| 17 Hydroxyprogesterone (83498) |
$50.40 |
$56 |
1.9× |
| 5-Hiaa (83497) |
$121.50 |
$135 |
9.4× |
| Acetaminophen (80143) |
$253.80 |
$282 |
13.6× |
| Acetone serum qual (82009) |
$38.70 |
$43 |
8.6× |
| Acetone, quantitative (82010) |
$113.96 |
$126.62 |
13.9× |
| Acth (82024) |
$219.60 |
$244 |
5.7× |
| Activated protein c resistance (85307) |
$120.15 |
$133.50 |
7.8× |
| Acute hepatitis panel (80074) |
$292.50 |
$325 |
6.1× |
| Acylcarnitines quantitative (82017) |
$183.60 |
$204 |
10.9× |
| Afb culture (87116) |
$135 |
$150 |
12.5× |
| Afb smear (87206) |
$18.90 |
$21 |
3.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) |
$630 |
$700 |
9.8× |
| Albumin serum (82040) |
$70.20 |
$78 |
14.2× |
| Aldolase (82085) |
$79.20 |
$88 |
8.2× |
| Aldosterone (82088) |
$223.20 |
$248 |
5.5× |
| Alkaline phosphatase (84075) |
$72.90 |
$81 |
14.1× |
| Alkaline phosphatase isoenzymes (84080) |
$96.75 |
$107.50 |
6.5× |
| Allergen profile perennial allergen (86003) |
$78.30 |
$87 |
15.0× |
| Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Other Outpatient (86008) |
$125.10 |
$139 |
7.0× |
| Alpha-1-antitrypsin (82103) |
$117 |
$130 |
8.7× |
| Alpha-1-antitrypsin phenotype (82104) |
$19.80 |
$22 |
1.4× |
| Alpha-fetoprotein serum (82105) |
$135 |
$150 |
8.1× |
| Alt (84460) |
$74.70 |
$83 |
14.1× |
| Amino acids, 6 or more amino acids, quantitative, each specimen Other Outpatient (82139) |
$252.90 |
$281 |
15.0× |
| Amino acids; single, quantitative, each specimen Other Outpatient (82131) |
$108 |
$120 |
4.7× |
| Ammonia (82140) |
$132.30 |
$147 |
9.1× |
| Amylase (82150) |
$91.80 |
$102 |
14.2× |
| Ana (86038) |
$32.40 |
$36 |
2.7× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen (86663) |
$21.60 |
$24 |
1.6× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen (86664) |
$49.50 |
$55 |
3.2× |
| Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid (86665) |
$57.60 |
$64 |
3.2× |
| Angiotensin converting enzyme (82164) |
$79.65 |
$88.50 |
5.5× |
| Anti-mitochondrial antibody (86255) |
$74.25 |
$82.50 |
6.2× |
| Anti-phosphatidylserine antibody (86148) |
$180 |
$200 |
11.2× |
| Antibody identification platelet antibodies (86022) |
$132.30 |
$147 |
7.2× |
| Antibody west nile virus igm (86788) |
$57.60 |
$64 |
3.4× |
| Antibody; Helicobacter pylori (86677) |
$36 |
$40 |
2.1× |
| Antineutrophil cytoplasmic antb screen ea antb (86036) |
$156.60 |
$174 |
13.0× |
| Antineutrophil cytoplasmic antb titer ea antb (86037) |
$156.60 |
$174 |
13.0× |
| Antistreptolysin o titer (86060) |
$23.40 |
$26 |
3.2× |
| Antithrombin iii activity (85300) |
$64.80 |
$72 |
5.5× |
| Apolipoprotein each (82172) |
$31.50 |
$35 |
1.5× |
| Arsenic (82175) |
$209.70 |
$233 |
11.1× |
| Aspergillus antibody (86606) |
$58.50 |
$65 |
3.9× |
| Aspergillus antigen (87305) |
$60.30 |
$67 |
5.0× |
| Assay of corticosteroids - 17-hydroxycorticosteroids, urine, 24 hour (83491) |
$224.10 |
$249 |
12.5× |
| Assay of vitamin b-2 (84252) |
$32.40 |
$36 |
1.6× |
| Assay, blood catecholamines - catecholamines, total (82383) |
$54.90 |
$61 |
1.9× |
| Assay, free hydroxyproline - hydroxyproline, free (83500) |
$324 |
$360 |
14.3× |
| Ast (84450) |
$74.70 |
$83 |
14.4× |
| Bartonella antibody (86611) |
$13.50 |
$15 |
1.3× |
| Bcr/abl1 gene major bp (81206) |
$238.50 |
$265 |
1.5× |
| Bcr/abl1 gene minor bp (81207) |
$220.50 |
$245 |
1.5× |
| Beta 2 glycoprotein i antibody (86146) |
$83.25 |
$92.50 |
3.3× |
| Beta lactamase (87185) |
$115.20 |
$128 |
24.3× |
| Beta-2 microglobulin (82232) |
$43.65 |
$48.50 |
2.7× |
| Bile acids total (82239) |
$135 |
$150 |
7.9× |
| Bilirubin direct (82248) |
$63.90 |
$71 |
12.7× |
| Bilirubin total (82247) |
$73.80 |
$82 |
14.7× |
| Blastomyces antibody (86612) |
$181.80 |
$202 |
14.1× |
| Bld count smear mcrscp w/o mnl difrntl wbc count (85008) |
$18 |
$20 |
5.2× |
| Blood count leukocyte wbc automated (85048) |
$36 |
$40 |
14.2× |
