
$401 |
1.7× |
| Jak2 targeted sequence analysis (81279) |
$356.40 |
$891 |
1.9× |
| Ketosteroids, 17- (17-KS); fractionation Facility (83593) |
$64 |
$160 |
2.2× |
| Kit gene targeted seq analys (81272) |
$379.60 |
$949 |
1.2× |
| Kras gene analysis (81275) |
$652.40 |
$1,631 |
3.4× |
| Lactoferrin fecal qual (83630) |
$52.40 |
$131 |
2.7× |
| Lactoferrin Fecal Quantitative (83631) |
$162.40 |
$406 |
8.3× |
| Lactogen placental (83632) |
$49.60 |
$124 |
2.5× |
| Ldh body fluid (83615) |
$38 |
$95 |
6.3× |
| Ldh isoenzymes (83625) |
$34.40 |
$86 |
2.7× |
| LDL cholesterol direct (83721) |
$33.60 |
$84 |
3.2× |
| Lead (83655) |
$24.80 |
$62 |
2.0× |
| Legion pneumo, DNA, amp prob (87541) |
$114 |
$285 |
3.2× |
| Legionella antibody (86713) |
$237.20 |
$593 |
15.5× |
| Legionella antigen urine (87449) |
$67.60 |
$169 |
5.6× |
| Legionella DNA probe (87540) |
$64.40 |
$161 |
3.2× |
| Leptospira antibody (86720) |
$49.60 |
$124 |
3.1× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) |
$8.24 |
$20.61 |
1.9× |
| Leukocyte phagocytosis (86344) |
$99.60 |
$249 |
9.6× |
| Level ii surg pathology grossµscopic exam (88302) |
$210.40 |
$526 |
5.7× |
| Level v surg pathology grossµscopic exam (88307) |
$259.20 |
$648 |
0.7× |
| Level vi surg pathology grossµscopic exam (88309) |
$893 |
$2,232.50 |
1.1× |
| Lh (83002) |
$126 |
$315 |
6.8× |
| Lipase (83690) |
$107.60 |
$269 |
15.6× |
| Lipoprotein Bld Hr Fraction (83701) |
$54.40 |
$136 |
1.6× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) |
$64.40 |
$161 |
1.9× |
| Listeria ab (86609) |
$263.60 |
$659 |
20.5× |
| Lithium (80178) |
$38.80 |
$97 |
5.9× |
| Liver ds alys 3 bmrk srm alg (81517) |
$76 |
$190 |
0.4× |
| Lyme disease antibody (86618) |
$34.80 |
$87 |
2.0× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) |
$449 |
$1,122.50 |
2.7× |
| Macroscopic exam parasite (87169) |
$80.80 |
$202 |
18.7× |
| Magnesium (83735) |
$54.80 |
$137 |
8.2× |
| Malaria smear (87207) |
$373.60 |
$934 |
62.4× |
| Manual Diff Wbc Count B-Coat (85009) |
$32 |
$80 |
6.3× |
| Manual reticulocyte count (85044) |
$85.20 |
$213 |
19.8× |
| Mass spectrometry qual/quan (83789) |
$142.80 |
$357 |
5.9× |
| Measurement of complement fixation tests (immune system proteins) (86171) |
$146 |
$365 |
14.6× |
| Mercury urine (83825) |
$36.40 |
$91 |
2.2× |
| Metabolic Panel Ionized Ca (80047) |
$49.60 |
$124 |
3.6× |
| Methemoglobin (83050) |
$55.20 |
$138 |
6.7× |
| Methylmalonic acid serum (83921) |
$67.60 |
$169 |
3.2× |
| Microalbumin urine (82043) |
$38.80 |
$97 |
6.7× |
| Microsatellite instability (81301) |
$1,137.60 |
$2,844 |
3.3× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) |
$143.40 |
$358.50 |
2.8× |
| Microsomal antibodies (86376) |
$42 |
$105 |
2.9× |
| Mitochondrial antibody each (86381) |
$50.40 |
$126 |
2.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) |
$4,302.40 |
$10,756 |
6.4× |
| Mog-igg1 antibody cell-based imfluor assay each (86362) |
$23.60 |
$59 |
2.0× |
| Mog-igg1 antibody flow cytometry each (86363) |
$73.20 |
$183 |
1.9× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) |
$151.20 |
$378 |
3.6× |
| Molecular pathology procedure level 2 (81401) |
$161.20 |
$403 |
1.2× |
| Molecular pathology procedure level 7 (81406) |
$544.40 |
$1,361 |
1.9× |
| Mononuclear cell antigen (86356) |
$85.20 |
$213 |
3.2× |
| Mopath procedure level 1 (81400) |
$241.60 |
$604 |
3.8× |
| Mopath procedure level 3 (81402) |
$288.80 |
$722 |
1.9× |
| Mopath procedure level 4 (81403) |
$943.20 |
$2,358 |
5.1× |
| Mopath procedure level 5 (81404) |
$528.80 |
$1,322 |
1.9× |
| Mopath procedure level 9 (81408) |
$3,844 |
$9,610 |
1.9× |
| Mpl gene common variants (81338) |
$289.60 |
$724 |
1.9× |
| Mrsa PCR (87641) |
$154 |
$385 |
4.4× |
| Mtb PCR (87556) |
$200.80 |
$502 |
4.8× |
| Mthfr Gene Analysis Common Variants (81291) |
$160.40 |
$401 |
2.5× |
| Muramidase (85549) |
$54.80 |
$137 |
2.9× |
| Muscle-specific kinase (musk) antibody (86366) |
$567.60 |
$1,419 |
30.8× |
| Mycobacteric identification (87118) |
$212 |
$530 |
14.5× |
| Mycophenolic acid (80180) |
$113.20 |
$283 |
6.3× |
| Mycoplasma antibody (86738) |
$49.60 |
$124 |
3.7× |
| Mycoplasma culture (87109) |
$126.80 |
$317 |
8.2× |
| Myelin basic protein csf (83873) |
$38 |
$95 |
2.2× |
| Myoglobin urine (83874) |
$32 |
$80 |
2.5× |
| Nasal smear for eosinophils (89190) |
$54.40 |
$136 |
9.4× |
| Natriuretic peptide (83880) |
$77.60 |
$194 |
2.0× |
| Neutralization Test Viral (86382) |
$104.80 |
$262 |
6.2× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) |
$146.40 |
$366 |
5.6× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) |
$1,158.40 |
$2,896 |
2.4× |
| Nickel level (83885) |
$99.60 |
$249 |
4.1× |
| Nk cells total count (86357) |
$169.20 |
$423 |
4.5× |
| Nuclear antigen antibody (86235) |
$130.80 |
$327 |
7.3× |
| Occult blood gastric (82271) |
$20.40 |
$51 |
3.8× |
| Occult blood stool (82272) |
$38 |
$95 |
9.0× |
| Oligoclonal bands (83916) |
$38.80 |
$97 |
1.4× |
| Oncology prostate biochemical assay 4 proteins (81539) |
$124.80 |
$312 |
0.2× |
| Organic Acids Qualitative Each Specimen (83919) |
$184 |
$460 |
11.2× |
| Osmolality serum (83930) |
$60.80 |
$152 |
9.2× |
| Osmolality urine (83935) |
$60.80 |
$152 |
8.9× |
| Osmotic fragility rbc incubated (85557) |
$113.20 |
$283 |
8.5× |
| Ova and parasite direct-id lca (87177) |
$160.40 |
$401 |
18.0× |
| Oxalate urine (83945) |
$30 |
$75 |
2.1× |
| Pancreatic elastase, fecal (82656) |
$41.20 |
$103 |
3.6× |
| Pancreatic polypeptide (83519) |
$133.60 |
$334 |
7.3× |
| Particle Agglutination Screen Each Antibody (86403) |