| Blood count reticulocyte automated (85045) |
$98.10 |
$109 |
24.6× |
| Blood count; red blood cell (RBC), automated Other Outpatient (85041) |
$36 |
$40 |
11.9× |
| Blood gases any combination (82803) |
$240.30 |
$267 |
9.2× |
| Blood gases ph only (82800) |
$41.40 |
$46 |
3.8× |
| Blood typing serologic abo (86900) |
$245.70 |
$273 |
82.2× |
| Blood typing serologic rh (d) (86901) |
$75.60 |
$84 |
25.3× |
| Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Other Outpatient (86902) |
$638.10 |
$709 |
100.5× |
| Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations… (82274) |
$44.10 |
$49 |
2.8× |
| Bordetella pertussis igm (86615) |
$36 |
$40 |
2.7× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81162) |
$4,050 |
$4,500 |
2.2× |
| Brucella antibody (86622) |
$36 |
$40 |
4.0× |
| C diff amplified probe (87493) |
$123.30 |
$137 |
3.3× |
| C-peptide (84681) |
$137.70 |
$153 |
6.6× |
| C-reactive protein (86140) |
$70.20 |
$78 |
13.6× |
| C2 complement functional (86161) |
$60.30 |
$67 |
5.0× |
| Ca 125 (86304) |
$160.20 |
$178 |
7.7× |
| Ca 15-3 (86300) |
$73.35 |
$81.50 |
3.5× |
| Calcitonin (82308) |
$171 |
$190 |
6.4× |
| Calcium ionized (82330) |
$129.60 |
$144 |
9.5× |
| Calcium total (82310) |
$70.20 |
$78 |
13.6× |
| Calcium, random urine (82340) |
$13.50 |
$15 |
2.2× |
| Calculus; quantitative analysis, chemical Other Outpatient (82360) |
$107.10 |
$119 |
8.3× |
| Calprotectin fecal (83993) |
$337.50 |
$375 |
17.2× |
| Calr gene com variants (81219) |
$891 |
$990 |
7.3× |
| Cancer antigen 19-9 (86301) |
$169.20 |
$188 |
8.1× |
| Carbamazepine total (80156) |
$51.30 |
$57 |
3.5× |
| Carbamazepine, free (80157) |
$36 |
$40 |
2.7× |
| Carbon dioxide (82374) |
$72.90 |
$81 |
14.9× |
| Carbon monoxide (82375) |
$109.80 |
$122 |
8.9× |
| Cardiolipin antibody ea ig class (86147) |
$59.85 |
$66.50 |
2.4× |
| Carnitine (total and free), quantitative, each specimen Other Outpatient (82379) |
$54 |
$60 |
3.2× |
| Carotene (82380) |
$27 |
$30 |
2.9× |
| Casein igg (86001) |
$36 |
$40 |
4.6× |
| Catecholamines (organic nitrogen) urine level (82382) |
$149.40 |
$166 |
5.5× |
| Catecholamines fractionated (82384) |
$189.90 |
$211 |
7.5× |
| Cd4/cd8 count - lymphocyte subset panel 5 - arup (86360) |
$84.60 |
$94 |
1.8× |
| Cea (82378) |
$126.90 |
$141 |
6.7× |
| Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count… (89051) |
$101.70 |
$113 |
18.2× |
| Cell function assay w/stim (86352) |
$176.40 |
$196 |
1.3× |
| Ceruloplasmin (82390) |
$91.80 |
$102 |
8.5× |
| Cftr gene com variants (81220) |
$1,001.70 |
$1,113 |
1.8× |
| Chemiluminescent assay (82397) |
$269.10 |
$299 |
19.1× |
| Chloride blood (82435) |
$71.10 |
$79 |
15.5× |
| Chloride other source (82438) |
$71.10 |
$79 |
14.2× |
| Chloride urine (82436) |
$59.40 |
$66 |
10.3× |
| Cholesterol total (82465) |
$70.20 |
$78 |
16.1× |
| Chorionic gonadotropin test (84702) |
$93.15 |
$103.50 |
6.2× |
| Chromium (82495) |
$154.80 |
$172 |
7.6× |
| Chromogenic substrate assay (85130) |
$229.50 |
$255 |
19.3× |
| Chromogranin a (86316) |
$203.40 |
$226 |
9.8× |
| Citrate (82507) |
$123.30 |
$137 |
4.4× |
| Ck mb fraction (82553) |
$151.20 |
$168 |
13.1× |
| Clostridium ag eia (87324) |
$220.95 |
$245.50 |
18.4× |
| Clot inhibit prot s total (85305) |
$182.25 |
$202.50 |
15.7× |
| Clotting; factor XIII (fibrin stabilizing), screen solubility Other Outpatient (85291) |
$190.80 |
$212 |
20.9× |
| Cmv antibody (86644) |
$42.30 |
$47 |
2.9× |
| Coccidioides antibody (86635) |
$164.25 |
$182.50 |
14.3× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) |
$250.65 |
$278.50 |
10.4× |
| Cold agglutinins titer (86157) |
$52.20 |
$58 |
6.5× |
| Collagen cross links (82523) |
$217.80 |
$242 |
11.7× |
| Complement antigen ea component (86160) |
$89.55 |
$99.50 |
7.5× |
| Complement total (ch50) (86162) |
$99.45 |
$110.50 |
4.9× |
| Consultation, comprehensive, with review of records and specimens, with report on referred material (88325) |