$108.40 |
$271 |
9.4× |
| Particle agglutination titer each antibody (86406) |
$108.80 |
$272 |
10.2× |
| Parvovirus antibody (86747) |
$67.60 |
$169 |
4.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) |
$237.60 |
$594 |
0.3× |
| Ph body fluid (83986) |
$19.60 |
$49 |
5.5× |
| Ph urine (81003) |
$64.40 |
$161 |
28.6× |
| Phenotype Infect Agent Drug (87900) |
$329.20 |
$823 |
2.5× |
| Phenylalanine (84030) |
$250 |
$625 |
45.5× |
| Phenytoin free (80186) |
$28 |
$70 |
2.0× |
| Phosphatase alkaline (84075) |
$64 |
$160 |
12.4× |
| Phosphorus blood (84100) |
$38.80 |
$97 |
8.2× |
| Phosphorus urine (84105) |
$36.40 |
$91 |
6.3× |
| Pinworm exam (87172) |
$61.20 |
$153 |
14.3× |
| Plasminogen (85420) |
$90.40 |
$226 |
13.8× |
| Platelet aggregation (85576) |
$206.80 |
$517 |
8.3× |
| Platelet count automated (85049) |
$36.40 |
$91 |
8.1× |
| Platelet neutralization (85597) |
$45.20 |
$113 |
2.5× |
| Pml/raralpha com breakpoints (81315) |
$550 |
$1,375 |
2.7× |
| Pooling blood platelets (86965) |
$164 |
$410 |
1.0× |
| Porphobilinogen urine quant (84110) |
$34.80 |
$87 |
4.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) |
$34.80 |
$87 |
2.4× |
| Potassium (84132) |
$36.40 |
$91 |
7.6× |
| Potassium urine (84133) |
$51.60 |
$129 |
10.9× |
| Pregnenolone (84140) |
$54.40 |
$136 |
2.6× |
| Pretx rbc antibody incubat w/enzymes each (86971) |
$58.40 |
$146 |
0.3× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) |
$114 |
$285 |
0.7× |
| Pretx serum rbc antibody identification dilution (86976) |
$114 |
$285 |
4.0× |
| Primidone (80188) |
$34.40 |
$86 |
2.1× |
| Procainamide napa (80192) |
$38.80 |
$97 |
2.3× |
| Procalcitonin (pct) (84145) |
$66.80 |
$167 |
2.5× |
| Progesterone (84144) |
$40.80 |
$102 |
2.0× |
| Prostaglandin Ea (84150) |
$150 |
$375 |
3.6× |
| Protein body fluid (84157) |
$68 |
$170 |
17.0× |
| Protein c activity (85303) |
$130.80 |
$327 |
9.5× |
| Protein c antigen (85302) |
$170.40 |
$426 |
14.2× |
| Protein electrophoresis serum (84165) |
$77.60 |
$194 |
7.2× |
| Protein Electrophoresis Urine (84166) |
$85.60 |
$214 |
4.8× |
| Protein s total (85305) |
$133.20 |
$333 |
11.5× |
| Protein total serum (84155) |
$68 |
$170 |
18.5× |
| Protein urine (84156) |
$68 |
$170 |
18.5× |
| Protein Western Blot (84182) |
$21.20 |
$53 |
0.7× |
| Protein westrn blot i&r blood/other fluid (84181) |
$49.60 |
$124 |
2.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) |
$39.60 |
$99 |
10.1× |
| Protoporphyrin rbc quantitative (84202) |
$85.60 |
$214 |
6.0× |
| PSA free (84154) |
$59.60 |
$149 |
3.2× |
| Pth intact (83970) |
$228.40 |
$571 |
5.5× |
| Pyruvate kinase (84220) |
$68 |
$170 |
7.2× |
| Quinidine (80194) |
$34.80 |
$87 |
2.4× |
| Rbc (85041) |
$24.80 |
$62 |
8.2× |
| Rbc antibody elution (86860) |
$114 |
$285 |
0.7× |
| Rbc pretreatment serum (86978) |
$306.40 |
$766 |
5.2× |
| Rbc pretx incubatj w/chemicl (86970) |
$114 |
$285 |
1.9× |
| Reagent strip/blood glucose (82948) |
$20.40 |
$51 |
4.0× |
| Renin activity plasma (84244) |
$43.20 |
$108 |
2.0× |
| Resp virus 12-25 targets (87633) |
$1,001.20 |
$2,503 |
2.4× |
| Reticulocyte count auto (85045) |
$84.40 |
$211 |
21.2× |
| Rheumatoid Factor Qual (86430) |
$108 |
$270 |
17.6× |
| Rheumatoid factor quant (86431) |
$108 |
$270 |
19.0× |
| Rickettsia antibody (86757) |
$67.60 |
$169 |
3.5× |
| Ristocetin cofactor (85245) |
$256 |
$640 |
11.2× |
| Rotavirus ag eia (87425) |
$40.80 |
$102 |
3.4× |
| Rpr Titer (86593) |
$55.20 |
$138 |
12.5× |
| Rsv (87807) |
$66.80 |
$167 |
5.1× |
| Rubella antibody (86762) |
$110 |
$275 |
7.6× |
| Rubeola Antibody Igg (86765) |
$26.40 |
$66 |
2.0× |
| Rufinamide (80210) |
$68 |
$170 |
2.5× |
| Russell viper venom time (includes venom); undiluted Facility (85612) |
$170 |
$425 |
9.7× |
| Russell viper venom time diluted (85613) |
$154.80 |
$387 |
16.2× |
| Salicylate Level (80179) |
$68 |
$170 |
3.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) |
$102.40 |
$256 |
2.0× |
| Sars-Cov-2 Covid-19 Antibody (86769) |
$65.20 |
$163 |
1.5× |
| Sars-cov-2 covid19 w/optic (87811) |
$82.80 |
$207 |
2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) |
$261.60 |
$654 |
1.8× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) |
$22.80 |
$57 |
3.4× |
| Sedimentation rate (85651) |
$90.40 |
$226 |
21.2× |
| Sedimentation rate auto (85652) |
$89.60 |
$224 |
33.2× |
| Selenium (84255) |
$140.80 |
$352 |
5.5× |
| Semen analysis complete (89320) |
$169.20 |
$423 |
13.7× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) |
$85.20 |
$213 |
8.7× |
| Sensitivity kb (87184) |
$54.80 |
$137 |
7.3× |
| Sensitivity mic (87186) |
$69.20 |
$173 |
8.0× |
| SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Facility (81327) |
$342 |
$855 |
1.8× |
| Serotonin Release Assay (86022) |
$102.40 |
$256 |
5.6× |
| Sex chromatin identification; Barr bodies Facility (88130) |
$67.20 |
$168 |
3.7× |
| Sex hormone binding globulin (84270) |
$38.80 |
$97 |
1.8× |
| Sickling of rbc reduction (85660) |
$108.40 |
$271 |
19.7× |
| Sirolimus (rapamycin) (80195) |
$53.60 |
$134 |
3.9× |
| Smear acid fast (87206) |
$154 |
$385 |
28.6× |
| Smear complex stain (87209) |
$102.40 |
$256 |
5.7× |
| Smear gram stain (87205) |
$71.60 |
$179 |
16.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) |
$67.20 |
$168 |
11.5× |
| Sodium (84295) |
$34.40 |
$86 |
7.2× |
| Sodium feces (84302) |
$34.40 |
$86 |
7.1× |
| Sodium urine (84300) |
$49.20 |
$123 |
9.7× |
| Soluble transferrin receptor (84238) |
$81.60 |
$204 |
2.2× |
| Somatomedin (84305) |
$68.40 |
$171 |
3.2× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) |