$232.65 |
$258.50 |
1.3× |
| Coombs test indirect titer (86886) |
$137.70 |
$153 |
26.6× |
| Copper (82525) |
$117 |
$130 |
9.4× |
| Cortisol free (82530) |
$69.30 |
$77 |
4.1× |
| Cortisol saliva (82533) |
$125.10 |
$139 |
7.7× |
| COVID-19 antibody (86769) |
$106.20 |
$118 |
2.5× |
| Creatine kinase isoenzymes (82552) |
$50.40 |
$56 |
3.8× |
| Creatine kinase total (82550) |
$48.60 |
$54 |
7.5× |
| Creatinine (82565) |
$70.20 |
$78 |
13.7× |
| Creatinine clearance (82575) |
$128.70 |
$143 |
13.6× |
| Creatinine other source (82570) |
$72 |
$80 |
13.9× |
| Cryptosporidium ag eia (87328) |
$42.30 |
$47 |
3.1× |
| Crystals fluid (89060) |
$102.60 |
$114 |
14.0× |
| Culture anaerobic (87075) |
$145.80 |
$162 |
15.4× |
| Culture blood (87040) |
$194.40 |
$216 |
18.8× |
| Culture fungus skin hair nail (87101) |
$88.20 |
$98 |
11.4× |
| Culture mycoplasma (87109) |
$46.80 |
$52 |
3.0× |
| Culture stool (87045) |
$154.80 |
$172 |
16.4× |
| Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Other… (87077) |
$59.40 |
$66 |
7.4× |
| Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each… (87046) |
$63.90 |
$71 |
6.8× |
| Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Other… (87147) |
$30.60 |
$34 |
5.9× |
| Cyclic citrullinated peptide ab (86200) |
$147.60 |
$164 |
11.4× |
| Cyclosporine (80158) |
$178.20 |
$198 |
9.9× |
| Cystatin c (82610) |
$131.40 |
$146 |
7.1× |
| Cysticercus igg ab western blot serum arup to quest diag id 34279 (86682) |
$202.50 |
$225 |
15.6× |
| Cystine and homocystine, urine, qualitative Other Outpatient (82615) |
$76.50 |
$85 |
8.0× |
| Cytomeg DNA amp probe (87496) |
$225.90 |
$251 |
6.4× |
| Cytomegalovirus antibody igm (86645) |
$33.30 |
$37 |
2.0× |
| Cytopath cell enhance tech (88112) |
$157.50 |
$175 |
2.9× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88175) |
$73.80 |
$82 |
2.8× |
| Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (88162) |
$141.30 |
$157 |
2.6× |
| Cytopathology, smears, any other source; preparation, screening and interpretation (88161) |
$91.80 |
$102 |
3.0× |
| Cytopathology, smears, any other source; screening and interpretation (88160) |
$90 |
$100 |
2.9× |
| Cytp eval fine needle aspirate interp & report (88173) |
$192.15 |
$213.50 |
3.5× |
| D-dimer quantitative (85379) |
$153.90 |
$171 |
15.1× |
| Deoxyribonucleic acid (DNA) antibody; native or double stranded Other Outpatient (86225) |
$103.50 |
$115 |
7.5× |
| Dhea (82626) |
$148.50 |
$165 |
5.9× |
| Dhea sulfate (82627) |
$168.30 |
$187 |
7.6× |
| Digoxin (80162) |
$153.90 |
$171 |
11.6× |
| Dihydrotestosterone (82642) |
$486 |
$540 |
16.6× |
| Direct antiglobulin test (86880) |
$63 |
$70 |
11.7× |
| DNA/RNA sequencing (87153) |
$225 |
$250 |
2.0× |
| Drug assay adalimumab (80145) |
$450 |
$500 |
11.7× |
| Drug screen quant clozapine (80159) |
$171.90 |
$191 |
8.5× |
| Drug screen quant everolimus (80169) |
$315 |
$350 |
22.9× |
| Drug screen quant gabapentin (80171) |
$132.30 |
$147 |
6.1× |
| Drug screen quant levetiracetam (80177) |
$149.40 |
$166 |
11.3× |
| Drug screen quant zonisamide (80203) |
$30.60 |
$34 |
2.3× |
| Drug screen quantitative oxcarbazepine (80183) |
$102.60 |
$114 |
7.7× |
| Drug test prsmv chem anlyzr (80307) |
$139.95 |
$155.50 |
2.3× |
| Drug test prsmv instrmnt (80306) |
$180 |
$200 |
10.5× |
| Ear culture (87070) |
$139.05 |
$154.50 |
16.1× |
| Electrolytes panel (80051) |
$146.70 |
$163 |
20.9× |
| Electrophoretic test (82664) |
$212.40 |
$236 |
3.5× |
| Enterovirus by PCR (87498) |
$315 |
$350 |
9.0× |
| Enzyme histochemistry (88319) |
$398.70 |
$443 |
0.5× |
| Eosinophils urine (87205) |
$65.25 |
$72.50 |
15.3× |
| Erythropoietin (82668) |
$63.90 |
$71 |
3.4× |
| Estradiol (82670) |
$161.10 |
$179 |
5.8× |
| Estradiol; free, direct measurement (eg, equilibrium dialysis) Other Outpatient (82681) |
$108 |
$120 |
3.9× |
| Estriol (82677) |
$104.40 |
$116 |
4.3× |
| Estrogens total (82672) |
$162 |
$180 |
7.5× |
| Ethosuximide (80168) |
$54 |
$60 |
3.3× |
| Extractable nuclear antigen antibody any method (86235) |
$51.30 |
$57 |
2.9× |
| F2 gene analysis (81240) |
$135 |
$150 |
2.1× |
| Factor ii activity (85210) |
$225 |
$250 |
17.3× |
| Factor v activity (85220) |
$402.30 |
$447 |
22.8× |
| Factor vii activity (85230) |
$199.80 |
$222 |
11.2× |
| Factor viii activity (85240) |
$171 |
$190 |
9.6× |
| Factor viii vw antigen (85246) |
$292.50 |
$325 |
12.8× |
| Factor x (stuart-prower) (85260) |
$194.40 |
$216 |
10.9× |
| Factor xi activity (85270) |
$194.40 |
$216 |
10.9× |
| Factor xii (hageman) (85280) |
$194.40 |
$216 |
10.0× |
| Fat, fecal quantitative 72-hour collection (includes homogenization) arup 2002356 (82710) |
$170.10 |
$189 |
10.1× |
| Fecal fat qualitative (82705) |
$49.50 |
$55 |
9.7× |
| Ferritin (82728) |
$124.20 |
$138 |
9.1× |
| Fetal chromosomal aneuploidy genomic seq analys (81420) |
$1,367.10 |
$1,519 |
1.8× |
| Fibrinogen, activity (85384) |
$59.40 |
$66 |
6.1× |
| Flow cytometry first marker (88184) |
$458.10 |
$509 |
1.2× |
| Folate serum (82746) |
$126.90 |
$141 |
8.6× |
| Follicle stimulating hormone (fsh) (83001) |
$143.10 |
$159 |
7.7× |
| Francisella tularensis ab (86668) |
$139.50 |
$155 |
9.9× |
| Fructosamine (82985) |
$36.90 |
$41 |
2.2× |
| Fungus, antibody - saccharomyces cerevisiae antibodies, igg and iga (86671) |
$294.30 |
$327 |
24.0× |
| Gamma glutamyl transferase (82977) |
$78.30 |
$87 |
10.9× |
| Gammaglobulin ige (82785) |
$115.20 |
$128 |
7.0× |
| Gastrin (82941) |
$42.30 |
$47 |
2.4× |
| Genotype DNA hepatitis b (87912) |
$553.50 |
$615 |
2.1× |
| Giardia antigen (87329) |
$42.30 |
$47 |
3.5× |
| Gluc bld gluc mntr dev cleared fda spec home use (82962) |
$21.60 |
$24 |
6.6× |
| Glucagon (82943) |
$45.90 |
$51 |
3.2× |
| Glucose Fasting (82947) |
$70.20 |
$78 |
17.9× |
| Glucose other fluid (82945) |
$76.50 |
$85 |
19.5× |
| Glucose post glucose dose (82950) |
$99.90 |
$111 |
21.0× |
| Glucose tolerance test (gtt) (82951) |
$57.60 |
$64 |
4.5× |
| Glycated hemoglobin (83036) |
$104.40 |
$116 |
10.8× |
| Glycosylated hb home device (83037) |
$37.80 |
$42 |
3.9× |
| Growth hormone (hgh) (83003) |
$160.20 |
$178 |
9.6× |
| Gtt-added samples (82952) |
$10.80 |
$12 |
2.8× |
| H pylori breath test (83013) |
$212.40 |
$236 |
3.2× |
| H pylori stool (87338) |
$220.50 |
$245 |
15.3× |
| Haptoglobin (83010) |
$123.30 |
$137 |
9.8× |
| Hcg ql (84703) |
$55.80 |
$62 |
7.4× |
| HDL cholesterol (83718) |
$128.70 |
$143 |
15.7× |
| Heavy metal quan each nes (83018) |
$225 |
$250 |
10.2× |
| Hematocrit (hct) (85014) |
$52.20 |
$58 |
22.0× |
| Hemoglobin (85018) |
$31.95 |
$35.50 |
13.5× |
| Hemoglobin fractj/quantj chromotography (83021) |
$99.90 |
$111 |
5.5× |
| Hep a ab total (86708) |
$93.60 |
$104 |
7.6× |
| Heparin assay (85520) |
$130.50 |
$145 |
10.0× |
| Hepatitis a antibody igm (86709) |
$108 |
$120 |
9.6× |
| Hepatitis b core antibody igm (86705) |
$95.40 |
$106 |
8.1× |
| Hepatitis b core antibody total (86704) |
$84.60 |
$94 |
7.0× |
| Hepatitis b DNA quant (87517) |
$408.60 |
$454 |
9.5× |
| Hepatitis b surface ab (86706) |
$35.10 |
$39 |
3.3× |
| Hepatitis b surface antigen (87340) |
$87.30 |
$97 |
8.5× |
| Hepatitis be antibody (86707) |
$26.10 |
$29 |
2.3× |
| Hepatitis be antigen (87350) |
$26.10 |
$29 |
2.3× |
| Hepatitis c antibody (86803) |
$137.70 |
$153 |
9.6× |
| Hepatitis c genotype (87902) |
$783 |
$870 |
3.0× |
| Hepatitis c RNA quantitative (87522) |
$223.20 |
$248 |
5.2× |
| Herpes simp virus type 1 &/or 2 ab igg with ref to type 1 & 2 glycoprotein g-spec arup 0051708 (86694) |
$72.45 |
$80.50 |
5.0× |
| Herpes simplex virus by PCR (87529) |
$62.10 |
$69 |
1.8× |
| Heterophile antibody screen (86308) |
$100.80 |
$112 |
19.5× |
| Hexagonal phospholipid neutralization (85598) |
$125.55 |
$139.50 |
7.0× |
| Hfe gene (81256) |
$265.50 |
$295 |