$147.20 |
$368 |
1.1× |
| Special stains group 1 (88312) |
$119.20 |
$298 |
2.3× |
| Specific gravity body fluid (84315) |
$61.20 |
$153 |
18.7× |
| Specimen fat stain (89125) |
$38.80 |
$97 |
6.6× |
| Spectrophotometry (84311) |
$98 |
$245 |
12.1× |
| Splitting blood/blood products each unit (86985) |
$100 |
$250 |
0.6× |
| Sputum specimen collection (89220) |
$34.40 |
$86 |
0.2× |
| Stool Culture, Addl Pathogens (87046) |
$7.20 |
$18 |
0.8× |
| Strep a assay w/optic (87880) |
$172.80 |
$432 |
10.5× |
| Strep a DNA amp probe (87651) |
$183.20 |
$458 |
5.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) |
$50.36 |
$125.90 |
0.5× |
| Sugars single quant (84378) |
$52 |
$130 |
4.5× |
| Sulfate urine (84392) |
$30 |
$75 |
5.5× |
| Surg path level 1 (88300) |
$72.40 |
$181 |
2.5× |
| Surg path level iii (88304) |
$117.60 |
$294 |
2.3× |
| Surgical pathology level IV (88305) |
$177.80 |
$444.50 |
3.4× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) |
$30.40 |
$76 |
0.8× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) |
$89.20 |
$223 |
12.2× |
| T Cell Absolute Count (86361) |
$96.40 |
$241 |
3.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) |
$120 |
$300 |
2.6× |
| T cells total count (86359) |
$96.40 |
$241 |
2.6× |
| T3 free (84481) |
$95.20 |
$238 |
5.6× |
| T3 reverse (84482) |
$90 |
$225 |
5.7× |
| T3 total (84480) |
$34.80 |
$87 |
2.5× |
| T3 uptake (84479) |
$68 |
$170 |
10.5× |
| T4 free (84439) |
$61.20 |
$153 |
6.8× |
| T4 total (84436) |
$44 |
$110 |
6.4× |
| Tau phosphorylated each (84393) |
$375.20 |
$938 |
2.9× |
| Tb intradermal test (86580) |
$93.60 |
$234 |
3.3× |
| Tb test, cell immun measure (86480) |
$260.80 |
$652 |
4.2× |
| Testosterone free (84402) |
$19.60 |
$49 |
0.8× |
| Testosterone total (84403) |
$148.80 |
$372 |
5.8× |
| Theophylline (80198) |
$83.20 |
$208 |
5.9× |
| Thin prep pap (88142) |
$140.80 |
$352 |
6.9× |
| Thiocyanate (84430) |
$85.20 |
$213 |
7.3× |
| Thrombin time plasma (85670) |
$61.20 |
$153 |
10.6× |
| Thromboplastin Inhibition Tissue (85705) |
$73.60 |
$184 |
7.6× |
| Thromboplastin time prtl substit plasma frctj ea (85732) |
$68 |
$170 |
10.5× |
| Thyroglobulin (84432) |
$33.60 |
$84 |
2.1× |
| Thyroglobulin antibody (86800) |
$40.80 |
$102 |
2.6× |
| Thyroid Stimulating Immune Globulins Tsi (84445) |
$121.60 |
$304 |
2.4× |
| Thyroxine binding globulin (84442) |
$32 |
$80 |
2.2× |
| Tiagabine (80199) |
$256 |
$640 |
9.4× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) |
$316 |
$790 |
2.2× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) |
$67.60 |
$169 |
15.8× |
| Tissue culture bone marrow (88237) |
$204.40 |
$511 |
1.4× |
| Tissue culture lymphocyte (88230) |
$204.40 |
$511 |
1.8× |
| Tissue transglutaminase ab iga (86364) |
$22.80 |
$57 |
2.0× |