4.1× |
| Histamine (83088) |
$50.40 |
$56 |
1.7× |
| Histoplasma antibody (86698) |
$50.40 |
$56 |
3.7× |
| HIV-1 antibody (86701) |
$57.15 |
$63.50 |
6.4× |
| HIV-2 antibody (86702) |
$40.50 |
$45 |
3.0× |
| HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Other Outpatient (81374) |
$166.50 |
$185 |
2.2× |
| Hla typing a/b/c multiple antigens (86813) |
$251.10 |
$279 |
4.3× |
| Homocysteine level (83090) |
$162 |
$180 |
9.0× |
| Hpv high-risk types (87624) |
$129.60 |
$144 |
3.7× |
| Hpv low-risk types (87623) |
$199.80 |
$222 |
5.7× |
| Iaad ia sarscov & influenza virus types a&b (87428) |
$132.30 |
$147 |
1.9× |
| Iaad ia severe aqt respir synd coronavirus (87426) |
$47.70 |
$53 |
1.4× |
| Iadna sarscov2 & inf a&b & rsv mult amp probe tq (87637) |
$285.30 |
$317 |
2.0× |
| Iadna-DNA/RNA probe tq 12-25 (87507) |
$1,009.80 |
$1,122 |
2.4× |
| Igg subclass 1 (82787) |
$122.40 |
$136 |
15.3× |
| Immunoassay analyte quantitative nos (83520) |
$180 |
$200 |
10.4× |
| Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent… (86328) |
$41.40 |
$46 |
0.9× |
| Immunoassay infectious agent antibody quan nos (86317) |
$35.55 |
$39.50 |
2.4× |
| Immunofixation electrophoresis (86334) |
$173.70 |
$193 |
7.8× |
| Immunofixation urine (86335) |
$64.80 |
$72 |
2.2× |
| Immunoglobulin d (82784) |
$98.10 |
$109 |
10.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87420) |
$115.20 |
$128 |
8.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified… (87899) |
$144 |
$160 |
9.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial… (87807) |
$43.20 |
$48 |
3.3× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism… (87797) |
$204.30 |
$227 |
6.8× |
| Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Other… (87799) |
$383.40 |
$426 |
8.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Other… (87476) |
$160.20 |
$178 |
4.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other… (87491) |
$101.70 |
$113 |
2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Other Outpatient (87497) |
$428.40 |
$476 |
10.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Other Outpatient (87516) |
$205.20 |
$228 |
5.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse… (87521) |
$198 |
$220 |
5.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when… (87536) |
$287.10 |
$319 |
3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Other… (87556) |
$517.50 |
$575 |
12.4× |
| Influenza a ag eia (87400) |
$73.35 |
$81.50 |
5.2× |
| Influenza assay w/optic (87804) |
$43.20 |
$48 |
2.6× |
| Influenza DNA amp probe (87502) |
$193.50 |
$215 |
2.0× |
| Inhibin a (86336) |
$34.20 |
$38 |
2.2× |
| Insulin antibody (86337) |
$513 |
$570 |
24.0× |
| Insulin free (83527) |
$28.80 |
$32 |
2.2× |
| Insulin total (83525) |
$21.60 |
$24 |
1.9× |
| Iron (83540) |
$35.10 |
$39 |
5.4× |
| Iron binding capacity (83550) |
$35.10 |
$39 |
4.0× |
| Islet cell antibody (86341) |
$168.30 |
$187 |
7.1× |
| Jak2 gene (81270) |
$276.30 |
$307 |
3.0× |
| Jak2 gene trgt sequence alys (81279) |
$891 |
$990 |
4.8× |
| John cunningham antibody (86711) |
$1,411.20 |
$1,568 |
83.6× |
| Lab cytopathology, concentration techniquie, smears and interpretation (saccomanno technique) (88108) |
$79.20 |
$88 |
2.0× |
| Lab surg cytopathology, fluid, washing or brushing , except cervical or vaginal, smears with interpretation (88104) |
$63 |
$70 |
1.6× |
| Lacosamide (80235) |
$133.20 |
$148 |
4.9× |
| Lactate (83605) |
$117.90 |
$131 |
10.2× |
| Lactate dehydrogenase (83615) |
$79.20 |
$88 |
13.1× |
| Lactoferrin fecal (qual) (83630) |
$117.90 |
$131 |
6.0× |
| Lactoferrin, fecal; quantitative Other Outpatient (83631) |
$116.10 |
$129 |
5.9× |
| Lamotrigine (80175) |
$133.20 |
$148 |
10.1× |
| Ldh isoenzymes (83625) |
$76.95 |
$85.50 |
6.0× |
| LDL direct (83721) |
$109.80 |
$122 |
10.5× |
| Lead (83655) |
$31.50 |
$35 |
2.6× |
| Legionella antibody (86713) |
$18.90 |
$21 |
1.2× |
| Legionella culture (87081) |
$68.40 |
$76 |
10.3× |
| Legionella urine antigen (87449) |
$124.65 |
$138.50 |
10.4× |
| Leukocyte assessment fecal (89055) |
$74.70 |
$83 |
17.5× |
| Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization… (88302) |
$39.60 |
$44 |
1.0× |
| Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm -… (88304) |
$50.85 |
$56.50 |
0.9× |
| Level IV - surgical pathology, gross and microscopic examination abortion - spontaneous/missed artery, biopsy bone… (88305) |
$85.05 |
$94.50 |
1.5× |
| Level v - surgical pathology, gross and microscopic examination adrenal, resection bone - biopsy/curettings bone… (88307) |
$345.60 |
$384 |
0.9× |
| Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional… (88309) |
$535.50 |
$595 |
0.6× |
| Lipase (83690) |
$106.20 |
$118 |
15.4× |
| Lipoprotein (a) (83695) |
$128.70 |
$143 |
9.0× |
| Lipoprotein bld by nmr (83704) |
$72 |
$80 |
2.1× |
| Lipoprotein-associated phospholipase a2 (83698) |
$131.40 |
$146 |
2.8× |
| Lithium (80178) |
$85.50 |
$95 |
12.9× |
| Luteinizing hormone (lh) (83002) |
$136.80 |
$152 |
7.4× |
| Lyme disease antibody (86617) |
$55.80 |
$62 |
3.6× |
| Lyme disease antibody (86618) |
$48.15 |
$53.50 |
2.8× |
| Macroscopic exam parasite (87169) |
$54 |
$60 |
12.5× |
| Magnesium (83735) |
$109.80 |
$122 |
16.4× |
| Malaria smear (87207) |
$30.60 |
$34 |
5.1× |
| Manganese (83785) |
$108 |
$120 |
4.1× |
| Manual differential (85007) |
$55.80 |
$62 |
14.7× |
| Mercury (83825) |
$44.10 |
$49 |
2.7× |
| Metanephrines (83835) |
$51.30 |
$57 |
3.0× |
| Methemoglobin quant (83050) |
$44.10 |
$49 |
5.4× |
| Methylmalonic acid serum (83921) |
$122.40 |
$136 |
5.8× |
| Microalbumin urine (82043) |
$36.45 |
$40.50 |
6.3× |
| Molecular cytogenetics DNA probe each (88271) |
$99 |
$110 |
4.6× |
| Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Other Outpatient (88275) |
$175.50 |
$195 |
3.4× |
| Mononuclear cell antigen (86356) |
$78.30 |
$87 |
2.9× |
| Mpl gene analysis common variants (81338) |
$891 |
$990 |
5.9× |
| Mumps antibody (86735) |
$27.45 |
$30.50 |
2.1× |
| Muramidase (85549) |
$27 |
$30 |
1.4× |
| Myelin associated glycoprotein (mag) antibody (83516) |
$111.60 |
$124 |
9.7× |
| Myoglobin (83874) |
$143.10 |
$159 |
11.1× |
| N.gonorrhoeae DNA amp prob (87591) |
$101.70 |
$113 |
2.9× |
| Natriuretic peptide (83880) |
$221.40 |
$246 |
5.6× |
| Nephelometry ea analyte (83883) |
$135.90 |
$151 |
10.0× |
| Nucleotidase 5 (83915) |
$100.80 |
$112 |
9.0× |
| Occult bld feces 1-3 tests (82272) |
$21.60 |
$24 |
5.1× |
| Occult blood other sources (82271) |
$48.60 |
$54 |
9.1× |
| Occult blood screening (82270) |
$21.60 |
$24 |
4.9× |
| Onco (ovar) two proteins (81500) |
$540 |
$600 |
2.1× |
| Organic acids qual each (83919) |
$54 |
$60 |
3.3× |
| Osmolality serum (83930) |
$25.20 |
$28 |
3.8× |
| Osmolality urine (83935) |
$83.70 |
$93 |
12.3× |
| Osteocalcin (83937) |
$70.20 |
$78 |
2.4× |
| Ova and parasite exam (87177) |
$92.70 |
$103 |
10.4× |
| Oxalate urine (83945) |
$111.60 |
$124 |
7.7× |
| Pancreatic elastase fecal (82656) |
$513 |
$570 |
44.5× |
| Pancreatic polypeptide (83519) |
$150.75 |
$167.50 |
8.2× |
| Parathyroid hormone (83970) |
$229.50 |
$255 |
5.6× |
| Pertussis by PCR (87798) |
$256.50 |
$285 |
7.3× |
| Ph body fluid (83986) |
$37.35 |
$41.50 |
10.4× |
| Phenobarbital (80184) |
$153.90 |
$171 |
10.1× |
| Phenotype infect agent drug (87900) |
$1,230.30 |
$1,367 |
9.4× |
| Phenytoin (dilantin) free (80186) |
$29.25 |
$32.50 |
2.1× |
| Phenytoin level total (80185) |
$114.30 |
$127 |
8.6× |
| Phosphorus (84100) |
$70.20 |
$78 |
14.8× |
| Phosphorus urine (84105) |
$156.60 |
$174 |
27.1× |
| Pinworm exam (87172) |
$9 |
$10 |
2.1× |
| Platelet count automated (85049) |
$60.30 |
$67 |
13.5× |
| Porphobilinogen urine (84110) |
$22.50 |
$25 |
2.7× |
| Porphyrins total plasma (84311) |
$200.25 |
$222.50 |
24.7× |
| Porphyrins urine quantitation & fractionation (84120) |