| Tobramycin peak (80200) |
$192 |
$480 |
11.9× |
| Total tau (ttau) (84394) |
$375.20 |
$938 |
2.9× |
| Touch prep (88161) |
$153.60 |
$384 |
5.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) |
$85.20 |
$213 |
4.3× |
| Toxoplasma ab igm (86778) |
$39.60 |
$99 |
2.7× |
| Toxoplasma antibody igg (86777) |
$38.80 |
$97 |
2.7× |
| Transferrin (84466) |
$83.20 |
$208 |
6.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) |
$593.60 |
$1,484 |
2.8× |
| Trg gene rearrangement analysis (81342) |
$462 |
$1,155 |
2.3× |
| Trichinella antibody (86784) |
$90.40 |
$226 |
7.2× |
| Trichomonas vagin dir probe (87660) |
$112 |
$280 |
5.6× |
| Triglycerides (84478) |
$54.40 |
$136 |
9.5× |
| Troponin (84484) |
$92 |
$230 |
7.4× |
| Urea nitrogen (84520) |
$36.40 |
$91 |
9.2× |
| Urea nitrogen urine (84540) |
$20 |
$50 |
3.6× |
| Uric acid blood (84550) |
$51.60 |
$129 |
11.4× |
| Uric acid other source (84560) |
$51.60 |
$129 |
10.2× |
| Urinalysis (81005) |
$100 |
$250 |
46.1× |
| Urinalysis auto w/scope (81001) |
$38.80 |
$97 |
12.2× |
| Urinalysis Microscopic Only (81015) |
$169.20 |
$423 |
55.5× |
| Urine Bacteria Culture (87088) |
$67.60 |
$169 |
8.4× |
| Urine pregnancy test (81025) |
$71.60 |
$179 |
8.3× |
| Urine volume measurement (81050) |
$54.80 |
$137 |
15.1× |
| Valproic acid (80164) |
$38.80 |
$97 |
2.9× |
| Vancomycin trough (80202) |
$101.20 |
$253 |
7.5× |
| Vanomycin DNA amp probe (87500) |
$154 |
$385 |
4.4× |
| Varicella-zoster antibody (86787) |
$93.20 |
$233 |
7.2× |
| Vasoactive intestinal peptide (vip) (84586) |
$126.80 |
$317 |
3.6× |
| Vdrl csf (86592) |
$73.60 |
$184 |
17.2× |
| Very long chain fatty acids (82726) |
$86 |
$215 |
4.4× |
| Virus antibody nos (86790) |
$99.60 |
$249 |
7.7× |
| Virus id non-immunologic oth/thn cytopathic (87255) |
$87.60 |
$219 |
2.6× |
| Virus inoculate tissue addl (87253) |
$112 |
$280 |
5.5× |
| Virus inoculation, shell via (87254) |
$81.60 |
$204 |
4.2× |
| Viscosity serum (85810) |
$40.80 |
$102 |
3.5× |
| Vitamin A (84590) |
$49.60 |
$124 |
4.3× |
| Vitamin b-12 (82607) |
$172.80 |
$432 |
11.5× |
| Vitamin b1 (thiamine) (84425) |
$43.20 |
$108 |
2.0× |
| Vitamin b2 (84252) |
$61.20 |
$153 |
3.0× |
| Vitamin b3 niacin (84591) |
$63.20 |
$158 |
3.7× |
| Vitamin b6 (84207) |
$44 |
$110 |
1.6× |
| Vitamin c (82180) |
$21.20 |
$53 |
2.1× |
| Vitamin D 25-Hydroxy (82306) |
$118.40 |
$296 |
4.0× |
| Vitamin e serum (84446) |
$57.20 |
$143 |
4.0× |
| Vkorc1 gene (81355) |
$72 |
$180 |
0.8× |
| Voltage-gated calcium channel antibody each (86596) |
$23.60 |
$59 |
2.0× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) |
$100 |
$250 |
11.6× |
| West nile virus antibody (86789) |
$99.60 |
$249 |
6.9× |
| West nile virus igm (86788) |
$99.60 |
$249 |
5.9× |
| Zinc (84630) |
$22.80 |
$57 |
2.0× |