$27 |
$30 |
1.8× |
| Potassium (84132) |
$61.20 |
$68 |
12.9× |
| Potassium urine (84133) |
$13.50 |
$15 |
2.9× |
| Prealbumin (84134) |
$132.30 |
$147 |
9.1× |
| Pregnenolone (84140) |
$97.20 |
$108 |
4.7× |
| Primidone (80188) |
$29.70 |
$33 |
1.8× |
| Procalcitonin (pct) (84145) |
$238.50 |
$265 |
8.8× |
| Progesterone (84144) |
$116.10 |
$129 |
5.6× |
| Proinsulin (84206) |
$77.40 |
$86 |
2.9× |
| Prolactin (84146) |
$145.80 |
$162 |
7.5× |
| Prostaglandin (84150) |
$342 |
$380 |
8.2× |
| Protein c activity (85303) |
$216.45 |
$240.50 |
15.6× |
| Protein c antigen (85302) |
$314.10 |
$349 |
26.2× |
| Protein electrophoresis serum (84165) |
$119.70 |
$133 |
11.1× |
| Protein electrophoresis urine (84166) |
$114.75 |
$127.50 |
6.4× |
| Protein s antigen, free (85306) |
$181.80 |
$202 |
11.9× |
| Protein total other source (84157) |
$83.70 |
$93 |
20.9× |
| Protein total serum (84155) |
$63.90 |
$71 |
17.4× |
| Protein total urine (84156) |
$78.30 |
$87 |
21.3× |
| Protein western blot (84181) |
$216 |
$240 |
12.7× |
| Protozoa antibody nos (86753) |
$50.40 |
$56 |
4.1× |
| PSA free (84154) |
$64.80 |
$72 |
3.5× |
| Q fever antibody (86638) |
$36.90 |
$41 |
3.0× |
| Rbc antibody elution (86860) |
$306 |
$340 |
1.7× |
| Rbc antibody identification (86870) |
$638.10 |
$709 |
1.7× |
| Rbc antibody screen (86850) |
$197.10 |
$219 |
20.2× |
| Reagent strip/blood glucose (82948) |
$21.60 |
$24 |
4.3× |
| Reflex gamma-aminobutyric acid receptor, type a (gaba-ar) antibody titer, igg by cba-ifa, csf arup 3006006 (86256) |
$134.10 |
$149 |
11.1× |
| Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (86695) |
$110.25 |
$122.50 |
8.4× |
| Reflex herpes simplex virus type 2 glycoprotein g-specific antibody, igg by elisa, csf arup 00503 (86696) |
$81.90 |
$91 |
4.2× |
| Renin (84244) |
$152.10 |
$169 |
6.9× |
| Resp virus 3-5 targets (87631) |
$329.40 |
$366 |
2.3× |
| Rheumatoid factor (86430) |
$81 |
$90 |
13.2× |
| Rheumatoid factor quant (86431) |
$32.40 |
$36 |
5.7× |
| Rl immediate spin crossmatch (86920) |
$323.10 |
$359 |
1.8× |
| Rotavirus antibody (86759) |
$114.30 |
$127 |
6.3× |
| Rpr qual (86592) |
$59.85 |
$66.50 |
14.0× |
| Rsv DNA/RNA amp probe (87634) |
$220.50 |
$245 |
3.1× |
| Rubella antibody (86762) |
$31.50 |
$35 |
2.2× |
| Rubeola antibody (86765) |
$30.60 |
$34 |
2.4× |
| Russell viper venom diluted (85613) |
$83.70 |
$93 |
8.7× |
| Sedimentation rate rbc non-automated (85651) |
$63.90 |
$71 |
15.0× |
| Selenium (84255) |
$108 |
$120 |
4.2× |
| Semen analysis post vasectomy (89321) |
$75.60 |
$84 |
6.3× |
| Semen analysis; motility and count (not including Huhner test) Other Outpatient (89310) |
$77.40 |
$86 |
9.0× |
| Sex hormone binding globulin (84270) |
$56.70 |
$63 |
2.6× |
| Shiga-like toxin ag eia (87427) |
$30.15 |
$33.50 |
2.5× |
| Sickle cell screen (85660) |
$37.80 |
$42 |
6.9× |
| Sirolimus (80195) |
$173.70 |
$193 |
12.7× |
| SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg,… (81329) |
$360 |
$400 |
2.6× |
| Sodium (84295) |
$70.20 |
$78 |
14.6× |
| Sodium urine (84300) |
$80.10 |
$89 |
15.8× |
| Somatomedin (84305) |
$64.80 |
$72 |
3.0× |
| Special stains group i (88312) |
$134.10 |
$149 |
2.4× |
| Special stains group ii (88313) |
$97.65 |
$108.50 |
0.7× |
| Specific gravity except urine (84315) |
$22.50 |
$25 |
6.9× |
| Stone analysis (82365) |
$145.80 |
$162 |
11.3× |
| Strep a assay w/optic (87880) |
$23.40 |
$26 |
1.4× |
| Strep a DNA amp probe (87651) |
$126.90 |
$141 |
3.6× |
| Surg path level 1 (88300) |
$18.90 |
$21 |
0.6× |
| Susceptibility mic per plate (87186) |
$104.85 |
$116.50 |
12.1× |
| Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Other Outpatient (87190) |
$36 |
$40 |
4.9× |
| T cells cd4 count (86361) |
$343.80 |
$382 |
12.8× |
| T3 free (84481) |
$161.10 |
$179 |
9.5× |
| T3 reverse (84482) |
$193.50 |
$215 |
12.3× |
| T3 uptake (84479) |
$51.30 |
$57 |
7.9× |
| T4 (thyroxine) total (84436) |
$51.30 |
$57 |
7.5× |
| Tacrolimus (80197) |
$247.50 |
$275 |
18.0× |
| Tb test cell immun measure (86480) |
$204.30 |
$227 |
3.3× |
| Testosterone bioavailable (84410) |
$147.60 |
$164 |
2.9× |
| Testosterone free (84402) |
$180 |
$200 |
7.1× |
| Testosterone total (84403) |
$180 |
$200 |
7.0× |
| Theophylline (80198) |
$181.80 |
$202 |
12.9× |
| Thiopurine drug metabolites (83789) |
$168.30 |
$187 |
7.0× |
| Thiopurine metabolites (80299) |
$216 |
$240 |
11.6× |
| Thiopurine methyltransferase, rbc (82657) |
$450 |
$500 |
20.3× |
| Thrombin time plasma (85670) |
$57.60 |
$64 |
10.0× |
| Thromboplastin inhibition (circulating anticoagulant) measurement (85705) |
$195.30 |
$217 |
20.3× |
| Thromboplastin time, partial (PTT); substitution, plasma fractions, each Other Outpatient (85732) |
$50.40 |
$56 |
7.8× |
| Thyroglobulin antibody (86800) |
$74.25 |
$82.50 |
4.7× |
| Thyroid peroxidase antibody (86376) |
$88.20 |
$98 |
6.1× |
| Thyroid stimulating immune globulins (thyroid related protein) level (84445) |
$101.70 |
$113 |
2.0× |
| Thyroxine binding globulin (84442) |
$123.30 |
$137 |
8.3× |
| Thyroxine free (ft4) (84439) |
$115.65 |
$128.50 |
12.8× |
| Tissue culture bone marrow (88237) |
$333 |
$370 |
2.3× |
| Topiramate (80201) |
$135 |
$150 |
11.3× |
| Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Other Outpatient (87230) |
$36 |
$40 |
1.8× |
| Toxoplasma antibody igm (86778) |
$126 |
$140 |
8.7× |
| Transferrin (84466) |
$120.60 |
$134 |
9.5× |
| Treponema pallidum antibody (86780) |
$38.70 |
$43 |
2.9× |
| Trichomonas vaginalis amplif (87661) |
$107.10 |
$119 |
3.1× |
| Triglycerides (84478) |
$95.40 |
$106 |
16.6× |
| Triiodothyronine total assay, tt-3 - t3 (thyroid hormone) (84480) |
$126.90 |
$141 |
8.9× |
| Troponin t (84484) |
$146.70 |
$163 |
11.8× |
| Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing… (86481) |
$207.90 |
$231 |
2.1× |
| Urea nitrogen quantitative (84520) |
$70.20 |
$78 |
17.8× |
| Urea nitrogen urine (84540) |
$54.90 |
$61 |
9.9× |
| Uric acid blood (84550) |
$70.20 |
$78 |
15.5× |
| Uric acid other source (84560) |
$47.70 |
$53 |
9.4× |
| Urinalysis auto w/micro (81001) |
$93.60 |
$104 |
29.5× |
| Urinalysis microscopic only (81015) |
$38.70 |
$43 |
12.7× |
| Urinalysis volume measure (81050) |
$32.40 |
$36 |
8.9× |
| Urine bacteria culture (87088) |
$113.40 |
$126 |
14.0× |
| Urine porphyrins (metabolism substance) analysis (84119) |
$50.40 |
$56 |
3.8× |
| Urine Pregnancy Test POC (81025) |
$38.70 |
$43 |
4.5× |
| Urnls dip stick/tablet rgnt auto w/o microscopy (81003) |
$42.30 |
$47 |
18.8× |
| Valproic acid (80164) |
$111.15 |
$123.50 |
8.2× |
| Valproic acid (dipropylacetic acid); free (80165) |
$54 |
$60 |
4.0× |
| Vancomycin (80202) |
$235.80 |
$262 |
17.4× |
| Varicella zoster antibody igg (86787) |
$50.40 |
$56 |
3.9× |
| Vasoactive intestinal peptide (vip) (84586) |
$94.50 |
$105 |
2.7× |
| Vasopressin (antidiuretic hormone, ADH) Other Outpatient (84588) |
$243 |
$270 |
7.2× |
| Viral culture non-respiratory (87252) |
$179.10 |
$199 |
6.9× |
| Virus antibody nos (86790) |
$172.80 |
$192 |
13.4× |
| Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain,… (87254) |
$100.80 |
$112 |
5.2× |
| Viscosity (85810) |
$59.40 |
$66 |
5.1× |
| Vitamin a (84590) |
$38.70 |
$43 |
3.3× |
| Vitamin b-12 (82607) |
$135.90 |
$151 |
9.0× |
| Vitamin b1 whole blood (84425) |
$118.80 |
$132 |
5.6× |
| Vitamin b6 (84207) |
$200.70 |
$223 |
7.1× |
| Vitamin d 25 hydroxy (82306) |
$115.65 |
$128.50 |
3.9× |
| Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Other Outpatient (82652) |
$81 |
$90 |
2.1× |
| Vitamin e (84446) |
$45.90 |
$51 |
3.2× |
| Vitamin k1 (84597) |
$128.70 |
$143 |
9.4× |
| Vma (84585) |
$16.20 |
$18 |
1.0× |
| Z t cells total count (86359) |
$100.80 |
$112 |
2.7× |
| Zika virus igm antibody (86794) |
$162 |
$180 |
9.6× |
| Zinc (84630) |
$126 |
$140 |
11.1× |